STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

UPMC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
UPMC (EIN 25-1778644)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-15
IRS object ID
202001979349302560
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-15T09:51:35-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY VIRCHOW KRAUSE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11570 FRUITVILLE PIKE SUITE 400AddressLine1Txt
CityLANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251778644EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UPMC PINNACLE HOSPITALSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUPMCBusinessNameControlTxt
Phone7172318245PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8700AddressLine1Txt
CityHARRISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP171058700ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM H PUGHPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone7172318245PhoneNum
Signature2020-07-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKERRI N BOGDA CPAPreparerPersonNm
PTINP00760402PTIN
Phone7177404863PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.101.37.214IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-14IPDt
IP Tm08:53:35IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdF58787FA80410BAE38B710EAF9FCC5760AD3BCDFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALISON BERNHARDTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8700AddressLine1Txt
CityHARRISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP171058700ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,167,940,257GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UPMCPINNACLE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionINPATIENT AND OUTPATIENT HEALTHCARE FOR CITIZENS OF THE LOCAL & SURROUNDING COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee5901TotalEmployeeCnt
Total Volunteers469TotalVolunteersCnt
Total Gross UBI$538,983TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,114,859NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,247,479PYContributionsGrantsAmt
CY Contributions Grants$18,728,944CYContributionsGrantsAmt
PY Program Service Revenue$995,947,544PYProgramServiceRevenueAmt
CY Program Service Revenue$1,084,207,748CYProgramServiceRevenueAmt
PY Investment Income$20,879,181PYInvestmentIncomeAmt
CY Investment Income$4,549,588CYInvestmentIncomeAmt
PY Other Revenue$6,352,697PYOtherRevenueAmt
CY Other Revenue$1,551,737CYOtherRevenueAmt
PY Total Revenue$1,036,426,901PYTotalRevenueAmt
CY Total Revenue$1,109,038,017CYTotalRevenueAmt
PY Grants And Similar Paid$60,866PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,696CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$365,529,159PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$417,095,476CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$486,378,706PYOtherExpensesAmt
CY Other Expenses$549,849,004CYOtherExpensesAmt
PY Total Expenses$851,968,731PYTotalExpensesAmt
CY Total Expenses$966,955,176CYTotalExpensesAmt
PY Revenues Less Expenses$184,458,170PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$142,082,841CYRevenuesLessExpensesAmt
Total Assets BOY$888,404,831TotalAssetsBOYAmt
Total Assets EOY$926,280,596TotalAssetsEOYAmt
Total Liabilities BOY$239,119,285TotalLiabilitiesBOYAmt
Total Liabilities EOY$205,004,613TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$649,285,546NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$721,275,983NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionUPMC PINNACLE IS A CHARITABLE ORGANIZATION DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH AND QUALITY OF LIFE FOR ALL THE PEOPLE OF CENTRAL PENNSYLVANIA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$774,248,628ExpenseAmt
Grant$10,696GrantAmt
Revenue$1,060,919,850RevenueAmt
DescUPMC PINNACLE HOSPITALS UPMC PINNACLE HOSPITALS SUBSIDIZE THE COST OF TREATING PATIENTS WHO ARE UNINSURED, UNABLE TO PAY, OR HAVE GOVERNMENT SPONSORED HEALTH INSURANCE WHERE REIMBURSEMENT IS LESS THAN THE COST OF PROVIDING THE SERVICE.AS AN ANCHOR INSTITUTION AND A LEADER IN OUR COMMUNITY, OUR ROLE HAS BEEN TO PROVIDE OUTSTANDING PATIENT CARE; PUTTING OUR PATIENTS, HEALTH PLAN MEMBERS, AND COMMUNITY AT THE CENTER OF EVERYTHING WE DO AND CREATING A MODEL THAT ENSURES THAT EVERY PATIENT GETS THE RIGHT CARE, IN THE RIGHT WAY, AT THE RIGHT TIME, EVERY TIME. IN KEEPING WITH OUR TRADITION OF CARING FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, UPMC PINNACLE HOSPITALS IS A FORCE FOR STABILITY, STRENGTH, AND RELIABILITY FOR THOSE WE SERVE. IN ADDITION TO FINANCIAL SUPPORT, OUTREACH TO THE COMMUNITY IS CRUCIAL TO ACHIEVING OUR MISSION. THROUGH VOLUNTEERISM AND ENGAGEMENT, WE STRIVE TO BE A FORCE FOR HEALTH AND WELL-BEING. WE HELP THE UNDERSERVED, MENTOR STUDENTS, LEND EXPERTISE TO COMMUNITY ORGANIZATIONS, AND EDUCATE THE COMMUNITY ON DISEASE PREVENTION AND MANAGEMENT.COMMUNITY HEALTH IMPROVEMENT SERVICESTAKING HEALTH CARE BEYOND THE DOORS OF ITS HOSPITALS, CLINICS, AND OFFICES, AND BRINGING IT INTO THE REGION'S TOWNS, SCHOOLS AND WORKPLACES, UPMC PINNACLE IS HELPING CREATE HEALTHIER COMMUNITIES ACROSS CENTRAL PENNSYLVANIA. THROUGH ITS CHARITABLE GIVING AND COMMUNITY INITIATIVES, UPMC PINNACLE IS MAKING A DIFFERENCE IN THE HEALTH AND WELL-BEING OF ITS NEIGHBORS. FROM PUBLIC HEALTH AND WELLNESS INITIATIVES TO SCHOOL HEALTH SCREENINGS, INSURANCE ENROLLMENT HELP, HOME-VISIT PROGRAMS, CHARITY CARE, AND FREE HEALTH CLASSES, UPMC PINNACLE PROVIDES BENEFITS TO THE COMMUNITY. -UPMC PINNACLE OFFERS A VARIETY OF FREE COMMUNITY PROGRAMS THAT ARE MAKING A DIFFERENCE IN THE LIVES OF CENTRAL PENNSYLVANIANS EVERY DAY, INCLUDING:-MAMMOGRAM VOUCHER PROGRAM (MVP): UPMC PINNACLE PROVIDES WOMEN IN OUR COMMUNITY WHO ARE UNINSURED OR UNDERINSURED ACCESS TO FREE, POTENTIALLY LIFE-SAVING MAMMOGRAMS.-EAT SMART PLAY SMART (ESPS): THIS IS A FUN-FILLED EIGHT-WEEK WELLNESS PROGRAM THAT TEACHES YOUTH AGES 3-19 YEARS OLD ABOUT FITNESS, NUTRITION, AND MENTAL HEALTH TOPICS.-THE ENERGY PACK PROGRAM: THIS PROGRAM HELPS CHILDREN IN LOW-INCOME FAMILIES MEET THEIR NUTRITIONAL NEEDS DURING WEEKENDS AND HOLIDAY BREAKS. EACH WEEKEND OR HOLIDAY, PARTICIPATING CHILDREN RECEIVE A BACKPACK FILLED WITH NUTRITIOUS FOODS TO HELP THEM AVOID HUNGER AND STAY HEALTHY.-CENTER FOR ADDICTION RECOVERY: HELPING INDIVIDUALS WHO SUFFER FROM OPIOID OR ALCOHOL ADDICTION, UPMC PINNACLE OFFERS A PLACE TO GO FOR ASSISTANCE, SUPPORT AND MEDICAL TREATMENT.-SMILES: WORKING IN PARTNERSHIP WITH THE HARRISBURG AREA DENTAL SOCIETY, UPMC PINNACLE PROVIDES ACCESS TO URGENT DENTAL CARE FOR UNDERINSURED OR UNINSURED PATIENTS.-NURSE-FAMILY PARTNERSHIP (NFP): THIS PROGRAM PROVIDES CRITICAL MEDICAL AND SOCIAL SUPPORT TO LOW-INCOME, FIRST-TIME MOTHERS DURING THEIR PREGNANCIES AND THE FIRST YEARS OF THEIR CHILDREN'S LIVES.-CHILDREN'S RESOURCE CENTER (CRC): PROVIDING A SAFE, CHILD-FRIENDLY ENVIRONMENT FOR CHILDREN SUSPECTED OF HAVING BEEN ABUSED OR NEGLECTED, THE CRC IS A CHILD ADVOCACY CENTER DEDICATED TO REDUCING THE TRAUMA AND AFTERMATH OF ABUSE FOR CHILDREN AND THEIR FAMILIES.-REACCH PROGRAM: THE RESOURCES, EDUCATION, AND COMPREHENSIVE CARE FOR HIV PROGRAM OFFERS FREE AND CONFIDENTIAL HIV TESTING AS WELL AS PRIMARY HIV CARE FOR MEN, WOMEN, AND ADOLESCENTS. ITS ADDITIONAL RESOURCES INCLUDE MEDICAL, DENTAL, NUTRITIONAL, MENTAL HEALTH, AND SOCIAL SERVICES, AND ARE AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY OR INSURANCE STATUS.-DIABETES EDUCATION FOR DISPARATE POPULATIONS: TO PROVIDE CULTURALLY AND ECONOMICALLY APPROPRIATE EDUCATION THAT ENABLES PERSONS WITH DIABETES TO BETTER MANAGE THEIR DISEASE.-SUPPORT GROUPS ARE OFFERED FREE OF CHARGE TO HELP PEOPLE UNDERSTAND AND COPE WITH PARTICULAR PROBLEMS OR ILLNESSES. THEY INCLUDE DIABETES, BEREAVEMENT, CAREGIVER, TRANSPLANT, AND HEART DISEASE.-CHILDREN'S HEALTH FAIR, CONFERENCES AND LECTURES PROVIDE INFORMATION ON HEALTHY LIFESTYLES AND HEALTH CAREER SESSIONS, YOUTH HEALTH SCREENINGS, YOUTH OBESITY PREVENTION, CHILD ABUSE AWARENESS/PREVENTION AND LITERACY PROGRAMS FOR CHILDREN.COMMUNITY HEALTH EDUCATION AND SUPPORTAS ONE OF THE LARGEST PROVIDERS OF HEALTHCARE SERVICES IN THE STATE OF PENNSYLVANIA, UPMC PINNACLE HOSPITALS OFFER A VARIETY OF CLINICAL, EDUCATIONAL AND SUPPORT SERVICES FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. INCLUDED IN THESE PROGRAMS ARE:-COMMUNITY LECTURES ON A VARIETY OF TOPICS, INCLUDING CARDIOVASCULAR HEALTH, HIV/AIDS, SPORTS MEDICINE, ETHICS, AND END-OF-LIFE PLANNING.-TOBACCO CESSATION EDUCATION IN CLINICS AND THROUGHOUT THE COMMUNITY.-HEALTH EDUCATION STORIES IN THE NEWSPAPER, ON TELEVISION, ON RADIO AND HOSPITAL NEWSLETTER.-CLERGY ARE AVAILABLE TO PATIENTS AND FAMILY MEMBERS TWENTY-FOUR HOURS A DAY. VOLUNTEER CHAPLAINS PROVIDE BASIC SPIRITUAL SUPPORT, I.E., THEY PRAY WITH PATIENTS, READ SCRIPTURE AND PROVIDE SPIRITUAL RESOURCES, SUCH AS ROSARIES, CROSSES AND RELIGIOUS BOOKS. STAFF CHAPLAINS VISIT WITH PATIENTS AND FAMILIES WHEN THERE IS A CRISIS SITUATION, WHEN THERE ARE ETHICAL/MORAL DILEMMAS, AND WHEN THE PATIENT IS EXPERIENCING GRIEF, ANXIETY, DEPRESSION, LONELINESS OR PERSONAL ISSUES.-UPMC PINNACLE CANCER CENTER'S BOARD-CERTIFIED SURGEONS AND MEDICAL ONCOLOGISTS ATTACK ALL TYPES OF CANCER, SUPPORTED BY A TEAM OF PHARMACISTS, SOCIAL WORKERS, REHABILITATION AND PAIN MANAGEMENT SPECIALISTS, EACH WITH A UNIQUE AWARENESS OF PATIENT NEEDS.-THE HEART FAILURE CENTER WAS DEVELOPED IN AN EFFORT TO PROVIDE PATIENTS SUFFERING FROM HEART FAILURE WITH AN ALTERNATIVE TO FREQUENT HOSPITALIZATIONS. OUR TEAM OF EXPERIENCED HEALTHCARE PROFESSIONALS ASSISTS PATIENTS IN LEARNING THE SKILLS NEEDED TO HELP SELF-MANAGE THEIR CHRONIC ILLNESS.-THE SPINE INSTITUTE COMBINES THE EXPERTISE OF NEUROSURGEONS, ORTHOPEDIC SURGEONS, PSYCHIATRISTS, NEUROLOGISTS, PAIN MANAGEMENT SPECIALISTS, NURSES, IMAGING SERVICES AND REHABILITATION SERVICES TO TARGET EVERY PATIENT'S PARTICULAR PROBLEM AND PROVIDE OPTIMAL TREATMENT.-BUS PASSES OR TAXI FEES ARE PROVIDED TO PATIENTS AND FAMILIES MEETING THE ORGANIZATION'S FINANCIAL ASSISTANCE GUIDELINES TO ENHANCE PATIENT ACCESS TO CARE.-RESIDENT PHYSICIAN TRAINING PROGRAMS ARE AVAILABLE FOR ORTHOPEDIC SURGERY, INTERNAL MEDICINE, GENERAL SURGERY, PODIATRY, AND FAMILY PRACTICE. FELLOWSHIP PROGRAMS ARE AVAILABLE FOR SPORTS MEDICINE AND MATERNAL FETAL MEDICINE.-CONTINUING EDUCATION IS AVAILABLE FOR NURSES AND PHYSICIAN OFFICE STAFF AND FOR LOCAL COMMUNITY PROFESSIONALS SUCH AS SCHOOL NURSES.-BAILEY HOUSE IS A HOME AWAY FROM HOME. IT PROVIDES FREE OVERNIGHT LODGING AND A COMFORTABLE, SUPPORTIVE, AND NURTURING ENVIRONMENT FOR FAMILIES FROM OUTSIDE THE HARRISBURG AREA. WELLNESS AND SCREENING PROGRAMS ARE PROVIDED INCLUDING:-CHOLESTEROL SCREENINGS-PROSTATE SCREENINGS-INFANT DEVELOPMENT SCREENINGS-SPEECH AND HEARING SCREENINGS-DEPRESSION AND ANXIETY SCREENINGS-BONE DENSITY SCREENINGS-NUTRITION THERAPY EDUCATION PROGRAMS-LEAD POISONING SCREENINGSDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$39,963,373ExpenseAmt
Grant$0GrantAmt
Revenue$23,287,898RevenueAmt
DescUPMC PINNACLE EMERGENCY DEPARTMENT SERVICESUPMC PINNACLE EMERGENCY DEPARTMENT IS A TAX EXEMPT, NON-PROFIT CORPORATION ENGAGED IN PROVIDING PROFESSIONAL SERVICES IN EMERGENCY MEDICINE.EMERGENCY SERVICESTWENTY-FOUR HOUR MEDICAL EMERGENCY SERVICE IS PROVIDED IN THREE EMERGENCY DEPARTMENTS, (HARRISBURG HOSPITAL, COMMUNITY GENERAL HOSPITAL, AND WEST SHORE HOSPITAL) STAFFED BY PHYSICIANS AND NURSES SPECIALIZING IN EMERGENCY MEDICINE AND SUPPORT PERSONNEL. SERVICES ARE OPEN TO ALL PERSONS WITHOUT REGARD TO AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, HANDICAP OR ABILITY TO PAY. MEDICAL COVERAGE IS GIVEN FOR COMMUNITY SPORTING EVENTS. CPR TRAINING PROGRAMS ARE OFFERED TO COMMUNITY GROUPS AND ORGANIZATIONS.TWENTY-FOUR HOUR EMERGENCY MEDICAL COMMAND IS PROVIDED FOR THE TRI-COUNTY AREA.DURING FISCAL YEAR 2019, UPMC PINNACLE HOSPITALS TREATED 138,917 PATIENTS IN ITS THREE EMERGENCY DEPARTMENTS. THIS WAS A DECREASE OF 1,128 PATIENTS OVER THE PRIOR YEAR.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$814,212,001TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5901EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonALISON BERNHARDT - CHIEF FINANCIALPersonNm
Phone7172318245PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 8700AddressLine1Txt
CityHARRISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP171058700ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
FELIX GUTIERREZ MD
DIRECTOR1.0039.00Yes (X)$0$501,153$28,996
KENNETH OKEN MD
DIRECTOR25.001.00Yes (X)$119,167$0$0
MICHAEL L FERNANDEZ MD
DIRECTOR1.001.00Yes (X)$0$0$0
JOHN C HICKEY
CHAIRMAN1.001.00Yes (X)$0$0$0Yes (X)
CAROLYN KREAMER PHD
DIRECTOR1.001.00Yes (X)$0$0$0
PHILIP GUARNESCHELLI
PRESIDENT/CEO30.0010.00Yes (X)$0$1,375,741$35,711Yes (X)
CYNTHIA TOLSMA
DIRECTOR1.001.00Yes (X)$0$0$0
MICHAEL MURCHIE
DIRECTOR1.001.00Yes (X)$0$0$0
DOUG NEIDICH
VICE CHAIRMAN1.001.00Yes (X)$0$0$0Yes (X)
YVONNE HOLLINS
DIRECTOR1.001.00Yes (X)$0$0$0
MARK GLESSNER
DIRECTOR1.00Yes (X)$0$0$0
JAMES GRANDON
DIRECTOR1.001.00Yes (X)$0$0$0
RONALD KRATZ MD
PRESIDENT OF THE MEDICAL STAFF1.00Yes (X)$0$0$0
JONATHAN VIPOND
DIRECTOR1.00Yes (X)$0$0$0
CHRISTOPHER P MARKLEY ESQ
SEC'Y/SR VP STAT SVC/GEN COUNSEL14.0026.00$0$636,796$31,392Yes (X)
WILLIAM H PUGH
EVP-TREAS./CFO10.0030.00$0$912,948$24,684Yes (X)
JOHN DELORENZO
ASSISTANT SECRETARY14.0026.00$0$212,583$28,106Yes (X)
ALISON BERNHARDT
VP, CORP ACCT&RPT/CFO (BEG. 1/20)10.0030.00$0$379,089$12,862Yes (X)
THOMAS STONER
VP, HOSPITALIST SERVICES40.00$651,243$0$32,961Yes (X)
CRAIG SKUCENSKI
VP, EMERGENCY MEDICINE40.00$606,874$0$35,711Yes (X)
CARSON ADAMS
PHYSICIAN40.00$485,676$0$25,129Yes (X)
CHRISTIAN CAICEDO MD
SVP & PRESIDENT, DAUPHIN DIV.40.00$664,138$0$35,294Yes (X)
JED SPRUCE SEITZINGER
PHYSICIAN40.00$473,534$0$35,150Yes (X)
MICHAEL A YOUNG
FORMER PRESIDENT/CEO (RES. 3/17)0.00$0$1,035,976$9,539Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,000,632TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,054,286TotReportableCompRltdOrgAmt
Total Other Compensation$335,535TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K563IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARAMARK SERVICES INC
4700 WESTPORT DR SUITE 1400MECHANICSBURGPA17055FOOD SERVICES$20,271,423
RIVERSIDE ANESTHESIA ASSOC
1 RUTHERFORD RD SUITE 101HARRISBURGPA17109PHYS. ANESTH. SVCS.$11,605,714
PENNSYLVANIA PSYCHIATRIC INSTITUTE
2501 NORTH THIRD STREETHARRISBURGPA17110CONTRACT HEALTH SVC.$2,786,413
MEDDATA INC
PO BOX 8403CAROL STREAMIL60197BILLING/COLLECTIONS$2,442,660
THE CSI COMPANIES
PO BOX 890841CHARLOTTENC28289STAFFING SERVICES$2,369,977
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K52CntrctRcvdGreaterThan100KCnt
Federated Campaigns$24,000FederatedCampaignsAmt
Related Organizations$127,847RelatedOrganizationsAmt
Government Grants$1,557,000GovernmentGrantsAmt
All Other Contributions$17,020,097AllOtherContributionsAmt
Total Contributions$18,728,944TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE, NET621500$1,071,360,348$1,071,360,348
COMMUNITY PROG. INC.900099$4,581,268$4,581,268
RETAIL PHARMACY900099$3,266,680$3,266,680
CONTRACTED MEDICAL SERVICES621990$2,006,724$2,006,724
BUNDLED PAYMENTS900099$1,832,085$1,832,085

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,160,643TotalRevenueColumnAmt
Related Or Exempt Func Income$1,160,643RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,084,207,748TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$950,700TotalRevenueColumnAmt
Unrelated Business Revenue$538,983UnrelatedBusinessRevenueAmt
Exclusion$411,717ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$11,889,336RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$12,204,814RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$315,478RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$315,478TotalRevenueColumnAmt
Exclusion-$315,478ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$50,014,723SecuritiesAmt
Other$3,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$46,292,751SecuritiesAmt
Other$126,084OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,721,972SecuritiesAmt
Other-$123,084OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,598,888TotalRevenueColumnAmt
Exclusion$3,598,888ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$447,966GrossSalesOfInventoryAmt
Cost Of Goods Sold$278,591CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$169,375TotalRevenueColumnAmt
Exclusion$169,375ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA SALES900099$706,868$706,868
PARKING FEES900099$272,092$272,092
ADMIN SVCS - JC BLAIR900099$223,937$223,937

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$494,943TotalRevenueColumnAmt
Exclusion$494,943ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,697,840OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,109,038,017TotalRevenueColumnAmt
Related Or Exempt Func Income$1,084,207,748RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$538,983UnrelatedBusinessRevenueAmt
Exclusion$5,562,342ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,696TotalAmt
Program Services$10,696ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$341,487,412TotalAmt
Program Services$308,562,817ProgramServicesAmt
Management And General$32,924,595ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,283,351TotalAmt
Program Services$12,906,218ProgramServicesAmt
Management And General$1,377,133ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$38,450,923TotalAmt
Program Services$34,743,668ProgramServicesAmt
Management And General$3,707,255ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$22,873,790TotalAmt
Program Services$20,668,408ProgramServicesAmt
Management And General$2,205,382ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$81,396,650TotalAmt
Program Services$40,698,325ProgramServicesAmt
Management And General$40,698,325ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$115,888TotalAmt
Program Services$59,103ProgramServicesAmt
Management And General$56,785ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$542,708TotalAmt
Management And General$542,708ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$103,657,109TotalAmt
Program Services$89,580,692ProgramServicesAmt
Management And General$14,076,417ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,272,471TotalAmt
Program Services$1,071,190ProgramServicesAmt
Management And General$201,281ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,743,671TotalAmt
Program Services$4,185,058ProgramServicesAmt
Management And General$1,558,613ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$38,106,607TotalAmt
Program Services$26,610,407ProgramServicesAmt
Management And General$11,496,200ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$41,785,118TotalAmt
Program Services$28,821,269ProgramServicesAmt
Management And General$12,963,849ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,234,058TotalAmt
Program Services$905,880ProgramServicesAmt
Management And General$328,178ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,646,295TotalAmt
Program Services$1,504,684ProgramServicesAmt
Management And General$141,611ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,178,460TotalAmt
Program Services$883,845ProgramServicesAmt
Management And General$294,615ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$57,909,529TotalAmt
Program Services$50,838,396ProgramServicesAmt
Management And General$7,071,133ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,047,590TotalAmt
Program Services$8,047,590ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$117,416,114$117,416,114
UBIT TAXES$1,195,440$1,195,440
PHARMACY$50,923,096$50,923,096
MEDICAID COST REDUCTION$18,776,439$18,776,439

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,901,761TotalAmt
Program Services$15,774,545ProgramServicesAmt
Management And General$3,127,216ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$966,955,176TotalAmt
Program Services$814,212,001ProgramServicesAmt
Management And General$152,743,175ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,600BOYAmt
EOY$2,750EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$23,515,305EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$102,037,303BOYAmt
EOY$122,276,196EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$932,705BOYAmt
EOY$1,705,807EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$23,201,419BOYAmt
EOY$16,292,409EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,691,717BOYAmt
EOY$13,315,038EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$591,634,599LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$129,992,350LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$463,778,789BOYAmt
EOY$461,642,249EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$256,549,521BOYAmt
EOY$261,023,144EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$24,236,151BOYAmt
EOY$19,514,792EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,974,626BOYAmt
EOY$6,992,906EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$888,404,831BOYAmt
EOY$926,280,596EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$204,006,831BOYAmt
EOY$162,205,581EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$31,303,054BOYAmt
EOY$27,043,877EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,809,400BOYAmt
EOY$15,755,155EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$239,119,285BOYAmt
EOY$205,004,613EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$596,166,798BOYAmt
EOY$673,644,637EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,827,012BOYAmt
EOY$31,282,514EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,291,736BOYAmt
EOY$16,348,832EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$649,285,546BOYAmt
EOY$721,275,983EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$888,404,831BOYAmt
EOY$926,280,596EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$142,082,841ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,317,158NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$73,409,562OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,683,993BeginningYearBalanceAmt
Contributions$583,601ContributionsAmt
Investment Earnings Or Losses-$317,959InvestmentEarningsOrLossesAmt
End Year Balance$7,949,635EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,488,199BeginningYearBalanceAmt
Investment Earnings Or Losses$195,794InvestmentEarningsOrLossesAmt
End Year Balance$7,683,993EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,107,039BeginningYearBalanceAmt
Investment Earnings Or Losses$381,160InvestmentEarningsOrLossesAmt
End Year Balance$7,488,199EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,801,369OtherCostOrOtherBasisAmt
Book Value$39,801,369BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$315,606,187OtherCostOrOtherBasisAmt
Depreciation$27,952,027DepreciationAmt
Book Value$287,654,160BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,458,479OtherCostOrOtherBasisAmt
Depreciation$2,164,724DepreciationAmt
Book Value$3,293,755BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$183,714,720OtherCostOrOtherBasisAmt
Depreciation$90,456,668DepreciationAmt
Book Value$93,258,052BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,053,844OtherCostOrOtherBasisAmt
Depreciation$9,418,931DepreciationAmt
Book Value$37,634,913BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$461,642,249TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ADVANCES FROM THIRD-PARTY PAYORS$2,827,200
DUE TO RELATED PARTIES$12,927,955
FieldValueIRS element (for citing)
Total Liability$15,755,155TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:"UPMC PINNACLE'S ENDOWMENT FUND IS COMPRISED OF INVESTMENTS HELD IN TRUST THAT HAVE BEEN EITHER DONATED OR RECEIVED AS A TESTAMENTARY TRUST FROM THE GRANTORS WILL, WHERE THE HOSPITAL IS THE BENEFICIARY OF THE TRUST INSTRUMENT. THE UNDERLYING SECURITIES IN EACH TRUST ARE TYPICALLY INDIVIDUALLY OWNED FIXED INCOME OR EQUITY SECURITIES OR MUTUAL FUNDS WHICH ARE INVESTED IN FIXED INCOME OR EQUITY SECURITIES. THE TRUSTEE OF EACH TRUST IS RESPONSIBLE FOR MANAGING AND INVESTING THE ASSETS IN ACCORDANCE WITH THE TRUST ARRANGEMENT."
PART X, LINE 2: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. CERTAIN OF THE COMPANY'S SUBSIDIARIES ARE SUBJECT TO TAXATION IN THE UNITED STATES, VARIOUS STATES AND FOREIGN JURISDICTIONS. AS OF DECEMBER 31, 2018, THE COMPANY'S RETURNS FOR THE FISCAL YEARS ENDED JUNE 30, 2015, 2016, AND 2017 ARE OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,010,696TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,010,696NetCommunityBenefitExpnsAmt
Total Expense0.00650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$111,074,508TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$77,773,202DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,301,306NetCommunityBenefitExpnsAmt
Total Expense0.03590TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$117,085,204TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$77,773,202DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,312,002NetCommunityBenefitExpnsAmt
Total Expense0.04240TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs23ActivitiesOrProgramsCnt
Persons Served1792679PersonsServedCnt
Total Community Benefit Expns$7,663,316TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,663,316NetCommunityBenefitExpnsAmt
Total Expense0.00830TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served8712PersonsServedCnt
Total Community Benefit Expns$9,005,531TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,005,531NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served26000PersonsServedCnt
Total Community Benefit Expns$3,058,731TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,058,731NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served217216PersonsServedCnt
Total Community Benefit Expns$1,086,266TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,086,266NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs31ActivitiesOrProgramsCnt
Persons Served2044607PersonsServedCnt
Total Community Benefit Expns$20,813,844TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,813,844NetCommunityBenefitExpnsAmt
Total Expense0.02250TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs31ActivitiesOrProgramsCnt
Persons Served2044607PersonsServedCnt
Total Community Benefit Expns$137,899,048TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$77,773,202DirectOffsettingRevenueAmt
Net Community Benefit Expns$60,125,846NetCommunityBenefitExpnsAmt
Total Expense0.06490TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served248550PersonsServedCnt
Total Community Benefit Expns$3,045,401TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,045,401NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served500PersonsServedCnt
Total Community Benefit Expns$20,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1788PersonsServedCnt
Total Community Benefit Expns$130,140TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$130,140NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served250838PersonsServedCnt
Total Community Benefit Expns$3,195,541TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,195,541NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$10,614,833BadDebtExpenseAmt
Bad Debt Expense Attributable$831,602BadDebtExpenseAttributableAmt
Reimbursed By Medicare$177,245,978ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$178,754,179CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,508,201MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 WEST SHORE SURGERY CENTER LTD
SURGICAL CARE - MEDICAL SERVICES0.450000.000000.53000
2 SUSQUEHANNA VALLEY SURGERY CENTER
SURGICAL CARE - MEDICAL SERVICES0.500000.000000.50000
FieldValueIRS element (for citing)
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsInd
UPMC PINNACLE HARRISBURG
1111 SOUTH FRONT STREETHARRISBURGPA17101WWW.UPMCPINNACLE.COM340601Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHIC
24300 LONDONDERRY ROADHARRISBURGPA17109WWW.UPMCPINNACLE.COM340601Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
UPMC PINNACLE WEST SHORE
31995 TECHNOLOGY PARKWAYMECHANICSBURGPA17050WWW.UPMCPINNACLE.COM340601Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndOther MethodOtherMethodIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndOther Actions TakenOtherActionsTakenIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
UPMC PINNACLE HARRISBURG
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)Yes (1)0Yes (1)Yes (X)WWW.UPMCPINNACLE.COMYes (X)WWW.PPIMHS.ORGYes (X)Yes (X)Yes (1)18Yes (1)WWW.UPMCPINNACLE.COM0Yes (1)Yes (X)250.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)WWW.UPMCPINNACLE.COMYes (X)WWW.UPMCPINNACLE.COMYes (X)WWW.UPMCPINNACLE.COMYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
UPMC PINNACLE COMMUNITY GENERAL OSTEOPAT
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)Yes (1)0Yes (1)Yes (X)WWW.UPMCPINNACLE.COMYes (X)WWW.PPIMHS.ORGYes (X)Yes (X)Yes (1)18Yes (1)WWW.UPMCPINNACLE.COM0Yes (1)Yes (X)250.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)WWW.UPMCPINNACLE.COMYes (X)WWW.UPMCPINNACLE.COMYes (X)WWW.UPMCPINNACLE.COMYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00
UPMC PINNACLE WEST SHORE
300Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (1)Yes (1)0Yes (1)Yes (X)WWW.UPMCPINNACLE.COMYes (X)WWW.PPIMHS.ORGYes (X)Yes (X)Yes (1)18Yes (1)WWW.UPMCPINNACLE.COM0Yes (1)Yes (X)250.000000000000400.000000000000Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)WWW.UPMCPINNACLE.COMYes (X)WWW.UPMCPINNACLE.COMYes (X)WWW.UPMCPINNACLE.COMYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
UPMC PINNACLE HARRISBURGPART V, SECTION B, LINE 5: ORGANIZATIONS AND COMMUNITY LEADERS WITHIN THE FIVE-COUNTY REGION WERE ENGAGED TO IDENTIFY THE NEEDS OF THE COMMUNITY. FAITH-BASED ORGANIZATIONS, COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN THE CONTRIBUTION OF OVER 900 COMMUNITY STAKEHOLDERS/LEADERS, ORGANIZATIONS, AND COMMUNITY GROUPS. THE PRIMARY DATA COLLECTION CONSISTED OF SEVERAL PROJECT COMPONENT PIECES. TWENTY-SEVEN COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS WHO REPRESENTED A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. OVERALL, 831 PAPER HAND-SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS. WE WORKED CLOSELY WITH 47 COMMUNITY ORGANIZATIONS TO DISTRIBUTE AND GATHER THE HAND-SURVEY FROM COMMUNITY RESIDENTS. FORTY-TWO COMMUNITY LEADERS AND REPRESENTATIVES ATTENDED A COMMUNITY FORUM TO PRIORITIZE HEALTH NEEDS, WHICH WILL ASSIST IN THE IMPLEMENTATION AND PLANNING PHASE. A RESOURCE INVENTORY WAS GENERATED TO HIGHLIGHT AVAILABLE PROGRAMS AND SERVICES WITHIN THE FIVE-COUNTY SERVICE AREA. THE RESOURCE INVENTORY IDENTIFIES AVAILABLE ORGANIZATIONS AND AGENCIES THAT SERVE THE REGION WITHIN EACH OF THE PRIORITY NEEDS.A SIGNIFICANT PROJECT COMPONENT PIECE OF THE CHNA WAS THE COMPILATION OF A REGIONAL PROFILE (SECONDARY DATA ANALYSIS). THE REGIONAL PROFILE WAS COMPOSED UTILIZING LOCAL, STATE, AND FEDERAL FIGURES PROVIDING VALUABLE INFORMATION ON A WIDE ARRAY OF HEALTH AND SOCIAL ISSUES. THE WORKING GROUP EXAMINED AND DISCUSSED DIFFERENT SOCIOECONOMIC ASPECTS, HEALTH OUTCOMES, AND HEALTH FACTORS THAT AFFECT RESIDENTS' BEHAVIORS; SPECIFICALLY, THE INFLUENTIAL FACTORS THAT IMPACT THE HEALTH OF RESIDENTS.AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO UNDERSTAND BETTER THE CHANGING COMMUNITY HEALTH ENVIRONMENT. COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED DURING LATE DECEMBER 2017 THROUGH EARLY FEBRUARY 2018. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTISE; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS; 4) GOVERNMENT LEADERS; AND 5) RELIGIOUS LEADERS. IN TOTAL, 26 INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND STAKEHOLDERS.
UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHICPART V, SECTION B, LINE 5: ORGANIZATIONS AND COMMUNITY LEADERS WITHIN THE FIVE-COUNTY REGION WERE ENGAGED TO IDENTIFY THE NEEDS OF THE COMMUNITY. FAITH-BASED ORGANIZATIONS, COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN THE CONTRIBUTION OF OVER 900 COMMUNITY STAKEHOLDERS/LEADERS, ORGANIZATIONS, AND COMMUNITY GROUPS.THE PRIMARY DATA COLLECTION CONSISTED OF SEVERAL PROJECT COMPONENT PIECES. TWENTY-SEVEN COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS WHO REPRESENTED A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. OVERALL, 831 PAPER HAND-SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS. WE WORKED CLOSELY WITH 47 COMMUNITY ORGANIZATIONS TO DISTRIBUTE AND GATHER THE HAND-SURVEY FROM COMMUNITY RESIDENTS. FORTY-TWO COMMUNITY LEADERS AND REPRESENTATIVES ATTENDED A COMMUNITY FORUM TO PRIORITIZE HEALTH NEEDS, WHICH WILL ASSIST IN THE IMPLEMENTATION AND PLANNING PHASE. A RESOURCE INVENTORY WAS GENERATED TO HIGHLIGHT AVAILABLE PROGRAMS AND SERVICES WITHIN THE FIVE-COUNTY SERVICE AREA. THE RESOURCE INVENTORY IDENTIFIES AVAILABLE ORGANIZATIONS AND AGENCIES THAT SERVE THE REGION WITHIN EACH OF THE PRIORITY NEEDS.A SIGNIFICANT PROJECT COMPONENT PIECE OF THE CHNA WAS THE COMPILATION OF A REGIONAL PROFILE (SECONDARY DATA ANALYSIS). THE REGIONAL PROFILE WAS COMPOSED UTILIZING LOCAL, STATE, AND FEDERAL FIGURES PROVIDING VALUABLE INFORMATION ON A WIDE ARRAY OF HEALTH AND SOCIAL ISSUES. THE WORKING GROUP EXAMINED AND DISCUSSED DIFFERENT SOCIOECONOMIC ASPECTS, HEALTH OUTCOMES, AND HEALTH FACTORS THAT AFFECT RESIDENTS' BEHAVIORS; SPECIFICALLY, THE INFLUENTIAL FACTORS THAT IMPACT THE HEALTH OF RESIDENTS.AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO UNDERSTAND BETTER THE CHANGING COMMUNITY HEALTH ENVIRONMENT. COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED DURING LATE DECEMBER 2017 THROUGH EARLY FEBRUARY 2018. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTISE; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS; 4) GOVERNMENT LEADERS; AND 5) RELIGIOUS LEADERS. IN TOTAL, 26 INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND STAKEHOLDERS.
UPMC PINNACLE WEST SHOREPART V, SECTION B, LINE 5: ORGANIZATIONS AND COMMUNITY LEADERS WITHIN THE FIVE-COUNTY REGION WERE ENGAGED TO IDENTIFY THE NEEDS OF THE COMMUNITY. FAITH-BASED ORGANIZATIONS, COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN THE CONTRIBUTION OF OVER 900 COMMUNITY STAKEHOLDERS/LEADERS, ORGANIZATIONS, AND COMMUNITY GROUPS.THE PRIMARY DATA COLLECTION CONSISTED OF SEVERAL PROJECT COMPONENT PIECES. TWENTY-SEVEN COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS WHO REPRESENTED A) BROAD INTERESTS OF THE COMMUNITY, B) POPULATIONS OF NEED OR C) PERSONS WITH SPECIALIZED KNOWLEDGE IN PUBLIC HEALTH. OVERALL, 831 PAPER HAND-SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS. WE WORKED CLOSELY WITH 47 COMMUNITY ORGANIZATIONS TO DISTRIBUTE AND GATHER THE HAND-SURVEY FROM COMMUNITY RESIDENTS. FORTY-TWO COMMUNITY LEADERS AND REPRESENTATIVES ATTENDED A COMMUNITY FORUM TO PRIORITIZE HEALTH NEEDS, WHICH WILL ASSIST IN THE IMPLEMENTATION AND PLANNING PHASE. A RESOURCE INVENTORY WAS GENERATED TO HIGHLIGHT AVAILABLE PROGRAMS AND SERVICES WITHIN THE FIVE-COUNTY SERVICE AREA. THE RESOURCE INVENTORY IDENTIFIES AVAILABLE ORGANIZATIONS AND AGENCIES THAT SERVE THE REGION WITHIN EACH OF THE PRIORITY NEEDS.A SIGNIFICANT PROJECT COMPONENT PIECE OF THE CHNA WAS THE COMPILATION OF A REGIONAL PROFILE (SECONDARY DATA ANALYSIS). THE REGIONAL PROFILE WAS COMPOSED UTILIZING LOCAL, STATE, AND FEDERAL FIGURES PROVIDING VALUABLE INFORMATION ON A WIDE ARRAY OF HEALTH AND SOCIAL ISSUES. THE WORKING GROUP EXAMINED AND DISCUSSED DIFFERENT SOCIOECONOMIC ASPECTS, HEALTH OUTCOMES, AND HEALTH FACTORS THAT AFFECT RESIDENTS' BEHAVIORS; SPECIFICALLY, THE INFLUENTIAL FACTORS THAT IMPACT THE HEALTH OF RESIDENTS.AS PART OF THE CHNA PHASE, TELEPHONE INTERVIEWS WERE COMPLETED WITH COMMUNITY STAKEHOLDERS IN THE SERVICE AREA TO UNDERSTAND BETTER THE CHANGING COMMUNITY HEALTH ENVIRONMENT. COMMUNITY STAKEHOLDER INTERVIEWS WERE CONDUCTED DURING LATE DECEMBER 2017 THROUGH EARLY FEBRUARY 2018. COMMUNITY STAKEHOLDERS TARGETED FOR INTERVIEWS ENCOMPASSED A WIDE VARIETY OF PROFESSIONAL BACKGROUNDS INCLUDING: 1) PUBLIC HEALTH EXPERTISE; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS; 4) GOVERNMENT LEADERS; AND 5) RELIGIOUS LEADERS. IN TOTAL, 26 INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS AND STAKEHOLDERS.
UPMC PINNACLE HARRISBURGPART V, SECTION B, LINE 6A: UPMC PINNACLE CARLISLEPENNSYLVANIA PSYCHIATRIC INSTITUTE
UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHICPART V, SECTION B, LINE 6A: UPMC PINNACLE CARLISLEPENNSYLVANIA PSYCHIATRIC INSTITUTE
UPMC PINNACLE WEST SHOREPART V, SECTION B, LINE 6A: UPMC PINNACLE CARLISLEPENNSYLVANIA PSYCHIATRIC INSTITUTE
UPMC PINNACLE HARRISBURGPART V, SECTION B, LINE 7D: COMMUNITY EVENTS
UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHICPART V, SECTION B, LINE 7D: COMMUNITY EVENTS
UPMC PINNACLE WEST SHOREPART V, SECTION B, LINE 7D: COMMUNITY EVENTS
UPMC PINNACLE HARRISBURGPART V, SECTION B, LINE 11: AFTER REVIEWING THE DATA GENERATED FROM THE CHNA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, UPMC PINNACLE DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN WITH EVIDENCE-BASED STRATEGIES.UPMC PINNACLE PRESENTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012, 2015 AND IN ACCORDANCE WITH IRS REGULATION TO CONDUCT THE CHNA EVERY THREE YEARS, HAS COMPLETED AND APPROVED THE 2018 CHNA. AS A RESULT OF EXTENSIVE PRIMARY AND SECONDARY RESEARCH, INCLUDING WITH COMMUNITY MEMBERS AND COMMUNITY LEADERS, PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES. THE RESEARCH ILLUSTRATED THAT THERE IS A NEED FOR ADDITIONAL INFORMATION AND SERVICES THAT PROMOTE AND PROVIDE ACCESS TO HEALTH SERVICES (1), BEHAVIORAL HEALTH SERVICES (2), AND HEALTHY LIFESTYLES (3). 1) PRIORITY 1: ACCESS TO HEALTH SERVICES IN THE AREAS OF PRIMARY CARE, SPECIALTY CARE, AND DENTAL CARE. THE GOAL OF UPMC PINNACLE HOSPITAL IS TO EXPAND THE HEALTH CARE REACH TO RURAL AND HOMEBOUND POPULATIONS WITH THE ANTICIPATED IMPACT THAT RURAL AND HOMEBOUND POPULATIONS WILL HAVE INCREASED ACCESS TO HEALTH CARE SERVICES. THIS WILL BE ACCOMPLISHED USING A PLAN OF 5 KEY STRATEGIES.STRATEGY 1: STRENGTHEN ACCESS TO SPECIALTY PROVIDER-BASED SERVICES AND SUPPORTIVE SERVICES, AND INCREASE UTILIZATION OF HEALTH CARE SERVICES BY COMMUNITY MEMBERS. WE WILL PROVIDE INSURANCE ENROLLMENT SPECIALIST AND FINANCIAL AID COUNSELORS TO ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS. WE WILL OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME BY USING TECHNOLOGY AND CONNECTING WITH OUR COMMUNITY PARTNERS AND COMMUNITY HEALTH CENTERS. WE WILL COLLABORATE WITH COMMUNITY HEALTH CENTER STAFF TO REVIEW CASES OF HIGH UTILIZATION AND ACUITY. WE WILL MAINTAIN A CONTINUED PARTNERSHIP WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED, AND DIVERSE POPULATIONS. STRATEGY 2: STRENGTHEN ACCESS TO DENTAL PROVIDER-BASED SERVICES, SUPPORTIVE SERVICES, AND UTILIZATION OF DENTAL SERVICES BY COMMUNITY MEMBERS. PROMOTE INCREASED UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT. COORDINATE CARE OF URGENT DENTAL NEEDS IN THE EMERGENCY DEPARTMENT. STRATEGY 3: PROVIDE PATIENT ACCESS TO HEALTH CARE RESOURCES IN THEIR LANGUAGE BY EXPANDING OUR INTERPRETATION SERVICES TO PATIENTS; EXPAND TRANSLATION OF MEDICAL DOCUMENTS TO PATIENTS. STRATEGY 4: INCREASE ACCESS TO EVIDENCE BASED SMOKING CESSATION AND PREVENTION PROGRAMS THROUGH CONTINUED TOBACCO CESSATION AND SMOKING PREVENTION PROGRAMS. STRATEGY 5: INCREASE NUMBER OF PATIENTS RECEIVING CARE COORDINATION SERVICES BY EXPLORING PAYOR OPTIONS FOR PAYMENT PROGRAMS AND EXPLORING CHRONIC CARE MANAGEMENT BILLING. 2) PRIORITY 2: BEHAVIORAL HEALTH SERVICES FOCUSING ON MENTAL HEALTH AND SUBSTANCE ABUSE. THE GOAL IS TO IMPROVE BEHAVIORAL HEALTH ILLNESSES BY PROVIDING ACCESS TO QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAMS, PROVIDING EDUCATION THAT ADDRESSES THE WHOLE PERSON, AND INCREASING OUR PREVENTION, EDUCATION, AND TREATMENT SERVICES. WE HAVE DEVELOPED 12 KEY STRATEGIES TO ADDRESS THIS PRIORITY.STRATEGY 1: CONDUCT MENTAL HEALTH SCREENINGS TO REDUCE THE OCCURRENCE OF SUICIDE. STRATEGY 2: PROVIDE MENTAL HEALTH TRAINING TO LAW ENFORCEMENT OFFICERS. STRATEGY 3: IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH AT UPMC PINNACLE HOSPITALS. STRATEGY 4: PROVIDE EARLY ENGAGEMENT AND SUPPORT FOR PSYCHOSIS. STRATEGY 5: IMPLEMENT TRAUMA INFORMED CARE (TIC) TO MEET THE NEEDS OF THE WHOLE PERSON. STRATEGY 6: IMPROVE ACCESS TO HEALTH CARE THROUGH A MEDICAL HOME. STRATEGY 7: PROVIDE DIRECT ACCESS FOR THOSE EXPERIENCING A MENTAL HEALTH CRISIS. STRATEGY 8: IMPROVE ACCESS TO MENTAL HEALTH CARE THROUGH TELE-PSYCHIATRY. STRATEGY 9: IMPROVE BEHAVIORAL HEALTH OF CHILDREN AND ADOLESCENTS. STRATEGY 10: IMPROVE ACCESS TO MEDICATED ASSISTED TREATMENT (MAT). STRATEGY 11: PROVIDE STEPS TO RECOVERY FOR PREGNANT WOMEN FACING ADDICTION. STRATEGY 12: COLLABORATE WITH CENTER FOR ADDICTION RECOVERY ACTIONS TO IMPROVE THE WARM HANDOFF PROCESSES IN THE EMERGENCY DEPARTMENT AND PROVIDE ONGOING X WAIVER TRAINING SESSIONS. 3) PRIORITY 3: HEALTHY LIFESTYLES IN AREAS OF PHYSICAL ACTIVITY, OBESITY, AND TOBACCO USE. THE GOAL IS TO INCREASE KNOWLEDGE OF ACCESS AND OPPORTUNITY TO UPMC PINNACLE RESOURCES IN RURAL COMMUNITIES AND UNDERSERVED POPULATIONS. FOUR KEY STRATEGIES HAVE BEEN DEVELOPED TO ADDRESS THIS PRIORITY. STRATEGY 1: ADDRESS INCOME, EDUCATION AND EMPLOYMENT DETERMINANTS OF HEALTH THAT NEGATIVELY IMPACT A HEALTHY AND DIVERSE WORKFORCE AND PREVENTIVE CARE.STRATEGY 2: ADDRESS TRANSPORTATION BARRIERS TO REDUCE MISSED APPOINTMENTS DUE TO UNRELIABLE OR NO TRANSPORTATION WHICH NEGATIVELY IMPACTS PREVENTIVE CARE AND INCREASES ED VISITS.STRATEGY 3: ASSIST HOMELESS RECIPIENTS WITHIN THE UPMC PINNACLE FOOTPRINT WITH MOVING FROM THE STREETS INTO STRUCTURED, LONG-TERM CARE THROUGH COLLABORATION WITH COMMUNITY PARTNERS.STRATEGY 4: IMPROVE LANGUAGE ACCESS GIVEN THROUGH THE DEVELOPMENT AND PROMOTION OF CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES.
UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHICPART V, SECTION B, LINE 11: AFTER REVIEWING THE DATA GENERATED FROM THE CHNA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, UPMC PINNACLE DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN WITH EVIDENCE-BASED STRATEGIES.UPMC PINNACLE PRESENTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012, 2015 AND IN ACCORDANCE WITH IRS REGULATION TO CONDUCT THE CHNA EVERY THREE YEARS, HAS COMPLETED AND APPROVED THE 2018 CHNA. AS A RESULT OF EXTENSIVE PRIMARY AND SECONDARY RESEARCH, INCLUDING WITH COMMUNITY MEMBERS AND COMMUNITY LEADERS, PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES. THE RESEARCH ILLUSTRATED THAT THERE IS A NEED FOR ADDITIONAL INFORMATION AND SERVICES THAT PROMOTE AND PROVIDE ACCESS TO HEALTH SERVICES (1), BEHAVIORAL HEALTH SERVICES (2), AND HEALTHY LIFESTYLES (3). 1) PRIORITY 1: ACCESS TO HEALTH SERVICES IN THE AREAS OF PRIMARY CARE, SPECIALTY CARE, AND DENTAL CARE. THE GOAL OF UPMC PINNACLE HOSPITAL IS TO EXPAND THE HEALTH CARE REACH TO RURAL AND HOMEBOUND POPULATIONS WITH THE ANTICIPATED IMPACT THAT RURAL AND HOMEBOUND POPULATIONS WILL HAVE INCREASED ACCESS TO HEALTH CARE SERVICES. THIS WILL BE ACCOMPLISHED USING A PLAN OF 5 KEY STRATEGIESSTRATEGY 1: STRENGTHEN ACCESS TO SPECIALTY PROVIDER-BASED SERVICES AND SUPPORTIVE SERVICES, AND INCREASE UTILIZATION OF HEALTH CARE SERVICES BY COMMUNITY MEMBERS. WE WILL PROVIDE INSURANCE ENROLLMENT SPECIALIST AND FINANCIAL AID COUNSELORS TO ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS. WE WILL OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME BY USING TECHNOLOGY AND CONNECTING WITH OUR COMMUNITY PARTNERS AND COMMUNITY HEALTH CENTERS. WE WILL COLLABORATE WITH COMMUNITY HEALTH CENTER STAFF TO REVIEW CASES OF HIGH UTILIZATION AND ACUITY. WE WILL MAINTAIN A CONTINUED PARTNERSHIP WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED, AND DIVERSE POPULATIONS. STRATEGY 2: STRENGTHEN ACCESS TO DENTAL PROVIDER-BASED SERVICES, SUPPORTIVE SERVICES, AND UTILIZATION OF DENTAL SERVICES BY COMMUNITY MEMBERS. PROMOTE INCREASED UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT. COORDINATE CARE OF URGENT DENTAL NEEDS IN THE EMERGENCY DEPARTMENT. STRATEGY 3: PROVIDE PATIENT ACCESS TO HEALTH CARE RESOURCES IN THEIR LANGUAGE BY EXPANDING OUR INTERPRETATION SERVICES TO PATIENTS; EXPAND TRANSLATION OF MEDICAL DOCUMENTS TO PATIENTS. STRATEGY 4: INCREASE ACCESS TO EVIDENCE BASED SMOKING CESSATION AND PREVENTION PROGRAMS THROUGH CONTINUED TOBACCO CESSATION AND SMOKING PREVENTION PROGRAMS. STRATEGY 5: INCREASE NUMBER OF PATIENTS RECEIVING CARE COORDINATION SERVICES BY EXPLORING PAYOR OPTIONS FOR PAYMENT PROGRAMS AND EXPLORING CHRONIC CARE MANAGEMENT BILLING. 2) PRIORITY 2: BEHAVIORAL HEALTH SERVICES FOCUSING ON MENTAL HEALTH AND SUBSTANCE ABUSE. THE GOAL IS TO IMPROVE BEHAVIORAL HEALTH ILLNESSES BY PROVIDING ACCESS TO QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAMS, PROVIDING EDUCATION THAT ADDRESSES THE WHOLE PERSON, AND INCREASING OUR PREVENTION, EDUCATION, AND TREATMENT SERVICES. WE HAVE DEVELOPED 12 KEY STRATEGIES TO ADDRESS THIS PRIORITY.STRATEGY 1: CONDUCT MENTAL HEALTH SCREENINGS TO REDUCE THE OCCURRENCE OF SUICIDE. STRATEGY 2: PROVIDE MENTAL HEALTH TRAINING TO LAW ENFORCEMENT OFFICERS. STRATEGY 3: IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH AT UPMC PINNACLE HOSPITALS. STRATEGY 4: PROVIDE EARLY ENGAGEMENT AND SUPPORT FOR PSYCHOSIS. STRATEGY 5: IMPLEMENT TRAUMA INFORMED CARE (TIC) TO MEET THE NEEDS OF THE WHOLE PERSON. STRATEGY 6: IMPROVE ACCESS TO HEALTH CARE THROUGH A MEDICAL HOME. STRATEGY 7: PROVIDE DIRECT ACCESS FOR THOSE EXPERIENCING A MENTAL HEALTH CRISIS. STRATEGY 8: IMPROVE ACCESS TO MENTAL HEALTH CARE THROUGH TELE-PSYCHIATRY. STRATEGY 9: IMPROVE BEHAVIORAL HEALTH OF CHILDREN AND ADOLESCENTS. STRATEGY 10: IMPROVE ACCESS TO MEDICATED ASSISTED TREATMENT (MAT). STRATEGY 11: PROVIDE STEPS TO RECOVERY FOR PREGNANT WOMEN FACING ADDICTION. STRATEGY 12: COLLABORATE WITH CENTER FOR ADDICTION RECOVERY ACTIONS TO IMPROVE THE WARM HANDOFF PROCESSES IN THE EMERGENCY DEPARTMENT AND PROVIDE ONGOING X WAIVER TRAINING SESSIONS. PRIORITY 3: HEALTHY LIFESTYLES IN AREAS OF PHYSICAL ACTIVITY, OBESITY, AND TOBACCO USE. THE GOAL IS TO INCREASE KNOWLEDGE OF ACCESS AND OPPORTUNITY TO UPMC PINNACLE RESOURCES IN RURAL COMMUNITIES AND UNDERSERVED POPULATIONS. FOUR KEY STRATEGIES HAVE BEEN DEVELOPED TO ADDRESS THIS PRIORITY.STRATEGY 1: ADDRESS INCOME, EDUCATION AND EMPLOYMENT DETERMINANTS OF HEALTH THAT NEGATIVELY IMPACT A HEALTHY AND DIVERSE WORKFORCE AND PREVENTIVE CARE.STRATEGY 2: ADDRESS TRANSPORTATION BARRIERS TO REDUCE MISSED APPOINTMENTS DUE TO UNRELIABLE OR NO TRANSPORTATION WHICH NEGATIVELY IMPACTS PREVENTIVE CARE AND INCREASES ED VISITS.STRATEGY 3: ASSIST HOMELESS RECIPIENTS WITHIN THE UPMC PINNACLE FOOTPRINT WITH MOVING FROM THE STREETS INTO STRUCTURED, LONG-TERM CARE THROUGH COLLABORATION WITH COMMUNITY PARTNERS.STRATEGY 4: IMPROVE LANGUAGE ACCESS GIVEN THROUGH THE DEVELOPMENT AND PROMOTION OF CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES.
UPMC PINNACLE WEST SHOREPART V, SECTION B, LINE 11: AFTER REVIEWING THE DATA GENERATED FROM THE CHNA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, UPMC PINNACLE DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN WITH EVIDENCE-BASED STRATEGIES.UPMC PINNACLE PRESENTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012, 2015 AND IN ACCORDANCE WITH IRS REGULATION TO CONDUCT THE CHNA EVERY THREE YEARS, HAS COMPLETED AND APPROVED THE 2018 CHNA. AS A RESULT OF EXTENSIVE PRIMARY AND SECONDARY RESEARCH, INCLUDING WITH COMMUNITY MEMBERS AND COMMUNITY LEADERS, PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES. THE RESEARCH ILLUSTRATED THAT THERE IS A NEED FOR ADDITIONAL INFORMATION AND SERVICES THAT PROMOTE AND PROVIDE ACCESS TO HEALTH SERVICES (1), BEHAVIORAL HEALTH SERVICES (2), AND HEALTHY LIFESTYLES (3). 1) PRIORITY 1: ACCESS TO HEALTH SERVICES IN THE AREAS OF PRIMARY CARE, SPECIALTY CARE, AND DENTAL CARE. THE GOAL OF UPMC PINNACLE HOSPITAL IS TO EXPAND THE HEALTH CARE REACH TO RURAL AND HOMEBOUND POPULATIONS WITH THE ANTICIPATED IMPACT THAT RURAL AND HOMEBOUND POPULATIONS WILL HAVE INCREASED ACCESS TO HEALTH CARE SERVICES. THIS WILL BE ACCOMPLISHED USING A PLAN OF 5 KEY STRATEGIESSTRATEGY 1: STRENGTHEN ACCESS TO SPECIALTY PROVIDER-BASED SERVICES AND SUPPORTIVE SERVICES, AND INCREASE UTILIZATION OF HEALTH CARE SERVICES BY COMMUNITY MEMBERS. WE WILL PROVIDE INSURANCE ENROLLMENT SPECIALIST AND FINANCIAL AID COUNSELORS TO ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS. WE WILL OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME BY USING TECHNOLOGY AND CONNECTING WITH OUR COMMUNITY PARTNERS AND COMMUNITY HEALTH CENTERS. WE WILL COLLABORATE WITH COMMUNITY HEALTH CENTER STAFF TO REVIEW CASES OF HIGH UTILIZATION AND ACUITY. WE WILL MAINTAIN A CONTINUED PARTNERSHIP WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED, AND DIVERSE POPULATIONS. STRATEGY 2: STRENGTHEN ACCESS TO DENTAL PROVIDER-BASED SERVICES, SUPPORTIVE SERVICES, AND UTILIZATION OF DENTAL SERVICES BY COMMUNITY MEMBERS. PROMOTE INCREASED UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT. COORDINATE CARE OF URGENT DENTAL NEEDS IN THE EMERGENCY DEPARTMENT. STRATEGY 3: PROVIDE PATIENT ACCESS TO HEALTH CARE RESOURCES IN THEIR LANGUAGE BY EXPANDING OUR INTERPRETATION SERVICES TO PATIENTS; EXPAND TRANSLATION OF MEDICAL DOCUMENTS TO PATIENTS. STRATEGY 4: INCREASE ACCESS TO EVIDENCE BASED SMOKING CESSATION AND PREVENTION PROGRAMS THROUGH CONTINUED TOBACCO CESSATION AND SMOKING PREVENTION PROGRAMS. STRATEGY 5: INCREASE NUMBER OF PATIENTS RECEIVING CARE COORDINATION SERVICES BY EXPLORING PAYOR OPTIONS FOR PAYMENT PROGRAMS AND EXPLORING CHRONIC CARE MANAGEMENT BILLING. 2) PRIORITY 2: BEHAVIORAL HEALTH SERVICES FOCUSING ON MENTAL HEALTH AND SUBSTANCE ABUSE. THE GOAL IS TO IMPROVE BEHAVIORAL HEALTH ILLNESSES BY PROVIDING ACCESS TO QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAMS, PROVIDING EDUCATION THAT ADDRESSES THE WHOLE PERSON, AND INCREASING OUR PREVENTION, EDUCATION, AND TREATMENT SERVICES. WE HAVE DEVELOPED 12 KEY STRATEGIES TO ADDRESS THIS PRIORITY.STRATEGY 1: CONDUCT MENTAL HEALTH SCREENINGS TO REDUCE THE OCCURRENCE OF SUICIDE. STRATEGY 2: PROVIDE MENTAL HEALTH TRAINING TO LAW ENFORCEMENT OFFICERS. STRATEGY 3: IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH AT UPMC PINNACLE HOSPITALS. STRATEGY 4: PROVIDE EARLY ENGAGEMENT AND SUPPORT FOR PSYCHOSIS. STRATEGY 5: IMPLEMENT TRAUMA INFORMED CARE (TIC) TO MEET THE NEEDS OF THE WHOLE PERSON. STRATEGY 6: IMPROVE ACCESS TO HEALTH CARE THROUGH A MEDICAL HOME. STRATEGY 7: PROVIDE DIRECT ACCESS FOR THOSE EXPERIENCING A MENTAL HEALTH CRISIS. STRATEGY 8: IMPROVE ACCESS TO MENTAL HEALTH CARE THROUGH TELE-PSYCHIATRY. STRATEGY 9: IMPROVE BEHAVIORAL HEALTH OF CHILDREN AND ADOLESCENTS. STRATEGY 10: IMPROVE ACCESS TO MEDICATED ASSISTED TREATMENT (MAT). STRATEGY 11: PROVIDE STEPS TO RECOVERY FOR PREGNANT WOMEN FACING ADDICTION. STRATEGY 12: COLLABORATE WITH CENTER FOR ADDICTION RECOVERY ACTIONS TO IMPROVE THE WARM HANDOFF PROCESSES IN THE EMERGENCY DEPARTMENT AND PROVIDE ONGOING X WAIVER TRAINING SESSIONS. 3) PRIORITY 3: HEALTHY LIFESTYLES IN AREAS OF PHYSICAL ACTIVITY, OBESITY, AND TOBACCO USE. THE GOAL IS TO INCREASE KNOWLEDGE OF ACCESS AND OPPORTUNITY TO UPMC PINNACLE RESOURCES IN RURAL COMMUNITIES AND UNDERSERVED POPULATIONS. FOUR KEY STRATEGIES HAVE BEEN DEVELOPED TO ADDRESS THIS PRIORITY. STRATEGY 1: ADDRESS INCOME, EDUCATION AND EMPLOYMENT DETERMINANTS OF HEALTH THAT NEGATIVELY IMPACT A HEALTHY AND DIVERSE WORKFORCE AND PREVENTIVE CARE.STRATEGY 2: ADDRESS TRANSPORTATION BARRIERS TO REDUCE MISSED APPOINTMENTS DUE TO UNRELIABLE OR NO TRANSPORTATION WHICH NEGATIVELY IMPACTS PREVENTIVE CARE AND INCREASES ED VISITS.STRATEGY 3: ASSIST HOMELESS RECIPIENTS WITHIN THE UPMC PINNACLE FOOTPRINT WITH MOVING FROM THE STREETS INTO STRUCTURED, LONG-TERM CARE THROUGH COLLABORATION WITH COMMUNITY PARTNERS.STRATEGY 4: IMPROVE LANGUAGE ACCESS GIVEN THROUGH THE DEVELOPMENT AND PROMOTION OF CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES.
UPMC PINNACLE HARRISBURGPART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR.
UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHICPART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR.
UPMC PINNACLE WEST SHOREPART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR.
UPMC PINNACLE HARRISBURGPART V, SECTION B, LINE 20E: ANY INDIVIDUAL WHO CALLS HOSPITAL CUSTOMER SERVICE AND MENTIONS THEY CANNOT AFFORD TO PAY THE AMOUNT BILLED IS ORALLY NOTIFIED OF THE FAP AND THE FAP PROCESS.
UPMC PINNACLE COMMUNITY GENERAL OSTEOPATHICPART V, SECTION B, LINE 20E: ANY INDIVIDUAL WHO CALLS HOSPITAL CUSTOMER SERVICE AND MENTIONS THEY CANNOT AFFORD TO PAY THE AMOUNT BILLED IS ORALLY NOTIFIED OF THE FAP AND THE FAP PROCESS.
UPMC PINNACLE WEST SHOREPART V, SECTION B, LINE 20E: ANY INDIVIDUAL WHO CALLS HOSPITAL CUSTOMER SERVICE AND MENTIONS THEY CANNOT AFFORD TO PAY THE AMOUNT BILLED IS ORALLY NOTIFIED OF THE FAP AND THE FAP PROCESS.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PINNACLE HEALTH EMERGENCY DEPARTMENT
111 SOUTH FRONT STREETHARRISBURGPA17101EMERGENCY MEDICAL SERVICES
2 - SUSQUEHANNA VALLEY SURGERY CENTER LLC
4310 LONDONDERRY ROAD SUITE 1HARRISBURGPA17109SURGICAL CARE - MEDICAL SERVICES
3 - WEST SHORE SURGERY CENTER LTD
2015 TECHNOLOGY PARKWAYMECHANICSBURGPA17050SURGICAL CARE - MEDICAL SERVICES

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID COSTS ARE CALCULATED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM FOR EACH OF THE INDIVIDUAL SERVICES PROVIDED TO THE PATIENT. IT UTILIZES HOSPITAL EXPENSES FROM THE GENERAL LEDGER AND REVENUE DETAILS FROM THE PATIENT ACCOUNTING SYSTEM. EACH DEPARTMENT WITHIN THE HOSPITAL IS CLASSIFIED AS EITHER INDIRECT (OVERHEAD) OR DIRECT (PATIENT CARE AREAS). EXPENSES ARE CLASSIFIED AS FIXED OR VARIABLE AS THEY RELATE TO PATIENT VOLUME. LOGICAL STATISTICS ARE USED TO ALLOCATE OVERHEAD EXPENSES TO THE PATIENT CARE DEPARTMENTS. USING EITHER A RATIO OF COST-TO-CHARGE OR RVUS (RELATIVE VALUE UNITS), THE DIRECT AND INDIRECT COSTS FOR EACH DEPARTMENT ARE ALLOCATED TO THE SERVICES THEY PROVIDE.
PART I, LINE 7G:LOSSES FROM PRIMARY CARE AND CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES.
PART I, LN 7 COL(F):BAD DEBT EXPENSE OF $38,772,634 IS INCLUDED IN NET PATIENT REVENUE ON FORM 990, PART VIII LINE 2A, AND THEREFORE IS NOT INCLUDED FOR THE PURPOSES OF CALCULATING THE APPLICABLE EXPENSE PERCENTAGES OF SCHEDULE H.
PART II, COMMUNITY BUILDING ACTIVITIES:WITH A FOCUS ON PROVIDING LEADERSHIP AND IMPROVING THE OVERALL HEALTH OF OUR COMMUNITY, UPMC PINNACLE HOSPITALS VALUES RELATIONSHIPS WITH COMMUNITY PARTNERS AND THE ASSETS THEY BRING TO ANY COLLABORATIVE EFFORTS. UPMC PINNACLE HELPED CREATE THE DAUPHIN COUNTY HEALTH IMPROVEMENT PARTNERSHIP (DCHIP) COMPRISED OF REGIONAL HEALTH AND HUMAN SERVICE PROVIDERS, PAYORS, COUNTY GOVERNMENT, AND BUSINESSES AND EDUCATION PROFESSIONALS. UPMC PINNACLE HAS WORKED COLLABORATIVELY WITH PHYSICIANS AND HEALTH AND HUMAN SERVICE ORGANIZATIONS FOR MANY YEARS TO MAXIMIZE COMMUNITY CAPACITY, PROVIDE NECESSARY SERVICES TO THE COMMUNITY AND REDUCE DUPLICATION OF SERVICES. UPMC PINNACLE SERVES IN A CONVENING ROLE TO STRENGTHEN COMMUNITY ASSETS THROUGH REFERRAL NETWORKS AND PARTNERSHIPS. SUCH INITIATIVES INCLUDE A PHARMACY VOUCHER PROGRAM WITH THE HARRISBURG PHARMACY AND WITH THE LOCAL SCHOOL SYSTEM TO PROMOTE HEALTHY CHOICES. STAFF AND VOLUNTEERS SUPPORT THE SCHOOL NURSES BY ASSISTING WITH MANDATED HEALTH SCREENINGS INCLUDING HEIGHT, WEIGHT, VISION, HEARING, AND DENTAL SCREENINGS. DURING FALL 2018, UPMC PINNACLE HOSPITAL STAFF AND VOLUNTEERS ASSISTED WITH SCREENING 6,036 STUDENTS IN THE HARRISBURG AND PERRY COUNTY SCHOOL DISTRICTS. PERRY COUNTY IS A RURAL COUNTY IN OUR SERVICE AREA WITH A POPULATION OF 45,969; 97% WHITE; HISPANIC/LATINO 1%; TWO OR MORE RACES 1%; BLACK OR AFRICAN AMERICAN BELOW 1%; SOME OTHER RACE BELOW 1%; ASIAN BELOW 1%; THE POVERTY LEVEL IS AT 8.7%. UPMC PINNACLE ALSO ENGAGED THE HELP OF MESSIAH COLLEGE NURSING STUDENTS TO BUILD CAPACITY AND ENHANCE THE EDUCATIONAL EXPERIENCES FOR NURSING STUDENTS. THE SCHOOL DISTRICTS SHARE THE SCREENING DATA WITH UPMC PINNACLE TO AID IN FOCUSING OUR EFFORTS AND RESOURCES IN THE AREAS WITH THE HIGHEST NEEDS FOR ACCESS, EDUCATION, AND SUPPORT. BASED ON IDENTIFIED COMMUNITY NEEDS AND VULNERABLE POPULATIONS, CONTINUOUS AND FREE PUBLIC PROGRAMS TARGETED VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY AND INTO AREAS OF LIMITED ACCESS TO SPECIALTY SERVICES. THESE PROGRAMS ARE INTENDED TO INFORM AND CHANGE THE HEALTH HABITS OF PARTICIPANTS THROUGH SUCH TOPIC AREAS AS DIABETES, HEART DISEASE, SEXUALLY TRANSMITTED DISEASE PREVENTION, CANCER, ACCESSING HEALTHCARE, BEHAVIORAL HEALTH, SMOKING CESSATION, AND NUTRITION. EXAMPLES OF UPMC PINNACLE'S LEADERSHIP IN BUILDING COMMUNITY CAPACITY ARE:FAITH COMMUNITY HEALTH CONNECTION (FCHC):WITH LEADERSHIP OF OUR SPIRITUAL CARE SYSTEM MANAGER, UPMC PINNACLE HAS ENHANCED THE FAITH COMMUNITY HEALTH CONNECTION (FCHC) BY OFFERING A NUMBER OF EDUCATIONAL SESSIONS ON TOPICS SUCH AS ADVANCED DIRECTIVES AND PALLIATIVE CARE. OUR SPIRITUAL CARE DEPARTMENT ENGAGES OUR FAITH COMMUNITY WITH INVITATIONS TO ANY AND ALL EDUCATIONAL OPPORTUNITIES AND ALSO PARTNERS WITH THE FAITH LEADERS TO REACH OUT TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITY. IN 2018, 300 INDIVIDUALS PARTICIPATED IN OUR FCHC EDUCATIONAL SESSIONS. IN MANY OF THE ETHNIC COMMUNITIES AROUND UPMC PINNACLE HARRISBURG, THE FAITH LEADER IS THE MOST TRUSTED INDIVIDUAL AND MANY ARE PARTNERS OF UPMC PINNACLE BECAUSE OF THE RELATIONSHIPS WITH THE LEADERS OF OUR SPIRITUAL CARE DEPARTMENT AND THE FCHC INITIATIVE. WHEN MEMBERS OF THE FAITH COMMUNITY ARE ADMITTED TO A UPMC PINNACLE HOSPITAL, THE FAITH LEADER AND OUR FCHC LEADERS WORK TO ENSURE THAT THE PATIENT HAS ALL AVAILABLE SUPPORT AND SERVICES ALIGNED TO ASSIST IN A HEALTHY RECOVERY. LEADERS AT LOCAL CONGREGATIONS WORK COLLABORATIVELY WITH PINNACLE STAFF TO:-PROVIDE ACCESS TO QUALITY HEALTH CARE AND HELP GUIDE INDIVIDUALS THROUGH THE HEALTHCARE SYSTEM.-PROVIDE ADVOCACY TO EMPOWER CONGREGANTS IN HEALTHCARE DECISION MAKING.-CONNECT FAITH COMMUNITIES TO A NETWORK OF SUPPORT FOLLOWING ILLNESS, INJURY, AND HOSPITALIZATION.-CONNECT PEOPLE WITH EDUCATION AND SERVICES THAT WILL ENABLE THEM TO MAINTAIN OPTIMAL LEVELS OF HEALTH AND WELLBEING.-ASSIST UPMC PINNACLE STAFF IN PROVIDING CULTURALLY SENSITIVE SERVICES TO DIVERSE POPULATIONS.INDIGENT CARE FUND:EACH YEAR UPMC PINNACLE MAKES AVAILABLE $20,000 TO SIX LOCAL CLINICS THAT SERVE THE UNINSURED AND UNDERSERVED. IN FISCAL YEAR 2019 ANOTHER CLINIC WAS ADDED TO OUR INDIGENT CARE FUND WHICH WE MADE $5,000 AVAILABLE TO SERVE UNINSURED AND UNDERSERVED. IN FISCAL 2019, CLINICS UTILIZED APPROXIMATELY $146,345 TO PROVIDE DIAGNOSTIC TESTING AT NO COST TO THEIR PATIENTS. TO DATE, THE CONTINUUM PROJECT HAS DISBURSED OVER $642,546 IN FREE CARE FUNDS TO COVER THE COST OF DIAGNOSTIC SERVICES TO PATIENTS AT THE BEACON CLINIC, BETHESDA MISSION, COMMUNITY CHECK UP CENTER, HAMILTON HEALTH CENTER AND HOPE WITHIN CLINIC, AIM FREE CLINIC, AND MISSION OF MERCY. BASED ON UPMC PINNACLE GOALS AND THE ANALYSIS OF RELATED DATA TO DATE, THE FOLLOWING GOALS AND RELATED OUTCOMES HAVE BEEN NOTED:-DECREASE READMISSIONS WITHIN 30 DAYS FOR COMMUNITY HEALTH CENTER PATIENTS FROM 16% TO 14% IN EIGHTEEN MONTHS.THE TRANSFORMATION FROM A TRADITIONAL INPATIENT BASED HEALTH CARE MODEL TO A COLLABORATIVE, PATIENT-CENTERED MEDICAL HOME MODEL REQUIRES A PARTNERSHIP BETWEEN INDIVIDUAL PATIENTS, PHYSICIANS, CLINICS, AND THE COMMUNITY-BASED PATIENT SUPPORT SYSTEM. PATIENT CARE IS FACILITATED BY THE COMMUNITY HEALTH NAVIGATION TEAM USING RELATIONSHIPS WITH COMMUNITY BASED ORGANIZATIONS AND A HEALTH INFORMATION EXCHANGE TO ENSURE PATIENTS GET THE INDICATED CARE WHEN AND WHERE THEY NEED AND WANT IT IN A CULTURALLY AND LINGUISTICALLY APPROPRIATE MANNER.CHILDREN'S RESOURCE CENTER (CRC): AS A TRUSTED PLACE FOR OUR COMMUNITY TO GO FOR ACCESS TO PUBLIC HEALTH SERVICES AND INFORMATION, UPMC PINNACLE AND ITS STAFF OF PROFESSIONALS MEET THE NEEDS OF A DIVERSE POPULATION WITH CULTURAL AWARENESS AND SENSITIVITY. THE CRC PARTNERS WITH LAW ENFORCEMENT, DISTRICT ATTORNEY OFFICES, SOCIAL SERVICES, PSYCHOLOGICAL SUPPORT SERVICES, CRISIS INTERVENTION, AND CHILD PROTECTION SERVICES TO PROVIDE EFFICIENT, QUALITY CARE IN A SAFE, CHILD-FRIENDLY ENVIRONMENT FOR CHILDREN SUSPECTED OF HAVING BEEN ABUSED OR NEGLECTED. THROUGH ONGOING TRAINING AND EDUCATION IN THE COMMUNITY, THE CRC HAS SEEN AN INCREASE IN PARTICIPATION WITH PARTNERS AGENCIES IN AN EVER-WIDENING GEOGRAPHIC SERVICE AREA. THE CRC SERVED 1,112 CHILDREN IN 2018 AND APPROXIMATELY 1,118 CAREGIVERS. WE SAW CHILDREN FROM OVER 20 COUNTIES IN PENNSYLVANIA BUT ROUTINELY SERVED CHILDREN FROM DAUPHIN, CUMBERLAND, PERRY, LEBANON, SCHUYLKILL, JUNIATA, MIFFLIN, BLAIR, AND BEDFORD COUNTIES.LEAD AND HEALTHY HOMES PROGRAM (LHHP):THE UPMC PINNACLE LEAD POISONING PREVENTION PROGRAM (LPPEP) IS A NONPROFIT, SELF-SUPPORTING, NON-GRANT FUNDED PROGRAM THAT PASSIONATELY CARES ABOUT THE CHILDREN IN SOUTH CENTRAL PA. WITH OVER 24 YEARS OF CHILDHOOD LEAD POISONING PREVENTION EXPERIENCE, OUR TEAM OF HEALTH PROFESSIONALS INCLUDING REGISTERED NURSES AND PUBLIC HEALTH PERSONNEL WITH LICENSES IN NOT ONLY LEAD RISK ASSESSMENTS WITH AN EXPERTISE IN CHILDHOOD LEAD POISONING PREVENTION AND RECOGNITION, BUT ALSO ARE HEALTHY HOMES SPECIALISTS BY THE NATIONAL ENVIRONMENTAL HEALTH ASSOCIATION (NEHA), AND ASBESTOS BUILDING INSPECTORS. WHEN A CHILD IS DIAGNOSED WITH AN ELEVATED LEAD LEVEL (EBL) BY THEIR PHYSICIAN, PHYSICIAN ASSISTANT, OR NURSE PRACTITIONER; THE LPPEP WILL CONTACT THE PARENT TO DISCUSS THE LEAD ELEVATION AND MAKE AN APPOINTMENT FOR AN ENVIRONMENTAL LEAD INVESTIGATION AT THEIR HOME. IN ADDITION, THE REGISTERED NURSE WILL: REVIEW POSSIBLE CAUSES OF ELEVATED LEAD ASK ABOUT CHIPPING AND PEELING PAINT IN THE HOME DETERMINE THE AGE OF THE HOME (THROUGH PUBLIC RECORDS) INQUIRE ABOUT ANY HOME RENOVATIONS CURRENTLY OR PREVIOUSLY CONDUCTED IN OR AROUND THE HOME REQUEST INFORMATION ABOUT OTHER HOMES, DAY CARES, SCHOOLS, OR PLACES WHERE THE CHILD SPENDS TIME, AND THESE WILL BE INVESTIGATED AS WELL. ASK ABOUT ANY OTHER CHILDREN OR PREGNANT MOMS IN THE FAMILY, AND IF THEY WERE TESTED FOR EBL REVIEW DIET, AND RECOMMEND NUTRITION INFORMATION FOR CHILDREN WITH EBL DISCUSS THE IMPORTANCE OF VITAMINS STRESS THE IMPORTANCE OF FOLLOW UP LEAD TESTING FOR THE CHILD REFER TO EARLY INTERVENTION AND THE INTERMEDIATE UNIT REFER TO OTHER SOCIAL SERVICE AGENCIES, I.E. HEAD START, WIC PREPARE WRITTEN LITERATURE AND OTHER EDUCATIONAL PAMPHLETS ABOUT LEAD POISONING TO BE GIVEN AT THE HOME VISIT. IF REQUESTED, THESE CAN ALSO BE MAILED TO THE PARENT. THE UPMC LPPEP LICENSED RISK ASSESSOR WILL TEST EACH ROOM OF THE HOUSE; PAINTED, TILED, OR VARNISHED SURFACES, BATHTUBS IF APPLICABLE, AND ALSO THE OUTSIDE OF THE HOME, INCLUDING PORCHES AND OUT-BUILDINGS. SOIL AND WATER SAMPLES WILL BE TAKEN IF DEEMED NECESSARY. SOIL OF A GARDEN OR POTENTIAL GARDEN IS ALWAYS SAMPLED. PLUMBING WILL BE EXAMINED FOR LEAD PIPES AND SOLDERING. ALSO, THE LPPEP STAFF IS EXPERIENCED IN RECOGNIZING MANY OTHER FORMS OF LEAD POISONING IN CHILDREN WHICH ARE ON THE RISE. THESE INCLUDE:(CONT'D AT END)
PART III, LINE 3:THE PERCENTAGE OF GROSS CHARGES REPRESENTED BY THOSE PATIENTS QUALIFYING FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AS COMPARED TO TOTAL GROSS CHARGES WAS CALCULATED. THIS PERCENTAGE WAS APPLIED TO THE ESTIMATED NET BAD DEBTS AMOUNT TO ESTIMATE THE AMOUNT OF BAD DEBTS ASSOCIATED WITH PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THIS AMOUNT IS BEING REFLECTED AS A COMMUNITY BENEFIT SINCE THIS AMOUNT IS NOT BEING PURSUED UNDER THE HOSPITAL'S BAD DEBT POLICY BUT TO THE QUALIFICATION FOR FINANCIAL ASSISTANCE BY THE PATIENT.
PART II: COMMUNITY BUILDING ACTIVITIESCULTURAL- APPLICATION OF KOHL, SINDOOR IN MIDDLE EASTERN AND ASIAN IMMIGRANTS AND OTHER CULTURAL MAKE-UP. SPICES IMPORTED FROM OTHER COUNTRIES. (TURMERIC, HOT PEPPER CHILI POWDER, AND PAPRIKA) - THESE ARE SOMETIMES IN UNMARKED PACKAGES, AND WE SEND THEM TO A CODETIFIED LAB FOR LEAD TESTING. TOYS AND CANDY MADE OUTSIDE THE UNITED STATES CANDY WRAPPERS MADE OUTSIDE OF THE UNITED STATES CHILDREN AND ADULT JEWELRY CONTAINING LEAD AND KEYS DISHES AND OTHER CONTAINERS WHICH CONTAIN LEAD IN THE GLAZE RICE COOKERS, COOKING POTTERY SOIL CONTAMINATED WITH LEAD FROM EXTERIOR PAINT FROM THE HOME, OUT-HOUSES, GARAGES, AND ALSO WHERE THE AREA AROUND THE HOME WAS USED FOR AUTO REPAIR PRIOR TO 1978 WHEN LEAD GASOLINE WAS BANNED. (ALL OF THE ABOVE WERE ACTUALLY FOUND TO BE CAUSES OF SOME OF OUR INVESTIGATIONS FOR SOURCES OF LEAD TOXICITY IN CHILDREN)WE ALSO WILL INVESTIGATE ANY HOBBIES WHERE LEAD IS INVOLVED SUCH AS STAINED GLASS REPAIR, MAKING OR RELOADING BULLETS, AND TARGET SHOOTING AT THE RANGE. THE NURSE WILL ALSO INQUIRE ABOUT OCCUPATIONS WHICH INVOLVE LEAD SUCH AS: BRIDGE PAINTING BATTERY MANUFACTURING CONSTRUCTION WORKERS DEMOLITION WORKERS FIRE RANGE WORKERS PIPE FITTERSONCE THE INSPECTION IS COMPLETED AND THE DUST/WATER/SOIL SAMPLES HAVE BEEN ANALYZED, A COMPLETE DETAILED X-RAY FLUORESCENCE (XFR) ANALYZER REPORT AND LETTER WITH OUR FINDINGS AND EXPERT OPINION OF THE SOURCE OF LEAD ARE SENT TO THE: PRIMARY CARE PROVIDER PARENTS LANDLORD STATE HEALTH NURSE FOR THE COUNTY CODES DEPARTMENT AS YOU CAN SEE, UPMC PINNACLE LPPEP GOES ABOVE AND BEYOND WHEN CONDUCTING A THOROUGH ENVIRONMENTAL LEAD INSPECTION WITH A DEDICATED AND COMPASSIONATE STAFF. UPMC PINNACLE LPPEP STAFF ARE CERTIFIED IN NEHA'S HEALTH HOMES CREDENTIALING, AND HAVE MANY YEARS OF EXPERIENCE IN ASSURING FAMILY HOMES ARE SAFE. WE ARE EXPERTS ON LEAD AS WELL AS: RADON ASTHMA (INCLUDING ASTHMA TRIGGERS) ALLERGIES MOLD CARBON MONOXIDE HOME SAFETY INTEGRATED PEST MANAGEMENT (BEDBUGS, MICE, RATS, COCKROACHES)*IF THE LEAD RISK ASSESSOR DOES A HOME VISIT, AND RECOGNIZES ANY OF THE ABOVE, THEY ARE PROVIDED EXPERT EDUCATION AS WELL AS REFERRALS TO ASSIST THEM TO CORRECT THESE UNHEALTHY HOME ISSUES.IF THE FAMILY DECIDES TO MOVE OUT OF THEIR HOME DUE TO THE AMOUNT OF LEAD FOUND, OUR LPPEP WILL OFFER TO DO A HOME VISIT AT THE NEW HOME TO ASSURE THEY ARE LEAD SAFE THERE.WE ALSO PROVIDE HOME CLEANING INSTRUCTIONS AND SUPPLIES FOR PARENTS. WE HAVE A TRUE PORTABLE INDUSTRIAL HEPA-VAC WE LEND OUT THAT ACTUALLY WILL PICK UP LEAD DUST (UNLIKE COMMERCIAL HEPA-VACS). WE ASK THEM NOT TO REMOVE THE CATCH BAG, AND ONCE WE PICK UP THE HEPA-VAC, WE ASSURE IT IS DISPOSED OF PROPERLY. FOR MANY YEARS WE HAVE BEEN CONDUCTING LEAD RISK ASSESSMENTS. WE HAVE DONE MANY THOUSAND LEAD INVESTIGATIONS IN SOUTH CENTRAL, NORTH CENTRAL, AND NORTHEAST PA. IN FISCAL YEAR 2019, WE RECEIVED 190 REFERRALS AND CONDUCTED 162 ENVIRONMENTAL LEAD INSPECTIONS. SINCE JULY OF 2016, WE HAVE RECEIVED 830 REFERRALS FOR CHILDREN WITH ELEATED BLOOD LEAD LEVELS. WE COVER 15 COUNTIES, BUT 40% ARE IN LANCASTER, 30% ARE IN DAUPHIN, 15% IN LEBANON AND THE REMAINING 15% ARE SPREAD OVER 12 DIFFERENT COUNTIES. OF THAT 830, ENVIRONMENTAL HOME ASSESSMENTS WERE COMPLETED AT APPROXIMATELY 630 HOMES. ALL FAMILIES, INCLUDING THE REMAINDER, RECEIVED COMPREHENSIVE AND THOROUGH LEAD EDUCATION EITHER VIA A HOME VISIT OR TELEPHONE. LEAD POISONING PREVENTION LITERATURE WAS GIVEN TO ALL FAMILIES TOO. RESOURCE EDUCATION AND COMPREHENSIVE CARE FOR HIV (REACCH):THE UPMC PINNACLE REACCH PROGRAM SERVES AS A COMPREHENSIVE MEDICAL CARE PROGRAM FOR ALL PEOPLE LIVING WITH HIV/AIDS WITHIN THE SOUTH CENTRAL PENNSYLVANIA REGION. IN 2018, REACCH SERVED 665 RACIALLY DIVERSE PATIENTS OF WHICH 42% WERE AFRICAN AMERICAN, 43% CAUCASIAN/NON-HISPANIC, 12% HISPANIC, AND 3% MULTI-RACIAL OR OTHER. ALMOST ALL PATIENTS HAVE BEEN ABLE TO OBTAIN HEALTH INSURANCE THROUGH THE AFFORDABLE CARE ACT AND EXPANDED MEDICAID. 32% ARE COVERED BY MEDICAID, 28% ARE COVERED BY MEDICARE, 27% HAVE PRIVATE INSURANCE AND ONLY 5% ARE UNINSURED. 69% OF REACCH PATIENTS LIVE IN HARRISBURG CITY, 9% IN OTHER PARTS OF DAUPHIN COUNTY, 13% IN CUMBERLAND COUNTY, 3% IN PERRY COUNTY, AND THE REMAINDER RESIDE IN FRANKLIN, YORK, OR OTHER SURROUNDING COUNTIES. IN ADDITION TO HIV TREATMENT, PRIMARY MEDICAL CARE AND COMPREHENSIVE DENTAL CARE, STAFF SEEK TO REMOVE SOCIAL AND ECONOMIC BARRIERS TO CARE BY PROVIDING TREATMENT ADHERENCE COUNSELING, BEHAVIORAL HEALTH COUNSELING, CASE MANAGEMENT, SOCIAL WORK SERVICES, NUTRITION THERAPY, AND FINANCIAL COUNSELING. REACCH ALSO PROVIDES OUTREACH AND TESTING WITHIN THE COMMUNITY, SEEKING TO IDENTIFY HIV+ INDIVIDUALS WHO DO NOT KNOW THEIR STATUS THROUGH TESTING HIGH-RISK POPULATIONS, AND REACHING OUT TO INDIVIDUALS KNOWN TO BE POSITIVE BUT WHO ARE NOT ACTIVELY ENGAGED IN MEDICAL TREATMENT. IN 2018, 862 INDIVIDUALS WERE TESTED THROUGHOUT THE COMMUNITY. REACCH HAS EXCELLENT PROGRAM OUTCOMES. 90% OF REACCH PATIENTS CONSISTENTLY HAVE AN UNDETECTABLE AMOUNT OF HIV IN THEIR BLOOD, COMPARED WITH THE NATIONAL RATE OF ONLY 33%. 115 BABIES HAVE BEEN BORN TO HIV+ MOTHERS THROUGH THE REACCH PROGRAM, AND THERE HAS BEEN NO VERTICAL TRANSMISSION OF HIV; ALL OF THESE BABIES ARE HIV NEGATIVE. THROUGH OUR HOMELESS PREVENTION PROGRAM (RYAN WHITE HOUSING) AT REACCH, WE HAVE BEEN ABLE TO HELP 75 PATIENTS WITH HOUSING ASSISTANCE PREVENTING HOMELESSNESS.
PART III, LINE 4:THE FINANCIAL STATEMENTS DO NOT HAVE A SPECIFIC NOTE ON BAD DEBT EXPENSE; RATHER THE FINANCIAL STATEMENTS EVALUATE BAD DEBTS ON ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE FOOTNOTE RELATED TO THE ALLOWANCE IS SUMMARIZED AS FOLLOWS: "ACCOUNTS RECEIVABLE ARE RECORDED AT THEIR ESTIMATED NET REALIZABLE VALUE. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED UPON HISTORICAL COLLECTION RATES."THE BAD DEBT EXPENSE ON PART III, LINE 2 WAS CALCULATED BY TAKING THE AMOUNT WRITTEN OFF TO BAD DEBT FOR EACH ACCOUNT AND CONVERTING IT TO CHARGES BY APPROPRIATELY ADJUSTING THE AMOUNT BY THE PAYOR REIMBURSEMENT PERCENTAGE FOR THAT ACCOUNT. THEN, THE COST TO CHARGE RATIO FOR EACH SPECIFIC ACCOUNT, UTILIZING THE COSTS FROM THE HOSPITAL COST ACCOUNTING SYSTEM (DESCRIBED IN DETAIL ABOVE), WAS APPLIED TO THIS CALCULATED PORTION OF THE TOTAL CHARGES.FOR THE PORTION OF BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE HOSPITAL DETERMINED THE CITY OF HARRISBURG ZIP CODES THAT PRIMARILY INCLUDE PUBLIC HOUSING. THEN WE REVIEWED OUR BAD DEBT WRITE-OFFS FOR THE FISCAL YEAR TO DETERMINE THE ACCOUNTS WHERE THE PATIENT ADDRESS WAS INCLUDED IN THOSE ZIP CODES. AN OVERALL COST TO CHARGE RATIO WAS THEN APPLIED TO THIS AMOUNT TO ARRIVE AT AN EXPENSE FIGURE. THIS AMOUNT CONTINUES TO DECREASE EACH YEAR AS WE HAVE FURTHER DEVELOPED OUR PRESUMPTIVE CHARITY CARE AND FINANCIAL AID APPROACH.
PART III, LINE 8:THE MEDICARE COSTS WERE DETERMINED BASED ON THE HOSPITALS' COST TO CHARGE RATIO FOR THE SERVICES RENDERED.
PART III, LINE 9B:PATIENTS ARE NOTIFIED OF OUR CHARITY CARE POLICY IN A VARIETY OF WAYS. THERE ARE POSTERS INFORMING PATIENTS OF OUR CHARITY CARE POLICY AND A PLAIN LANGUAGE VERSION OF THE POLICY HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES. ALL OF OUR PATIENT ACCOUNT STATEMENTS CONTAIN LANGUAGE THAT INDICATES THERE IS FINANCIAL AID AVAILABLE FOR QUALIFYING INDIVIDUALS. IN ADDITION, THE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE IN BOTH ENGLISH AND SPANISH. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE AND PROVIDE ALL THE NECESSARY DOCUMENTATION REQUIREMENTS ARE NOTIFIED WITHIN THIRTY DAYS OF THE HOSPITAL'S DECISION. WHEN THE APPROVAL IS DETERMINED, THE APPROPRIATE DISCOUNT IS POSTED TO THE PATIENT ACCOUNT IMMEDIATELY. THE FINANCIAL ASSISTANCE DISCOUNT WILL BE APPLIED TO SERVICE FOR THE PREVIOUS TWELVE MONTHS AND SUBSEQUENT SIX MONTHS. THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE. NO ADDITIONAL COLLECTION EFFORTS ARE MADE. APPLICANTS APPROVED FOR ONLY PARTIAL DISCOUNT WILL BE REQUIRED TO MAKE REASONABLE PAYMENT ARRANGEMENTS ON THEIR BALANCE IN ACCORDANCE WITH THE HOSPITAL'S CREDIT AND COLLECTION POLICY. THIS POLICY DOES PERMIT THE USE OF BOTH INTERNAL COLLECTION STAFF AND EXTERNAL COLLECTION AGENCIES WHO WILL ENGAGE IN STANDARD ACCEPTABLE BUSINESS PRACTICES WHICH INCLUDE PHONE CALLS, MAILING AND THE REPORTING OF UNPAID DEBT TO THE CREDIT REPORTING AGENCIES; BUT UNDER NO CIRCUMSTANCES WILL THE HOSPITALS OR ITS CONTRACTED COLLECTION AGENCY ADOPT "EXTRAORDINARY COLLECTION ACTIONS" THAT ENTAIL ANY LEGAL COURSE OF ACTION OR JUDICIAL PROCESSES SUCH AS LAWSUITS OR LIENS.
PART VI, LINE 2:LED BY THE MISSION EFFECTIVENESS DEPARTMENT, THE CHNA PROCESS REPRESENTS A COMPREHENSIVE COMMUNITY-WIDE PROCESS THAT CONNECTS MORE THAN 500,000 COMMUNITY RESIDENTS AND A WIDE RANGE OF PUBLIC AND PRIVATE ORGANIZATIONS. THESE INCLUDE EDUCATIONAL INSTITUTIONS, HEALTH-RELATED PROFESSIONALS, LOCAL GOVERNMENT OFFICIALS, HUMAN SERVICE ORGANIZATIONS AND FAITH-BASED ORGANIZATIONS TO EVALUATE THE COMMUNITY'S HEALTH AND SOCIAL NEEDS. THE ASSESSMENT UTILIZED SECONDARY DATA COLLECTION, INTERVIEWS WITH KEY COMMUNITY LEADERS, HAND DISTRIBUTED SURVEYS, PUBLIC FORUMS, AND PROVIDER SURVEYS TO IDENTIFY HEALTH PROGRAMS AND RISK FACTORS IN THE SERVICE AREA.FY2016 CHNA UPMC PINNACLE CONDUCTED THE NEXT CHNA IN FY 2016. AS PART OF THIS CHNA PROCESS, OUR TEAM GATHERED BOTH PRIMARY AND SECONDARY DATA. AS PART OF THE PRIMARY DATA COLLECTION, WE CONDUCTED 56 PHONE INTERVIEWS WITH LOCAL COMMUNITY LEADERS. WITH THE HELP OF COMMUNITY BASED GRASS ROOTS ORGANIZATIONS. A HAND-DISTRIBUTED SURVEY WAS DISSEMINATED TO OUR MOST VULNERABLE POPULATIONS. AVAILABLE IN BOTH ENGLISH AND SPANISH, WE RECEIVED 833 COMPLETED SURVEYS. NEW TO THE CHNA PROCESS, PINNACLE COLLECTED 654 PROVIDER SERVICES SURVEYS WHICH DOCUMENTED COMMUNITY NEEDS AS IDENTIFIED BY PHYSICIANS, NURSES, AND MID LEVEL PROVIDERS IN BOTH INPATIENT AND OUTPATIENT SETTINGS. ALSO THREE KIOSKS WERE MADE AVAILABLE THROUGHOUT THE SYSTEM FOR PUBLIC COMMENTARY. ADDITIONALLY, THIRTY FIVE COMMUNITY MEMBERS PROVIDED FEEDBACK ON THE PRIOR CHNA AND THE CURRENT HEALTH NEEDS OF THE COMMUNITY. FINALLY, TWO COMMUNITY FORUMS WERE HELD WELCOMING THE ENTIRE COMMUNITY TO REVIEW THE FINDINGS AND PROVIDE FEEDBACK AND/OR VOICE ADDITIONAL CONCERNS.SECONDARY DATA COLLECTIONSECONDARY DATA WAS COLLECTED FROM MULTIPLE SOURCES, INCLUDING: COUNTY HEALTH RANKINGS, HEALTHY PEOPLE 2020, OFFICE OF APPLIED STUDIES, PENNSYLVANIA DEPARTMENT OF HEALTH, BUREAU OF HEALTH STATISTICS AND RESEARCH, PENNSYLVANIA OFFICE OF RURAL HEALTH, CAPITAL AREA COALITION ON HOMELESSNESS, THE CENTERS FOR DISEASE PREVENTION AND CONTROL (CDC), ETC. THE DATA RESOURCES WERE RELATED TO DISEASE PREVALENCE, SOCIO-ECONOMIC FACTORS, AND BEHAVIORAL HABITS. THE DATA WAS BENCH MARKED AGAINST STATE AND NATIONAL TRENDS.UPMC PINNACLE, THEN PINNACLE HEALTH HOSPITALS, UTILIZED THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES COMMUNITY HEALTH STATUS INDICATORS, WHICH PROVIDED DATA THAT CAN BE COMPARED TO PEER COUNTIES ON A STATE AND NATIONAL LEVEL. IN ADDITION, HEALTHY PEOPLE 2020 IDENTIFIED NEARLY 600 OBJECTIVES WITH MORE THAN 1,300 MEASURES TO IMPROVE THE HEALTH OF ALL AMERICANS. TO MONITOR PROGRESS TOWARDS ACHIEVING INDIVIDUAL OBJECTIVES, HEALTHY PEOPLE RELIES ON DATA SOURCES DERIVED FROM A NATIONAL CENSUS OF EVENTS LIKE NATIONAL VITAL STATISTICS SYSTEM AND NATIONALLY REPRESENTATIVE SAMPLE SURVEYS LIKE THE NATIONAL HEALTH INTERVIEW SURVEY. UPMC PINNACLE HOSPITALS SEARCHES THE HEALTH INDICATORS WAREHOUSE FOR DATA RELATED TO HEALTHY PEOPLE 2020 OBJECTIVES DEVELOPED BY THE NATIONAL CENTER FOR HEALTH STATISTICS TO DEFINE PRIORITIES THAT ASSIST IN IMPROVING HEALTH IN THE COMMUNITY. DATA WAS ALSO OBTAINED THROUGH TRUVEN HEALTH ANALYTICS (FORMERLY KNOWN AS THOMSON REUTERS) TO QUANTIFY THE SEVERITY OF HEALTH DISPARITIES FOR EVERY ZIP CODE IN THE NEEDS ASSESSMENT AREA BASED ON SPECIFIC BARRIERS TO HEALTHCARE ACCESS. FIVE PROMINENT SOCIO-ECONOMIC BARRIERS TO COMMUNITY HEALTH WERE IDENTIFIED: INCOME BARRIERS, CULTURE/LANGUAGE BARRIERS, EDUCATIONAL BARRIERS, INSURANCE BARRIERS, AND HOUSING BARRIERS.UPMC PINNACLE PRESENTED THE RESULTS OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN NOVEMBER 2015 AND DEVELOPED AN IMPLEMENTATION PLAN WITH STRATEGIES TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. THE FINAL IMPLEMENTATION PLAN WAS VIEWED BY THE MISSION EFFECTIVENESS AND STRATEGIC ISSUES COMMITTEE OF THE BOARD IN SEPTEMBER 2016 AND APPROVED BY THE UPMC PINNACLE BOARD OF DIRECTORS IN NOVEMBER 2016. AS UPMC PINNACLE LOOKS TOWARDS THE FUTURE, WE ENSURE THAT OUR CORE VALUES OF QUALITY, ACCESS TO CARE AND COORDINATION OF CARE ARE AT THE CENTER OF ALL OF OUR ORGANIZATIONAL STRATEGIES. WE EMBRACE OUR COMMUNITY PARTNERS AND WORK COLLABORATIVELY WITH THEM TO STRENGTHEN THE SUPPORT SYSTEMS THAT WILL ALLOW US AND OUR PARTNERS TO MAINTAIN POSITIVE HEALTH OUTCOMES.IN ACCORDANCE WITH IRS GUIDELINES, UPMC PINNACLE BEGAN THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT IN FALL 2017. ORGANIZATIONS AND COMMUNITY LEADERS WITHIN THE FIVE-COUNTY REGION WERE ENGAGED TO IDENTIFY THE NEEDS OF THE COMMUNITY. FAITH-BASED ORGANIZATIONS, COMMUNITY ORGANIZATIONS, GOVERNMENT AGENCIES, EDUCATIONAL SYSTEMS, AND HEALTH AND HUMAN SERVICES ENTITIES WERE ENGAGED THROUGHOUT THE CHNA. THE COMPREHENSIVE PRIMARY DATA COLLECTION PHASE RESULTED IN CONTRIBUTIONS FROM OVER 900 COMMUNITY RESIDENTS, LEADERS, ORGANIZATIONS, AND COMMUNITY STAKEHOLDERS. THE PRIMARY DATA COLLECTED CONSISTED OF TWENTY-SEVEN COMMUNITY STAKEHOLDER INTERVIEWS; 831 PAPER HAND SURVEYS WERE COLLECTED FROM COMMUNITY RESIDENTS; FORTY TWO COMMUNITY LEADERS ATTENDED A COMMUNITY FORUM. AS A RESULT OF EXTENSIVE PRIMARY AND SECONDARY RESEARCH AND THE INPUT OF COMMUNITY MEMBERS AND COMMUNITY LEADERS, PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES; ACCESS TO CARE, BEHAVIORAL HEALTH AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. WITH THE COMPLETION OF THE CHNA, UPMC PINNACLE HOSPITALS, UPMC CARLISLE, AND PENNSYLVANIA PSYCHIATRIC INSTITUTE DEVELOPED AN IMPLEMENTATION PLAN TO LEVERAGE THE ORGANIZATION'S RESOURCES TO BEST ADDRESS COMMUNITY HEALTH NEEDS AND IMPROVE THE OVERALL HEALTH AND WELL-BEING OF RESIDENTS OF SOUTH CENTRAL PENNSYLVANIA IN 2018. IN MAY 2019 THE UPMC PINNACLE BOARD OF DIRECTORS APPROVED A FIVE-COUNTY REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY FOR CUMBERLAND, DAUPHIN, LEBANON, PERRY AND YORK COUNTIES. PRIORITY 1: ACCESS TO CARE- THE GOAL IS TO EXPAND THE HEALTH CARE REACH TO RURAL AND HOMEBOUND POPULATIONS. ANTICIPATED IMPACT IS THAT RURAL AND HOMEBOUND POPULATIONS HAVE INCREASED ACCESS TO HEALTH CARE SERVICES. STRATEGY 1: STRENGTHEN ACCESS TO SPECIALTY PROVIDER-BASED SERVICES AND SUPPORTIVE SERVICES, AND INCREASE UTILIZATION OF HEALTH CARE SERVICES BY COMMUNITY MEMBERS. WE WILL PROVIDE INSURANCE ENROLLMENT SPECIALIST AND FINANCIAL AID COUNSELORS TO ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS. WE WILL OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME BY USING TECHNOLOGY AND CONNECTING WITH OUR COMMUNITY PARTNERS AND COMMUNITY HEALTH CENTERS. WE WILL COLLABORATE WITH COMMUNITY HEALTH CENTER STAFF TO REVIEW CASES OF HIGH UTILIZATION AND ACUITY. WE WILL MAINTAIN A CONTINUED PARTNERSHIP WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED, AND DIVERSE POPULATIONS. STRATEGY 2: STRENGTHEN ACCESS TO DENTAL PROVIDER-BASED SERVICES, SUPPORTIVE SERVICES, AND UTILIZATION OF DENTAL SERVICES BY COMMUNITY MEMBERS. PROMOTE INCREASED UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT. COORDINATE CARE OF URGENT DENTAL NEEDS IN THE EMERGENCY DEPARTMENT. STRATEGY 3: PROVIDE PATIENT ACCESS TO HEALTH CARE RESOURCES IN THEIR LANGUAGE BY EXPANDING OUR INTERPRETATION SERVICES TO PATIENTS; EXPAND TRANSLATION OF MEDICAL DOCUMENTS TO PATIENTS. STRATEGY 4: INCREASE ACCESS TO EVIDENCE BASED SMOKING CESSATION AND PREVENTION PROGRAMS THROUGH CONTINUED TOBACCO CESSATION AND SMOKING PREVENTION PROGRAMS. STRATEGY 5: INCREASE NUMBER OF PATIENTS RECEIVING CARE COORDINATION SERVICES BY EXPLORING PAYOR OPTIONS FOR PAYMENT PROGRAMS AND EXPLORING CHRONIC CARE MANAGEMENT BILLING. PRIORITY 2: BEHAVIORAL HEALTH-THE GOAL IS TO IMPROVE BEHAVIORAL HEALTH ILLNESSES BY PROVIDING ACCESS TO QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE PROGRAMS, PROVIDING EDUCATION THAT ADDRESSES THE WHOLE PERSON, AND INCREASING OUR PREVENTION, EDUCATION, AND TREATMENT SERVICES. STRATEGY 1: CONDUCT MENTAL HEALTH SCREENINGS TO REDUCE THE OCCURRENCE OF SUICIDE. STRATEGY 2: PROVIDE MENTAL HEALTH TRAINING TO LAW ENFORCEMENT OFFICERS.STRATEGY 3: IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH AT UPMC PINNACLE HOSPITALS. STRATEGY 4: PROVIDE EARLY ENGAGEMENT AND SUPPORT FOR PSYCHOSIS.STRATEGY 5: IMPLEMENT TRAUMA INFORMED CARE (TIC) TO MEET THE NEEDS OF THE WHOLE PERSON. STRATEGY 6: IMPROVE ACCESS TO HEALTH CARE THROUGH A MEDICAL HOME. STRATEGY 7: PROVIDE DIRECT ACCESS FOR THOSE EXPERIENCING A MENTAL HEALTH CRISIS. STRATEGY 8: IMPROVE ACCESS TO MENTAL HEALTH CARE THROUGH TELE-PSYCHIATRY.STRATEGY 9: IMPROVE BEHAVIORAL HEALTH OF CHILDREN AND ADOLESCENTS.STRATEGY 10: IMPROVE ACCESS TO MEDICATED ASSISTED TREATMENT (MAT).STRATEGY 11: PROVIDE STEPS TO RECOVERY FOR PREGNANT WOMEN FACING ADDICTION. (CON'T)
PART VI, LINE 3:PATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE IN NUMEROUS WAYS. SIGNAGE IS POSTED AND LITERATURE IS HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES INDICATING TO THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL UNINSURED PATIENTS WHO ARE SCHEDULED FOR HIGH DOLLAR TESTS AND SURGERIES ARE CONTACTED BY ONE OF THE HOSPITAL'S FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO THEM. THE FINANCIAL ASSISTANCE POLICY IS ALSO DISCLOSED ON THE HOSPITAL WEBSITE, ALONG WITH THE APPLICATION, IN BOTH ENGLISH AND SPANISH. IN ADDITION, ALL INPATIENTS WHO ARE RESIDENTS OF PENNSYLVANIA ARE PROVIDED PERSONAL ASSISTANCE IN THE COMPLETION OF THE MEDICAL ASSISTANCE APPLICATION. AS PART OF THE DISCHARGE PROCESS IN THE EMERGENCY DEPARTMENT, ALL UNINSURED PATIENTS ARE SCREENED FOR CHARITY CARE ELIGIBILITY UNDER THE HOSPITAL POLICY, AND IF APPROPRIATE PROVIDED ASSISTANCE IN APPLYING FOR MEDICAID OR OBTAINING INSURANCE THROUGH HEALTHCARE.GOV. LASTLY, INFORMATION ABOUT FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT BILLING STATEMENTS. PROGRAMS DISCUSSED INCLUDE THE PENNSYLVANIA STATE MEDICAID PROGRAM (MEDICAL ASSISTANCE), HOSPITAL CHARITY CARE PROGRAM, AND FUNDS AVAILABLE THROUGH HOSPITAL ENDOWMENT FUNDS.IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC) FOOD STAMP ELIGIBILITY AND OTHER STATE OR LOCAL ASSISTANCE THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS A VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/ GUARANTOR.
PART VI, LINE 4:THE PSA IN WHICH UPMC PINNACLE SERVES HAS 12 CENSUS TRACTS WHICH HAVE BEEN IDENTIFIED BY THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION AS MEDICALLY UNDERSERVED AREAS (MUAS). ADJACENT TO THE WEST OF THE PSA ARE AN ADDITIONAL 5 MINOR CIVIL DIVISIONS WHICH HAVE BEEN IDENTIFIED AS MUAS. UPMC PINNACLE IS A SIGNIFICANT PROVIDER OF HEALTHCARE SERVICES TO PATIENTS IN THE AREAS ADJACENT TO ITS PSA.UPMC PINNACLE EMERGENCY DEPARTMENT (ED) IS THE FIRST OPTION FOR THE MAJORITY OF THE RESIDENTS. IN ADDITION, THE HOSPITAL AND RELATED ORGANIZATIONS OPERATE ADULT, CHILDREN, WOMAN, AND TEEN PRIMARY CARE CLINICS THAT SERVE THE CITY'S MEDICAID AND UNINSURED POPULATION.NEARLY 67.4% OF THE HARRISBURG CITY POPULATION IS MINORITY, COMPARED TO 35% OF THE COUNTY POPULATION. AFRICAN-AMERICAN/BLACKS COMPRISE 52.1% OF HARRISBURG'S POPULATION AND HISPANICS/LATINOS MAKE UP 20.3% OF THE CITY'S POPULATION, COMPARED TO 18% AFRICAN-AMERICANS/BLACKS AND 9.2% HISPANICS/LATINOS IN DAUPHIN COUNTY AS A WHOLE. NEARLY 21% OF HARRISBURG CITY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH IN THE HOME, COMPARED TO 8.2% OF COUNTY RESIDENTS.30% OF CITY RESIDENTS HAVE INCOME BELOW THE POVERTY LEVEL WHILE ONLY 13.4% OF COUNTY RESIDENTS HAVE INCOME BELOW THE POVERTY LEVEL. WHILE THE CITY REPRESENTS 18% OF THE COUNTY POPULATION, IT IS HOME TO 38% OF THOSE WITH INCOMES AT OR BELOW THE FEDERAL POVERTY LEVEL (FPL). NEARLY 29% OF HARRISBURG CITY RESIDENTS RECEIVED FOOD STAMPS/SNAP BENEFITS AT SOME POINT IN THE PAST YEAR, COMPARED TO 9.1% IN THE COUNTY AS A WHOLE. CURRENTLY 9% OF DAUPHIN COUNTY RESIDENTS HAVE NO HEALTH INSURANCE. UPMC PINNACLE WORKS IN COLLABORATION WITH OUR LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAMILTON HEALTH CENTER, WHICH IS LOCATED IN THE HEART OF THE HARRISBURG HIGH-NEED AREA. ZIP CODE ANALYSIS CONDUCTED BY UPMC PINNACLE SHOWED THAT THIS SAME POPULATION USES UPMC PINNACLE HARRISBURG HOSPITAL AS THEIR PRIMARY HOSPITAL, INCLUDING THE EMERGENCY DEPARTMENT. MOST RECENTLY AVAILABLE INFORMATION SHOWS 81% OF THOSE SERVED HAD INCOME AT OR BELOW THE FEDERAL POVERTY LEVEL (FPL) AND 99% HAD INCOME AT OR BELOW 200% OF THE FPL. MORE THAN A THIRD OF THOSE SERVED (34.5%) BY HAMILTON DID NOT HAVE INSURANCE. THIS IS SUBSTANTIALLY HIGHER THAN FQHCS IN THE STATE AS A WHOLE, WHERE 26.9% OF PATIENTS SERVED HAD NO INSURANCE.COUNTIES IN EACH OF THE 50 STATES ARE RANKED ACCORDING TO SUMMARIES OF MORE THAN 30 HEALTH MEASURES. THOSE HAVING GOOD RANKINGS, SUCH AS 1 OR 2, ARE CONSIDERED TO BE THE "HEALTHIEST." COUNTIES ARE RANKED RELATIVE TO THE HEALTH OF OTHER COUNTIES IN THE SAME STATE (PENNSYLVANIA HAVING 67 COUNTIES) ON HEALTH OUTCOMES (MORTALITY, MORBIDITY) AND HEALTH MEASURES (HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL, ECONOMIC, AND PHYSICAL ENVIRONMENTS). DAUPHIN COUNTY RANKS AMONG THE UNHEALTHIEST OF THE COUNTIES IN: HEALTH OUTCOMES (49), MORBIDITY (54), HEALTH BEHAVIORS (51), AND SOCIAL AND ECONOMIC FACTORS (49). PERRY COUNTY RANKS AMONG THE UNHEALTHIEST IN MORTALITY (53), CLINICAL CARE (54), AND PHYSICAL ENVIRONMENT (61). CUMBERLAND COUNTY RANKS IN THE TOP 5 (HEALTHIEST) IN A NUMBER OF CATEGORIES: HEALTH OUTCOMES (4), HEALTH FACTORS (4), MORTALITY-LENGTH OF LIFE (4), HEALTH BEHAVIORS (3), AND CLINICAL CARE (4).
PART VI, LINE 5:UPMC PINNACLE MAINTAINS AN ACTIVE ROLE IN THE COMMUNITIES IN WHICH IT SERVES. THE ROLE IS REFLECTIVE IN ITS BOARD OF DIRECTORS WHICH IS COMPRISED OF GREATER THAN 80 PERCENT INDEPENDENT COMMUNITY BASED LEADERS. UPMC PINNACLE HAS AN OPEN MEDICAL STAFF. UPMC PINNACLE PROVIDES TRAINING FOR BOTH MEDICAL STUDENTS AND RESIDENTS IN A NUMBER OF SPECIALTIES. UPMC PINNACLE HOSPITALS HAS AN ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME), ACCREDITED RESIDENCY PROGRAMS, AS WELL AS AMERICAN OSTEOPATHIC ASSOCIATION (AOA) ACCREDITED TEACHING PROGRAMS. UPMC PINNACLE USES ITS SURPLUS FUNDS TO RENOVATE AND EXPAND PATIENT CARE AREAS IN ADDITION TO DEVELOPING PATIENT SERVICES WHICH MAY NOT BE CURRENTLY AVAILABLE IN THE COMMUNITY.UPMC PINNACLE STAFF ALSO HAS A ROLE IN THE COMPASSIONATE CLOSURES PROGRAM TO ASSIST INDIGENT FAMILIES WITH NO FINANCIAL RESOURCES TO RESPECTFULLY MEMORIALIZE, CREMATE OR BURY THEIR LOVED ONES. A BROAD COMMUNITY PARTNERSHIP HAS COME TOGETHER TO ADDRESS THIS NEED. PARTNERS INCLUDE THE VNA OF CENTRAL PENNSYLVANIA AND CROSSINGS HOSPICE, THE HISPANIC COMMUNITY CENTER, THE INTERNATIONAL SERVICE CENTER, THE PENNSYLVANIA FUNERAL DIRECTORS ASSOCIATION, UPMC PINNACLE HEALTH SYSTEM, THE SALVATION ARMY, THE UNITED WAY OF THE CAPITAL REGION, DAUPHIN COUNTY COMMISSIONERS AND CORONER'S OFFICE, CUMBERLAND COUNTY COMMISSIONERS AND CORONER'S OFFICE, THE FOUNDATION FOR ENHANCING COMMUNITIES AND THE PA DEPARTMENT OF PUBLIC WELFARE. THE MISSION OF THE PARTNERS IS TO OFFER A MEASURE OF COMPASSIONATE CARE BLENDED WITH DIGNITY AND RESPECT FOR OUR INDIGENT FAMILIES LIVING IN DAUPHIN OR CUMBERLAND COUNTIES WHO HAVE LOST LOVED ONES.A RETAIL PHARMACY WAS OPENED IN THE HARRISBURG HOSPITAL TO BETTER SERVE PATIENTS AND THEIR FAMILIES. ADDITIONALLY, THE LEBANON VALLEY ADVANCED CARE CENTER OPENED IN JULY 2017.ADDITIONAL PROJECTS INCLUDE MODERNIZING AND UPDATING EXISTING LOCATIONS WITHIN THE UPMC PINNACLE SERVICE AREA TO MEET THE PATIENT NEEDS IN THE COMMUNITIES WE SERVE AND IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORDS ACROSS THE BREADTH OF THE UPMC PINNACLE HEALTH SYSTEM. SIGNIFICANT RESOURCES WERE EXPENDED TO INSTALL AAN INTEGRATED CLINICAL ENTERPRISE-WIDE COMPUTER SYSTEM WHICH PROVIDES A MORE EFFICIENT CENTRALIZED INFORMATION MANAGEMENT SYSTEM CENTERED ON THE PATIENT. STARTING WITH THE THREE HOSPITALS LOCATED IN THE HARRISBURG AREA AND THE PINNACLE MEDICAL GROUP AND MORE RECENTLY EXPANDING TO REGIONAL HOSPITALS INCLUDED IN THE UPMC PINNACLE SYSTEM, THIS CENTRALIZED SYSTEM HAS ADVANCED THE VALUE OF ALL PATIENT CARE SERVICES DELIVERED. AS ONE OF THE LEADING HOSPITALS IN SOUTH CENTRAL PENNSYLVANIA, UPMC PINNACLE HOSPITALS STRIVES TO STRENGTHEN ACCESS TO CARE AS WE PROVIDE A CONTINUUM OF COMMUNITY-BASED SERVICES THAT EXTEND BEYOND THE ROLE OF AN ACUTE CARE HOSPITAL, FROM IN-HOME PRENATAL CARE FOR FIRST TIME MOTHERS TO A LEAD AGENCY ON A REGIONAL DISASTER PREPAREDNESS TASK FORCE. TO BRING FOCUS TO OUR MISSION, UPMC PINNACLE HOSPITALS IS COMMITTED TO SIX STRATEGIC PILLARS: COMMITMENT TO PEOPLE, SERVICE, QUALITY, GROWTH, COMMUNITY, AND FINANCE. GUIDED BY THESE PILLARS AND BY THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE EIGHT INITIATIVES HIGHLIGHTED BELOW ARE KEY EXAMPLES OF OUR COMMITMENT TO BEING A TRUSTED PLACE FOR OUR COMMUNITY TO GO FOR ACCESS TO PUBLIC HEALTH SERVICES AND INFORMATION:CHILDRENS RESOURCE CENTER (CRC) AND REACCH WERE PREVIOUSLY DESCRIBED AND ARE AMONG THE GREATEST EXAMPLES OF UPMC PINNACLE'S COMMITMENT TO THE OVERALL HEALTH OF THE COMMUNITY. -NURSE FAMILY PARTNERSHIP (NFP) - WITH A FOCUS ON PEOPLE AND A DESIRE TO MAKE THE HEALTHCARE SYSTEM EASIER TO NAVIGATE, WE OFFER THIS VOLUNTARY PREVENTION PROGRAM THAT PROVIDES NURSE HOME VISITATION SERVICES TO LOW INCOME, FIRST-TIME MOTHERS UNTIL THE INFANT IS TWO YEARS OLD. THIS NATIONALLY RENOWNED, EVIDENCE-BASED COMMUNITY HEALTH CURRICULUM TRANSFORMED THE LIVES OF VULNERABLE FAMILIES. IN FY19, NFP SERVED 420 CLIENTS AND DISTRIBUTED 180 CRIBS.-CERTIFIED APPLICATION COUNSELORS (CAC) - DURING THE LAUNCH OF THE INSURANCE MARKETPLACE IN FALL 2013, UPMC PINNACLE DEDICATED TWO STAFF TO THE OPEN ENROLLMENT PROCESS AND SUPPORTED THEIR ROLES AS CERTIFIED APPLICATION COUNSELORS. UPMC PINNACLE CACS WERE POSITIONED IN OUR HEALTH CLINICS AND HAVE ESTABLISHED A WEEKLY SCHEDULE TO VISIT OUR COMMUNITY PARTNERS SUCH AS BETHESDA MISSION, SALVATION ARMY AND DOWNTOWN DAILY BREAD WHERE MANY UNINSURED AND VULNERABLE MEMBERS OF OUR COMMUNITY VISIT. THE CACS HELPED PEOPLE UNDERSTAND, APPLY, AND ENROLL FOR HEALTH COVERAGE THROUGH THE MARKETPLACES. IN FY19, THE CACS HAD 1,375 CONTACTS, SUBMITTED 667 MEDICAL ASSISTANCE APPLICATIONS, AND ASSISTED WITH 708 INSURANCE ISSUES. THE CACS COMPLETED REQUIRED TRAINING AND COMPLIED WITH PRIVACY AND SECURITY LAWS, AND OTHER PROGRAM STANDARDS.-DAUPHIN COUNTY HEALTH IMPROVEMENT PARTNERSHIP (DCHIP) - WITH A FOCUS ON CREATING A COHESIVE SYSTEM OF PUBLIC HEALTH SERVICES, WE CONVENED A TEAM OF MULTI-SECTOR, COMMUNITY-BASED PARTNERS FROM HEALTHCARE, HUMAN SERVICE, GOVERNMENT, EDUCATION, FAITH AND PAYOR COMMUNITIES. MEMBERS ARE COMMITTED TO WORKING COLLABORATIVELY TO IMPROVE HEALTH, REDUCE DISPARITIES, AND ADDRESS THE QUALITY OF LIFE OF COMMUNITY RESIDENTS.-EAT SMART, PLAY SMART (ESPS) - WITH A FOCUS ON LONG RANGE SUSTAINABLE GROWTH WITHIN OUR COMMUNITIES, IT IS EVIDENT THAT THE HEALTH OF OUR CHILDREN IS A FOCAL POINT. A MULTI-STEP, LONG-TERM APPROACH TO PARTNERING WITH SCHOOLS, BUSINESSES, AND PAYORS TO EDUCATE STUDENTS AND FAMILIES ON HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY ALTERNATIVES ENSURES SUSTAINABLE BEHAVIOR CHANGE. IN FY19, 69 PRESCHOOL STUDENTS PARTICIPATED IN ESPS.-EMERGENCY MANAGEMENT PLAN SOUTH CENTRAL TASK FORCE - WITH A FOCUS ON PROVIDING LEADERSHIP IN IMPROVING THE OVERALL HEALTH OF OUR COMMUNITY, OUR EMERGENCY MANAGEMENT TEAM CREATES AN ENVIRONMENT THAT SUPPORTS ACCESSIBILITY AND COLLABORATES AND COORDINATES BOTH PUBLIC AND PRIVATE SECTOR RESOURCES FOR REGIONAL SOLUTIONS THAT PROVIDE SUPPORT TO COMMUNITIES WHEN EVENTS EXCEED THEIR CAPABILITIES.-SMILES - IN JANUARY 2013, UPMC PINNACLE STARTED WORKING IN PARTNERSHIP WITH MEMBERS OF THE HARRISBURG AREA DENTAL SOCIETY TO PROVIDE ACCESS TO DENTAL SERVICES FOR UNINSURED AND UNDERINSURED PATIENTS WITH URGENT DENTAL NEEDS. A NETWORK OF MORE THAN FIFTY VOLUNTEER DENTISTS SPANS THE EAST AND WEST SHORES OF HARRISBURG. ONCE IT IS DETERMINED THAT A PATIENT HAS AN URGENT DENTAL NEED, HE/SHE CAN BE REFERRED TO SMILES USING THE FOLLOWING REFERRAL PROCESS. UPMC PINNACLE'S DENTAL ACCESS COORDINATOR WILL WORK WITH THE PATIENT AND DENTIST TO SET UP AN APPOINTMENT TO ALLEVIATE THE URGENT NEED. IN FY19, UPMC PINNACLE REFERRED 738 PATIENTS TO VOLUNTEER DENTISTS FOR URGENT DENTAL NEEDS.
PART VI, LINE 6:UPMC PINNACLE IS A FULLY INTEGRATED, AFFILIATED HEALTH CARE SYSTEM. THE SYSTEM IS COMPRISED OF TEN WHOLLY OWNED ENTITIES AS WELL AS A VARIETY OF AFFILIATED JOINT VENTURES. THE ORGANIZATION'S MISSION IS TO MAINTAIN AND IMPROVE THE HEALTH AND QUALITY OF LIFE FOR EVERYONE IN CENTRAL PENNSYLVANIA. UPMC PINNACLE IS ENGAGED IN AND CONDUCTS CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES THROUGH THE SUPPORT AND BENEFIT OF PINNACLE HEALTH FOUNDATION, AND PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES TO AFFILIATED ENTITIES. UPMC PINNACLE MEDICAL SERVICES AND REGIONAL PHYSICIANS ARE PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES TO SUPPORT AND ENHANCE THE SERVICES WITHIN UPMC PINNACLE. THE UPMC PINNACLE CARDIOVASCULAR INSTITUTE IS ENGAGED IN PROVIDING COMPREHENSIVE CARDIAC CARE, INCLUDING TECHNOLOGICAL ADVANCES IN ORDER TO PROVIDE THE BEST CLINICAL OUTCOMES TO THE COMMUNITY. COMMUNITY LIFE TEAM IS ENGAGED IN PROVIDING COMMUNITY BASED, EFFICIENT AND COST EFFECTIVE MEDICAL TRANSPORT SERVICES AND PRE-HOSPITAL EMERGENCY MEDICAL SERVICES FOR THE RESIDENTS AND COMMUNITIES OF THE CENTRAL PENNSYLVANIA YORK REGIONS.PINNACLE HEALTH VENTURES, INC. WAS FORMED AS A RESULT OF THE ACQUISITION OF 100% OF THE STOCK OF TRISTAN ASSOCIATES ON MARCH 1, 2012 AND IS THE SOLE SHAREHOLDER OF PINNACLE HEALTH IMAGING (PHI). PHI LEASES EQUIPMENT AND SERVICES TO UPMC PINNACLE HOSPITALS. UNITED HEALTH RISK IS A WHOLLY-OWNED, FOR-PROFIT, OFFSHORE CAPTIVE INSURANCE COMPANY, AND UNITED CENTRAL PENNSYLVANIA RECIPROCAL RISK RETENTION GROUP IS A WHOLLY-OWNED, FOR-PROFIT, VERMONT CAPTIVE INSURANCE COMPANY. BOTH INSURANCE ENTITIES OPERATE FOR THE BENEFIT OF UPMC PINNACLE.TO BETTER SERVE THE CENTRAL PENNSYLVANIA REGION, IN JULY 2017, PINNACLE HEALTH SYSTEM PURCHASED FOUR REGIONAL HOSPITALS: CARLISLE REGIONAL HEALTH, YORK MEMORIAL, HEART OF LANCASTER, AND LANCASTER REGIONAL. IN SEPTEMBER OF 2017, HANOVER HEALTH SYSTEM WAS PURCHASED. THE HOSPITALS HAVE BEEN RENAMED AS UPMC CARLISLE, UPMC MEMORIAL, UPMC LITITZ, AND UPMC HANOVER. IN FEBRUARY 2018, UPMC LANCASTER AND UPMC LITITZ WERE COMBINED. THESE ACQUISITIONS ALLOW UPMC PINNACLE TO EXTEND THEIR REACH IN PATIENT CARE AND COMMUNITY OUTREACH.UPMC PINNACLE AND ITS AFFILIATES ARE ACTIVELY INVOLVED IN THE CENTRAL PENNSYLVANIA REGION THROUGH VARIOUS CHARITY AND COMMUNITY BENEFIT ACTIVITIES. THE OTHER ENTITIES WITHIN THE SYSTEM, NOT INCLUDING THE HOSPITAL, PROVIDED $16,608,949 OF CHARITY CARE RECORDED AT CHARGES.THE FOLLOWING LISTS THE VARIETY OF COMMUNITY BENEFITS PERFORMED WITHIN THE SYSTEM, THAT HAD THEY BEEN PERFORMED AT THE HOSPITAL LEVEL, WOULD HAVE BEEN INCLUDABLE ON SCHEDULE H.-UPMC PINNACLE MEDICAL SERVICES- $3,493,597 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BASED CLINICAL SERVICES AND HEALTH CARE SUPPORT SERVICES.-PINNACLE HEALTH FOUNDATION- $692,612 IN COMMUNITY BENEFIT OPERATIONS AND FINANCIAL CONTRIBUTIONS.WERE THE ABOVE COMMUNITY BENEFIT EXPENSES OF $4.2 MILLION INCLUDED IN THE HOSPITAL COMMUNITY BENEFIT TO TOTAL EXPENSE WOULD HAVE BEEN 7.33%.
PART VI, LINE 7, REPORTS FILED WITH STATESPA
SCHEDULE H, PART VI, CHNA:STRATEGY 12: COLLABORATE WITH CENTER FOR ADDICTION RECOVERY ACTIONS TO IMPROVE THE WARM HANDOFF PROCESSES IN THE EMERGENCY DEPARTMENT AND PROVIDE ONGOING X WAIVER TRAINING SESSIONS. PRIORITY 3: SOCIAL DETERMINANTS OF HEALTH-THE GOAL IS TO INCREASE KNOWLEDGE OF ACCESS AND OPPORTUNITY TO UPMC PINNACLE RESOURCES IN RURAL COMMUNITIES AND UNDERSERVED POPULATIONS.STRATEGY 1: ADDRESS INCOME, EDUCATION AND EMPLOYMENT DETERMINANTS OF HEALTH THAT NEGATIVELY IMPACT A HEALTHY AND DIVERSE WORKFORCE AND PREVENTIVE CARE.STRATEGY 2: ADDRESS TRANSPORTATION BARRIERS TO REDUCE MISSED APPOINTMENTS DUE TO UNRELIABLE OR NO TRANSPORTATION WHICH NEGATIVELY IMPACTS PREVENTIVE CARE AND INCREASES ED VISITS.STRATEGY 3: ASSIST HOMELESS RECIPIENTS WITHIN THE UPMC PINNACLE FOOTPRINT WITH MOVING FROM THE STREETS INTO STRUCTURED, LONG-TERM CARE THROUGH COLLABORATION WITH COMMUNITY PARTNERS.STRATEGY 4: IMPROVE LANGUAGE ACCESS GIVEN THROUGH THE DEVELOPMENT AND PROMOTION OF CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN HEART ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14520 CRUMS MILL RD 100AddressLine1Txt
CityHARRISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17112ZIPCd
FieldValueIRS element (for citing)
Recipient EIN135613797RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$9,750CashGrantAmt
Purpose Of GrantSPONSORSHIP OF CAPITAL REGION HEART BALLPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION SUPPORTS COMMUNITY-BASED PROGRAMS THAT SUPPORT THE MISSION OF UPMC PINNACLE. CONTRIBUTIONS ARE GIVEN FREELY AND THE USE OF FUNDS ARE NOT MONITORED ONCE THE MONIES ARE DISBURSED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FELIX GUTIERREZ MD
DIRECTOR$0$378,039$0$110,863$0$12,251$0$16,500$0$12,496$0$530,149$0$0
PHILIP GUARNESCHELLI
PRESIDENT/CEO$0$828,825$0$348,731$0$198,185$0$16,500$0$19,211$0$1,411,452$0$0
CHRISTOPHER P MARKLEY ESQ
SEC'Y/SR VP STAT SVC/GEN COUNSEL$0$416,046$0$154,502$0$66,248$0$16,500$0$14,892$0$668,188$0$0
WILLIAM H PUGH
EVP-TREAS./CFO$0$603,418$0$222,089$0$87,441$0$16,500$0$8,184$0$937,632$0$0
JOHN DELORENZO
ASSISTANT SECRETARY$0$173,072$0$34,707$0$4,804$0$10,384$0$17,722$0$240,689$0$0
ALISON BERNHARDT
VP, CORP ACCT&RPT/CFO (BEG. 1/20)$0$258,421$0$86,065$0$34,603$0$4,854$0$8,008$0$391,951$0$0
THOMAS STONER
VP, HOSPITALIST SERVICES$433,755$0$149,280$0$68,208$0$13,750$0$19,211$0$684,204$0$0$0
CRAIG SKUCENSKI
VP, EMERGENCY MEDICINE$434,568$0$135,144$0$37,162$0$16,500$0$19,211$0$642,585$0$0$0
CARSON ADAMS
PHYSICIAN$397,125$0$88,551$0$0$0$6,485$0$18,644$0$510,805$0$0$0
CHRISTIAN CAICEDO MD
SVP & PRESIDENT, DAUPHIN DIV.$437,562$0$162,224$0$64,352$0$16,500$0$18,794$0$699,432$0$0$0
JED SPRUCE SEITZINGER
PHYSICIAN$370,395$0$103,139$0$0$0$16,500$0$18,650$0$508,684$0$0$0
MICHAEL A YOUNG
FORMER PRESIDENT/CEO (RES. 3/17)$0$0$0$0$0$1,035,976$0$0$0$9,539$0$1,045,515$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3UPMC PINNACLE HOSPITALS RELIES ON UPMC PINNACLE, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS. METHODS USED TO ESTABLISH COMPENSATION BY THE RELATED ORGANIZATION INCLUDE: * COMPENSATION COMMITTEE * INDEPENDENT COMPENSATION CONSULTANT * COMPENSATION SURVEY OR STUDY * APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD
PART I, LINES 4A-BMICHAEL YOUNG, THE FORMER CEO, RECEIVED A SEVERANCE PAYMENT OF $1,035,976 DURING THE YEAR. FELIX GUTIERREZ, A DIRECTOR AND PINNACLE HEALTH CARDIOVASCULAR INSTITUTE EMPLOYEE, PARTICIPATES IN A NONQUALIFIED PLAN. UPMC PINNACLE CONTRIBUTED $16,500 TO THE PLAN DURING THE FISCAL YEAR. UPMC PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS TO ITS FORMER CHIEF EXECUTIVE OFFICER (THE "FORMER CEO") THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "LOAN-REGIME SPLIT-DOLLAR" ("LRSD"). ALTHOUGH THE IRS REQUIRES LRSD TO COMPLY WITH THE TAX PRINCIPLES OF A LOAN FOR FEDERAL INCOME TAX PURPOSES (IRC 7872), LRSD IS NOT AN ACTUAL LOANNO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS (SUBJECT TO VESTING REQUIREMENTS AND POLICY INVESTMENT PERFORMANCE), UPMC RECOVERS ALL ITS OUTLAYS PLUS A MARKET RATE OF INTEREST. AS WITH AN EMPLOYER-EMPLOYEE LOAN, AND CONSISTENT WITH THE 2003 FINAL REGULATIONS AND IRC 7872, THE PLAN IS NON-COMPENSATORY TO THE PARTICIPATING EXECUTIVE, AS THE LOAN IS REPAID PLUS INTEREST UPON THE DEATH OF THE EXECUTIVE. UNDER THE REGULATIONS, THERE IS NO COMPENSATION IMPUTED TO THE EXECUTIVE. THE UPMC LRSD PLAN WORKS AS FOLLOWS. UPMC DEPOSITED FUNDS DIRECTLY INTO CASH VALUE LIFE INSURANCE POLICIES ON THE FORMER CEO'S LIFE. DURING LIFE, TO THE EXTENT THE FORMER CEO FULFILLED SERVICE AND VESTING REQUIREMENTS, THE FORMER CEO CAN BORROW AGAINST VALUES IN THE POLICIES TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE FORMER CEO'S BORROWING RIGHTS COULD BE REDUCED TO PROTECT UPMC'S RECOVERY RIGHTS. AT THE FORMER CEO'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY UPMC ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE FORMER CEO'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING NOT ACCESSED DURING LIFE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DANIEL PUGH
RELATIVE OF OFFICER WILLIAM PUGH$115,455DANIEL PUGH IS A RELATIVE OF WILLIAM PUGH AND IS COMPENSATED BY UPMC PINNACLE AS AN EMPLOYEE. WILLIAM PUGH DOES NOT SUPERVISE DANIEL PUGH NOR DOES HE PARTICIPATE IN DISCUSSIONS ON DANIEL PUGH'S COMPENSATION.0
MICHAEL HESS
RELATIVE OF OFFICER PHILIP GUARNESCHELLI$70,071MICHAEL HESS IS A RELATIVE OF PHILIP GUARNESCHELLI AND IS COMPENSATED BY UPMC PINNACLE AS AN EMPLOYEE. PHILIP GUARNESCHELLI DOES NOT SUPERVISE MICHAEL HESS NOR DOES HE PARTICIPATE IN DISCUSSIONS ON MICHAEL HESS' COMPENSATION.0
CHRISTIAN CAICEDO
OWNER OF CIS PA, LLC$1,828,113AS THE OWNER OF CIS PA, LLC, MR. CAICEDO PROVIDES SOFTWARE SUPPORT FOR UPMC PINNACLE ENTITIES. ALL TRANSACTIONS ARE NEGOTIATED AT ARM'S LENGTH RATES.0
RONALD KRATZ MD
PARTNER, RIVERSIDE ANESTHESIA ASSOCIATES$326,421RONALD KRATZ, M.D. IS A PARTNER IN RIVERSIDE ANESTHESIA ASSOCIATES, WHICH DOES BUSINESS WITH THE FILING ORGANIZATION. ALL TRANSACTIONS ARE AT ARM'S LENGTH.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 1:UPMC PINNACLE, THE PARENT ENTITY OF A GROUP OF TAX-EXEMPT ORGANIZATIONS, IS THE COMMON REPORTING AGENT FOR THE GROUP AND FILES ALL 1099 FORMS FOR UPMC PINNACLE HOSPITALS.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE CORPORATION IS UPMC PINNACLE, A FEDERALLY TAX EXEMPT, STATE NONPROFIT ENTITY (EIN 25-1778658).
FORM 990, PART VI, SECTION A, LINE 7AAS SOLE MEMBER OF THE ORGANIZATION, UPMC PINNACLE SHALL ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION REQUIRE THE APPROVAL OF BOTH THE UPMC PINNACLE BOARD AND THE UPMC BOARD, AS THE SOLE MEMBER OF UPMC PINNACLE.
FORM 990, PART VI, SECTION B, LINE 11BTHE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR UPMC PINNACLE AND SUBSIDIARIES IS DELEGATED TO THE FINANCE COMMITTEE OF THE UPMC PINNACLE BOARD. IN ORDER TO ACCOMPLISH THIS, ALL MEMBERS OF THE FINANCE COMMITTEE ARE PROVIDED WITH A REASONABLE OPPORTUNITY TO REVIEW AND COMMENT TO EXECUTIVE LEADERSHIP ON THE IRS FORMS 990 OF UPMC PINNACLE AND ITS SUBSIDIARIES. IN ADDITION, EACH MEMBER OF EACH RESPECTIVE BOARD OF DIRECTORS WILL BE GIVEN ACCESS TO VIEW THEIR INDIVIDUAL FORM 990 VIA A SHARED, PASSWORD-PROTECTED WEBSITE BEFORE THE RETURNS ARE FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CIN THE PERFORMANCE OF THEIR DUTIES TO UPMC PINNACLE AND SUBSIDIARIES, COVERED PERSONS SHALL SEEK TO ACT IN THE BEST INTERESTS OF UPMC PINNACLE, AND SHALL EXERCISE GOOD FAITH, LOYALTY, DILIGENCE AND HONESTY. A COVERED PERSON IS ANY INDIVIDUAL WHO SERVES IN A FIDUCIARY CAPACITY TO, OR WHO HAS LEGAL AUTHORITY TO REPRESENT OR OBLIGATE, UPMC PINNACLE OR ANY OF ITS AFFILIATED ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS. COVERED PERSONS ALSO INCLUDE A) IMMEDIATE FAMILIES (SPOUSES, CHILDREN, SIBLINGS, PARENTS, OR SPOUSE'S PARENTS), B) ANY ORGANIZATION IN WHICH THEY OR THEIR IMMEDIATE FAMILIES DIRECTLY OR INDIRECTLY I) HAVE A MATERIAL FINANCIAL OR BENEFICIAL INTEREST, OR II) SERVE AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, ATTORNEY OR SIMILAR CAPACITY. A COVERED PERSON SHALL DISCLOSE ANY BUSINESS OR PERSONAL INTERESTS OR RELATIONSHIPS WHICH MAY BE IN CONFLICT WITH THE INTEREST OF UPMC PINNACLE, INCLUDING, BUT NOT LIMITED TO (A) ENGAGING IN OR SEEKING TO BE ENGAGED IN (I) THE DELIVERY OF HEALTH CARE SERVICES OR (II) THE DELIVERY OF GOODS OR SERVICES TO UPMC PINNACLE, OR (B) ANY TRANSACTION OR ARRANGEMENT WITH UPMC PINNACLE WHICH WOULD RESULT IN BENEFIT TO COVERED PERSONS. THE GOVERNANCE COMMITTEE OF THE UPMC PINNACLE BOARD REVIEWS ALL CONFLICT OF INTEREST STATEMENTS ANNUALLY AND DETERMINES WHETHER EACH DIRECTOR ON THE BOARD IS INDEPENDENT. COVERED PERSONS WHO ARE DIRECTORS MUST COMPLY WITH UPMC PINNACLE GUIDELINES FOR DETERMINING DIRECTOR INDEPENDENCE AND APPLYING DIRECTOR INDEPENDENCE REQUIREMENTS. COVERED PERSONS WITH A CONFLICT OF INTEREST SHALL NOT VOTE ON THE MATTER, AND THE UPMC PINNACLE BOARD OR COMMITTEE MUST APPROVE, AUTHORIZE, OR RATIFY THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE NON-INTERESTED DIRECTORS OR COMMITTEE MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM. VIOLATIONS OF THIS STATEMENT OF POLICY MAY SUBJECT COVERED PERSONS TO APPROPRIATE SANCTIONS, INCLUDING REMOVAL FROM THEIR POSITIONS WITH UPMC PINNACLE.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE OF THE UPMC PINNACLE BOARD HAS THE AUTHORITY TO DEVELOP AND MAINTAIN EXECUTIVE AND PHYSICIAN COMPENSATION TO BE APPROVED BY THE UPMC PINNACLE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE WILL FOLLOW A DILIGENT PROCESS THAT MEETS REGULATORY REQUIREMENTS FOR A REBUTTABLE PRESUMPTION OF REASONABLENESS AND PROMOTES EFFECTIVE GOVERNANCE OF EXECUTIVE COMPENSATION, CONSISTENT WITH THE UPMC PINNACLE COMPENSATION PHILOSOPHY. 1. FOLLOW A PROCESS THAT ESTABLISHES AND MAINTAINS A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL EXECUTIVES AND PHYSICIANS POTENTIALLY SUBJECT TO INTERMEDIATE SANCTIONS. 2. PREPARE MINUTES FOR EACH MEETING TO RECORD THE TERMS OF THE COMMITTEE'S DECISIONS AND THE PROCESS FOLLOWED IN REACHING THOSE DECISIONS. THESE MINUTES MUST INCLUDE INDICATIONS THAT THE COMMITTEE IS FOLLOWING GOOD PRACTICES IN DEALING WITH CONFLICTS OF INTEREST AND IN OBTAINING AND RELYING ON APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION. 3. SELECT AND DIRECTLY ENGAGE AND SUPERVISE ANY CONSULTANT HIRED BY UPMC PINNACLE TO ADVISE THE COMMITTEE ON EXECUTIVE AND PHYSICIAN COMPENSATION. 4. PERIODICALLY EVALUATE THE APPROPRIATENESS OF THIS CHARTER AND THE EFFECTIVENESS OF THE PROCESS THE COMMITTEE USES IN GOVERNING EXECUTIVE AND PHYSICIAN COMPENSATION AND REPORT THIS EVALUATION TO THE UPMC PINNACLE BOARD. 5. PROVIDE THE UPMC PINNACLE BOARD WITH AN ANNUAL REPORT ON THE COMMITTEE'S ACTIONS. 6. MONITOR CHANGES IN LAWS AND REGULATIONS PERTAINING TO EXECUTIVE COMPENSATION AND BENEFITS TO SEE THAT UPMC PINNACLE COMPLIES WITH THEM. 7. SEEK OUTSIDE REVIEW OF COMMITTEE OPERATIONS TO ENSURE COMPLIANCE WITH THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS. 8. REVIEW ACTUAL EXECUTIVE COMPENSATION AND BENEFITS PROVIDED TO CONFIRM CONSISTENCY WITH COMPENSATION AND BENEFITS APPROVED BY THE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENTS WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE.
FORM 990, PART IX, LINE 11GPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,035,710. MANAGEMENT AND GENERAL EXPENSES 2,480,275. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,515,985. OUTSOURCING: PROGRAM SERVICE EXPENSES 22,330,471. MANAGEMENT AND GENERAL EXPENSES 5,238,012. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,568,483. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 329,966. MANAGEMENT AND GENERAL EXPENSES 72,431. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 402,397. LAB FEES: PROGRAM SERVICE EXPENSES 2,731,584. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,731,584. RESIDENT ROTATION: PROGRAM SERVICE EXPENSES 1,014,060. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,014,060. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 53,082,843. MANAGEMENT AND GENERAL EXPENSES 3,998,720. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,081,563. CONSULTING FEES: PROGRAM SERVICE EXPENSES 786,202. MANAGEMENT AND GENERAL EXPENSES 87,356. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 873,558. ACQUISITION FEES: PROGRAM SERVICE EXPENSES 4,269,856. MANAGEMENT AND GENERAL EXPENSES 2,199,623. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,469,479.
FORM 990, PART XI, LINE 9:TRANSFERS TO EXEMPT AFFILIATES -58,644,692. CHANGES IN TEMPORARY AND PERMANENTLY RESTRICTED NET ASSETS -13,265,569. TRANSFERS FROM EXEMPT AFFILIATES 2,869,770. CHANGE IN MEDICAL MALPRACTICE RESERVES 3,665,483. INVENTORY ADJUSTMENT -8,034,554.
PART XII, LINE 2C:UPMC IS AUDITED ON A CONSOLIDATED BASIS. THEREFORE, THERE ARE NO SEPARATE AUDITED FINANCIAL STATEMENTS FOR UPMC PINNACLE AND ITS SUBSIDIARIES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC
PO BOX 8700HARRISBURGPA171058700861057582MEDICAL EMERGENCY SERVICESPA-$16,675,475$3,759,746UPMC PINNACLE HOSPITALS
PINNACLE HEALTH HOSPITALISTS SERVICES LLC
PO BOX 8700HARRISBURGPA171058700462927099HOSPITALISTS SERVICESPA-$17,795,745$1,024,890UPMC PINNACLE HOSPITALS
PINNACLE HEALTH OBSERVATION SERVICES LLC
PO BOX 8700HARRISBURGPA171058700472088742PROFESSIONAL SERVICES TO OBSERVATION PATIENTSPA-$1,283,835$184,829UPMC PINNACLE HOSPITALS
UPMC PINNACLE ANESTHESIA SERVICES
PO BOX 8700HARRISBURGPA171058700823458724ANESTHESIA SERVICESPA$12,436,543$450,937UPMC PINNACLE HOSPITALS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (72 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
UPMC SENIOR COMMUNITIES INC
600 GRANT STREETPITTSBURGHPA15219251574736SR LIVINGPA501(C)(3)LINE 10UPMC0
PITTSBURGH LIFETIME CARE COMMUNITY
600 GRANT STREETPITTSBURGHPA15219251335247CCRCPA501(C)(3)LINE 10UPMC SR COMM0
CANTERBURY PLACE
600 GRANT STREETPITTSBURGHPA15219250965334SR LIVINGPA501(C)(3)LINE 10UPMC SR COMM0
SENECA PLACE
600 GRANT STREETPITTSBURGHPA15219721562844SR LIVINGPA501(C)(3)LINE 10UPMC SR COMM0
SHADYSIDE HOSPITAL SUPPORTING FOUNDATION
600 GRANT STREETPITTSBURGHPA15219260303394FOUNDATIONPA501(C)(3)LINE 12A, IUPMC0
UPMC LEE
600 GRANT STREETPITTSBURGHPA15219250613830INACTIVEPA501(C)(3)LINE 3UPMC0
PITTSBURGH CARE PARTNERSHIP INC
600 GRANT STREETPITTSBURGHPA15219251753852SR CARE MGMTPA501(C)(3)LINE 10UPMC0
UPMC CENTER FOR HIGH VALUE HEALTHCARE
600 GRANT STREETPITTSBURGHPA15219452178782RESEARCHPA501(C)(3)LINE 7UPMC0
SHADYSIDE HOSPITAL FOUNDATION
532 SOUTH AIKEN AVENUEPITTSBURGHPA15232251290546FOUNDATIONPA501(C)(3)LINE 12C, III-FIUPMC PRESBY0
PASSAVANT HOSPITAL FOUNDATION
9100 BABCOCK BLVDPITTSBURGHPA15237251407815FOUNDATIONPA501(C)(3)LINE 12B, IIUPMC PASS0
NORTHWEST HOSPITAL FOUNDATION
100 FARFIELD DRIVESENECAPA16346251483624FOUNDATIONPA501(C)(3)LINE 12D, III-OUPMC NORTHWE0
ST MARGARET FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251520340FOUNDATIONPA501(C)(3)LINE 7UPMC ST MARG0
CHILDREN'S HOSPITAL OF PITTSBURGH FND
600 GRANT STREETPITTSBURGHPA15219251865744FOUNDATIONPA501(C)(3)LINE 7UPMC CHP0
MAGEE-WOMEN RES INST AND FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251462312FOUNDATIONPA501(C)(3)LINE 70N/A
GREAT LAKES PHYSICIAN PRACTICE PC
600 GRANT STREET 58TH FLOORPITTSBURGHPA15219464186362PHYSICIAN SRVNY501(C)(3)LINE 3REGNL HEALTH0
HAMOT HEALTH FOUNDATION
302 FRENCH STREETERIEPA16507251400999FOUNDATIONPA501(C)(3)LINE 12B, IIUPMC HAMOT0
UPMCJAMESON CANCER CENTER
600 GRANT STREET 58TH FLPITTSBURGHPA15219201459415ONCOLOGY SVCPA501(C)(3)LINE 10UPMC JAMESON0
JAMESON CARE CENTER INC
1211 WILMINGTON AVENEW CASTLEPA16105232871396SR SERVICESPA501(C)(3)LINE 10UPMC SR COMM0
UPMC SUSQUEHANNA
700 HIGH STREETWILLIAMSPORTPA17701232751183MGMT SUPPORTPA501(C)(3)LINE 3UPMC0
MUNCY VALLEY HOSPITAL
215 EAST WATER STREETMUNCYPA17756240806023HOSPITALPA501(C)(3)LINE 3UPMC SUSQUEH0
DIVINE PROVIDENCE HOSPITAL OF THE SISTE
1100 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701240799343HOSPITALPA501(C)(3)LINE 3UPMC SUSQUEH0
SUSQUEHANNA PHYSICIAN SERVICES
1201 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701232449454PHYSICIAN SRVPA501(C)(3)LINE 3UPMC SUSQUEH0
SUSQUEHANNA HEALTH SYSTEM INNOVATION CT
700 HIGH STREETWILLIAMSPORTPA17701471600873SUPPORT SRVPA501(C)(3)LINE 12A, IUPMC SUSQUEH0
SUSQUEHANNA HEALTH FOUNDATION
1100 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701232743470FOUNDATIONPA501(C)(3)LINE 12A, IUPMC SUSQUEH0
THE WILLIAMSPORT HOSPITAL
700 HIGH STREETWILLIAMSPORTPA17701240795508HOSPITALPA501(C)(3)LINE 3UPMC SUSQUEH0
LAUREL REALTY INC
32-36 CENTRAL AVENUEWELLSBOROPA16901231403678REAL ESTATEPA501(C)(2)N/AUPMC SUSQUEH0
LAUREL MANAGEMENT SERVICES INC
32-36 CENTRAL AVENUEWELLSBOROPA16901251644910MANAGEMENT SVPA501(C)(3)LINE 12B, IIUPMC SUSQUEH0
LAUREL HEALTH SYSTEM
32-36 CENTRAL AVENUEWELLSBOROPA16901240795488SUPPORT SRVPA501(C)(3)LINE 12B, IIUPMC SUSQUEH0
SOLDIERS AND SAILORS MEMORIAL HOSPITAL
32-36 CENTRAL AVENUEWELLSBOROPA16901232176963HOSPITALPA501(C)(3)LINE 3UPMC SUSQUEH0
THE GREEN HOME
37 CENTRAL AVENUEWELLSBOROPA16901240804365SKILLED NURSIPA501(C)(3)LINE 10UPMC SUSQUEH0
TIOGA HEALTH CARE PROVIDERS
1201 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701251765538HEALTHCAREPA501(C)(3)LINE 12B, IIUPMC SUSQUEH0
WILLIAMSPORT AREA AMBULANCE SERVICE COO
700 HIGH STREETWILLIAMSPORTPA17701232416166AMBULANCE SVCPA501(C)(3)LINE 10WILLIAM HOSP0
UPMC SUSQUEHANNA LOCK HAVEN
700 HIGH STREETWILLIAMSPORTPA17701821600494HOSPITALPA501(C)(3)LINE 3UPMC SUSQUEH0
UPMC SUSQUEHANNA SUNBURY
700 HIGH STREETWILLIAMSPORTPA17701821592230HOSPITALPA501(C)(3)LINE 3UPMC SUSQUEH0
UPMC CHAUTAUQUA AT WCA
207 FOOTE AVENUEJAMESTOWNNY14701160743226HOSPITALNY501(C)(3)LINE 3UPMC CHAUTAU0
WCA GROUP INC
207 FOOTE AVENUEJAMESTOWNNY14701222392582HOLDING CONY501(C)(3)LINE 12B, IICHAUT AT WCA0
STARFLIGHT INC
135 ALLEN STREETJAMESTOWNNY14701161557878AIR AMBULANCENY501(C)(3)LINE 7CHAUT AT WCA0
SOUTH CENTRAL ALPHA HOUSING & HEALTH
3410 W PITTSBURG ROADNEW CASTLEPA16101251701701SNF & ALPA501(C)(3)LINE 10UPMC SR COMM0
SOUTH WESTERN ALPHA HOUSING & HEALTH
745 GREENVILLE ROADMERCERPA16137251701700SNF & ILPA501(C)(3)LINE 10UPMC SR COMM0
KANE COMMUNITY HOSPITAL FOUNDATION
4372 ROUTE 6KANEPA16735263906925FOUNDATIONPA501(C)(3)LINE 12B, II0N/A
JUNIOR GUILD OF THE JAMESON MEMORIAL HOS
1211 WILMINGTON AVENUENEW CASTLEPA16105256005313SUPPORTPA501(C)(3)LINE 12D, III-O0N/A
LAUREL HEALTH FOUNDATION
32-36 CENTRAL AVENUEWELLSBOROPA16901251810488FOUNDATIONPA501(C)(3)LINE 12B, II0N/A
WCA FOUNDATION INC
300 FOOTE AVENUE PO BOX 840JAMESTOWNNY14702222393584FOUNDATIONPA501(C)(3)LINE 12C, III-FI0N/A
VENANGO VNA FOUNDATION
491 ALLEGHENY BOULEVARDFRANKLINPA16323251472179FOUNDATIONPA501(C)(3)LINE 12D, III-O0N/A
UPMC PINNACLE
409 SOUTH SECOND STREETHARRISBURGPA17104251778658SUPPORTING ORPA501(C)(3)LINE 12B, IIUPMC0
UPMC PINNACLE CARLISLE
361 ALEXANDER SPRING ROADCARLISLEPA17205820880337HOSPITALPA501(C)(3)LINE 3UPMC PINNACL0
UPMC PINNACLE LANCASTER
250 COLLEGE AVENUELANCASTERPA17603820896436HOSPITALPA501(C)(3)LINE 3UPMC PINNACL0
UPMC PINNACLE LITITZ
1500 HIGHLANDS AVENUELITITZPA17543820844453HOSPITALPA501(C)(3)LINE 3UPMC PINNACL0
UPMC PINNACLE MEMORIAL
325 SOUTH BELMONT STREETYORKPA17405820912090HOSPITALPA501(C)(3)LINE 3UPMC PINNACL0
PINNACLE HEALTH REGIONAL PHYSICIANS
409 SOUTH SECOND STREETHARRISBURGPA17104820947698PHYSICIAN SRVPA501(C)(3)LINE 3UPMC PINNACL0
PINNACLE HEALTH FOUNDATION
409 SOUTH SECOND STREETHARRISBURGPA17104222691718FOUNDATIONPA501(C)(3)LINE 12A, IUPMC PINNACL0
COMMUNITY LIFE TEAM INC
409 SOUTH SECOND STREETHARRISBURGPA17104231890444MED TRANSPORTPA501(C)(3)LINE 7UPMC PINNACL0
HANOVER HEALTHCARE PLUS INC
300 HIGHLAND AVENUEHANOVERPA17331222658574SUPPORTING ORPA501(C)(3)LINE 12A, IUPMC PINNACL0
UPMC PINNACLE HANOVER
300 HIGHLAND AVENUEHANOVERPA17331231360851HOSPITALPA501(C)(3)LINE 3HANNOVER HEA0
PINNACLE HEALTH MEDICAL SERVICES
409 SOUTH SECOND STREETHARRISBURGPA17104251709054PHYSICIAN SRVPA501(C)(3)LINE 3UPMC PINNACL0
CHARLES E COLE MEMORIAL HOSPITAL
1001 EAST SECOND STREETCOUDERSPORTPA16915240802108HOSPITALPA501(C)(3)LINE 3UPMC0
COLE FOUNDATION INC
1001 EAST SECOND STREETCOUDERSPORTPA16915455417308FOUNDATIONPA501(C)(3)LINE 12A, IC COLE MEM H0
HAMOT COLE VENTURES
1001 EAST SECOND STREETCOUDERSPORTPA16915273172100CLINIC SITESPA501(C)(3)LINE 12A, IC COLE MEM H0
HENDORN INC
1001 EAST SECOND STREETCOUDERSPORTPA16915231972659RES. CAREPA501(C)(3)LINE 12A, IC COLE MEM H0
ASBURY HEIGHTS OF UPMC
600 GRANT STREETPITTSBURGHPA15219251555687SUPPORTING ORPA501(C)(3)LINE 12B, IIUPMC SR COMM0
ASBURY HEALTH CENTER
600 GRANT STREETPITTSBURGHPA15219250969472CCRCPA501(C)(3)LINE 10ASBURY HEIGH0
ASBURY VILLAS
600 GRANT STREETPITTSBURGHPA15219251819952PERSONAL CAREPA501(C)(3)LINE 10ASBURY HEIGH0
ASBURY PLACE
600 GRANT STREETPITTSBURGHPA15219251729266PERSONAL CAREPA501(C)(3)LINE 10ASBURY HEIGH0
WESLEY HILLS
600 GRANT STREETPITTSBURGHPA15219251507472INDEP LIVINGPA501(C)(3)N/AASBURY HEIGH0
ASBURY FOUNDATION
600 GRANT STREETPITTSBURGHPA15219251555688FOUNDATIONPA501(C)(3)LINE 7ASBURY HEIGH0
REGIONAL CANCER CENTER FOUNDATION
2500 WEST 12TH STREETERIEPA16505251631855FOUNDATIONPA501(C)(3)LINE 12A, IREGIONAL CAN0
UPMC SOMERSET
225 SOUTH CENTER AVENUESOMERSETPA15501250965570HOSPITALPA501(C)(3)LINE 3UPMC0
TWIN LAKES CENTER INC
225 SOUTH CENTER AVENUESOMERSETPA15501232910318DRUG TREATMENPA501(C)(3)LINE 3UPMC SOMERSE0
SOMERSET COMMUNITY HOSPITAL FOUNDATION
225 SOUTH CENTER AVENUESOMERSETPA15501251441863FOUNDATIONPA501(C)(3)LINE 12C, III-FIUPMC SOMERSE0
SOMERSET HEALTH SERVICES INC
225 SOUTH CENTER AVENUESOMERSETPA15501251441920PHYSICIAN SRVPA501(C)(3)LINE 3UPMC SOMERSE0
JUNIOR GUILD OF THE JAMESON MEMORIAL HO
1211 WILMINGTON AVENUENEW CASTLEPA16105256005313SUPPORTING ORPA501(C)(3)LINE 12D, III-OUPMC JAMESON0
UPMC
600 GRANT STREETPITTSBURGHPA15219251423657SUPPORTING ORGPA501(C)(3)LINE 12C, III-FI0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
SENECA HILLS ASSISTED LIVING LP
600 GRANT STREETPITTSBURGHPA15219232873106ASSISTED LIVIPAN/A
ST MARGARET MEDICAL ARTS ASSOCIATES
600 GRANT STREETPITTSBURGHPA15219251786655MED OFFICE BLPAN/A
CORE NETWORK LLC
600 GRANT STREETPITTSBURGHPA15219251786209HEALTHCAREPAN/A
LIFE HOME CARE LP
600 GRANT STREETPITTSBURGHPA15219251847839HOMECAREPAN/A
SHADYSIDE MEDICAL CENTER ASSOCIATION
600 GRANT STREETPITTSBURGHPA15219251608318MED OFFICE BLPAN/A
CHARTWELL PA LP
600 GRANT STREETPITTSBURGHPA15219251729714HOMEHEALTHPAN/A
LIFE CARE HOME SRV OF NW PA
1647 SASSAFRAS STREETERIEPA16501251536879HOME HEALTH SPAN/A
HAMOT-KCH REAL ESTATE VENTURE
300 STATE STREETERIEPA16507263691782MEDICAL OFFICPAN/A
HAMOT SURGERY CENTER LLC
200 STATE STREETERIEPA16507251863661AMBULATORY SUPAN/A
EPN-HAMOT URGENT CARE LLC
600 GRANT STREETPITTSBURGHPA15219272147949URGENT CAREPAN/A
LAWRENCE COUNTY MRI & DIAGNOSTIC IMAGING
2526 WILMINGTON AVENEW CASTLEPA16105270219891IMAGING CENTEPAN/A
COMMUNITY BASKET LLC
1205 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701201195739REAL ESTATE RPAN/A
HANOVER SURGICENTER REAL ESTATE LP
300 HIGHLAND AVEHANOVERPA17331352342993INACTIVEPAN/A
MEDCARE SUSQUEHANNA VALLEY LLC
409 SOUTH SECOND STREETHARRISBURGPA17104821673688DMEPAN/A
OMICELO RE I LP
2525 LIBERTY AVENUEPITTSBURGHPA15222475603393REAL ESTATE DDEN/A
WEST SHORE SURGERY CENTER LTD
409 SOUTH SECOND STREETHARRISBURGPA17104251821415SURGICAL CARE - MEDICAL SERVICESPASEE PART VII - SUPPLEMENTAL INFORMATION$654,132$1,982,619000.45000
SUSQUEHANNA VALLEY SURGICAL CENTER
409 SOUTH SECOND STREETHARRISBURGPA17104251847818SURGICAL CARE - MEDICAL SERVICESPAN/A$691,252$1,884,280000.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (83 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
HCPHARMACY CENTRAL INC
600 GRANT STREETPITTSBURGHPA15219251364192PHARMACY CO-OPAN/AC0
CHILDREN'S COMMUNITY CARE
600 GRANT STREETPITTSBURGHPA15219251781887PHYSICIAN SRVPAN/AC0
UPMC PHYSICIAN SERVICES HOLDING COMPANY
600 GRANT STREETPITTSBURGHPA15219251877017HOLDING COPAN/AC0
HEMATOLOGY ONCOLOGY ASSOCIATION INC
600 GRANT STREETPITTSBURGHPA15219421648357PHYSICIAN SRVPAN/AC0
ONCOLOGY HEMATOLOGY ASSOCATION INC
600 GRANT STREETPITTSBURGHPA15219251762980PHYSICIAN SRVPAN/AC0
TRI-STATE NEUROSURGICAL ASSOCIATES - UPM
600 GRANT STREETPITTSBURGHPA15219251458655PHYSICIAN SRVPAN/AC0
RENAISSANCE FAMILY PRACTICE - UPMC INC
600 GRANT STREETPITTSBURGHPA15219262942406PHYSICIAN SRVPAN/AC0
UPMC HOLDING COMPANY INC
600 GRANT STREETPITTSBURGHPA15219251777713HOLDING COPAN/AC0
UPMC COVERAGE PRODUCTS INC
600 GRANT STREETPITTSBURGHPA15219251777710HOLDING COPAN/AC0
FREEDOM INSURANCE COMPANY
600 GRANT STREETPITTSBURGHPA15219030308944INSURANCEVTN/AC0
TRI-CENTURY INSURANCE CO
600 GRANT STREETPITTSBURGHPA15219251500739INSURANCEPAN/AC0
UPMC DNA INC
600 GRANT STREETPITTSBURGHPA15219251883237INSURANCEPAN/AC0
UPMC HEALTH BENEFITS INC
600 GRANT STREETPITTSBURGHPA15219251844144HEALTH INSURPAN/AC0
UPMC HEALTH NETWORK INC
600 GRANT STREETPITTSBURGHPA15219721527566HEALTH INSURPAN/AC0
UPMC HEALTH PLAN INC
600 GRANT STREETPITTSBURGHPA15219232813536HEALTH INSURPAN/AC0
UPMC BENEFIT MANAGEMENT SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251769564WORKERS' COMPPAN/AC0
UPMC DIVERSIFIED SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251778454HOLDING COPAN/AC0
MONROEVILLE SPECIALTY CLINIC
600 GRANT STREETPITTSBURGHPA15219251666087AMB SURGPAN/AC0
MEDICAL ARCHIVAL SYSTEMS INC
600 GRANT STREETPITTSBURGHPA15219232912501SOFTWARE DEVEDEN/AC0
RX PARTNERS INC
600 GRANT STREETPITTSBURGHPA15219251801966PHARMACYPAN/AC0
BIOTRONICS INC
600 GRANT STREETPITTSBURGHPA15219251843500EQUIP MAINTENPAN/AC0
MEDICAL CENTER PROPERTIES INC
600 GRANT STREETPITTSBURGHPA15219251796940REAL ESTATEPAN/AC0
ASKESIS DEVELOPMENT GROUP INC
600 GRANT STREETPITTSBURGHPA15219541625585SOFTWARE DEVEDEN/AC0
BAYFRONT REGIONAL DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401388RE HOLDING COPAN/AC0
BAYSIDE DEVELOPMENT CORP
300 STATE STREETERIEPA16507251401386REAL ESTATEPAN/AC0
UPMC WORK ALLIANCE INC
600 GRANT STREETPITTSBURGHPA15219452825053INSURANCEPAN/AC0
UPMC HEALTH COVERAGE INC
600 GRANT STREET 58TH FLOORPITTSBURGHPA15219462824537INSURANCEPAN/AC0
UPMC HEALTH OPTIONS INC
600 GRANT STREETPITTSBURGHPA15219462824626INSURANCEPAN/AC0
UPMC COMPLETE CARE INC
5215 CENTRE AVENUEPITTSBURGHPA15232463605753PHYSICIAN SRVPAN/AC0
AMERICAN HOME HEALTH SERVICES
868 CORPORATE WAYWESTLAKEOH44145311521422HOME HEALTH COHN/AC0
HEALTH FIDELITY INC
210 S B STREETSAN MATEOCA94401452538963TECHNOLOGY SVCAN/AC0
FLUENCE HEALTH INC
6425 PENN AVENUEPITTSBURGHPA15206472684174SOFTWAREDEN/AC0
CURAVI HEALTH INC
6425 PENN AVENUEPITTSBURGHPA15206811217377HEALTHCAREDEN/AC0
PENSIAMO INC
600 GRANT STREET 59TH FLPITTSBURGHPA15219812069236SUPPLY CHAINDEN/AC0
ALTOONA FAMILY INC
620 HOWARD AVEALTOONAPA16601251444935MGMT SVCSPAN/AC0
LEXINGTON HOLDINGS INC
620 HOWARD AVEALTOONAPA16601251794386HOLDING COPAN/AC0
LEXINGTON ONE INC
620 HOWARD AVEALTOONAPA16601251468889RENTALPAN/AC0
LEXINGTON TWO INC
HOWARD AVE 7TH STALTOONAPA16601251555689DMEPAN/AC0
LEXINGTON FOUR INC
620 HOWARD AVEALTOONAPA16601251793736HOLDING CODEN/AC0
UPMC ALTOONA REGIONAL HEALTH SERVICES
1414 9TH AVENUEALTOONAPA16602251219302PHYSICIAN SRVPAN/AC0
LEXINGTON ANESTHESIA ASSOCIATES INC
620 HOWARD AVEALTOONAPA16601251897765PHYSICIAN SRVPAN/AC0
MEDCPU INC
100 WALL STREET SUITE 2202NEW YORKNY10005383805381SOFTWARE DEVEDEN/AC0
UPMC EXCESS PL TRUST
600 GRANT STREETPITTSBURGHPA15219826254351TRUSTPAN/AT0
RXANTE INC
511 CONGRESS STREET 803PORTLANDME04101454040219MEDICATION MGDEN/AC0
J HEALTH VENTURES INC
1211 WILIMINGTON AVENUENEW CASTLEPA16105251607893INACTIVEPAN/AC0
SUSQUEHANNA VENTURES INC
1201 GRAMPIAN BOULEVARDWILLIAMSPORTPA17701232470623PHARMACYPAN/AC0
TYOGA CARENET
114 EAST AVENUEWELLSBOROPA16901251810967INACTIVEPAN/AC0
WCA SERVICE CORPORATION INC
207 FOOTE AVENUEJAMESTOWNNY14701161151438SUPPORTNYN/AC0
ITTCCO I INC
600 GRANT STREETPITTSBURGHPA15219822590699INACTIVEDEN/AC0
ITTCCO II INC
600 GRANT STREETPITTSBURGHPA15219822597388INACTIVEDEN/AC0
PINNACLE HEALTH CARDIOVASCULAR INSTITUT
409 SOUTH SECOND STREETHARRISBURGPA17104320321362PHYSICIAN SRVPAN/AC0
HANOVER HEALTH CORPORATION
300 HIGHLAND AVENUEHANOVERPA17331900498067HOLDING COPAN/AC0
HANOVER APOTHECARY INC
310 STOCK STREET SUITE 1HANOVERPA17331030594526PHARMACYPAN/AC0
UNITED CENTRAL PA RECIPROCAL RISK RETEN
76 SAINT PAUL STREET SUITE 500BURLINGTONVT05401134224033INSURANCEVTN/AC0
PINNACLE HEALTH VENTURES INC
409 SOUTH SECOND STREETHARRISBURGPA17104611677624HOLDING COPAN/AC0
PINNACLE HEALTH IMAGING INC
409 SOUTH SECOND STREETHARRISBURGPA17104231718571IMAGING SVCPAN/AC0
COLE CARE INC
1001 EAST 2ND STREETCOUDERSPORTPA16915251497347DMEPAN/AC0
UPMC ITALY HEALTH SERVICES SRL
HEALTH SVCN/AC0VIA DISCESA DEI GIUDICI 4PALERMOIT90133IT
UPMC INVESTMENTS LTD
HOLDING CON/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIX91 DH9WEI
UPMC PROPERTY LTD
PROPERTYN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIX91 DH9WEI
UPMC PROPERTY II LTD
PROPERTYN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIX91 DH9WEI
EURO CARE INFRASTRUCTURE LTD
PROPERTY MGMTN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIX91 DH9WEI
EURO CARE PROPERTY MANAGEMENT LTD
PROPERTY MGMTN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIX91 DH9WEI
EURO CARE HEALTHCARE LTD
HOSPITALN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIX91 DH9WEI
WATERFORD ONCOLOGY ASSOCIATES LTD
ONCOLOGY SVCN/AC0C/O UPMC WHITFIELD CORK ROAD BUTLERWATERFORDEIX91 DH9WEI
UPMC CANCER CENTERS IRELAND LIMITED
CANCER TREATMN/AC06TH FLOOR BEACON HOSPITALSANDYFORDEIDUBLIN 18EI
PANTHER REINSURANCE COMPANY LTD
981402742INSURANCEN/AC0PO BOX 1109GRAND CAYMANCJN/ACJ
FORBES REINSURANCE COMPANY LTD
981400710INSURANCEN/AC0PO BOX 1109GRAND CAYMANCJN/ACJ
CATHEDRAL (RE) INSURANCE CO
981400837INSURANCEN/AC0PO BOX 1109GRAND CAYMANCJN/ACJ
UPMC IRELAND LIMITED
HEALTHCARE SUN/AC06TH FLOOR BEACON HOSPITALSANDYFORDEIDUBLIN 18EI
UPMC CANADA TECHNOLOGIES LIMITED
SOFTWAREN/AC0600 GRANT STREETPITTSBURGHCA15219CA
SUSQUEHANNA HEALTH SYSTEM INSURANCE NET
INSURANCEN/AC0PO BOX 1159CJN/ACJ
UNITED HEALTH RISK LTD
INSURANCEN/AC0PO BOX HM 2450HAMILTONBDN/ABD
UPMC UNITED KINGDOM LTD
980571026SOFTWARE LICEN/AC0C/O NAIRCO 11TH FLOOR WHITEFRIARSLEWINS MEADUKBS1 2NTUK
BLUESPHERE BIO
6425 PENN AVENUE STE 200PITTSBURGHPA15206824979766IMMUNOTHERAPYDEN/AC0
INFECTIOUS DISEASE CONNECT INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206833311071TELEMEDICINEDEN/AC0
HUMONIC INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206834005420BIOPHARMDEN/AC0
TTMS INC
6425 PENN AVENUE STE 200PITTSBURGHPA15206825443222IMMUNOTHERAPYDEN/AC0
UPMC HILLMAN CANCER CENTER - PINNACLE
101 ERFORD ROADCAMP HILLPA17701833640945CANCER TREATMPAN/AC0
SHANGHAI UPMC CO LTD
HEALTHCARE MGMTN/AC0288 SHIMEN 1ST ROAD JINGAN DISTRICSHANGHAICHCH
SALVADOR MUNDI INTERNATIONAL HOSPITAL
HOSPITALN/AC0ROMA VIALE DELLEMURA GIANICOLENSIITIT
SOMERSET ANESTHESIA INC
600 GRANT STREETPITTSBURGHPA15219455135437PHYSICIAN SRVPAN/AC0
SOMERSET MANAGEMENT SERVICES INC
600 GRANT STREETPITTSBURGHPA15219251512960MOB OWNERSHIPPAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WEST SHORE SURGERY CENTER LTD
A$480,009COST ADJ. ANNUALLY FOR CPI
WEST SHORE SURGERY CENTER LTD
R$1,195,474COST ADJ. ANNUALLY FOR CPI

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE R, PARTS I THROUGH IV:ENTITIES REPORTED IN PARTS I THROUGH IV THAT ARE MARKED WITH AN * ARE NOT TECHNICALLY "RELATED ORGANIZATIONS", AS DEFINED IN THE FORM 990 INSTRUCTIONS AS THE REQUISITE "CONTROL" DID NOT EXIST DURING THE FISCAL YEAR ENDED JUNE 30, 2019. HOWEVER, BECAUSE THESE ENTITIES ARE AFFILIATED WITH UPMC AND THE UPMC PARENT ORGANIZATION HOLDS CERTAIN POWERS WITH RESPECT TO SUCH ENTITIES WE ARE ELECTING TO DISCLOSE THE ENTITIES AS RELATED ORGANIZATIONS IN SCHEDULE R IN THE INTEREST OF TRANSPARENCY.
FORM 990, SCHEDULE R, PART IIIWEST SHORE SURGERY CENTER IS OWNED BY THE FOLLOWING RELATED ENTITIES: UPMC PINNACLE HOSPITALS - 45% PINNACLE HEALTH MEDICAL SERVICES - 2% THE REMAINING 53% IS OWNED BY A NUMBER OF INDIVIDUAL PHYSICIANS.