2020-07-15T09:52:01-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 231360851 UPMC PINNACLE HANOVER UPMC 7172318245 PO BOX 8700 HARRISBURG PA 171058700 ALISON BERNHARDT CHIEF FINANCIAL OFFICER 7172318245 2020-07-14 1 KERRI N BOGDA CPA P00760402 7177404863 73.101.37.214 2020-07-14 09:48:43 ED P F58787FA80410BAE38B710EAF9FCC5760AD3BCDF F58787FA80410BAE38B710EAF9FCC5760AD3BCDF 2018 2021-01-29 14:40:06Z X ALISON BERNHARDT PO BOX 8700 HARRISBURG PA 171058700 175592682 0 X WWW.UPMCPINNACLE.COM X 1924 PA NON-PROFIT COMMUNITY HOSPITAL DEDICATED TO PROMOTING WELLNESS WITHIN THE GREATER HANOVER AREA. 16 10 1345 106 1117277 0 424797 195089 163499954 172097224 -403110 843776 1464514 1086815 164986155 174222904 150458 80300 0 0 78225532 75418330 89067 0 0 79176840 93006453 157641897 168505083 7344258 5717821 184143322 128278977 59090130 53474924 125053192 74804053 X WE ARE A NOT-FOR-PROFIT COMMUNITY HOSPITAL WHICH IS DEDICATED TO THE PROMOTION OF WELLNESS, PRESERVATION OF HEALTH, AND THE PROVISION OF DIAGNOSTIC AND THERAPEUTIC SERVICES TO THE PEOPLE OF THE GREATER HANOVER AREA. WE WILL BE THE PROVIDER OF CHOICE FOR HOSPITAL SUPPORTED ACUTE CARE, DIAGNOSTIC, THERAPEUTIC, REHABILITATIVE, AND WELLNESS SERVICES REQUIRED TO SUPPORT OUR NETWORK OF CARE. 0 0 117490711 80300 171005357 UPMC PINNACLE HANOVER OPERATES A NOT-FOR PROFIT HOSPITAL WITH SERVICE INCLUDING OBSTETRICS, EMERGENCY, CARDIAC CARE, CRITICAL CARE, OCCUPATIONAL HEALTH, SURGICAL SERVICES, AND A WIDE RANGE OF CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRIC/GYNECOLOGICAL, PEDIATRIC AND CRITICAL CARE. OUR MEDICAL SURGICAL UNITS ARE STAFFED IN THREE LOCATIONS, FOR A COMBINED TOTAL OF 60 BEDS. TOTAL PATIENTS DISCHARGED BY THESE UNITS DURING THE YEAR ENDED JUNE 30, 2019 WERE 4,901. OBSTETRICS/GYNECOLOGY STAFFS A TOTAL OF 18 BEDS AND DISCHARGED 561 PATIENTS. THE PEDIATRIC UNIT IS EQUIPPED WITH 5 BEDS AND HAD 228 PATIENTS DISCHARGED. THERE ARE 10 BEDS IN THE CRITICAL CARE UNIT AND 355 PATIENTS WERE DISCHARGED. THERE WERE 530 DISCHARGES FROM THE NURSERY AND 379 DISCHARGES FROM THE EMERGENCY DEPARTMENT AND OVERFLOW AS WELL. UPMC PINNACLE HANOVER PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES FOR BOTH INPATIENTS AND OUTPATIENTS. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, LABORATORY, IMAGING SERVICES, CARDIAC SERVICES, TOTAL WOUND CARE SERVICES, HYPERBARIC OXYGEN THERAPY, AND OUTPATIENT PHYSICAL THERAPY SERVICES. IMAGING SERVICES INCLUDE RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, AND CT SCANNING. CARDIAC SERVICES ARE COMPRISED OF CARDIAC REHAB, DIAGNOSTIC TESTING, CARDIAC CATHETERIZATION, CATHETER CARDIAC INTERVENTION AND PERIPHERAL CATHETER BASED VASCULAR INTERVENTION. UPMC PINNACLE HANOVER PROVIDES MULTIPLE OUTPATIENT FACILITIES FOR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES. UPMC PINNACLE HANOVER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT A REDUCED FEE. CHARGES ARE EXCUSED FOR SERVICES RENDERED AND SUPPLIES FURNISHED UNDER THE FINANCIAL ASSISTANCE POLICY . 117490711 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 X 133 0 1345 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 16 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X ALISON BERNHARDT CHIEF FINANCIAL O 7172318245 PO BOX 8700 HARRISBURG PA 171058700 ALAN J STOCK VICE CHAIR 1.00 1.00 X X 0 0 0 ANDREW D RIGGLE CFP BOARD MEMBER 1.00 1.00 X 0 0 0 BARBARA A RUPP SECRETARY 1.00 1.00 X X 0 0 0 BONY R DAWOOD BOARD MEMBER 1.00 1.00 X 0 0 0 CHRISTOPHER MARKLEY BD MBR/SR VP STAT SVCS/GEN. COUNS. 1.00 39.00 X X 0 636796 31392 DAVID L CROOKS MD BOARD MEMBER (RES. FEB. '19) 1.00 40.00 X 0 401521 35567 DOUGLAS C DYER BOARD MEMBER/SVP, PLAN & BUS DEV. 1.00 1.00 X 0 514298 25297 G STEVEN MCKONLY ESQ TREASURER 1.00 1.00 X X 195 0 0 JAMES P HELT BOARD MEMBER 1.00 X 0 0 0 JILL R ROHRBAUGH BOARD MEMBER 1.00 1.00 X 10740 0 0 JOHN-PAUL LUNN BOARD MEMBER 1.00 1.00 X 0 0 0 KARA M DARLINGTON CPA BOARD MEMBER 1.00 X 0 0 0 KURT K THOMAS DO BOARD MEMBER 1.00 X 0 0 0 PAUL F SPEARS CHAIR 1.00 1.00 X X 0 0 0 PHILIP W GUARNASCHELLI BOARD MEMBER/PRESIDENT/CEO 1.00 40.00 X 0 1375741 35711 SUSAN COMP BD MBR/SVP, NURSING OPS & CNO 1.00 40.00 X 0 481735 17652 VANESSA BERGER BOARD MEMBER 1.00 X 0 0 0 MICHAEL W GASKINS SVP & PRES., HANOVER & MEMORIAL 40.00 1.00 X 679351 0 36026 ALISON BERNHARDT VP, CORP ACCT&RPT/CFO 1.00 39.00 X 0 379089 12862 WILLIAM H PUGH EVP-TREAS./CFO 1.00 39.00 X 0 912948 24684 CHARLENE D BAKER VP HANOVER MEDICAL GROUP 40.00 X 172685 0 14850 DONNA MULLER VP FINANCE - HANOVER 40.00 X 214568 0 11443 MICHAEL A HOCKENBERRY VP & COO 40.00 X 261999 0 31579 MICHAEL H ADER VP MEDICAL AFFAIRS 40.00 X 315661 0 18112 MICHAEL PECK MEDICAL DIRECTOR 10.00 30.00 X 0 264185 21420 ANDREW RINEHART CLINICAL STAFF PHARMACIST 40.00 X 152021 0 27835 DANIEL LEIB LEAD PHARMACIST 40.00 X 154942 0 28292 DANIELLE LEMMON CLINICAL STAFF PHARMACIST 40.00 X 150188 0 15783 JENNIFER SHIMKONIS DIRECTOR OF NURSING SERVICES 40.00 X 155442 0 17721 NANCY ESCHRICH CLINICAL STAFF PHARMACIST 40.00 X 157554 0 22069 2425346 4966313 428295 64 0 1 0 HUNTZINGER MANAGEMENT GROUP 72 GLENMAURA NATIONL BLVD STE 105 MOOSIC PA 18507 INFO TECH SERVICES 2201585 HANOVER ANESTHESIOLOGY & PAIN 250 FAME AVE SUITE 110 HANOVER PA 17331 ANESTHESIA SERVICES 2031993 QUEST DIAGNOSTICS 12436 COLLECTIONS CENTER DR CHICAGO IL 60693 LAB TEST PROCESSING 1078331 TEAM HEALTH PO BOX 634850 CINCINATTI OH 45263 EMERGENCY PHYSICIANS 636252 UNIVERSITY OF MARYLAND SURGICAL ASSOCIAT PO BOX 62523 BALTIMORE MD 21264 PHYSICIAN FEES 564442 34 94921 50000 50168 195089 NET PATIENT SERVICE REVENUE 621990 130025594 130025594 LAB SERVICE NET REVENUE 621990 27211339 26119472 1091867 EMERGENCY DEPARTMENT NET REVENUE 621990 14860291 14860291 172097224 1012518 1012518 2159 2159 495937 459840 36097 36097 25410 10687 126 712722 1137 882612 -1011 -169890 -170901 -170901 25319 94921 26189 -870 -870 CAFETERIA SALES 721110 564269 564269 SUBSCRIPTIONS 900099 296116 296116 AMBULANCE MEMBERSHIP 900099 33960 33960 157243 157243 1051588 174222904 171005357 1117277 1905181 X 80300 80300 2000074 2000074 57577483 45404043 12173440 2459019 1827409 631610 8874436 6513221 2361215 4507318 3389503 1117815 7732227 2698547 5033680 44360 44360 49801 49801 22923160 19589866 3333294 533154 533154 2818236 1131696 1686540 5240319 455908 4784411 9762017 3270276 6491741 123635 114486 9149 105491 95144 10347 1455035 1455035 11735559 4788108 6947451 588735 588735 MEDICAL SUPPLIES 18149227 17659198 490029 PHARMACY 6950983 6763306 187677 MEDICAID COST REDUCTION 3319948 3319948 FOOD 678794 173771 505023 795772 215981 579791 168505083 117490711 51014372 0 2867 2567 12171711 8749304 0 0 30771465 32642908 3978072 2639266 3226356 2287348 99149357 18970948 87371824 80178409 44939167 1681860 1779175 184143322 128278977 12509810 12667737 1549743 1311321 39115038 36709109 826326 0 5089213 2786757 59090130 53474924 X 124323217 74007531 630519 691127 99456 105395 125053192 74804053 184143322 128278977 X 5717821 145535 -56112495 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 6129 138 490 5777 0 41916770 53112 -5522175 -5500 497 32564419 3888291 48850426 227516 -4600839 500 2504419 55414 41916770 49755714 121838 3843449 12983 4802433 55159 48850426 41621291 7068143 1163126 5500 39647 51699 49755714 34356532 7081686 274044 7000 32411 51560 41621291 0.97290 0.02710 0.00000 0 0 2199365 2199365 59362772 5225562 54137210 1022988 220163 802825 33107353 11878137 21229216 3456879 1647086 1809793 80178409 OBLIGATIONS UNDER CAPITAL LEASE 2073958 ADVANCES RECEIVED FROM THIRD-PARTYS 191599 ADVANCED WORKING CAPITAL 521200 2786757 X PART IV, LINE 2B: JOSEPH & PATRICIA HUMBERT ORIGINALLY CONTRIBUTED TO UPMC PINNACLE HANOVER. THE TWO DONORS PASSED AWAY BUT THE BALANCE OF THE FUND IS BEING HELD UNTIL THEIR SON PASSES AWAY. HE CURRENTLY RECEIVES A DISTRIBUTION FROM THE FUND EVERY SIX MONTHS. PART V, LINE 4: BOARD DESIGNATED FUNDS ARE ASSETS SET ASIDE BY THE BOARD OF TRUSTEES FOR FUTURE CAPITAL IMPROVEMENTS, OVER WHICH THE BOARD RETAINS CONTROL AND MAY, AT ITS DISCRETION, SUBSEQUENTLY USE FOR OTHER PURPOSES. THE FOLLOWING ENDOWMENTS' INCOMES ARE USED FOR THE PURPOSE OF PROVIDING UPMC PINNACLE HANOVER STAFF SCHOLARSHIPS FOR CONTINUING EDUCATION IN THE NOTED SPECIALTIES: BATHON-CRITICAL CARE, CARDIAC AND EMERGENCY SERVICES PATHOLOGISTS- LABORATORY KIRKPATRICK-MATERNITY/OBSTETRICS SHIPMAN-RADIOLOGY BONNIE HART-OPERATING ROOM STEVE LAWRENCE-EMERGENCY MEDICINE THE JACKIE LAWRENCE ENDOWMENT IS RESTRICTED FOR THE PURPOSE OF AWARDING A $500 SCHOLARSHIP TO A DELONE CATHOLIC HIGH SCHOOL SENIOR WHO IS PURSUING A BACHELOR OF SCIENCE- NURSING DEGREE. THE LEHMAN ENDOWMENT FUND IS TO SUPPORT A "WENDELL LEHMAN EDUCATION DAY" FOR THE UPMC PINNACLE HANOVER CARDIAC SERVICES STAFF. 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. THE COMPANY'S RETURN FOR THE FISCAL YEAR ENDED JUNE 30, 2017 IS OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES. GOLF TOURNAMENT 120240 94921 25319 9075 16244 870 120240 94921 25319 9075 16244 870 26189 -870 1 1 X 1 X 1 X 1 1 1 0 0 1708184 1708184 0.01010 12790394 6481120 6309274 0.03740 14498578 6481120 8017458 0.04750 41 23831 555753 42644 513109 0.00300 2 8 84188 84188 0.00050 2021260 2021260 0.01200 6 564 119113 119113 0.00070 49 24403 2780314 42644 2737670 0.01620 49 24403 17278892 6523764 10755128 0.06370 1 1029 1871 1871 0.00000 1 1029 1871 1871 0.00000 1 7597431 39160515 56195021 -17034506 X 1 1 1 1 UPMC PINNACLE HANOVER 300 HIGHLND AVENUE HANOVER PA 17331 WWW.UPMCPINNACLE.COM X X X UPMC PINNACLE HANOVER 1 0 1 1 X X X X X X X X 18 1 1 0 1 X WWW.UPMCPINNACLE.COM X X 1 18 1 WWW.UPMCPINNACLE.COM 0 1 X 200.000000000000 350.000000000000 X X X X 1 1 X X X X 1 X WWW.UPMCPINNACLE.COM X WWW.UPMCPINNACLE.COM X WWW.UPMCPINNACLE.COM X X X X X 1 0 X X X X 1 X 0 0 UPMC PINNACLE HANOVER PART V, SECTION B, LINE 2: EFFECTIVE SEPTEMBER 1, 2017, UPMC PINNACLE ACQUIRED HANOVER HOSPITAL, NOW NAMED UPMC PINNACLE HANOVER. WITH THIS ACQUISITION, UPMC PINNACLE HANOVER, ALREADY A NOT-FOR-PROFIT ENTITY, ADOPTED UPMC PINNACLE'S CHARITY CARE POLICIES AS WELL AS ITS MISSION, VISION AND VALUES. BRINGING THIS HOSPITAL INTO THE UPMC PINNACLE NETWORK WAS A SIGNIFICANT OPPORTUNITY TO SERVE MORE COMMUNITIES, ACHIEVE OUR MISSION OF PROVIDING THE HIGHEST QUALITY CARE, AND INCREASE ACCESS TO CARE ACROSS THE REGION. UPMC PINNACLE HANOVER PART V, SECTION B, LINE 5: UPMC PINNACLE HANOVER AND UPMC PINNACLE MEMORIAL COLLABORATED WITH OTHER ORGANIZATIONS TO CONDUCT THE ADAMS AND YORK COUNTY COMMUNITY NEEDS HEALTH ASSESSMENT 2018. WITHIN THE DEVELOPMENT OF THE 2018 ASSESSMENT, SEVERAL RESOURCES WERE USED AND GIVEN CONSIDERATION TO IDENTIFY SIGNIFICANT ISSUES WITHIN THE COMMUNITY. THE PRIMARY AND SECONDARY DATA SOURCES USED FOR THE CHNA ARE AS FOLLOWS: THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS, THE 2015 CHNA SURVEY, AND THE PENNSYLVANIA DEPARTMENT OF HEALTH'S EPI QMS DATA RETRIEVAL SYSTEM. THE REGIONAL CHNA COMMITTEE HIRED STAFF FROM THE FLOYD INSTITUTE FOR PUBLIC POLICY AT FRANKLIN AND MARSHALL COLLEGE TO ASSIST WITH CONDUCTING THE SURVEYING AND DATA COLLECTION. THE SURVEY RESULTS WERE WEIGHTED BY GENDER, EDUCATION, RACE, AND AGE. THE CHNA SURVEY INFORMATION IS BASED ON A BEHAVIORAL RISK FACTOR SURVEY OF 467 ADULT RESIDENTS OF ADAMS COUNTY AND 793 ADULT RESIDENTS OF YORK COUNTY. THE SURVEY INTERVIEWING TOOK PLACE FROM DECEMBER 4, 2017 THROUGH FEBRUARY 25, 2018. THE SURVEY SAMPLE WAS DESIGNED TO BE REPRESENTATIVE OF THE ADULT NON-INSTITUTIONALIZED POPULATION OF THE TWO COUNTIES. UPMC PINNACLE HANOVER PART V, SECTION B, LINE 6A: UPMC PINNACLE MEMORIAL UPMC PINNACLE HANOVER PART V, SECTION B, LINE 7D: THE CHNA WILL BE PRESENTED TO A VARIETY OF SOCIAL SERVICE AGENCIES OVER THE NEXT YEAR. UPMC PINNACLE HANOVER PART V, SECTION B, LINE 11: THE HOSPITAL ADDRESSES THE NEEDS INDENTIFIED BY THE CHNA THROUGH PROGRAMS LIKE LOW COST OR NO COST BLOOD PRESSURE, LABORATORY AND PULMONARY SCREENINGS MULTIPLE TIMES THROUGH-OUT THE YEAR. IN ADDITION, THE HOSPITAL CREATES EDUCATIONAL PROGRAMS TO ADDRESS HEALTHCARE KNOWLEDGE SHORTFALLS INDENTIFIED BY THE CHNA SUCH AS SMOKING CESSATION, NEWBORN CARE, NUTRITIONAL WORKSHOPS, ETC. THE HOSPITAL SPONSORS BETTER LIVING RADIO EACH WEEKDAY ON A LOCAL RADIO STATION THAT PROVIDES HEALTH INFORMATION TO AREA RESIDENTS. THE HOSPITAL PROVIDES SPEAKERS FOR COMMUNITY GROUPS ON HEALTH RELATED TOPICS UPON REQUEST. THE HOSPITAL WORKS COLLABORATIVELY WITH OTHER LOCAL HEALTHCARE PROVIDERS TO ADDRESS ANY NEEDS IDENTIFIED BY THE CHNA THAT CAN'T BE ADDRESSED BY THE HOSPITAL. THE HOSPITAL WILL NOT ADDRESS PSYCHIATRIC NEEDS SINCE THE HOSPITAL'S APPROACH IS TO WORK WITH OTHER LOCAL MEDICAL PROVIDERS WHO HANDLE THIS SPECIFIC NEED. UPMC PINNACLE HANOVER PART 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 HANOVER PART 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. 12 1 - HILLSIDE DIAGNOSTIC CENTER 250 FAME AVE STE 104 HANOVER PA 17331 LAB, MRI, X-RAY, CT SCAN, US 2 - SOUTH HANOVER 1404 BALTIMORE ST HANOVER PA 17331 EKG, LAB, X-RAY 3 - CHERRY TREE 785 CHERRY TREE CT HANOVER PA 17331 REHAB 4 - HILLSIDE CARDIAC DIAGNOSTIC 250 FAME AVE STE 104 HANOVER PA 17331 CARDIAC REHAB 5 - SPRING GROVE 2030 THISTLE HILL DR SPRING GROVE PA 17362 LAB, REHAB, X-RAY 6 - NEW OXFORD 5615 YORK RD NEW OXFORD PA 17350 LAB & X-RAY 7 - LITTLESTOWN 300 W KING ST LITTLESTOWN PA 17340 LAB & REHAB 8 - EICHELBERGER LAB 195 STOCK ST HANOVER PA 17331 OUTPATIENT LAB 9 - HILLSIDE LUNG & SLEEP CENTER 250 FAME AVE STE 10 HANOVER PA 17331 PULMONOLOGY & SLEEP CENTER 10 - YORK STREET 400 YORK ST HANOVER PA 17331 PEDIATRIC REHAB 11 - HANOVER MEDICAL FITNESS CENTER 250 FAME AVE STE 10 HANOVER PA 17331 FITNESS CENTER 12 - TOTAL WOUND CARE CENTER 3130 GRANDVIEW RD HANOVER PA 17331 WOUND CARE, HYERBARIC OXYGEN PART I, LINE 7: THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID COSTS ARE CALCULATED BY THE HOSPITAL'S COST-TO-CHARGE RATIO 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 ATTRIBUTED TO PRIMARY CARE AND CLINICS ARE INCLUDED AS SUBSIDIZED HEALTH SERVICES. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $7,597,431 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: UPMC PINNACLE HANOVER IS FOCUSED ON GETTING MORE INVOLVED IN COMMUNITY EVENTS, COALITIONS/TASK FORCES, DEVELOPING PROGRAMS, CONDUCTING SPEAKING ENGAGEMENTS, AND CREATING PARTNERSHIPS WITH LOCAL AGENCIES, ORGANIZATIONS AND BUSINESSES IN THE GREATER HANOVER AREA AND THROUGHOUT YORK AND ADAMS COUNTIES TO ADDRESS THE NEEDS OF THE CHNA FINDINGS. OUR TARGET POPULATIONS ARE THE COMMUNITY AT LARGE, OUR PATIENTS, AND OUR EMPLOYEES.TO IMPROVE THE HEALTH OF THE RESIDENTS OF THE COMMUNITIES IT SERVES, UPMC PINNACLE HANOVER PROVIDES HEALTH EDUCATION AND WELLNESS OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY, BY OFFERING THE FOLLOWING HEALTH AND EDUCATION PROGRAMS: -$5 PRODUCE VOUCHERS - IN AN EFFORT TO COMBAT OBESITY AND PROMOTE NUTRITION, $5 PRODUCE VOUCHERS ARE GIVEN AT THE MARKET DAYS PRODUCE STAND, HEALTH FAIRS, AND HANOVER MEDICAL GROUP DOCTOR'S OFFICES. IN PARTNERSHIP WITH THE MARKETS OF HANOVER, THE MARKET DAYS PRODUCE STAND IS HELD ON THE 1ST FRIDAY OF THE MONTH FROM MAY THROUGH SEPTEMBER AT THE HILLSIDE MEDICAL CENTER. IN 2018, 322 VOUCHERS WERE CLAIMED.-GROCERY STORE TOURS - THE HEALTH EDUCATOR WAS TRAINED TO PROVIDE GROCERY STORE TOURS IN PARTNERSHIP WITH GIANT FOOD STORES. THESE TOURS TEACH PARTICIPANTS HOW TO GET THROUGH THE GROCERY STORE THE HEALTHIEST WAY POSSIBLE. IN 2018, 2 TOURS WERE CONDUCTED WITH 27 PARTICIPANTS.-FREE HEALTH SCREENINGS - FREE BMI, BLOOD PRESSURE, FALL RISK ASSESSMENT, AND VARIOUS OTHER SCREENINGS ARE OFFERED AT LOCAL BUSINESSES, COMMUNITY EVENTS, SENIOR CENTERS, THE YMCA, HEALTH FAIRS, AND THE UPMC PINNACLE HANOVER MAIN LOBBY. IN 2018, 649 PARTICIPANTS WERE SCREENED.-SPORTS PHYSICALS - FREE SPORTS PHYSICALS ARE CONDUCTED BY THE UPMC PINNACLE HANOVER MEDICAL STAFF AT YORK AND ADAMS COUNTY SCHOOLS. IN 2018, 722 STUDENTS WERE SCREENED.-MATTER OF BALANCE - A PROGRAM FOR OLDER ADULTS THAT HELPS REDUCE THEIR FEAR OF FALLING, LEARN HOW TO MAKE ENVIRONMENTAL CHANGES IN AND AROUND THEIR HOMES, BECOME MORE ASSERTIVE, LEARN WAYS TO CHANGE THEIR FALL RISK BEHAVIORS, AND PRACTICE EXERCISES THAT WILL HELP INCREASE THEIR STRENGTH, BALANCE, AND FLEXIBILITY. CLASSES ARE 2 HOURS IN LENGTH AND HELD FOR 8 WEEK SESSIONS. IN 2018, 28 PEOPLE PARTICIPATED.-HEALTH FAIRS/OUTREACH EVENTS - UPMC PINNACLE HANOVER PROVIDED REPRESENTATION AT 39 VARIOUS COMMUNITY, BUSINESS AND SCHOOL EVENTS, EACH TIME PROVIDING MATERIALS ON NUTRITION, PHYSICAL ACTIVITY, AND MENTAL HEALTH. IN 2018, 11,580 PEOPLE PARTICIPATED.-SUPPORT GROUPS - UPMC PINNACLE HANOVER PROVIDES SUPPORT GROUPS FOR RESPIRATORY THERAPY, BREASTFEEDING, DEPRESSION, DEMENTIA, GRIEF, INFANT BEREAVEMENT, OSTOMY, AND STROKE. IN 2018, 880 PEOPLE PARTICIPATED IN SUPPORT GROUPS WITH 700 PARTICIPANTS IN THE DEPRESSION SUPPORT GROUP.-TOBACCO CESSATION PROGRAM - IN 2018, 1,067 PEOPLE PARTICIPATED IN TOBACCO CESSATION PROGRAMS AT UPMC PINNACLE HANOVER. PART III, LINE 3: FOR THE PORTION OF BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE HOSPITAL DETERMINED THE ZIP CODES THAT PRIMARILY INCLUDE PUBLIC HOUSING, LOW INCOME, AND/OR POVERTY. BAD DEBT WRITE-OFFS FOR THE FISCAL YEAR ARE REVIEWED TO DETERMINE THE ACCOUNTS WHERE THE PATIENT ADDRESS WAS LOCATED IN THOSE ZIP CODES. AN OVERALL COST-TO-CHARGE RATIO WAS THEN APPLIED TO THIS AMOUNT TO ARRIVE AT AN EXPENSE FIGURE. THIS METHOD CONTINUES TO BE HONED AS WE FURTHER DEVELOP OUR PRESUMPTIVE CHARITY CARE AND FINANCIAL AID APPROACH. PART III, LINE 4: THE FINANCIAL STATEMENTS DO NOT HAVE A SPECIFIC NOTE ON BAD DEBT EXPENSE; RATHER THE FINANCIAL STATEMENTS EVALUATE BAD DEBTS IN 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 METHODOGY 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. PART III, LINE 8: THE MEDICARE COSTS WERE DETERMINED BASED ON THE HOSPITAL'S 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: TOGETHER WITH UPMC PINNACLE MEMORIAL, UPMC PINNACLE HANOVER COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN MAY 2018 FOR ADAMS AND YORK COUNTIES AND NORTHERN MARYLAND. YORK COUNTY RANKS 19 OUT OF 67 PENNSYLVANIA COUNTIES IN HEALTHY OUTCOMES AND 13 OUT OF 67 IN HEALTH FACTORS WHILE ADAMS COUNTY RANKS 10 AND 11, RESPECTIVELY. THE REGION SHOWS HIGH RATES OF OBESITY, LOW BIRTH RATE WEIGHT BABIES, TEEN BIRTHS AND LOW RATES OF MENTAL HEALTH PROVIDERS. COUNTY HEALTH RANKINGS HELPS COUNTIES UNDERSTAND WHAT INFLUENCES HOW HEALTHY RESIDENTS ARE AND HOW LONG THEY WILL LIVE. THE RANKINGS LOOK AT HEALTH OUTCOMES (LENGTH OF LIFE AND QUALITY OF LIFE) AND HEALTH FACTORS THAT INCLUDE HEALTH BEHAVIORS (TOBACCO USE, DIET AND EXERCISE, ALCOHOL AND DRUG USE, SEXUAL ACTIVITY), CLINICAL CARE (ACCESS, QUALITY), SOCIAL AND ECONOMIC FACTORS (EDUCATION, EMPLOYMENT, INCOME, FAMILY AND SOCIAL SUPPORT, COMMUNITY SAFETY), AND THE PHYSICAL ENVIRONMENT (AIR AND WATER QUALITY, HOUSING AND TRANSPORTATION). IN THE FALL OF 2017 THROUGH MARCH 2018 UPMC PINNACLE HANOVER WAS A PARTNERING HOSPITAL OF THE REGION COLLABORATING WITH OTHERS TO ASSESS THE COMMUNITY HEALTH NEEDS OF THE REGION. IN JUNE 2018, A COMMUNITY FORUM WAS HELD TO REVIEW AND SHARE THE FULL COMMUNITY HEALTH NEEDS ASSESSMENT AND TO GET INPUT FROM THE COMMUNITY. THE THREE PRIORITIES THAT CAME OUT OF THE ASSESSMENT WERE:1. PHYSICAL HEALTH (IMPROVING TRENDS IN PHYSICAL ACTIVITY AND NUTRITION)2. BEHAVIORAL HEALTH (REDUCE HIGH RATE OF ADULT DEPRESSION)3. MATERNAL CHILD HEALTH (REDUCE LOW BIRTHWEIGHT BABIES, REDUCE TEEN BIRTH RATE, REDUCE SEXUALLY TRANSMITTED DISEASES AND SEXUALLY TRANSMITTED INFECTIONS). UPMC PINNACLE HANOVER HAS DEVELOPED A FRAMEWORK TO IMPROVE THOSE NEEDS. THE UPMC PINNACLE HANOVER BOARD OF DIRECTORS ACCEPTED THESE THREE PRIORITIES AND DEVELOPED THE FOLLOWING GOALS AND OBJECTIVES: PRIORITY 1: PHYSICAL HEALTH, PHYSICAL ACTIVITY AND TOBACCOGOALS: PROMOTE HEALTH AND REDUCE CHRONIC DISEASE RISK, THROUGH THE CONSUMPTION OF HEALTHFUL DIETS AND ACHIEVEMENT AND MAINTENANCE OF HEALTHY BODY WEIGHTS. DECREASE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE, VAPING AND SECONDHAND SMOKE EXPOSURE.STRATEGY 1: INCREASE KNOWLEDGE AND ACCESS TO FRESH PRODUCE IN THE REGION BY 2022. WE WILL PROVIDE EDUCATIONAL LEARNING OPPORTUNITIES TO A VARIETY OF AGE GROUPS AND POPULATIONS, OFFER BMI SCREENINGS, CONDUCT COOKING DEMOS, AND PROVIDE $5 PRODUCE VOUCHERS. COMMUNITY OUTREACH WILL ALSO BE INCREASED BY PROVIDING PRODUCE STANDS TO INCREASE ACCESS TO FRESH PRODUCE.STRATEGY 2: IMPROVE HEALTH, FITNESS AND QUALITY OF LIFE THROUGH INCREASED PHYSICAL ACTIVITY. STRATEGY 3: DECREASE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE/VAPING AND SECOND HAND SMOKE EXPOSURE. WE WILL CONDUCT FREEDOM FROM SMOKING CLASSES AS WELL AS 1-ON-1 TOBACCO CESSATION COUNSELING.PRIORITY 2: BEHAVIORAL HEALTHGOALS: IMPROVE MENTAL HEALTH THROUGH PREVENTION AND BY ENSURING ACCESS TO APPROPRIATE, QUALITY MENTAL HEALTH SERVICES. REDUCE THE HIGH NUMBER OF SUICIDE RATES.STRATEGY 1: DECREASE THE NUMBER OF MENTAL HEALTH DAYS PEOPLE EXPERIENCE IN OUR REGION BY 2022. PROVIDE EDUCATIONAL LEARNING OPPORTUNITIES TO A VARIETY OF AGE GROUPS AND POPULATIONS. HOLD MENTAL HEALTH FIRST AID TRAININGS FOR PROFESSIONALS AND THE COMMUNITY AT LARGE. INCREASE COMMUNITY OUTREACH AND ACCESS TO SUPPORT GROUPS.STRATEGY 2: DECREASE THE SUICIDE RATE BY 5% IN THE REGION BY 2022. PROVIDE EDUCATIONAL LEARNING OPPORTUNITIES TO A VARIETY OF AGE GROUPS AND POPULATIONS. PROVIDE QPR TRAININGS FOR PROFESSIONALS AND THE COMMUNITY AT LARGE. INCREASE COMMUNITY OUTREACH AND ACCESS TO SUPPORT GROUPS.PRIORITY 3: MATERNAL-CHILD HEALTHGOALS: IMPROVE THE HEALTH AND WELL-BEING OF WOMEN AND THEIR UNBORN CHILDREN. PROMOTE HEALTHY SEXUAL BEHAVIORS AND INCREASE ACCESS OF QUALITY SERVICES TO PREVENT STD'S/STI'S AND THEIR COMPLICATIONS. REDUCE THE NUMBER OF TEEN PREGNANCIES AND INCREASE ACCESS TO PRENATAL CARE.STRATEGY 1: REDUCE THE NUMBER OF LOW BIRTH WEIGHT BABIES BORN IN THE REGION BY 5% BY 2022 BY PROMOTING AND SUPPORTING LOCAL PRENATAL AND POSTNATAL CARE SUPPORT SERVICES FOR PREGNANT WOMEN AND TEENS AND DISTRIBUTING PRODUCE VOUCHERS FOR PREGNANT MOMS AND NEW PARENTS.STRATEGY 2: REDUCE THE RATE OF TEENS WITH STD'S/STI'S IN THE REGION BY 5% BY 2022. WE WILL PROVIDE AND FUND LOCAL, ESTABLISHED EDUCATIONAL PROGRAMS FOR STD'S/STI'S. STRATEGY 3: DECREASE THE NUMBER OF TEEN PREGNANCIES BY 10% IN OUR REGION BY 2022. WE WILL PROVIDE AND FUND LOCAL, ESTABLISHED PROGRAMS FOR TEEN PREGNANCY PREVENTION. 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 IN 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: UPMC PINNACLE HANOVER IS LOCATED IN YORK COUNTY. YORK COUNTY IS 904.2 SQUARE MILES WITH A POPULATION OF 448,273 WHICH EQUATES TO 495.8 PEOPLE PER SQUARE MILE. THE MEDIAN AGE IS 40.9. APPROXIMATELY 8.7% OF RESIDENTS FALL BELOW THE POVERTY LINE WITH 13% COMPRISED OF CHILDREN BELOW 18 AND 4% ARE SENIORS (ABOVE 65).YORK COUNTY RANKS 19 OUT OF 67 COUNTIES IN HEALTH OUTCOMES AND 13 OUT OF 67 COUNTIES IN HEALTH FACTORS. COMPARED TO OTHER COUNTIES IN THE STATE, YORK SHOWS HIGH RATES OF OBESITY, LOW BIRTH WEIGHT BABIES, TEEN BIRTHS, AND LOW RATES OF MENTAL HEALTH PROVIDERS. YORK ALSO HAS RELATIVELY HIGH RATES OF SEXUALLY TRANSMITTED INFECTIONS AND VIOLENT CRIME. YORK COUNTY DOES RELATIVELY WELL ON HAVING LOW RATES OF CHILDREN IN POVERTY AND PREVENTABLE HOSPITAL STAYS. YORK COUNTY'S PHYSICAL ENVIRONMENT SCORES HAVE DECLINED SIGNIFICANTLY OVER TIME RELATIVE TO OTHER COUNTIES IN THE STATE, DUE TO POOR AIR QUALITY AND PROBLEMS RELATED TO HOUSING AND TRANSPORTATION. PART VI, LINE 5: UPMC PINNACLE HANOVER FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF ITS COMMUNITY THROUGH THE FOLLOWING: UPMC PINNACLE HANOVER UTILIZES APPROXIMATELY 200 VOLUNTEERS OFFERING SUPPORT TO THE ORGANIZATION, FROM THE BOARD OF DIRECTORS TO THOSE WHO DELIVER FLOWERS AND TRANSPORT PATIENTS. THESE VOLUNTEERS ARE ALSO ACTIVE COMMUNITY MEMBERS LIVING IN THE HOSPITAL'S PRIMARY SERVICE AREA. THROUGH THEIR INVOLVEMENT AT THE HOSPITAL, THEY ARE ABLE TO COMMUNICATE ITS PROGRAMS AND SERVICES THAT BENEFIT THE WELFARE OF THE COMMUNITY. THROUGH A WHOLLY OWNED SUBSIDIARY, THE HOSPITAL EMPLOYS APPROXIMATELY 43 PHYSICIANS. THESE PHYSICIANS SPECIALIZE IN THE FAMILY MEDICINE, INTERNAL MEDICINE, GENERAL SURGERY, GERIATRICS, LUNG AND SLEEP MEDICINE, ENDOCRINOLOGY, UROLOGY, CARDIOLOGY AND OB/GYN. OUR PHYSICIANS WORK WITH THOUSANDS OF FAMILIES PROVIDING EXCEPTIONAL CARE. FINALLY, UPMC PINNACLE HANOVER APPLIES ITS SURPLUS FUNDS BY REINVESTING IN THE ORGANIZATION. OVER THE PAST FEW YEARS, THE HOSPITAL HAS PAID FOR THE EXPENSES TO ROLL OUT A COMMUNITY-WIDE ELECTRONIC MEDIAL RECORD (EMR). HANOVER IS ONE OF THE VERY FEW COMMUNITIES TO HAVE APPROXIMATELY EIGHTY PERCENT OF ITS EMPLOYED AND AFFILIATED PHYSICIAN PRACTICES JOIN THIS ROLL OUT. TOGETHER THE HOSPITAL AND ITS PHYSICIANS ARE COMMITTED TO PROVIDING A TIMELY, ACCURATE RECORD FOR PATIENTS TO REDUCE UNNECESSARY TESTING AND REDUCE COSTS. IN ADDITION TO THE EMR, THE HOSPITAL HAS INVESTED FUNDS TO IMPROVE TECHNOLOGY AND TO OPEN NEW CENTERS. MOST RECENTLY, THE HOSPITAL OPENED AN ADDITIONAL LAB TO CARDIOVASCULAR. THROUGH OUR MOST VALUABLE ASSETS, OUR VOLUNTEERS AND EMPLOYEES, ALONG WITH OUR ONGOING COMMITMENT TO OUR COMMUNITY, UPMC PINNACLE HANVOER HAS FURTHERED ITS EXEMPT PURPOSE. PART VI, LINE 6: UPMC PINNACLE HANOVER IS PART OF UPMC PINNACLE, 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, PRE-HOSPITAL EMERGENCY MEDICAL SERVICES FOR THE RESIDENTS AND COMMUNITIES OF THE CENTRAL PENNSYLVANIA YORK REGIONS.PINNACLE HEALTH VENTURES, INC. WAS FORMED IN 2012 TO CONSOLIDATE VARIOUS ENTITIES THAT FUNCTION IN SUPPORT OF THE UPMC PINNACLE NETWORK. CURRENTLY INCLUDED IN VENTURES ARE PINNACLE HEALTH IMAGING, MEDCARE SUSQUEHANNA VALLEY, PINNACLE HEALTH ALLBETTERCARE, AND MEDICAL ARTS BUILDING. 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.UPMC PINNACLE AND ITS AFFILIATES ARE ACTIVELY INVOLVED IN THE CENTRAL PENNSYLVANIA REGION THROUGH VARIOUS CHARITY AND COMMUNITY BENEFIT ACTIVITIES. PART VI, LINE 7, REPORTS FILED WITH STATES PA 1 AMERICAN HEART ASSOCIATION 5455 NORTH HIGH ST COLUMBUS OH 43214 135613797 501(C)(3) 10000 SPONSORSHIP FRIENDS OF CODORUS STATE PARK 1066 BLOOMING GROVE RD HANOVER PA 17331 562675802 501(C)(3) 10000 SPONSORSHIP HEALTHY YORK COUNTY COALITION 605 SOUTH GEORGE ST STE 160 YORK PA 17401 222517863 501(C)(3) 16150 SPONSORSHIP NEW HOPE MINISTRIES PO BOX 448 DILLSBURG PA 17019 232223120 501(C)(3) 18000 SPONSORSHIP THE BRETHEREN HOME INC 2990 CARLISLE PIKE NEW OXFORD PA 17331 232454835 501(C)(3) 7500 SPONSORSHIP FOREVER MEDIA-WOMEN'S SHOW 275 RADIO ROAD C/O FOREVER MEDIA INC HANOVER PA 17331 581935744 12150 SPONSORSHIP YMCA HANOVER AREA PO BOX 381 500 NORTH GEORGE ST HANOVER PA 17331 237172265 501(C)(3) 6500 SPONSORSHIP 6 1 PART I, LINE 2: DONATIONS ARE MADE TO 501(C)(3) PUBLIC CHARITIES FOR USE IN EXEMPT ACTIVITIES RELATED TO HEALTHCARE. ADDITIONAL DONATIONS ARE MADE TO LOCAL NON-CHARITABLE ORGANIZATIONS TO SUPPORT THE COMMUNITY. X X 0 0 1 1 0 0 0 0 0 0 0 CHRISTOPHER MARKLEY BD MBR/SR VP STAT SVCS/GEN. COUNS. 0 416046 0 154502 0 66248 0 16500 0 14892 0 668188 0 0 DAVID L CROOKS MD BOARD MEMBER (RES. FEB. '19) 0 401521 0 0 0 0 0 0 0 35567 0 437088 0 0 DOUGLAS C DYER BOARD MEMBER/SVP, PLAN & BUS DEV. 0 341986 0 120900 0 51412 0 12340 0 12957 0 539595 0 0 PHILIP W GUARNASCHELLI BOARD MEMBER/PRESIDENT/CEO 0 828825 0 348731 0 198185 0 16500 0 19211 0 1411452 0 0 SUSAN COMP BD MBR/SVP, NURSING OPS & CNO 0 312758 0 114023 0 54954 0 16500 0 1152 0 499387 0 0 MICHAEL W GASKINS SVP & PRES., HANOVER & MEMORIAL 462210 0 138179 0 78962 0 16500 0 19526 0 715377 0 0 0 ALISON BERNHARDT VP, CORP ACCT&RPT/CFO 0 258421 0 86065 0 34603 0 4854 0 8008 0 391951 0 0 WILLIAM H PUGH EVP-TREAS./CFO 0 603418 0 222089 0 87441 0 16500 0 8184 0 937632 0 0 CHARLENE D BAKER VP HANOVER MEDICAL GROUP 132701 0 15423 0 24561 0 7962 0 6888 0 187535 0 0 0 DONNA MULLER VP FINANCE - HANOVER 170019 0 17480 0 27069 0 10201 0 1242 0 226011 0 0 0 MICHAEL A HOCKENBERRY VP & COO 213179 0 21917 0 26903 0 12791 0 18788 0 293578 0 0 0 MICHAEL H ADER VP MEDICAL AFFAIRS 213200 0 79481 0 22980 0 5415 0 12697 0 333773 0 0 0 MICHAEL PECK MEDICAL DIRECTOR 0 219245 0 0 0 44940 0 15849 0 5571 0 285605 0 0 ANDREW RINEHART CLINICAL STAFF PHARMACIST 152021 0 0 0 0 0 9326 0 18509 0 179856 0 0 0 DANIEL LEIB LEAD PHARMACIST 154942 0 0 0 0 0 9361 0 18931 0 183234 0 0 0 DANIELLE LEMMON CLINICAL STAFF PHARMACIST 150188 0 0 0 0 0 8060 0 7723 0 165971 0 0 0 JENNIFER SHIMKONIS DIRECTOR OF NURSING SERVICES 106080 0 8163 0 41199 0 3085 0 14636 0 173163 0 0 0 NANCY ESCHRICH CLINICAL STAFF PHARMACIST 156910 0 0 0 644 0 3138 0 18931 0 179623 0 0 0 PART I, LINE 1A DUES PAID TO ROTARY CLUB OF HANOVER THE ORGANIZATION PROVIDED A GROSS-UP TO ITS CEO ON SUPPLEMENTAL RETIREMENT PLAN EARNINGS WHICH WERE TREATED AS TAXABLE COMPENSATION TO THE CEO. PART I, LINE 3 UPMC PINNACLE HANOVER RELIES ON UPMC PINNACLE, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. 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-B MICHAEL YOUNG, THE FORMER CEO, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $1,035,976. 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. A GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 84129NGT0 2013-04-30 17348592 REFINANCE 2002 SERIES BOND ISSUE 0 0 0 B GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA 232982233 84129NJV2 2015-12-01 26665698 REFINANCE 2005 SERIES BOND ISSUE 0 0 0 A 6075000 17348592 2723079 358734 16989859 2013 1 0 1 1 B 1490000 26665698 412471 515888 26142000 2015 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 1 0.15600 1 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 SCHEDULE K. PART II, LINE 9, PART III, LINE 7, PART V: THE ORGANIZATION UNDERSTANDS ITS OBLIGATIONS TO ENSURE THAT IT STAYS WITHIN SAFE HARBOR REGULATIONS AND IS VERY PRUDENT IN ITS POST-BOND ISSUANCE RESPONSIBLITIES. THE ORGANIZATION HAS NOT ESTASLISHED WRITTEN PROCEDURES TO DATE AS BOTH BOND ISSUANCES ARE CURRENT REFUNDINGS AND SHOULD MEET EXCEPTIONS TO REBATE. THE ORGANIZATION WILL, HOWEVER, WORK TO ESTABLISH WRITTEN PROCEDURES AS ADDITIONAL SAFEGUARDS. MICHAEL HESS RELATIVE OF OFFICER 70071 MICHAEL 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 INDISCUSSIONS ON MICHAEL HESS' COMPENSATION. 0 KODI BRICHER RELATIVE OF BOARD MEMBER 61429 KODI BRICHER IS AN EVENING SUPERVISOR IN CSSD AT COMMUNITY GENERAL HOSPITAL. KODI IS A RELATIVEOF SUSAN COMP WHO IS A BOARD MEMBER AT HANOVER AS WELL AS SENIOR VP OF NURSING. SUSAN COMP DOES NOT SUPERVISE KODI BRICHER NOR DOES SHE PARTICIPATE IN DISCUSSIONS ON KODI BRICHER'S COMPENSATION. 0 DANIEL PUGH RELATIVE OF OFFICER WILLIAM PUGH 115455 DANIEL 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 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 HANOVER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS HANOVER HEALTHCARE PLUS, INC., A FEDERALLY TAX EXEMPT, STATE NONPROFIT ENTITY (EIN 22-2658574). FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER OF THE ORGANIZATION, HANOVER HEALTHCARE PLUS, INC. SHALL ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION REQUIRE THE APPROVAL OF BOTH THE HANOVER HEALTHCARE PLUS, INC. BOARD AND THE UPMC PINNACLE, AS THE PARENT OF BOTH THE FILING ORGANIZATION AND ITS SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR UPMC PINNACLE AND SUBSIDIARIES IS DELEGATED TO THE FINANCE COMMITTEE OF THE UPMC 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 12C IN THE PERFORMANCE OF THEIR DUTIES TO UMPC PINNACLE, 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 INTERESTS 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 AND DETERMINES WHETHER EACH DIRECTOR ON THE BOARD IS INDEPENDENT. COVERED PERSONS WHO ARE DIRECTORS MUST COMPLY WITH THE 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 15 THE COMPENSATION COMMITTEE OF THE UPMC PINNACLE BOARD OF DIRECTORS HAS THE AUTHORITY TO DEVELOP AND MAINTAIN EXECUTIVE AND PHYSICIAN COMPENSATION TO BE APPROVED BY THE UPMC PINNACLE BOARD. 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 BOARD. 5. PROVIDE THE 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 19 THE 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 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,874,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,874,195. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 389,159. MANAGEMENT AND GENERAL EXPENSES 1,172,414. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,561,573. CONSULTNG: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,137,300. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,137,300. OUTSOURCING: PROGRAM SERVICE EXPENSES 2,043,924. MANAGEMENT AND GENERAL EXPENSES 20,646. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,064,570. LAB FEES: PROGRAM SERVICE EXPENSES 913,326. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 913,326. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 137,466. MANAGEMENT AND GENERAL EXPENSES 1,389. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,855. I/C LAB FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,545. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,545. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 24,443. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,443. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 191,479. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,479. PROF FEES I/C LOSS TRANSFERS: PROGRAM SERVICE EXPENSES 8,015,874. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,015,874. FORM 990, PART XI, LINE 9: TRANSFERS TO EXEMPT AFFILIATES -13,779,320. TRANSFER TO HANOVER HOSPITAL FOUNDATION -38,283,175. TRANSFER TO HANOVER HEALTHCARE PLUS -4,050,000. FORM 990, 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. 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1414 9TH AVENUE ALTOONA PA 16602 251219302 PHYSICIAN SRV PA N/A C 0 LEXINGTON ANESTHESIA ASSOCIATES INC 620 HOWARD AVE ALTOONA PA 16601 251897765 PHYSICIAN SRV PA N/A C 0 MEDCPU INC 100 WALL STREET SUITE 2202 NEW YORK NY 10005 383805381 SOFTWARE DEVE DE N/A C 0 UPMC EXCESS PL TRUST 600 GRANT STREET PITTSBURGH PA 15219 826254351 TRUST PA N/A T 0 RXANTE INC 511 CONGRESS STREET 803 PORTLAND ME 04101 454040219 MEDICATION MG DE N/A C 0 J HEALTH VENTURES INC 1211 WILIMINGTON AVENUE NEW CASTLE PA 16105 251607893 INACTIVE PA N/A C 0 SUSQUEHANNA VENTURES INC 1201 GRAMPIAN BOULEVARD WILLIAMSPORT PA 17701 232470623 PHARMACY PA N/A C 0 TYOGA CARENET 114 EAST AVENUE WELLSBORO PA 16901 251810967 INACTIVE PA N/A C 0 WCA SERVICE CORPORATION INC 207 FOOTE AVENUE JAMESTOWN NY 14701 161151438 SUPPORT NY N/A C 0 ITTCCO I INC 600 GRANT STREET PITTSBURGH PA 15219 822590699 INACTIVE DE N/A C 0 ITTCCO II INC 600 GRANT STREET PITTSBURGH PA 15219 822597388 INACTIVE DE N/A C 0 PINNACLE HEALTH CARDIOVASCULAR INSTITUT 409 SOUTH SECOND STREET HARRISBURG PA 17104 320321362 PHYSICIAN SRV PA N/A C 0 HANOVER HEALTH CORPORATION 300 HIGHLAND AVENUE HANOVER PA 17331 900498067 HOLDING CO PA N/A C 0 HANOVER APOTHECARY INC 310 STOCK STREET SUITE 1 HANOVER PA 17331 030594526 PHARMACY PA N/A C 0 UNITED CENTRAL PA RECIPROCAL RISK RETEN 76 SAINT PAUL STREET SUITE 500 BURLINGTON VT 05401 134224033 INSURANCE VT N/A C 0 PINNACLE HEALTH VENTURES INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 611677624 HOLDING CO PA N/A C 0 PINNACLE HEALTH IMAGING INC 409 SOUTH SECOND STREET HARRISBURG PA 17104 231718571 IMAGING SVC PA N/A C 0 COLE CARE INC 1001 EAST 2ND STREET COUDERSPORT PA 16915 251497347 DME PA N/A C 0 UPMC ITALY HEALTH SERVICES SRL VIA DISCESA DEI GIUDICI 4 PALERMO IT 90133 HEALTH SVC IT N/A C 0 UPMC INVESTMENTS LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W HOLDING CO EI N/A C 0 UPMC PROPERTY LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY EI N/A C 0 UPMC PROPERTY II LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY EI N/A C 0 EURO CARE INFRASTRUCTURE LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY MGMT EI N/A C 0 EURO CARE PROPERTY MANAGEMENT LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W PROPERTY MGMT EI N/A C 0 EURO CARE HEALTHCARE LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W HOSPITAL EI N/A C 0 WATERFORD ONCOLOGY ASSOCIATES LTD C/O UPMC WHITFIELD CORK ROAD BUTLER WATERFORD EI X91 DH9W ONCOLOGY SVC EI N/A C 0 UPMC CANCER CENTERS IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL SANDYFORD EI DUBLIN 18 CANCER TREATM EI N/A C 0 PANTHER REINSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CJ N/A 981402742 INSURANCE CJ N/A C 0 FORBES REINSURANCE COMPANY LTD PO BOX 1109 GRAND CAYMAN CJ N/A 981400710 INSURANCE CJ N/A C 0 CATHEDRAL (RE) INSURANCE CO PO BOX 1109 GRAND CAYMAN CJ N/A 981400837 INSURANCE CJ N/A C 0 UPMC IRELAND LIMITED 6TH FLOOR BEACON HOSPITAL SANDYFORD EI DUBLIN 18 HEALTHCARE SU EI N/A C 0 UPMC CANADA TECHNOLOGIES LIMITED 600 GRANT STREET PITTSBURGH CA 15219 SOFTWARE CA N/A C 0 SUSQUEHANNA HEALTH SYSTEM INSURANCE NET PO BOX 1159 CJ N/A INSURANCE CJ N/A C 0 UNITED HEALTH RISK LTD PO BOX HM 2450 HAMILTON BD N/A INSURANCE BD N/A C 0 UPMC UNITED KINGDOM LTD C/O NAIRCO 11TH FLOOR WHITEFRIARS LEWINS MEAD UK BS1 2NT 980571026 SOFTWARE LICE UK N/A C 0 BLUESPHERE BIO 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 824979766 IMMUNOTHERAPY DE N/A C 0 INFECTIOUS DISEASE CONNECT INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 833311071 TELEMEDICINE DE N/A C 0 HUMONIC INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 834005420 BIOPHARM DE N/A C 0 TTMS INC 6425 PENN AVENUE STE 200 PITTSBURGH PA 15206 825443222 IMMUNOTHERAPY DE N/A C 0 UPMC HILLMAN CANCER CENTER - PINNACLE 101 ERFORD ROAD CAMP HILL PA 17701 833640945 CANCER TREATM PA N/A C 0 SHANGHAI UPMC CO LTD 288 SHIMEN 1ST ROAD JINGAN DISTRIC SHANGHAI CH HEALTHCARE MGMT CH N/A C 0 SALVADOR MUNDI INTERNATIONAL HOSPITAL ROMA VIALE DELLE MURA GIANICOLENSI IT HOSPITAL IT N/A C 0 SOMERSET ANESTHESIA INC 600 GRANT STREET PITTSBURGH PA 15219 455135437 PHYSICIAN SRV PA N/A C 0 SOMERSET MANAGEMENT SERVICES INC 600 GRANT STREET PITTSBURGH PA 15219 251512960 MOB OWNERSHIP PA N/A C 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 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.