UPMC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- UPMC (EIN 25-1778644)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-12
- IRS object ID
- 201711329349304336
- Schema version
- 2015v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-12T13:23:25-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY VIRCHOW KRAUSE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SUITE 200 221 W PHILADELPHIA STREET | AddressLine1Txt |
| City | YORK | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 174012993 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251778644 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PINNACLE HEALTH HOSPITALS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PINN | BusinessNameControlTxt |
| Phone | 7172318245 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 SOUTH SECOND ST PO BOX 8700 | AddressLine1Txt |
| City | HARRISBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 171058700 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM H PUGH | PersonNm |
| Person Title | TREASURER/CFO | PersonTitleTxt |
| Phone | 7172318245 | PhoneNum |
| Signature | 2017-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIUS C GREEN CPA | PreparerPersonNm |
| PTIN | P00350393 | PTIN |
| Phone | 7178467000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | WILLIAM H PUGH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 SOUTH SECOND ST PO BOX 8700 | AddressLine1Txt |
| City | HARRISBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 171058700 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,575,568,901 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PINNACLEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | INPATIENT AND OUTPATIENT HEALTHCARE FOR CITIZENS OF THE LOCAL & SURROUNDING COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 5403 | TotalEmployeeCnt |
| Total Volunteers | 380 | TotalVolunteersCnt |
| Total Gross UBI | $6,984,892 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,167,211 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,600,410 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,628,509 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $813,676,751 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $901,599,358 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,949,064 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,583,135 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,743,130 | PYOtherRevenueAmt |
| CY Other Revenue | $3,547,706 | CYOtherRevenueAmt |
| PY Total Revenue | $834,969,355 | PYTotalRevenueAmt |
| CY Total Revenue | $935,358,708 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $89,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $309,936,799 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $313,337,269 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $444,421,853 | PYOtherExpensesAmt |
| CY Other Expenses | $478,070,160 | CYOtherExpensesAmt |
| PY Total Expenses | $754,447,652 | PYTotalExpensesAmt |
| CY Total Expenses | $791,407,429 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $80,521,703 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $143,951,279 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,124,438,029 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,148,513,983 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $734,899,445 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $738,620,606 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $389,538,584 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $409,893,377 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDING BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES ON A NON-PROFIT BASIS FOR CITIZENS OF THE SURROUNDING COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $611,816,098 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $880,060,539 | RevenueAmt |
| Desc | PINNACLE HEALTH HOSPITALS PINNACLE HEALTH HOSPITALS SUBSIDIZES 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 CARE FOR PATIENTS EVEN IN THESE DIFFICULT ECONOMIC TIMES. IN KEEPING WITH OUR TRADITION OF CARING FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, PINNACLE HEALTH 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 SERVICESAS ONE OF THE LARGEST PROVIDERS OF HEALTHCARE SERVICES IN THE STATE OF PENNSYLVANIA, PINNACLE HEALTH HOSPITALS OFFERS A VARIETY OF CLINICAL, EDUCATION AND SUPPORT SERVICES FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE.COMMUNITY HEALTH EDUCATIONDIABETES EDUCATION FOR DISPARATE POPULATIONS:TO PROVIDE CULTURALLY AND ECONOMICALLY APPROPRIATE EDUCATION THAT ENABLES PERSONS WITH DIABETES TO BETTER MANAGE THEIR DISEASE.EAT SMART PLAY SMART:THE GOAL OF ESPS IS TO PROVIDE AN EVIDENCE-BASED, CULTURALLY SENSITIVENUTRITION AND PHYSICAL ACTIVITY PROGRAM TO ALL YOUTH FROM PRESCHOOL TO HIGH SCHOOL.GOALS AND STRATEGIES1) IMPROVE KNOWLEDGE ABOUT HEALTH AND WELLNESS-OFFER EDUCATION THAT INCLUDES PRACTICAL INFORMATION ON FITNESS, NUTRITION, AND MENTAL HEALTH-OFFER FUN AND INTERACTIVE ACTIVITIES THAT WILL ENHANCE PROGRAM MATERIAL AND ARE ACCESSIBLE TO YOUTH-EVALUATE CHANGE IN YOUTHS' KNOWLEDGE BY ADMINISTERING PRE-TEST,POST-TEST, AND FUTURE FOLLOW UP2) EDUCATE YOUTH ON POSITIVE BEHAVIOR CHANGES TOWARDS A HEALTHYLIFESTYLE-IMPROVED KNOWLEDGE OF THE IMPORTANCE OF CARDIOVASCULAR FITNESS-NOTICEABLE CHANGE IN HEALTHY FOOD CHOICES-ENHANCED KNOWLEDGE OF TOOLS TO IMPROVE MENTAL HEALTH AND WELL-BEING3) DEVELOP A CURRICULUM THAT IS ACCESSIBLE AND CULTURALLY SENSITIVE FORYOUTH AND THEIR ROLE MODELS-OFFER THE PROGRAM IN A VARIETY OF SETTINGS THAT FIT THE NEEDS OF THECOMMUNITY, INCLUDING SCHOOL-BASED, AFTER SCHOOL-BASED, AND COMMUNITY-BASED PROGRAMS-PROVIDE THE PROGRAM TO A DIVERSE POPULATION-COLLABORATE WITH VARIOUS COMMUNITY PARTNERS TO ENSURE EFFICIENCY OFPROGRAM AND USE OF RESOURCES-OFFER MATERIALS IN A VARIETY OF DIFFERENT MEDIA, INCLUDING PRINT, ONLINE, AND ORAL COMMUNICATIONSA VARIETY OF CHILDBIRTH EDUCATION PROGRAMS ARE OFFERED FOR NEW AND EXPECTANT PARENTS AND SIBLINGS INCLUDING INFANT CARE CLASSES. PINNACLE IS ONE OF ONLY 90 HOSPITALS TO PARTICIPATE IN THE BEST FED BEGINNING LEARNING COLLABORATIVE, A ONE-OF-A-KIND NATIONAL EFFORT TO SIGNIFICANTLY IMPROVE BREAST-FEEDING RATES. 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 FAIRSCOMMUNITY 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 IN HOSPITAL NEWSLETTER.CLERGY ARE AVAILABLE TO PATIENTS AND FAMILY MEMBERS TWENTY-FOUR HOURS A DAY. VOLUNTEER CHAPLAINS PROVIDE BASIC SPIRITUAL SUPPORT, I.E., PRAY WITH PATIENT, 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, WHEN PATIENT IS EXPERIENCING GRIEF, ANXIETY, DEPRESSION, LONELINESS OR PERSONAL ISSUES.AS DESCRIBED IN THE HOSPITAL'S MISSION STATEMENT, PINNACLE HEALTH HOSPITALS IS COMMITTED TO PROVIDING COMMUNITY-BASED PROGRAMS AND SERVICES WHICH WILL ENHANCE THE HEALTH STATUS OF THE PEOPLE WE SERVE. TOWARD THAT END, PINNACLE HEALTH HOSPITALS PROVIDED THE FOLLOWING WELLNESS AND SCREENING PROGRAMS:SCREENINGS:CHOLESTEROL SCREENINGSBODY COMPOSITION SCREENINGSPROSTATE SCREENINGSINFANT DEVELOPMENT SCREENINGSSPEECH AND HEARING SCREENINGSDEPRESSION AND ANXIETY SCREENINGSBONE DENSITY SCREENINGSNUTRITION THERAPY EDUCATION PROGRAMSLEAD POISONING SCREENINGS PINNACLE HEALTH 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. HEART FAILURE CENTER WAS DEVELOPED IN AN EFFORT TO PROVIDE PATIENTS SUFFERING FROM HEART FAILURE AN ALTERNATIVE TO FREQUENT HOSPITALIZATIONS. OUR TEAM OF EXPERIENCED HEALTHCARE PROFESSIONALS ASSISTS YOU IN LEARNING THE SKILLS NEEDED TO HELP SELF-MANAGE YOUR CHRONIC ILLNESS.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 FOR ORTHOPEDIC SURGERY, INTERNAL MEDICINE, GENERAL SURGERY, PODIATRY, AND FAMILY PRACTICE.FELLOWSHIP PROGRAMS FOR TOXICOLOGY, SPORTS MEDICINE, AND MATERNAL FETAL MEDICINE.CLINICAL SITE FOR MEDICAL STUDENTSCLINICAL SITE FOR NURSING STUDENTSCLINICAL SITE FOR DIETITIANSCLINICAL SITE FOR EMERGENCY MEDICAL PERSONNELCLINICAL SITE FOR PARAMEDIC STUDENTSCLINICAL SITE FOR RESPIRATORY THERAPY STUDENTSCLINICAL SITE FOR RADIOLOGY STUDENTS INTERNSHIPS FOR MEDICAL ASSISTANTS, SPEECH AND HEARING, PT/OT AND OTHER ALLIED HEALTH PROFESSIONAL TRAINING.CONTINUING EDUCATION FOR NURSES AND PHYSICIAN OFFICE STAFF AND FOR LOCAL COMMUNITY PROFESSIONALS SUCH AS SCHOOL NURSES.AUXILIARY ERNEST R. MCDOWELL SCHOLARSHIP PROGRAMEQUIPMENT DONATIONSUNITED WAY FUNDRAISINGBAILEY HOUSE IS OUR HOME AWAY FROM HOME. IT PROVIDES FREE OVERNIGHT LODGING AND A COMFORTABLE, SUPPORTIVE, AND NURTURING ENVIRONMENT FOR FAMILIES FROM OUTSIDE THE HARRISBURG AREA.NURSE/FAMILY PARTNERSHIP PROGRAM WAS IMPLEMENTED BASED ON VERY HIGH TEEN BIRTH RATES AND A HIGH INCIDENCE OF WOMEN NOT RECEIVING PRENATAL CARE DURING THE FIRST TRIMESTER. THIS IS A NATIONALLY RENOWNED, EVIDENCE-BASED, NURSE HOME VISITATION PROGRAM THAT IMPROVES THE HEALTH, WELL-BEING AND SELF SUFFICIENCY OF LOW-INCOME FIRST-TIME PARENTS AND THEIR CHILDREN. CHILDREN'S RESOURCE CENTER(CRC) PROVIDES CARE AND COORDINATION TO CHILDREN SUSPECTED OF BEING ABUSED AND ENGAGES MULTIPLE DISCIPLINES TO DIAGNOSE, EVALUATE AND TREAT CHILDREN WHO ARE VICTIMS OF SEXUAL ABUSE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,483,780 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $14,523,884 | RevenueAmt |
| Desc | PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICESPINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES (PHEDS) IS A TAX EXEMPT, NON-PROFIT CORPORATION ENGAGED IN PROVIDING PROFESSIONAL SERVICES IN THE PINNACLE HEALTH EMERGENCY DEPARTMENT. 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 2016, PINNACLE HEALTH HOSPITALS TREATED 142,088 PATIENTS IN ITS THREE EMERGENCY DEPARTMENTS. THIS WAS AN INCREASE OF 3% OVER THE PRIOR YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $630,299,878 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 5403 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM H PUGH CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7172318245 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 SOUTH SECOND ST | AddressLine1Txt |
| City | HARRISBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 171048700 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| GEORGE F GRODE | |||||||||
| CHAIRMAN | 0.20 | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FELIX GUTIERREZ MD | |||||||||
| DIRECTOR | 0.10 | 39.90 | Yes (X) | $0 | $512,226 | $37,924 | |||
| DEBORAH S MILLER | |||||||||
| DIRECTOR | 0.30 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| CLARENCE E ASBURY | |||||||||
| VICE CHAIRMAN | 0.20 | 0.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DENNIS WALSH | |||||||||
| DIRECTOR | 0.10 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| BONY R DAWOOD | |||||||||
| DIRECTOR | 0.30 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN C KUSIC | |||||||||
| DIRECTOR | 0.40 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH OKEN MD | |||||||||
| DIRECTOR | 0.40 | 0.40 | Yes (X) | $0 | $76,400 | $0 | |||
| MICHAEL L FERNANDEZ MD | |||||||||
| DIRECTOR | 0.20 | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| JOHN C HICKEY | |||||||||
| DIRECTOR | 0.40 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| CAROLYN KREAMER PHD | |||||||||
| DIRECTOR | 0.30 | 0.30 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL A YOUNG | |||||||||
| PRESIDENT/CEO | 14.00 | 26.00 | Yes (X) | Yes (X) | $0 | $1,330,867 | $27,853 | ||
| ROGER LEVIN MD | |||||||||
| DIRECTOR | 0.40 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| CYNTHIA TOLSMA | |||||||||
| DIRECTOR | 0.40 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| E GERALD WOODWARD MD | |||||||||
| DIRECTOR | 0.20 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| BARRY KAIN | |||||||||
| DIRECTOR | 0.10 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL KAMBIC | |||||||||
| DIRECTOR | 39.70 | 0.30 | Yes (X) | $0 | $138,965 | $25,672 | |||
| MICHAEL MURCHIE | |||||||||
| DIRECTOR | 0.20 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| DOUG NEIDICH | |||||||||
| DIRECTOR | 0.40 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| HAROLD YANG | |||||||||
| DIRECTOR | 0.10 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER P MARKLEY ESQ | |||||||||
| SEC'Y/SR VP STAT SVCC/GEN COUNSEL | 12.00 | 28.00 | Yes (X) | $0 | $501,066 | $31,109 | |||
| WILLIAM H PUGH | |||||||||
| TREASURER/SR VP CORP FIN/CFO | 14.00 | 26.00 | Yes (X) | $0 | $746,821 | $23,704 | |||
| JOHN DELORENZO | |||||||||
| ASSISTANT SECRETARY | 24.00 | 16.00 | Yes (X) | $0 | $0 | $0 | |||
| PHILIP GUARNESCHELLI | |||||||||
| SR VICE PRESIDENT/COO | 30.00 | 10.00 | $0 | $742,475 | $34,854 | Yes (X) | |||
| FRANK DITRAGLIA | |||||||||
| ED PHYSICIAN | 40.00 | $545,567 | $0 | $14,845 | Yes (X) | ||||
| R SCOTT RANKIN | |||||||||
| ED PHYSICIAN | 40.00 | $558,667 | $0 | $37,637 | Yes (X) | ||||
| MARK BARABAS | |||||||||
| SR VICE PRESIDENT OPERATIO | 40.00 | $545,389 | $0 | $27,853 | Yes (X) | ||||
| EDWARD HILDREW | |||||||||
| ED PHYSICIAN | 40.00 | $456,663 | $0 | $37,649 | Yes (X) | ||||
| CHRISTIAN CAICEDO MD | |||||||||
| VP, OPERATIONS/MED DIR. W. SHORE | 40.00 | 0.00 | $469,953 | $0 | $34,378 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,576,239 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,048,820 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $333,478 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 351 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXO | |||||
| PO BOX 905374 | CHARLOTTE | NC | 28290 | FOOD SERVICES | $19,099,498 |
| THE MILTON S HERSHEY MEDICAL CENTER | |||||
| PO BOX 853 | HERSHEY | PA | 17033 | CALL COVERAGE | $1,966,574 |
| SPECIALTYCARE | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 352461614 | PERFUSION SERVICES | $1,648,970 |
| PULMONARY CRITICAL MED PC INC | |||||
| 1631 N FRONT STREET | HARRISBURG | PA | 17102 | RESPIRATORY AND CRITICAL CARE SERVICES | $1,512,697 |
| MEDDATA INC | |||||
| PO BOX 8403 | CAROL STREAM | IL | 60197 | BILLING AND COLLECTIONS | $1,380,408 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 59 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $193,961 | RelatedOrganizationsAmt |
| Government Grants | $3,067,368 | GovernmentGrantsAmt |
| All Other Contributions | $3,367,180 | AllOtherContributionsAmt |
| Total Contributions | $6,628,509 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUE, NET | 621500 | $897,108,388 | $890,093,453 | $7,014,935 |
| CONTRACTED MEDICAL SERVICES | 621990 | $2,245,174 | $2,245,174 | |
| RETAIL PHARMACY | 900099 | $728,726 | $728,726 | |
| MISC INPATIENT/OUTPATIENT | 621990 | $634,639 | $634,639 | |
| MEDICAL EDUCATION | 900099 | $424,164 | $424,164 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $458,267 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $458,267 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $901,599,358 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,480,971 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$30,043 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,511,014 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,940,183 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,372,594 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$432,411 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$432,411 | TotalRevenueColumnAmt |
| Exclusion | -$432,411 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $649,773,162 | SecuritiesAmt |
| Other | $6,831 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $626,704,665 | SecuritiesAmt |
| Other | $973,164 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,068,497 | SecuritiesAmt |
| Other | -$966,333 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,102,164 | TotalRevenueColumnAmt |
| Exclusion | $22,102,164 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $395,510 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $159,770 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $235,740 | TotalRevenueColumnAmt |
| Exclusion | $235,740 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| QUALITY INCENTIVE INCOME | 900099 | $944,064 | $944,064 |
| MEANINGFUL USE INCOME | 900099 | $938,292 | $938,292 |
| ADMIN SVCS - JC BLAIR | 900099 | $832,772 | $832,772 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,029,249 | TotalRevenueColumnAmt |
| Exclusion | $1,029,249 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,744,377 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $935,358,708 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $894,584,423 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,984,892 | UnrelatedBusinessRevenueAmt |
| Exclusion | $27,160,884 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,823,329 | TotalAmt |
| Program Services | $233,525,472 | ProgramServicesAmt |
| Management And General | $24,297,857 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,611,203 | TotalAmt |
| Program Services | $9,611,179 | ProgramServicesAmt |
| Management And General | $1,000,024 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,372,838 | TotalAmt |
| Program Services | $23,887,402 | ProgramServicesAmt |
| Management And General | $2,485,436 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,529,899 | TotalAmt |
| Program Services | $16,783,599 | ProgramServicesAmt |
| Management And General | $1,746,300 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,956,011 | TotalAmt |
| Management And General | $91,956,011 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,603 | TotalAmt |
| Management And General | $225,603 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,663 | TotalAmt |
| Management And General | $27,663 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,306 | TotalAmt |
| Management And General | $52,306 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,316,807 | TotalAmt |
| Program Services | $66,242,561 | ProgramServicesAmt |
| Management And General | $16,074,246 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $546,554 | TotalAmt |
| Program Services | $440,803 | ProgramServicesAmt |
| Management And General | $105,751 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,262,171 | TotalAmt |
| Program Services | $4,355,843 | ProgramServicesAmt |
| Management And General | -$93,672 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,428,879 | TotalAmt |
| Program Services | $12,951,661 | ProgramServicesAmt |
| Management And General | $5,477,218 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,160,444 | TotalAmt |
| Program Services | $37,147,169 | ProgramServicesAmt |
| Management And General | $13,013,275 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,517 | TotalAmt |
| Program Services | $298,207 | ProgramServicesAmt |
| Management And General | $124,310 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,376,852 | TotalAmt |
| Program Services | $1,198,724 | ProgramServicesAmt |
| Management And General | $178,128 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,114,807 | TotalAmt |
| Program Services | $15,526,522 | ProgramServicesAmt |
| Management And General | $2,588,285 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,410,317 | TotalAmt |
| Program Services | $62,052,903 | ProgramServicesAmt |
| Management And General | $1,357,414 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,612 | TotalAmt |
| Program Services | $429 | ProgramServicesAmt |
| Management And General | $1,183 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $145,179,043 | $145,026,937 | $152,106 |
| UBIT TAXES | $356,037 | $356,037 | |
| DUES AND SUBSCRIPTIONS | $599,476 | $536,795 | $62,681 |
| TEMP. REST. DONATIONS | $528,506 | $263,253 | $265,253 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,555 | TotalAmt |
| Program Services | $94,382 | ProgramServicesAmt |
| Management And General | $10,173 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $791,407,429 | TotalAmt |
| Program Services | $630,299,878 | ProgramServicesAmt |
| Management And General | $161,107,551 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,188 | BOYAmt |
| EOY | $4,886 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,127,518 | BOYAmt |
| EOY | $42,541,910 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,943,887 | BOYAmt |
| EOY | $113,553,445 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,642,503 | BOYAmt |
| EOY | $1,904,623 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,882,294 | BOYAmt |
| EOY | $17,342,548 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,454,194 | BOYAmt |
| EOY | $10,803,815 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,078,936,745 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $590,591,997 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $484,622,919 | BOYAmt |
| EOY | $488,344,748 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $410,464,114 | BOYAmt |
| EOY | $394,291,882 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,730,288 | BOYAmt |
| EOY | $20,287,116 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,206 | BOYAmt |
| EOY | $2,070,953 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,229,918 | BOYAmt |
| EOY | $57,368,057 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,124,438,029 | BOYAmt |
| EOY | $1,148,513,983 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,225,642 | BOYAmt |
| EOY | $131,391,368 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,831,968 | BOYAmt |
| EOY | $168,649,613 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393,175,399 | BOYAmt |
| EOY | $399,473,352 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,549,175 | BOYAmt |
| EOY | $12,796,873 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,000,000 | BOYAmt |
| EOY | $22,500,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,117,261 | BOYAmt |
| EOY | $3,809,400 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $734,899,445 | BOYAmt |
| EOY | $738,620,606 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $346,757,471 | BOYAmt |
| EOY | $367,478,568 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,684,711 | BOYAmt |
| EOY | $21,102,266 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,096,402 | BOYAmt |
| EOY | $21,312,543 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $389,538,584 | BOYAmt |
| EOY | $409,893,377 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,124,438,029 | BOYAmt |
| EOY | $1,148,513,983 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $143,951,279 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$16,661,355 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$106,935,128 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,692,463 | OtherCostOrOtherBasisAmt |
| Book Value | $14,692,463 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $624,153,142 | OtherCostOrOtherBasisAmt |
| Depreciation | $319,418,123 | DepreciationAmt |
| Book Value | $304,735,019 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,164,359 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,164,648 | DepreciationAmt |
| Book Value | $4,999,711 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $368,190,617 | OtherCostOrOtherBasisAmt |
| Depreciation | $247,798,271 | DepreciationAmt |
| Book Value | $120,392,346 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,736,164 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,210,955 | DepreciationAmt |
| Book Value | $43,525,209 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $488,344,748 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADVANCES FROM THIRD-PARTY PAYORS | Desc |
| Amt | $3,809,400 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,809,400 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $824,242,280 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$16,661,355 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$106,987,434 | OtherRevenueAmt |
| Revenue Not Reported | -$123,648,789 | RevenueNotReportedAmt |
| Revenue Subtotal | $947,891,069 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$12,532,364 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$12,532,364 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $935,358,705 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $803,887,487 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $12,532,364 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $12,532,364 | ExpensesNotReportedAmt |
| Expenses Subtotal | $791,355,123 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $52,306 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $52,306 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $791,407,429 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE PINNACLE HEALTH SYSTEM EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. INCREASES OF $356 AND $780 WERE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDED JUNE 30, 2016 AND JUNE 30, 2015, RESPECTIVELY. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FINANCING FRAMEWORK TRANSFERS -80,981,215. INTERCOMPANY TRANSFERS - NET ASSETS RELEASED 2,429,825. PENSION SETTLEMENT LOSS -1,359,586. BANK FEES -52,306. CHANGES TO TEMPORARY AND PERMANENTLY RESTRICTED ASSETS -5,300,752. LOSS ON BOND SETTLEMENT -21,723,400. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES SHOWN NET OF RENTAL INCOME -12,372,594. COST OF GOODS SOLD -159,770. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES SHOWN NET OF RENTAL INCOME 12,372,594. COST OF GOODS SOLD 159,770. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BANK FEES 52,306. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,310,199 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,310,199 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,989,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,745,044 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,244,707 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,299,950 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,745,044 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $39,554,906 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05000 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,186,031 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,186,031 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00910 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,528,694 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,528,694 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $322,259 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $322,259 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,010,126 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,010,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,047,110 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,047,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02160 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123,347,060 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,745,044 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $56,602,016 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07160 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 131308 | PersonsServedCnt |
| Total Community Benefit Expns | $294,516 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $294,516 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1000 | PersonsServedCnt |
| Total Community Benefit Expns | $20,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 200 | PersonsServedCnt |
| Total Community Benefit Expns | $149,796 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $149,796 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,361,978 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,361,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 132508 | PersonsServedCnt |
| Total Community Benefit Expns | $2,826,290 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,826,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $13,310,199 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,671,961 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $151,527,136 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $157,666,737 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,139,601 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 WEST SHORE SURGERY CENTER LTD | |||
| SURGICAL CARE - MEDICAL SERVICES | 0.45000 | 0.00000 | 0.49000 |
| 2 SUSQUEHANNA VALLEY SURGERY CENTER | |||
| SURGICAL CARE - MEDICAL SERVICES | 0.50000 | 0.00000 | 0.50000 |
| 3 WALNUT BOTTOM RADIOLOGY LLC | |||
| OUTPATIENT IMAGING SERVICES | 0.50000 | 0.00000 | 0.50000 |
| 4 RIVER HEALTH ACO | |||
| SURGICAL CARE - MEDICAL SERVICES | 0.70000 | 0.00000 | 0.30000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PINNACLE HEALTH HOSPITALS - HARRISBURG | |||||||||||
| 1 | 111 SOUTH FRONT STREET | HARRISBURG | PA | 17101 | WWW.PINNACLEHEALTH.ORG | 340601 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| PINNACLE HEALTH HOSPITALS - CGOH | |||||||||||
| 2 | 4300 LONDONDERRY ROAD | HARRISBURG | PA | 17109 | WWW.PINNACLEHEALTH.ORG | 340601 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| PINNACLE HEALTH HOSPITALS - WEST SHORE | |||||||||||
| 3 | 1995 TECHNOLOGY PARKWAY | MECHANICSBURG | PA | 17050 | WWW.PINNACLEHEALTH.ORG | 340601 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Other MethodOtherMethodInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Average Negotiated RatesAverageNegotiatedRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PINNACLE HEALTH HOSPITALS - HARRISBURG | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.PINNACLEHEALTH.ORG | Yes (X) | WWW.HSH.ORG, WWW.PENNSTATEHERSHEY.ORG, WWW.PPIMHS.ORG | Yes (X) | Yes (X) | Yes (1) | 15 | Yes (1) | WWW.PINNACLEHEALTH.ORG | 0 | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.PINNACLEHEALTH.ORG | Yes (X) | WWW.PINNACLEHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| PINNACLE HEALTH HOSPITALS - CGOH | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.PINNACLEHEALTH.ORG | Yes (X) | WWW.HSH.ORG, WWW.PENNSTATEHERSHEY.ORG, WWW.PPIMHS.ORG | Yes (X) | Yes (X) | Yes (1) | 15 | Yes (1) | WWW.PINNACLEHEALTH.ORG | 0 | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.PINNACLEHEALTH.ORG | Yes (X) | WWW.PINNACLEHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| PINNACLE HEALTH HOSPITALS - WEST SHORE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.PINNACLEHEALTH.ORG | Yes (X) | WWW.HSH.ORG, WWW.PENNSTATEHERSHEY.ORG, WWW.PPIMHS.ORG | Yes (X) | Yes (X) | Yes (1) | 15 | Yes (1) | WWW.PINNACLEHEALTH.ORG | 0 | 0 | Yes (1) | Yes (X) | 250.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | WWW.PINNACLEHEALTH.ORG | Yes (X) | WWW.PINNACLEHEALTH.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
Supplemental Information SupplementalInformationGrp (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PINNACLE HEALTH HOSPITALS - HARRISBURG | PART V, SECTION B, LINE 6A: PENN STATE HERSHEY MEDICAL CENTERHOLY SPIRIT- A GEISINGER AFFILIATECARLISLE REGIONAL MEDICAL CENTERPENNSYLVANIA PSYCHIATRIC INSTITUTE |
| PINNACLE HEALTH HOSPITALS - CGOH | PART V, SECTION B, LINE 6A: PENN STATE HERSHEY MEDICAL CENTERHOLY SPIRIT-A GEISINGER AFFILIATECARLISLE REGIONAL MEDICAL CENTERPENNSYLVANIA PSYCHIATRIC INSTITUTE |
| PINNACLE HEALTH HOSPITALS - WEST SHORE | PART V, SECTION B, LINE 6A: PENN STATE HERSHEY MEDICAL CENTERHOLY SPIRIT-A GEISINGER AFFILIATECARLISLE REGIONAL MEDICAL CENTERPENNSYLVANIA PSYCHIATRIC INSTITUTE |
| PINNACLE HEALTH HOSPITALS - HARRISBURG | PART V, SECTION B, LINE 6B: HAMILTON HEALTH |
| PINNACLE HEALTH HOSPITALS - CGOH | PART V, SECTION B, LINE 6B: HAMILTON HEALTH |
| PINNACLE HEALTH HOSPITALS - WEST SHORE | PART V, SECTION B, LINE 6B: HAMILTON HEALTH |
| PINNACLE HEALTH HOSPITALS - HARRISBURG | PART V, SECTION B, LINE 7D: COMMUNITY EVENTS |
| PINNACLE HEALTH HOSPITALS - CGOH | PART V, SECTION B, LINE 7D: COMMUNITY EVENTS |
| PINNACLE HEALTH HOSPITALS - WEST SHORE | PART V, SECTION B, LINE 7D: COMMUNITY EVENTS |
| PINNACLE HEALTH HOSPITALS - HARRISBURG | PART V, SECTION B, LINE 11: AFTER REVIEWING THE DATA GENERATED FROM THE CHNA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, PINNACLEHEALTH DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN WITH EVIDENCE-BASED STRATEGIES. PINNACLEHEALTH PRESENTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012 AND IN ACCORDANCE WITH IRS REGULATIONS TO CONDUCT THE CHNA EVERY THREE YEARS, HAS COMPLETED AND APPROVED THE 2015 CHNA. AS A RESULT OF EXTENSIVE PRIMARY AND SECONDARY RESEARCH, WITH THE ASSISTANCE OF 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). PRIORITY 1: ACCESS TO HEALTH SERVICESTHE FINDINGS OF THE CHNA POINTED TO A GROWING ISSUE: LACK OF ACCESS TO QUALITY HEALTHCARE, SPECIFICALLY RELATED TO PRIMARY, SPECIALTY AND DENTAL CARE, IN MANY COMMUNITIES OF THE FIVE-COUNTY REGION OF PENNSYLVANIA. HEALTH INSURANCE COVERAGE, AFFORDABILITY, HEALTH LITERACY, CULTURAL COMPETENCE, COORDINATION OF COMPREHENSIVE CARE, AND THE AVAILABILITY OF PHYSICIANS ARE ALL FACTORS AFFECTING THE LEVEL OF HEALTHCARE ACCESS.PRIMARY CARESTRATEGY: PROVIDE INSURANCE ENROLLMENT SPECIALISTS AND FINANCIAL ADVISORS TO EDUCATE AND ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS.ACTIONS/TACTICS- EXPAND THE AVAILABILITY OF CERTIFIED APPLICATION COUNSELORS (CAC) IN EACH EMERGENCY ROOM TO IDENTIFY UNINSURED PATIENTS AS THEY REGISTER. - EXPAND OUTREACH EFFORTS TO INFORM AND ASSIST FAMILIES WITH ENROLLING IN CHILDREN'S HEALTH INSURANCE PLAN (CHIP) AND IMPROVE ACCESS TO MORE AFFORDABLE MEDICATIONS.STRATEGY: OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME MODELACTIONS/TACTICS- COLLABORATE WITH SOCIAL WORKERS, NURSE CARE MANAGERS, AND COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS TO ASSIST WITH SOCIAL PROGRAM ELIGIBILITY AND BARRIERS TO INSURANCE ACCESS.- PROVIDE HOME VISITS TO HIGH-RISK POPULATIONS. - EXPAND NAVIGATION TEAMS.STRATEGY: COLLABORATE WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED AND DIVERSE POPULATIONS.ACTIONS/TACTICS- PROVIDE CARE COORDINATION AMONG EACH HEALTH SYSTEM AND COMMUNITY HEALTH CLINICS - CONDUCT EDUCATIONAL EVENTS AND PROGRAMS THAT FOCUS ON THE TRADITIONS, CULTURES AND HEALTHCARE NEEDS OF UNIQUE AND DIVERSE POPULATIONS IN THE SERVICE AREA. - UTILIZE COMMUNITY PARTNERSHIPS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. SPECIALTY CARESTRATEGY:EXPAND HEART AND STROKE HEALTH EDUCATION AND SCREENINGS THROUGH COMMUNITY OUTREACH ACTIVITIES.ACTIONS/TACTICS- ENHANCE PUBLIC AWARENESS OF HEART AND VASCULAR HEALTH TO REDUCE HEART AND VASCULAR DISEASE MORTALITY AND MORBIDITY.- WORK WITH STROKE PROGRAM, CARDIOVASCULAR AND THORACIC SURGERY TEAMS TO FOCUS EDUCATION ON SCHOOL-AGED CHILDREN AND AT-RISK ADULTS IN COLLABORATION WITH THE COMMUNITY TEAM. STRATEGY:IMPROVE DIABETIC ADULT CAREACTIONS/TACTICS- IDENTIFY HIGH-RISK PATIENTS DURING THEIR HOSPITALIZATION WITH A DIAGNOSIS OF DIABETES AND PROVIDE ONGOING EDUCATION POST DISCHARGE.STRATEGY: IMPROVE CANCER CARE.ACTIONS/TACTICS- CONTINUE THE NORTHERN APPALACHIA CANCER NETWORK (NACN) AND HARRISBURG COMMUNITY CANCER NETWORK (HCCN) INITIATIVES- WORK WITH COMMUNITY CANCER SUPPORT GROUPS SUCH AS CATALYST TO REDUCE HEALTH DISPARITIES AND IMPROVE THE HEALTH OF OUR COMMUNITIES.- EXPAND FREE MAMMOGRAM VOUCHER PROGRAM (MVP) TO UNDERSERVED AND/OR UNDERINSURED WOMEN. STRATEGY:IMPROVE HIV/AIDS CAREACTIONS/TACTICS- CONTINUE TO PROVIDE THE RESOURCES, EDUCATION AND COMPREHENSIVE CARE (REACCH) PROGRAM TO HIV/AIDS CLIENTS. - CONTINUE TO WORK WITH ALDER HEALTH SERVICES FOR HIV AIDS CARE.DENTAL CARESTRATEGY: INCREASE UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT AND COORDINATE CARE OF URGENT DENTAL NEEDS WITH THE EMERGENCY DEPARTMENT.ACTIONS/TACTICS- UTILIZE VOLUNTEER DENTISTS IN THE SMILES NETWORK. - PARTNER WITH COMMUNITY CLINICS TO PROVIDE ONGOING PREVENTIVE DENTAL CARE OR NON-URGENT DENTAL CARE. HAMILTON HEALTH CENTER IS A LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT IS EQUIPPED WITH A STATE-OF-THE-ART DENTAL CLINIC.PRIORITY 2: BEHAVIORAL HEALTHBEHAVIORAL HEALTH ISSUES AFFECT NOT ONLY THE MENTAL WELL-BEING OF AN INDIVIDUAL, BUT ALSO SPIRITUAL, EMOTIONAL AND PHYSICAL HEALTH.UNMANAGED MENTAL ILLNESSES INCREASE THE LIKELIHOOD OF ADVERSE HEALTH OUTCOMES, CHRONIC DISEASE, AND SUBSTANCE ABUSE PARTLY DUE TO A DECREASE IN ACCESSING MEDICAL CARE.MENTAL HEALTHSTRATEGY: IMPROVE ACCESS AND CONTINUITY OF BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES.ACTIONS/TACTICS - CREATE A DIRECT ADMIT PROGRAM. - IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH SERVICES. INTEGRATE PINNACLEHEALTH PSYCHOLOGICAL ASSOCIATES (PHPA) SERVICES INTO THE PINNACLEHEALTH MEDICAL GROUP (PHMG).- INTEGRATE PSYCHOLOGICAL EVALUATION INTO PSYCHOLOGICAL MEDICAL OFFICES. - PARTNER WITH HAMILTON HEALTH CENTER TO PROVIDE BEHAVIORAL HEALTH SERVICES. - PROMOTE CONSUMER AND SYSTEM HEALTH LITERACY ON MENTAL HEALTH CONCERNS. - PPI WILL EXPLORE A PARTNERSHIP FOR A TELE-PSYCHIATRY PROGRAM TO PROVIDE BEHAVIORAL HEALTH CARE TO PATIENTS IN AN ACUTE SETTING.- ENHANCE BEHAVIORAL HEALTH SERVICES FOR CHILDREN IN NEED. - DESIGN NEW ADOLESCENT UNIT AT PPI. - COLLABORATE WITH PA YOUTH SUICIDE PREVENTION INITIATIVE, PPI AND SCHOOLS TO IMPROVE EARLY DETECTION AND REDUCE RISK OF YOUTH SUICIDE.SUBSTANCE ABUSESTRATEGY: DEVELOP INPATIENT AND COMMUNITY-BASED SUBSTANCE ABUSE EDUCATION AND TREATMENT SERVICES.ACTIONS/TACTICS- IMPLEMENT AN OPIOID TASK FORCE AND STEWARDSHIP PROGRAM (OTF&SP). - PPI WILL INITIATE AN OPIATE TREATMENT PROGRAM BY 2017. - PROMOTE MEDICAL STAFF AND COMMUNITY AWARENESS EDUCATION FOR PREVENTING PRESCRIPTION DRUG AND OPIOID MISUSE, ABUSE AND OVERDOSE. DRUGS 101: WHAT PARENTS AND KIDS NEED TO KNOW IS A PROGRAM THAT HELPS TO INCREASE DRUG AND ALCOHOL AWARENESS FOR PARENTS AND CHILDREN AGES 10 AND OLDER.THE PROGRAM IS UNIQUE BECAUSE IT INVOLVES BOTH PARENTS AND CHILDREN IN THE SAME EVENT.- REDUCE ACCESS TO PRESCRIPTION DRUGS, AND THE POSSIBILITY OF MISUSE AND ABUSE, BY PARTICIPATING IN NATIONAL DRUG TAKE BACK DAY AND PROMOTING DRUG TAKE BACK COLLECTION SITES AVAILABLE AT COMMUNITY POLICE DEPARTMENTS. - PARTICIPATE IN COLLABORATIVE EFFORTS TO IMPROVE POLICY AND ADDRESS DRUG ADDICTION AND ABUSE. - OFFER AL-ANON SUPPORT FOR THOSE IN NEED. PRIORITY 3: HEALTHY LIFESTYLESTHE CHNA REVEALED A LACK OF HEALTHY LIFESTYLES IN THE FIVE-COUNTY REGION.OBESITY, BEING OVERWEIGHT, POOR NUTRITION, LACK OF PHYSICAL ACTIVITY AND SMOKING ARE ASSOCIATED WITH PROFOUND, ADVERSE HEALTH CONDITIONS.THESE INCLUDE HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, TYPE 2 DIABETES, HEART DISEASE, SOME CANCERS, AND OTHER LIMITING PHYSICAL AND MENTAL HEALTH ISSUES.PHYSICAL ACTIVITYSTRATEGY: ASSESS AND EXPAND EXISTING VENUES FOR PHYSICAL ACTIVITY.ACTIONS/TACTICS- CONDUCT A WALK-FRIENDLY ASSESSMENT TO IMPROVE WALKABILITY. - EXPAND THE BAND TOGETHER PROGRAM. - INCREASE WALKING OPPORTUNITIES. - CONTINUE EAT SMART, PLAY SMART (ESPS). STRATEGY: INITIATE NEW PHYSICAL ACTIVITY PROGRAMS.ACTIONS/TACTICS- LAUNCH "GET FIT TOGETHER" PROGRAM IN COLLABORATION WITH YMCA. - ESTABLISH A HMC BIKE SHARE PROGRAM.INADEQUATE NUTRITION AND OBESITYSTRATEGY: INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION.ACTIONS/TACTICS- INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION THROUGH THE FOOD AS MEDICINE PROGRAM. - CONTINUE THE HERSHEY COMMUNITY GARDEN LOCATED ON THE HMC CAMPUS. - PARTNER WITH PENN STATE EXTENSION AND PPI TO DEVELOP MONTHLY HEALTH EDUCATION SESSIONS FOR FOOD PANTRY CLIENTS TO IMPROVE THEIR HEALTH.IN ADDITION, HMC FACULTY, STAFF AND STUDENTS HAVE COLLABORATED WITH STEELTON FOOD PANTRY (MARY'S HELPERS AT PRINCE OF PEACE PARISH) AND PENN STATE EXTENSION TO BRING HEALTH EDUCATION TO CHILDREN AS PART OF THEIR SUMMER FEEDING PROGRAM.- CONTINUE TO SUPPORT THE POWER PACK PROGRAM. STRATEGY: IDENTIFY AT-RISK YOUTH THROUGH SCHOOL-BASED ASSESSMENTS AND IMPLEMENT COMMUNITY NUTRITION EDUCATION AND OBESITY PREVENTION PROGRAMS.ACTIONS/TACTICS- CONDUCT SCHOOL-BASED ASSESSMENTS. - EXPAND COMMUNITY NUTRITION EDUCATION AND OBESITYSMOKING CESSATIONSTRATEGY: PROVIDE TOBACCO CESSATION PROGRAMS.ACTIONS/TACTICS- CONDUCT PENN STATE HERSHEY MEDICAL CENTER'S MONDAY NIGHT SUPPORT GROUP FOR COMMUNITY AND EMPLOYEES. - CONDUCT SMOKING CESSATION LUNCH AND LEARNS. - IMPLEMENT TEXT TO QUIT AND BETTER BREATHERS CLUBS. OFFER AT BOTH PINNACLEHEALTH CAMPUSES AND EXPAND TO COMMUNITY LOCATIONS AND MEASURE ANNUALLY.- CONDUCT INPATIENT-BASED TOBACCO CESSATION INITIATIVES. - CONDUCT CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) INITIATIVE. STRATEGY: DECREASE THE USE OF ANY TOBACCO PRODUCT AMONG MIDDLE AND HIGH SCHOOL STUDENTS.ACTIONS/TACTICS- PROVIDE TOBACCO PREVENTION PROGRAMS TO MIDDLE AND HIGH SCHOOL STUDENTS. - CONDUCT CARBON MONOXIDE (CO) TESTING AND OFFER PREVENTION EDUCATION AND |
| PINNACLE HEALTH HOSPITALS - CGOH | PART V, SECTION B, LINE 11: AFTER REVIEWING THE DATA GENERATED FROM THE CHNA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, PINNACLEHEALTH DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN WITH EVIDENCE-BASED STRATEGIES. PINNACLEHEALTH PRESENTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012 AND IN ACCORDANCE WITH IRS REGULATIONS TO CONDUCT THE CHNA EVERY THREE YEARS, HAS COMPLETED AND APPROVED THE 2015 CHNA. AS A RESULT OF EXTENSIVE PRIMARY AND SECONDARY RESEARCH, WITH THE ASSISTANCE OF 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). PRIORITY 1: ACCESS TO HEALTH SERVICESTHE FINDINGS OF THE CHNA POINTED TO A GROWING ISSUE: LACK OF ACCESS TO QUALITY HEALTHCARE, SPECIFICALLY RELATED TO PRIMARY, SPECIALTY AND DENTAL CARE, IN MANY COMMUNITIES OF THE FIVE-COUNTY REGION OF PENNSYLVANIA. HEALTH INSURANCE COVERAGE, AFFORDABILITY, HEALTH LITERACY, CULTURAL COMPETENCE, COORDINATION OF COMPREHENSIVE CARE, AND THE AVAILABILITY OF PHYSICIANS ARE ALL FACTORS AFFECTING THE LEVEL OF HEALTHCARE ACCESS.PRIMARY CARESTRATEGY: PROVIDE INSURANCE ENROLLMENT SPECIALISTS AND FINANCIAL ADVISORS TO EDUCATE AND ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS.ACTIONS/TACTICS- EXPAND THE AVAILABILITY OF CERTIFIED APPLICATION COUNSELORS (CAC) IN EACH EMERGENCY ROOM TO IDENTIFY UNINSURED PATIENTS AS THEY REGISTER. - EXPAND OUTREACH EFFORTS TO INFORM AND ASSIST FAMILIES WITH ENROLLING IN CHILDREN'S HEALTH INSURANCE PLAN (CHIP) AND IMPROVE ACCESS TO MORE AFFORDABLE MEDICATIONS.STRATEGY: OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME MODELACTIONS/TACTICS- COLLABORATE WITH SOCIAL WORKERS, NURSE CARE MANAGERS, AND COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS TO ASSIST WITH SOCIAL PROGRAM ELIGIBILITY AND BARRIERS TO INSURANCE ACCESS.- PROVIDE HOME VISITS TO HIGH-RISK POPULATIONS. - EXPAND NAVIGATION TEAMS.STRATEGY: COLLABORATE WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED AND DIVERSE POPULATIONS.ACTIONS/TACTICS- PROVIDE CARE COORDINATION AMONG EACH HEALTH SYSTEM AND COMMUNITY HEALTH CLINICS - CONDUCT EDUCATIONAL EVENTS AND PROGRAMS THAT FOCUS ON THE TRADITIONS, CULTURES AND HEALTHCARE NEEDS OF UNIQUE AND DIVERSE POPULATIONS IN THE SERVICE AREA. - UTILIZE COMMUNITY PARTNERSHIPS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. SPECIALTY CARESTRATEGY:EXPAND HEART AND STROKE HEALTH EDUCATION AND SCREENINGS THROUGH COMMUNITY OUTREACH ACTIVITIES.ACTIONS/TACTICS- ENHANCE PUBLIC AWARENESS OF HEART AND VASCULAR HEALTH TO REDUCE HEART AND VASCULAR DISEASE MORTALITY AND MORBIDITY.- WORK WITH STROKE PROGRAM, CARDIOVASCULAR AND THORACIC SURGERY TEAMS TO FOCUS EDUCATION ON SCHOOL-AGED CHILDREN AND AT-RISK ADULTS IN COLLABORATION WITH THE COMMUNITY TEAM. STRATEGY:IMPROVE DIABETIC ADULT CAREACTIONS/TACTICS- IDENTIFY HIGH-RISK PATIENTS DURING THEIR HOSPITALIZATION WITH A DIAGNOSIS OF DIABETES AND PROVIDE ONGOING EDUCATION POST DISCHARGE.STRATEGY: IMPROVE CANCER CARE.ACTIONS/TACTICS- CONTINUE THE NORTHERN APPALACHIA CANCER NETWORK (NACN) AND HARRISBURG COMMUNITY CANCER NETWORK (HCCN) INITIATIVES- WORK WITH COMMUNITY CANCER SUPPORT GROUPS SUCH AS CATALYST TO REDUCE HEALTH DISPARITIES AND IMPROVE THE HEALTH OF OUR COMMUNITIES.- EXPAND FREE MAMMOGRAM VOUCHER PROGRAM (MVP) TO UNDERSERVED AND/OR UNDERINSURED WOMEN. STRATEGY:IMPROVE HIV/AIDS CAREACTIONS/TACTICS- CONTINUE TO PROVIDE THE RESOURCES, EDUCATION AND COMPREHENSIVE CARE (REACCH) PROGRAM TO HIV/AIDS CLIENTS. - CONTINUE TO WORK WITH ALDER HEALTH SERVICES FOR HIV AIDS CARE.DENTAL CARESTRATEGY: INCREASE UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT AND COORDINATE CARE OF URGENT DENTAL NEEDS WITH THE EMERGENCY DEPARTMENT.ACTIONS/TACTICS- UTILIZE VOLUNTEER DENTISTS IN THE SMILES NETWORK. - PARTNER WITH COMMUNITY CLINICS TO PROVIDE ONGOING PREVENTIVE DENTAL CARE OR NON-URGENT DENTAL CARE. HAMILTON HEALTH CENTER IS A LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT IS EQUIPPED WITH A STATE-OF-THE-ART DENTAL CLINIC.PRIORITY 2: BEHAVIORAL HEALTHBEHAVIORAL HEALTH ISSUES AFFECT NOT ONLY THE MENTAL WELL-BEING OF AN INDIVIDUAL, BUT ALSO SPIRITUAL, EMOTIONAL AND PHYSICAL HEALTH.UNMANAGED MENTAL ILLNESSES INCREASE THE LIKELIHOOD OF ADVERSE HEALTH OUTCOMES, CHRONIC DISEASE, AND SUBSTANCE ABUSE PARTLY DUE TO A DECREASE IN ACCESSING MEDICAL CARE.MENTAL HEALTHSTRATEGY: IMPROVE ACCESS AND CONTINUITY OF BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES.ACTIONS/TACTICS - CREATE A DIRECT ADMIT PROGRAM. - IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH SERVICES. INTEGRATE PINNACLEHEALTH PSYCHOLOGICAL ASSOCIATES (PHPA) SERVICES INTO THE PINNACLEHEALTH MEDICAL GROUP (PHMG).- INTEGRATE PSYCHOLOGICAL EVALUATION INTO PSYCHOLOGICAL MEDICAL OFFICES. - PARTNER WITH HAMILTON HEALTH CENTER TO PROVIDE BEHAVIORAL HEALTH SERVICES. - PROMOTE CONSUMER AND SYSTEM HEALTH LITERACY ON MENTAL HEALTH CONCERNS. - PPI WILL EXPLORE A PARTNERSHIP FOR A TELE-PSYCHIATRY PROGRAM TO PROVIDE BEHAVIORAL HEALTH CARE TO PATIENTS IN AN ACUTE SETTING.- ENHANCE BEHAVIORAL HEALTH SERVICES FOR CHILDREN IN NEED. - DESIGN NEW ADOLESCENT UNIT AT PPI. - COLLABORATE WITH PA YOUTH SUICIDE PREVENTION INITIATIVE, PPI AND SCHOOLS TO IMPROVE EARLY DETECTION AND REDUCE RISK OF YOUTH SUICIDE.SUBSTANCE ABUSESTRATEGY: DEVELOP INPATIENT AND COMMUNITY-BASED SUBSTANCE ABUSE EDUCATION AND TREATMENT SERVICES.ACTIONS/TACTICS- IMPLEMENT AN OPIOID TASK FORCE AND STEWARDSHIP PROGRAM (OTF&SP). - PPI WILL INITIATE AN OPIATE TREATMENT PROGRAM BY 2017. - PROMOTE MEDICAL STAFF AND COMMUNITY AWARENESS EDUCATION FOR PREVENTING PRESCRIPTION DRUG AND OPIOID MISUSE, ABUSE AND OVERDOSE. DRUGS 101: WHAT PARENTS AND KIDS NEED TO KNOW IS A PROGRAM THAT HELPS TO INCREASE DRUG AND ALCOHOL AWARENESS FOR PARENTS AND CHILDREN AGES 10 AND OLDER.THE PROGRAM IS UNIQUE BECAUSE IT INVOLVES BOTH PARENTS AND CHILDREN IN THE SAME EVENT.- REDUCE ACCESS TO PRESCRIPTION DRUGS, AND THE POSSIBILITY OF MISUSE AND ABUSE, BY PARTICIPATING IN NATIONAL DRUG TAKE BACK DAY AND PROMOTING DRUG TAKE BACK COLLECTION SITES AVAILABLE AT COMMUNITY POLICE DEPARTMENTS. - PARTICIPATE IN COLLABORATIVE EFFORTS TO IMPROVE POLICY AND ADDRESS DRUG ADDICTION AND ABUSE. - OFFER AL-ANON SUPPORT FOR THOSE IN NEED. PRIORITY 3: HEALTHY LIFESTYLESTHE CHNA REVEALED A LACK OF HEALTHY LIFESTYLES IN THE FIVE-COUNTY REGION.OBESITY, BEING OVERWEIGHT, POOR NUTRITION, LACK OF PHYSICAL ACTIVITY AND SMOKING ARE ASSOCIATED WITH PROFOUND, ADVERSE HEALTH CONDITIONS.THESE INCLUDE HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, TYPE 2 DIABETES, HEART DISEASE, SOME CANCERS, AND OTHER LIMITING PHYSICAL AND MENTAL HEALTH ISSUES.PHYSICAL ACTIVITYSTRATEGY: ASSESS AND EXPAND EXISTING VENUES FOR PHYSICAL ACTIVITY.ACTIONS/TACTICS- CONDUCT A WALK-FRIENDLY ASSESSMENT TO IMPROVE WALKABILITY. - EXPAND THE BAND TOGETHER PROGRAM. - INCREASE WALKING OPPORTUNITIES. - CONTINUE EAT SMART, PLAY SMART (ESPS). STRATEGY: INITIATE NEW PHYSICAL ACTIVITY PROGRAMS.ACTIONS/TACTICS- LAUNCH "GET FIT TOGETHER" PROGRAM IN COLLABORATION WITH YMCA. - ESTABLISH A HMC BIKE SHARE PROGRAM.INADEQUATE NUTRITION AND OBESITYSTRATEGY: INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION.ACTIONS/TACTICS- INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION THROUGH THE FOOD AS MEDICINE PROGRAM. - CONTINUE THE HERSHEY COMMUNITY GARDEN LOCATED ON THE HMC CAMPUS. - PARTNER WITH PENN STATE EXTENSION AND PPI TO DEVELOP MONTHLY HEALTH EDUCATION SESSIONS FOR FOOD PANTRY CLIENTS TO IMPROVE THEIR HEALTH.IN ADDITION, HMC FACULTY, STAFF AND STUDENTS HAVE COLLABORATED WITH STEELTON FOOD PANTRY (MARY'S HELPERS AT PRINCE OF PEACE PARISH) AND PENN STATE EXTENSION TO BRING HEALTH EDUCATION TO CHILDREN AS PART OF THEIR SUMMER FEEDING PROGRAM.- CONTINUE TO SUPPORT THE POWER PACK PROGRAM. STRATEGY: IDENTIFY AT-RISK YOUTH THROUGH SCHOOL-BASED ASSESSMENTS AND IMPLEMENT COMMUNITY NUTRITION EDUCATION AND OBESITY PREVENTION PROGRAMS.ACTIONS/TACTICS- CONDUCT SCHOOL-BASED ASSESSMENTS. - EXPAND COMMUNITY NUTRITION EDUCATION AND OBESITYSMOKING CESSATIONSTRATEGY: PROVIDE TOBACCO CESSATION PROGRAMS.ACTIONS/TACTICS- CONDUCT PENN STATE HERSHEY MEDICAL CENTER'S MONDAY NIGHT SUPPORT GROUP FOR COMMUNITY AND EMPLOYEES. - CONDUCT SMOKING CESSATION LUNCH AND LEARNS. - IMPLEMENT TEXT TO QUIT AND BETTER BREATHERS CLUBS. OFFER AT BOTH PINNACLEHEALTH CAMPUSES AND EXPAND TO COMMUNITY LOCATIONS AND MEASURE ANNUALLY.- CONDUCT INPATIENT-BASED TOBACCO CESSATION INITIATIVES. - CONDUCT CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) INITIATIVE. STRATEGY: DECREASE THE USE OF ANY TOBACCO PRODUCT AMONG MIDDLE AND HIGH SCHOOL STUDENTS.ACTIONS/TACTICS- PROVIDE TOBACCO PREVENTION PROGRAMS TO MIDDLE AND HIGH SCHOOL STUDENTS. - CONDUCT CARBON MONOXIDE (CO) TESTING AND OFFER PREVENTION EDUCATION AND |
| PINNACLE HEALTH HOSPITALS - WEST SHORE | PART V, SECTION B, LINE 11: AFTER REVIEWING THE DATA GENERATED FROM THE CHNA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, PINNACLEHEALTH DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN WITH EVIDENCE-BASED STRATEGIES. PINNACLEHEALTH PRESENTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012 AND IN ACCORDANCE WITH IRS REGULATIONS TO CONDUCT THE CHNA EVERY THREE YEARS, HAS COMPLETED AND APPROVED THE 2015 CHNA. AS A RESULT OF EXTENSIVE PRIMARY AND SECONDARY RESEARCH, WITH THE ASSISTANCE OF 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). PRIORITY 1: ACCESS TO HEALTH SERVICESTHE FINDINGS OF THE CHNA POINTED TO A GROWING ISSUE: LACK OF ACCESS TO QUALITY HEALTHCARE, SPECIFICALLY RELATED TO PRIMARY, SPECIALTY AND DENTAL CARE, IN MANY COMMUNITIES OF THE FIVE-COUNTY REGION OF PENNSYLVANIA. HEALTH INSURANCE COVERAGE, AFFORDABILITY, HEALTH LITERACY, CULTURAL COMPETENCE, COORDINATION OF COMPREHENSIVE CARE, AND THE AVAILABILITY OF PHYSICIANS ARE ALL FACTORS AFFECTING THE LEVEL OF HEALTHCARE ACCESS.PRIMARY CARESTRATEGY: PROVIDE INSURANCE ENROLLMENT SPECIALISTS AND FINANCIAL ADVISORS TO EDUCATE AND ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS.ACTIONS/TACTICS- EXPAND THE AVAILABILITY OF CERTIFIED APPLICATION COUNSELORS (CAC) IN EACH EMERGENCY ROOM TO IDENTIFY UNINSURED PATIENTS AS THEY REGISTER. - EXPAND OUTREACH EFFORTS TO INFORM AND ASSIST FAMILIES WITH ENROLLING IN CHILDREN'S HEALTH INSURANCE PLAN (CHIP) AND IMPROVE ACCESS TO MORE AFFORDABLE MEDICATIONS.STRATEGY: OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME MODELACTIONS/TACTICS- COLLABORATE WITH SOCIAL WORKERS, NURSE CARE MANAGERS, AND COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS TO ASSIST WITH SOCIAL PROGRAM ELIGIBILITY AND BARRIERS TO INSURANCE ACCESS.- PROVIDE HOME VISITS TO HIGH-RISK POPULATIONS. - EXPAND NAVIGATION TEAMS.STRATEGY: COLLABORATE WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED AND DIVERSE POPULATIONS.ACTIONS/TACTICS- PROVIDE CARE COORDINATION AMONG EACH HEALTH SYSTEM AND COMMUNITY HEALTH CLINICS - CONDUCT EDUCATIONAL EVENTS AND PROGRAMS THAT FOCUS ON THE TRADITIONS, CULTURES AND HEALTHCARE NEEDS OF UNIQUE AND DIVERSE POPULATIONS IN THE SERVICE AREA. - UTILIZE COMMUNITY PARTNERSHIPS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. SPECIALTY CARESTRATEGY:EXPAND HEART AND STROKE HEALTH EDUCATION AND SCREENINGS THROUGH COMMUNITY OUTREACH ACTIVITIES.ACTIONS/TACTICS- ENHANCE PUBLIC AWARENESS OF HEART AND VASCULAR HEALTH TO REDUCE HEART AND VASCULAR DISEASE MORTALITY AND MORBIDITY.- WORK WITH STROKE PROGRAM, CARDIOVASCULAR AND THORACIC SURGERY TEAMS TO FOCUS EDUCATION ON SCHOOL-AGED CHILDREN AND AT-RISK ADULTS IN COLLABORATION WITH THE COMMUNITY TEAM. STRATEGY:IMPROVE DIABETIC ADULT CAREACTIONS/TACTICS- IDENTIFY HIGH-RISK PATIENTS DURING THEIR HOSPITALIZATION WITH A DIAGNOSIS OF DIABETES AND PROVIDE ONGOING EDUCATION POST DISCHARGE.STRATEGY: IMPROVE CANCER CARE.ACTIONS/TACTICS- CONTINUE THE NORTHERN APPALACHIA CANCER NETWORK (NACN) AND HARRISBURG COMMUNITY CANCER NETWORK (HCCN) INITIATIVES- WORK WITH COMMUNITY CANCER SUPPORT GROUPS SUCH AS CATALYST TO REDUCE HEALTH DISPARITIES AND IMPROVE THE HEALTH OF OUR COMMUNITIES.- EXPAND FREE MAMMOGRAM VOUCHER PROGRAM (MVP) TO UNDERSERVED AND/OR UNDERINSURED WOMEN. STRATEGY:IMPROVE HIV/AIDS CAREACTIONS/TACTICS- CONTINUE TO PROVIDE THE RESOURCES, EDUCATION AND COMPREHENSIVE CARE (REACCH) PROGRAM TO HIV/AIDS CLIENTS. - CONTINUE TO WORK WITH ALDER HEALTH SERVICES FOR HIV AIDS CARE.DENTAL CARESTRATEGY: INCREASE UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT AND COORDINATE CARE OF URGENT DENTAL NEEDS WITH THE EMERGENCY DEPARTMENT.ACTIONS/TACTICS- UTILIZE VOLUNTEER DENTISTS IN THE SMILES NETWORK. - PARTNER WITH COMMUNITY CLINICS TO PROVIDE ONGOING PREVENTIVE DENTAL CARE OR NON-URGENT DENTAL CARE. HAMILTON HEALTH CENTER IS A LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT IS EQUIPPED WITH A STATE-OF-THE-ART DENTAL CLINIC.PRIORITY 2: BEHAVIORAL HEALTHBEHAVIORAL HEALTH ISSUES AFFECT NOT ONLY THE MENTAL WELL-BEING OF AN INDIVIDUAL, BUT ALSO SPIRITUAL, EMOTIONAL AND PHYSICAL HEALTH.UNMANAGED MENTAL ILLNESSES INCREASE THE LIKELIHOOD OF ADVERSE HEALTH OUTCOMES, CHRONIC DISEASE, AND SUBSTANCE ABUSE PARTLY DUE TO A DECREASE IN ACCESSING MEDICAL CARE.MENTAL HEALTHSTRATEGY: IMPROVE ACCESS AND CONTINUITY OF BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES.ACTIONS/TACTICS - CREATE A DIRECT ADMIT PROGRAM. - IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH SERVICES. INTEGRATE PINNACLEHEALTH PSYCHOLOGICAL ASSOCIATES (PHPA) SERVICES INTO THE PINNACLEHEALTH MEDICAL GROUP (PHMG).- INTEGRATE PSYCHOLOGICAL EVALUATION INTO PSYCHOLOGICAL MEDICAL OFFICES. - PARTNER WITH HAMILTON HEALTH CENTER TO PROVIDE BEHAVIORAL HEALTH SERVICES. - PROMOTE CONSUMER AND SYSTEM HEALTH LITERACY ON MENTAL HEALTH CONCERNS. - PPI WILL EXPLORE A PARTNERSHIP FOR A TELE-PSYCHIATRY PROGRAM TO PROVIDE BEHAVIORAL HEALTH CARE TO PATIENTS IN AN ACUTE SETTING.- ENHANCE BEHAVIORAL HEALTH SERVICES FOR CHILDREN IN NEED. - DESIGN NEW ADOLESCENT UNIT AT PPI. - COLLABORATE WITH PA YOUTH SUICIDE PREVENTION INITIATIVE, PPI AND SCHOOLS TO IMPROVE EARLY DETECTION AND REDUCE RISK OF YOUTH SUICIDE.SUBSTANCE ABUSESTRATEGY: DEVELOP INPATIENT AND COMMUNITY-BASED SUBSTANCE ABUSE EDUCATION AND TREATMENT SERVICES.ACTIONS/TACTICS- IMPLEMENT AN OPIOID TASK FORCE AND STEWARDSHIP PROGRAM (OTF&SP). - PPI WILL INITIATE AN OPIATE TREATMENT PROGRAM BY 2017. - PROMOTE MEDICAL STAFF AND COMMUNITY AWARENESS EDUCATION FOR PREVENTING PRESCRIPTION DRUG AND OPIOID MISUSE, ABUSE AND OVERDOSE. DRUGS 101: WHAT PARENTS AND KIDS NEED TO KNOW IS A PROGRAM THAT HELPS TO INCREASE DRUG AND ALCOHOL AWARENESS FOR PARENTS AND CHILDREN AGES 10 AND OLDER.THE PROGRAM IS UNIQUE BECAUSE IT INVOLVES BOTH PARENTS AND CHILDREN IN THE SAME EVENT.- REDUCE ACCESS TO PRESCRIPTION DRUGS, AND THE POSSIBILITY OF MISUSE AND ABUSE, BY PARTICIPATING IN NATIONAL DRUG TAKE BACK DAY AND PROMOTING DRUG TAKE BACK COLLECTION SITES AVAILABLE AT COMMUNITY POLICE DEPARTMENTS. - PARTICIPATE IN COLLABORATIVE EFFORTS TO IMPROVE POLICY AND ADDRESS DRUG ADDICTION AND ABUSE. - OFFER AL-ANON SUPPORT FOR THOSE IN NEED. PRIORITY 3: HEALTHY LIFESTYLESTHE CHNA REVEALED A LACK OF HEALTHY LIFESTYLES IN THE FIVE-COUNTY REGION.OBESITY, BEING OVERWEIGHT, POOR NUTRITION, LACK OF PHYSICAL ACTIVITY AND SMOKING ARE ASSOCIATED WITH PROFOUND, ADVERSE HEALTH CONDITIONS.THESE INCLUDE HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, TYPE 2 DIABETES, HEART DISEASE, SOME CANCERS, AND OTHER LIMITING PHYSICAL AND MENTAL HEALTH ISSUES.PHYSICAL ACTIVITYSTRATEGY: ASSESS AND EXPAND EXISTING VENUES FOR PHYSICAL ACTIVITY.ACTIONS/TACTICS- CONDUCT A WALK-FRIENDLY ASSESSMENT TO IMPROVE WALKABILITY. - EXPAND THE BAND TOGETHER PROGRAM. - INCREASE WALKING OPPORTUNITIES. - CONTINUE EAT SMART, PLAY SMART (ESPS). STRATEGY: INITIATE NEW PHYSICAL ACTIVITY PROGRAMS.ACTIONS/TACTICS- LAUNCH "GET FIT TOGETHER" PROGRAM IN COLLABORATION WITH YMCA. - ESTABLISH A HMC BIKE SHARE PROGRAM.INADEQUATE NUTRITION AND OBESITYSTRATEGY: INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION.ACTIONS/TACTICS- INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION THROUGH THE FOOD AS MEDICINE PROGRAM. - CONTINUE THE HERSHEY COMMUNITY GARDEN LOCATED ON THE HMC CAMPUS. - PARTNER WITH PENN STATE EXTENSION AND PPI TO DEVELOP MONTHLY HEALTH EDUCATION SESSIONS FOR FOOD PANTRY CLIENTS TO IMPROVE THEIR HEALTH.IN ADDITION, HMC FACULTY, STAFF AND STUDENTS HAVE COLLABORATED WITH STEELTON FOOD PANTRY (MARY'S HELPERS AT PRINCE OF PEACE PARISH) AND PENN STATE EXTENSION TO BRING HEALTH EDUCATION TO CHILDREN AS PART OF THEIR SUMMER FEEDING PROGRAM.- CONTINUE TO SUPPORT THE POWER PACK PROGRAM. STRATEGY: IDENTIFY AT-RISK YOUTH THROUGH SCHOOL-BASED ASSESSMENTS AND IMPLEMENT COMMUNITY NUTRITION EDUCATION AND OBESITY PREVENTION PROGRAMS.ACTIONS/TACTICS- CONDUCT SCHOOL-BASED ASSESSMENTS. - EXPAND COMMUNITY NUTRITION EDUCATION AND OBESITYSMOKING CESSATIONSTRATEGY: PROVIDE TOBACCO CESSATION PROGRAMS.ACTIONS/TACTICS- CONDUCT PENN STATE HERSHEY MEDICAL CENTER'S MONDAY NIGHT SUPPORT GROUP FOR COMMUNITY AND EMPLOYEES. - CONDUCT SMOKING CESSATION LUNCH AND LEARNS. - IMPLEMENT TEXT TO QUIT AND BETTER BREATHERS CLUBS. OFFER AT BOTH PINNACLEHEALTH CAMPUSES AND EXPAND TO COMMUNITY LOCATIONS AND MEASURE ANNUALLY.- CONDUCT INPATIENT-BASED TOBACCO CESSATION INITIATIVES. - CONDUCT CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) INITIATIVE. STRATEGY: DECREASE THE USE OF ANY TOBACCO PRODUCT AMONG MIDDLE AND HIGH SCHOOL STUDENTS.ACTIONS/TACTICS- PROVIDE TOBACCO PREVENTION PROGRAMS TO MIDDLE AND HIGH SCHOOL STUDENTS. - CONDUCT CARBON MONOXIDE (CO) TESTING AND OFFER PREVENTION EDUCATION AND |
| PINNACLE HEALTH HOSPITALS - HARRISBURG | 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, ELIGIBILITY FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR. |
| PINNACLE HEALTH HOSPITALS - CGOH | 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, ELIGIBILITY FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR. |
| PINNACLE HEALTH HOSPITALS - WEST SHORE | 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, ELIGIBILITY FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 2 - PINNACLE HEALTH EMERGENCY DEPARTMENT SER | ||||
| 111 SOUTH FRONT STREET | HARRISBURG | PA | 17101 | EMERGENCY MEDICAL SERVICES |
| 3 - SUSQUEHANNA VALLEY SURGERY CENTER LLC | ||||
| 4310 LONDONDERRY ROAD SUITE 1 | HARRISBURG | PA | 17109 | SURGICAL CARE - MEDICAL SERVICES |
| 4 - WEST SHORE SURGERY CENTER LTD | ||||
| 2015 TECHNOLOGY PARKWAY | MECHANICSBURG | PA | 17050 | SURGICAL CARE - MEDICAL SERVICES |
| 6 - WALNUT BOTTOM RADIOLOGY LLC | ||||
| 850 WALNUT BOTTOM ROAD | CARLISLE | PA | 17013 | OUTPATIENT RADIOLOGY AND IMAGING SERVICES |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS PREPARED BY PINNACLE HEALTH SYSTEM, THE PARENT ORGANIZATION. |
| 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, LN 7 COL(F): | BAD DEBT EXPENSE OF $32,713,413 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 IN IMPROVING THE OVERALL HEALTH OF OUR COMMUNITY, PINNACLE HEALTH HOSPITALS (PHH) VALUES RELATIONSHIPS WITH COMMUNITY PARTNERS AND THE ASSETS THEY BRING TO ANY COLLABORATIVE EFFORTS. PHH HELPED CREATE THE DAUPHIN COUNTY HEALTH IMPROVEMENT PARTNERSHIP (DCHIP) COMPRISED OF REGIONAL HEALTH AND HUMAN SERVICE PROVIDERS, PAYORS, COUNTY GOVERNMENT, AND BUSINESSES AND EDUCATION. PHH 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. PHH SERVES IN A CONVENING ROLE TO STRENGTHEN COMMUNITY ASSETS THROUGH REFERRAL NETWORKS AND PARTNERSHIPS; SUCH INITIATIVES INCLUDE: 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 2015, PINNACLE STAFF AND VOLUNTEERS ASSISTED WITH SCREENING 5,984 STUDENTS IN THE HARRISBURG SCHOOL DISTRICT AND OVER 700 IN NEWPORT SCHOOL DISTRICT, A RURAL DISTRICT IN PERRY COUNTY. PHH 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 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 TARGET 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 PHH'S LEADERSHIP IN BUILDING COMMUNITY CAPACITY ARE:FAITH COMMUNITY HEALTH CONNECTION (FCHC) IN FALL 2015, PINNACLE HIRED A NEW LEADER FOR SPIRITUAL CARE, REVEREND BRENDA ALTON. SHE 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 MANY OF THE ETHNIC COMMUNITIES AROUND HARRISBURG HOSPITAL, THE FAITH LEADER IS THE MOST TRUSTED INDIVIDUAL AND MANY ARE PARTNERS OF PINNACLE DUE TO THE RELATIONSHIPS WITH THE LEADERS OF OUR SPIRITUAL CARE DEPARTMENT AND THE FCHC INITIATIVE. WHEN A MEMBER OF THE FAITH COMMUNITY IS ADMITTED TO A PINNACLE HEALTH 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 EDUCATION 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 PINNACLEHEATH STAFF IN PROVIDING CULTURALLY SENSITIVE SERVICES TO DIVERSE POPULATIONS.KEYSTONE COMMUNITY CARE CONTINUUM (KCCC)EACH YEAR PINNACLE MAKES AVAILABLE $20,000 TO EACH CLINIC, AND IN FISCAL 2016 CLINICS UTILIZED APPROXIMATELY $27,000 TO PROVIDE DIAGNOSTIC TESTING AT NO COST TO THEIR PATIENTS. TO DATE, THE CONTINUUM PROJECT HAS DISBURSED OVER $200,000 IN FREE CARE FUNDS TO COVER THE COST OF DIAGNOSTIC SERVICES TO PATIENTS AT THE BEACON CLINIC, HOPE WITHIN CLINIC, BETHESDA MISSION, AND THE COMMUNITY CHECK UP CENTER. BASED ON PINNACLE GOALS AND THE ANALYSIS OF RELATED DATA TO DATE, THE FOLLOWING GOALS AND RELATED OUTCOMES HAVE BEEN NOTED:-DECREASED READMISSIONS WITHIN 30 DAYS FOR COMMUNITY HEALTH CENTER PATIENTS FROM 16% TO 12% IN EIGHTEEN MONTHS - METTHIS 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 THAT 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, PHH AND ITS STAFF OF PROFESSIONALS MEET THE NEEDS OF A DIVERSE POPULATION WITH CULTURAL AWARENESS AND SENSITIVITY. PHH 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 PARTNER AGENCIES IN AN EVER-WIDENING GEOGRAPHIC SERVICE AREA. THE CRC SERVED 1,006 CHILDREN IN 2016 AND APPROXIMATELY 600 CAREGIVERS. WE SAW CHILDREN FROM OVER 20 COUNTIES IN PENNSYLVANIA BUT ROUTINELY SERVED CHILDREN FROM DAUPHIN, CUMBERLAND, PERRY, LEBANON, SCHUYKILL, JUNIATA, MIFFLIN, BLAIR, AND BEDFORD COUNTIES.LEAD AND HEALTHY HOMES PROGRAM (LHHP)IN FISCAL YEAR 2016, THE PENNSYLVANIA DEPARTMENT OF HEALTH (DOH) SET A GOAL OF 330 ENVIRONMENTAL HOME ASSESSMENTS (EHA) TO BE CONDUCTED IN LOW INCOME FAMILIES. WE RECEIVED THESE REFERRALS FROM MANY SOCIAL SERVICE AGENCIES THROUGHOUT OUR COMMUNITY. OUR GOAL IS TO ENSURE FAMILIES ARE LIVING IN SAFE AND HEALTHY HOUSING. (LHHP) IS AVAILABLE FOR BOTH HOMEOWNERS AND RENTERS. SUPPLIES SUCH AS CO(2) DETECTORS, FIRE EXTINGUISHERS, VACUUMS, DEHUMIDIFIERS, PEST SUPPLIES, BED BUG AND ASTHMA PREVENTION BEDDING COVERS, PLUS APPROXIMATELY 100 OTHER HOME SAFETY AND HEALTHY HOME SUPPLIES WERE DELIVERED TO FAMILIES, ALONG WITH EDUCATION AND A FULL INTERNAL AND EXTERNAL INSPECTION OF THEIR HOMES. THE EHA'S WERE PERFORMED BY PINNACLEHEALTH ENVIRONMENTAL HOME SPECIALISTS AND LICENSED LEAD RISK ASSESSORS.IN THE FIRST AND SECOND QUARTERS OF FY2016, OUR STAFF CONDUCTED 259 EHA'S. IN THE THIRD QUARTER OF THE PROGRAM, WE SERVED 90 FAMILIES FOR HEALTHY HOMES ISSUES AND 11 FAMILIES FOR ELEVATED LEAD LEVELS IN CHILDREN UP TO AGE 7. UNFORTUNATELY, THE DOH FUNDING FOR THIS PROGRAM WILL CEASE AFTER JUNE 30, 2016 SO THE FOURTH QUARTER OF THE LHHP GRANT ONLY ALLOWED US TO CONDUCT HEALTH HOME ASSESSMENTS FOR THE MONTH OF APRIL TO ALLOW ANY POST 60 DAY ASSESSMENTS TO BE COMPLETED BEFORE THE JUNE 30, 2016 COMPLETION DATE OF THE PROGRAM. TWENTY SIX (26) HEALTHY HOME ASSESSMENTS WERE CONDUCTED FOR FAMILIES, AND FOURTEEN (14) LEAD ENVIRONMENTAL ASSESSMENTS WERE COMPLETED. STAFF WAS VERY BUSY WITH ALL 60 DAY POST ASSESSMENTS AT EACH HOME SERVED. IN ADDITION, THE LHHP ALSO REMEDIATED APPROXIMATELY 153 UNSAFE AND UNHEALTHY ISSUES IN THE HOMES BY SUBCONTRACTING WITH PA LICENSED GENERAL CONTRACTORS TO FIX PROBLEMS IN HOMES THAT CAUSE FAMILY MEMBERS WHO SUFFER FROM ASTHMA, LEAD POISONING, PHYSICAL DISABILITIES AND MANY OTHER HEALTH CHALLENGES. THERE ARE EFFORTS TO SEEK OTHER SOURCES OF FUNDING FOR THIS IMPORTANT PROJECT. PINNACLEHEALTH IS COMMITTED TO THE COMMUNITY AND RECOGNIZES THAT THERE IS GREAT NEED FOR ENVIRONMENTAL HOME ASSESSMENTS.RESOURCE EDUCATION AND COMPREHENSIVE CARE FOR HIV (REACCH)THE PINNACLEHEALTH (REACCH) PROGRAM SERVES AS A COMPREHENSIVE MEDICAL CARE PROGRAM FOR ALL PEOPLE LIVING WITH HIV/AIDS WITHIN THE SOUTH CENTRAL PENNSYLVANIA REGION. IN 2016, REACCH SERVED 533 RACIALLY DIVERSE PATIENTS: 41% WERE AFRICAN AMERICAN, 46% CAUCASIAN/NON-HISPANIC, 11% HISPANIC, AND 2% MULTI-RACIAL OR OTHER. ALMOST ALL PATIENTS HAVE BEEN ABLE TO OBTAIN HEALTH INSURANCE THROUGH THE AFFORDABLE CARE ACT AND EXPANDED MEDICAID. 61% ARE COVERED BY MEDICAID OR MEDICARE, 32% HAD PRIVATE INSURANCE AND ONLY 7% WERE UNINSURED. 70% OF REACCH PATIENTS LIVE IN HARRISBURG CITY, 15% IN CUMBERLAND COUNTY, 2% IN PERRY COUNTY, AND THE REST OF THEM RESIDE IN FRANKLIN, YORK, OR OTHER SURROUNDING COUNTIES. IN ADDITION TO HIV TREATMENT AND PRIMARY MEDICAL CARE, STAFF SEEK TO REMOVE SOCIAL AND ECONOMIC BARRIERS TO CARE BY PROVIDING TREATMENT ADHERENCE 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 ST |
| PART III, LINE 4: | THE FINANCIAL STATEMENTS DO NOT HAVE A SPECIFIC NOTE ON BAD DEBT EXPENSE; RATHER THE FINANCIAL STATEMENTS EVALUATE BAD DEBTS BASED ON ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE FOOTNOTE RELATED TO THE ALLOWANCE IS SUMMARIZED AS FOLLOWS: "ACCOUNTS RECEIVABLES 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/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 ACCOUNTING SYSTEM ALLOCATION OF COSTS BASED ON 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'S ACCOUNT IMMEDIATELY. THE FINANCIAL ASSISTANCE DISCOUNT WILL BE APPLIED TO SERVICES 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 FINANCIAL ASSISTANCE. FOR THOSE INDIVIDUALS DETERMINED TO FULLY 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, MAILINGS AND THE REPORTING OF ITS 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, INCLUDING 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, PUBLIC FORUMS, AND FOCUS GROUPS TO IDENTIFY HEALTH PROGRAMS AND RISK FACTORS IN THE SERVICE AREA. IN FY2013 PINNACLE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH TWO OTHER LOCAL HEALTH SYSTEMS. THIS COLLABORATIVE ENGAGED THE BROADER COMMUNITY TO GATHER INPUT AND DOCUMENT COMMUNITY HEALTH NEEDS. THE FOLLOWING TOOLS WERE USED TO ASSESS THE COMMUNITY IN FY 2013:COMMUNITY LEADER INTERVIEWSINTERVIEWS WITH FIFTY-EIGHT COMMUNITY LEADERS THROUGHOUT THE REGION WERE CONDUCTED TO GAIN AN UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS FROM ORGANIZATIONS AND AGENCIES THAT HAVE A DEEP UNDERSTANDING OF THE POPULATIONS IN THE GREATEST NEED. THE COLLABORATIVE DEVELOPED A LIST OF COMMUNITY LEADERS TO INTERVIEW. INTERVIEWS WERE CONDUCTED WITH AN ARRAY OF DIRECTORS AND STAFF MEMBERS FROM COMMUNITY HEALTH CENTERS, MEMBERS FROM SOCIAL SERVICES ORGANIZATIONS, EDUCATIONAL LEADERS, RELIGIOUS GROUPS, AND ELECTED OFFICIALS. THE INFORMATION COLLECTED PROVIDED KNOWLEDGE ABOUT THE COMMUNITY'S HEALTH STATUS, RISK FACTORS, SERVICE UTILIZATION, AND COMMUNITY RESOURCE NEEDS, AS WELL AS GAPS AND SERVICE SUGGESTIONS.HAND DISTRIBUTED SURVEYSA HAND-DISTRIBUTION METHODOLOGY WAS EMPLOYED TO DISSEMINATE SURVEYS TO INDIVIDUALS THROUGHOUT THE STUDY AREA. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. THE ASSISTANCE OF LOCAL COMMUNITY ORGANIZATIONS WAS VITAL TO THE SURVEY DISTRIBUTION PROCESS. IN TOTAL, 883 SURVEYS WERE USED FOR ANALYSIS. OF THESE SURVEYS 790 WERE COLLECTED IN ENGLISH AND 93 SURVEYS WERE COLLECTED IN SPANISH. COMMUNITY FORUMSA SERIES OF THREE COMMUNITY FORUMS WERE FACILITATED WITH COMMUNITY ORGANIZATION LEADERS, RELIGIOUS LEADERS, GOVERNMENT STAKEHOLDERS, AND OTHER KEY COMMUNITY LEADERS AT EACH OF THE SPONSORING HOSPITAL/HEALTH SYSTEM LOCATIONS. THE PURPOSE OF THE COMMUNITY FORUMS WAS TO PRESENT THE CHNA FINDINGS TO DATE AND TO RECEIVE INPUT WITH REGARD TO THE NEEDS AND CONCERNS OF THE COMMUNITY. WITH INPUT RECEIVED FROM FORUM PARTICIPANTS, COLLABORATIVE MEMBER IDENTIFIED THE THREE TOP PRIORITY AREAS AS: HEALTHY LIFESTYLES, BEHAVIORAL HEALTH SERVICES, AND ACCESS TO HEALTH SERVICES.PINNACLE HEALTH HOSPITALS USED DIRECT PATIENT FEEDBACK, OUTREACH EFFORTS, AND COMMUNITY BASED PARTNERSHIPS TO DETERMINE THE HEALTH CARE NEEDS IN CUMBERLAND, DAUPHIN, AND PERRY COUNTIES. THE PRIMARY DATA SOURCES FOR ASSESSING THE UNMET NEEDS OF THE COMMUNITY ARE DIRECT PATIENT POPULATION IN PINNACLE'S FOUR CAMPUSES (COMMUNITY, WEST SHORE, HARRISBURG AND POLYCLINIC), FAMILY CARE PHYSICIAN PRACTICES, AND OUTPATIENT SURGERY AND IMAGING CENTERS. THROUGH VARIOUS OUTREACH PROGRAMS INCLUDING HEALTH FAIRS, SCREENINGS, LECTURES, AND EDUCATION SESSIONS, DATA IS COLLECTED AND INCLUDED IN ASSESSING THE OVERALL UNMET NEEDS OF THE COMMUNITY.AS PART OF THE CHNA PROCESS, OUR TEAM GATHERED BOTH PRIMARY AND SECONDARY DATA. AS A PART OF THE PRIMARY DATA COLLECTION, WE CONDUCTED 56 PHONE INTERVIEWS WITH LOCAL COMMUNITY LEADERS. WITH THE HELP OF COMMUNITY BASED, GRASSROOTS ORGANIZATIONS, A HAND-DISTRIBUTED SURVEY WAS DISSEMINATED TO OUR MOST VULNERABLE POPULATIONS. AVAILABLE IN BOTH ENGLISH AND SPANISH, WE RECEIVED 1,229 COMPLETED SURVEYS. IN ADDITION WE CONDUCTED 9 FOCUS GROUPS. LASTLY, TWO COMMUNITY FORUMS WERE HELD WELCOMING THE ENTIRE COMMUNITY TO REVIEW THE FINDINGS AND ADD COMMENTS OR ADDITIONAL CONCERNS.FY2016 CHNAPINNACLE CONDUCTED THE NEXT CHNA IN FY2016. 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 COMMUNTY 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 BENCHMARKED AGAINST STATE AND NATIONAL TRENDS.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. PINNACLE HEALTH 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-ECNONMIC BARRIERS TO COMMUNITY HEALTH WERE IDENTIFIED: INCOME BARRIERS, CULTURE/LANGUAGE BARRIERS, EDUCATIONAL BARRIERS, INSURANCE BARRIERS, AND HOUSING BARRIERS.THE PINNACLE HEALTH SYSTEM 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 PINNACLEHEALTH BOARD OF DIRECTORS IN NOVEMBER 2016. THE FINAL APPROVED VERSIONS OF THE CHNA AND IMPLEMENTATION PLAN ARE AVAILABLE TO THE PUBLIC ON THE WWW.PINNACLEHEALTH.ORG WEBSITE.AS PINNACLEHEALTH 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, PINNACLEHEALTH HOSPITALS WILL BEGIN THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT IN FALL 2017. |
| 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 NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN'S 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: | PINNACLE HEALTH HOSPITALS' (PHH) PRIMARY SERVICE AREA (PSA) CONSISTS OF 43 CONTIGUOUS ZIP CODES IN PORTIONS OF 6 COUNTIES IN THE GREATER HARRISBURG AREA OF SOUTH CENTRAL PENNSYLVANIA. THE SIX COUNTIES INCLUDE DAUPHIN, CUMBERLAND, PERRY, YORK, LANCASTER AND LEBANON. THE COMMUNITY CAN BE DESCRIBED AS A MIX OF RURAL, URBAN, AND SUBURBAN AREAS. THE PSA ACCOUNTS FOR APPROXIMATELY 85 PERCENT OF THE OVERALL ACUTE PATIENT DISCHARGES OF THE HOSPITALS. PINNACLE HEALTH HOSPITALS COMPETES WITH THREE ACUTE CARE HOSPITALS AND 2 REHABILITATION HOSPITALS WITHIN THE PSA. ONE OF THE ACUTE CARE HOSPITALS IS A FOR-PROFIT HOSPITAL OWNED BY A LARGE, PUBLICLY TRADED HEALTH CARE SYSTEM. THE SECOND COMPETITOR IS AN ACADEMIC MEDICAL CENTER THAT IS AFFILIATED WITH A LARGE STATE-FUNDED PUBLIC UNIVERSITY. THE FINAL COMPETITOR IS A SMALLER, NON-TEACHING HOSPITAL THAT IS OWNED BY A LARGE, REGIONAL, VERTICALLY INTEGRATED NOT- FOR-PROFIT HEALTH SYSTEM. THE COMPETITOR REHABILITATION HOSPITALS ARE MAJORITY OR WHOLLY OWNED AND OPERATED BY TWO DIFFERENT PUBLICLY TRADED CORPORATIONS. THE PSA IN WHICH PHH SERVES HAS 12 CENSUS TRACTS WHICH HAVE BEEN IDENTIFIED BY THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION AS MEDICALLY UNDERSERVED AREAS (MUAS). IN ADDITION, IMMEDIATELY ADJACENT TO THE WEST OF THE PSA ARE AN ADDITIONAL 5 MINOR CIVIL DIVISIONS WHICH HAVE BEEN IDENTIFIED AS MUAS. PHH IS A SIGNIFICANT PROVIDER OF HEALTHCARE SERVICES TO PATIENTS IN THE AREAS ADJACENT TO ITS PSA.PHH IS THE PRIMARY PROVIDER FOR THE 50,000 PEOPLE LIVING IN THE CITY OF HARRISBURG. THE EMERGENCY DEPARTMENT (ED) OF THE HOSPITAL IS THE FIRST OPTION FOR A LARGE MAJORITY OF THE CITY RESIDENTS. IN ADDITION, THE HOSPITAL AND RELATED ORGANIZATIONS OPERATE ADULT, CHILDREN, WOMAN AND TEEN PRIMARY CARE CLINICS THAT MAINLY SERVE THE CITY'S MEDICAID AND UNINSURED POPULATION.NEARLY 75% OF THE HARRISBURG CITY POPULATION IS MINORITY, COMPARED TO 32% OF THE COUNTY POPULATION. AFRICAN-AMERICANS/BLACKS COMPRISE 52% OF HARRISBURG'S POPULATION AND HISPANICS/LATINOS MAKE UP 18% OF THE CITY'S POPULATION, COMPARED TO 17% AFRICAN-AMERICANS/BLACKS AND 9% HISPANICS/LATINOS IN DAUPHIN COUNTY AS A WHOLE. NEARLY 17% OF HARRISBURG CITY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH IN THE HOME, COMPARED TO 10% OF COUNTY RESIDENTS.FULLY 32% OF CITY RESIDENTS HAVE INCOME BELOW THE POVERTY LEVEL, WHILE ONLY 12% 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 26% 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 19% OF DAUPHIN COUNTY RESIDENTS HAVE NO HEALTH INSURANCE. PINNACLEHEALTH 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 PINNACLE SHOWED THAT THIS SAME POPULATION USES PINNACLEHEALTH 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 COVERAGE. 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 AND ECONOMIC, AND PHYSICAL ENVIRONMENTS). DAUPHIN COUNTY RANKS AMONG THE WORST (UNHEALTHIEST) OF THE COUNTIES IN: HEALTH OUTCOMES (52), MORBIDITY (54), HEALTH BEHAVIORS (51), AND SOCIAL AND ECONOMIC FACTORS (49). PERRY COUNTY RANKS AMONG THE WORST (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: | PINNACLE HEALTH HOSPITALS MAINTAINS AN ACTIVE ROLE IN THE COMMUNITIES IN WHICH IT SERVES. THE ROLE IS REFLECTIVE IN ITS BOARD OF DIRECTORS WHOSE COMPOSITION IS GREATER THAN 80 PERCENT INDEPENDENT COMMUNITY-BASED LEADERS. PHH HAS AN OPEN MEDICAL STAFF. PHH PROVIDES TRAINING FOR BOTH MEDICAL STUDENTS AND RESIDENTS IN A NUMBER OF SPECIALTIES. PINNACLE HEALTH HOSPITALS HAS ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) ACCREDITED RESIDENCY PROGRAMS AS WELL AS AMERICAN OSTEOPATHIC ASSOCIATION (AOA) ACCREDITED TEACHING PROGRAMS. PHH 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.PINNACLEHEALTH HOSPITALS RECOGNIZES THAT THE HEALTH OF THE COMMUNITY GOES BEYOND THAT OF THE PHYSICAL HEALTH OF ITS MEMBERS. TAKING A HOLISTIC APPROACH TO ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY, PINNACLEHEALTH SUPPORTS A PLETHORA OF COMMUNITY-WIDE INITIATIVES THAT ADDRESS SOCIO-ECONOMIC BARRIERS TO IMPROVED HEALTH. STAFF WORK CLOSELY WITH THE CAPITAL AREA COALITION ON HOMELESSNESS AND HOLD SEATS ON BROAD-BASED INITIATIVES SUCH AS PROJECT HOMELESS CONNECT, AN EVENT THAT TARGETS THE HARDEST-TO-REACH MEN, WOMEN, TEENS, AND CHILDREN WHO ARE IN SHELTERS, ABOUT TO LEAVE SHELTERS, OR LIVING ON THE STREET. IN SEPTEMBER 2013, THIS EVENT HELPED MORE THAN THREE HUNDRED INDIVIDUALS MOVE FROM CRISIS TO MEANINGFUL AND LASTING SUCCESS. PINNACLE STAFF ALSO HAVE A LEAD 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 AND THE PARTNERS ARE: THE VNA OF CENTRAL PENNSYLVANIA AND CROSSINGS HOSPICE, THE HISPANIC COMMUNITY CENTER, THE INTERNATIONAL SERVICE CENTER, THE PENNSYLVANIA FUNERAL DIRECTORS ASSOCIATION, PINNACLEHEALTH 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. DURING THE YEAR A RETAIL PHARMACY WAS OPENED IN THE HARRISBURG HOSPITAL TO BETTER SERVE PATIENTS AND THEIR FAMILIES. ADDITIONALLY, CONSTRUCTION WAS COMPLETED FOR THE LEBANON VALLEY ADVANCED CARE CENTER WHICH OPENED IN JULY 2017.ADDITIONAL PROJECTS INCLUDE MODERNIZING AND UPDATING EXISTING LOCATIONS WITHIN THE PHH SERVICE AREA TO MEET THE PATIENT NEEDS IN THE COMMUNITIES WE SERVE AND IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORDS ACROSS THE BREADTH OF THE PINNACLE HEALTH SYSTEM. SIGNIFICANT RESOURCES WERE EXPENDED TO INSTALL A NEW INTEGRATED CLINICAL ENTERPRISE WIDE COMPUTER SYSTEM WHICH WENT LIVE IN THE MEDICAL SERVICES PRACTICES IN THE FISCAL YEAR. THE TRANSITION TO A MORE EFFICIENT CENTRALIZED INFORMATION MANAGEMENT SYSTEM CENTERED ON THE PATIENT HAS ADVANCED THE VALUE OF ALL PATIENT CARE SERVICES DELIVERED.AS ONE OF THE LEADING HOSPITALS IN SOUTH CENTRAL PENNSYLVANIA, PINNACLE HEALTH 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, PINNACLE HEALTH HOSPITALS IS COMMITTED TO SIX STRATEGIC PILLARS: COMMITMENT TO PEOPLE, SERVICE, QUALITY, GROWTH, COMMUNITY, AND FINANCE. GUIDED BY THESE PILLARS, THE NINE 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: -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. THIS NATIONALLY RENOWNED, EVIDENCE-BASED COMMUNITY HEALTH CURRICULUM TRANSFORMED THE LIVES OF VULNERABLE FAMILIES. IN FY2016, NFP SERVED 277 CLIENTS. -CERTIFIED APPLICATION COUNSELORS (CAC)- DURING THE LAUNCH OF THE INSURANCE MARKETPLACE IN FALL 2013, PINNACLEHHEALTH HOSPITALS DEDICATED TWO STAFF TO THE OPEN ENROLLMENT PROCESS AND SUPPORTED THEIR ROLES AS CERTIFIED APPLICATION COUNSELORS. PINNACLEHEALTH CACS WERE POSITIONED IN OUR HEALTH CLINICS WHERE MANY UNINSURED AND VULNERABLE MEMBERS OF OUR COMMUNITY VISIT OUR HEALTHSYSTEM FOR SERVICES. THE CACS HELPED PEOPLE UNDERSTAND, APPLY, AND ENROLL FOR HEALTH COVERAGE THROUGH THE MARKETPLACE. THE CACS COMPLETED REQUIRED TRAINING, AND COMPLIED WITH PRIVACY AND SECURITY LAWS, AND OTHER PROGRAM STANDARDS. -BRIDGES TO CARE - NEARLY 1,000 CHILDREN AND MORE THAN 6,700 ADULTS IN THE CITY OF HARRISBURG ARE NOT RECEIVING ADEQUATE HEALTH CARE OR DO NOT HAVE HEALTH INSURANCE. TO ADDRESS THIS GAP IN CARE AND COVERAGE, CAPITAL BLUECROSS, HAMILTON HEALTH CENTER AND PINNACLEHEALTH HAVE PARTNERED WITH DAUPHIN COUNTY ON THIS PROGRAM, WHICH CONNECTS PEOPLE TO MUCH-NEEDED HEALTH CARE.LAUNCHED IN APRIL 2013, THE PROGRAM'S MISSION IS TO IDENTIFY, ENROLL AND COORDINATE HEALTH CARE SERVICES FOR HARRISBURG AREA CHILDREN UP TO AGE 19 WHO ARE UNINSURED OR MEDICALLY UNDERSERVED. THE PROGRAM ALSO PROVIDES FAMILY-CENTERED SUPPORT TO PARENTS OR GUARDIANS OF THESE CHILDREN. -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.-RESOURCE EDUCATION AND COMPREHENSIVE CARE FOR HIV (REACCH) PROGRAM - WITH A FOCUS ON ACCESS TO QUALITY CARE FOR VULNERABLE MEMBERS OF THE COMMUNITY WE EMPHASIZED TREATMENT AND PREVENTION OF THE SPREAD OF HIV FOR WOMEN AND CHILDREN. REACCH INCLUDES DIAGNOSTIC, THERAPEUTIC AND SUPPORTIVE SERVICES SUCH AS EDUCATION ABOUT HIV DISEASE AND TRANSMISSION, AS WELL AS TREATMENT RECOMMENDATIONS AND HOW TO ACCESS THEM.-EAT SMART, PLAY SMART - 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. -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 CONSIDERATION OF BASIC FAMILY NEEDS INCLUDING SAFETY. THE TASK FORCE 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, PINNACLEHEALTH 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 SPAN 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. PINNACLEHEALTH'S DENTAL ACCESS COORDINATOR WILL WORK WITH THE PATIENT AND DENTIST TO SET UP AN APPOINTMENT TO ALLEVIATE THE URGENT NEED. IN 2015, PINNACLE REFERRED 369 PATIENTS TO VOLUNTEER DENTISTS FOR URGENT DENTAL NEEDS. IT IS ESTIMATED THAT THIS PROGRAM HAS REDUCED DENTAL RELATED VISITS TO THE ER BY 35%. -FAITH COMMUNITY CONNECTION - A CONGREGATION-BASED HEALTH NETWORK DEVELOPED AS A PATIENT NAVIGATION MODEL THAT LINKS BODY, MIND, SPIRIT AND COMMUNITY TO ADDRESS CHRONIC DISEASES THAT SUPPORTS OUTCOME-BASED PLANNING, CARE COORDINATION AND FOLLOW UP OF CARE. |
| PART VI, LINE 6: | PINNACLE HEALTH HOSPITALS IS PART OF THE PINNACLE HEALTH SYSTEM, A FULLY INTEGRATED, AFFILIATED HEALTH CARE SYSTEM. THE SYSTEM IS COMPRISED OF NINE 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. PINNACLE HEALTH SYSTEM 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. PINNACLE HEALTH MEDICAL SERVICES IS PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES TO SUPPORT AND ENHANCE THE SERVICES WITHIN PINNACLE HEALTH HOSPITALS AND PINNACLE HEALTH SYSTEM. THE PINNACLE HEALTH CARDIOVASCULAR INSTITUTE IS ENGAGED IN PROVIDING COMPREHENSIVE CARDIAC CARE, INCLUDING TECHNOLOGICAL ADVANCES IN ORDER TO PROVIDE THE BEST CLINICAL OUTCOMES TO THE COMMUNITY. THE 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 REGION.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 PINNACLE HEALTH 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 PINNACLE HEALTH SYSTEM.THE PINNACLE HEALTH SYSTEM 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 $373,327 OF CHARITY CARE RECORDED AT CHARGES. THE SYSTEMS BENEFIT ACTIVITIES. 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. -PINNACLE HEALTH SYSTEM - $3,161,673 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND CONTRIBUTIONS. -PINNACLE HEALTH MEDICAL SERVICES - $2,219,774 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BASED CLINICAL SERVICES AND HEALTH CARE SUPPORT SERVICES -PINNACLE HEALTH FOUNDATION - $432,963 IN COMMUNITY BENEFIT OPERATIONS AND FINANCIAL CONTRIBUTIONS.WERE THE ABOVE COMMUNITY BENEFIT EXPENSES OF $5.8 MILLION INCLUDED IN THE HOSPITAL COMMUNITY BENEFIT EXPENSES OF $56.6 MILLION, THE PERCENTAGE OF COMMUNITY BENEFIT EXPENSE TO TOTAL EXPENSE WOULD HAVE BEEN 7.88%. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | PA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FELIX GUTIERREZ MD | ||||||||||||||
| DIRECTOR | $0 | $411,117 | $0 | $87,239 | $0 | $13,870 | $0 | $25,000 | $0 | $12,924 | $0 | $550,150 | $0 | $0 |
| MICHAEL A YOUNG | ||||||||||||||
| PRESIDENT/CEO | $0 | $829,767 | $0 | $318,520 | $0 | $182,580 | $0 | $13,250 | $0 | $14,603 | $0 | $1,358,720 | $0 | $0 |
| DANIEL KAMBIC | ||||||||||||||
| DIRECTOR | $0 | $138,628 | $0 | $0 | $0 | $337 | $0 | $7,229 | $0 | $18,443 | $0 | $164,637 | $0 | $0 |
| CHRISTOPHER P MARKLEY ESQ | ||||||||||||||
| SEC'Y/SR VP STAT SVCC/GEN COUNSEL | $0 | $325,199 | $0 | $96,656 | $0 | $79,211 | $0 | $15,900 | $0 | $15,209 | $0 | $532,175 | $0 | $0 |
| WILLIAM H PUGH | ||||||||||||||
| TREASURER/SR VP CORP FIN/CFO | $0 | $516,005 | $0 | $151,972 | $0 | $78,844 | $0 | $15,900 | $0 | $7,804 | $0 | $770,525 | $0 | $0 |
| PHILIP GUARNESCHELLI | ||||||||||||||
| SR VICE PRESIDENT/COO | $0 | $484,466 | $0 | $147,839 | $0 | $110,170 | $0 | $15,900 | $0 | $18,954 | $0 | $777,329 | $0 | $0 |
| FRANK DITRAGLIA | ||||||||||||||
| ED PHYSICIAN | $375,345 | $0 | $23,664 | $0 | $146,558 | $0 | $5,300 | $0 | $9,545 | $0 | $560,412 | $0 | $0 | $0 |
| R SCOTT RANKIN | ||||||||||||||
| ED PHYSICIAN | $401,747 | $0 | $50,603 | $0 | $106,317 | $0 | $15,900 | $0 | $21,737 | $0 | $596,304 | $0 | $0 | $0 |
| MARK BARABAS | ||||||||||||||
| SR VICE PRESIDENT OPERATIO | $482,844 | $0 | $62,545 | $0 | $0 | $0 | $13,250 | $0 | $14,603 | $0 | $573,242 | $0 | $0 | $0 |
| EDWARD HILDREW | ||||||||||||||
| ED PHYSICIAN | $325,323 | $0 | $48,175 | $0 | $83,165 | $0 | $15,900 | $0 | $21,749 | $0 | $494,312 | $0 | $0 | $0 |
| CHRISTIAN CAICEDO MD | ||||||||||||||
| VP, OPERATIONS/MED DIR. W. SHORE | $331,983 | $0 | $87,585 | $0 | $50,385 | $0 | $15,900 | $0 | $18,478 | $0 | $504,331 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | PINNACLE HEALTH HOSPITALS RELIES ON PINNACLE HEALTH SYSTEM, 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, LINE 4B | MICHAEL YOUNG PARTICIPATES IN A SPLIT INTEREST LIFE INSURANCE POLICY WHEREBY THE ORGANIZATION PAYS THE PREMIUMS AND MR. YOUNG REPORTS THE PREMIUMS AS OTHER REPORTABLE COMPENSATION. UPON MR. YOUNG'S DEATH, THE ORGANIZATION WILL RECOVER ITS PREMIUMS BEFORE ANY PROCEEDS ARE RELEASED TO THE BENEFICIARIES. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| DAUPHIN COUNTY GENERAL AUTHORITY | ||||||||
| A | 232336949 | 23825ECL6 | 2009-06-24 | $187,538,449 | REFUND SERIES 2004, 2005 & 2007, SWAP TERMINATION, CAPITAL PROJECTS | 0 | 0 | 0 |
| DAUPHIN COUNTY GENERAL AUTHORITY | ||||||||
| B | 232336949 | 23825EDB7 | 2012-08-07 | $135,249,990 | CAPITAL PROJECTS | 0 | 0 | 0 |
| DAUPHIN COUNTY GENERAL AUTHORITY | ||||||||
| C | 232336949 | 23825EDD5 | 2016-06-22 | $105,195,000 | REFUNDING OF THE 2009 BONDS | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $133,013,449 | $187,538,449 | $6,104,436 | $2,962,259 | $6,775,515 | $168,307,000 | 2009 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $135,249,990 | $1,512,711 | $122,255,668 | 2014 | 0 | 0 | Yes (1) | Yes (1) | $10,851,923 | |||
| C | $105,195,000 | $1,125,296 | $104,069,704 | 2016 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00740 | 0.00740 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: DAUPHIN COUNTY GENERAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/24/2014 ISSUER NAME: DAUPHIN COUNTY GENERAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2014 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 1: | PINNACLE HEALTH SYSTEM, THE PARENT ENTITY OF A GROUP OF TAX-EXEMPT ORGANIZATIONS, IS THE COMMON REPORTING AGENT FOR THE GROUP AND FILES ALL 1099 FORMS FOR PINNACLE HEALTH HOSPITALS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS PINNACLE HEALTH SYSTEM, A NONPROFIT CORPORATION (EIN 25-1778658). |
| FORM 990, PART VI, SECTION A, LINE 7A | AS SOLE MEMBER OF THE ORGANIZATION, PINNACLE HEALTH SYSTEM SHALL ELECT THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING POWERS ARE RESERVED TO THE SOLE MEMBER, PINNACLE HEALTH SYSTEM: TO APPROVE AND AUTHORIZE: ANNUAL OPERATING AND CAPITAL BUDGETS STRATEGIC PLANS BORROWINGS OR EXTENSIONS OF CREDIT EQUAL TO OR GREATER THAN ONE MILLION DOLLARS VOLUNTARY DISSOLUTION, MERGER, OR CONSOLIDATION THE SALE, PLEDGING, LEASING OR TRANSFER OF ASSETS IN EXCESS OF $500,000 THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ADDITION OR DELETION OF CLINICAL CENTERS OF EMPHASIS ANY CONTRACT WITH AN UNRELATED PARTY FOR MANAGEMENT OF SUBSTANTIALLY ALL ACTIVITIES INVESTMENT POLICIES UNBUDGETED CAPITAL EXPENDITURES TO SELECT THE CERTIFIED PUBLIC ACCOUNTANTS TO ESTABLISH AN OBLIGATED GROUP FOR FINANCING PURPOSES TO ADOPT EMPLOYEE BENEFIT PLANS |
| FORM 990, PART VI, SECTION B, LINE 11 | THE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR PINNACLE HEALTH SYSTEM AND SUBSIDIARIES IS DELEGATED TO THE FINANCE AND AUDIT COMMITTEE OF THE PINNACLE HEALTH SYSTEM BOARD. IN ORDER TO ACCOMPLISH THIS, ALL MEMBERS OF THE FINANCE AND AUDIT COMMITTEE ARE PROVIDED WITH A REASONABLE OPPORTUNITY TO REVIEW AND COMMENT TO EXECUTIVE LEADERSHIP ON THE IRS FORMS 990 OF THE PINNACLE HEALTH SYSTEM AND ITS SUBSIDIARIES, INCLUDING PINNACLE HEALTH HOSPITALS, PINNACLE HEALTH MEDICAL SERVICES, PINNACLE HEALTH FOUNDATION, AND COMMUNITY LIFE TEAM. 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 PINNACLE HEALTH SYSTEM AND SUBSIDIARIES (COLLECTIVELY REFERRED TO AS "PHS"), COVERED PERSONS SHALL SEEK TO ACT IN THE BEST INTERESTS OF PHS, 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, THE PINNACLE HEALTH SYSTEM 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 PHS, 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 PHS, OR (B) ANY TRANSACTION OR ARRANGEMENT WITH PHS WHICH WOULD RESULT IN BENEFIT TO COVERED PERSONS. THE GOVERNANCE COMMITTEE OF THE PHS 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 PINNACLE HEALTH SYSTEM 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 PHS 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 PINNACLE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE OF THE PINNACLE HEALTH SYSTEM ("PHS") BOARD OF DIRECTORS HAS THE AUTHORITY TO DEVELOP AND MAINTAIN EXECUTIVE AND PHYSICIAN COMPENSATION TO BE APPROVED BY THE PINNACLE HEALTH SYSTEM 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 PHS 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 PHS 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 PHS 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 4,585,359. MANAGEMENT AND GENERAL EXPENSES 3,232,577. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,817,936. OUTSOURCING: PROGRAM SERVICE EXPENSES 28,835,864. MANAGEMENT AND GENERAL EXPENSES 6,763,968. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,599,832. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 8,408,375. MANAGEMENT AND GENERAL EXPENSES 1,845,741. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,254,116. LAB FEES: PROGRAM SERVICE EXPENSES 1,835,450. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,835,450. RESIDENT ROTATION: PROGRAM SERVICE EXPENSES 1,035,443. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,035,443. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 19,907,183. MANAGEMENT AND GENERAL EXPENSES 4,050,306. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,957,489. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,634,887. MANAGEMENT AND GENERAL EXPENSES 181,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,816,541. |
| FORM 990, PART XI, LINE 9: | PENSION SETTLEMENT LOSS -1,359,586. FINANCING FRAMEWORK TRANSFERS -80,981,215. INTERCOMPANY TRANFERS - NET ASSETS RELEASED 2,429,825. CHANGES IN TEMPORARY AND PERMANENTLY RESTRICTED NET ASSETS -5,300,752. INTERCOMPANY TRANSFERS LOSS ON BOND SETTLEMENT -21,723,400. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC | |||||||||
| 409 SOUTH SECOND STREET PO BOX 8700 | HARRISBURG | PA | 17105 | 861057582 | MEDICAL EMERGENCY SERVICES | PA | -$7,181,533 | $1,898,087 | PINNACLE HEALTH HOSPITALS |
| PINNACLE HEALTH HOSPITALISTS SERVICES LLC | |||||||||
| 409 SOUTH SECOND STREET PO BOX 8700 | HARRISBURG | PA | 17105 | HOSPITALISTS SERVICES | PA | -$5,476,018 | $1,124,340 | PINNACLE HEALTH HOSPITALS | |
| PINNACLE HEALTH OBSERVATION SERVICES LLC | |||||||||
| 409 SOUTH SECOND STREET PO BOX 8700 | HARRISBURG | PA | 17105 | 472088742 | PROFESSIONAL SERVICES TO OBSERVATION PATIENTS | PA | -$1,371,341 | $97,733 | PINNACLE HEALTH HOSPITALS |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PINNACLE HEALTH SYSTEM | |||||||||||
| 409 SOUTH SECOND STREET PO BOX 8700 | HARRISBURG | PA | 171058700 | 251778658 | MANAGEMENT AND CONSULTATIVE SERVICES FOR RELATED EXEMPT ORGS | PA | 501(C)(3) | LINE 11B, II | N/A | 0 | |
| PINNACLE HEALTH MEDICAL SERVICES | |||||||||||
| 409 SOUTH SECOND STREET PO BOX 8700 | HARRISBURG | PA | 171058700 | 251709054 | PHYSICIAN SERVICES | PA | 501(C)(3) | LINE 3 | 0 | PINNACLE HEALTH SYSTEM | |
| PINNACLE HEALTH FOUNDATION | |||||||||||
| 409 SOUTH SECOND STREET PO BOX 8700 | HARRISBURG | PA | 171058700 | 222691718 | INVESTMENT AND FUNDRAISING ACTIVITIES FOR RELATED TAX-EXEMPT ORGANIZATIONS | PA | 501(C)(3) | LINE 11B, II | 0 | PINNACLE HEALTH SYSTEM | |
| COMMUNITY LIFE TEAM | |||||||||||
| 409 SOUTH SECOND STREET PO BOX 8700 | HARRISBURG | PA | 171058700 | 231890444 | COMMUNITY EMERGENCY MANAGEMENT SERVICE AND MEDICAL TRANSPORT PROVIDER | PA | 501(C)(3) | LINE 9 | 0 | PINNACLE HEALTH SYSTEM | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WEST SHORE SURGERY CENTER LTD | ||||||||||||||
| 409 SOUTH SECOND STREET PO BOX 8700 | HARRISBURG | PA | 171058700 | 251821415 | SURGICAL CARE - MEDICAL SERVICES | PA | SEE PART VII - SUPPLEMENTAL INFORMATION | RELATED | $11,113,477 | $1,298,544 | 0 | 0 | 0.49000 | |
| RIVER HEALTH ACO LLC | ||||||||||||||
| 409 SOUTH SECOND STREET PO BOX 8700 | HARRISBURG | PA | 171058700 | 462567488 | MEDICAL SERVICES | PA | N/A | |||||||
| SUSQUEHANNA VALLEY SURGICAL CENTER | ||||||||||||||
| 409 SOUTH SECOND STREET PO BOX 8700 | HARRISBURG | PA | 171058700 | 251847818 | SURGICAL CARE - MEDICAL SERVICES | PA | RELATED | $322,442 | $1,419,233 | 0 | 0 | 0.50000 | N/A | |
| WALNUT BOTTOM RADIOLOGY | ||||||||||||||
| 880 WALNUT BOTTOM ROAD | CARLISLE | PA | 17013 | 251675580 | RADIOLOGY | PA | RELATED | $16,227 | 0 | 0 | 0.50000 | N/A | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UNITED CENTRAL PA RISK RETENTION GROUP | |||||||||||||
| 76 ST PAUL STREET SUITE 500 | BULINGTON | VT | 054014477 | 134224033 | CAPTIVE INSURANCE | VT | N/A | C | 0 | ||||
| UNITED HEALTH RISK LTD | |||||||||||||
| CAPTIVE INSURANCE | N/A | C | 0 | PO BOX 2450 | HAMILTON HM JX | BD | BD | ||||||
| PINNACLE HEALTH CARDIOVASCULAR INSTITUTE | |||||||||||||
| PO BOX 8700 | HARRISBURG | PA | 17105 | 320321362 | PHYSICIAN SERVICES | PA | N/A | C | 0 | ||||
| PINNACLE HEALTH VENTURES INC | |||||||||||||
| PO BOX 8700 | HARRISBURG | PA | 17105 | 611677624 | HOLDING COMPANY | PA | N/A | C | 0 | ||||
| PINNACLE HEALTH IMAGING INC | |||||||||||||
| PO BOX 8700 | HARRISBURG | PA | 17105 | 231718571 | IMAGING SERVICES | PA | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WEST SHORE SURGERY CENTER LTD | ||
| A | $532,191 | COST |
| WEST SHORE SURGERY CENTER LTD | ||
| R | $879,897 | COST |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART III | FormAndLineReferenceDesc |
| Explanation | WEST SHORE SURGERY CENTER IS OWNED BY THE FOLLOWING RELATED ENTITIES: PINNACLE HEALTH HOSPITALS - 49% PINNACLE HEALTH MEDICAL SERVICES - 2% THE REMAINING 49% IS OWNED BY A NUMBER OF INDIVIDUAL PHYSICIANS. PINNACLE HEALTH HOSPITALS' 49% OWNERSHIP PERCENTAGE DOES NOT RESULT IN ANY DIRECT CONTROLLING ENTITY; HOWEVER, COMBINED WITH THE OWNERSHIP PERCENTAGE OF PINNACLE HEALTH MEDICAL SERVICES, A RELATED ENTITY, THERE IS MORE THAN 50% CONTROL AMONG THE RELATED GROUP. | ExplanationTxt |