Yes, we know they're not supposed to held to a strict standard where they break even.

But their profit margins are massive, seemingly excessive, and where is UPMC reinvesting the 12 BILLION into the organization? Certainly not in the staff payrolls.

Development of additional tax free properties throughout the city? The US and abroad?

Research? I'm not going to get started on how grant indirects work, the amount of tax money that's wasted in research, or the fact that UPMC is very tight fisted with research support.

Health insurance relief?

Do you have a better idea as to the answers?