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UPMC has its roots in the establishment of Presbyterian Hospital ,   which serves as the medical center's flagship facility, and the founding of the Western Pennsylvania Medical College. Soon after its founding, the medical college became affiliated with the Western University of Pennsylvania in , and in , was fully integrated into the university which that same year was renamed to the University of Pittsburgh. After guiding the psychiatric institute to become one of the largest recipients of National Institute of Health funding, Detre assumed leadership overseeing all six of the University's schools of health sciences in the early s. Implementing the same administrative model in those units, the collective schools of the health sciences and medical center were ultimately transformed into one of the largest centers for biomedical research in the nation. Due to its immense growth of the medical center, as well as the University's concerns regarding the financial risks associated with its faculty practice plans in the face of national changes in health care reimbursements, the University of Pittsburgh and UPMC restructured their relationship and legally separated in thus launching UPMC as an independent nonprofit corporation  with the University identified as a supported organization in its articles of incorporation.