Civic Intelligence

Upmc Lock Haven

990 • Fiscal year 2019 • EIN 82-1600494

Jul 01, 2018 to Jun 30, 2019 • Filed on Jun 26, 2020

600 Grant St 58th FL C/O Corp TaxPittsburgh, PA 15219

(412) 647-2345

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

31st percentile

0.08x

Higher debt load relative to assets than 31% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Liabilities / Revenue

10th percentile

0.03x

Higher debt load relative to revenue than 10% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Net Margin

25th percentile

-2.9%

Higher net margin than 25% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Top Officer Pay

93rd percentile

$987,295

Higher top officer pay than 93% of similar nonprofits.

Top officer pay equals 2.9% of source-year revenue.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Asset Growth

79th percentile

16%

Faster asset growth than 79% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Revenue Growth

89th percentile

44%

Faster revenue growth than 89% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Assets

Up

$13,202,546

Up $1,839,499 (+16%) from 2018

Net Assets

Up

$12,089,261

Up $14,276,652 (+653%) from 2018

Liabilities

Down

$1,113,285

Down $12,437,153 (-92%) from 2018

Revenue

Up

$34,495,370

Up $10,513,892 (+44%) from 2018

Expenses

Up

$35,483,560

Up $9,314,691 (+36%) from 2018

Net Income

Up

-$988,190

Up $1,199,201 (+55%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$20M$15M$10M$5.0M$0-$5.0MAssets 2018: $11,363,047Liabilities 2018: $13,550,438Net Assets 2018: -$2,187,3912018Assets 2019: $13,202,546Liabilities 2019: $1,113,285Net Assets 2019: $12,089,2612019Assets 2020: $15,234,818Liabilities 2020: $6,578,792Net Assets 2020: $8,656,0282020

Highlighted filing

2019

Assets$13,202,546
Liabilities$1,113,285
Net Assets$12,089,261

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$40M$30M$20M$10M$0-$10MRevenue 2018: $23,981,478Expenses 2018: $26,168,869Net Income 2018: -$2,187,3912018Revenue 2019: $34,495,370Expenses 2019: $35,483,560Net Income 2019: -$988,1902019Revenue 2020: $34,472,410Expenses 2020: $34,312,086Net Income 2020: $160,3242020

Highlighted filing

2019

Revenue$34,495,370
Expenses$35,483,560
Net Income-$988,190
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jun 26, 2020
Return Version
2018v3.3
Gross Receipts
$34,495,370
Mission and Program Overview

Mission

See Schedule O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$5,039,832$8,165,399▲ $3,125,567
Accounts Receivable$5,377,891$4,873,989▼ $503,902
Inventories for Sale or Use$229,273$0▼ $229,273
Cash and Non-Interest-Bearing Accounts$0$162,708▲ $162,708
Savings and Temporary Cash Investments$112,968$0▼ $112,968
Prepaid Expenses and Deferred Charges$69,857$0▼ $69,857
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$11,363,047$13,202,546▲ $1,839,499
Other Assets Total$533,226$450▼ $532,776
Liabilities
Other Liabilities$12,857,209$536,265▼ $12,320,944
Accounts Payable and Accrued Expenses$693,229$522,038▼ $171,191
Deferred Revenue$0$54,982▲ $54,982
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$13,550,438$1,113,285▼ $12,437,153
Net Assets / Fund Balance
Unrestricted Net Assets$-2,187,391$12,089,261▲ $14,276,652
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$-2,187,391$12,089,261▲ $14,276,652
Total Liabilities and Net Assets / Fund Balance$11,363,047$13,202,546▲ $1,839,499

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,722,262$771,164$4,493,426
Equipment$2,197,676$249,863$2,447,539
Other Land Buildings$2,069,894$15,552$2,085,446
Land$175,567-$175,567
Compensation and Service Providers

Employees

NameTitleOtherTotal
Bharat Adroja MDDirector$77,424$77,424

Board Members and Trustees

NameTitle
Ann PeppermanBoard Chair
Steven P JohnsonBoard Secretary & President
Steven P JohnsonPresident
Ronald ReynoldsPresident of Lock Haven Hosp.
Daniel Glunk MDDirector
David Lopatofsky MDDirector
Dawn WrightDirector
Debra ReeseDirector
Mike FlanaganDirector
Patti Jackson-GehrisDirector
Rajesh Patel MDDirector
Eric PohjalaCFO (r 10/31/2018)
Christopher StockhausenTreasurer/Int. CFO (J 11/1/19)
Jan FisherVP/COO (r 9/14/2018)

Highest Paid Contractors

ContractorServicesLocationCompensation
Encore Rehabilitaton ServicesRehab Services33533 W 12 Mile Road Suite 290, Farmington Hills, MI 48331$822,823
Aramark Management Services LPManagement Services1101 Market St, Philadelphia, PA 19107$265,012
Enginuity LLCContractor Services203 Lynndale Ct, Mechanicsburg, PA 17050$175,462
Allison Landscape and Lawn ServiceLawn Service202 River Road, Jersey Shore, PA 17740$118,951
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$34,494,879
Investment Income
$491
Other Revenue
$0
Change in Net Assets
$-988,190
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$21,734,941
Salaries, Compensation, and Employee Benefits$13,748,619
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$10,001,347$866,584-$10,867,931
Other Expenses$3,037,895$1,860,638$0$4,898,533
All Other Expenses$2,601,685$1,092,706-$3,694,391
Occupancy$2,708,167$306,252-$3,014,419
Other Employee Benefits$1,913,814$166,419-$2,080,233
Fees for Services Other$1,533,722$212,056-$1,745,778
Payroll Taxes$669,389$58,208-$727,597
Depreciation Depletion$709,645--$709,645
Information Technology$557,173$386-$557,559
Office Expenses$286,697$79,649-$366,346
Insurance$99,783$130,948-$230,731
Pension Plan Contributions$67,029$5,829-$72,858
Fees for Services Management-$65,029-$65,029
Travel$18,107$14,130-$32,237
Fees for Services Legal$195$17,416-$17,611
Conferences and Meetings$2,807$4,080-$6,887
Total Functional Expenses$30,603,230$4,880,330$0$35,483,560
International Activity

International Summary

Offices
0
Employees
1
Spending
$177,251

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanProgram ServicesCaptive Insurance Comp01$177,251
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Third Party Payors$486,734
Credit Balances Accounts Rec$27,531
Malpractice Loss Rsrv Ibnr$22,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Part VI Governance, Management, and Disclosure

Section a: governing body and management question 6: upmc susquehanna lock haven has one sole member, the exempt entity upmc susquehanna.

Part VI Governance, Management, and Disclosure

Section b: policies question 11 b - the board of directors members of the filing entity have been provided a copy of the form 990 prior to filing.

Part VI Governance, Management, and Disclosure

Section b: policies question 15 - to support upmc's mission 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 is predicated upon an incentive compensation component. This component is based upon the accomplishment of predetermined performance goals and objectives which focus on the achievement of multiple annual and three year individual and group performance criteria in the context of appropriate risk taking. These criteria directly support upmc's mission and include patient quality and satisfaction, community benefits, operational and financial strength, leadership development, and strategic business initiatives among others. The total compensation program is integrated with and reinforces the upmc business planning cycle as well as management development and succession planning processes. It is the committee's judgment that the structure of the total compensation program is vital to, and strongly supportive of, the high level of ongoing success of upmc and fosters the retention of critical officer and key employment 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 relevant regulations, 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 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, is 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, sec, etc.). The committee believes that while these practices are not required in the tax exempt sector, they are in the best interests of the organization and further support upmc's nonprofit mission. In accordance with the above, determination of total compensation for the ceo is made exclusively by the committee. Determination of total compensation for other officers and key employees is recommended by the ceo and subject to review and approval by the committee. The committee, which meets at least four times a year, obtains professional advice from its own experts, including accountants, executive compensation consultants and legal counsel.

Part VI Governance, Management, and Disclosure

Section c: disclosure question 19 form 990 is available to the public upon request. Other governing documents, conflicts of interest policy and financial statements may be made available to the public upon request.

Filing and Contact Details

Filer

Filer Name
UPMC Susquehanna Lock Haven
EIN
82-1600494
In Care Of
% CHRISTOPHER STOCKHAUSEN
Phone
4126472345
Address
600 GRANT ST 58TH FL C/O CORP TAX, PITTSBURGH, PA 15219

Signing Officer

Name
Christopher Stockhausen
Title
CFO
Phone
5703213175
Signed
2020-06-26

Organization Details

Principal Officer
Christopher Stockhausen
Formed
2017
Legal Domicile
Pa
Voting Board Members
11
Independent Board Members
6
Employees
260
Volunteers
46
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1, Description of Organization Mission

UPMC Lock Haven Hospital (LHH) is a 47-bed facility with complete inpatient and outpatient care, including emergency, medical, and surgical care. A Joint Commission-accredited facility, it also includes a 90-bed skilled nursing facility with a 34-bed dementia unit.

Form 990, Part III, Line 1, Description of Organization Mission

Lock Haven Hospital is a subsidiary of UPMC Susquehanna. The mission of UPMC Susquehanna and its subsidiaries is to serve the community by providing outstanding patient care and shaping tomorrow's health care through clinical and technological innovation, research, and education.

Part III Statement of Program Service Accomplishments

UPMC Lock Haven Hospital is a 47-bed facility with complete inpatient and outpatient care, including emergency, medical, and surgical care. A Joint Commission-accredited facility, it also includes a 90-bed skilled nursing facility with a 34-bed dementia unit. UPMC Lock Haven Hospital treats all patients without regard to their ability to pay. For fiscal year ended June 30, 2019, the hospital admitted 972 patients rendering 17,461 patient days. Lock Haven Hospital had 11,097 emergency room visits and performed 2,136 surgeries. During the Fiscal Year ended June 30, 2019, Lock Haven Hospital provided charity care and other uncompensated care, including Medicaid and Medicare shortfalls, at a cost of over $10,000,000. Lock Haven Hospital provided community outreach and support programs as well as contributions in fiscal year 2019. The value of these programs funds to the community was approximately $82,000.

Question 12 C

Upmc requires key employed and non-employed personnel to comply with its conflict of interest policies when they engage in upmc related business. Persons covered by the policies included upmc board members, board committee members, corporate officers, key employees, upmc physicians and non physicians employees who hold a position of influence,non employed members of the upmc medical staff who hold a position of influence or trust, individuals conducting clinical research at upmc whether or not they are employed by upmc. These people are required to complete a questionnaire at least annually, which along with other data is used to identify possible individual and institutional conflicts of interest. If a potential conflict is identified regarding a specific upmc activity, the corporate compliance department, with the assistance of the legal department, 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 members, non employed personnel, the conflict of interest identification and management process is ultimately overseen by an ethics and compliancecommittee 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 XI Reconciliation of Net Assets

Transfer From Exempt Parent 15,264,841

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 organizations 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 31,2018.

Form 990 Part IX Line 24 - Other Expenses

Description:drugs total expenses:411919 program services:411919 fundraising:

Form 990 Part IX Line 24 - Other Expenses

Description:laundry and linen services total expenses:206186 program services:206186 fundraising:

Form 990 Part IX Line 24 - Other Expenses

Description:other expenses total expenses:3076286 program services:1983580 management and general:1092706 fundraising:

Financial Statement Notes

Part X, Line 2:

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, 2019, 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 subsidiaries.

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Filings

Peer Organizations

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