Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 07-01-2022 , and ending 06-30-2023
BCheck if applicable:
CName of organization
UPMC
 
% UPMC CORPORATE TAX
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
600 GRANT ST 58TH FL C/O CORP TAX
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
PITTSBURGH, PA15219
D Employer identification number

25-1423657
E Telephone number

G Gross receipts $ 4,315,593,528
F Name and address of principal officer:
FRED HARGETT
600 GRANT STREET
PITTSBURGH,PA15219
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.upmc.com
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1982
M State of legal domicile: PA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SUPPORT OF SUBSIDIARY TAX-EXEMPT HEALTHCARE, EDUCATION AND RESEARCH ORGANIZATIONS
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 24
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 17
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 8,471,477
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 7,483,917
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 156,636,795 174,946,735
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 492,771,475 320,204,512
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,000,000 1,500,000
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 652,408,270 496,651,247
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,220,297 500,000
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) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 319,136,770 453,669,373
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 320,357,067 454,169,373
19 Revenue less expenses. Subtract line 18 from line 12....... 332,051,203 42,481,874
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 9,634,183,279 10,348,126,493
21 Total liabilities (Part X, line 26)............. 9,455,965,745 10,494,084,526
22 Net assets or fund balances. Subtract line 21 from line 20..... 178,217,534 -145,958,033
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 Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: SUPPORT OF SUBSIDIARY TAX-EXEMPT HEALTHCARE, EDUCATION AND RESEARCH ORGANIZATIONS (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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 454,169,373 including grants of $ 500,000 ) (Revenue $ 176,446,735 )
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 expensesMediumBullet454,169,373
Form 990 (2021)
Form 990 (2021)
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
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...
2
 
No
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 I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
No
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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
List of Attached Documents:
// Content
.........................
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
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; 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
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment
List of Attached Documents:
// Content
......
10
 
No
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, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
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 VIIClick to see attachment
List of Attached Documents:
// Content
.......
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 VIIIClick to see attachment
List of Attached Documents:
// Content
.......
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 IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
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 XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
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 and XII is optional Click to see attachment
List of Attached Documents:
// Content
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
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
List of Attached Documents:
// Content
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
List of Attached Documents:
// Content
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 I. See instructions. ....
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............
18
 
No
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...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 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.......................
23
 
No
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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
List of Attached Documents:
// Content
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
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), 501(c)(4), and 501(c)(29) 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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
List of Attached Documents:
// Content
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
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
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
List of Attached Documents:
// Content
35b
Yes
 
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
4,241
b
Enter the number of Forms W-2G included on 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
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
0
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
 
 
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” to line 3b, 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, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ , CH , EI , IT
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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 as charitable contributions? ...
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
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
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. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring 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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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 or note to any line 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
24
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
17
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
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, describe the process on 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," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take 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
CA , FL , MD , NY , PA , VA
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletUPMC CORPORATE TAX600 GRANT STREET   PITTSBURGH,PA15219 (412) 647-2345
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) NONE......................................................................
SEE SCHEDULE O
 0.0
.................
0.0 		    X       0 0 0
































Form 990 (2021)
Form 990 (2021)
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 (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 0 0
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
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
 
No
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
 
No
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
SEE SCHEDULE O,
 
  		   
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 0
Program Service RevenueAmt Business Code
2a OTHER INCOME 900099 61,334,263 61,334,263    
b EXP REIMB FROM SUBS 900099 103,112,136 103,112,136    
c DEFEASANCE OF DEBT 900099 1,385,100 1,385,100    
d RISK SHARING EXPENSE 900099 9,115,236 9,115,236    
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 174,946,735
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 94,988,844   8,471,477 86,517,367
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 1,500,000 1,500,000    
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss) 0 0 6c
d Net rental income or (loss).......MediumBullet 0      
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 232,026,799 3,812,131,150 7a
b Less: cost or other basis and sales expenses 96,813,631 3,722,128,650 7b
c Gain or (loss) 135,213,168 90,002,500 7c
d Net gain or (loss).........MediumBullet 225,215,668     225,215,668
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 0
12 Total revenue. See instructions.....MediumBullet 496,651,247 176,446,735 8,471,477 311,733,035
Form 990 (2021)
Form 990 (2021)
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).Check if Schedule O contains a response or note to any line in this Part IX..............
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 domestic organizations and domestic governments. See Part IV, line 21 .... 0  
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 500,000 500,000
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 0      
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0      
7 Other salaries and wages........ 0 0 0 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 0      
9 Other employee benefits ....... 0      
10 Payroll taxes ........... 0      
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 92 92    
c Accounting ........... 0      
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 21,900,920 21,900,920    
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 3,301,876 3,301,876    
12 Advertising and promotion .... 0      
13 Office expenses ....... 227,396 227,396    
14 Information technology ...... 8,704,376 8,704,376    
15 Royalties .. 0      
16 Occupancy ........... 30,572,441 30,572,441    
17 Travel ............ 21 21    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 199,462,348 199,462,348    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 33,489,005 33,489,005    
23 Insurance ... 120,029 120,029    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a LEASE IMPAIRMENT 75,783,000 75,783,000    
b AFFILIATE SUPPORT 28,084,312 28,084,312    
c PREMIUM DEFICIENCY RESERVE 23,934,644 23,934,644    
d LOSS ON IMPAIRMENT 15,008,316 15,008,316    
e All other expenses 13,080,597 13,080,597    
25 Total functional expenses. Add lines 1 through 24e 454,169,373 454,169,373 0 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 9,513,116 1 12,794,997
2 Savings and temporary cash investments ......... 103,936,982 2 443,158,888
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 107,443,260 4 84,363,126
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 4,432,803 7 7,990,039
8 Inventories for sale or use ............ 26,790,978 8 0
9 Prepaid expenses and deferred charges ...... 47,135,503 9 39,349,728
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 717,910,458
b Less: accumulated depreciation 10b 488,089,639 239,521,461 10c 229,820,819
11 Investments—publicly traded securities . 2,727,434,388 11 2,780,763,758
12 Investments—other securities. See Part IV, line 11 ..... 1,848,141,950 12 1,716,212,063
13 Investments—program-related. See Part IV, line 11 .. 312,213,591 13 458,680,916
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 4,207,619,247 15 4,574,992,159
16 Total assets. Add lines 1 through 15 (must equal line 33)... 9,634,183,279 16 10,348,126,493
Liabilities 17 Accounts payable and accrued expenses ..... 1,147,653,397 17 1,490,739,331
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 2,056,833 19 493,427
20 Tax-exempt bond liabilities ......... 3,814,326,206 20 4,380,797,177
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 1,341,305,000 23 1,938,945,000
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 3,150,624,309 25 2,683,109,591
26 Total liabilities. Add lines 17 through 25.. 9,455,965,745 26 10,494,084,526
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 178,190,745 27 -145,985,057
28 Net assets with donor restrictions ........... 26,789 28 27,024
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 178,217,534 32 -145,958,033
33 Total liabilities and net assets/fund balances ........ 9,634,183,279 33 10,348,126,493
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
496,651,247
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
454,169,373
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
42,481,874
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
178,217,534
5
Net unrealized gains (losses) on investments ...............
5
-2,687,216
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-363,970,225
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
-145,958,033
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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 on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2021)
Form 990 (2021)
Additional Data


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

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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
UPMC
 
Employer identification number

25-1423657
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................93
g
Provide the following information about the supported organization(s).
(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) UPMC PRESBYTERIAN SHADYSIDE
  		250965480 3 Yes   239,890,970 0
(B) UPMC ST MARGARET
  		232875070 3   No 42,286,433 0
(C) UPMC COMMUNITY PROVIDER SERVICES
  		251804746 10   No 135 0
(D) UPMC PASSAVANT
  		250965451 3   No 64,793,739 0
(E) UPMC BEDFORD
  		231396795 3   No 371,076 0
(F) UPMC LEE
  		250613830 3   No 0 0
(G) UPMC MCKEESPORT
  		250965423 3   No 40,404,780 0
(H) UPMC HORIZON
  		250523970 3   No 24,596,056 0
(I) UPMC MAGEE-WOMEN'S HOSPITAL
  		250965420 3   No 0 0
(J) UPMC COMMUNITY MEDICINE INC
  		251727721 3   No 182,647 0
(K) UNIVERSITY OF PITTSBURGH PHYSICIANS
  		232919472 3   No 0 0
(L) UNIVERSITY OF PITTSBURGH
  		250965591 2 Yes   249,800,000 0
(M) UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
  		250402510 3   No 0 0
(N) UPMC NORTHWEST
  		250489010 3   No 32,175,645 0
(O) COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION
  		251799823 10   No 0 0
(P) UPMC SENIOR COMMUNITIES INC
  		251574736 10   No 0 0
(Q) UPMC FOR YOU
  		900174238 10   No 0 0
(R) UPMC MERCY
  		250965429 3   No 349,937,431 0
(S) UPMC EAST
  		274814831 3   No 29,247,890 0
(T) UPMC HAMOT
  		250965387 3   No 10,548,696 0
(U) UPMC CENTER FOR HIGH-VALUE HEALTHCARE
  		452178782 7   No 0 0
(V) UPMC ALTOONA
  		231352155 3   No 31,364,714 0
(W) PITTSBURGH CARE PARTNERSHIP INC
  		251753852 10   No 0 0
(X) REGIONAL HEALTH SERVICES INC
  		251403958 10   No 0 0
(Y) SAFE HARBOR BEHAVIORAL HEALTH OF UPMC HAMOT
  		251317492 10   No 0 0
(Z) GREAT LAKES PHYSICIAN PRACTICE PC
  		464186362 3   No 0 0
(AA) UPMC ALTOONA PARTNERSHIP FOR A HEALTHY COMMUNITY
  		251842308 10   No 0 0
(AB) UPMC EMERGENCY MEDICINE INC
  		251787601 10   No 0 0
(AC) UNIVERSITY OF PITTSBURGH CANCER INSTITUTE CANCER SERVICES
  		251899326 3   No 0 0
(AD) BUTLER HEALTH SYSTEMUPMC MUSCULOSKELETAL JOINT VENTURE INC
  		471869395 3   No 391 0
(AE) ERIE PHYSICIANS NETWORK - UPMC INC
  		453012506 3   No 0 0
(AF) SUGAR CREEK STATION
  		251472178 3   No 0 0
(AG) CRANBERRY PLACE
  		043709885 10   No 0 0
(AH) PITTSBURGH LIFETIME CARE COMMUNITY
  		251335247 10   No 0 0
(AI) THE HERITAGE SHADYSIDE
  		020614185 10   No 0 0
(AJ) CANTERBURY PLACE
  		250965334 10   No 0 0
(AK) SENECA PLACE
  		721562844 10   No 0 0
(AL) UPMC HOME HEALTHCARE OF WESTERN PENNSYLVANIA
  		251222033 10   No 0 0
(AM) HOME NURSING AGENCY AFFILIATES
  		251518698 10   No 0 0
(AN) UPMC ADVANCED PRACTICE PROVIDERS
  		471301784 10   No 0 0
(AO) UPMC HOME HEALTHCARE OF CENTRAL PENNSYLVANIA
  		251188570 10   No 0 0
(AP) UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES
  		251517533 10   No 0 0
(AQ) HOME NURSING AGENCY FOUNDATION
  		251467014 7   No 0 0
(AR) CENTER FOR EMERGENCY MEDICINE OF WESTERN PENNSYLVANIA
  		251443759 10   No 0 0
(AS) UPMC JAMESON
  		250965406 3   No 34,747,165 0
(AT) CHILDREN'S ADVOCACY CENTER OF LAWRENCE COUNTY
  		251581304 7   No 0 0
(AU) UPMCJAMESON CANCER CENTER
  		201459415 3   No 0 0
(AV) JAMESON MEDICAL CARE INC
  		260462696 10   No 0 0
(AW) JAMESON CARE CENTER INC
  		232871396 10   No 0 0
(AX) MON YOUGH COMMUNITY SERVICES INC
  		251202461 10   No 0 0
(AY) UPMC KANE
  		250998168 3   No 4,402,049 0
(AZ) UPMC MUNCY
  		240806023 3   No 2,178,834 0
(BA) SUSQUEHANNA PHYSICIAN SERVICES
  		232449454 3   No 0 0
(BB) UPMC WILLIAMSPORT
  		240795508 3   No 55,217,732 0
(BC) UPMC WELLSBORO
  		232176963 3   No 0 0
(BD) THE GREEN HOME
  		240804365 10   No 0 0
(BE) WILLIAMSPORT AREA AMBULANCE SERVICE COOPERATIVE
  		232416166 10   No 0 0
(BF) UPMC LOCK HAVEN
  		821600494 3   No 2,702,832 0
(BG) UPMC SUNBURY
  		821592230 3   No 63,599 0
(BH) UPMC CHAUTAUQUA AT WCA
  		160743226 3   No 0 0
(BI) STARFLIGHT INC
  		161557878 7   No 0 0
(BJ) SOUTH CENTRAL ALPHA HOUSING AND HEALTHCARE INC
  		251701701 10   No 0 0
(BK) SOUTH WESTERN ALPHA HOUSING AND HEALTHCARE INC
  		251701700 10   No 0 0
(BL) UPMC OBGYN JOINT VENTURE INC
  		815255736 3   No 0 0
(BM) CHARLES COLE MEMORIAL HOSPITAL
  		240802108 3   No 0 0
(BN) UPMC PINNACLE LANCASTER
  		820896436 3   No 634,905 0
(BO) UPMC LITITZ
  		820844453 3   No 4,595,586 0
(BP) UPMC MEMORIAL
  		820912090 3   No 0 0
(BQ) PINNACLE HEALTH REGIONAL PHYSICIANS
  		820947698 3   No 0 0
(BR) COMMUNITY LIFE TEAM
  		231890444 7   No 0 0
(BS) UPMC PINNACLE HOSPITALS
  		251778644 3   No 78,861,823 0
(BT) PINNACLE HEALTH MEDICAL SERVICES
  		251709054 3   No 0 0
(BU) UPMC CARLISLE
  		820880337 3   No 0 0
(BV) ASBURY HEALTH CENTER
  		250969472 10   No 0 0
(BW) ASBURY VILLAS
  		251819952 10   No 0 0
(BX) ASBURY PLACE
  		251729266 10   No 0 0
(BY) ASBURY FOUNDATION
  		251555688 7   No 0 0
(BZ) UPMC HOME CARE MANAGEMENT SERVICES
  		830857507 10   No 0 0
(CA) UPMC HANOVER
  		231360851 3   No 0 0
(CB) UPMC SOMERSET
  		250965570 3   No 3,794,945 0
(CC) TWIN LAKES CENTER INC
  		232910318 3   No 11,151,372 0
(CD) SOMERSET HEALTH SERVICES INC
  		251441920 3   No 11,059,373 0
(CE) AUUE INC
  		820946389 3   No 0 0
(CF) UPMC LOCUM CLINICIANS
  		832683509 3   No 0 0
(CG) UPMC HORIZON COMMUNITY HEALTH FOUNDATION
  		251501823 7   No 0 0
(CH) UPMC ALTOONA FOUNDATION
  		550787040 7   No 0 0
(CI) WCA GROUP INC
  		222393582 10   No 0 0
(CJ) UPMC WESTERN MARYLAND CORPORATION
  		520591531 3   No 0 0
(CK) SUSQUEHANNA HEALTH FOUNDATION
  		232743470 7   No 0 0
(CL) WESLEY HILLS
  		251507472 10   No 0 0
(CM) UPMC TRAVEL STAFFING
  		873973521 3   No 0 0
(CN) RUSH TO CRUSH CANCER
  		874771624 7   No 0 0
(CO) HENDORN INC
  		231972659 10   No 0 0
Total
93
 1,325,010,818  
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (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 on 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.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
Yes
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
Yes
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
Yes
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
Yes
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
Yes
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
Yes
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
Yes
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
Yes
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 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  
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2022 		(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, 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 2022. 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 2023. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
SCHEDULE A, PART I THE SUPPORT AMOUNT LISTED FOR THE UNIVERSITY OF PITTSBURGH IS THE TOTAL SUPPORT PROVIDED BY UPMC AND ALL OF ITS SUBSIDIARIES FOR RESEARCH AND ACADEMIC MATTERS FOR FISCAL YEAR 2023.
PART IV - SECTION A, QUESTION 1, 2, 5A AND 6 QUESTION 1 UPMC PRESBYTERIAN SHADYSIDE AND THE UNIVERSITY OF PITTSBURGH ARE BOTH IDENTIFIED IN UPMC'S ARTICLES OF INCORPORATION AS SUPPORTED ORGANIZATIONS. THE OTHER SUPPORTED ORGANIZATIONS ARE DESIGNATED BY CLASS AND/ OR PURPOSE. AS PER THE UPMC AMENDED AND RESTATED ARTICLES OF INCORPORATION, UPMC SUPPORTS ENTITIES DESCRIBED AS IRC 509(A)(1) AND 509(A)(2) ORGANIZATIONS. THE MAJORITY OF UPMC'S SUPPORTED ORGANIZATIONS ARE 509(A)(1)HOSPITALS. UPMC ALSO SUPPORTS CANCER CENTERS IN THE TREATMENT OF PATIENTS AND RESEARCH ALONG WITH SENIOR COMMUNITIES WHO LOOK AFTER THE ELDERLY AND PHYSICIAN PRACTICE PLANS IN A VARIETY OF SPECIALTIES, AS WELL AS OTHER RELATED ORGANIZATIONS WHOSE ACTIVITIES ARE DIRECTLY IN FURTHERANCE OF UPMC'S EXEMPT MISSION. UPMC HAS SUPPORTED THESE ORGANIZATIONS WITHIN A RANGE OF 1 TO 41 YEARS WITH THE RELATIONSHIP CONTINUING INDEFINITELY. THIS HISTORIC AND CONTINUING RELATIONSHIP EXISTS AND AS A RESULT, THERE IS A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE ORGANIZATIONS - E.G., FURTHERING THE HEALTH, EDUCATIONAL, AND RESEARCH MISSION OF THE UPMC HEALTH SYSTEM. QUESTION 2 The majority of UPMC's supported organizations have an IRS determination of status under Section 509(a)(1) or (a)(2). However, several supported organizations do not have an IRS determination of status under Section 509(a)(1) or (a)(2) due to immediate inclusion in the UPMC Group Ruling (GEN: 9707) following initial formation under the procedure set forth in Rev. Proc. 80-27. UPMC initially determined, based on a thorough analysis of anticipated activities, funding, etc., whether these supported organizations satisfied the requirements of Section 509(a)(1) or (a)(2) when they were added to the UPMC Group Ruling. Further, UPMC annually reconfirms that Section 509(a)(1) or (a)(2) status is appropriate as part of its completion of Schedule A of the UPMC Group Return (EIN: 20-8295721). QUESTION 5A (I) TIOGA HEALTH CARE PROVIDERS EIN: 25-1765538 (II) LEGALLY MERGED OUT OF EXISTANCE 12/31/2021 (III) AUTHORITY AS REQUIRED BY UPMC ARTICLES OF INCORPORATION (IV) DISSOLUTION OF THE ORGANIZATION THROUGH BOARD APPROVAL (I) HENDORN, INC. EIN: 23-1972659 (II) DESIGNATION CHANGE TO A SUPPORTED ORGANIZATION (III) AUTHORITY AS REQUIRED BY UPMC ARTICLES OF INCORPORATION (IV) CHANGE OF EXEMPT BUSINESS ACTIVITY QUESTION 6 CONTRIBUTIONS TO UPMC ITALY ENHANCE THE ABILITY FOR UPMC PRESBYTERIAN SHADYSIDE TO ACQUIRE DATA IN THE AREA OF LIVER AND OTHER TRANSPLANTATIONS. RESEARCH IS ONE OF THE CORE MISSIONS OF UPMC PRESBYTERIAN SHADYSIDE.
SECTION D, QUESTION 3 THE SUPPORTED ORGANIZATION OFFICERS AND DIRECTORS THAT SERVE AS UPMC OFFICERS AND/OR DIRECTORS ATTEND REGULAR UPMC BOARD AND OTHER MEETINGS, HAVE ONGOING COMMUNICATION WITH OTHER UPMC DIRECTORS AND OFFICERS, AND ARE PROVIDED WITH AND HAVE ACCESS TO UPMC FINANCIAL AND OTHER INFORMATION. AS A RESULT OF THE ABOVE, THE SUPPORTED ORGANIZATION OFFICERS THAT SERVE AS UPMC OFFICERS AND/OR DIRECTORS ARE ABLE TO VOTE AND/OR OPINE ON UPMC ACTIVITIES AND INITIATIVES AFFECTING THE SUPPORTED ORGANIZATION.
SECTION E, QUESTIONS 2A AND 2B QUESTION 2A - UPMC is the parent organization and supporting organization of healthcare related entities within a large integrated healthcare delivery system of controlled subsidiaries. UPMC's primary mission is to provide the ongoing, overarching support and infrastructure to all of its exempt subsidiaries to assist them in accomplishing each of their discrete exempt educational, healthcare and research missions for which they were recognized under 501(c)(3) by the Internal Revenue Service. If UPMC as the parent and supporting organization did not supply the support, each individual entity would separately engage in these same activities to support its separate structure. QUESTION 2B - If the UPMC supporting parent organization did not provide the support that it currently does for all of its supported exempt entities these entities would have to undertake the oversight and provision of all such management and infrastructure activities currently provided by the supporting organization so that they individually could continue to provide the services in medical, educational and research programs that are the core of each of their exempt missions.
Schedule A (Form 990) 2022


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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
UPMC
 
Employer identification number

25-1423657
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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 can 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" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 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 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, 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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, 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)
Revenue included on 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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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" on 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 XIII 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, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on 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 ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
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)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   71,226,029 71,226,029
b Buildings ....   377,456,797 314,578,768 62,878,029
c Leasehold improvements   41,853,264 39,524,675 2,328,589
d Equipment ....   73,683,049 49,143,667 24,539,382
e Other .....   153,691,318 84,842,528 68,848,790
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 229,820,819
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........    
(3) Other
(A) CASH EQUIVALENTS		 184,869,073 C

(B) LIMITED PARTNERSHIPS		 1,500,723,355 C

(C) EVOLENT HEALTH, INC.		 30,619,635 F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 1,716,212,063
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)INVESTMENTS IN SUBSIDIARIES 2,920,781,697
(2)2020 PROJECT FUND 631,100,161
(3)RIGHT OF USE ASSET - OPERATING 569,369,864
(4)OTHER ASSETS 453,740,437
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 4,574,992,159
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 2,683,109,591
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 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 XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X AND PART XI UPMC HAS NO UNCERTAIN TAX POSITIONS RECORDED. TAX BENEFITS ARE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. SUCH TAX POSITIONS ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE REALIZED UPON ULTIMATE SETTLEMENT WITH THE TAX AUTHORITIES ASSUMING FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. AS OF JUNE 30, 2023, UPMC DOES NOT HAVE ANY UNRECORDED TAX BENEFITS. AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX-EXEMPT SUBSIDIARES.
Schedule D (Form 990) 2021


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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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
UPMC
 
Employer identification number

25-1423657
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other 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 its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, 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 the region		 (f) Total expenditures
for and investments
in the region
Central America and the Caribbean     Investments   80,956,907
East Asia and the Pacific     Investments   746,171,012
Europe (Including Iceland and Greenland)     Investments   567,032,123
Middle East and North Africa     Investments   53,148,439
North America     Investments   95,284,469
Russia and the Newly Independent States     Investments   1,054,379
South America     Investments   112,957,770
South Asia     Investments   165,495,777
Sub-Saharan Africa     Investments   15,748,189
           
           
           
           
           
           
           
           
3a Sub-total ....     1,837,849,065
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     1,837,849,065
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated 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 noncash
assistance 		(h) Description
of noncash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
Europe (Including Iceland and Greenland) LIVER RESEARCH 500,000     NONE COST
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
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
1
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated 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
noncash
assistance 		(g) Description
of noncash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
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, Return by a U.S. Transferor of Property to a Foreign Corporation (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 separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
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, Information 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
SCHEDULE F STATEMENT OF ACTIVITIES OUTSIDE THE UNITED STATES UPMC'S INVESTMENT PORTFOLIO INCLUDES FOREIGN SECURITIES AND SIMILAR ASSETS THAT THE IRS REQUIRES TO BE REPORTED ON SCHEDULE F. UPMC MONITORS THE USE OF GRANT MONEY PROVIDED TO ITS FOREIGN AFFILIATE FOR LIVER TRANSPLANT RESEARCH BY CONTINUAL INTERACTION BETWEEN CLINICIANS IN THE TRANSPLANT AREA SHARING INFORMATION AND DATA ON THEIR RESEARCH RESULTS.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2022
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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UPMC
 
Employer identification number
25-1423657
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 01728AH25 05-23-2007 225,000,000 SERIES 2007A   X   X   X
B Monroeville Finance Authority
  		46-0569399 611530BC9 07-31-2012 389,110,690 SERIES 2012A   X   X   X
C PA Economic Development Financing Authority
  		38-3849352 70869PGR2 10-08-2013 201,328,423 SERIES 2013AB X     X   X
D PA Economic Development Financing Authority
  		38-3849352 70869PHR1 10-01-2014 390,888,214 SERIES 2014AB   X   X   X
Pa Economic Development Financing AuthorITY
  		38-3849352 70869PKX4 10-14-2015 131,646,741 SERIES 2015B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70869PLT2 09-28-2016 273,626,626 SERIES 2016   X   X   X
PA Economic Development Financing Authority
  		38-3849352 708700JBA 10-11-2017 469,617,728 SERIES 2017A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JEM6 05-02-2022 135,000,000 SERIES 2017C (REISSUANCE)   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5V4 05-02-2022 400,000,000 SERIRES 2017D-2 (REISSUANCE)   X   X   X
Potter County Hospital Authority
  		25-6691439   03-01-2018 25,580,000 SERIES 2018A NOTE   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5C6 05-30-2019 842,635,848 SERIES 2019A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 250,885,823 SERIES 2020A (NEW MONEY)   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 30,208,557 SERIES 2020A (REFUNDING)   X   X   X
Maryland Health and Higher Educational Facilities
  		52-0936091 5742187N7 04-29-2020 207,358,648 SERIES 2020B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JDJ4 04-15-2021 321,743,708 SERIES 2021AB   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   05-07-2010 10,000,000 LAUREL 2010 NOTE   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   12-30-2011 8,771,468 LAUREL 2011 NOTE   X   X   X
Dauphin County General Authority
  		23-2336946 23825EDY7 06-22-2016 119,014,518 PINNACLE SERIES 2016A   X   X   X
Dauphin County General Authority
  		23-2336946   06-01-2021 82,950,000 PINNACLE SERIES 2016B (REISSUANCE)   X   X   X
Somerset County Hospital Authority
  		25-6001040   04-27-2009 3,590,000 SOMERSET 2009 NOTE   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEG9 05-17-2022 230,277,742 UPMC SERIES 2022A   X   X   X
Monroeville Finance Authority
  		46-0569399 611530DQ6 05-17-2022 192,608,086 UPMC SERIES 2022B   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JFN3 04-19-2023 477,422,725 UPMC SERIES 2023A   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JGJ1 04-19-2023 96,227,370 UPMC SERIES 2023B   X   X   X
Monroeville Finance Authority
  		46-0569399 611530EG7 04-19-2023 41,236,220 UPMC SERIES 2023C   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEP9 04-19-2023 250,000,000 UPMC SERIES 2023D   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 194,475,000 299,000,000 48,725,000 46,280,000
2 Amount of bonds legally defeased .............. 0 0 142,295,000 0
3 Total proceeds of issue .................. 225,008,043 389,113,883 201,398,207 471,979,220
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,938,921 3,405,559 2,444,847 4,037,851
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 53,339,385 204,010,889 126,074,288 402,373,389
11 Other spent proceeds ............. 169,729,736 181,697,435 72,879,072 65,567,981
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2007 2012 2013 2018
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X X     X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   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 0.100 % 0.100 % 2.100 % 0.900 %
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 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0.100 % 0.100 % 2.100 % 0.900 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............. X     X   X X  
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 2.400 % 0 % 0 % 0.200 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X     X   X X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X     X
c No rebate due? .........   X   X X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider .......... SEE PART VI 4BCDE
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
SERIES 2007A Refunded ACHDA Series 1997A bonds issued 4/17/1997; partly refunded ACHDA Series 1997B bonds issued 11/3/1997; financing the costs of acquiring, constructing, and equipping certain renovations, improvement and other capital expenditures of the Corporation. $8,042.50 was earned in the clearing fund and spent according to the purpose of the bonds. Subseries 2007A1 has two qualified hedges with Goldman Sachs Mitsui Marine Derivative Products. The first subseries 2007A1 qualified hedge has a notional amount of $53,905,000 and terminated on February 1, 2021, its scheduled maturity date. The second subseries 2007A1 qualified hedge has a notional amount of $46,095,000, terminates in 29.7 years from May 23, 2007, is not superintegrated, and hasn't been terminated prior to its scheduled termination date. Subseries 2007A2 had a qualified hedge with Merrill Lynch Capital Services Inc with a notional amount of $75,000,000, terminates in 3.7 years from May 23, 2007, is superintegrated, and was terminated on March 24, 2010 which was prior to its scheduled termination date.
SERIES 2012A Current refunding of four series of outstanding bonds, consisting of (i) PHEFA Series 1999A issued 3/4/1999, (ii) ACHDA UPMC Senior Communities, Inc. Series 2003 issued 7/1/2003, (iii) ACIDA Series 2004A issued 3/25/2004, and (iv) Erie County Hospital Authority Hamot Health Foundation Series 2008 issued 7/1/2008; pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and or operated by UPMC in the City of Pittsburgh and the Municipality of Monroeville; and pay the costs associated with the issuance of the 2012 Bonds. $3,193.27 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2013AB Partly current refunded Blair County Hospital Authority Series 1998A Bonds issued 8/12/1998; advance refunded the Blair County Hospital Authority Series 2009 bonds issued 12/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements relating to the facilities of the Corporation, its Subsidiary Hospitals, and other affiliates devoted to their tax-exempt purposes. "Part I - Bond Issues: The Series 2013A & 2013B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2013B Bonds. a) Monroeville Finance Authority b) 46-0569399 c) 611530BX3 d) 10/8/2013 $69,784.51 was earned on the BCHA 2009 Escrow Fund and spent according to the purpose of the bonds. Rebate computation performed on September 14, 2018. Results: 2013A - Spending Exception Met; 2013B - Negative Rebate Liability 2013A - $100,855,000 legally defeased as of 6/30/2023 2013B - $41,440,000 legally defeased as of 6/30/2023"
SERIES 2014AB Partly current refunded Allegheny County Hospital Development Authority Series 2008A Bonds issued 3/27/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2008B bonds issued 6/19/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2009A bonds issued 6/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or by UPMC or its subsidiary in the Commomwealth of Pennsylvania and; pay the costs associated with the issuance of the bonds. Part I - Bond Issues: The Series 2014A & 2014B have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2014B Bonds. a)Monroeville Finance Authority b)46-0569399 c)611530CU8 d) 10/1/2014. $347.19 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2015B Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2015B Bonds. $9,804.89 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2016 Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; repay a taxable line of credit drawn upon by UPMC and used to current refund the Erie County Hospital Authority Series 2006 bonds issued 4/11/2006; and pay the costs associated with the issuance of the Series 2016 Bonds. $318,412.62 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on September 28, 2021.
SERIES 2017A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; current refund the Erie County Hospital Authority Series 2007 bonds issued 7/31/2007; repay a taxable line of credit drawn upon by UPMC and used to current refund the Chartiers Valley Industrial Commercial Development Authority Series 2006 bonds issued 9/11/2006; repay a taxable line of credit drawn upon by UPMC and used to current refund the Allegheny County Industrial Development Authority Series 2012ABCD bonds issued 12/19/2012; and pay the costs associated with the issuance of the Series 2017A Bonds. $2,361,492.39 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on October 11, 2022.
SERIES 2017C (REISSUANCE) Reissuance of the Series 2017C Bonds, which were used to refund a taxable bridge loan from Wells Fargo Bank NA dated 11/1/2017. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2017D-2 (REISSUANCE) Reissuance of the Series 2017D-2 Bonds, which were used to pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2017D Bonds. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2018A NOTE Pay the costs of currently refunding outstanding Potter County Hospital Authority Revenue Refunding Note, Series 2013A issued 12/19/2013, Potter County Hospital Authority Equipment Note, Series 2013B issued 12/19/2013, Potter County Hospital Authority Revenue Note, Series 2014A issued 6/25/2014, and pay the costs of issuance of the Series 2018A Note.
SERIES 2019A Refunded ACHDA Subseries 2007 B-2 Bonds reissued 3/24/2010; ACHDA Series 2008 Note reissued 3/24/2010; ACHDA Series 2009A Bonds issued 6/3/2009; Lycoming County Authority Series 2009A Bonds issued 10/22/2009; Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; ACHDA Series 2010D Bonds issued 3/24/2010; Monroeville Finance Authority Series 2015A Note issued 6/25/2015; and pay the costs associated with the issuance of the Series 2019A Bonds. The 8038, as filed, has an issue price of $874,892,435.50. The correct issue price as reported in Part I, Column (e) is $842,635,847.85 which totals the PAR amount of the bonds plus Original Issue Premium. $413.49 was earned in the UPMC 2019A Bond Fund. $1,539,489.97 was earned in the UPMC 2009A Escrow Fund. $9,831.31 was earned in the DCGA 2009A Bond Fund. $238,484.50 was earned in the Susquehanna 2009A Escrow Fund. $4,844.22 was earned in the UPMC 2008 Note Fund. $3,983.86 was earned in the 2007B2 Bond Fund. $36,739.30 was earned in the 2010D Bond Fund. All investment earnings were spent according to the purpose of the bonds.
SERIES 2020A (NEW MONEY) Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038.
SERIES 2020A (REFUNDING) Partly currently refunded outstanding PHEFA Series 2010E issued 3/24/2010; and pay the costs associated with the issuance of the 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038. $146.40 was earned in the 2010E bond fund.
SERIES 2020B Refinanced Series 2020 Taxable Revenue Note dated February 3, 2020; and pay the costs associated with the issuance of the Series 2020B Bonds. "UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues. $7.90 was earned in the COI fund. There are two bonds maturing on the final maturity date. The CUSIP numbers associated with such bonds are 5742187N7 and 5742187M9."
SERIES 2021AB Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; partly currently refund the UPMC Series 2011B Taxable Bonds; pay the costs of refunding a portion of the UPMC Series 2011A Bonds; and pay the costs associated with the issuance of the Series 2021A & 2021B Bonds. Part I - Bond Issues: The Series 2021A & 2021B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2021B Bonds. a) Allegheny County Hospital Development Authority b) 25-1327925 c) 01728A-5Q5 d) 7/21/2021 $1,711.87 was earned in the 2021A project fund and spent according to the purpose of the bonds. $1,331.86 was earned in the 2011A bond fund and spent according to the purpose of the bonds.
LAUREL 2010 NOTE Pay the costs of the acquisition, construction and equipping of certain additions, improvements and renovations to the hospital facilities owned and operated by Soldiers and Sailors Memorial Hospital; and pay the costs associated with the issuance of the Series 2010 Note.
LAUREL 2011 NOTE Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2011 Bonds. $1,228,531.67 of the bond fund wasn't drawn leaving $8,771,468.33 as the total amount of the debt that was drawn.
PINNACLE SERIES 2016A Partial advance refunding of Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; and payment of the costs of issuance. $3,307,408.34 was earned in the escrow fund and spent according to the purpose of the bonds. Rebate computation performed on October 13, 2017.
PINNACLE SERIES 2016B (REISSUANCE) Reissuance of the 2016B Bonds originally dated 6/22/2016. Original project consisted of current refunding of the Dauphin County General Authority's Health System Revenue 2011A Bonds issued 6/28/2011; and payment of the costs of issuance.
SOMERSET 2009 NOTE Current refunding of the Nanty Glo Borough Municipal Authority Hospital Revenue Note, Series of 2008 issued 4/30/2008; and payment of transaction costs, including the cost of issuance.
UPMC SERIES 2022A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refund, within 90 days of the issue date, all of the outstanding Dauphin County General Authority Health System Revenue Bonds, Series A of 2012 dated 8/7/2012; and pay the costs associated with the issuance of the Series 2022A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $184,053.49 was earned in the 2022A project fund and spent according to the purpose of the bonds. $25,855.01 was earned in the PHS 2012A bond fund and spent according to the purpose of the bonds."
UPMC SERIES 2022B Refunded a portion of the outstanding Monroeville Finance Authority, UPMC Revenue Bonds, Series 2012 dated 7/31/2012; and pay the costs associated with the issuance of the Series 2022B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $483,476.72 was earned in the 2022B Escrow Fund and spent according to the purpose of the bonds."
UPMC SERIES 2023A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay a portion of the costs associated with the issuance of the Series 2023A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $1,518,407.58 was earned in the 2023A project fund."
UPMC SERIES 2023B Partly currently refunded a portion of the outstanding Pennsylvania Economic Development Authority UPMC Revenue Bonds, Series 2013A dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $920,909.46 was earned in the 2023B Escrow Fund. $7.29 was earned in the 2023B Bond Fund"
UPMC SERIES 2023C Partly currently refunded a portion of the outstanding Monroeville Finance Authority UPMC Revenue Bonds, Series 2013B dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023C Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $394,774.39 was earned in the 2023C Escrow Fund. $7.01 was earned in the 2023C Bond Fund"
UPMC SERIES 2023D Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refinance an outstanding term loan in the principal amount of $200,000,000 dated 4/13/2020; and pay a portion of the costs associated with the issuance of the Series 2023D Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues.
Schedule K (Form 990) 2021

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UPMC
 
Employer identification number
25-1423657
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 01728AH25 05-23-2007 225,000,000 SERIES 2007A   X   X   X
B Monroeville Finance Authority
  		46-0569399 611530BC9 07-31-2012 389,110,690 SERIES 2012A   X   X   X
C PA Economic Development Financing Authority
  		38-3849352 70869PGR2 10-08-2013 201,328,423 SERIES 2013AB X     X   X
D PA Economic Development Financing Authority
  		38-3849352 70869PHR1 10-01-2014 390,888,214 SERIES 2014AB   X   X   X
Pa Economic Development Financing AuthorITY
  		38-3849352 70869PKX4 10-14-2015 131,646,741 SERIES 2015B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70869PLT2 09-28-2016 273,626,626 SERIES 2016   X   X   X
PA Economic Development Financing Authority
  		38-3849352 708700JBA 10-11-2017 469,617,728 SERIES 2017A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JEM6 05-02-2022 135,000,000 SERIES 2017C (REISSUANCE)   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5V4 05-02-2022 400,000,000 SERIRES 2017D-2 (REISSUANCE)   X   X   X
Potter County Hospital Authority
  		25-6691439   03-01-2018 25,580,000 SERIES 2018A NOTE   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5C6 05-30-2019 842,635,848 SERIES 2019A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 250,885,823 SERIES 2020A (NEW MONEY)   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 30,208,557 SERIES 2020A (REFUNDING)   X   X   X
Maryland Health and Higher Educational Facilities
  		52-0936091 5742187N7 04-29-2020 207,358,648 SERIES 2020B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JDJ4 04-15-2021 321,743,708 SERIES 2021AB   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   05-07-2010 10,000,000 LAUREL 2010 NOTE   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   12-30-2011 8,771,468 LAUREL 2011 NOTE   X   X   X
Dauphin County General Authority
  		23-2336946 23825EDY7 06-22-2016 119,014,518 PINNACLE SERIES 2016A   X   X   X
Dauphin County General Authority
  		23-2336946   06-01-2021 82,950,000 PINNACLE SERIES 2016B (REISSUANCE)   X   X   X
Somerset County Hospital Authority
  		25-6001040   04-27-2009 3,590,000 SOMERSET 2009 NOTE   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEG9 05-17-2022 230,277,742 UPMC SERIES 2022A   X   X   X
Monroeville Finance Authority
  		46-0569399 611530DQ6 05-17-2022 192,608,086 UPMC SERIES 2022B   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JFN3 04-19-2023 477,422,725 UPMC SERIES 2023A   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JGJ1 04-19-2023 96,227,370 UPMC SERIES 2023B   X   X   X
Monroeville Finance Authority
  		46-0569399 611530EG7 04-19-2023 41,236,220 UPMC SERIES 2023C   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEP9 04-19-2023 250,000,000 UPMC SERIES 2023D   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 194,475,000 299,000,000 48,725,000 46,280,000
2 Amount of bonds legally defeased .............. 0 0 142,295,000 0
3 Total proceeds of issue .................. 225,008,043 389,113,883 201,398,207 471,979,220
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,938,921 3,405,559 2,444,847 4,037,851
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 53,339,385 204,010,889 126,074,288 402,373,389
11 Other spent proceeds ............. 169,729,736 181,697,435 72,879,072 65,567,981
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2007 2012 2013 2018
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X X     X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   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 0.100 % 0.100 % 2.100 % 0.900 %
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 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0.100 % 0.100 % 2.100 % 0.900 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............. X     X   X X  
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 2.400 % 0 % 0 % 0.200 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X     X   X X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X     X
c No rebate due? .........   X   X X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider .......... SEE PART VI 4BCDE
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
SERIES 2007A Refunded ACHDA Series 1997A bonds issued 4/17/1997; partly refunded ACHDA Series 1997B bonds issued 11/3/1997; financing the costs of acquiring, constructing, and equipping certain renovations, improvement and other capital expenditures of the Corporation. $8,042.50 was earned in the clearing fund and spent according to the purpose of the bonds. Subseries 2007A1 has two qualified hedges with Goldman Sachs Mitsui Marine Derivative Products. The first subseries 2007A1 qualified hedge has a notional amount of $53,905,000 and terminated on February 1, 2021, its scheduled maturity date. The second subseries 2007A1 qualified hedge has a notional amount of $46,095,000, terminates in 29.7 years from May 23, 2007, is not superintegrated, and hasn't been terminated prior to its scheduled termination date. Subseries 2007A2 had a qualified hedge with Merrill Lynch Capital Services Inc with a notional amount of $75,000,000, terminates in 3.7 years from May 23, 2007, is superintegrated, and was terminated on March 24, 2010 which was prior to its scheduled termination date.
SERIES 2012A Current refunding of four series of outstanding bonds, consisting of (i) PHEFA Series 1999A issued 3/4/1999, (ii) ACHDA UPMC Senior Communities, Inc. Series 2003 issued 7/1/2003, (iii) ACIDA Series 2004A issued 3/25/2004, and (iv) Erie County Hospital Authority Hamot Health Foundation Series 2008 issued 7/1/2008; pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and or operated by UPMC in the City of Pittsburgh and the Municipality of Monroeville; and pay the costs associated with the issuance of the 2012 Bonds. $3,193.27 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2013AB Partly current refunded Blair County Hospital Authority Series 1998A Bonds issued 8/12/1998; advance refunded the Blair County Hospital Authority Series 2009 bonds issued 12/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements relating to the facilities of the Corporation, its Subsidiary Hospitals, and other affiliates devoted to their tax-exempt purposes. "Part I - Bond Issues: The Series 2013A & 2013B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2013B Bonds. a) Monroeville Finance Authority b) 46-0569399 c) 611530BX3 d) 10/8/2013 $69,784.51 was earned on the BCHA 2009 Escrow Fund and spent according to the purpose of the bonds. Rebate computation performed on September 14, 2018. Results: 2013A - Spending Exception Met; 2013B - Negative Rebate Liability 2013A - $100,855,000 legally defeased as of 6/30/2023 2013B - $41,440,000 legally defeased as of 6/30/2023"
SERIES 2014AB Partly current refunded Allegheny County Hospital Development Authority Series 2008A Bonds issued 3/27/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2008B bonds issued 6/19/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2009A bonds issued 6/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or by UPMC or its subsidiary in the Commomwealth of Pennsylvania and; pay the costs associated with the issuance of the bonds. Part I - Bond Issues: The Series 2014A & 2014B have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2014B Bonds. a)Monroeville Finance Authority b)46-0569399 c)611530CU8 d) 10/1/2014. $347.19 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2015B Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2015B Bonds. $9,804.89 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2016 Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; repay a taxable line of credit drawn upon by UPMC and used to current refund the Erie County Hospital Authority Series 2006 bonds issued 4/11/2006; and pay the costs associated with the issuance of the Series 2016 Bonds. $318,412.62 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on September 28, 2021.
SERIES 2017A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; current refund the Erie County Hospital Authority Series 2007 bonds issued 7/31/2007; repay a taxable line of credit drawn upon by UPMC and used to current refund the Chartiers Valley Industrial Commercial Development Authority Series 2006 bonds issued 9/11/2006; repay a taxable line of credit drawn upon by UPMC and used to current refund the Allegheny County Industrial Development Authority Series 2012ABCD bonds issued 12/19/2012; and pay the costs associated with the issuance of the Series 2017A Bonds. $2,361,492.39 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on October 11, 2022.
SERIES 2017C (REISSUANCE) Reissuance of the Series 2017C Bonds, which were used to refund a taxable bridge loan from Wells Fargo Bank NA dated 11/1/2017. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2017D-2 (REISSUANCE) Reissuance of the Series 2017D-2 Bonds, which were used to pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2017D Bonds. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2018A NOTE Pay the costs of currently refunding outstanding Potter County Hospital Authority Revenue Refunding Note, Series 2013A issued 12/19/2013, Potter County Hospital Authority Equipment Note, Series 2013B issued 12/19/2013, Potter County Hospital Authority Revenue Note, Series 2014A issued 6/25/2014, and pay the costs of issuance of the Series 2018A Note.
SERIES 2019A Refunded ACHDA Subseries 2007 B-2 Bonds reissued 3/24/2010; ACHDA Series 2008 Note reissued 3/24/2010; ACHDA Series 2009A Bonds issued 6/3/2009; Lycoming County Authority Series 2009A Bonds issued 10/22/2009; Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; ACHDA Series 2010D Bonds issued 3/24/2010; Monroeville Finance Authority Series 2015A Note issued 6/25/2015; and pay the costs associated with the issuance of the Series 2019A Bonds. The 8038, as filed, has an issue price of $874,892,435.50. The correct issue price as reported in Part I, Column (e) is $842,635,847.85 which totals the PAR amount of the bonds plus Original Issue Premium. $413.49 was earned in the UPMC 2019A Bond Fund. $1,539,489.97 was earned in the UPMC 2009A Escrow Fund. $9,831.31 was earned in the DCGA 2009A Bond Fund. $238,484.50 was earned in the Susquehanna 2009A Escrow Fund. $4,844.22 was earned in the UPMC 2008 Note Fund. $3,983.86 was earned in the 2007B2 Bond Fund. $36,739.30 was earned in the 2010D Bond Fund. All investment earnings were spent according to the purpose of the bonds.
SERIES 2020A (NEW MONEY) Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038.
SERIES 2020A (REFUNDING) Partly currently refunded outstanding PHEFA Series 2010E issued 3/24/2010; and pay the costs associated with the issuance of the 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038. $146.40 was earned in the 2010E bond fund.
SERIES 2020B Refinanced Series 2020 Taxable Revenue Note dated February 3, 2020; and pay the costs associated with the issuance of the Series 2020B Bonds. "UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues. $7.90 was earned in the COI fund. There are two bonds maturing on the final maturity date. The CUSIP numbers associated with such bonds are 5742187N7 and 5742187M9."
SERIES 2021AB Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; partly currently refund the UPMC Series 2011B Taxable Bonds; pay the costs of refunding a portion of the UPMC Series 2011A Bonds; and pay the costs associated with the issuance of the Series 2021A & 2021B Bonds. Part I - Bond Issues: The Series 2021A & 2021B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2021B Bonds. a) Allegheny County Hospital Development Authority b) 25-1327925 c) 01728A-5Q5 d) 7/21/2021 $1,711.87 was earned in the 2021A project fund and spent according to the purpose of the bonds. $1,331.86 was earned in the 2011A bond fund and spent according to the purpose of the bonds.
LAUREL 2010 NOTE Pay the costs of the acquisition, construction and equipping of certain additions, improvements and renovations to the hospital facilities owned and operated by Soldiers and Sailors Memorial Hospital; and pay the costs associated with the issuance of the Series 2010 Note.
LAUREL 2011 NOTE Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2011 Bonds. $1,228,531.67 of the bond fund wasn't drawn leaving $8,771,468.33 as the total amount of the debt that was drawn.
PINNACLE SERIES 2016A Partial advance refunding of Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; and payment of the costs of issuance. $3,307,408.34 was earned in the escrow fund and spent according to the purpose of the bonds. Rebate computation performed on October 13, 2017.
PINNACLE SERIES 2016B (REISSUANCE) Reissuance of the 2016B Bonds originally dated 6/22/2016. Original project consisted of current refunding of the Dauphin County General Authority's Health System Revenue 2011A Bonds issued 6/28/2011; and payment of the costs of issuance.
SOMERSET 2009 NOTE Current refunding of the Nanty Glo Borough Municipal Authority Hospital Revenue Note, Series of 2008 issued 4/30/2008; and payment of transaction costs, including the cost of issuance.
UPMC SERIES 2022A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refund, within 90 days of the issue date, all of the outstanding Dauphin County General Authority Health System Revenue Bonds, Series A of 2012 dated 8/7/2012; and pay the costs associated with the issuance of the Series 2022A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $184,053.49 was earned in the 2022A project fund and spent according to the purpose of the bonds. $25,855.01 was earned in the PHS 2012A bond fund and spent according to the purpose of the bonds."
UPMC SERIES 2022B Refunded a portion of the outstanding Monroeville Finance Authority, UPMC Revenue Bonds, Series 2012 dated 7/31/2012; and pay the costs associated with the issuance of the Series 2022B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $483,476.72 was earned in the 2022B Escrow Fund and spent according to the purpose of the bonds."
UPMC SERIES 2023A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay a portion of the costs associated with the issuance of the Series 2023A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $1,518,407.58 was earned in the 2023A project fund."
UPMC SERIES 2023B Partly currently refunded a portion of the outstanding Pennsylvania Economic Development Authority UPMC Revenue Bonds, Series 2013A dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $920,909.46 was earned in the 2023B Escrow Fund. $7.29 was earned in the 2023B Bond Fund"
UPMC SERIES 2023C Partly currently refunded a portion of the outstanding Monroeville Finance Authority UPMC Revenue Bonds, Series 2013B dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023C Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $394,774.39 was earned in the 2023C Escrow Fund. $7.01 was earned in the 2023C Bond Fund"
UPMC SERIES 2023D Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refinance an outstanding term loan in the principal amount of $200,000,000 dated 4/13/2020; and pay a portion of the costs associated with the issuance of the Series 2023D Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues.
Schedule K (Form 990) 2021

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UPMC
 
Employer identification number
25-1423657
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 01728AH25 05-23-2007 225,000,000 SERIES 2007A   X   X   X
B Monroeville Finance Authority
  		46-0569399 611530BC9 07-31-2012 389,110,690 SERIES 2012A   X   X   X
C PA Economic Development Financing Authority
  		38-3849352 70869PGR2 10-08-2013 201,328,423 SERIES 2013AB X     X   X
D PA Economic Development Financing Authority
  		38-3849352 70869PHR1 10-01-2014 390,888,214 SERIES 2014AB   X   X   X
Pa Economic Development Financing AuthorITY
  		38-3849352 70869PKX4 10-14-2015 131,646,741 SERIES 2015B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70869PLT2 09-28-2016 273,626,626 SERIES 2016   X   X   X
PA Economic Development Financing Authority
  		38-3849352 708700JBA 10-11-2017 469,617,728 SERIES 2017A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JEM6 05-02-2022 135,000,000 SERIES 2017C (REISSUANCE)   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5V4 05-02-2022 400,000,000 SERIRES 2017D-2 (REISSUANCE)   X   X   X
Potter County Hospital Authority
  		25-6691439   03-01-2018 25,580,000 SERIES 2018A NOTE   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5C6 05-30-2019 842,635,848 SERIES 2019A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 250,885,823 SERIES 2020A (NEW MONEY)   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 30,208,557 SERIES 2020A (REFUNDING)   X   X   X
Maryland Health and Higher Educational Facilities
  		52-0936091 5742187N7 04-29-2020 207,358,648 SERIES 2020B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JDJ4 04-15-2021 321,743,708 SERIES 2021AB   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   05-07-2010 10,000,000 LAUREL 2010 NOTE   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   12-30-2011 8,771,468 LAUREL 2011 NOTE   X   X   X
Dauphin County General Authority
  		23-2336946 23825EDY7 06-22-2016 119,014,518 PINNACLE SERIES 2016A   X   X   X
Dauphin County General Authority
  		23-2336946   06-01-2021 82,950,000 PINNACLE SERIES 2016B (REISSUANCE)   X   X   X
Somerset County Hospital Authority
  		25-6001040   04-27-2009 3,590,000 SOMERSET 2009 NOTE   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEG9 05-17-2022 230,277,742 UPMC SERIES 2022A   X   X   X
Monroeville Finance Authority
  		46-0569399 611530DQ6 05-17-2022 192,608,086 UPMC SERIES 2022B   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JFN3 04-19-2023 477,422,725 UPMC SERIES 2023A   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JGJ1 04-19-2023 96,227,370 UPMC SERIES 2023B   X   X   X
Monroeville Finance Authority
  		46-0569399 611530EG7 04-19-2023 41,236,220 UPMC SERIES 2023C   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEP9 04-19-2023 250,000,000 UPMC SERIES 2023D   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 194,475,000 299,000,000 48,725,000 46,280,000
2 Amount of bonds legally defeased .............. 0 0 142,295,000 0
3 Total proceeds of issue .................. 225,008,043 389,113,883 201,398,207 471,979,220
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,938,921 3,405,559 2,444,847 4,037,851
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 53,339,385 204,010,889 126,074,288 402,373,389
11 Other spent proceeds ............. 169,729,736 181,697,435 72,879,072 65,567,981
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2007 2012 2013 2018
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X X     X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   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 0.100 % 0.100 % 2.100 % 0.900 %
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 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0.100 % 0.100 % 2.100 % 0.900 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............. X     X   X X  
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 2.400 % 0 % 0 % 0.200 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X     X   X X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X     X
c No rebate due? .........   X   X X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider .......... SEE PART VI 4BCDE
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
SERIES 2007A Refunded ACHDA Series 1997A bonds issued 4/17/1997; partly refunded ACHDA Series 1997B bonds issued 11/3/1997; financing the costs of acquiring, constructing, and equipping certain renovations, improvement and other capital expenditures of the Corporation. $8,042.50 was earned in the clearing fund and spent according to the purpose of the bonds. Subseries 2007A1 has two qualified hedges with Goldman Sachs Mitsui Marine Derivative Products. The first subseries 2007A1 qualified hedge has a notional amount of $53,905,000 and terminated on February 1, 2021, its scheduled maturity date. The second subseries 2007A1 qualified hedge has a notional amount of $46,095,000, terminates in 29.7 years from May 23, 2007, is not superintegrated, and hasn't been terminated prior to its scheduled termination date. Subseries 2007A2 had a qualified hedge with Merrill Lynch Capital Services Inc with a notional amount of $75,000,000, terminates in 3.7 years from May 23, 2007, is superintegrated, and was terminated on March 24, 2010 which was prior to its scheduled termination date.
SERIES 2012A Current refunding of four series of outstanding bonds, consisting of (i) PHEFA Series 1999A issued 3/4/1999, (ii) ACHDA UPMC Senior Communities, Inc. Series 2003 issued 7/1/2003, (iii) ACIDA Series 2004A issued 3/25/2004, and (iv) Erie County Hospital Authority Hamot Health Foundation Series 2008 issued 7/1/2008; pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and or operated by UPMC in the City of Pittsburgh and the Municipality of Monroeville; and pay the costs associated with the issuance of the 2012 Bonds. $3,193.27 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2013AB Partly current refunded Blair County Hospital Authority Series 1998A Bonds issued 8/12/1998; advance refunded the Blair County Hospital Authority Series 2009 bonds issued 12/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements relating to the facilities of the Corporation, its Subsidiary Hospitals, and other affiliates devoted to their tax-exempt purposes. "Part I - Bond Issues: The Series 2013A & 2013B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2013B Bonds. a) Monroeville Finance Authority b) 46-0569399 c) 611530BX3 d) 10/8/2013 $69,784.51 was earned on the BCHA 2009 Escrow Fund and spent according to the purpose of the bonds. Rebate computation performed on September 14, 2018. Results: 2013A - Spending Exception Met; 2013B - Negative Rebate Liability 2013A - $100,855,000 legally defeased as of 6/30/2023 2013B - $41,440,000 legally defeased as of 6/30/2023"
SERIES 2014AB Partly current refunded Allegheny County Hospital Development Authority Series 2008A Bonds issued 3/27/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2008B bonds issued 6/19/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2009A bonds issued 6/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or by UPMC or its subsidiary in the Commomwealth of Pennsylvania and; pay the costs associated with the issuance of the bonds. Part I - Bond Issues: The Series 2014A & 2014B have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2014B Bonds. a)Monroeville Finance Authority b)46-0569399 c)611530CU8 d) 10/1/2014. $347.19 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2015B Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2015B Bonds. $9,804.89 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2016 Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; repay a taxable line of credit drawn upon by UPMC and used to current refund the Erie County Hospital Authority Series 2006 bonds issued 4/11/2006; and pay the costs associated with the issuance of the Series 2016 Bonds. $318,412.62 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on September 28, 2021.
SERIES 2017A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; current refund the Erie County Hospital Authority Series 2007 bonds issued 7/31/2007; repay a taxable line of credit drawn upon by UPMC and used to current refund the Chartiers Valley Industrial Commercial Development Authority Series 2006 bonds issued 9/11/2006; repay a taxable line of credit drawn upon by UPMC and used to current refund the Allegheny County Industrial Development Authority Series 2012ABCD bonds issued 12/19/2012; and pay the costs associated with the issuance of the Series 2017A Bonds. $2,361,492.39 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on October 11, 2022.
SERIES 2017C (REISSUANCE) Reissuance of the Series 2017C Bonds, which were used to refund a taxable bridge loan from Wells Fargo Bank NA dated 11/1/2017. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2017D-2 (REISSUANCE) Reissuance of the Series 2017D-2 Bonds, which were used to pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2017D Bonds. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2018A NOTE Pay the costs of currently refunding outstanding Potter County Hospital Authority Revenue Refunding Note, Series 2013A issued 12/19/2013, Potter County Hospital Authority Equipment Note, Series 2013B issued 12/19/2013, Potter County Hospital Authority Revenue Note, Series 2014A issued 6/25/2014, and pay the costs of issuance of the Series 2018A Note.
SERIES 2019A Refunded ACHDA Subseries 2007 B-2 Bonds reissued 3/24/2010; ACHDA Series 2008 Note reissued 3/24/2010; ACHDA Series 2009A Bonds issued 6/3/2009; Lycoming County Authority Series 2009A Bonds issued 10/22/2009; Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; ACHDA Series 2010D Bonds issued 3/24/2010; Monroeville Finance Authority Series 2015A Note issued 6/25/2015; and pay the costs associated with the issuance of the Series 2019A Bonds. The 8038, as filed, has an issue price of $874,892,435.50. The correct issue price as reported in Part I, Column (e) is $842,635,847.85 which totals the PAR amount of the bonds plus Original Issue Premium. $413.49 was earned in the UPMC 2019A Bond Fund. $1,539,489.97 was earned in the UPMC 2009A Escrow Fund. $9,831.31 was earned in the DCGA 2009A Bond Fund. $238,484.50 was earned in the Susquehanna 2009A Escrow Fund. $4,844.22 was earned in the UPMC 2008 Note Fund. $3,983.86 was earned in the 2007B2 Bond Fund. $36,739.30 was earned in the 2010D Bond Fund. All investment earnings were spent according to the purpose of the bonds.
SERIES 2020A (NEW MONEY) Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038.
SERIES 2020A (REFUNDING) Partly currently refunded outstanding PHEFA Series 2010E issued 3/24/2010; and pay the costs associated with the issuance of the 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038. $146.40 was earned in the 2010E bond fund.
SERIES 2020B Refinanced Series 2020 Taxable Revenue Note dated February 3, 2020; and pay the costs associated with the issuance of the Series 2020B Bonds. "UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues. $7.90 was earned in the COI fund. There are two bonds maturing on the final maturity date. The CUSIP numbers associated with such bonds are 5742187N7 and 5742187M9."
SERIES 2021AB Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; partly currently refund the UPMC Series 2011B Taxable Bonds; pay the costs of refunding a portion of the UPMC Series 2011A Bonds; and pay the costs associated with the issuance of the Series 2021A & 2021B Bonds. Part I - Bond Issues: The Series 2021A & 2021B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2021B Bonds. a) Allegheny County Hospital Development Authority b) 25-1327925 c) 01728A-5Q5 d) 7/21/2021 $1,711.87 was earned in the 2021A project fund and spent according to the purpose of the bonds. $1,331.86 was earned in the 2011A bond fund and spent according to the purpose of the bonds.
LAUREL 2010 NOTE Pay the costs of the acquisition, construction and equipping of certain additions, improvements and renovations to the hospital facilities owned and operated by Soldiers and Sailors Memorial Hospital; and pay the costs associated with the issuance of the Series 2010 Note.
LAUREL 2011 NOTE Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2011 Bonds. $1,228,531.67 of the bond fund wasn't drawn leaving $8,771,468.33 as the total amount of the debt that was drawn.
PINNACLE SERIES 2016A Partial advance refunding of Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; and payment of the costs of issuance. $3,307,408.34 was earned in the escrow fund and spent according to the purpose of the bonds. Rebate computation performed on October 13, 2017.
PINNACLE SERIES 2016B (REISSUANCE) Reissuance of the 2016B Bonds originally dated 6/22/2016. Original project consisted of current refunding of the Dauphin County General Authority's Health System Revenue 2011A Bonds issued 6/28/2011; and payment of the costs of issuance.
SOMERSET 2009 NOTE Current refunding of the Nanty Glo Borough Municipal Authority Hospital Revenue Note, Series of 2008 issued 4/30/2008; and payment of transaction costs, including the cost of issuance.
UPMC SERIES 2022A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refund, within 90 days of the issue date, all of the outstanding Dauphin County General Authority Health System Revenue Bonds, Series A of 2012 dated 8/7/2012; and pay the costs associated with the issuance of the Series 2022A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $184,053.49 was earned in the 2022A project fund and spent according to the purpose of the bonds. $25,855.01 was earned in the PHS 2012A bond fund and spent according to the purpose of the bonds."
UPMC SERIES 2022B Refunded a portion of the outstanding Monroeville Finance Authority, UPMC Revenue Bonds, Series 2012 dated 7/31/2012; and pay the costs associated with the issuance of the Series 2022B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $483,476.72 was earned in the 2022B Escrow Fund and spent according to the purpose of the bonds."
UPMC SERIES 2023A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay a portion of the costs associated with the issuance of the Series 2023A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $1,518,407.58 was earned in the 2023A project fund."
UPMC SERIES 2023B Partly currently refunded a portion of the outstanding Pennsylvania Economic Development Authority UPMC Revenue Bonds, Series 2013A dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $920,909.46 was earned in the 2023B Escrow Fund. $7.29 was earned in the 2023B Bond Fund"
UPMC SERIES 2023C Partly currently refunded a portion of the outstanding Monroeville Finance Authority UPMC Revenue Bonds, Series 2013B dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023C Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $394,774.39 was earned in the 2023C Escrow Fund. $7.01 was earned in the 2023C Bond Fund"
UPMC SERIES 2023D Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refinance an outstanding term loan in the principal amount of $200,000,000 dated 4/13/2020; and pay a portion of the costs associated with the issuance of the Series 2023D Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues.
Schedule K (Form 990) 2021

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UPMC
 
Employer identification number
25-1423657
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 01728AH25 05-23-2007 225,000,000 SERIES 2007A   X   X   X
B Monroeville Finance Authority
  		46-0569399 611530BC9 07-31-2012 389,110,690 SERIES 2012A   X   X   X
C PA Economic Development Financing Authority
  		38-3849352 70869PGR2 10-08-2013 201,328,423 SERIES 2013AB X     X   X
D PA Economic Development Financing Authority
  		38-3849352 70869PHR1 10-01-2014 390,888,214 SERIES 2014AB   X   X   X
Pa Economic Development Financing AuthorITY
  		38-3849352 70869PKX4 10-14-2015 131,646,741 SERIES 2015B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70869PLT2 09-28-2016 273,626,626 SERIES 2016   X   X   X
PA Economic Development Financing Authority
  		38-3849352 708700JBA 10-11-2017 469,617,728 SERIES 2017A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JEM6 05-02-2022 135,000,000 SERIES 2017C (REISSUANCE)   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5V4 05-02-2022 400,000,000 SERIRES 2017D-2 (REISSUANCE)   X   X   X
Potter County Hospital Authority
  		25-6691439   03-01-2018 25,580,000 SERIES 2018A NOTE   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5C6 05-30-2019 842,635,848 SERIES 2019A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 250,885,823 SERIES 2020A (NEW MONEY)   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 30,208,557 SERIES 2020A (REFUNDING)   X   X   X
Maryland Health and Higher Educational Facilities
  		52-0936091 5742187N7 04-29-2020 207,358,648 SERIES 2020B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JDJ4 04-15-2021 321,743,708 SERIES 2021AB   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   05-07-2010 10,000,000 LAUREL 2010 NOTE   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   12-30-2011 8,771,468 LAUREL 2011 NOTE   X   X   X
Dauphin County General Authority
  		23-2336946 23825EDY7 06-22-2016 119,014,518 PINNACLE SERIES 2016A   X   X   X
Dauphin County General Authority
  		23-2336946   06-01-2021 82,950,000 PINNACLE SERIES 2016B (REISSUANCE)   X   X   X
Somerset County Hospital Authority
  		25-6001040   04-27-2009 3,590,000 SOMERSET 2009 NOTE   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEG9 05-17-2022 230,277,742 UPMC SERIES 2022A   X   X   X
Monroeville Finance Authority
  		46-0569399 611530DQ6 05-17-2022 192,608,086 UPMC SERIES 2022B   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JFN3 04-19-2023 477,422,725 UPMC SERIES 2023A   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JGJ1 04-19-2023 96,227,370 UPMC SERIES 2023B   X   X   X
Monroeville Finance Authority
  		46-0569399 611530EG7 04-19-2023 41,236,220 UPMC SERIES 2023C   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEP9 04-19-2023 250,000,000 UPMC SERIES 2023D   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 194,475,000 299,000,000 48,725,000 46,280,000
2 Amount of bonds legally defeased .............. 0 0 142,295,000 0
3 Total proceeds of issue .................. 225,008,043 389,113,883 201,398,207 471,979,220
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,938,921 3,405,559 2,444,847 4,037,851
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 53,339,385 204,010,889 126,074,288 402,373,389
11 Other spent proceeds ............. 169,729,736 181,697,435 72,879,072 65,567,981
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2007 2012 2013 2018
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X X     X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   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 0.100 % 0.100 % 2.100 % 0.900 %
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 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0.100 % 0.100 % 2.100 % 0.900 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............. X     X   X X  
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 2.400 % 0 % 0 % 0.200 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X     X   X X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X     X
c No rebate due? .........   X   X X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider .......... SEE PART VI 4BCDE
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
SERIES 2007A Refunded ACHDA Series 1997A bonds issued 4/17/1997; partly refunded ACHDA Series 1997B bonds issued 11/3/1997; financing the costs of acquiring, constructing, and equipping certain renovations, improvement and other capital expenditures of the Corporation. $8,042.50 was earned in the clearing fund and spent according to the purpose of the bonds. Subseries 2007A1 has two qualified hedges with Goldman Sachs Mitsui Marine Derivative Products. The first subseries 2007A1 qualified hedge has a notional amount of $53,905,000 and terminated on February 1, 2021, its scheduled maturity date. The second subseries 2007A1 qualified hedge has a notional amount of $46,095,000, terminates in 29.7 years from May 23, 2007, is not superintegrated, and hasn't been terminated prior to its scheduled termination date. Subseries 2007A2 had a qualified hedge with Merrill Lynch Capital Services Inc with a notional amount of $75,000,000, terminates in 3.7 years from May 23, 2007, is superintegrated, and was terminated on March 24, 2010 which was prior to its scheduled termination date.
SERIES 2012A Current refunding of four series of outstanding bonds, consisting of (i) PHEFA Series 1999A issued 3/4/1999, (ii) ACHDA UPMC Senior Communities, Inc. Series 2003 issued 7/1/2003, (iii) ACIDA Series 2004A issued 3/25/2004, and (iv) Erie County Hospital Authority Hamot Health Foundation Series 2008 issued 7/1/2008; pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and or operated by UPMC in the City of Pittsburgh and the Municipality of Monroeville; and pay the costs associated with the issuance of the 2012 Bonds. $3,193.27 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2013AB Partly current refunded Blair County Hospital Authority Series 1998A Bonds issued 8/12/1998; advance refunded the Blair County Hospital Authority Series 2009 bonds issued 12/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements relating to the facilities of the Corporation, its Subsidiary Hospitals, and other affiliates devoted to their tax-exempt purposes. "Part I - Bond Issues: The Series 2013A & 2013B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2013B Bonds. a) Monroeville Finance Authority b) 46-0569399 c) 611530BX3 d) 10/8/2013 $69,784.51 was earned on the BCHA 2009 Escrow Fund and spent according to the purpose of the bonds. Rebate computation performed on September 14, 2018. Results: 2013A - Spending Exception Met; 2013B - Negative Rebate Liability 2013A - $100,855,000 legally defeased as of 6/30/2023 2013B - $41,440,000 legally defeased as of 6/30/2023"
SERIES 2014AB Partly current refunded Allegheny County Hospital Development Authority Series 2008A Bonds issued 3/27/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2008B bonds issued 6/19/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2009A bonds issued 6/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or by UPMC or its subsidiary in the Commomwealth of Pennsylvania and; pay the costs associated with the issuance of the bonds. Part I - Bond Issues: The Series 2014A & 2014B have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2014B Bonds. a)Monroeville Finance Authority b)46-0569399 c)611530CU8 d) 10/1/2014. $347.19 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2015B Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2015B Bonds. $9,804.89 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2016 Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; repay a taxable line of credit drawn upon by UPMC and used to current refund the Erie County Hospital Authority Series 2006 bonds issued 4/11/2006; and pay the costs associated with the issuance of the Series 2016 Bonds. $318,412.62 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on September 28, 2021.
SERIES 2017A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; current refund the Erie County Hospital Authority Series 2007 bonds issued 7/31/2007; repay a taxable line of credit drawn upon by UPMC and used to current refund the Chartiers Valley Industrial Commercial Development Authority Series 2006 bonds issued 9/11/2006; repay a taxable line of credit drawn upon by UPMC and used to current refund the Allegheny County Industrial Development Authority Series 2012ABCD bonds issued 12/19/2012; and pay the costs associated with the issuance of the Series 2017A Bonds. $2,361,492.39 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on October 11, 2022.
SERIES 2017C (REISSUANCE) Reissuance of the Series 2017C Bonds, which were used to refund a taxable bridge loan from Wells Fargo Bank NA dated 11/1/2017. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2017D-2 (REISSUANCE) Reissuance of the Series 2017D-2 Bonds, which were used to pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2017D Bonds. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2018A NOTE Pay the costs of currently refunding outstanding Potter County Hospital Authority Revenue Refunding Note, Series 2013A issued 12/19/2013, Potter County Hospital Authority Equipment Note, Series 2013B issued 12/19/2013, Potter County Hospital Authority Revenue Note, Series 2014A issued 6/25/2014, and pay the costs of issuance of the Series 2018A Note.
SERIES 2019A Refunded ACHDA Subseries 2007 B-2 Bonds reissued 3/24/2010; ACHDA Series 2008 Note reissued 3/24/2010; ACHDA Series 2009A Bonds issued 6/3/2009; Lycoming County Authority Series 2009A Bonds issued 10/22/2009; Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; ACHDA Series 2010D Bonds issued 3/24/2010; Monroeville Finance Authority Series 2015A Note issued 6/25/2015; and pay the costs associated with the issuance of the Series 2019A Bonds. The 8038, as filed, has an issue price of $874,892,435.50. The correct issue price as reported in Part I, Column (e) is $842,635,847.85 which totals the PAR amount of the bonds plus Original Issue Premium. $413.49 was earned in the UPMC 2019A Bond Fund. $1,539,489.97 was earned in the UPMC 2009A Escrow Fund. $9,831.31 was earned in the DCGA 2009A Bond Fund. $238,484.50 was earned in the Susquehanna 2009A Escrow Fund. $4,844.22 was earned in the UPMC 2008 Note Fund. $3,983.86 was earned in the 2007B2 Bond Fund. $36,739.30 was earned in the 2010D Bond Fund. All investment earnings were spent according to the purpose of the bonds.
SERIES 2020A (NEW MONEY) Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038.
SERIES 2020A (REFUNDING) Partly currently refunded outstanding PHEFA Series 2010E issued 3/24/2010; and pay the costs associated with the issuance of the 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038. $146.40 was earned in the 2010E bond fund.
SERIES 2020B Refinanced Series 2020 Taxable Revenue Note dated February 3, 2020; and pay the costs associated with the issuance of the Series 2020B Bonds. "UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues. $7.90 was earned in the COI fund. There are two bonds maturing on the final maturity date. The CUSIP numbers associated with such bonds are 5742187N7 and 5742187M9."
SERIES 2021AB Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; partly currently refund the UPMC Series 2011B Taxable Bonds; pay the costs of refunding a portion of the UPMC Series 2011A Bonds; and pay the costs associated with the issuance of the Series 2021A & 2021B Bonds. Part I - Bond Issues: The Series 2021A & 2021B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2021B Bonds. a) Allegheny County Hospital Development Authority b) 25-1327925 c) 01728A-5Q5 d) 7/21/2021 $1,711.87 was earned in the 2021A project fund and spent according to the purpose of the bonds. $1,331.86 was earned in the 2011A bond fund and spent according to the purpose of the bonds.
LAUREL 2010 NOTE Pay the costs of the acquisition, construction and equipping of certain additions, improvements and renovations to the hospital facilities owned and operated by Soldiers and Sailors Memorial Hospital; and pay the costs associated with the issuance of the Series 2010 Note.
LAUREL 2011 NOTE Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2011 Bonds. $1,228,531.67 of the bond fund wasn't drawn leaving $8,771,468.33 as the total amount of the debt that was drawn.
PINNACLE SERIES 2016A Partial advance refunding of Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; and payment of the costs of issuance. $3,307,408.34 was earned in the escrow fund and spent according to the purpose of the bonds. Rebate computation performed on October 13, 2017.
PINNACLE SERIES 2016B (REISSUANCE) Reissuance of the 2016B Bonds originally dated 6/22/2016. Original project consisted of current refunding of the Dauphin County General Authority's Health System Revenue 2011A Bonds issued 6/28/2011; and payment of the costs of issuance.
SOMERSET 2009 NOTE Current refunding of the Nanty Glo Borough Municipal Authority Hospital Revenue Note, Series of 2008 issued 4/30/2008; and payment of transaction costs, including the cost of issuance.
UPMC SERIES 2022A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refund, within 90 days of the issue date, all of the outstanding Dauphin County General Authority Health System Revenue Bonds, Series A of 2012 dated 8/7/2012; and pay the costs associated with the issuance of the Series 2022A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $184,053.49 was earned in the 2022A project fund and spent according to the purpose of the bonds. $25,855.01 was earned in the PHS 2012A bond fund and spent according to the purpose of the bonds."
UPMC SERIES 2022B Refunded a portion of the outstanding Monroeville Finance Authority, UPMC Revenue Bonds, Series 2012 dated 7/31/2012; and pay the costs associated with the issuance of the Series 2022B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $483,476.72 was earned in the 2022B Escrow Fund and spent according to the purpose of the bonds."
UPMC SERIES 2023A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay a portion of the costs associated with the issuance of the Series 2023A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $1,518,407.58 was earned in the 2023A project fund."
UPMC SERIES 2023B Partly currently refunded a portion of the outstanding Pennsylvania Economic Development Authority UPMC Revenue Bonds, Series 2013A dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $920,909.46 was earned in the 2023B Escrow Fund. $7.29 was earned in the 2023B Bond Fund"
UPMC SERIES 2023C Partly currently refunded a portion of the outstanding Monroeville Finance Authority UPMC Revenue Bonds, Series 2013B dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023C Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $394,774.39 was earned in the 2023C Escrow Fund. $7.01 was earned in the 2023C Bond Fund"
UPMC SERIES 2023D Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refinance an outstanding term loan in the principal amount of $200,000,000 dated 4/13/2020; and pay a portion of the costs associated with the issuance of the Series 2023D Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues.
Schedule K (Form 990) 2021

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UPMC
 
Employer identification number
25-1423657
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 01728AH25 05-23-2007 225,000,000 SERIES 2007A   X   X   X
B Monroeville Finance Authority
  		46-0569399 611530BC9 07-31-2012 389,110,690 SERIES 2012A   X   X   X
C PA Economic Development Financing Authority
  		38-3849352 70869PGR2 10-08-2013 201,328,423 SERIES 2013AB X     X   X
D PA Economic Development Financing Authority
  		38-3849352 70869PHR1 10-01-2014 390,888,214 SERIES 2014AB   X   X   X
Pa Economic Development Financing AuthorITY
  		38-3849352 70869PKX4 10-14-2015 131,646,741 SERIES 2015B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70869PLT2 09-28-2016 273,626,626 SERIES 2016   X   X   X
PA Economic Development Financing Authority
  		38-3849352 708700JBA 10-11-2017 469,617,728 SERIES 2017A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JEM6 05-02-2022 135,000,000 SERIES 2017C (REISSUANCE)   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5V4 05-02-2022 400,000,000 SERIRES 2017D-2 (REISSUANCE)   X   X   X
Potter County Hospital Authority
  		25-6691439   03-01-2018 25,580,000 SERIES 2018A NOTE   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5C6 05-30-2019 842,635,848 SERIES 2019A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 250,885,823 SERIES 2020A (NEW MONEY)   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 30,208,557 SERIES 2020A (REFUNDING)   X   X   X
Maryland Health and Higher Educational Facilities
  		52-0936091 5742187N7 04-29-2020 207,358,648 SERIES 2020B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JDJ4 04-15-2021 321,743,708 SERIES 2021AB   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   05-07-2010 10,000,000 LAUREL 2010 NOTE   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   12-30-2011 8,771,468 LAUREL 2011 NOTE   X   X   X
Dauphin County General Authority
  		23-2336946 23825EDY7 06-22-2016 119,014,518 PINNACLE SERIES 2016A   X   X   X
Dauphin County General Authority
  		23-2336946   06-01-2021 82,950,000 PINNACLE SERIES 2016B (REISSUANCE)   X   X   X
Somerset County Hospital Authority
  		25-6001040   04-27-2009 3,590,000 SOMERSET 2009 NOTE   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEG9 05-17-2022 230,277,742 UPMC SERIES 2022A   X   X   X
Monroeville Finance Authority
  		46-0569399 611530DQ6 05-17-2022 192,608,086 UPMC SERIES 2022B   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JFN3 04-19-2023 477,422,725 UPMC SERIES 2023A   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JGJ1 04-19-2023 96,227,370 UPMC SERIES 2023B   X   X   X
Monroeville Finance Authority
  		46-0569399 611530EG7 04-19-2023 41,236,220 UPMC SERIES 2023C   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEP9 04-19-2023 250,000,000 UPMC SERIES 2023D   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 194,475,000 299,000,000 48,725,000 46,280,000
2 Amount of bonds legally defeased .............. 0 0 142,295,000 0
3 Total proceeds of issue .................. 225,008,043 389,113,883 201,398,207 471,979,220
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,938,921 3,405,559 2,444,847 4,037,851
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 53,339,385 204,010,889 126,074,288 402,373,389
11 Other spent proceeds ............. 169,729,736 181,697,435 72,879,072 65,567,981
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2007 2012 2013 2018
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X X     X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   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 0.100 % 0.100 % 2.100 % 0.900 %
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 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0.100 % 0.100 % 2.100 % 0.900 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............. X     X   X X  
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 2.400 % 0 % 0 % 0.200 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X     X   X X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X     X
c No rebate due? .........   X   X X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider .......... SEE PART VI 4BCDE
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
SERIES 2007A Refunded ACHDA Series 1997A bonds issued 4/17/1997; partly refunded ACHDA Series 1997B bonds issued 11/3/1997; financing the costs of acquiring, constructing, and equipping certain renovations, improvement and other capital expenditures of the Corporation. $8,042.50 was earned in the clearing fund and spent according to the purpose of the bonds. Subseries 2007A1 has two qualified hedges with Goldman Sachs Mitsui Marine Derivative Products. The first subseries 2007A1 qualified hedge has a notional amount of $53,905,000 and terminated on February 1, 2021, its scheduled maturity date. The second subseries 2007A1 qualified hedge has a notional amount of $46,095,000, terminates in 29.7 years from May 23, 2007, is not superintegrated, and hasn't been terminated prior to its scheduled termination date. Subseries 2007A2 had a qualified hedge with Merrill Lynch Capital Services Inc with a notional amount of $75,000,000, terminates in 3.7 years from May 23, 2007, is superintegrated, and was terminated on March 24, 2010 which was prior to its scheduled termination date.
SERIES 2012A Current refunding of four series of outstanding bonds, consisting of (i) PHEFA Series 1999A issued 3/4/1999, (ii) ACHDA UPMC Senior Communities, Inc. Series 2003 issued 7/1/2003, (iii) ACIDA Series 2004A issued 3/25/2004, and (iv) Erie County Hospital Authority Hamot Health Foundation Series 2008 issued 7/1/2008; pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and or operated by UPMC in the City of Pittsburgh and the Municipality of Monroeville; and pay the costs associated with the issuance of the 2012 Bonds. $3,193.27 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2013AB Partly current refunded Blair County Hospital Authority Series 1998A Bonds issued 8/12/1998; advance refunded the Blair County Hospital Authority Series 2009 bonds issued 12/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements relating to the facilities of the Corporation, its Subsidiary Hospitals, and other affiliates devoted to their tax-exempt purposes. "Part I - Bond Issues: The Series 2013A & 2013B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2013B Bonds. a) Monroeville Finance Authority b) 46-0569399 c) 611530BX3 d) 10/8/2013 $69,784.51 was earned on the BCHA 2009 Escrow Fund and spent according to the purpose of the bonds. Rebate computation performed on September 14, 2018. Results: 2013A - Spending Exception Met; 2013B - Negative Rebate Liability 2013A - $100,855,000 legally defeased as of 6/30/2023 2013B - $41,440,000 legally defeased as of 6/30/2023"
SERIES 2014AB Partly current refunded Allegheny County Hospital Development Authority Series 2008A Bonds issued 3/27/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2008B bonds issued 6/19/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2009A bonds issued 6/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or by UPMC or its subsidiary in the Commomwealth of Pennsylvania and; pay the costs associated with the issuance of the bonds. Part I - Bond Issues: The Series 2014A & 2014B have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2014B Bonds. a)Monroeville Finance Authority b)46-0569399 c)611530CU8 d) 10/1/2014. $347.19 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2015B Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2015B Bonds. $9,804.89 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2016 Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; repay a taxable line of credit drawn upon by UPMC and used to current refund the Erie County Hospital Authority Series 2006 bonds issued 4/11/2006; and pay the costs associated with the issuance of the Series 2016 Bonds. $318,412.62 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on September 28, 2021.
SERIES 2017A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; current refund the Erie County Hospital Authority Series 2007 bonds issued 7/31/2007; repay a taxable line of credit drawn upon by UPMC and used to current refund the Chartiers Valley Industrial Commercial Development Authority Series 2006 bonds issued 9/11/2006; repay a taxable line of credit drawn upon by UPMC and used to current refund the Allegheny County Industrial Development Authority Series 2012ABCD bonds issued 12/19/2012; and pay the costs associated with the issuance of the Series 2017A Bonds. $2,361,492.39 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on October 11, 2022.
SERIES 2017C (REISSUANCE) Reissuance of the Series 2017C Bonds, which were used to refund a taxable bridge loan from Wells Fargo Bank NA dated 11/1/2017. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2017D-2 (REISSUANCE) Reissuance of the Series 2017D-2 Bonds, which were used to pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2017D Bonds. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2018A NOTE Pay the costs of currently refunding outstanding Potter County Hospital Authority Revenue Refunding Note, Series 2013A issued 12/19/2013, Potter County Hospital Authority Equipment Note, Series 2013B issued 12/19/2013, Potter County Hospital Authority Revenue Note, Series 2014A issued 6/25/2014, and pay the costs of issuance of the Series 2018A Note.
SERIES 2019A Refunded ACHDA Subseries 2007 B-2 Bonds reissued 3/24/2010; ACHDA Series 2008 Note reissued 3/24/2010; ACHDA Series 2009A Bonds issued 6/3/2009; Lycoming County Authority Series 2009A Bonds issued 10/22/2009; Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; ACHDA Series 2010D Bonds issued 3/24/2010; Monroeville Finance Authority Series 2015A Note issued 6/25/2015; and pay the costs associated with the issuance of the Series 2019A Bonds. The 8038, as filed, has an issue price of $874,892,435.50. The correct issue price as reported in Part I, Column (e) is $842,635,847.85 which totals the PAR amount of the bonds plus Original Issue Premium. $413.49 was earned in the UPMC 2019A Bond Fund. $1,539,489.97 was earned in the UPMC 2009A Escrow Fund. $9,831.31 was earned in the DCGA 2009A Bond Fund. $238,484.50 was earned in the Susquehanna 2009A Escrow Fund. $4,844.22 was earned in the UPMC 2008 Note Fund. $3,983.86 was earned in the 2007B2 Bond Fund. $36,739.30 was earned in the 2010D Bond Fund. All investment earnings were spent according to the purpose of the bonds.
SERIES 2020A (NEW MONEY) Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038.
SERIES 2020A (REFUNDING) Partly currently refunded outstanding PHEFA Series 2010E issued 3/24/2010; and pay the costs associated with the issuance of the 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038. $146.40 was earned in the 2010E bond fund.
SERIES 2020B Refinanced Series 2020 Taxable Revenue Note dated February 3, 2020; and pay the costs associated with the issuance of the Series 2020B Bonds. "UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues. $7.90 was earned in the COI fund. There are two bonds maturing on the final maturity date. The CUSIP numbers associated with such bonds are 5742187N7 and 5742187M9."
SERIES 2021AB Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; partly currently refund the UPMC Series 2011B Taxable Bonds; pay the costs of refunding a portion of the UPMC Series 2011A Bonds; and pay the costs associated with the issuance of the Series 2021A & 2021B Bonds. Part I - Bond Issues: The Series 2021A & 2021B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2021B Bonds. a) Allegheny County Hospital Development Authority b) 25-1327925 c) 01728A-5Q5 d) 7/21/2021 $1,711.87 was earned in the 2021A project fund and spent according to the purpose of the bonds. $1,331.86 was earned in the 2011A bond fund and spent according to the purpose of the bonds.
LAUREL 2010 NOTE Pay the costs of the acquisition, construction and equipping of certain additions, improvements and renovations to the hospital facilities owned and operated by Soldiers and Sailors Memorial Hospital; and pay the costs associated with the issuance of the Series 2010 Note.
LAUREL 2011 NOTE Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2011 Bonds. $1,228,531.67 of the bond fund wasn't drawn leaving $8,771,468.33 as the total amount of the debt that was drawn.
PINNACLE SERIES 2016A Partial advance refunding of Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; and payment of the costs of issuance. $3,307,408.34 was earned in the escrow fund and spent according to the purpose of the bonds. Rebate computation performed on October 13, 2017.
PINNACLE SERIES 2016B (REISSUANCE) Reissuance of the 2016B Bonds originally dated 6/22/2016. Original project consisted of current refunding of the Dauphin County General Authority's Health System Revenue 2011A Bonds issued 6/28/2011; and payment of the costs of issuance.
SOMERSET 2009 NOTE Current refunding of the Nanty Glo Borough Municipal Authority Hospital Revenue Note, Series of 2008 issued 4/30/2008; and payment of transaction costs, including the cost of issuance.
UPMC SERIES 2022A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refund, within 90 days of the issue date, all of the outstanding Dauphin County General Authority Health System Revenue Bonds, Series A of 2012 dated 8/7/2012; and pay the costs associated with the issuance of the Series 2022A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $184,053.49 was earned in the 2022A project fund and spent according to the purpose of the bonds. $25,855.01 was earned in the PHS 2012A bond fund and spent according to the purpose of the bonds."
UPMC SERIES 2022B Refunded a portion of the outstanding Monroeville Finance Authority, UPMC Revenue Bonds, Series 2012 dated 7/31/2012; and pay the costs associated with the issuance of the Series 2022B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $483,476.72 was earned in the 2022B Escrow Fund and spent according to the purpose of the bonds."
UPMC SERIES 2023A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay a portion of the costs associated with the issuance of the Series 2023A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $1,518,407.58 was earned in the 2023A project fund."
UPMC SERIES 2023B Partly currently refunded a portion of the outstanding Pennsylvania Economic Development Authority UPMC Revenue Bonds, Series 2013A dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $920,909.46 was earned in the 2023B Escrow Fund. $7.29 was earned in the 2023B Bond Fund"
UPMC SERIES 2023C Partly currently refunded a portion of the outstanding Monroeville Finance Authority UPMC Revenue Bonds, Series 2013B dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023C Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $394,774.39 was earned in the 2023C Escrow Fund. $7.01 was earned in the 2023C Bond Fund"
UPMC SERIES 2023D Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refinance an outstanding term loan in the principal amount of $200,000,000 dated 4/13/2020; and pay a portion of the costs associated with the issuance of the Series 2023D Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues.
Schedule K (Form 990) 2021

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UPMC
 
Employer identification number
25-1423657
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 01728AH25 05-23-2007 225,000,000 SERIES 2007A   X   X   X
B Monroeville Finance Authority
  		46-0569399 611530BC9 07-31-2012 389,110,690 SERIES 2012A   X   X   X
C PA Economic Development Financing Authority
  		38-3849352 70869PGR2 10-08-2013 201,328,423 SERIES 2013AB X     X   X
D PA Economic Development Financing Authority
  		38-3849352 70869PHR1 10-01-2014 390,888,214 SERIES 2014AB   X   X   X
Pa Economic Development Financing AuthorITY
  		38-3849352 70869PKX4 10-14-2015 131,646,741 SERIES 2015B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70869PLT2 09-28-2016 273,626,626 SERIES 2016   X   X   X
PA Economic Development Financing Authority
  		38-3849352 708700JBA 10-11-2017 469,617,728 SERIES 2017A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JEM6 05-02-2022 135,000,000 SERIES 2017C (REISSUANCE)   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5V4 05-02-2022 400,000,000 SERIRES 2017D-2 (REISSUANCE)   X   X   X
Potter County Hospital Authority
  		25-6691439   03-01-2018 25,580,000 SERIES 2018A NOTE   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5C6 05-30-2019 842,635,848 SERIES 2019A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 250,885,823 SERIES 2020A (NEW MONEY)   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 30,208,557 SERIES 2020A (REFUNDING)   X   X   X
Maryland Health and Higher Educational Facilities
  		52-0936091 5742187N7 04-29-2020 207,358,648 SERIES 2020B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JDJ4 04-15-2021 321,743,708 SERIES 2021AB   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   05-07-2010 10,000,000 LAUREL 2010 NOTE   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   12-30-2011 8,771,468 LAUREL 2011 NOTE   X   X   X
Dauphin County General Authority
  		23-2336946 23825EDY7 06-22-2016 119,014,518 PINNACLE SERIES 2016A   X   X   X
Dauphin County General Authority
  		23-2336946   06-01-2021 82,950,000 PINNACLE SERIES 2016B (REISSUANCE)   X   X   X
Somerset County Hospital Authority
  		25-6001040   04-27-2009 3,590,000 SOMERSET 2009 NOTE   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEG9 05-17-2022 230,277,742 UPMC SERIES 2022A   X   X   X
Monroeville Finance Authority
  		46-0569399 611530DQ6 05-17-2022 192,608,086 UPMC SERIES 2022B   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JFN3 04-19-2023 477,422,725 UPMC SERIES 2023A   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JGJ1 04-19-2023 96,227,370 UPMC SERIES 2023B   X   X   X
Monroeville Finance Authority
  		46-0569399 611530EG7 04-19-2023 41,236,220 UPMC SERIES 2023C   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEP9 04-19-2023 250,000,000 UPMC SERIES 2023D   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 194,475,000 299,000,000 48,725,000 46,280,000
2 Amount of bonds legally defeased .............. 0 0 142,295,000 0
3 Total proceeds of issue .................. 225,008,043 389,113,883 201,398,207 471,979,220
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,938,921 3,405,559 2,444,847 4,037,851
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 53,339,385 204,010,889 126,074,288 402,373,389
11 Other spent proceeds ............. 169,729,736 181,697,435 72,879,072 65,567,981
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2007 2012 2013 2018
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X X     X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   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 0.100 % 0.100 % 2.100 % 0.900 %
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 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0.100 % 0.100 % 2.100 % 0.900 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............. X     X   X X  
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 2.400 % 0 % 0 % 0.200 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X     X   X X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X     X
c No rebate due? .........   X   X X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider .......... SEE PART VI 4BCDE
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
SERIES 2007A Refunded ACHDA Series 1997A bonds issued 4/17/1997; partly refunded ACHDA Series 1997B bonds issued 11/3/1997; financing the costs of acquiring, constructing, and equipping certain renovations, improvement and other capital expenditures of the Corporation. $8,042.50 was earned in the clearing fund and spent according to the purpose of the bonds. Subseries 2007A1 has two qualified hedges with Goldman Sachs Mitsui Marine Derivative Products. The first subseries 2007A1 qualified hedge has a notional amount of $53,905,000 and terminated on February 1, 2021, its scheduled maturity date. The second subseries 2007A1 qualified hedge has a notional amount of $46,095,000, terminates in 29.7 years from May 23, 2007, is not superintegrated, and hasn't been terminated prior to its scheduled termination date. Subseries 2007A2 had a qualified hedge with Merrill Lynch Capital Services Inc with a notional amount of $75,000,000, terminates in 3.7 years from May 23, 2007, is superintegrated, and was terminated on March 24, 2010 which was prior to its scheduled termination date.
SERIES 2012A Current refunding of four series of outstanding bonds, consisting of (i) PHEFA Series 1999A issued 3/4/1999, (ii) ACHDA UPMC Senior Communities, Inc. Series 2003 issued 7/1/2003, (iii) ACIDA Series 2004A issued 3/25/2004, and (iv) Erie County Hospital Authority Hamot Health Foundation Series 2008 issued 7/1/2008; pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and or operated by UPMC in the City of Pittsburgh and the Municipality of Monroeville; and pay the costs associated with the issuance of the 2012 Bonds. $3,193.27 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2013AB Partly current refunded Blair County Hospital Authority Series 1998A Bonds issued 8/12/1998; advance refunded the Blair County Hospital Authority Series 2009 bonds issued 12/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements relating to the facilities of the Corporation, its Subsidiary Hospitals, and other affiliates devoted to their tax-exempt purposes. "Part I - Bond Issues: The Series 2013A & 2013B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2013B Bonds. a) Monroeville Finance Authority b) 46-0569399 c) 611530BX3 d) 10/8/2013 $69,784.51 was earned on the BCHA 2009 Escrow Fund and spent according to the purpose of the bonds. Rebate computation performed on September 14, 2018. Results: 2013A - Spending Exception Met; 2013B - Negative Rebate Liability 2013A - $100,855,000 legally defeased as of 6/30/2023 2013B - $41,440,000 legally defeased as of 6/30/2023"
SERIES 2014AB Partly current refunded Allegheny County Hospital Development Authority Series 2008A Bonds issued 3/27/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2008B bonds issued 6/19/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2009A bonds issued 6/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or by UPMC or its subsidiary in the Commomwealth of Pennsylvania and; pay the costs associated with the issuance of the bonds. Part I - Bond Issues: The Series 2014A & 2014B have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2014B Bonds. a)Monroeville Finance Authority b)46-0569399 c)611530CU8 d) 10/1/2014. $347.19 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2015B Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2015B Bonds. $9,804.89 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2016 Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; repay a taxable line of credit drawn upon by UPMC and used to current refund the Erie County Hospital Authority Series 2006 bonds issued 4/11/2006; and pay the costs associated with the issuance of the Series 2016 Bonds. $318,412.62 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on September 28, 2021.
SERIES 2017A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; current refund the Erie County Hospital Authority Series 2007 bonds issued 7/31/2007; repay a taxable line of credit drawn upon by UPMC and used to current refund the Chartiers Valley Industrial Commercial Development Authority Series 2006 bonds issued 9/11/2006; repay a taxable line of credit drawn upon by UPMC and used to current refund the Allegheny County Industrial Development Authority Series 2012ABCD bonds issued 12/19/2012; and pay the costs associated with the issuance of the Series 2017A Bonds. $2,361,492.39 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on October 11, 2022.
SERIES 2017C (REISSUANCE) Reissuance of the Series 2017C Bonds, which were used to refund a taxable bridge loan from Wells Fargo Bank NA dated 11/1/2017. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2017D-2 (REISSUANCE) Reissuance of the Series 2017D-2 Bonds, which were used to pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2017D Bonds. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2018A NOTE Pay the costs of currently refunding outstanding Potter County Hospital Authority Revenue Refunding Note, Series 2013A issued 12/19/2013, Potter County Hospital Authority Equipment Note, Series 2013B issued 12/19/2013, Potter County Hospital Authority Revenue Note, Series 2014A issued 6/25/2014, and pay the costs of issuance of the Series 2018A Note.
SERIES 2019A Refunded ACHDA Subseries 2007 B-2 Bonds reissued 3/24/2010; ACHDA Series 2008 Note reissued 3/24/2010; ACHDA Series 2009A Bonds issued 6/3/2009; Lycoming County Authority Series 2009A Bonds issued 10/22/2009; Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; ACHDA Series 2010D Bonds issued 3/24/2010; Monroeville Finance Authority Series 2015A Note issued 6/25/2015; and pay the costs associated with the issuance of the Series 2019A Bonds. The 8038, as filed, has an issue price of $874,892,435.50. The correct issue price as reported in Part I, Column (e) is $842,635,847.85 which totals the PAR amount of the bonds plus Original Issue Premium. $413.49 was earned in the UPMC 2019A Bond Fund. $1,539,489.97 was earned in the UPMC 2009A Escrow Fund. $9,831.31 was earned in the DCGA 2009A Bond Fund. $238,484.50 was earned in the Susquehanna 2009A Escrow Fund. $4,844.22 was earned in the UPMC 2008 Note Fund. $3,983.86 was earned in the 2007B2 Bond Fund. $36,739.30 was earned in the 2010D Bond Fund. All investment earnings were spent according to the purpose of the bonds.
SERIES 2020A (NEW MONEY) Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038.
SERIES 2020A (REFUNDING) Partly currently refunded outstanding PHEFA Series 2010E issued 3/24/2010; and pay the costs associated with the issuance of the 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038. $146.40 was earned in the 2010E bond fund.
SERIES 2020B Refinanced Series 2020 Taxable Revenue Note dated February 3, 2020; and pay the costs associated with the issuance of the Series 2020B Bonds. "UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues. $7.90 was earned in the COI fund. There are two bonds maturing on the final maturity date. The CUSIP numbers associated with such bonds are 5742187N7 and 5742187M9."
SERIES 2021AB Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; partly currently refund the UPMC Series 2011B Taxable Bonds; pay the costs of refunding a portion of the UPMC Series 2011A Bonds; and pay the costs associated with the issuance of the Series 2021A & 2021B Bonds. Part I - Bond Issues: The Series 2021A & 2021B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2021B Bonds. a) Allegheny County Hospital Development Authority b) 25-1327925 c) 01728A-5Q5 d) 7/21/2021 $1,711.87 was earned in the 2021A project fund and spent according to the purpose of the bonds. $1,331.86 was earned in the 2011A bond fund and spent according to the purpose of the bonds.
LAUREL 2010 NOTE Pay the costs of the acquisition, construction and equipping of certain additions, improvements and renovations to the hospital facilities owned and operated by Soldiers and Sailors Memorial Hospital; and pay the costs associated with the issuance of the Series 2010 Note.
LAUREL 2011 NOTE Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2011 Bonds. $1,228,531.67 of the bond fund wasn't drawn leaving $8,771,468.33 as the total amount of the debt that was drawn.
PINNACLE SERIES 2016A Partial advance refunding of Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; and payment of the costs of issuance. $3,307,408.34 was earned in the escrow fund and spent according to the purpose of the bonds. Rebate computation performed on October 13, 2017.
PINNACLE SERIES 2016B (REISSUANCE) Reissuance of the 2016B Bonds originally dated 6/22/2016. Original project consisted of current refunding of the Dauphin County General Authority's Health System Revenue 2011A Bonds issued 6/28/2011; and payment of the costs of issuance.
SOMERSET 2009 NOTE Current refunding of the Nanty Glo Borough Municipal Authority Hospital Revenue Note, Series of 2008 issued 4/30/2008; and payment of transaction costs, including the cost of issuance.
UPMC SERIES 2022A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refund, within 90 days of the issue date, all of the outstanding Dauphin County General Authority Health System Revenue Bonds, Series A of 2012 dated 8/7/2012; and pay the costs associated with the issuance of the Series 2022A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $184,053.49 was earned in the 2022A project fund and spent according to the purpose of the bonds. $25,855.01 was earned in the PHS 2012A bond fund and spent according to the purpose of the bonds."
UPMC SERIES 2022B Refunded a portion of the outstanding Monroeville Finance Authority, UPMC Revenue Bonds, Series 2012 dated 7/31/2012; and pay the costs associated with the issuance of the Series 2022B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $483,476.72 was earned in the 2022B Escrow Fund and spent according to the purpose of the bonds."
UPMC SERIES 2023A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay a portion of the costs associated with the issuance of the Series 2023A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $1,518,407.58 was earned in the 2023A project fund."
UPMC SERIES 2023B Partly currently refunded a portion of the outstanding Pennsylvania Economic Development Authority UPMC Revenue Bonds, Series 2013A dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $920,909.46 was earned in the 2023B Escrow Fund. $7.29 was earned in the 2023B Bond Fund"
UPMC SERIES 2023C Partly currently refunded a portion of the outstanding Monroeville Finance Authority UPMC Revenue Bonds, Series 2013B dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023C Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $394,774.39 was earned in the 2023C Escrow Fund. $7.01 was earned in the 2023C Bond Fund"
UPMC SERIES 2023D Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refinance an outstanding term loan in the principal amount of $200,000,000 dated 4/13/2020; and pay a portion of the costs associated with the issuance of the Series 2023D Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues.
Schedule K (Form 990) 2021

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UPMC
 
Employer identification number
25-1423657
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 01728AH25 05-23-2007 225,000,000 SERIES 2007A   X   X   X
B Monroeville Finance Authority
  		46-0569399 611530BC9 07-31-2012 389,110,690 SERIES 2012A   X   X   X
C PA Economic Development Financing Authority
  		38-3849352 70869PGR2 10-08-2013 201,328,423 SERIES 2013AB X     X   X
D PA Economic Development Financing Authority
  		38-3849352 70869PHR1 10-01-2014 390,888,214 SERIES 2014AB   X   X   X
Pa Economic Development Financing AuthorITY
  		38-3849352 70869PKX4 10-14-2015 131,646,741 SERIES 2015B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70869PLT2 09-28-2016 273,626,626 SERIES 2016   X   X   X
PA Economic Development Financing Authority
  		38-3849352 708700JBA 10-11-2017 469,617,728 SERIES 2017A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JEM6 05-02-2022 135,000,000 SERIES 2017C (REISSUANCE)   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5V4 05-02-2022 400,000,000 SERIRES 2017D-2 (REISSUANCE)   X   X   X
Potter County Hospital Authority
  		25-6691439   03-01-2018 25,580,000 SERIES 2018A NOTE   X   X   X
Allegheny County Hospital Development Authority
  		25-1327925 01728A5C6 05-30-2019 842,635,848 SERIES 2019A   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 250,885,823 SERIES 2020A (NEW MONEY)   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JCL0 04-29-2020 30,208,557 SERIES 2020A (REFUNDING)   X   X   X
Maryland Health and Higher Educational Facilities
  		52-0936091 5742187N7 04-29-2020 207,358,648 SERIES 2020B   X   X   X
PA Economic Development Financing Authority
  		38-3849352 70870JDJ4 04-15-2021 321,743,708 SERIES 2021AB   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   05-07-2010 10,000,000 LAUREL 2010 NOTE   X   X   X
Tioga County Industrial Development Authority
  		25-1433720   12-30-2011 8,771,468 LAUREL 2011 NOTE   X   X   X
Dauphin County General Authority
  		23-2336946 23825EDY7 06-22-2016 119,014,518 PINNACLE SERIES 2016A   X   X   X
Dauphin County General Authority
  		23-2336946   06-01-2021 82,950,000 PINNACLE SERIES 2016B (REISSUANCE)   X   X   X
Somerset County Hospital Authority
  		25-6001040   04-27-2009 3,590,000 SOMERSET 2009 NOTE   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEG9 05-17-2022 230,277,742 UPMC SERIES 2022A   X   X   X
Monroeville Finance Authority
  		46-0569399 611530DQ6 05-17-2022 192,608,086 UPMC SERIES 2022B   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JFN3 04-19-2023 477,422,725 UPMC SERIES 2023A   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JGJ1 04-19-2023 96,227,370 UPMC SERIES 2023B   X   X   X
Monroeville Finance Authority
  		46-0569399 611530EG7 04-19-2023 41,236,220 UPMC SERIES 2023C   X   X   X
Pennsylvania Economic Development Financing Author
  		38-3849352 70870JEP9 04-19-2023 250,000,000 UPMC SERIES 2023D   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 194,475,000 299,000,000 48,725,000 46,280,000
2 Amount of bonds legally defeased .............. 0 0 142,295,000 0
3 Total proceeds of issue .................. 225,008,043 389,113,883 201,398,207 471,979,220
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 1,938,921 3,405,559 2,444,847 4,037,851
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 53,339,385 204,010,889 126,074,288 402,373,389
11 Other spent proceeds ............. 169,729,736 181,697,435 72,879,072 65,567,981
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2007 2012 2013 2018
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........ 		X   X   X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........ 		  X   X X     X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
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   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   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 0.100 % 0.100 % 2.100 % 0.900 %
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 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0.100 % 0.100 % 2.100 % 0.900 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............. X     X   X X  
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 2.400 % 0 % 0 % 0.200 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X     X   X X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........ 		X   X   X   X  
Part Ⅳ
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........ X   X   X     X
c No rebate due? .........   X   X X   X  
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X     X   X   X
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part Ⅳ
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider .......... SEE PART VI 4BCDE
  		0
  		0
  		0
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider .......... 0
  		0
  		0
  		0
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part Ⅴ
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part Ⅵ
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
SERIES 2007A Refunded ACHDA Series 1997A bonds issued 4/17/1997; partly refunded ACHDA Series 1997B bonds issued 11/3/1997; financing the costs of acquiring, constructing, and equipping certain renovations, improvement and other capital expenditures of the Corporation. $8,042.50 was earned in the clearing fund and spent according to the purpose of the bonds. Subseries 2007A1 has two qualified hedges with Goldman Sachs Mitsui Marine Derivative Products. The first subseries 2007A1 qualified hedge has a notional amount of $53,905,000 and terminated on February 1, 2021, its scheduled maturity date. The second subseries 2007A1 qualified hedge has a notional amount of $46,095,000, terminates in 29.7 years from May 23, 2007, is not superintegrated, and hasn't been terminated prior to its scheduled termination date. Subseries 2007A2 had a qualified hedge with Merrill Lynch Capital Services Inc with a notional amount of $75,000,000, terminates in 3.7 years from May 23, 2007, is superintegrated, and was terminated on March 24, 2010 which was prior to its scheduled termination date.
SERIES 2012A Current refunding of four series of outstanding bonds, consisting of (i) PHEFA Series 1999A issued 3/4/1999, (ii) ACHDA UPMC Senior Communities, Inc. Series 2003 issued 7/1/2003, (iii) ACIDA Series 2004A issued 3/25/2004, and (iv) Erie County Hospital Authority Hamot Health Foundation Series 2008 issued 7/1/2008; pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and or operated by UPMC in the City of Pittsburgh and the Municipality of Monroeville; and pay the costs associated with the issuance of the 2012 Bonds. $3,193.27 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2013AB Partly current refunded Blair County Hospital Authority Series 1998A Bonds issued 8/12/1998; advance refunded the Blair County Hospital Authority Series 2009 bonds issued 12/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements relating to the facilities of the Corporation, its Subsidiary Hospitals, and other affiliates devoted to their tax-exempt purposes. "Part I - Bond Issues: The Series 2013A & 2013B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2013B Bonds. a) Monroeville Finance Authority b) 46-0569399 c) 611530BX3 d) 10/8/2013 $69,784.51 was earned on the BCHA 2009 Escrow Fund and spent according to the purpose of the bonds. Rebate computation performed on September 14, 2018. Results: 2013A - Spending Exception Met; 2013B - Negative Rebate Liability 2013A - $100,855,000 legally defeased as of 6/30/2023 2013B - $41,440,000 legally defeased as of 6/30/2023"
SERIES 2014AB Partly current refunded Allegheny County Hospital Development Authority Series 2008A Bonds issued 3/27/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2008B bonds issued 6/19/2008; partly current refunded the Allegheny County Hospital Development Authority Series 2009A bonds issued 6/3/2009; financing the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or by UPMC or its subsidiary in the Commomwealth of Pennsylvania and; pay the costs associated with the issuance of the bonds. Part I - Bond Issues: The Series 2014A & 2014B have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2014B Bonds. a)Monroeville Finance Authority b)46-0569399 c)611530CU8 d) 10/1/2014. $347.19 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2015B Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2015B Bonds. $9,804.89 was earned in the construction fund during construction and spent according to the purpose of the bonds.
SERIES 2016 Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; repay a taxable line of credit drawn upon by UPMC and used to current refund the Erie County Hospital Authority Series 2006 bonds issued 4/11/2006; and pay the costs associated with the issuance of the Series 2016 Bonds. $318,412.62 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on September 28, 2021.
SERIES 2017A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; current refund the Erie County Hospital Authority Series 2007 bonds issued 7/31/2007; repay a taxable line of credit drawn upon by UPMC and used to current refund the Chartiers Valley Industrial Commercial Development Authority Series 2006 bonds issued 9/11/2006; repay a taxable line of credit drawn upon by UPMC and used to current refund the Allegheny County Industrial Development Authority Series 2012ABCD bonds issued 12/19/2012; and pay the costs associated with the issuance of the Series 2017A Bonds. $2,361,492.39 was earned in the construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on October 11, 2022.
SERIES 2017C (REISSUANCE) Reissuance of the Series 2017C Bonds, which were used to refund a taxable bridge loan from Wells Fargo Bank NA dated 11/1/2017. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2017D-2 (REISSUANCE) Reissuance of the Series 2017D-2 Bonds, which were used to pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania and pay the costs associated with the issuance of the Series 2017D Bonds. UPMC made an election under 1.141-13(d) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues.
SERIES 2018A NOTE Pay the costs of currently refunding outstanding Potter County Hospital Authority Revenue Refunding Note, Series 2013A issued 12/19/2013, Potter County Hospital Authority Equipment Note, Series 2013B issued 12/19/2013, Potter County Hospital Authority Revenue Note, Series 2014A issued 6/25/2014, and pay the costs of issuance of the Series 2018A Note.
SERIES 2019A Refunded ACHDA Subseries 2007 B-2 Bonds reissued 3/24/2010; ACHDA Series 2008 Note reissued 3/24/2010; ACHDA Series 2009A Bonds issued 6/3/2009; Lycoming County Authority Series 2009A Bonds issued 10/22/2009; Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; ACHDA Series 2010D Bonds issued 3/24/2010; Monroeville Finance Authority Series 2015A Note issued 6/25/2015; and pay the costs associated with the issuance of the Series 2019A Bonds. The 8038, as filed, has an issue price of $874,892,435.50. The correct issue price as reported in Part I, Column (e) is $842,635,847.85 which totals the PAR amount of the bonds plus Original Issue Premium. $413.49 was earned in the UPMC 2019A Bond Fund. $1,539,489.97 was earned in the UPMC 2009A Escrow Fund. $9,831.31 was earned in the DCGA 2009A Bond Fund. $238,484.50 was earned in the Susquehanna 2009A Escrow Fund. $4,844.22 was earned in the UPMC 2008 Note Fund. $3,983.86 was earned in the 2007B2 Bond Fund. $36,739.30 was earned in the 2010D Bond Fund. All investment earnings were spent according to the purpose of the bonds.
SERIES 2020A (NEW MONEY) Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038.
SERIES 2020A (REFUNDING) Partly currently refunded outstanding PHEFA Series 2010E issued 3/24/2010; and pay the costs associated with the issuance of the 2020A Bonds. UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues and moreover to subdivide the 2020A Bonds into separate issues for the New Money and Refunding purposes. The three issues were all sold at the same time. The 2020A New Money and Refunding portions were reported on a single Form 8038. $146.40 was earned in the 2010E bond fund.
SERIES 2020B Refinanced Series 2020 Taxable Revenue Note dated February 3, 2020; and pay the costs associated with the issuance of the Series 2020B Bonds. "UPMC made an election under 1.150-1(c)(3), 1.148-9(h), and 1.141-13(d) to treat the 2020A Bonds and the 2020B Bonds as separate issues. $7.90 was earned in the COI fund. There are two bonds maturing on the final maturity date. The CUSIP numbers associated with such bonds are 5742187N7 and 5742187M9."
SERIES 2021AB Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; partly currently refund the UPMC Series 2011B Taxable Bonds; pay the costs of refunding a portion of the UPMC Series 2011A Bonds; and pay the costs associated with the issuance of the Series 2021A & 2021B Bonds. Part I - Bond Issues: The Series 2021A & 2021B Bonds have differing Part I information, but are considered a single issue for tax purposes. The following information pertains to the 2021B Bonds. a) Allegheny County Hospital Development Authority b) 25-1327925 c) 01728A-5Q5 d) 7/21/2021 $1,711.87 was earned in the 2021A project fund and spent according to the purpose of the bonds. $1,331.86 was earned in the 2011A bond fund and spent according to the purpose of the bonds.
LAUREL 2010 NOTE Pay the costs of the acquisition, construction and equipping of certain additions, improvements and renovations to the hospital facilities owned and operated by Soldiers and Sailors Memorial Hospital; and pay the costs associated with the issuance of the Series 2010 Note.
LAUREL 2011 NOTE Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay the costs associated with the issuance of the Series 2011 Bonds. $1,228,531.67 of the bond fund wasn't drawn leaving $8,771,468.33 as the total amount of the debt that was drawn.
PINNACLE SERIES 2016A Partial advance refunding of Dauphin County General Authority Series 2009A Bonds issued 6/24/2009; and payment of the costs of issuance. $3,307,408.34 was earned in the escrow fund and spent according to the purpose of the bonds. Rebate computation performed on October 13, 2017.
PINNACLE SERIES 2016B (REISSUANCE) Reissuance of the 2016B Bonds originally dated 6/22/2016. Original project consisted of current refunding of the Dauphin County General Authority's Health System Revenue 2011A Bonds issued 6/28/2011; and payment of the costs of issuance.
SOMERSET 2009 NOTE Current refunding of the Nanty Glo Borough Municipal Authority Hospital Revenue Note, Series of 2008 issued 4/30/2008; and payment of transaction costs, including the cost of issuance.
UPMC SERIES 2022A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refund, within 90 days of the issue date, all of the outstanding Dauphin County General Authority Health System Revenue Bonds, Series A of 2012 dated 8/7/2012; and pay the costs associated with the issuance of the Series 2022A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $184,053.49 was earned in the 2022A project fund and spent according to the purpose of the bonds. $25,855.01 was earned in the PHS 2012A bond fund and spent according to the purpose of the bonds."
UPMC SERIES 2022B Refunded a portion of the outstanding Monroeville Finance Authority, UPMC Revenue Bonds, Series 2012 dated 7/31/2012; and pay the costs associated with the issuance of the Series 2022B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2022A Bonds, the 2022B Bonds, the reissued 2017C Bonds, and the reissued 2017D-2 Bonds as separate issues. $483,476.72 was earned in the 2022B Escrow Fund and spent according to the purpose of the bonds."
UPMC SERIES 2023A Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; and pay a portion of the costs associated with the issuance of the Series 2023A Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $1,518,407.58 was earned in the 2023A project fund."
UPMC SERIES 2023B Partly currently refunded a portion of the outstanding Pennsylvania Economic Development Authority UPMC Revenue Bonds, Series 2013A dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023B Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $920,909.46 was earned in the 2023B Escrow Fund. $7.29 was earned in the 2023B Bond Fund"
UPMC SERIES 2023C Partly currently refunded a portion of the outstanding Monroeville Finance Authority UPMC Revenue Bonds, Series 2013B dated 10/8/2013; and pay a portion of the costs associated with the issuance of the Series 2023C Bonds. "UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues. $394,774.39 was earned in the 2023C Escrow Fund. $7.01 was earned in the 2023C Bond Fund"
UPMC SERIES 2023D Pay the costs of the construction, acquisition and installation of various capital improvements to be located at the healthcare and related facilities or portions thereof owned and/or operated by UPMC or its subsidiaries in the Commonwealth of Pennsylvania; refinance an outstanding term loan in the principal amount of $200,000,000 dated 4/13/2020; and pay a portion of the costs associated with the issuance of the Series 2023D Bonds. UPMC made an election under 1.141-13(d) and 1.150-1(c)(3) to treat the 2023A Bonds, the 2023B Bonds, the 2023C Bonds, and the 2023D Bonds as separate issues.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990)
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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
UPMC
 
Employer identification number

25-1423657
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) 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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting 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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
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 PART V          
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS FOR PURPOSES OF SCHEDULE L, UPMC HAS OBTAINED AND REPORTED RELEVANT INFORMATION FROM INTERESTED PERSONS INCLUDING OFFICERS, KEY EMPLOYEES AND DIRECTORS OF UPMC. EACH OF THE TRANSACTIONS DESCRIBED IN SCHEDULE L PART IV WERE NEGOTIATED AT ARM'S LENGTH AND ARE BASED UPON FAIR VALUE. IN ACCORDANCE WITH APPLICABLE POLICIES AND PROCEDURES, INTERESTED PERSONS ABSTAINED FROM UPMC'S DECISION MAKING PROCESS WITH RESPECT TO EACH TRANSACTION. IN THE INTEREST OF FULL TRANSPARENCY THE DISCLOSURE AMOUNTS INCLUDE ALL UPMC SYSTEM-WIDE ACTIVITY (INCLUSIVE OF UPMC AND ALL SUBSIDIARIES) RATHER THAN ONLY UPMC PARENT ENTITY DISCRETE ACTIVITY. THEY ALSO REFLECT TRANSACTIONS FOR WHICH UPMC IS THE RECIPIENT OF FUNDS, AS WELL AS THE PAYOR OF FUNDS. A NAME OF INTERESTED PERSON MICHAEL MONTLER B RELATIONSHIP BETWEEN INTERESTED INTERESTED PERSON IS FAMILY MEMBER PERSON AND THE ORGANIZATION OF BOARD MEMBER ROBERT MONTLER C AMOUNT OF TRANSACTION 102,859 D DESCRIPTION OF TRANSACTION COMPENSATION E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON WELDERS SUPPLY COMPANY B RELATIONSHIP BETWEEN INTERESTED BOARD MEMBER MARK H. RAIMY IS PERSON AND THE ORGANIZATION OWNER OF INTERESTED PERSON C AMOUNT OF TRANSACTION 107,865 D DESCRIPTION OF TRANSACTION HEALTH INSURANCE E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON CAMPUS SQUARE PARTNERS B RELATIONSHIP BETWEEN INTERESTED BOARD MEMBER DOUGLAS A. NEIDICH PERSON AND THE ORGANIZATION IS PARTNER OF INTERESTED PERSON C AMOUNT OF TRANSACTION 429,529 D DESCRIPTION OF TRANSACTION RENT E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON JOSHUA LEVENSON, MD B RELATIONSHIP BETWEEN INTERESTED INTERESTED PERSON IS FAMILY MEMBER PERSON AND THE ORGANIZATION OF BOARD MEMBER DEBRA L. CAPLAN C AMOUNT OF TRANSACTION 482,686 D DESCRIPTION OF TRANSACTION COMPENSATION E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON DICK BUILDING COMPANY, LLC B RELATIONSHIP BETWEEN INTERESTED BOARD MEMBER DOUGLAS DICK IS PERSON AND THE ORGANIZATION OWNER OF INTERESTED PERSON C AMOUNT OF TRANSACTION 126,167 D DESCRIPTION OF TRANSACTION HEALTH INSURANCE E SHARING OF ORGANIZATIONS REVENUES NO A NAME OF INTERESTED PERSON DICK BUILDING COMPANY, LLC B RELATIONSHIP BETWEEN INTERESTED BOARD MEMBER DOUGLAS DICK IS PERSON AND THE ORGANIZATION OWNER OF INTERESTED PERSON C AMOUNT OF TRANSACTION 1,613,220 D DESCRIPTION OF TRANSACTION CONSTRUCTION SERVICES E SHARING OF ORGANIZATIONS REVENUES NO
Schedule L (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990)

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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
UPMC
 
Employer identification number

25-1423657
Return Reference Explanation
PART I SUMMARY UPMC is the parent organization of a large integrated healthcare delivery system consisting of controlled subsidiaries within the meaning of Section 6033(h). UPMC'S primary mission is the ongoing support of all subsidiaries in order to assist them in accomplishing their exempt educational, healthcare, and research missions. Line 8 - Contributions and grants: Pursuant to Treasury Regulation Section 1.6033-2(d)(5), UPMC has elected to report information related to its contributions and grants received on a consolidated basis for all of the members of the UPMC Group, including this parent organization, on the return of UPMC Group, EIN 20-8295721.
PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS UPMC, a world-renowned health care provider and insurer, is inventing new models of patient-centered, cost-effective, accountable care. With a central mission of providing outstanding, accessible patient care, UPMC is shaping tomorrow's health care through clinical and technological innovation, research, and education. As the largest nongovernmental employer in the Commonwealth of Pennsylvania - with more than 95,000 employees within its various controlled health care entities - UPMC encompasses 40 hospitals and approximately 800 doctors' offices and outpatient sites. By integrating its health care services with an insurance division focused on promoting the health of its members, UPMC is advancing the quality and efficiency of health care, and developing internationally renowned programs in transplantation, cancer, neurosurgery, women's health, psychiatry, geriatrics, orthopedics, and sports medicine, among others. These highly specialized services draw patients from across the nation and around the world. Closely affiliated with its academic partner, the University of Pittsburgh, UPMC's flagship hospital, UPMC Presbyterian Shadyside, is consistently ranked among the nation's best hospitals in many specialties by U.S. News & World Report. UPMC's Health Services Division encompasses a comprehensive array of clinical capabilities. This division includes academic, community, and regional hospitals; pre- and post-acute care capabilities; specialty service lines, such as transplantation services, women's health, behavioral health, pediatrics, cancer care, and rehabilitation services; contract services, such as emergency medicine, pharmacy, and laboratory; and more than 5,000 employed physicians with associated practices. UPMC's organ transplant center is one of the largest and busiest in the world, performing more than 20,000 transplants since 1981. The UPMC Hillman Cancer Center is one of the largest integrated community cancer networks in the United States with more than 70 centers in Pennsylvania, Ohio, New York, and Maryland, and more than 2,000 physicians, researchers, and staff. UPMC's expertise in academic-based and specialized medical care, including transplantation and oncology, is key to the globalization efforts being undertaken through its International Division, which promotes the exchange of scientific knowledge worldwide, while generating revenue that is reinvested locally. In managing its global health enterprise, UPMC has taken a leadership role in good corporate governance practices - voluntarily achieving Sarbanes-Oxley certification for eighteen years in a row, publicly releasing quarterly financial results within 60 days of each quarter's close, and creating one of the most stringent industry relationship policies to ensure that pharmaceutical and medical device companies do not negatively influence patient care. These business practices set the stage for decision making that is good for UPMC and the communities it serves. High-Quality, Patient-Focused Care By leveraging resources and expertise across its global network, UPMC has achieved significant gains in the delivery of high-quality, patient-focused care that is evidence based. The Wolff Center at UPMC coordinates and connects quality, safety, patient care, and innovative improvements to ensure patients receive the safest and highest quality care. The Wolff Center partners with colleagues across UPMC to improve health care delivery for patients and health plan members. These collaborations support effective and efficient care transformations to achieve high quality and safe outcomes. The Wolff Center's expertise includes enterprise-wide quality data and analytics to inform initiatives that target operational excellence, patient and employee experience, quality care and process improvement, and regulatory, patient safety, and emergency preparedness. In fiscal year 2023, the Wolff Center continued to provide leadership and infrastructure to employees, patients, and communities during the transition of COVID-19 from a pandemic to an endemic infectious disease, with continued COVID-19 testing, vaccinations, and care as needed. The Centers for Medicare and Medicaid Services COVID-19 guidelines that were put in place at the height of the pandemic are being carefully evaluated for continued necessity. Last year, the Wolff Center implemented new processes to streamline workflow, improve documentation, standardize education, and improve patient safety. A focus on quality and safety outcomes was maintained to strengthen the patient safety culture and achieve targeted improvements in clinical areas, including congestive heart failure care, urinary infection testing, and palliative care, all in alignment with UPMC's strategic clinical priorities. Additionally, the Wolff Center supported the UPMC experience by ensuring our goals of excellent care, clinical care coordination, discharge planning, and clinical practice access were met. The Wolff Center at UPMC also monitors and improves infection prevention, patient care models, health equity for underserved communities, and emergency preparedness.
PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED Investments in Technology and Facilities Underpinning UPMC's quality and patient safety efforts is a robust technology infrastructure. Over the past five years, UPMC has invested $4.4 billion in new facilities, equipment, and information technology to make care more convenient and accessible across the region, and its hospitals are among the most advanced users of electronic health records, as measured by HIMSS Analytics, a subsidiary of the Healthcare Information and Management Systems Society (HIMSS). For 25 years in a row, UPMC has been named a Most Wired health care system by the Digital Health Most Wired survey from the College of Healthcare Information Management Executives (CHIME). In 2023, UPMC received the highest honor and was recognized as a Level 10 health care system. This solidifies UPMC as a leader in health care technology and demonstrates that UPMC's technology is at the forefront of improving the health care journey for both patients and staff, through innovative technologies that are automated, reliable, secure, and patient focused. In 2023, UPMC embarked on an enterprise-wide initiative to unify our Electronic Health Record (EHR) to a single platform, with an aim of advancing clinical and operational excellence and patient experience. UPMC is also partnering with leading technology companies and innovative startups to develop and bring to the public the next generation of health care information technology. In keeping with its goal of ensuring access to high-quality health care, UPMC continues to invest in world-class facilities and clinical services - in 2023, UPMC spent $744 million on capital improvements. Support for Research and Education In concert with its academic partner, the University of Pittsburgh, UPMC is translating biomedical research into innovative clinical care, while training the clinicians and researchers who will advance health care in the decades to come. UPMC's financial support for research and education - primarily at the University of Pittsburgh - was $602 million in fiscal year 2023. UPMC's ongoing support has aided the University in remaining among the top 10 recipients of National Institutes of Health (NIH) grants since 1998. This success keeps both organizations on the cutting edge of medical research, while bringing nearly $700 million of NIH funding to the region. The results of this research are widely shared with other scientists and researchers, leading to discoveries and improvements in health care practices that benefit the public. UPMC underwrites the training of more than 1,900 medical, pharmacy, dental, and podiatry residents, and medical clinical fellows. UPMC also operates six schools of nursing, offers training for allied health professionals, and coordinates a wide array of continuing medical education programs to allow the region's medical community to build its collective expertise. Caring for the Community In fiscal year 2023, UPMC spent $747 million to provide uncompensated care to patients of limited financial means, including financial assistance and shortfalls from medical assistance and other means tested programs. UPMC's financial assistance program has been designed to be easily accessible and user-friendly to patients in need. UPMC operates pursuant to an expansive financial assistance policy that extends free or discounted health services to uninsured and underinsured individuals and families earning up to 400 percent of the federal poverty level - as much as $120,000 for a family of four in 2023. Additionally, in fiscal year 2023, UPMC spent $1.3 billion to cover payment shortfalls for those enrolled in Medicare. UPMC annually provides or contributes to more than 3,000 community health improvement programs and subsidized services. Many of these programs target the unmet needs of vulnerable populations, addressing chronic health problems such as diabetes, heart disease, and cancer, as well as social issues such as opioid addiction, teen pregnancy, violence against women, and elderly living alone. The cost of these services, along with charitable activities and donations that benefit the community, amounted to $580 million in fiscal year 2023. UPMC's contributions go far beyond its traditional role as the region's largest provider of health care. A catalyst for economic improvement, UPMC is helping to develop a brighter future for the region; a future built on medicine, research, and technology. An in-depth report on UPMC's comprehensive community benefits is available on its website: UPMC.com.
PART IV CHECKLIST OF REQUIRED SCHEDULES Line 2 - Contributions and grants: Pursuant to Treasury Regulation Section 1.6033-2(d)(5), UPMC has elected to report information related to its contributions and grants on a consolidated basis for all of the members of the UPMC Group, including this parent organization, on the return of UPMC Group, EIN 20-8295721. LINE 12 - AN EXTERNAL AUDIT IS COMPLETED AT A CONSOLIDATED UPMC SYSTEM LEVEL ONLY, INCLUDING UPMC AND ALL TAXABLE AND TAX EXEMPT SUBSIDIARIES.
PART V STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE LINE 15 UPMC does not have a Section 4960 excise tax liability to report on Form 4720 related to payments of $1 million or more in remuneration or excess parachute payments during its tax year ended June 30, 2023. Remuneration is not taken into account for the purposes of the excise tax if no deduction for the remuneration is allowed by reason of section 162(m). Section 162(m)(6) imposes a compensation deduction limitation on controlled groups, such as the UPMC controlled group, that include one or more covered health insurance providers.
PART VI GOVERANCE, MANAGEMENT, DISCLOSURE SECTION A, LINE 1,2,4,7 SECTION B, LINE 11, 12C SECTION A, LINE 1 Although the UPMC board of directors is independent in fact, the Form 990 requires certain board member to be reported as not independent for the purposes of the Form 990. Generally, this is due to the board members' affiliation with companies that provide services to UPMC on the same terms as those offered to the general public or to compensation paid by the University of Pittsburgh, another Section 501(c)(3) organization that UPMC supports, for operational roles. SECTION A, LINE 2 DID ANY OFFICER, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? FOR PURPOSES OF PART VI, LINE 2, UPMC HAS OBTAINED AND REPORTED RELEVANT INFORMATION FROM INTERESTED PERSONS INCLUDING DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF UPMC AND OFFICERS AND KEY EMPLOYEES OF ALL GROUP SUBORDINATES, AND DIRECTORS OF GROUP SUBORDINATE ENTITIES WITH DECISION-MAKING BOARD AUTHORITY THAT IS INDEPENDENT FROM THAT OF UPMC PARENT. MULTIPLE UPMC OFFICERS, DIRECTORS, TRUSTEES, AND/OR KEY EMPLOYEES HAVE RELATIONSHIPS BY VIRTUE OF THE FACT THAT THEY ARE ALSO OFFICERS, DIRECTORS, TRUSTEES, AND/OR KEY EMPLOYEES OF UPMC SUBSIDIARIES AND AFFILIATES. THESE RELATIONSHIPS ARE NOT SEPARATELY DISCLOSED BELOW BECAUSE THEY ARE NOT "BUSINESS RELATIONSHIPS" FOR THE PURPOSES OF FORM 990. 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 OFOTHER UNRELATED TAXABLE ORGANIZATIONS. BOD MEMBER/OFFICER/KEY EMPLOYEE: MCCRADY RELATIONSHIP: BUSINESS ASSOCIATED PERSON: HAMILTON BOD MEMBER/OFFICER/KEY EMPLOYEE: HAMILTON RELATIONSHIP: BUSINESS ASSOCIATED PERSON: MCCRADY SECTION A, LINE 7 UPMC DOES NOT HAVE MEMBERS OR STOCKHOLDERS. THE BOARD OF TRUSTEES OF THE UNIVERSITY OF PITTSBURGH SHALL APPOINT DIRECTORS (UNIVERSITY DIRECTORS) EXERCISING ONE-THIRD OF THE TOTAL NUMBER OF VOTES REPRESENTED ON THE BOARD. THOSE DIRECTORS WHO ARE NOT UNIVERSITY DIRECTORS SHALL BE COMMUNITY DIRECTORS EXERCISING THE REMAINING VOTES REPRESENTED ON THE BOARD. CERTAIN COMMUNITY DIRECTORS SHALL BE APPOINTED IN ACCORDANCE WITH CONTRACTUAL COMMITMENTS WITH HOSPITALS OR HOSPITAL-RELATED ENTITIES OR CONSTITUENCIES APPROVED BY THE CORPORATION, AND THE BALANCE OF SUCH COMMUNITY DIRECTORS SHALL BE NOMINATED BY THE GOVERANCE AND NOMINATING COMMITTEE AND ELECTED BY THE BOARD. NO GOVERANCE DECISIONS OF UPMC ARE RESERVED TO OR SUBJECT TO APPROVAL BY MEMBERS, STOCKHOLDER OR PERSONS OTHER THAN THE BOARD OF DIRECTORS. SECTION B, LINE 11 The completed Form 990 was reviewed by the Chief Financial Officer, members of the Corporate Tax Department, members of the Corporate Legal Department, and other members of UPMC management prior to its filing. Various sections of the 990 were also reviewed by the Chief Executive Officer and committees of the filing organization's Board of Directors, as applicable. For example, the Executive Compensation Committee of the Board reviewed sections related to compensation and related party transactions. In addition, the Board of Directors established a 990 Subcommittee, comprised of the Chairs of the Board, Executive Compensation Committee, Ethics and Compliance Committee, Finance Committee and Audit Committee, which reviewed the entire completed Form 990 prior to filing. Additionally, the Form 990 is reviewed by an outside independent public accounting firm who as part of the process signs the return as Paid Preparer. After this review but prior to filing, the full Board of Directors was notified that the completed Form 990 was available for review on the Board's secure website. Also prior to filing, management provided the opportunity for all board members of the full UPMC board to ask any questions or raise any comments on the full return they were provided. SECTION B, Line 12c: UPMC, as a system-wide practice, requires key employed and non-employed personnel to comply with its conflict of interest policies when they engage in UPMC-related business. Individuals co vered by the policies include: UPMC board members, corporate officers,and key employees, UPMC physicians and non-physician employees who hold a position of influence, Identified Non-employed members of the UPMC medical staff who hold a position of influence, and Individuals conducting clinical research at UPMC, whether or not they are employed by UPMC. These individuals are required to complete a questionnaire at least annually, which along with other data is used to identify possible individual and institutional conflicts of interest. If a potential conflict is identified regarding a specific UPMC activity, the corporate compliance department, with the assistance of the legal department, either develops a written plan designed to prevent the conflict from influencing decisions related to that activity, or requires that the conflicting relationship be divested, as appropriate. For employed personnel and non-Board member, non-employed personnel, the conflict of interest identification and management process is ultimately overseen by an Ethics and Compliance committee of the UPMC board of directors on behalf of UPMC and all of its subsidiaries. Potential conflict of interest transactions involving UPMC Board members and entities with which they are affiliated are monitored and subject to pre-approval by the Governance and Nominating Committee of the UPMC Board of Directors. In addition to the general corporate and Board policies described above, UPMC has also developed and implemented a separate tax questionnaire distributed to Officers, Directors, Trustees, and Key Employees annually that specifically addresses disclosure requirements of Form 990.
PART VI GOVERANCE, MANAGEMENT, DISCLOSURE Section B, Line 15a and b: As a system-wide practice, to support UPMC's mission and as set forth in the UPMC Bylaws, the Board of Directors has formed an Executive Compensation Committee ("Committee") and delegated to it the responsibility for establishment and implementation of officer and key employee total compensation programs. As part of this responsibility, the Committee reports regularly to the Board of Directors. With Board of Directors approval, the Committee has adopted a formal Charter, which includes the establishment of a compensation philosophy and related policies with respect to the total compensation paid by UPMC to its officers and key employees. The UPMC total compensation program for officers and key employees includes an incentive compensation component. This component is based upon the accomplishment of predetermined performance goals and objectives which focus on the achievement of multiple annual and three year individual and group performance criteria in the context of appropriate risk taking. These criteria directly support UPMC's mission and include: patient quality and satisfaction, community benefits, operational and financial strength, leadership development, and strategic business initiatives among others. The total compensation program is integrated with and reinforces the UPMC business planning cycle as well as management development and succession planning processes. It is the Committee's judgment that the structure of the total compensation program is vital to, and strongly supportive of, the high level of ongoing success of UPMC and fosters the retention of critical officer and key employee talent. The total compensation determination process utilized by the Committee is intended to satisfy the "rebuttable presumption of reasonableness" as set forth in the regulations to Section 4958 of the Internal Revenue Code ("Code"). This means that compensation programs and levels are approved in advance by the Committee which is composed entirely of outside Directors who do not have a conflict of interest, as defined by the Code, with respect to the compensation program and levels. The Committee obtains and relies upon a broad range of appropriate data as to comparability prior to making its determinations. The Committee then contemporaneously documents, in formal meeting minutes, the basis and reasons for its determinations. The total compensation program is designed and administered in accordance with the UPMC Bylaws, sound business practices, the tenets of common law business judgment and fiduciary responsibility as well as adherence to all relevant federal, state and local laws. In addition to Code Section 4958, as set forth above, this includes but is not limited to Code Section 501(c)(3) and the applicable regulations thereunder as well as all laws and regulations prohibiting private inurement, private benefit transactions and discrimination. Further, the Committee has identified and adopted, as appropriately modified for UPMC, compensation program "best practices" from the business world (e.g. Sarbanes Oxley, other SEC regulations, etc). The Committee believes that while these practices are not required in the tax exempt sector, they are in the best interests of the organization and further support UPMC's nonprofit mission. In accordance with the above, determination of total compensation for the CEO is made exclusively by the Committee. Determination of total compensation for other officers and key employees is recommended by the CEO and subject to review and approval by the Committee. The Committee, which meets at least four times a year, obtains professional advice from its own experts, including accountants, executive compensation consultants and legal counsel. SECTION B, LINE 16A AND B: UPMC has a formal written policy pertaining to joint ventures between UPMC Tax-Exempt entities and taxable entities. The policy employs an internal procedure for review of all transactions involving potential participation in joint ventures and similar arrangements to ensure that such entities operate in accordance with applicable IRS policies and within UPMC's charitable purposes. SECTION C, LINE 19 UPMC's Public Website (www.upmc.com) makes its financial results,conflict of interest process, and various information about governance and oversight available to the public. Additional information may be supplied upon specific request for data not posted to the web site.
PART VII COMPENSATION OF OFFICERS, TRUSTEES, KEY EMPLOYEES SECTION A AND SECTION B SECTION A Pursuant to Treasury Regulation Section 1.6033-2(d)(5), UPMC has elected to report compensation and Schedule J other information about officers, directors, trustees, key employees and certain other highly paid employees on a consolidated basis for all of the members of the UPMC Group, including this parent organization which is the sponsor or central organization of the Group, on the return of UPMC Group, EIN 20-8295721. SECTION B Pursuant to Treasury Regulation Section 1.6033-2(d)(5), UPMC has elected to report certain professional contractors and certain other contractors on a consolidated basis for all of the members of the UPMC Group, including this parent organization which is the sponsor or central organization of the Group, on the return of UPMC Group, EIN 20-8295721.
PART VIII STATEMENT OF REVENUE Line 1 - Contributions and grants: Pursuant to Treasury Regulation Section 1.6033-2(d)(5), UPMC has elected to report information related to its contributions and grants received on a consolidated basis for all of the members of the UPMC Group, including this parent organization, on the return of UPMC Group, EIN 20-8295721.
PART XI RECONCILIATION OF NET ASSETS LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES DIVIDENDS RECEIVED 430,000,000 PENSIONS AND POST RETIREMENT BENEFIT (157,542,942) OTHER CHANGES TO FUND BALANCE (2,694,446) NET TRANSFERS TO EXEMPT SUBSIDIARIES (633,732,837) TOTAL OTHER CHANGES IN NET ASSETS OR FUND BALANCES (363,970,225)
PART XII FINANCIAL STATEMENTS AND REPORTING QUESTION 2B : THE ORGANIZATION'S FINANCIAL STATEMENTS ARE PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT PERFORMED BY EY FOR UPMC AND ALL SUBSIDIARIES. THE ENTIRE SYSTEM'S FINANCIAL STATEMENTS, OF WHICH THIS ORGANIZATION IS PART OF, ARE POSTED ON THE UPMC WEBSITE. (WWW.UPMC.COM) THE FINANCIAL STATEMENT AUDIT DURING THE 990 FILING PERIOD IS FOR THE CALENDAR YEAR ENDED DECEMBER 31,2022. 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
UPMC
 
Employer identification number

25-1423657
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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 PRIMARY CARE ACOLLC
600 GRANT STREET
PITTSBURGH,PA15219
83-0773768 		ACCT CARE ORG PA 0 0 UPMC
 










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 entity?
Yes No
(1)UPMC SENIOR COMMUNITIES INC
600 GRANT STREET

PITTSBURGH,PA15219
25-1574736 		SR LIVING PA 501(c)(3) 10 UPMC
 
Yes
 
(2)PITTSBURGH LIFETIME CARE COMMUNITY
600 GRANT STREET

PITTSBURGH,PA15219
25-1335247 		CCRC PA 501(c)(3) 10 UPMC SENIOR
 
Yes
 
(3)CANTERBURY PLACE
600 GRANT STREET

PITTSBURGH,PA15219
25-0965334 		SR LIVING PA 501(c)(3) 10 UPMC SENIOR
 
Yes
 
(4)SENECA PLACE
600 GRANT STREET

PITTSBURGH,PA15219
72-1562844 		SR LIVING PA 501(c)(3) 10 UPMC SENIOR
 
Yes
 
(5)SHADYSIDE HOSPITAL SUPPORTING FOUNDATION
600 GRANT STREET

PITTSBURGH,PA15219
26-0303394 		FOUNDATION PA 501(c)(3) 12(A) I NA
 
 
No
(6)UPMC LEE
600 GRANT STREET

PITTSBURGH,PA15219
25-0613830 		INACTIVE PA 501(c)(3) 3 UPMC
 
Yes
 
(7)UNIVERSITY OF PITTSBURGH
4200 FIFTH AVENUE

PITTSBURGH,PA15260
25-0965591 		UNIVERSITY PA 501(c)(3) 2 NA
 
 
No
(8)PITTSBURGH CARE PARTNERSHIP INC
2400 ARDMORE BOULEVARD

PITTSBURGH,PA15221
25-1753852 		HEALTHCARE PA 501(c)(3) 10 UPMC
 
Yes
 
(9)UPMC CENTER FOR HIGH VALUE HEALTHCARE
600 GRANT STREET

PITTSBURGH,PA15219
45-2178782 		RESEARCH PA 501(c)(3) 7 UPMC
 
Yes
 
(10)GREAT LAKES PHYSICIAN PRACTICE PC
600 GRANT STREET

PITTSBURGH,PA15219
46-4186362 		PHYSICIANS NY 501(C)(3) 3 REGNL HEALTH
 
Yes
 
(11)UPMCJAMESON CANCER CENTER
600 GRANT STREET

PITTSBURGH,PA15219
20-1459415 		ONCOLOGY SVC PA 501(C)(3) 3 UPMC JAMESON
 
Yes
 
(12)JAMESON CARE CENTER INC
1221 WILMINGTON AVENUE

NEW CASTLE,PA16105
23-2871396 		HEALTHCARE PA 501(C)(3) 10 UPMC SENIOR
 
Yes
 
(13)LAUREL REALTY INC
32-36 CENTRAL AVENUE

WELLSBORO,PA16901
23-1403678 		RENTAL REAL E PA 501(C)(2) N/A UPMC SUSQUEH
 
Yes
 
(14)THE GREEN HOME
37 CENTRAL AVENUE

WELLSBORO,PA16901
24-0804365 		SKILLED NURSI PA 501(C)(3) 10 UPMC SUSQUEH
 
Yes
 
(15)WILLIAMSPORT AREA AMBULANCE SERVICE
700 HIGH STREET

WILLIAMSPORT,PA17701
23-2416166 		AMBULANCE SVC PA 501(C)(3) 10 UPMC WILLIAM
 
Yes
 
(16)UPMC CHAUTAUQUA AT WCA
207 FOOTE AVENUE

JAMESTOWN,NY14701
16-0743226 		HOSPITAL NY 501(C)(3) 3 UPMC CHAUTAU
 
Yes
 
(17)WCA GROUP INC
207 FOOTE AVENUE

JAMESTOWN,NY14701
22-2393582 		HOLDING CO NY 501(C)(3) 12 (B)(II) CHAUT AT WCA
 
Yes
 
(18)STARFLIGHT INC
135 ALLEN STREET

JAMESTOWN,NY14701
16-1557878 		STAT MEDVAC NY 501(C)(3) 7 CHAUT AT WCA
 
Yes
 
(19)SOUTH CENTRAL ALPHA HOUSING & HEALTHCARE
3410 PITTSBURG ROAD

NEW CASTLE,PA16101
25-1701701 		SKILLED NURSI PA 501(C)(3) 10 UPMC SR COMM
 
Yes
 
(20)SOUTH WESTERN ALPHA HOUSING & HEALTHCARE
745 GREENVILLE ROAD

MERCER,PA16137
25-1701700 		SKILLED NURSI PA 501(C)(3) 10 UPMC SR COMM
 
Yes
 
(21)KANE COMMUNITY HOSPITAL FOUNDATION
4372 ROUTE 6

KANE,PA16735
26-3906925 		FOUNDATION PA 501(C)(3) 12(B)(II) NA
 
 
No
(22)LAUREL HEALTH FOUNDATION
32-36 CENTRAL AVENUE

WELLSBORO,PA16901
25-1810488 		FOUNDATION PA 501(C)(3) 12(B)(11) NA
 
 
No
(23)WCA FOUNDATION INC
300 FOOTE AVENUE PO BOX 840

JAMESTOWN,NY14702
22-2393584 		FOUNDATION PA 501(C)(3) 12(C)(III) NA
 
 
No
(24)VENANGO VNA FOUNDATION
491 ALLEGHENY BOULEVARD

FRANKLIN,PA16323
25-1472179 		FOUNDATION PA 501(C)(3) 12(D) (III) NA
 
 
No
(25)MAGEE-WOMENS RES INST AND FOUNDATION
600 GRANT STREET

PITTSBURGH,PA15219
25-1462312 		FOUNDATION PA 501(C)(3) 7 NA
 
 
No
(26)UPMC CARLISLE
361 ALEXANDER SPRING

CARLISLE,PA17105
82-0880337 		HOSPITAL PA 501(C)(3) 3 UPMC PINNACL
 
Yes
 
(27)UPMC PINNACLE LANCASTER
250 COLLEGE AVENUE

LANCASTER,PA17603
82-0896436 		HOSPITAL PA 501(C)(3) 3 UPMC PINNACL
 
Yes
 
(28)UPMC LITITZ
1500 HIGHLANDS AVENUE

LITITZ,PA17543
82-0844453 		HOSPITAL PA 501(C)(3) 3 UPMC PINNACL
 
Yes
 
(29)UPMC MEMORIAL
325 SOUTH BELMMONT STREET

YORK,PA17405
82-0912090 		HOSPITAL PA 501(C)(3) 3 UPMC PINNACL
 
Yes
 
(30)PINNACLE HEALTH REGIONAL PHYSICIANS
409 SOUTH SECOND STREET

HARRISBURG,PA17104
82-0947698 		PHYSICIAN SRV PA 501(C)(3) 3 UPMC PINNACL
 
Yes
 
(31)UPMC PINNACLE FOUNDATION
409 SOUTH SECOND STREET

HARRISBURG,PA17104
22-2691718 		FOUNDATION PA 501(C)(3) 12(B)II UPMC PINNACL
 
Yes
 
(32)COMMUNITY LIFE TEAM INC
409 SOUTH SECOND STREET

HARRISBURG,PA17104
23-1890444 		MED TRANSPORT PA 501(C)(3) 7 UPMC PINNACL
 
Yes
 
(33)HANOVER HEALTHCARE PLUS INC
300 HIGHLAND AVENUE

HANOVER,PA17331
22-2658574 		SUPPORTING OR PA 501(C)(3) 12(A)I UPMC PINNACL
 
Yes
 
(34)UPMC HANOVER
300 HIGHLAND AVENUE

HANOVER,PA17331
23-1360851 		HOSPITAL PA 501(C)(3) 3 HANOVER HLTH
 
Yes
 
(35)HENDORNINC
1001 EAST SECOND STREET

COUDERSPORT,PA16915
23-1972659 		RES CARE PA 501(C)(3) 10 C COLE MEM H
 
Yes
 
(36)ASBURY HEIGHTS OF UPMC
600 GRANT STREET

PITTBURGH,PA15219
25-1555687 		SUPORTING ORG PA 501(C)(3) 12(B)(II) UPMC SR COMM
 
Yes
 
(37)ASBURY HEALTH CENTER
600 GRANT STREET

PITTSBURGH,PA15219
25-0969472 		CCRC PA 501(C)(3) 10 ASBURY HEIGH
 
Yes
 
(38)ASBURY VILLAS
600 GRANT STREET

PITTSBURGH,PA15219
25-1819952 		PERSONAL CARE PA 501(C)(3) 10 ASBURY HEIGH
 
Yes
 
(39)ASBURY PLACE
600 GRANT STREET

PITTSBURGH,PA15219
25-1729266 		PERSONAL CARE PA 501(C)(3) 10 ASBURY HEIGH
 
Yes
 
(40)WESLEY HILLS
600 GRANT STREET

PITTSBURGH,PA15219
25-1507472 		INDEP LIVING PA 501(C)(3) 10 ASBURY HEIGH
 
Yes
 
(41)ASBURY FOUNDATION
600 GRANT STREET

PITTSBURGH,PA15219
25-1555688 		FOUNDATION PA 501(C)(3) 7 ASBURY HEIGH
 
Yes
 
(42)UPMC PINNACLE HOSPITALS
409 SOUTH SECOND STREET

HARRISBURG,PA17104
25-1778644 		HOSPITAL PA 501(C)(3) 3 UPMC PINNACL
 
Yes
 
(43)PINNACLE HEALTH MEDICAL SERVICES
409 SOUTH SECOND STREET

HARRIBBURG,PA17104
25-1709054 		PHYSICIAN SRV PA 501(C)(3) 3 UPMC PINNACL
 
Yes
 
(44)UPMC PINNACLE
409 SOUTH SECOND STREET

HARRISBURG,PA17104
25-1778658 		SUPPORTING OR PA 501(C)(3) 12(B) 11 UPMC
 
Yes
 
(45)SHADYSIDE HOSPTIAL FOUNDATION
532 SOUTH AIKEN AVENUE

PITTSBURGH,PA15232
25-1290546 		FOUNDATION PA 501(C)(3) 12(C)III UPMC PRESBY
 
Yes
 
(46)UPMC WESTERN MARYLAND CORPORATION
PO BOX 539

CUMBERLAND,MD21501
52-0591531 		HOSPITAL MD 501(C)(3) 3 UPMC
 
Yes
 
(47)WESTERN MARYLAND HEALTH SYSTEM FOUNDATI
PO BOX 539

CUMBERLAND,MD21501
35-2289841 		FOUNDATION MD 501(C)(3) 3 UPMC
 
Yes
 
(48)HANOVER HOSPITAL FOUNDATION
300 HIGHLAND AVENUE

HANOVER,PA17331
82-2553293 		FOUNDATION PA 501(C)(3) 12(C)III UPMC PINNACL
 
Yes
 
(49)RUSH TO CRUSH CANCER
200 LOTHROP STREE

PITTSBURGH,PA15213
87-4771624 		FOUNDATION PA 501(C)(3) 7 UOFPCANCER
 
Yes
 
(50)WESTERN BEHAVIORAL HEALTH FOUNDATION
200 LOTHROP STREET

PTTSBURGH,PA15213
92-3568793 		FOUNDATION PA 501(C)(3) 7 UPMC PRESBY
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) SENECA HILLS ASSISTED LIVING LP

600 GRANT STREET
PITTSBURGH,PA15219
23-2873106 		ASST LIVING PA UPMC SR COMMUNI
  		RELATED 134,323 7,497,546   No 0 Yes   100.000 %
(2) ST MARGARET MEDICAL ARTS ASSOCIATES

600 GRANT STREET
PITTSBURGH,PA15219
25-1786655 		MOB PA UPMC ST MARGARE
  		RELATED 293,716 4,791,365   No 0 Yes   100.000 %
(3) SHADYSIDE MEDICAL CENTER ASSOCIATES

600 GRANT STREET
PITTSBURGH,PA15219
25-1608318 		MOB PA MEDICAL CTR PRO
  		RELATED 1,328,024 25,644,590   No 0 Yes   100.000 %
(4) CHARTWELL PA LP

600 GRANT STREET
PITTSBURGH,PA15219
25-1729714 		HOME THERAPY PA UPMC COMM PROV
  		RELATED 47,457,850 57,424,092 Yes   0 Yes   87.420 %
(5) HAMOT-KCH REAL ESTATE VENTURE LLC

300 STATE STREET
ERIE,PA16507
26-3691782 		MEDICAL OFFIC PA UPMC HAMOT
  		RELATED -7,863 354,681   No 0 Yes   100.000 %
(6) UPMC HAMOT SURGERY CENTER LLC

200 STATE STREET
ERIE,PA16507
25-1863661 		AMBULATORY SU PA UPMC HAMOT
  		RELATED 405,362 7,803,652 Yes   0 Yes   53.947 %
(7) LIFE CARE HOME SERVICES OF NW

1647 SASSAFRAS STREET
ERIE,PA16501
25-1536879 		HOME HEALTH S PA UPMC HAMOT
  		RELATED 6,764,096 19,289,288   No 0 Yes   100.000 %
(8) EPN-HAMOT URGENT CARE LLC

600 GRANT STREET
PITTSBURGH,PA15219
27-2147949 		URGENT CARE PA VARIOUS
  		RELATED 253,042 3,707,640   No 0 Yes   100.000 %
(9) MEDCARE SUSQUEHANNA VALLEY LLC

409 SOUTH SECOND STREET
HARRISBURG,PA17104
82-1673688 		DME PA PINNACLE HEALTH
  		RELATED 326,202 2,485,705   No 0 Yes   75.000 %
(10) OMICELO RE I LP

2525 LIBERTY AVENUE
PITTSBURGH,PA15222
47-5603393 		REAL ESTATE D DE UPMC FOR YOU
  		RELATED -262,546 8,508,293   No 0 Yes   97.680 %
(11) UPMC LEADER SURGERY CENTER LLC

1703 INNOVATION DRIVE
YORK,PA17408
23-3035083 		SURGERY CENTE PA UPMC MEMORIAL
  		RELATED 95,707 -62,813   No 0 Yes   100.000 %
(12) BAYFRONT PROFESSSIONAL BUILDING LLC

3645 WEST LAKE ROAD
ERIE,PA16505
25-1480837 		REAL ESTATE PA UPMC HAMOT
  		RELATED 67,155 969,883   No 0     50.718 %
(13) CHAUTAUQUA INTEGRATED DELIVERY SYSTEM

200 HARRISON STREET 2ND FLOOR
JAMESTOWN,NY14701
16-1542139 		INTEGRATED DE NY UPMC CHAUTAUQUA
  		RELATED 768,558 1,993,736   No 0 Yes   52.973 %
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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HCPHARMACY CENTRAL INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1364192 		PHARMACY CO-O PA VARIOUS
  		C 5,119,388 292,021 87.500 % Yes  
(2) CHILDREN'S COMMUNITY CARE

600 GRANT STREET
PITTSBURGH,PA15219
25-1781887 		PHYSICIAN SRV PA NA
  		C 173,217,810 22,896,353 100.000 % Yes  
(3) UPMC PHYSICIAN SERVICES HOLDING COMPANY

600 GRANT STREET
PITTSBURGH,PA15219
25-1877017 		HOLDING CO PA NA
  		C 0 0 100.000 % Yes  
(4) HEMATOLOGY ONCOLOGY ASSOCIATION INC

600 GRANT STREET
PITTSBURGH,PA15219
42-1648357 		PHYSICIAN SRV PA NA
  		C 233,126 7,345,567 100.000 % Yes  
(5) ONCOLOGY HEMATOLOGY ASSOCATION INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1762980 		PHYSICIAN SRV PA NA
  		C 26,028,373 11,035,116 100.000 % Yes  
(6) TRI-STATE NEUROSURGICAL ASSOCIATES UPMC

600 GRANT STREET
PITTSBURGH,PA15219
25-1458655 		PHYSICIAN SRV PA NA
  		C 441,263 6,347,886 100.000 % Yes  
(7) RENAISSANCE FAMILY PRACTICE - UPMC INC

600 GRANT STREET
PITTSBURGH,PA15219
26-2942406 		PHYSICIAN SRV PA NA
  		C 16,501,242 416,063 100.000 % Yes  
(8) UPMC HOLDING COMPANY INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1777713 		HOLDING CO PA NA
  		C 50,617,225 1,077,956,090 100.000 % Yes  
(9) UPMC COVERAGE PRODUCTS INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1777710 		HOLDING CO PA NA
  		C 0 390,555,236 100.000 % Yes  
(10) FREEDOM INSURANCE COMPANY

600 GRANT STREET
PITTSBURGH,PA15219
03-0308944 		INSURANCE VT NA
  		C 470,348 2,006,334 100.000 % Yes  
(11) TRI-CENTURY INSURANCE CO

600 GRANT STREET
PITTSBURGH,PA15219
25-1500739 		INSURANCE PA NA
  		C 1,329,530 28,982,712 100.000 % Yes  
(12) UPMC DnA INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1883237 		INSURANCE PA NA
  		C 0 0 100.000 % Yes  
(13) UPMC HEALTH BENEFITS INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1844144 		HEALTH INSUR PA NA
  		C 169,810,984 358,866,663 100.000 % Yes  
(14) UPMC HEALTH NETWORK INC

600 GRANT STREET
PITTSBURGH,PA15219
72-1527566 		HEALTH INSUR PA NA
  		C 101,629,406 305,708,787 100.000 % Yes  
(15) UPMC HEALTH PLAN INC

600 GRANT STREET
PITTSBURGH,PA15219
23-2813536 		HEALTH INSUR PA NA
  		C 1,908,826,947 734,535,939 100.000 % Yes  
(16) UPMC BENEFIT MANAGEMENT SERVICES INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1769564 		WORKERS' COMP PA NA
  		C 141,766,368 185,614,459 100.000 % Yes  
(17) UPMC DIVERSIFIED SERVICES INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1778454 		HOLDING CO PA NA
  		C 32,065,826 84,745,305 100.000 % Yes  
(18) MONROEVILLE SPECIALTY CLINIC

600 GRANT STREET
PITTSBURGH,PA15219
25-1666087 		AMB SURG PA NA
  		C 256,958 9,158,649 100.000 % Yes  
(19) MEDICAL ARCHIVAL SYSTEMS INC

600 GRANT STREET
PITTSBURGH,PA15219
23-2912501 		SOFTWARE DEVE DE NA
  		C 0 0 90.000 % Yes  
(20) RX PARTNERS INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1801966 		PHARMACY PA NA
  		C 17,373,467 10,240,737 100.000 % Yes  
(21) BIOTRONICS INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1843500 		EQUIP MAINTEN PA NA
  		C 10,000,658 2,977,899 100.000 % Yes  
(22) MEDICAL CENTER PROPERTIES INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1796940 		REAL ESTATE PA NA
  		C 1,536,791 26,524,345 100.000 % Yes  
(23) ASKESIS DEVELOPMENT GROUP INC

600 GRANT STREET
PITTSBURGH,PA15219
54-1625585 		SOFTWARE DEVE DE NA
  		C 3,508,845 1,619,873 70.000 % Yes  
(24) BAYSIDE DEVELOPMENT CORP

300 STATE STREET
ERIE,PA16507
25-1401386 		REAL ESTATE PA NA
  		C 3,523,006 7,617,714 100.000 % Yes  
(25) UPMC WORK ALLIANCE INC

600 GRANT STREET
PITTSBURGH,PA15219
45-2825053 		INSURANCE PA NA
  		C 10,762 7,611,501 100.000 % Yes  
(26) UPMC HEALTH COVERAGE INC

600 GRANT STREET 58TH FLOOR
PITTSBURGH,PA15219
46-2824537 		INSURANCE PA NA
  		C 87,349,739 33,280,374 100.000 % Yes  
(27) UPMC HEALTH OPTIONS INC

600 GRANT STREET
PITTSBURGH,PA15219
46-2824626 		INSURANCE PA NA
  		C 2,023,168,522 520,666,331 100.000 % Yes  
(28) AMERICAN HOME HEALTH SERVICES

868 CORPORATE WAY
WESTLAKE,OH44145
31-1521422 		HOME HEALTH C OH QUALITY FIRST
  		C 0 0 100.000 % Yes  
(29) ALTOONA FAMILY INC

620 HOWARD AVE
ALTOONA,PA16601
25-1444935 		MGMT SVCS PA UPMC ALTOONA
  		C 0 -8,385 100.000 % Yes  
(30) LEXINGTON HOLDINGS INC

620 HOWARD AVE
ALTOONA,PA16601
25-1794386 		HOLDING CO PA CTRL PA MED FND
  		C 1,580,000 230,746,820 100.000 % Yes  
(31) LEXINGTON ONE INC

620 HOWARD AVE
ALTOONA,PA16601
25-1468889 		RENTAL PA LEXINGTON HOLD
  		C 1,619,073 10,217,677 100.000 % Yes  
(32) UPMC ALTOONA REGIONAL HEALTH SERVICES

1414 9TH AVENUE
ALTOONA,PA16602
25-1219302 		PHYSICIAN SRV PA LEXINGTON FOUR
  		C 71,475,751 16,965,292 100.000 % Yes  
(33) UPMC EXCESS PL TRUST

600 GRANT STREET
PITTSBURGH,PA15219
82-6254351 		TRUST PA NA
  		TRUST 52,889,857 92,984,431 100.000 % Yes  
(34) RXANTE INC

511 CONGRESS STREET 803
PORTLAND,ME04101
45-4040219 		MEDICATION MG DE NA
  		C 17,252,847 49,882,495 100.000 % Yes  
(35) SUSQUEHANNA VENTURES INC

1201 GRAMPIAN BOULEVARD
WILLIAMSPORT,PA17701
23-2470623 		PHARMACY PA NA
  		C 2,458,581 1,907,367 100.000 % Yes  
(36) WCA SERVICE CORPORATION INC

207 FOOTE AVENUE
JAMESTOWN,NY14701
16-1151438 		SUPPORT NY CHAUT AT WCA
  		C 5,993,699 4,404,947 100.000 % Yes  
(37) PINNACLE HEALTH CARDIOVASCULAR INSTITUT

409 SOUTH SECOND STREET
HARRISBURG,PA17104
32-0321362 		PHYSICIAN SRV PA NA
  		C 33,222,571 6,125,891 100.000 % Yes  
(38) HANOVER HEALTH CORPORATION

300 HIGHLAND AVENUE
HANOVER,PA17331
90-0498067 		HOLDING CO PA NA
  		C 93,768 -3,644,178 100.000 % Yes  
(39) HANOVER APOTHECARY INC

310 STOCK STREET SUITE 1
HANOVER,PA17331
03-0594526 		PHARMACY PA NA
  		C 1,006,306 927,099 100.000 % Yes  
(40) UNITED CENTRAL PA RECIPROCAL RISK RETEN

76 SAINT PAUL STREET SUITE 500
BURLINGTON,VT05401
13-4224033 		INSURANCE VT NA
  		C 1,978,549 36,875,448 100.000 % Yes  
(41) PINNACLE HEALTH VENTURES INC

409 SOUTH SECOND STREET
HARRISBURG,PA17104
61-1677624 		HOLDING CO PA NA
  		C 10,886,143 12,246,524 100.000 % Yes  
(42) PINNACLE HEALTH IMAGING INC

409 SOUTH SECOND STREET
HARRISBURG,PA17104
23-1718571 		IMAGING SVC PA NA
  		C 0 2,338,151 100.000 % Yes  
(43) COLE CARE INC

1001 EAST 2ND STREET
COUDERSPORT,PA16915
25-1497347 		DME PA NA
  		C 1,998,896 419,114 100.000 % Yes  
(44) UPMC ITALY HEALTH SERVICES SRL

VIA DISCESA DEI GIUDICI 4
PALERMO   90133
IT
HEALTH SVC IT UPMC ITALY SRL
  		C 95,067 1,051,076 100.000 % Yes  
(45) UPMC HOSPITALS LTD

C/O UPMC WHITFIELD CORK ROAD BUTLER
WATERFORD    
EI
HOLDING CO EI UPMC IRELAND LT
  		C 0 466,211,050 100.000 % Yes  
(46) UPMC PROPERTY LTD

C/O UPMC WHITFIELD CORK ROAD BUTLER
WATERFORD    
EI
PROPERTY EI UPMC INVEST LTD
  		C 322 18,610,040 100.000 % Yes  
(47) EURO CARE INFRASTRUCTURE LTD

C/O UPMC WHITFIELD CORK ROAD BUTLER
WATERFORD    
EI
PROPERTY MGMT EI UPMC INVEST LTD
  		C 0 0 100.000 % Yes  
(48) EURO CARE PROPERTY MANAGEMENT LTD

C/O UPMC WHITFIELD CORK ROAD BUTLER
WATERFORD    
EI
PROPERTY MGMT EI UPMC INVEST LTD
  		C 0 2,434,956 100.000 % Yes  
(49) UPMC WHITFIELD HOSPITAL LTD

C/O UPMC WHITFIELD CORK ROAD BUTLER
WATERFORD    
EI
HOSPITAL EI UPMC INVEST LTD
  		C 78,411,802 38,256,484 100.000 % Yes  
(50) UPMC GLOBAL OPERATIONS CENTER LTD

6TH FLOOR BEACON HOSPITAL
SANDYFORD   DUBLIN 18
EI
CANCER TREATM EI UPMC IRELAND LT
  		C 0 3,508,056 100.000 % Yes  
(51) PANTHER REINSURANCE COMPANY LTD

PO BOX 1109
GRAND CAYMAN,CAYMAN ISLANDS  
CJ
98-1402742 		INSURANCE CJ NA
  		C 10,029,370 37,831,309 100.000 % Yes  
(52) FORBES REINSURANCE COMPANY LTD

PO BOX 1109
GRAND CAYMAN,CAYMAN ISLANDS  
CJ
98-1400710 		INSURANCE CJ NA
  		C 70,744,853 304,178,657 100.000 % Yes  
(53) CATHEDRAL (RE) INSURANCE CO

PO BOX 1109
GRAND CAYMAN,CAYMAN ISLANDS  
CJ
98-1400837 		INSURANCE CJ NA
  		C 58,453,600 193,398,761 100.000 % Yes  
(54) UPMC IRELAND LIMITED

6TH FLOOR BEACON HOSPITAL
SANDYFORD   DUBLIN 18
EI
HEALTHCARE SU EI UPMC INT'L HOLD
  		C 2,074,992 24,853,268 100.000 % Yes  
(55) BLUESPHERE BIO

6425 PENN AVENUE STE 200
PITTSBURGH,PA15206
82-4979766 		IMMUNOTHERAPY DE NA
  		C 30,106 40,278,287 86.800 % Yes  
(56) INFECTIOUS DISEASE CONNECT INC

6425 PENN AVENUE STE 200
PITTSBURGH,PA15206
83-3311071 		TELEMEDICINE DE NA
  		C 4,574,590 5,362,662 52.500 % Yes  
(57) NOVASENTA INC

6425 PENN AVENUE STE 200
PITTSBURGH,PA15206
82-5443222 		IMMUNOTHERAPY DE NA
  		C 26,128 14,812,967 90.500 % Yes  
(58) UPMC HILLMAN CANCER CENTER - PINNACLE

101 ERFORD ROAD
CAMP HILL,PA17701
83-3640945 		CANCER TREATM PA NA
  		C 12,903,350 1,479,631 100.000 % Yes  
(59) SHANGHAI UPMC CO LTD

288 Shimen 1st Road Jingan Distric
Shanghai   200041
CH
HEALTHCARE MG CH UPMC INT'L HOLD
  		C 30,555,592 2,170,671 100.000 % Yes  
(60) SALVATOR MUNDI INTERNATIONAL HOSPITAL

ROMA VIALE DELLE
MURA GIANICOLENSI   CAP 00152
IT
HOSPITAL IT UPMC ITALY SRL
  		C 24,255,978 32,633,336 100.000 % Yes  
(61) SOMERSET MANAGEMENT SERVICES INC

600 GRANT STREET
PITTSBURGH,PA15219
25-1512960 		MOB OWNERSHIP PA NA
  		C 228,966 1,107,101 100.000 % Yes  
(62) GENERIAN PHARMACEUTICALS INC

2425 SIDNEY STREET
PITTSBURGH,PA15203
83-3340453 		PHARMACY DE NA
  		C 4,769,772 7,855,065 72.100 % Yes  
(63) WORK PARTNERS NATIONAL INC

600 GRANT STREET
PITTSBURGH,PA15219
84-3141950 		INSURANCE PA NA
  		C 471 2,193,065 100.000 % Yes  
(64) ASTRATA INC

6425 PENN AVENUE STE 200
PITTSBURGH,PA15206
84-4804493 		SOFTWARE DE NA
  		C 2,022,483 3,471,695 97.300 % Yes  
(65) VEGAVECT

6425 PENN AVENUE STE 200
PITTSBURGH,PA15206
84-4280784 		GENE THERAPY DE NA
  		C 0 1,772,409 63.600 % Yes  
(66) NOVIMAB

6425 PENN AVENUE STE 200
PITTSBURGH,PA15206
85-1494905 		CLINICAL RESE DE NA
  		C 0 530,415 100.000 % Yes  
(67) REALYZE INTELLEGENCE INC

6425 PENN AVENUE STE 200
PITTSBURGH,PA15206
85-0873923 		SOFTWARE DE NA
  		C 287,304 1,270,893 80.100 % Yes  
(68) HAYSTACK CONSOLIDATED SERVICES INC

12500 WILLOWBROOK ROAD
CUMBERLAND,MD21502
52-1335895 		INACTIVE PA NA
  		C 0 0 100.000 % Yes  
(69) WESTERN MARYLAND INSURANCE COMPANY LTD

PO BOX 10233
GRAND CAYMAN,CAYMAN ISLANDS  
CJ
INSURANCE CJ NA
  		C 1,775,573 22,180,002 100.000 % Yes  
(70) WILLOWBROOK HEALTHCARE CONDO

12401 WILLOWBROOK ROAD
CUMBERLAND,MD21502
37-1538510 		REAL ESTATE DE NA
  		C 265,000 738,506 100.000 % Yes  
(71) RXANTE PHARMACY SERVICES INC

511 CONGRESS STREET 803
PORTLAND,ME04101
83-3402761 		PHARMACY DE NA
  		C 2,257,841 8,995,095 100.000 % Yes  
(72) CLANE HOSPITAL DEVELOPMENT ASSOCIATES L

C/O UPMC WHITFIELD CORK ROAD
BUTLERSTOWN NORTH WATERFORD   X91 DH9W EI
EI
MANAGEMENT EI UPMC IRELAND LT
  		C 0 8,398,858 75.000 % Yes  
(73) UPMC KILDARE HOSPITAL LTD

PROSPEROUS ROAD
CLANE COUNTY KILDARE,CLANEW91 W535
EI
HOSPITAL EI CLANE HOSPITAL
  		C 18,876,975 13,927,271 75.000 % Yes  
(74) UPMC AUT EVEN HOSPITAL LTD

FRESHFORD ROAD
COUNTY KILKENNY   R95 D3760
EI
HOSPITAL EI UPMC INVEST LTD
  		C 35,244,975 37,793,432 100.000 % Yes  
(75) AVISTA THERAPEUTICS INC

6425 PENN AVENUE STE 200
PITTSBURGH,PA15206
85-3454001 		GENE THERAPY PA NA
  		C 4,081,928 8,094,396 63.600 % Yes  
(76) UPMC CANCER CENTER ZABOK LTD

Vukovara 269f
Zagreb    
HR
CANCER CENTER HR UPMC IRELAND LT
  		C 0 0 75.000 % Yes  
(77) SWIFT SPROAI HOLDINGS LTD

Northwood Avenue
Santry Demesne,Dublin 9D09 C523
EI
HOLDING COMPANY EI UPMC HOSPITALS
  		C 0 891 100.000 % Yes  
(78) SPORTS SURGERY CLINIC LTD

Northwood Avenue
Santry Demesne,Dublin 9D09 C523
EI
ORTHOPEDIC SERV. EI SWIFT SPRAOI HO
  		C 27,070,959 120,333,899 100.000 % Yes  
(79) MACRADI LTD

Northwood Avenue
Santry Demesne,Dublin 9D09 C523
EI
INACTIVE EI SWIFT SPRAOI HO
  		C 0 21,518,656 100.000 % Yes  
(80) MACRADI DEVELOPMENT LTD

Northwood Avenue
Santry Demesne,Dublin 9D09 C523
EI
INACTIVE EI SPORTS SURGERY
  		C 0 1,550,098 100.000 % Yes  
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
Yes
 
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ASKESIS DEVELOPMENT GROUP INC

 A 56,038 COST
(2) CHARTWELL PA LP

 A 9,272 COST
(3) CHILDREN'S COMMUNITY CARE

 A 166,401 COST
(4) COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION

 A 3,161,586 COST
(5) CORE NETWORK LLC

 A 492,756 COST
(6) MEDICAL ARCHIVAL SYSTEM INC

 A 197,141 COST
(7) PITTSBURGH LIFETIME CARE COMMUNITY

 A 339,000 COST
(8) UPMC EAST

 A 373,886 COST
(9) EBENEFITS SOLUTIONS LLC

 A 212,446 COST
(10) HC PHARMACY CENTRAL INC

 A 393,737 COST
(11) UPMC COMMUNITY PROVIDER SERVICES

 A 94,275 COST
(12) UPMC BENEFIT MANAGEMENT SERVICES INC

 A 1,743,253 COST
(13) UPMC HEALTH PLAN INC

 A 14,567,097 COST
(14) UPMC MAGEE - WOMENS HOSPITAL

 A 1,243,112 COST
(15) UNIVERSITY OF PITTS CANCER INST CANCER SVCS

 A 189,571 COST
(16) UPMC PRESBYTERIAN SHADYSIDE

 A 18,852,632 COST
(17) UPMC LEADER SURGERY CENTER LLC

 A 73,006 COST
(18) SAFE HARBOR BEHAVORIAL HEALTH OF UPMC HAMOT

 A 52,332 COST
(19) SBI QUALIFYING SOLUTIONS LLC

 A 441,749 COST
(20) ASBURY HEIGHTS OF UPMC

 A 883,598 COST
(21) UPMC ST MARGARET

 A 281,751 COST
(22) UPMC WELLSBORO

 A 371,629 COST
(23) UNIVERSITY PITTSBURGH PHYSICIANS

 A 4,303,042 COST
(24) UPMC COMMUNITY MEDICINE INC

 A 1,697,655 COST
(25) RXANTE INC

 A 240,000 COST
(26) UPMC TRAVEL STAFFING

 A 112,225 COST
(27) SHANGHAI UPMC CO LTD

 A 2,250,000 COST
(28) RXANTE INC

 A 240,000 COST
(29) GENERIAN PHARMACEUTICALS INC

 A 380,275 COST
(30) SBI QUALIFYING SOLUTIONS LLC

 A 26,067 COST
(31) INFECTIOUS DISEASE CONNECT INC

 A 75,704 COST
(32) UPMC ALTOONA

 B 31,364,714 ACTUAL
(33) UPMC BEDFORD

 B 371,076 ACTUAL
(34) UPMC EAST

 B 29,247,890 ACTUAL
(35) UPMC HAMOT

 B 10,548,696 ACTUAL
(36) UPMC HORIZON

 B 24,596,056 ACTUAL
(37) UPMC JAMESON

 B 34,747,165 ACTUAL
(38) UPMC KANE

 B 4,402,049 ACTUAL
(39) UPMC LOCK HAVEN

 B 2,702,832 ACTUAL
(40) UPMC MCKEESPORT

 B 40,404,780 ACTUAL
(41) UPMC MERCY

 B 349,937,431 ACTUAL
(42) UPMC PASSAVANT

 B 64,793,739 ACTUAL
(43) UPMC NORTHWEST

 B 32,175,645 ACTUAL
(44) UPMC PRESBYTERIAN SHADYSIDE

 B 239,890,970 ACTUAL
(45) SOMERSET HEALTH SERVICES INC

 B 11,059,373 ACTUAL
(46) UPMC ST MARGARET

 B 42,286,433 ACTUAL
(47) UPMC SOMERSET

 B 3,794,945 ACTUAL
(48) UPMC MUNCY

 B 2,178,834 ACTUAL
(49) UPMC SUNBURY

 B 63,599 ACTUAL
(50) UPMC WILLIAMSPORT

 B 55,217,732 ACTUAL
(51) TWIN LAKES CENTER INC

 B 11,151,372 ACTUAL
(52) UPMC COMMUNITY MEDICINE INC

 B 182,647 ACTUAL
(53) UNIVERSITY OF PITTSBURGH PHYSICIANS

 B 10,284,000 ACTUAL
(54) UPMC HOLDING COMPANY INC

 B 58,100,000 ACTUAL
(55) UPMC PHYSICIAN SERVICES HOLDING COMPANY

 B 44,000,000 ACTUAL
(56) ASTRATA INC

 B 2,000,000 ACTUAL
(57) NOVASENTA INC

 B 19,999,999 ACTUAL
(58) REALYZE INTELLIGENCE INC

 B 860,000 ACTUAL
(59) BLUESPHERE BIO

 B 29,999,999 ACTUAL
(60) COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION

 B 936,843 ACTUAL
(61) UPMC FOR YOU INC

 B 5,340,390 ACTUAL
(62) UPMC HEALTH PLAN INC

 B 7,073,751 ACTUAL
(63) UPMC HEALTH BENEFITS INC

 B 624,556 ACTUAL
(64) UPMC HEALTH OPTIONS INC

 B 936,883 ACTUAL
(65) UNIVERSITY OF PITTSBURGH PHYSICIANS

 B 4,755,008 ACTUAL
(66) UPMC FOR YOU INC

 F 395,000,000 ACTUAL
(67) COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION

 F 35,000,000 ACTUAL
(68) SALVATOR MUNDI INTERNATIONAL HOSPITAL

 L 387,493 COST
(69) UPMC ITALY SRL

 L 7,138,166 COST
(70) UPMC ALTOONA

 Q 3,759,869 COST
(71) UPMC BEDFORD

 Q 308,645 COST
(72) UPMC CHILDREN'S HOSPITAL OF PITTSBURGH

 Q 4,863,257 COST
(73) CHILDREN'S COMMUNITY CARE

 Q 50,884 COST
(74) CHARLES E COLE MEMORIAL HOSPITAL

 Q 271,810 COST
(75) UPMC COMMUNITY PROVIDER SERVICES

 Q 829,783 COST
(76) UPMC EAST

 Q 1,078,226 COST
(77) UPMC HAMOT

 Q 3,819,743 COST
(78) UPMC BENEFIT MANAGEMENT SERVICES INC

 Q 412,423 COST
(79) COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION

 Q 436,783 COST
(80) UPMC HEALTH PLAN INC

 Q 704,714 COST
(81) UPMC HEALTH NETWORK INC

 Q 51,611 COST
(82) UPMC HEALTH OPTIONS INC

 Q 682,899 COST
(83) UPMC FOR YOU INC

 Q 2,241,049 COST
(84) UPMC HORIZON

 Q 850,481 COST
(85) STRATEGIC BUSINESS INITIATIVES LLC

 Q 101,038 COST
(86) UPMC JAMESON

 Q 658,491 COST
(87) UPMC MAGEE-WOMENS HOSPITAL

 Q 5,735,992 COST
(88) UPMC MCKEESPORT

 Q 822,328 COST
(89) UPMC MERCY

 Q 2,495,127 COST
(90) UPMC PASSAVANT

 Q 2,445,760 COST
(91) UPMC NORTHWEST

 Q 765,072 COST
(92) UPMC HOME HEALTHCARE OF WESTERN PENNSYLVANIA

 Q 72,075 COST
(93) UPMC HOME HEALTHCARE OF CENTRAL PA

 Q 77,016 COST
(94) ONCOLOGY-HEMATOLOGY ASSOCIATION INC

 Q 279,320 COST
(95) UNIVERSITY OF PITTS CANCER INST CANCER SVCS

 Q 252,437 COST
(96) UPMC OVERSEAS INC

 Q 66,824 COST
(97) UPMC PRESBYTERIAN SHADYSIDE

 Q 11,717,018 COST
(98) RENAISSANCE FAMILY PRACTICE - UPMC INC

 Q 61,313 COST
(99) UPMC ST MARGARET

 Q 1,508,815 COST
(100) UPMC SOMERSET

 Q 147,089 COST
(101) UPMC WILLIAMSPORT

 Q 1,851,443 COST
(102) UNIVERSITY OF PITTSBURGH PHYSICIANS

 Q 5,555,711 COST
(103) UPMC CHAUTAUQUA AT WCA

 Q 690,814 COST
(104) UPMC COMMUNITY MEDICINE INC

 Q 888,301 COST
(105) CORE NETWORK LLC

 Q 86,648 COST
(106) FREEDOM INSURANCE COMPANY

 R 1,322,938 ACTUAL
(107) UPMC CHILDREN'S HOSPITAL OF PITTSBURGH

 S 143,852,826 ACTUAL
(108) UPMC MAGEE-WOMENS HOSPITAL

 S 63,456,875 ACTUAL
(109) SOMERSET MANAGEMENT SERVICES INC

 S 499,241 ACTUAL
(110) DIVINE PROVIDENCE

 S 24,736,274 ACTUAL
(111) UPMC WELLSBORO

 S 7,266,088 ACTUAL
(112) LEXINGTON HOLDINGS INC

 S 113,399 ACTUAL
(113) UPMC PHYSICIAN SERVICES HOLDING COMPANY

 S 733,000 ACTUAL
(114) IS TECHNOLOGY SERVICES LLC

 S 10,000,000 ACTUAL
(115) UPMC HOLDING COMPANY INC

 S 807,038 ACTUAL
(116) UNIVERSITY PITTSBURGH PHYSICIANS

 S 5,020,341 ACTUAL
(117) UPMC CHAUTAUQUA AT WCA

 S 22,547,984 ACTUAL
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(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 Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
SCHEDULE R - RELATED TAX-EXEMPT ORGANIZATIONS The below organizations are included in the UPMC Group exemption and Form 990. These organizations are not required to be listed in Schedule R Part III. Center for Emergency Medicine of Western Pennsylvania UPMC Ob/Gyn Joint Venture Inc. Butler Health System/UPMC Musculoskeletal Joint Venture Inc. Central Pennsylvania Medical Foundation, Inc. Children's Advocacy Center of Lawrence County UPMC Children's Hospital of Pittsburgh UPMC Community Care Behavioral Health Organization Cranberry Place Erie Physician Network-UPMC, Inc. Home Nursing Agency Affiliates UPMC Home Healthcare of Central Pennsylvania Home Nursing Agency Foundation UPMC Jameson Jameson Health Care Foundation Jameson Medical Care, Inc. UPMC Behavioral Health of the Alleghenies UPMC Magee-Womens Hospital Mon Yough Community Services, Inc. Regional Health Services Inc. Sugarcreek Station The Heritage Shadyside UPMC Medical Education University of Pittsburgh Cancer Institute Cancer Services University of Pittsburgh Physicians UPMC Advanced Practice Providers UPMC Altoona UPMC Altoona Foundation UPMC Altoona Partnership for a Healthy Community UPMC Bedford UPMC Chautauqua Services Inc. UPMC Community Medicine, Inc. UPMC Community Provider Services UPMC East UPMC Emergency Medicine, Inc. UPMC For You, Inc. UPMC Hamot UPMC Horizon UPMC Horizon Community Health Foundation UPMC International Holdings, Inc. UPMC Locum Clinicians UPMC McKeesport UPMC Mercy UPMC Northwest UPMC Overseas, Inc. UPMC Passavant UPMC Presbyterian Shadyside UPMC St. Margaret UPMC Home Healthcare of Western Pennsylvania UPMC Kane UPMC Susquehanna UPMC Muncy Divine Providence Hospital of the Sisters of Christian Charity Susquehanna Physician Services Susquehanna Health System Innovation Center, Inc. Susquehanna Health Foundation UPMC Williamsport Laurel Health System UPMC Wellsboro UPMC Lock Haven UPMC Sunbury AUUE, Inc. Safe Harbor Behavioral Health Of UPMC Hamot UPMC Home Care Management Services Twin Lakes Center, Inc. UPMC Travel Staffing Charles Cole Memorial Hospital Cole Foundation, Inc. Hamot Cole Ventures Somerset Community Hospital Foundation Somerset Health Services, Inc. UPMC Somerset Entities reported in Parts I through IV that are marked with an * are not technically related organizations, as defined in the Form 990 instructions of UPMC as the requisite control for a parent, subsidiary, brother/sister relationship did not exist during the fiscal year ended June 30, 2023. However, because these entities are affiliated with UPMC and the UPMC parent organization holds certain powers with respect to such entities, UPMC is electing to disclose the entities as related organizations in Schedule R in the interest of transparency.
PART V TRANSACTIONS WITH RELATED ORGANIZATIONS PART V In general the cash management policy of UPMC is to temporarily transfer all excess funds available from exempt subsidiaries to UPMC, the parent entity. These are not considered a transfer of net assets for which disclosure is required if 25% or more of net assets are transferred.
Schedule R (Form 990) 2021

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