{"success":true,"data":{"_id":250965387,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Upmc hamot's mission is to serve our patients and community in the hamot tradition of quality, health, healing and education. To put simply, \"to serve.\"","primary_activities":"Part i, line 1 continued - upmc hamot's goal to serve the community is accomplished through a commitment to patient-focused care and outcomes management, outstanding customer service, strong regional partnerships, research, and community education and programs. Upmc hamot is dedicated to service all patients regardless of their ability to pay.\n\nUPMC Hamot (\"Hamot\") is a 412 bed tertiary medical center with specialties that include cardiology, neuroscience, critical care, orthopedics and women's health services. The medical center reaches out to more than 1 million people in northwestern Pennsylvania, western New York and eastern Ohio. Our mission is to serve our patients, communities, and one another in the UPMC Hamot tradition of quality, health, healing, and education. To put it simply, \"to serve.\" UPMC Hamot will, in partnership with its physicians, payers, and other stakeholders, continue to advance the health and wellness of the communities it serves by achieving clinical quality of the highest national standards and maximizing operational efficiencies. Our Core Values are to fulfill UPMC Hamot's mission through commitment to these values: quality, compassion, service, respect, integrity, and cooperation. During the fiscal year ended June 30, 2013, the UPMC Hamot admitted 18,203 inpatients, recorded 84,129 inpatient days, 80,823 emergency room visits, and performed 11,188 surgeries. UPMC Hamot provided charity care and other uncompensated care, including Medicaid and Medicare shortfalls, at cost, of over $35,500,000. Over 50% of UPMC Hamot patients were covered by Medicare or state Medicaid health insurance. UPMC Hamot is accredited by the Joint Commission and also has an advanced certification from them as a Primary Stroke Center. Some of the other most current accolades include: Truven Health Analytics 50 Top Cardiovascular Hosptials; a three year accreditation (with Commendation) from the American College of Surgeons' Commission on cancer care; American Heart Association \"Get with the Guidelines\" Stroke Gold Plus Performance Award; Joint Commission Advanced Certification in Stroke Care and Heart Failure Program; U.S... News & World Report - Best Regional Hospitals ; Highmark Blue Distinction Center for Cardiac, Bariatric and Knee and Hip Replacement; National Research Corporation Consumer Choice Award; and the American College of Radiology Breast Imaging Center of Excellence. Hamot also maintains an Orthopaedic Clinic that serves primarily the indigent of the community. Hamot outpatient services include outpatient surgery, emergency room visits, home health visits, outpatient cardiology procedures, radiology procedures, orthopedic procedures, and physical rehabilitation. The total outpatient volume was approximately 241,057. To further Hamot's goal to provide outstanding patient care, Hamot has established the following graduate programs: pharmacy residency, neurology residency, orthopedic surgery residency, orthopedic hand surgery fellowships, and emergency medicine. The continuing Medical Education Department is accredited by the Pennsylvania Medical Society and enables physicians outside of Hamot to receive required educational credits. The department's most recent annual report showed that more than 3,360 doctors attended these courses. Hamot houses a School of Anesthesia in conjunction with a local university. The anesthesia program is accredited by the Council on Accreditation of Nurse Anesthesia Programs. Last year, 15 students graduated from that program. Various research activities support medical education and advancements in patient care. Hamot participates in clinical trials for drugs and devices in the final testing stages as well as basic science research. Overall Hamot supported research and education endeavors at a cost of over $3,000,000 in fiscal year 2013. Hamot works in close partnership with the community to provide services. Hamot participates in the \"PILOT\" (payment in lieu of taxes) program which was $1,294,000 in fiscal year. Hamot also subsidizes the local emergency transportation at an approximate annual cost of $300,000. In addition, Hamot provides many other educational and support services to the community including such things as support to build up the downtown district within which Hamot's campus resides. Hamot also conducts various free health screenings and education session at locations throughout the city which touch thousands of residents. Some of these programs include including charitable donations to support other nonprofit entities, car seat safety, community vaccination programs, Hamot Heart for Women, ATV safety training, Speakers Bureau and Lecture Series, Let Me Call You Sweetheart, Heart and Soles, and Wear Red for Women. 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A patient may be determined to have financial need based on the following: 1. Indigency: If income fallS below 200% of the federal poverty guidelines, the patient will have no financial responsibility. The patient is approved for 100% free care. 2. Low Income Sliding Scale: Assistance may be a discounted or reduced patient liability depending on the patient's income: a. If the combined family income IS greater than or equal to 200% and less than or equal to 300% of the federal poverty guidelines, the patient is eligible for a reduced charity care. There will be an 80% reduction in the patient bill. b. If the combined family income IS greater than or equal to 300% and less than or equal to 400% of the federal poverty guidelines, the patient is eligible for a reduced charity care. There will be a 70% reduction in the patient bill. The discounted charity care scale is listed below: 2012 Financial Assistance Income Guidelines F/S FINANCIAL 100% PatIENT 0% FINANCIAL 85% PatIENT 15% ASSISTANCE ASSISTANCE 1 $22,340 $44,680 2 $30,260 $60,520 3 $38,180 $76,360 4 $46,100 $92,200 5 $54,020 $108,040 6 $61,940 $123,880 7 $69,860 $139,720 8 $77,780 $155,560 + $7,920 $15,840 3. Financial Hardship: If a patient is approved for discounted or reduced charity care and cannot afford to pay the remaining balance, the patient may be considered for financial hardship. The patient will be liable to pay 15% of their calculated income and assets towards their medical bill or the reduced amount whichever is less."},{"explanation":"UPMC PREPARES AN ANNUAL COMMUNITY BENEFITS REPORT. THE REPORT ENCOMPASSES INFORMATION FOR THE ENTIRE INTEGRATED DELIVERY SYSTEM THAT MAKES UP THE UPMC HEALTH SYSTEM INCLUDING UPMC HAMOT. IT IS POSTED TO AND AVAILABLE TO THE PUBLIC VIA THE UPMC WEBSITE, WWW.UPMC.COM."},{"explanation":"PART I LINE 7 COSTING METHODOLODY USED TO CALCULATE THE AMOUNTS REPORTED IN PART I LINE 7: The costing methodology used to calculate the amounts reported in Part 1 Line 7 is a combination of direct costs as well as indirect costs where obtainable. Where appropriate, to determine cost a ratio of costs to charges method is employed. The method is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". PART 1 LINE 7 Column f: The Bad Debt expense of $20,411,826 from line 24(b) of Part IX is subtracted from the total expenses of $337,720,939 per line 25 Column A of Part IX in order to calculate the percentages in part I Line 7 Column"},{"explanation":"Process for reallocation from bad debt to charity care UPMC including UPMC Hamot reclassifies bad debt accounts as charity care by utilizing a predictive model PARO. PARO was built as a socio-economic score that identifies those patients that are most likely to be the highest need of financial assistance. This is accomplished by analyzing consumer data and activity, court records, government records, property files, Census data and IRS data. PARO provides a systematic approach to Financial Assistance: \" Predictive model that encompasses healthcare economics and credit policies; \" Uniform assessment measure for every patient regardless of financial standing; \" Accounts for patients that are unresponsive, illiterate, or otherwise challenged to apply; \" Eliminate barrier to application and meets increased pressure to provide additional financial resources to Consumers; \" Identify and support those Community needs efforts to provide assistance to those Consumers in need. All bad debt accounts with a balance of $1000.00 and greater are \"scored\" by PARO. There are two data points returned to UPMC in order to make the decision whether the patient would qualify for charity care. The first is the estimated income level based on the Federal Poverty Level guidelines. The second is the PARO score which utilizes an algorithm based approach and returns a score based on personal attributes of the patient. Data elements were combined to create two primary indicators of need, the PARO score and the Federal Poverty Level. PARO analyzed our historical approvals to determine what our PARO threshold and the FPL threshold for the historical approvals. The approved accounts were compared against accounts that were in active AR. This was done to determine if the distributions were similar or if any pattern existed based on the approved accounts and the unknown accounts If the patient's estimated income and PARO score are within the scores identified by the calibration of UPMC existing charity care patients, the account is reclassified from bad debt to charity care. Every patient is able to apply for charity care; however, the automated strategy focuses on patients that do not complete the applications process. The US Department of Education estimates that 1 in 5 consumers are functionally illiterate. This, coupled with the low levels of participation in traditional banking methods, makes the application process virtually impossible for some consumers."},{"explanation":"PART III LINE 4 COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED IN PART III LINE 2 AND 3: The costing method used to calculate the amounts in Schedule H Part III lines 2 and 3 is a ratio of cost to charges method. Discounts and payments in patient's accounts are deducted before the cost of bad debt expense is determined. The method employed is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". RATIONALE FOR INCLUDING BAD DEBT AMOUNTS IN COMMUNITY BENEFIT: The organization's bad debt expense consists solely of self pay patients accounts deemed uncollectable. It is UPMC Hamot's contention that the cost of bad debt should be stated in Part I Line 7 of Schedule H as they represent the costs for provision of services to patients for which the entity has exhausted all recourse for reimbursement. The services provided to patients who present themselves are provided regardless of a patient's ability to pay as in line with the organizations charitable mission and service to our community. These expenses are incurred regardless of the efficiency of the provision of the related medical care and are deemed to have been medically necessary for the patient. METHOD THE ORGANIZATION USES TO DETERMINE THE ESTIMATED AMOUNT OF THE ORGANIZATIONS BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY: The method that the organization uses to determine the amount of the cost of bad debts that reasonably could be attributable to patients who likely would quality for financial assistance under the hospital's charity care policy if sufficient information had been available to make a determination of their true eligibility is based on a statistical model applied to a sampling of inpatient accounts. The predictive model takes into consideration consumer activity and data, court records, government records, census data and encompasses healthcare economics, local demographics and credit policies. PART III LINE 8 COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE AND AS REPORTED IN THE ORGANIZATIONS MEDICARE COST REPORT: The costing methodology used to determine the Medicare allowable costs of care is a ratio of costs to charges method. The method is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". It is UPMC Hamot's contention that all amounts calculated to be shortfalls in reimbursement for services provided to Medicare patients are truly uncompensated care that should be stated in Part I Line 7 of Schedule H of Form 990 as they represent costs for provision of services to patients for which the entity has no recourse for reimbursement, regardless of the efficiency of provision of the related care costs. PART III LINE 9b COLLECTION PRACTICES SET FORTH IN THE ORGANIZATIONS COLLECTION POLICY THAT APPLY TO PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE: If determined at any point prior to or during the patients stay that the patient is medically indigent, credit personnel will assist the patient, patient's family or guarantor in completing an application for state medical assistance and may suspend certain admission and in house payment requirements pending final determination as to medical assistance eligibility. Patients may request charity care post discharge by either calling or visiting the hospital and speaking with the patient accounting office. Personnel in patient accounting are designated to handle charity care applications. handle charity care applications."},{"explanation":"UPMC has a debt collection policy outlining collection practices for patients. If at any time the patient expresses an inability to pay, they are sent a Financial Assistance application. Information regarding Financial Assistance is printed on all collection letters. PART V SECTION B LINE 5A WESBITE FOR CHNA: http://www.upmc.com/locations/hospitals/hamot/about/Pages/default.aspx http://ecdh.org/showcase.php/2012-Erie-County-Community-Health-Needs-Asses sment/40/2152/314/3464"},{"explanation":"DURING FISCAL YEAR 2013 UPMC HAMOT PARTICIPATED IN IRS-REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENTS WITH BOTH UPMC HEALTH SYSTEM AND WITH A COLLABORATIVE OF ERIE COUNTY, PA HOSPITALS LEAD BY THE ERIE COUNTY DEPARTMENT OF HEALTH. THESE ASSESSMENTS STRENGTHENED AND BROADENED COMMUNITY INPUT AND PARTNERSHIPS. TO ENSURE THAT UPMC HAMOT'S COMMUNITY-FOCUSED EFFORTS ARE MOST EFFECTIVELY ADDRESSING THE NEEDS OF THE INDIVIDUALS AND COMMUNITIES IT SERVES, THE ORGANIZATION WORKED WITH COMMUNITY STAKEHOLDERS AND PUBLIC HEALTH EXPERTS TO IDENTIFY COMMUNITY HEALTH NEEDS AND DETERMINE HOW TO COLLABORATE MOST EFFECTIVELY TO ADDRESS THESE NEEDS. UPMC HAMOT ACTIVELY ENGAGED ITS HOSPITAL BOARD, ASSEMBLED A COMMUNITY ADVISORY GROUP, AND OBTAINED INPUT DIRECTLY FROM THE COMMUNITY IT SERVES. THE END RESULT IS A STRATEGIC PLAN SPECIFIC TO UPMC HAMOT TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS. IMPORTANTLY, THE PLAN ADDRESSES LOCAL COMMUNITY NEEDS NOT ONLY AT THE HOSPITAL LEVEL, BUT ALSO INCLUDE EFFORTS UNDERTAKEN IN PARTNERSHIP WITH OTHER LOCAL HOSPITALS, EXTERNAL ORGANIZATIONS, AND THE LARGER UPMC SYSTEM. CHNA REPORTS AND STRATEGIC PLANS FOR UPMC HAMOT CAN BE FOUND ON THE INTERNET: UPMC HAMOT COMMUNITY HEALTH NEEDS ASSESSMENT: http://www.upmc.com/locations/hospitals/hamot/about/Pages/default.aspx ERIE COUNTY DEPARTMENT OF HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT: http://ecdh.org/showcase.php/2012-Erie-County-Community-Health-Needs-Asses sment/40/2152/314/3464"},{"explanation":"The charity care policy is posted throughout the medical center including postings at each registration window. Charity care applications are provided to all uninsured patients. Patients are also given information regarding financial assistance in their information packet and it is reviewed during the admission process."},{"explanation":"UPMC Hamot's primary service area is Erie county in Pennsylvania and its secondary service area encompasses Crawford, Warren and McKean counties in Pennsylvania, Ashtabula county in Ohio, and Chautauqua County in New York. The population in the primary and secondary service areas is almost 700,000. While Erie County is largely urban and suburban the secondary service areas are largely rural. Median household income in Erie County is $45,249 and 16.1% of the residents fall below the federal poverty level with over 20% of the population being Medicaid recipients. There are over 92,500 Medicaid recipients in the Pennsylvania counties that are the in the main areas served by UPMC Hamot. In the City of Erie more than 43% of the children live in poverty and over 26% of the residents are classified as poor by U.S Census officials. The City of Erie has the second highest poverty rate of any major city in Pennsylvania. There are nearly 50,000 Medicaid recipients (20% of total population) in the New York and Ohio counties. Median household income in the entire secondary service area counties averages $41,800 and the percent of residents below the federal poverty level ranges from 12% in Warren County up to 19% in Chautauqua County. Erie County has 13 federally designated Medically Underserved Areas (\"MUAS\") while Crawford and McKean counties have 25 MUAS together. Chautauqua County has 1 MUA."},{"explanation":"Through UPMC Hamot's financial support, organizations and communities can provide health services that might not otherwise have the means. Without these sponsored programs, the community could not otherwise financially support them. UPMC Hamot supports the community by subsidizing the local emergency transportation entity. Without Hamot's support the transportation entity could not remain financially viable. Though tax exempt, UMPC Hamot pays property taxes exceeding $1.5 million through its PILOT program entered into with local, school district and county taxing authorities. UPMC Hamot has an open medical staff extending privileges to all qualified physicians for all departments. The Board of Directors of UPMC Hamot is made up in the majority of community members who are independent to UPMC Hamot. Surplus funds of UPMC Hamot are all reinvested in the hospital and the surrounding communities to promote the health of all served."},{"explanation":"The delivery system of entities affiliated with UPMC Hamot is able to provide patients with all medically necessary services. These services include ambulatory surgery, durable medical equipment, home care services, medial transportation, physicians in all specialties to provide healthcare services, and all types of outpatient and ambulatory diagnostic services. UPMC Hamot's mission is to promote healthcare for the benefit of all it services and to provide the highest quality of patient care in a dignified environment without regard to a patient's ability to pay."},{"explanation":"STATES RECEIVING COMMUNITY BENEFIT REPORT Pennsylvania"}]},"ScheduleI":{"reported_domestic_org_grants":199002,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":199002,"grants":[{"ein":251753149,"irc_section":"501(c)(3)","cash":5250,"purpose":"Charitable Donation","address_line1":"100 Barber Place","city":"Erie","state":"PA","zip":"16507","name":"DR GERTRUDE A BARBER FOUNDATION INC","address":"100 Barber Place, Erie, PA, 16507"},{"ein":251798733,"irc_section":"501(c)(3)","cash":6000,"purpose":"Charitable Donation","address_line1":"320 BILMAR DR","city":"Pittsburgh","state":"PA","zip":"15205","name":"AMERICAN CANCER SOCIETY","address":"320 BILMAR DR, Pittsburgh, PA, 15205"},{"ein":250496976,"irc_section":"501(c)(3)","cash":11000,"purpose":"Educational Donation","address_line1":"109 UNIVERSITY SQ","city":"Erie","state":"PA","zip":"16541","name":"GANNON UNIVERSITY","address":"109 UNIVERSITY SQ, Erie, PA, 16541"},{"ein":251053091,"irc_section":"501(c)(3)","cash":17000,"purpose":"Charitable Donation","address_line1":"420 WEST 6TH ST","city":"Erie","state":"PA","zip":"16507","name":"UNITED WAY OF ERIE COUNTY","address":"420 WEST 6TH ST, Erie, PA, 16507"},{"ein":251385075,"irc_section":"501(c)(3)","cash":25000,"purpose":"Charitable Donation","address_line1":"2500 W 12th St","city":"Erie","state":"PA","zip":"16505","name":"REGIONAL CANCER CENTER","address":"2500 W 12th St, Erie, PA, 16505"},{"ein":256001265,"irc_section":"Government","cash":80000,"purpose":"Charitable Donation","address_line1":"650 East Avenue","city":"Erie","state":"PA","zip":"16503","name":"Wayne Primary Care School Based Health Center","address":"650 East Avenue, Erie, PA, 16503"}],"total_domestic_grants":199002,"total_domestic_program_services":199002,"detail_org_grants_total":144250,"detail_domestic_grants_total":144250,"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"independent_consultant":true,"compensation_survey_or_study":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":true,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Donald 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Question 4b: ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS DISCLOSED WITHIN THE TOTAL AMOUNT IN SCHEDULE J COLUMN C \"DEFERRED COMPENSATION\". Question 7: UPMC Hamot provides incentive compensation as part of its total compensation program for officers and key employees. The components are 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 Hamot's mission and include: patient quality and satisfaction, community benefit, operational and financial strength, leadership development and strategic business initiatives, among others."}]},"ScheduleK":{"bond_issues":[{"bond_reference":["A","A"],"issuer_ein":[232302072,232302072],"business_name_line1":["Erie County Hospital Authority","Erie County Hospital Authority"],"cusip_number":"295200sz3","date_issued":["2006-04-11T00:00:00","2009-07-16T00:00:00"],"issue_price":[23921150,4691500],"purpose":["Hamot Series 2006 See Schedule O","Hamot 7/16/2009 Financing See Sche"],"defeased":[false,false],"on_behalf_of_issuer":[false,false],"pool_financing":[false,false],"name":"['Erie County Hospital Authority', 'Erie County Hospital Authority']"},{"bond_reference":["B","B"],"issuer_ein":[232302072,232302072],"business_name_line1":["Erie County Hospital Authority","Erie County Hospital 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Rebate computation performed on October 30, 2010.","$879.78 was earned in the construction fund during construction and spent according to the purpose of the bonds."]},{"identifier":["Hamot Series 2007","Hamot 8/31/2010 Financing"],"form_and_line_reference":["0","0"],"explanation":["$1,111,358.09 was earned int he construction fund during construction and spent according to the purpose of the bonds. Rebate computation performed on June 30, 2010.","$776.16 was earned in the construction fund during construction and spent according to the purpose of the bonds."]},{"identifier":"Hamot Series 2010ABC Schedule O","form_and_line_reference":"0","explanation":"n/a"}]},"ScheduleL":{"supplemental_information":[{"identifier":"Transactions with Interested Persons","explanation":"A: NAME OF INTERESTED PERSON: BALDWIN BROTHERS INC. B: RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION BOARD MEMBER GREGORY S. 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FERRARO M.D. IS > 5% PARTNER OF INTERESTED PERSON C: AMOUNT OF TRANSACTION $18,116,325 D: DESCRIPTION OF TRANSACTION CARDIOLOGY SERVICES E: SHARING OF ORGANIZATION REVENUE NO A: NAME OF INTERESTED PERSON: MARY JERGE B: RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION FAMILY MEMBER OF CFO STEPHEN DANCH C: AMOUNT OF TRANSACTION $19,545 D: DESCRIPTION OF TRANSACTION COMPENSATION E: SHARING OF ORGANIZATION REVENUE NO A: NAME OF INTERESTED PERSON: Patrick Pontzer B: RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION FAMILY MEMBER OF BOARD MEMBER RICHARD NYGARRD C: AMOUNT OF TRANSACTION $59,937 D: DESCRIPTION OF TRANSACTION COMPENSATION E: SHARING OF ORGANIZATION REVENUE NO A: NAME OF INTERESTED PERSON: MACKENZIE BEACH B: RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION FAMILY MEMBER OF BOARD MEMBER JEFFREY BEACH, CPA C: AMOUNT OF TRANSACTION $48,802 D: DESCRIPTION OF TRANSACTION COMPENSATION E: SHARING OF ORGANIZATION REVENUE NO A: NAME OF INTERESTED PERSON: ANN BULA B: RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION FAMILY MEMBER OF BOARD MEMBER MARY BULA C: AMOUNT OF TRANSACTION $19,545 D: DESCRIPTION OF TRANSACTION COMPENSATION E: SHARING OF ORGANIZATION REVENUE NO"}]},"ScheduleM":{"policies":{"any_property_that_must_be_held":false,"review_process_unusual_noncash_gifts":false,"third_parties_used":false},"noncash_contributions":{"real_estate_commercial":{"reported":true,"revenue_reported_on_990":423096,"contribution_count":1,"method_of_determining_revenues":"Fair Market Valule"}}},"ScheduleR":{"tax_exempt_organizations":[{"ein":250998168,"business_name_line1":"KANE COMMUNITY HOSPITAL","primary_activities":"HOSPITAL","public_charity_status":"3","controlled_organization":true,"legal_domicile_state":"PA","direct_controlling_business_name_line1":"UPMC HAMOT","address_line1":"4372 ROUTE 6","city":"KANE","state":"PA","zip":"16735","name":"KANE COMMUNITY HOSPITAL","address":"4372 ROUTE 6, KANE, PA, 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Hamot also conducts various free health screenings and education sessions at locations throughout the city including car seat safety, community vaccination programs, Hamot Heart for Women, ATV safety training, Speakers Bureau and Lecture Series, Let Me Call You Sweetheart, Heart and Soles, and Wear Red for Women.","year":2009,"name":"Hamot Medical Center","phone":"8148776162","website":"www.hamot.org","type":"990","principal_officer":"John T Malone","year_formation":1881,"state_legal_domicile":"PA","total_volunteers":200,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"201 State Street, Erie, PA, 16550, USA","city":"Erie","state":"PA","country":"USA","zip_code":"16550"},"Governance":{"501c determination":true,"Number of voting members":17,"Number of independent voting members":10,"Number of employees total":3604,"Total Gross UBI":293728,"Net unrelated business taxable income":-62599,"Number of employees":3604,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":true,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":324340059,"Contributions":{"value":1579814,"Other contributions":146506,"Related organizations":1433308},"Program revenue":{"value":316609103,"Total revenue":{"value":316609103,"VARIOUS":316609103},"Unrelated business revenue":293728},"Investment income":{"value":2133057,"Investment income total":2160804,"Net investment gain":-27747},"Other revenues":{"value":4018085,"Other total":3807419,"Net rental income":210666}},"Expenses":{"value":322333258,"Grant expense":{"value":20562936,"Grants to domestic orgs":20562936},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":131456189,"Current officers":2571107,"Disqualified persons":6230,"Other salaries and wages":99230428,"Pension plan contributions":5948652,"Other employee benefits":16418167,"Payroll taxes":7281605},"Other expenses":{"value":170314133,"Legal":609986,"Accounting":130803,"Lobbying services":13071,"Investment management fees":120636,"Other services":35432921,"Advertising":839121,"Office expenses":67236042,"Information technology":3722254,"Occupancy":7070380,"Travel":678546,"Conferences and meetings":643812,"Interest":3083641,"Depreciation and depletion":13767007,"Insurance":5731381,"Itemized Expenses":{"value":30418047,"VARIOUS":30418047},"All other expenses":816485}},"Assets":{"value":340648399,"Non-interest bearing cash":3039,"Savings and temp cash investments":25493660,"Accounts receivable":35964226,"Other net note and loans":114375,"Inventories for sale or use":7322470,"Prepaid expenses deferred charges":11420274,"Land, building, equipment":142160893,"Investments publicly traded":89198489,"Investments other":9740050,"Other assets":19230923},"Liabilities":{"value":221436050,"Accounts payable, accrued":35814385,"Deferred, revenue":260341,"Tax exempt bond liabilities":102088633,"Secured mortgages and notes payable":16233754,"Other liabilities":67038937},"Fund balance":{"value":119212349},"Form990Details":{"program_service_accomplishments":[{"description":"Inpatient Services: HMC is a 351 bed tertiary hospital with medical specialties that include cardiology, neuroscience, gastrointestinal care, critical care, orthopaedics and woman's health services. 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Measurement of the tax uncertainty occurs if the recognition threshold has been met. The Corporation's policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses."},{"identifier":"Part XI, Line 8 - Other Adjustments:","explanation":"Pension liability adjustment: 227994. Net Assets Released from Restrictions: 77069. loss on early extinguishment of debt: -1349805. Other change in fund balance: 2137."},{"identifier":"Part XII, Line 2d - Other Adjustments:","explanation":"Pension liability adjustment: 227994. NET ASSETS RELEASED FROM RESTRICTIONS: 77069. investment management fees netted with revenue on financial statements: -120636. Other change in fund balance: 2137."},{"identifier":"Part XII, Line 4b - Other Adjustments:","explanation":"RENTAL EXPENSE: -775912. LOSS ON SALE AND DISPOSAL OF PROPERTY AND EQUIPMENT: -32060. Other Revenue: 1313786."},{"identifier":"Part XIII, Line 2d - Other Adjustments:","explanation":"Rental expense: 775912. LOSS ON SALE AND DISPOSAL OF PROPERTY AND EQUIPMENT: 32060. loss on early extinguishment of debt: 1349805."},{"identifier":"Part XIII, Line 4b - Other Adjustments:","explanation":"TRANSFER TO AFFILIATE: 1303338. Other Expenses: 10722."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":false,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":5637025,"bad_debt_expense_attributable_to_financial_assistance":771130,"reimbursed_by_medicare":86821141,"cost_of_care_reimbursed_by_medicare":80261472,"medicare_surplus_or_shortfall":6559669,"cost_accounting_system":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":771130,"net_community_benefit_expense":771130,"total_expense_percentage":0.0026},"unreimbursed_medicaid":{"total_community_benefit_expense":33593073,"direct_offsetting_revenue":16221320,"net_community_benefit_expense":17371753,"total_expense_percentage":0.0591},"total_financial_assistance":{"total_community_benefit_expense":34364203,"direct_offsetting_revenue":16221320,"net_community_benefit_expense":18142883,"total_expense_percentage":0.0617},"community_health_services":{"total_community_benefit_expense":193797,"net_community_benefit_expense":193797,"total_expense_percentage":0.0007},"health_professions_education":{"total_community_benefit_expense":6175024,"direct_offsetting_revenue":3040968,"net_community_benefit_expense":3134056,"total_expense_percentage":0.0107},"subsidized_health_services":{"total_community_benefit_expense":1419484,"direct_offsetting_revenue":7823,"net_community_benefit_expense":1411661,"total_expense_percentage":0.0048},"total_other_benefits":{"total_community_benefit_expense":7788305,"direct_offsetting_revenue":3048791,"net_community_benefit_expense":4739514,"total_expense_percentage":0.0162},"total_community_benefits":{"total_community_benefit_expense":42152508,"direct_offsetting_revenue":19270111,"net_community_benefit_expense":22882397,"total_expense_percentage":0.0779}},"community_building":{"community_support":{"total_community_benefit_expense":400000,"net_community_benefit_expense":400000,"total_expense_percentage":0.0014},"coalition_building":{"total_community_benefit_expense":791565,"net_community_benefit_expense":791565,"total_expense_percentage":0.0027},"other_community_building_activities":{"total_community_benefit_expense":1170532,"net_community_benefit_expense":1170532,"total_expense_percentage":0.004},"total_community_building_activities":{"total_community_benefit_expense":2362097,"net_community_benefit_expense":2362097,"total_expense_percentage":0.0081}},"management_companies":[{"business_name_line1":"Hamot Surgery Center","primary_activities":"Outpatient surgery center","organization_profit_or_ownership_percentage":0.51,"physicians_profit_or_ownership_percentage":0.49,"name":"Hamot Surgery Center"}],"hospital_facilities":[{"business_name_line1":"HAMOT MEDICAL CENTER","address_line1":"201 STATE STREET","city":"ERIE","state":"PA","zip":"16550","licensed_hospital":true,"general_medical_and_surgical":true,"teaching_hospital":true,"research_facility":true,"emergency_room_24_hours":true,"name":"HAMOT MEDICAL CENTER","address":"201 STATE STREET, ERIE, PA, 16550"},{"business_name_line1":"Regional Ambulatory Surgery Center LLC","address_line1":"1376 Bucktail Road","city":"St Marys","state":"PA","zip":"15857","other_description":"outpatient surgery center","name":"Regional Ambulatory Surgery Center LLC","address":"1376 Bucktail Road, St Marys, PA, 15857"},{"business_name_line1":"hamot surgery center","address_line1":"200 state street","city":"erie","state":"PA","zip":"16507","other_description":"outpatient surgery center","name":"hamot surgery center","address":"200 state street, erie, PA, 16507"}],"part_vi_explanations":{"affiliated_health_care_system":"Part VI, Line 7: Great Lakes Home Health provides home health services and sells durable medical equipment. They participate in many health fairs and educational sessions in the community.Hamot Surgery Center is an outpatient surgery facility.Regional Cancer Center is a non-profit outpatient cancer treatment facility. They conduct numerous community events to raise the awareness of cancer and provide a mobile mammography unit to reach women in isolated areas.Regional Health Services employs the physicians for the Hamot system. They provide sports training services at a reduced price and subsidize the Hamot Health Connection which provides education to the community for free or greatly reduced prices.Emergycare is a non profit organization and is the local medical transportation company. Associated Clinical Laboratory provides the lab services for all of the health care providers in the area.","annual_community_benefit":"Part I, Line 6a: The organization's community benefit report is contained in a report prepared by Hamot Health Foundation, a related organization.","bad_debt_footnote":"Part III, Line 4: Costing methodology used to determine the amount reported in Part III, lines 2 and 3: Cost to charge ratio calculated in worksheet 2.Rationale for including other bad debt amounts in community benefit: The organization's bad debt expense consists solely of self pay patient accounts deemed uncollectible. The organization still had to provide the service and incur the cost regardless of whether or not it was paid. Because we service patients in our region, we feel it is a community benefit.How the organization accounts for discounts and payments on patient accounts in determining bad debt expense: Discounts are not calculated as part of bad debt expense; rather, they are a part of contractual allowances. Method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information had been available to make a determination of their eligibility: The charity care on the books represents charges forgone as part of the charity care policy, and to arrive at cost the charges are multiplied by a cost to charge ratio, which is how the amount of $771,130 is calculated. Text of the footnote to the organization's financial statements that describes bad debt expense: Accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. The allowance for doubtful collections is estimated based upon a periodic review of the accounts receivable aging, payor classifications, and application of historical write-off percentages.","community_building_activities":"Part VI, Line 5: Through the Medical Center's financial support, organizations and communities can provide health services without otherwise having the means. Without these sponsored programs, the community would not be able to otherwise provide them. Hamot supports the community by subsidizing the local emergency transportation entity. Without that, they would not be in existence. Though tax exempt, Hamot pays property taxes exceeding $1 million through the PILOT program. Additionally, Hamot provided support and guidance for a regional hospital in danger of closing and leaving that community with no other way to provide that service. That activity also created other synergies in health care in the region. Hamot purchased and then donated much needed equipment for the local fire department and coordinated the local disaster preparedness team.","community_information":"Part VI, Line 4: Hamot Medical Center's primary service area is Erie County, Pennsylvania and its secondary service area encompasses Crawford, Warren, and McKean Counties in Pennsylvania, Ashtabula County in Ohio, and Chautauqua County in New York. Erie County, PA has a population of 280,000 and our secondary service area population is 400,000. While Erie County is largely urban and suburban, the secondary service area is largely rural. Median household income in Erie County is $43,456, and 15.1% of our residents are below the federal poverty level and over 58,000 residents are MA eligible. Of the 304,000 residents of our New York and Pennsylvania secondary service area, nearly 64,000 are Medicaid eligible. Median household income in the secondary service area counties hovers around $40,000, while the percent of residents below the federal poverty level ranges from 12.5% in Warren county up to 16.3% in Chautauqua County. Erie County is serviced by Hamot and 3 other hospitals for a total of 945 licensed beds. The secondary service area contains 12 community hospitals. Erie County has 13 federally designated medically underserved areas (\"MUAs\"), Crawford and McKean Counties have 25 MUAs together, and Chautauqua County has 1 MUA.","costing_method_used":"Part I, Line 7: Costing methodology used to calculate the amounts reported in Part I, line 7: Direct costs are posted to the activity. Indirect costs were calculated using a cost accounting system which addresses all patient segments. Where a cost to charge ratio was used, the ratio calculated in Schedule H worksheet 2 was used.","debt_collection_policy":"Part III, Line 9b: Collection practices set forth in the organization's debt collection policy that apply to patients qualifying for charity care or financial assistance: If determined at any point prior to or during the patient's stay that the patient is medically indigent, credit personnel will assist the patient, patient's family, or guarantor in completing an application for State Medical Assistance and may suspend certain admission and in-house payment requirements pending final determination as to MA status. Patients may request charity care post-discharge by either calling or visiting the hospital and speaking with the Patient Accounting office. Personnel in Patient Accounting are designated to handle charity care applications.","income_based_criteria":"Part I, Line 3c: The organization does not use FPG to determine eligibility for providing \"discounted\" care to low income individuals. Instead, any uninsured patient can receive discounting based on account balance size. No formula is used to determine discounting. Instead, individuals with self-pay balances that have an issue paying for medical care or insured individuals which have a remaining balance may be eligible for discounting.","needs_assessment":"Part VI, Line 2: Hamot Medical Center assesses the health care needs of the community as part of our regular strategic planning cycle. Every three years we complete a comprehensive assessment of our environment, including health care needs of our communities. We then update the assessment annually. Each year we present this assessment to the Strategic Planning Committee of our Board of Trustees and use it as the basis for our strategic plan. Assessment includes evaluating current environmental, demographic, and economic factors both globally and locally as well as industry specific factors. Sources we regularly reference are the Pennsylvania Department of Health's Behavioral Risk Factor Surveillance Survey, Healthy People 2010 statistics, Health Status Indicators, and Cancer Incidence and Mortality reports. These are all available at the County level. We also use consumer surveys regarding health care utilization and access administered by National Research Corporation. In March 2009 we also commissioned a detailed study of the physician supply in our primary service area and have been using the results of that survey as our physician recruitment plan. There are also various hospital industry publications we consult. We have also worked actively with partners in our community. Two recent collaborative projects with the Erie Community Foundation include publication of \"Access to High Quality Primary Health Care Services\" and development of www.erievitalsigns.org. Going forward we have approached our County Department of Health, the Erie Community Foundation, as well as the other hospital providers in Erie County to work together on a more formal community health needs assessment.","number_of_facility_type":"Part V: The organization is also an owner of Tri-State Emergency Systems which provides medical transportation.","other_information":"Part VI, Line 6: With the exception of one member who resides in our secondary service area, Hamot's Directors all reside in Erie County. The majority of the directors are independent. Hamot Medical Center does have an open medical staff, extending privileges to all qualified physicians for all of its departments. Surplus funds are all reinvested to promote the health of the communities we serve. The Board of Directors does review and approve the capital budget and all significant expenditures.","patient_education_assistance":"Part VI, Line 3: The charity care policy is posted throughout the Medical Center, including postings at each registration window. Charity care applications are provided to uninsured patients. Patients are also given information regarding assistance in their information packet and it is reviewed during the admission process.","percent_of_total_expense":"Part I, Line 7f: The amount of bad debt expense of $28,185,126 included on Form 990, Part IX, line 25, column (A) was subtracted from total expenses for purposes of calculating the percentage in this column.","reports_filed_with_states":"PA","shortfall_as_community_benefit":"Part III, Line 8: Costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected in the amount reported in Part III, line 6: The traditional step down method to allocate indirect costs was used from the Medicare cost report. Allowable costs represent fully allocated costs less costs that Medicare considers to be unallowable or nonreimbursable and any costs subject to the RCE limits.","subsidized_health_services":"Part I, Line 7g: The organization included as subsidized health services costs attributable to a physician clinic in the amount of $324,484."}},"ScheduleI":{"grant_records_maintained":true,"reported_domestic_org_grants":20562936,"reported_domestic_org_grants_program_services":20562936,"total_501c3_and_government_organizations":2,"grants":[{"ein":251403958,"irc_section":"501(C)(3)","cash":18975443,"purpose":"ELIMINATE INTERCOMPANY BALANCE","address_line1":"300 STATE STREET","city":"ERIE","state":"PA","zip":"16507","name":"REGIONAL HEALTH SERVICES INC","address":"300 STATE STREET, ERIE, PA, 16507"},{"ein":251400999,"irc_section":"501(C)(3)","cash":1582897,"purpose":"ELIMINATE INTERCOMPANY BALANCE AND TRANSFER OF UNUSED SPECIAL FUNDS","address_line1":"300 STATE STREET","city":"ERIE","state":"PA","zip":"16507","name":"HAMOT HEALTH FOUNDATION","address":"300 STATE STREET, ERIE, PA, 16507"}],"total_domestic_grants":20562936,"total_domestic_program_services":20562936,"detail_org_grants_total":20558340,"detail_domestic_grants_total":20558340,"supplemental_information":[{"identifier":"Procedure for Monitoring Grants in the U.S.:","form_and_line_reference":"Part I, Line 2:","explanation":"Schedule I, Part I, Line 2: Hamot Medical Center grants funds to two affiliated tax-exempt organizations to support their operating shortfall. At the end of each year, Hamot Medical Center will forgive the intercompany balance that arose from the support of those organizations."}],"grant_monitoring":{"claims_monitoring_procedures":true,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false,"monitoring_description":"Schedule I, Part I, Line 2: Hamot Medical Center grants funds to two affiliated tax-exempt organizations to support their operating shortfall. At the end of each year, Hamot Medical Center will forgive the intercompany balance that arose from the support of those organizations.","form_and_line_reference":"Part I, Line 2:"}},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"business_name_line1":"John T 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MALONE - $74,655 STEPHEN M. DANCH - $26,555 DONALD K. INDERLIED - $14,860 V. 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The information is also included as part of the total community benefit information included in the annual UPMC Community Benefit Report. PART I LINE 7 COSTING METHODOLODY USED TO CALCULATE THE AMOUNTS REPORTED IN PART I LINE 7: The costing methodology used to calculate the amounts reported in Part 1 Line 7 is a combination of direct costs as well as indirect costs where obtainable. Where appropriate, to determine cost a ratio of costs to charges method is employed. The method is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". PART 1 LINE 7 Column f: The Bad Debt expense of $30,699,509 from line 24(b) of Part IX is subtracted from the total expenses of $350,294,892 per line 25 Column A of Part IX in order to calculate the percentages in part I Line 7 Column"},{"form_and_line_reference":"LINE 4, LINE 8 AND LINE 9B","explanation":"PART III LINE 4 COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED IN PART III LINE 2 AND 3: The costing method used to calculate the amounts in Schedule H Part III lines 2 and 3 is a ratio of cost to charges method. Discounts and payments in patient's accounts are deducted before the cost of bad debt expense is determined. The method employed is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". RATIONALE FOR INCLUDING BAD DEBT AMOUNTS IN COMMUNITY BENEFIT: The organization's bad debt expense consists solely of self pay patients accounts deemed uncollectable. It is UPMC Hamot's contention that the cost of bad debt should be stated in Part I Line 7 of Schedule H as they represent the costs for provision of services to patients for which the entity has exhausted all recourse for reimbursement. The services provided to patients who present themselves are provided regardless of a patient's ability to pay as in line with the organizations charitable mission and service to our community. These expenses are incurred regardless of the efficiency of the provision of the related medical care and are deemed to have been medically necessary for the patient. METHOD THE ORGANIZATION USES TO DETERMINE THE ESTIMATED AMOUNT OF THE ORGANIZATIONS BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY: The method that the organization uses to determine the amount of the cost of bad debts that reasonably could be attributable to patients who likely would quality for financial assistance under the hospital's charity care policy if sufficient information had been available to make a determination of their true eligibility is based on a statistical model applied to a sampling of inpatient accounts. The predictive model takes into consideration consumer activity and data, court records, government records, census data and encompasses healthcare economics, local demographics and credit policies. PART III LINE 8 COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE AND AS REPORTED IN THE ORGANIZATIONS MEDICARE COST REPORT: The costing methodology used to determine the Medicare allowable costs of care is a ratio of costs to charges method. The method is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". It is UPMC Hamot's contention that all amounts calculated to be shortfalls in reimbursement for services provided to Medicare patients are truly uncompensated care that should be stated in Part I Line 7 of Schedule H of Form 990 as they represent costs for provision of services to patients for which the entity has no recourse for reimbursement, regardless of the efficiency of provision of the related care costs. PART III LINE 9b COLLECTION PRACTICES SET FORTH IN THE ORGANIZATIONS COLLECTION POLICY THAT APPLY TO PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE: If determined at any point prior to or during the patients stay that the patient is medically indigent, credit personnel will assist the patient, patient's family or guarantor in completing an application for state medical assistance and may suspend certain admission and in house payment requirements pending final determination as to medical assistance eligibility. Patients may request charity care post discharge by either calling or visiting the hospital and speaking with the patient accounting office. Personnel in patient accounting are designated to handle charity care applications."},{"form_and_line_reference":"LINE 2, LINE 3, LINE4, LINE 5, LINE 6 AND LINE 7","explanation":"PART VI LINE 2 UPMC Hamot assesses the health care needs of the community as part of the regular strategic planning cycle. Periodically a comprehensive assessment is done of the environment, including health care needs of the communities served. The assessment is then updated annually and presented to the strategic planning committee of the Board of Directors for use in the strategic plan. Assessment includes evaluating current environmental, demographic, and economic factors both globally and locally, as well as industry specific factors. Sources we regularly reference are The Pennsylvania Department of Health's Behavioral Risk Factor Survey, Healthy People Statistics, health status indicators, and cancer incidence and mortality reports. These are all available at the county level. Hamot also uses consumer surveys regarding health care utilization and access administrated by National Research Corporation. There are also various industry publications we consult. Hamot has also worked actively with partners in our community. Hamot is currently working collaboratively with the local Department of Health, the Erie Community Foundation, as well as other hospital providers in Erie County to develop a more formal community health needs assessment. PART VI LINE 3 The charity care policy is posted throughout the medical center including postings at each registration window. Charity care applications are provided to all uninsured patients. Patients are also given information regarding financial assistance in their information packet and it is reviewed during the admission process. PART VI LINE 4 UPMC Hamot's primary service area is Erie county in Pennsylvania and its secondary service area encompasses Crawford, Warren and McKean counties in Pennsylvania, Ashtabula county in Ohio, and Chautauqua County in New York. The population in the primary and secondary service areas is almost 700,000. While Erie County is largely urban and suburban the secondary service areas are largely rural. Median household income in Erie County is $44,503 and 15.8% of the residents fall below the federal poverty level with over 18% of the population being Medicaid recipients. There are over 92,000 Medicaid recipients in the Pennsylvania counties that are the in the main areas served by UPMC Hamot. In the City of Erie more than 43% of the children live in poverty and over 26% of the residents are classified as poor by U.S Census officials. The City of Erie has the second highest poverty rate of any major city in Pennsylvania. There are nearly 50,000 Medicaid recipients (20% of total population) in the New York and Ohio counties. Median household income in the entire secondary service area counties averages $41,192 and the percent of residents below the federal poverty level ranges from 12 1% in Warren County up to 17.7% in Chautauqua County. Erie County has 13 federally designated Medically Underserved Areas (\"MUAS\") while Crawford and McKean counties have 25 MUAS together. Chautauqua County has 1 MUA. PART VI LINE 5 Through UPMC Hamot's financial support, organizations and communities can provide health services without otherwise having the means. Without these sponsored programs, the community could not otherwise financially support them. UPMC Hamot supports the community by subsidizing the local emergency transportation entity. Without Hamot's support the transportation entity could not remain financially viable. Though tax exempt, UMC Hamot pays property taxes exceeding $1.5 million though its PILOT program entered into with local, school district and county taxing authorities. UPMC Hamot has an open medical staff extending privileges to all qualified physicians for all departments. The Board of Directors of UPMC Hamot are made up in the majority community members who are independent to UPMC Hamot. Surplus funds of UPMC Hamot are all reinvested in the hospital and the surrounding communities to promote the health of all served. PART VI LINE 6 The delivery system of entities affiliated with UPMC Hamot is able to provide patients with all medically necessary services. These services include ambulatory surgery, durable medical equipment, home care services, medial transportation, physicians in all specialties to provide healthcare services, and all types of outpatient and ambulatory diagnostic services. UPMC Hamot's mission is to promote healthcare for the benefit of all it services and to provide the highest quality of patient care in a dignified environment without regard to a patient's ability to pay. PART VI LINE 7 STATES RECEIVING COMMUNITY BENEFIT REPORT Pennsylvania"}]},"ScheduleI":{"reported_domestic_org_grants":122160,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":122160,"total_501c3_and_government_organizations":6,"total_other_organizations":0,"grants":[{"ein":131846366,"irc_section":"501(c)(3)","cash":17500,"purpose":"Charitable Donation","address_line1":"PO Box 932852","city":"Atlanta","state":"GA","zip":"31193","name":"March of Dimes","address":"PO Box 932852, Atlanta, GA, 31193"},{"ein":135613797,"irc_section":"501(c)(3)","cash":10000,"purpose":"Heart Research","address_line1":"823 Filmore Avenue","city":"Erie","state":"PA","zip":"16505","name":"American Heart Association","address":"823 Filmore Avenue, Erie, PA, 16505"},{"ein":263460486,"irc_section":"501(c)(3)","cash":10000,"purpose":"Educational Donation","address_line1":"3207 State Street","city":"Erie","state":"PA","zip":"16508","name":"Jefferson Educational Society of 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Outpatient services: upmc hamot outpatient services include outpatient surgery, emergency room visits, home health visits, outpatient cardiology procedures, radiology procedures, orthopaedic procedures, and physicial rehabilitation. The total outpatient volume was approximately 351,000. Medical education and research: to further upmc hamot's goal to provide outstanding patient care, upmc hamot has established the following graduate programs: pharmacy residency, neurology residency, orthopaedic surgery residency, orthopaedic hand surgery fellowships, and emergency medicine. The continuing medical education department is accredited by the pennsylvania medical society and enables physicians outside of hamot to receive required educational credits. The department's most recent annual report showed that more than 3,000 doctors attended these courses. Upmc hamot houses a school of anesthesia in conjunction with a local university. 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LINE 7 COLUMN F - The Bad Debt expense of $37,555,625 from line 24(b) of Part IX is subtracted from the total expenses of $346,022,980 per line 25 Column A of Part IX in order to calculate the percentages in part I Line 7 Column f."},{"form_and_line_reference":"LINE 4, LINE 8 AND LINE 9B","explanation":"LINE 4 - COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED IN PART III LINE 2 AND 3: The costing method used to calculate the amounts in Schedule H Part III lines 2 and 3 is a ratio of cost to charges method. Discounts and payments in patient's accounts are deducted before the cost of bad debt expense is determined. The method employed is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". RATIONALE FOR INCLUDING BAD DEBT AMOUNTS IN COMMUNITY BENEFIT: The organization's bad debt expense consists solely of self pay patients accounts deemed uncollectable. It is UPMC Hamot's contention that the cost of bad debt should be stated in Part I Line 7 of Schedule H as they represent the costs for provision of services to patients for which the entity has exhausted all recourse for reimbursement. The services provided to patients who present themselves are provided regardless of a patient's ability to pay is in line with the organizations charitable mission and service to our community. These expenses are incurred regardless of the efficiency of the provision of the related medical care and are deemed to have been medically necessary for the patient. METHOD THE ORGANIZATION USES TO DETERMINE THE ESTIMATED AMOUNT OF THE ORGANIZATIONS BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBILITY UNDER THE ORGANIZATIONS CHARITY CARE POLICY: The method that the organization uses to determine the amount of the cost of bad debts that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy if sufficient information had been available to make a determination of their true eligibility is based on a statistical model applied to a sampling of inpatient accounts. The predictive model takes into consideration consumer activity and data, court records, government records, census data and encompasses healthcare economics, local demographics and credit policies. LINE 8 - COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE AND AS REPORTED IN THE ORGANIZATIONS MEDICARE COST REPORT: The costing methodology used to determine the Medicare allowable costs of care is a ratio of costs to charges method. The method is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". It is UPMC Hamot's contention that all amounts calculated to be shortfalls in reimbursement for services provided to Medicare patients are truly uncompensated care that should be stated in Part I Line 7 of Schedule H of Form 990 as they represent costs for provision of services to patients for which the entity has no recourse for reimbursement, regardless of the efficiency of provision of the related care costs. LINE 9B - COLLECTION PRACTICES SET FORTH IN THE ORGANIZATIONS COLLECTION POLICY THAT APPLY TO PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE: If determined at any point prior to or during the patients stay that the patient is medically indigent, credit personnel will assist the patient, patient's family or guarantor in completing an application for state medical assistance and may suspend certain admission and in house payment requirements pending final determination as to medical assistance eligibility. Patients may request charity care post discharge by either calling or visiting the hospital and speaking with the patient accounting office. Personnel in patient accounting are designated to handle charity care applications."},{"form_and_line_reference":"LINE 2, LINE 3, LINE4, LINE 5, LINE 6 AND LINE 7","explanation":"LINE 2 - Hamot Medical Center assesses the health care needs of the community as part of the regular strategic planning cycle. Periodically a comprehensive assessment is done of the environment, including health care needs of the communities served. The assessment is then updated annually and presented to the strategic planning committee of the Board of Directors for use in the strategic plan. Assessment includes evaluating current environmental, demographic, and economic factors both globally and locally, as well as industry specific factors. Sources we regularly reference are The Pennsylvania Department of Health's Behavioral Risk Factor Survey, Healthy People Statistics, health status indicators, and cancer incidence and mortality reports. These are all available at the county level. We also use consumer surveys regarding health care utilization and access administrated by National Research Corporation. There are also various industry publications we consult. We have also worked actively with partners in our community. We are currently working collaboratively with our local Department of Health, the Erie Community Foundation, as well as other hospital providers in Erie County to develop a more formal community health needs assessment. LINE 3 - The charity care policy is posted throughout the medical center including postings at each registration window. Charity care applications are provided to all uninsured patients. Patients are also given information regarding financial assistance in their information packet and it is reviewed during the admission process. LINE 4 - UPMC Hamot's primary service area is Erie county, Pennsylvania and it secondary service area encompasses Crawford, Warren and McKean counties in Pennsylvania, Ashtabula county in Ohio, and Chautauqua County in New York. Erie County has a population of approximately 280,000 and the secondary service area has a population of approximately 410,000. While Erie County is largely urban and suburban the secondary service area is largely rural. Median household income in Erie County is $42,341 and 15.6% of the residents fall below the federal poverty level with over 22% of the population being Medicaid recipients. Of the 314,000 residents in the Pennsylvania and New York secondary service areas over 65,000 are Medicaid. Median household income in the secondary service area counties ranges between $38,300 and $41,000 and the percent of residents below the federal poverty level ranges from 12.2% in Warren County up to 17.1% in Chautauqua County. Erie County has 13 federally designated Medically Underserved Areas (\"MUAS\") while Crawford and McKean counties have 25 MUAS together. Chautauqua County has 1 MUA. LINE 5 - Through UPMC Hamot's financial support, organizations and communities can provide health services without otherwise having the means. Without these sponsored programs, the community could not otherwise financially support them. UPMC Hamot supports the community by subsidizing the local emergency transportation entity. Without Hamot's support the transportation entity could not remain financially viable. Though tax exempt, UMC Hamot pays property taxes exceeding $1 million though its PILOT program entered into with local, school district and county taxing authorities. UPMC Hamot has an open medical staff extending privileges to all qualified physicians for all departments. The Board of Directors of UPMC Hamot are made up in the majority of community members who are independent to UPMC Hamot. Surplus funds of UPMC Hamot are all reinvested in the hospital and the surrounding communities to promote the health of all served. LINE 6 - The delivery system of entities affiliated with UPMC Hamot is able to provide patients with all medically necessary services. These services include ambulatory surgery, durable medical equipment, home care services, medical transportation, physicians in all specialties to provide healthcare services, and all types of outpatient and ambulatory diagnostic services. UPMC Hamot's mission is to promote healthcare for the benefit of all its services and to provide the highest quality of patient care in a dignified environment without regard to a patient's ability to pay. LINE 7 - STATES RECEIVING COMMUNITY BENEFIT REPORT Pennsylvania"}]},"ScheduleI":{"reported_domestic_org_grants":0,"reported_domestic_individual_grants":0,"total_domestic_grants":0},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Donald K 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SURGERY CENTER","primary_activities":"OUTPATIENT SURGERY CENTER","organization_profit_or_ownership_percentage":0.51,"physicians_profit_or_ownership_percentage":0.49,"name":"HAMOT SURGERY CENTER"}],"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"UPMC HAMOT","address_line1":"201 STATE STREET","city":"ERIE","state":"PA","zip":"16550","licensed_hospital":true,"general_medical_and_surgical":true,"teaching_hospital":true,"research_facility":true,"emergency_room_24_hours":true,"name":"UPMC HAMOT","address":"201 STATE STREET, ERIE, PA, 16550"}],"supplemental_information":[{"explanation":"Financial assistance or charity care is available for eligible individuals who have health care needs and are uninsured, underinsured, ineligible for government programs or otherwise unable to pay for their own care. A patient may be determined to have financial need based on the following: 1. Indigency: If income fallS below 200% of the federal poverty guidelines, the patient will have no financial responsibility. The patient is approved for 100% free care. 2. Low Income Sliding Scale: Assistance may be a discounted or reduced patient liability depending on the patient's income: a. If the combined family income IS greater than or equal to 200% and less than or equal to 300% of the federal poverty guidelines, the patient is eligible for a reduced charity care. There will be an 80% reduction in the patient bill. b. If the combined family income IS greater than or equal to 300% and less than or equal to 400% of the federal poverty guidelines, the patient is eligible for a reduced charity care. There will be a 70% reduction in the patient bill. The discounted charity care scale is listed below: 2012 Financial Assistance Income Guidelines F/S FINANCIAL 100% PatIENT 0% FINANCIAL 85% PatIENT 15% ASSISTANCE ASSISTANCE 1 $22,340 $44,680 2 $30,260 $60,520 3 $38,180 $76,360 4 $46,100 $92,200 5 $54,020 $108,040 6 $61,940 $123,880 7 $69,860 $139,720 8 $77,780 $155,560 + $7,920 $15,840 3. Financial Hardship: If a patient is approved for discounted or reduced charity care and cannot afford to pay the remaining balance, the patient may be considered for financial hardship. The patient will be liable to pay 15% of their calculated income and assets towards their medical bill or the reduced amount whichever is less."},{"explanation":"UPMC PREPARES AN ANNUAL COMMUNITY BENEFITS REPORT. THE REPORT ENCOMPASSES INFORMATION FOR THE ENTIRE INTEGRATED DELIVERY SYSTEM THAT MAKES UP THE UPMC HEALTH SYSTEM INCLUDING UPMC HAMOT. IT IS POSTED TO AND AVAILABLE TO THE PUBLIC VIA THE UPMC WEBSITE, WWW.UPMC.COM."},{"explanation":"PART I LINE 7 COSTING METHODOLODY USED TO CALCULATE THE AMOUNTS REPORTED IN PART I LINE 7: The costing methodology used to calculate the amounts reported in Part 1 Line 7 is a combination of direct costs as well as indirect costs where obtainable. Where appropriate, to determine cost a ratio of costs to charges method is employed. The method is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". PART 1 LINE 7 Column f: The Bad Debt expense of $20,411,826 from line 24(b) of Part IX is subtracted from the total expenses of $337,720,939 per line 25 Column A of Part IX in order to calculate the percentages in part I Line 7 Column"},{"explanation":"Process for reallocation from bad debt to charity care UPMC including UPMC Hamot reclassifies bad debt accounts as charity care by utilizing a predictive model PARO. PARO was built as a socio-economic score that identifies those patients that are most likely to be the highest need of financial assistance. This is accomplished by analyzing consumer data and activity, court records, government records, property files, Census data and IRS data. PARO provides a systematic approach to Financial Assistance: \" Predictive model that encompasses healthcare economics and credit policies; \" Uniform assessment measure for every patient regardless of financial standing; \" Accounts for patients that are unresponsive, illiterate, or otherwise challenged to apply; \" Eliminate barrier to application and meets increased pressure to provide additional financial resources to Consumers; \" Identify and support those Community needs efforts to provide assistance to those Consumers in need. All bad debt accounts with a balance of $1000.00 and greater are \"scored\" by PARO. There are two data points returned to UPMC in order to make the decision whether the patient would qualify for charity care. The first is the estimated income level based on the Federal Poverty Level guidelines. The second is the PARO score which utilizes an algorithm based approach and returns a score based on personal attributes of the patient. Data elements were combined to create two primary indicators of need, the PARO score and the Federal Poverty Level. PARO analyzed our historical approvals to determine what our PARO threshold and the FPL threshold for the historical approvals. The approved accounts were compared against accounts that were in active AR. This was done to determine if the distributions were similar or if any pattern existed based on the approved accounts and the unknown accounts If the patient's estimated income and PARO score are within the scores identified by the calibration of UPMC existing charity care patients, the account is reclassified from bad debt to charity care. Every patient is able to apply for charity care; however, the automated strategy focuses on patients that do not complete the applications process. The US Department of Education estimates that 1 in 5 consumers are functionally illiterate. This, coupled with the low levels of participation in traditional banking methods, makes the application process virtually impossible for some consumers."},{"explanation":"PART III LINE 4 COSTING METHODOLOGY USED TO DETERMINE THE AMOUNTS REPORTED IN PART III LINE 2 AND 3: The costing method used to calculate the amounts in Schedule H Part III lines 2 and 3 is a ratio of cost to charges method. Discounts and payments in patient's accounts are deducted before the cost of bad debt expense is determined. The method employed is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". RATIONALE FOR INCLUDING BAD DEBT AMOUNTS IN COMMUNITY BENEFIT: The organization's bad debt expense consists solely of self pay patients accounts deemed uncollectable. It is UPMC Hamot's contention that the cost of bad debt should be stated in Part I Line 7 of Schedule H as they represent the costs for provision of services to patients for which the entity has exhausted all recourse for reimbursement. The services provided to patients who present themselves are provided regardless of a patient's ability to pay as in line with the organizations charitable mission and service to our community. These expenses are incurred regardless of the efficiency of the provision of the related medical care and are deemed to have been medically necessary for the patient. METHOD THE ORGANIZATION USES TO DETERMINE THE ESTIMATED AMOUNT OF THE ORGANIZATIONS BAD DEBT EXPENSE AT COST ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY: The method that the organization uses to determine the amount of the cost of bad debts that reasonably could be attributable to patients who likely would quality for financial assistance under the hospital's charity care policy if sufficient information had been available to make a determination of their true eligibility is based on a statistical model applied to a sampling of inpatient accounts. The predictive model takes into consideration consumer activity and data, court records, government records, census data and encompasses healthcare economics, local demographics and credit policies. PART III LINE 8 COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS OF CARE AND AS REPORTED IN THE ORGANIZATIONS MEDICARE COST REPORT: The costing methodology used to determine the Medicare allowable costs of care is a ratio of costs to charges method. The method is in line with those described in Schedule H, Worksheet 2, \"Ratio of Patient Costs to Charges\". It is UPMC Hamot's contention that all amounts calculated to be shortfalls in reimbursement for services provided to Medicare patients are truly uncompensated care that should be stated in Part I Line 7 of Schedule H of Form 990 as they represent costs for provision of services to patients for which the entity has no recourse for reimbursement, regardless of the efficiency of provision of the related care costs. PART III LINE 9b COLLECTION PRACTICES SET FORTH IN THE ORGANIZATIONS COLLECTION POLICY THAT APPLY TO PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE: If determined at any point prior to or during the patients stay that the patient is medically indigent, credit personnel will assist the patient, patient's family or guarantor in completing an application for state medical assistance and may suspend certain admission and in house payment requirements pending final determination as to medical assistance eligibility. Patients may request charity care post discharge by either calling or visiting the hospital and speaking with the patient accounting office. Personnel in patient accounting are designated to handle charity care applications. handle charity care applications."},{"explanation":"UPMC has a debt collection policy outlining collection practices for patients. If at any time the patient expresses an inability to pay, they are sent a Financial Assistance application. Information regarding Financial Assistance is printed on all collection letters. PART V SECTION B LINE 5A WESBITE FOR CHNA: http://www.upmc.com/locations/hospitals/hamot/about/Pages/default.aspx http://ecdh.org/showcase.php/2012-Erie-County-Community-Health-Needs-Asses sment/40/2152/314/3464"},{"explanation":"DURING FISCAL YEAR 2013 UPMC HAMOT PARTICIPATED IN IRS-REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENTS WITH BOTH UPMC HEALTH SYSTEM AND WITH A COLLABORATIVE OF ERIE COUNTY, PA HOSPITALS LEAD BY THE ERIE COUNTY DEPARTMENT OF HEALTH. THESE ASSESSMENTS STRENGTHENED AND BROADENED COMMUNITY INPUT AND PARTNERSHIPS. TO ENSURE THAT UPMC HAMOT'S COMMUNITY-FOCUSED EFFORTS ARE MOST EFFECTIVELY ADDRESSING THE NEEDS OF THE INDIVIDUALS AND COMMUNITIES IT SERVES, THE ORGANIZATION WORKED WITH COMMUNITY STAKEHOLDERS AND PUBLIC HEALTH EXPERTS TO IDENTIFY COMMUNITY HEALTH NEEDS AND DETERMINE HOW TO COLLABORATE MOST EFFECTIVELY TO ADDRESS THESE NEEDS. UPMC HAMOT ACTIVELY ENGAGED ITS HOSPITAL BOARD, ASSEMBLED A COMMUNITY ADVISORY GROUP, AND OBTAINED INPUT DIRECTLY FROM THE COMMUNITY IT SERVES. THE END RESULT IS A STRATEGIC PLAN SPECIFIC TO UPMC HAMOT TO ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS. IMPORTANTLY, THE PLAN ADDRESSES LOCAL COMMUNITY NEEDS NOT ONLY AT THE HOSPITAL LEVEL, BUT ALSO INCLUDE EFFORTS UNDERTAKEN IN PARTNERSHIP WITH OTHER LOCAL HOSPITALS, EXTERNAL ORGANIZATIONS, AND THE LARGER UPMC SYSTEM. CHNA REPORTS AND STRATEGIC PLANS FOR UPMC HAMOT CAN BE FOUND ON THE INTERNET: UPMC HAMOT COMMUNITY HEALTH NEEDS ASSESSMENT: http://www.upmc.com/locations/hospitals/hamot/about/Pages/default.aspx ERIE COUNTY DEPARTMENT OF HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT: http://ecdh.org/showcase.php/2012-Erie-County-Community-Health-Needs-Asses sment/40/2152/314/3464"},{"explanation":"The charity care policy is posted throughout the medical center including postings at each registration window. Charity care applications are provided to all uninsured patients. Patients are also given information regarding financial assistance in their information packet and it is reviewed during the admission process."},{"explanation":"UPMC Hamot's primary service area is Erie county in Pennsylvania and its secondary service area encompasses Crawford, Warren and McKean counties in Pennsylvania, Ashtabula county in Ohio, and Chautauqua County in New York. The population in the primary and secondary service areas is almost 700,000. While Erie County is largely urban and suburban the secondary service areas are largely rural. Median household income in Erie County is $45,249 and 16.1% of the residents fall below the federal poverty level with over 20% of the population being Medicaid recipients. There are over 92,500 Medicaid recipients in the Pennsylvania counties that are the in the main areas served by UPMC Hamot. In the City of Erie more than 43% of the children live in poverty and over 26% of the residents are classified as poor by U.S Census officials. The City of Erie has the second highest poverty rate of any major city in Pennsylvania. There are nearly 50,000 Medicaid recipients (20% of total population) in the New York and Ohio counties. Median household income in the entire secondary service area counties averages $41,800 and the percent of residents below the federal poverty level ranges from 12% in Warren County up to 19% in Chautauqua County. Erie County has 13 federally designated Medically Underserved Areas (\"MUAS\") while Crawford and McKean counties have 25 MUAS together. Chautauqua County has 1 MUA."},{"explanation":"Through UPMC Hamot's financial support, organizations and communities can provide health services that might not otherwise have the means. Without these sponsored programs, the community could not otherwise financially support them. UPMC Hamot supports the community by subsidizing the local emergency transportation entity. Without Hamot's support the transportation entity could not remain financially viable. Though tax exempt, UMPC Hamot pays property taxes exceeding $1.5 million through its PILOT program entered into with local, school district and county taxing authorities. UPMC Hamot has an open medical staff extending privileges to all qualified physicians for all departments. The Board of Directors of UPMC Hamot is made up in the majority of community members who are independent to UPMC Hamot. Surplus funds of UPMC Hamot are all reinvested in the hospital and the surrounding communities to promote the health of all served."},{"explanation":"The delivery system of entities affiliated with UPMC Hamot is able to provide patients with all medically necessary services. These services include ambulatory surgery, durable medical equipment, home care services, medial transportation, physicians in all specialties to provide healthcare services, and all types of outpatient and ambulatory diagnostic services. UPMC Hamot's mission is to promote healthcare for the benefit of all it services and to provide the highest quality of patient care in a dignified environment without regard to a patient's ability to pay."},{"explanation":"STATES RECEIVING COMMUNITY BENEFIT REPORT Pennsylvania"}]},"ScheduleI":{"reported_domestic_org_grants":199002,"reported_domestic_individual_grants":0,"reported_domestic_org_grants_program_services":199002,"grants":[{"ein":251753149,"irc_section":"501(c)(3)","cash":5250,"purpose":"Charitable Donation","address_line1":"100 Barber Place","city":"Erie","state":"PA","zip":"16507","name":"DR GERTRUDE A BARBER FOUNDATION INC","address":"100 Barber Place, Erie, PA, 16507"},{"ein":251798733,"irc_section":"501(c)(3)","cash":6000,"purpose":"Charitable Donation","address_line1":"320 BILMAR DR","city":"Pittsburgh","state":"PA","zip":"15205","name":"AMERICAN CANCER SOCIETY","address":"320 BILMAR DR, Pittsburgh, PA, 15205"},{"ein":250496976,"irc_section":"501(c)(3)","cash":11000,"purpose":"Educational Donation","address_line1":"109 UNIVERSITY SQ","city":"Erie","state":"PA","zip":"16541","name":"GANNON UNIVERSITY","address":"109 UNIVERSITY SQ, Erie, PA, 16541"},{"ein":251053091,"irc_section":"501(c)(3)","cash":17000,"purpose":"Charitable Donation","address_line1":"420 WEST 6TH ST","city":"Erie","state":"PA","zip":"16507","name":"UNITED WAY OF ERIE COUNTY","address":"420 WEST 6TH ST, Erie, PA, 16507"},{"ein":251385075,"irc_section":"501(c)(3)","cash":25000,"purpose":"Charitable Donation","address_line1":"2500 W 12th St","city":"Erie","state":"PA","zip":"16505","name":"REGIONAL CANCER CENTER","address":"2500 W 12th St, Erie, PA, 16505"},{"ein":256001265,"irc_section":"Government","cash":80000,"purpose":"Charitable Donation","address_line1":"650 East Avenue","city":"Erie","state":"PA","zip":"16503","name":"Wayne Primary Care School Based Health Center","address":"650 East Avenue, Erie, PA, 16503"}],"total_domestic_grants":199002,"total_domestic_program_services":199002,"detail_org_grants_total":144250,"detail_domestic_grants_total":144250,"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleF":{"reported_foreign_grants":0},"ScheduleJ":{"compensation_process":{"independent_consultant":true,"compensation_survey_or_study":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":true,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Donald 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Question 4b: ALL PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ARE DISCLOSED IN SCHEDULE J WITH CORRESPONDING AMOUNTS DISCLOSED WITHIN THE TOTAL AMOUNT IN SCHEDULE J COLUMN C \"DEFERRED COMPENSATION\". Question 7: UPMC Hamot provides incentive compensation as part of its total compensation program for officers and key employees. The components are 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. 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