2017-05-12T13:23:25-05:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP SUITE 200 221 W PHILADELPHIA STREET YORK PA 174012993 990 2015-07-01 251709054 PINNACLE HEALTH MEDICAL SERVICES PINN 7172318245 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG PA 171058700 WILLIAM H PUGH CFO 7172318245 2017-05-11 1 JULIUS GREEN CPA P00350393 7178467000 2015 2021-01-29 14:40:06Z X WILLIAM H PUGH 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG PA 171058700 93732485 0 X WWW.PINNACLEHEALTH.ORG X 1993 PA PINNACLE HEALTH MEDICAL SERVICES IS ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES. 20 16 1195 29 0 0 0 0 70329948 75577816 -317070 -931 16564395 17607311 86577273 93184196 269 11000 0 0 80154379 90652952 0 0 0 29683123 33465138 109837771 124129090 -23260498 -30944894 33194298 49610307 24757147 21796213 8437151 27814094 X PINNACLE HEALTH MEDICAL SERVICES IS A TAX EXEMPT ENTITY THAT IS ENGAGED IN THE PROVISION OF BOTH PRIMARY AND SPECIALTY CARE PHYSICIAN SERVICES. 1 1 41988201 10900 25858567 PINNACLEHEALTH MEDICAL SERVICES (PHMS) IS A TAX EXEMPT ENTITY THAT IS PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES. THE PHYSICIAN SERVICES PROVIDED WITHIN PHMS SUPPORT AND ENHANCE THE SERVICES OF PINNACLEHEALTH HOSPITALS AND THE PINNACLEHEALTH SYSTEM, WHILE PROVIDING FIRST CLASS PREVENTATIVE CARE TO THE COMMUNITY, AS WELL AS COLLABORATING WITH EACH OTHER, AND THE SPECIALTY SITES, TO IMPROVE THE QUALITY OF HEALTHCARE, AND THE PATIENT'S EXPERIENCE.PHMS ALSO HAD VOLUNTEERS THAT PROVIDED VARIOUS DONATED SERVICES. DURING THE YEAR ENDED JUNE 30, 2016, THERE WERE 11 VOLUNTEERS WHO PROVIDED 1,851.5 DONATED HOURS VALUED AT $43,621.34. PHMS PROVIDED FREE CARE DURING THE YEAR TO 657 PATIENTS IN THE AMOUNT OF $305,830.55.BASED ON TOTAL EXPENSES, THE THREE LARGEST PHYSICIAN SERVICES INCLUDED WITHIN PHMS ARE:PINNACLE SPECIALTIES PRACTICE - THE SPECIALTIES PRACTICE IS THE SECOND LARGEST SEGMENT OF PHMS, COMPRISING 41% OF THE TOTAL PROGRAM EXPENSES OF PHMS. THE SPECIALTY PRACTICES CURRENTLY OPERATE 24 SPECIALTY SITES THROUGHOUT CENTRAL PENNSYLVANIA. DURING THE FISCAL YEAR ENDED JUNE 30, 2016, SPECIALTY SITE VISITS TOTALED 200,306. MANAGEMENT CONSIDERS THE INVESTMENT IN SPECIALTY SERVICES CRITICAL IN MAINTAINING AN INTEGRATED DELIVERY SYSTEM AND TO THE FUTURE SUCCESS OF PINNACLE HEALTH SYSTEM. THE SPECIALTY PHYSICIAN PRACTICES INCLUDE THE FOLLOWING:SURGICAL ASSOCIATES - ON APRIL 1, 2010, PINNACLE HEALTH SURGICAL ASSOCIATES CAME TO FRUITION WHEN THE GENERAL SURGEONS AND STAFF OF CAPITAL AREA SURGICAL ASSOCIATES AND SUSQUEHANNA SURGEONS JOINED THE PINNACLE HEALTH NETWORK. EXCELLENT SURGICAL CARE DOESN'T JUST HAPPEN. IT'S THE COMBINATION OF SKILLED SURGEONS, THE LATEST TECHNOLOGY AND EQUIPMENT AND THE EXPERTISE OF THE OPERATING ROOM TEAM WORKING TOGETHER. THE MORE ADVANCED, THE MORE PRECISE, THE BETTER OUTCOME FOR THE PATIENT. PINNACLE HEALTH HAS A LONG HISTORY OF PROVIDING THE FINEST SURGICAL CARE IN CENTRAL PENNSYLVANIA, DATING TO THE OPENING OF OUR FIRST OPERATING ROOM IN 1900. TODAY, OUR OUTSTANDING TEAM OF GENERAL SURGEONS AT PINNACLE HEALTH SURGICAL ASSOCIATES CONTINUES THE TRADITION OF EXCELLENCE BY PERFORMING A WIDE RANGE OF OPEN AND MINIMALLY INVASIVE PROCEDURES. THE TEAM INCLUDES BOARD CERTIFIED AND FELLOWSHIP TRAINED PHYSICIANS WHO PROVIDE SUPERIOR SURGICAL SKILL AND CARE.WOUND & HYPERBARIC PROGRAM - THIS PROGRAM OPENED IN JANUARY 2010. IT PROVIDES EXPERT MEDICAL CARE FOR CHRONIC WOUNDS THAT HAVE FAILED PREVIOUS METHODS OF TREATMENT. THE USE OF SPECIALIZED INTENSIVE WOUND THERAPIES AND, IN SPECIFIC CIRCUMSTANCES, THE APPROVED USE OF HYPERBARIC OXYGEN THERAPY ENHANCES THE HEALING PROCESS IN AN ATTEMPT TO RETURN PATIENTS TO THE HIGHEST LEVEL OF DAILY FUNCTIONING AND HEALING. ALSO, THE IMPLEMENTATION OF AN IN-PATIENT CONSULTATION PROGRAM AT BOTH HOSPITALS ALLOWS FOR OPTIMAL PATIENT FOLLOW-UP AND REFERRALS. THE PROGRAM ALSO PROVIDES FOR INCREASED EDUCATIONAL PROGRAMS FOR AREA PHYSICIANS, RESIDENTS AND MEDICAL STUDENTS IN THIS SPECIALTY. RHEUMATOLOGY - OPENING FOR BUSINESS ON MARCH 1, 2010, PINNACLE HEALTH'S RHEUMATOLOGY OFFICE WAS FOUNDED TO DIAGNOSE AND TREAT THE SURROUNDING COMMUNITY THAT EXPERIENCED CONSTANT PAIN WITH RHEUMATIC DISEASES. WHETHER FACED WITH AN INFLAMMATION OF THE JOINTS, TENDONS OR MUSCLES, OR CONSTANT PAIN, PINNACLE HEALTH'S RHEUMATOLOGY DOCTORS HELP DIAGNOSE THE CONDITION AND FIND THE COURSE OF TREATMENT SUITABLE FOR EACH INDIVIDUAL. MANY TYPES OF RHEUMATIC DISEASES ARE NOT EASILY IDENTIFIED IN THE EARLY STAGES AND BECAUSE SOME ARE MORE COMPLEX THAN OTHERS, MORE THAN ONE VISIT MAY BE NECESSARY. AS SUCH, OUR RHEUMATOLOGISTS WORK CLOSELY WITH PATIENTS TO DESIGN INDIVIDUALIZED TREATMENTS THAT MEET THEIR NEEDS.PINNACLE HEALTH NEUROLOGISTS AND NEUROSURGERY - THIS PROGRAM WAS ESTABLISHED TO MEET THE EMERGENT NEED FOR NEUROLOGISTS IN THE HARRISBURG AREA. COVERAGE FOR INPATIENT PHYSICIAN COVERAGE AT PINNACLE HEALTH HOSPITALS IS ITS PRIMARY FOCUS, AS WELL AS ESTABLISHING AND GROWING OUTPATIENT SERVICES TO ADDRESS COMMUNITY NEEDS. THIS DEPARTMENT ALSO PROVIDES THE EMERGENT NEED IN THE HARRISBURG AREA OF SKILLED NEUROSURGEONS. PENNSYLVANIA NEUROSURGERY AND NEUROSCIENCES INSTITUTE JOINED THIS PRACTICE IN SEPTEMBER 2013 AND PA NEUROLOGICAL ASSOCIATES JOINED IN NOVEMBER 2013. PINNACLE HEALTH ENDOCRINOLOGISTS - THIS PROGRAM WAS ESTABLISHED IN JANUARY 2005 AND PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES. PINNACLE HEALTH ENDOCRINOLOGY ASSOCIATES PROVIDES COMPREHENSIVE CARE FOR ALL ENDOCRINOLOGY DISORDERS, ESPECIALLY COMPLEX PATIENTS WITH DIABETES. WE SPECIALIZE IN INSULIN PUMPS, CONTINUOUS GLUCOSE MONITORING, THYROID DISORDERS INCLUDING THYROID BIOPSIES, THYROID CANCERS, COMPREHENSIVE CARE FOR OSTEOPOROSIS WITH SPECIALIZED NURSE CARE, AND ALL THE OTHER ENDOCRINE DISORDERS INCLUDING POLYCYSTIC OVARY SYNDROME, ADRENAL AND PITUITARY DISEASES.PINNACLE HEALTH PEDIATRIC SURGERY - THIS PROGRAM CONSISTED OF THE EMPLOYMENT OF ONE FULL-TIME PEDIATRIC SURGEON WHO CONTINUED TO PRACTICE PEDIATRIC SURGERY FULL TIME FOR PINNACLE HEALTH HOSPITALS UNTIL FEBRUARY 2016. THIS SERVICE ENDED UNEXPECTEDLY IN FEBRUARY OF 2016.PINNACLE HEALTH INFECTIOUS DISEASE ASSOCIATES - THIS PROGRAM WAS ESTABLISHED IN JANUARY 2005. PINNACLE HEALTH INFECTIOUS DISEASE ASSOCIATES SPECIALIZES IN THE TREATMENT OF ANY ORGAN INFECTION AND INFECTIOUS DISEASES INCLUDING, BUT NOT LIMITED TO, OSTEOMYELITIS, LYME DISEASE, MENINGITIS, HIV, AND HEPATITIS C. BOTH INPATIENT AND OUTPATIENT SERVICES ARE PROVIDED, INCLUDING A TRAVEL CLINIC.PINNACLE HEALTH PALLIATIVE CARE - THE FOCUS OF THIS PROGRAM IS ON THE INPATIENT CARE OF PATIENTS DURING THE FINAL MONTHS OR DAYS OF THEIR LIFE, SEEKING TO IMPROVE BOTH THE BALANCE OF CARE VIA COMFORT AND DIGNITY AND THE QUALITY OF PAIN RELIEF TREATMENT. IN THE ROLE AS THE PAIN TEAM OF THE SYSTEM, THE PALLIATIVE CARE SPECIALIST WILL BE AVAILABLE TO ANY PATIENT WHO IS IN NEED OF SPECIALIZED ASSESSMENT AND TREATMENT OF DIFFICULT OR INTRACTABLE PAIN. THIS DOVETAILS NICELY WITH THE NEW CANCER CENTER PROGRAM. END-OF-LIFE CARE HAS BEEN IDENTIFIED NATIONALLY AS A MOMENT OF TIME WHICH TAKES UP AN INORDINATE AMOUNT OF HEALTH CARE RESOURCES, WITH GREAT VARIATION GEOGRAPHICALLY AND LITTLE IN THE WAY OF DEMONSTRABLE VALUE; DYING WITH DIGNITY IS AN OPTION THAT ALL OF US SHOULD HAVE AT THE END OF LIFE.BREAST CANCER CENTER - THIS PROGRAM HAS BEEN ESTABLISHED TO PROVIDE PATIENTS WITH EAST AND WEST SHORE LOCATIONS FOR THEIR BREAST CARE NEEDS, INCLUDING BREAST HEALTH SURGEONS, BREAST HEALTH NURSE SPECIALISTS, CERTIFIED MAMMOGRAPHERS, RADIOLOGISTS, PATHOLOGISTS AND PHYSICAL THERAPISTS, ALL OF WHOM ARE COMMITTED TO PROVIDE THE MOST UP-TO-DATE TECHNOLOGY AND CARE FOR COMPLETE BREAST HEALTH.THE WOMEN'S CANCER CENTER - IS A UNIQUE PRACTICE, SERVING PATIENTS ON BOTH THE EAST AND WEST SHORES, ADDRESSING THE PREVENTIVE, DIAGNOSTIC, SURGICAL, MEDICAL, AND CHEMOTHERAPY NEEDS OF WOMEN WITH GYNECOLOGIC CANCER AND OTHER COMPLICATED CONDITIONS OF THE FEMALE REPRODUCTIVE SYSTEM. RADIATION ONCOLOGY - THIS PRACTICE OPENED IN JUNE OF 2013 GIVING PATIENTS THE MOST ADVANCED TECHNOLOGY IN CENTRAL PA. OUR SUPERIOR TREATMENT CAPABILITIES ALLOW US TO PROVIDE THE PATIENT WITH SHORTER TREATMENT TIMES AND FEWER SIDE EFFECTS WHILE ELIMINATING THEIR CANCER CELLS. WE MAINTAIN A HIGH LEVEL OF SKILL AND EXPERTISE WHILE PAYING CAREFUL ATTENTION TO THE PATIENTS COMFORT AND CONCERNS.HEMATOLOGY ONCOLOGY - LOCATED IN THE MEDICAL SCIENCES PAVILION ON THE COMMUNITY CAMPUS, SPECIALIZES IN THE USE OF MEDICATIONS, SUCH AS CHEMOTHERAPY, HORMONES AND PAIN MEDICATIONS IN THE MANAGEMENT OF CANCER. THEY HAVE ALSO OPENED A SECOND LOCATION ON THE WEST SHORE FOR PATIENT CONVIENIENCE.PSYCHOLOGICAL ASSOCIATES - IS STAFFED BY LICENSED, MASTERS LEVEL, PSY.D. AND PH.D. CLINICIANS WHO PROVIDE INDIVIDUAL, FAMILY OR MARITAL EVALUATIONS, THERAPY, AND MEDICATION MANAGEMENT AS NEEDED TO ALL AGES. WE ALSO OFFER GROUP THERAPY SHOULD YOU AND YOUR THERAPIST DETERMINE IT WOULD BE HELPFUL. GROUPS INCLUDE THE ANGER MANAGEMENT GROUP, MOM'S NAVIGATING THROUGH LIFE GROUP, AND ADOLESCENT GROUPS.PINNACLEHEALTH OBSTETRICS AND GYNECOLOGY SPECIALISTS - OPENED OCTOBER 2013 AND IS COMMITTED TO PROVIDING EXCEPTIONAL MEDICAL CARE TO WOMEN THROUGHOUT THEIR LIVES. THE TEAM OF CULTURALLY SENSITIVE PROVIDERS USES THE MOST UP-TO-DATE INFORMATION AND PROCEDURES TO DELIVER THE BEST OBSTETRIC AND GYNECOLOGIC HEALTHCARE TO THEIR PATIENTS. WHETHER A PREGNANCY IS PROGRESSING NORMALLY OR A PATIENT NEEDS SPECIALIZED CARE, PINNACLE HEALTH'S TEAM OF DOCTORS, NURSES, SPECIALISTS AND EDUCATORS PROVIDE THE HIGHEST LEVEL OF CARE WHILE ALSO FOCUSING ON MAKING THE BIRTH EXPERIENCE AS POSITIVE AS POSSIBLE. PINNACLEHEALTH DELIVERS MORE BABIES THAN ANY OTHER HOSPITAL IN CENTRAL PENNSYLVANIA, WELCOMING MORE THAN 4,000 BABIES INTO THE WORLD EVERY YEAR AND MAKING US THE SIXTH IN THE STATE FOR DELIVERIES.MATERNAL FETAL MEDICINE OF CENTRAL PENNSYLVANIA, IS A PRACTICE DEDICATED TO CARING FOR WOMEN WITH HIGH-RISK PREGNANCIES IF THEY AND THEIR BABIES NEED SPECIAL CARE. S 50716868 100 44291779 FAMILY CARE SERVICES- PRIMARY CARE IS THE LARGEST SEGMENT OF PHMS COMPRISING 47% OF THE TOTAL PROGRAM EXPENSES OF PINNACLEHEALTH MEDICAL SERVICES. PRIMARY CARE SERVICES ARE CURRENTLY PROVIDED THROUGH 20 FAMILY CARE CENTERS LOCATED IN SURROUNDING CENTRAL PENNSYLVANIA COMMUNITIES. DURING THE FISCAL YEAR ENDED JUNE 30, 2016, PRIMARY CARE PATIENT VISITS TOTALED 363,606, OF WHICH 36,107 RELATED TO THE NEWLY OPENED ANNVILLE PRACTICE.ANNVILLE FAMILY PRACTICE, A FULL SERVICE PRIMARY CARE PRACTICE, JOINED PINNACLEHEALTH MEDICAL SERVICES ON JANUARY 1, 2015. THE AFFILIATION ALLOWS ANNVILLE TO MAINTAIN ITS LOCAL FOCUS AND COMMITMENT TO THE COMMUNITY WHILE GIVING PATIENTS INCREASED ACCESS TO THE PINNACLEHEALTH FAMILY FOR SPECIALTY CARE AND ADVANCED TECHNOLOGY FOR DIAGNOSIS AND TREATMENT. 8117947 0 5378200 PINNACLE HEALTH CLINICS - THE CLINICS COMPRISE 8% OF THE TOTAL PROGRAM EXPENSES OF PHMS. THERE ARE 6 CLINIC FACILITIES THROUGHOUT CENTRAL PENNSYLVANIA THAT PROVIDE PATIENT CARE TO THE SURROUNDING COMMUNITY. DURING THE FISCAL YEAR ENDED JUNE 30, 2016, CLINICS HAD VISITS THAT TOTALED 58,070. THE CLINICS MAINLY SERVE AN UN-INSURED, UNDER-INSURED, AND LARGE MEDICAL ASSISTANCE COMMUNITY, AS LIVING OUT ITS MISSION STATEMENT TO BE A CHARITABLE ORGANIZATION DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH AND QUALITY OF LIFE. THE CLINICS INCLUDE THE FOLLOWING:KLINE HEALTH CENTER - THIS PROGRAM PROVIDES PRIMARY, AS WELL AS SPECIALTY CARE, TO A LARGELY URBAN POPULATION. WHILE THE PRACTICE DOES SEE PRIVATE PATIENTS, MUCH OF THE POPULATION SERVED IS OF LOW INCOME AND/OR UNDERINSURED. SINCE MANY OF OUR PATIENTS RELY ON PUBLIC TRANSPORTATION, KLINE IS ABLE TO MEET MANY OF THE PATIENT'S NEEDS AT ONE LOCATION. RESIDENT PHYSICIANS, UNDER THE SUPERVISION OF BOARD CERTIFIED PHYSICIAN FACULTY AS WELL AS SPECIALTY PHYSICIANS, COME TO KLINE TO SEE PATIENTS FOR THEIR ORTHOPEDIC, ENDOCRINE, NEUROLOGICAL, INFECTIOUS DISEASE, AND SURGICAL NEEDS. THE OFFICE IS MANAGED BY A FULL-TIME RN WHO OVERSEES A STAFF OF MEDICAL ASSISTANTS AND OTHER OFFICE SUPPORT STAFF TO MEET THE NEEDS OF THE PATIENTS AND PROVIDERS.CHILDREN'S AND TEEN CENTER - THIS PROGRAM PROVIDES PRIMARY, ACUTE, AND PREVENTATIVE CARE PLUS SOME SPECIALTY SERVICES FOR CHILDREN NEWBORN THROUGH 18 YEARS OF AGE. SPECIALTY SERVICES INCLUDE NEONATAL DEVELOPMENTAL CARE, LEAD POISONING DIAGNOSIS AND FOLLOW-UP, PEDIATRIC NEUROLOGY, AND CARE FOR CHILDREN INFECTED WITH HIV.WOMEN'S INPATIENT SERVICES - THIS PROGRAM PROVIDES COMPREHENSIVE INPATIENT OBSTETRICAL AND GYNECOLOGICAL SERVICES TO A PATIENT POPULATION CONSISTING LARGELY OF A MANAGED CARE MEDICAL ASSISTANCE PATIENT BASE. THIS PROGRAM WAS ESTABLISHED IN 2007. WOMEN'S OUTPATIENT HEALTH CENTER - THIS PROGRAM PROVIDES COMPREHENSIVE OUTPATIENT OBSTETRICAL AND GYNECOLOGICAL SERVICES TO A LARGELY MANAGED MEDICAL ASSISTANCE PATIENT POPULATION.PH RESOURCE EDUCATION AND COMPREHENSIVE CARE FOR HIV (REACCH) - THIS PROGRAM WAS ESTABLISHED TO PROVIDE PRIMARY AND SPECIALTY MEDICAL CARE FOR PEOPLE (INCLUDING PREGNANT WOMEN AND THEIR EXPOSED INFANTS) WHO ARE HIV-POSITIVE AS WELL AS PROVIDE SUPPORT SERVICES FOR THESE PATIENTS. ADDITIONAL SERVICES PROVIDED TO THIS PATIENT POPULATION INCLUDE NUTRITIONAL COUNSELING, TRANSPORTATION TO MEDICAL APPOINTMENTS, VISION CARE, ASSISTANCE WITH MEDICATION CO-PAYMENTS, AND ASSISTANCE WITH MENTAL HEALTH COUNSELING AND PSYCHIATRIC CARE. THE PROGRAM IS PARTIALLY GRANT FUNDED AND ALSO PROVIDES REIMBURSEMENT TO PINNACLE HEALTH SYSTEM FOR SERVICES RENDERED TO PATIENTS WHO ARE HIV-POSITIVE AND ARE EITHER UNINSURED OR UNDERINSURED.FASTCARE RETAIL CLINIC SITES ARE THE SMALLEST PORTION OF PHMS CONSISTING OF LESS THAN 2% OF THE TOTAL PROGRAM EXPENSES IN 2016. AS PART OF OUR MISSION TO PROVIDE ACCESS TO CARE AND TO ACCOMMODATE THOSE PATIENTS WHO NEED CARE AT TIMES WHEN OUR PRIMARY CARE OFFICES CANNOT ASSIST THEM, TWO RETAIL CLINICS OPENED IN CAMP HILL AND ENOLA. FASTCARE CAMP HILL OPENED ITS DOORS ON OCTOBER 25, 2014, AND FASTCARE ENOLA OPENED ITS DOORS ON FEBRUARY 2, 2015. IN FEBRUARY 2016, PH EXPRESS LEFT THE HARRISBURG HOSPITAL SITE AND BECAME EXPRESS CARE UNION DEPOSIT SHARING SPACE WITH FAMILY CARE OF UNION DEPOSIT. WITH ACCESS TO PATIENTS' MEDICAL RECORDS FROM THEIR RECENT PRIMARY CARE VISITS, THE CLINICS PROVIDE SEAMLESS FOLLOW UP CARE. THE RETAIL CLINICS ARE OPEN SEVEN DAYS A WEEK WITH EVENING HOURS AND NO APPOINTMENTS ARE NECESSARY. TOTAL PATIENT VISITS WERE 20,080 AT THE THREE SITES. 2940565 0 49270 WEST SHORE SURGERY CENTER (WSSC) - THE WEST SHORE SURGERY CENTER IS A LIMITED PARTNERSHIP IN WHICH PINNACLE HEALTH MEDICAL SERVICES IS THE GENERAL PARTNER WITH A 2% CONTROLLING INTEREST AND PINNACLE HEALTH HOSPITALS IS A LIMITED PARTNER WITH A 49% INTEREST. THE REMAINING 49% INTEREST IS HELD BY VARIOUS PHYSICIANS FROM THE AREA. 2940565 0 49270 103763581 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1195 1 0 0 0 0 0 0 0 0 0 0 X 20 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X WILLIAM H PUGH CFO 7172318245 409 SOUTH SECOND ST PO BOX 8700 HARRISBURG PA 171058700 GEORGE GRODE CHAIRMAN 0.10 0.00 X 0 0 0 MICHAEL YOUNG PRESIDENT & CEO 1.20 38.80 X X 0 1330867 27853 CLARENCE ASBURY VICE CHAIRMAN 0.10 0.30 X 0 0 0 BONY DAWOOD DIRECTOR 0.10 0.60 X 0 0 0 MICHAEL FERNANDEZ DIRECTOR 0.10 0.40 X 0 0 0 FELIX GUTIERREZ DIRECTOR 0.10 39.90 X 0 512226 37924 JOHN HICKEY DIRECTOR 0.10 0.70 X 0 0 0 BARRY KAIN DIRECTOR 0.10 0.20 X 0 0 0 DANIEL KAMBIC DIRECTOR 0.10 39.90 X 0 138965 25672 STEVE KUSIC DIRECTOR 0.10 0.80 X 0 0 0 ROGER LEVIN DIRECTOR 0.10 0.80 X 0 0 0 DEBORAH MILLER DIRECTOR 0.10 0.60 X 0 0 0 MICHAEL MURCHIE DIRECTOR 0.10 0.30 X 0 0 0 KENNETH OKEN DIRECTOR 0.10 0.70 X 0 76400 0 CYNTHIA TOLSMA DIRECTOR 0.10 0.80 X 0 0 0 DENNIS WALSH DIRECTOR 0.10 0.20 X 0 0 0 E GERALD WOODWARD DIRECTOR 0.10 0.30 X 0 0 0 CAROLYN KREAMER DIRECTOR 0.10 0.50 X 0 0 0 DOUG NEIDICH DIRECTOR 0.10 0.80 X 0 0 0 HAROLD YANG DIRECTOR 0.10 0.20 X 0 0 0 WILLIAM H PUGH TREASURER/ SR VP CORP. FIN 3.20 36.80 X 0 745821 23704 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP STAT SVCS/GEN COUNSEL 6.00 34.00 X 0 501066 31109 TIMOTHY CROWLEY CEO 40.00 0.00 X 629517 0 4609 JOHN DELORENZO ASST. SECRETARY/VP DEV. 8.00 32.00 X 0 175374 24851 STEPHEN POWERS PHYSICIAN 40.00 0.00 X 860690 0 139914 BRIJ SOOD PHYSICIAN 40.00 0.00 X 699161 0 42898 GREGORY WILLIS PHYSICIAN 40.00 0.00 X 617268 0 40248 JOSE MISAS PHYSICIAN 40.00 0.00 X 745756 0 36063 ED PODCZASKI PHYSICIAN 40.00 0.00 X 612699 0 30505 4165091 3480719 465350 162 0 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 TEMP. PHYSICIAN STAFFING 664891 BARTON ASSOCIATES INC PO BOX 417844 BOSTON MA 02241 TEMP. PHYSICIAN STAFFING 494056 THE MILTON S HERSHEY MEDICAL CENTER PO BOX 853 HERSHEY PA 17033 PHYSICIAN STAFFING 483002 ROBERT W BUCHER 20 WHEATLAND DRIVE MECHANICSBURG PA 17055 OBGYN COVERAGE 185150 WILLIAM A BOHONYI 9 FLOWERS DRIVE MECHANICSBURG PA 17055 OBGYN COVERAGE 170615 12 PATIENT REVENUE, NET 621110 75277480 75277480 PHYSICIAN SERVICES/COVERAGE 621110 215655 215655 WEST SHORE PARTNERSHIP 621400 48810 48810 PHPA THERAPISTS 621110 35871 35871 75577816 17429 17429 593746 529929 63817 63817 63817 18360 -18360 -18360 -18360 I/C LOSS REIMBURSEMENT 900099 8922372 8922372 HIGHMARK INCENTIVE/REV 900099 2889890 2889890 HIGHMARK BS AUDIT 900099 2000000 2000000 3731232 3731232 17543494 93184196 75577816 0 17606380 11000 11000 634126 634126 76722557 69616867 7105690 2718604 2450369 268235 6214679 5593734 620945 4362986 3926687 436299 9143582 916479 8227103 3532 3532 141330 141330 3715828 3042406 673422 117379 93903 23476 1061791 725696 336095 1267800 870765 397035 7252651 6463534 789117 111851 100666 11185 474822 463624 11198 193022 193022 2986981 2688283 298698 102563 102563 MEDICAL SUPPLIES 6700493 6697005 3488 DUES AND SUBSCRIPTIONS 191513 191513 124129090 103763581 20365509 0 6755 6472 4712996 19427120 7246987 8073567 290045 268025 638557 563379 1127681 938418 26300633 13200897 11835397 13099736 16694 26973 7319186 7206617 33194298 49610307 15909843 17661866 4134308 4134347 4712996 0 24757147 21796213 X 8437151 27814094 8437151 27814094 33194298 49610307 X -30944894 50321837 X 0 1 X 1 0 X 5392920 2261569 3131351 7070666 3529437 3541229 13837047 7409891 6427156 13099736 X 143894632 50180507 50180507 93714125 -529929 -529929 93184196 124517689 529929 529929 123987760 141330 141330 124129090 PART X, LINE 2: THE 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 TO EXPENSES OF $356 AND $780 WERE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE FISCAL YEARS ENDED JUNE 30, 2016 AND JUNE 30, 2015, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY TRANSFERS 49,374,770. NET ASSETS RELEASED 947,067. BANKING FEES RECLASS -141,330. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES RECORDED NET OF REVENUE ON 990 -529,929. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES RECORDED NET OF REVENUE ON 990 529,929. PART XII, LINE 4B - OTHER ADJUSTMENTS: BANKING FEES RECLASS 141,330. 1 PINNACLE HEALTH AUXILIARY 409 SOUTH SECOND STREET STE 2C HARRISBURG PA 17104 232911636 501(C)(3) 5000 GENERAL SUPPORT 1 PART I, LINE 2: THE ORGANIZATION SUPPORTS ITS AFFILIATES VIA CONTRIBUTIONS. ALL FUNDS ARE ACCOUNTED FOR VIA A COMMON ACCOUNTING SYSTEM. 0 1 0 0 0 0 0 0 0 MICHAEL YOUNG PRESIDENT & CEO 0 829767 0 318520 0 182580 0 13250 0 14603 0 1358720 0 0 FELIX GUTIERREZ DIRECTOR 0 411117 0 87239 0 13870 0 25000 0 12924 0 550150 0 0 DANIEL KAMBIC DIRECTOR 0 138628 0 0 0 337 0 7229 0 18443 0 164637 0 0 WILLIAM H PUGH TREASURER/ SR VP CORP. FIN 0 515005 0 151972 0 78844 0 15900 0 7804 0 769525 0 0 CHRISTOPHER P MARKLEY ESQ SEC'Y/SR VP STAT SVCS/GEN COUNSEL 0 325199 0 96656 0 79211 0 15900 0 15209 0 532175 0 0 TIMOTHY CROWLEY CEO 468377 0 106315 0 54825 0 4028 0 581 0 634126 0 0 0 JOHN DELORENZO ASST. SECRETARY/VP DEV. 0 147205 0 27494 0 675 0 7610 0 17241 0 200225 0 0 STEPHEN POWERS PHYSICIAN 771700 0 77180 0 11810 0 15900 0 124014 0 1000604 0 0 0 BRIJ SOOD PHYSICIAN 540864 0 55000 0 103297 0 15900 0 26998 0 742059 0 0 0 GREGORY WILLIS PHYSICIAN 512672 0 87500 0 17096 0 13250 0 26998 0 657516 0 0 0 JOSE MISAS PHYSICIAN 522557 0 111358 0 111841 0 13250 0 22813 0 781819 0 0 0 ED PODCZASKI PHYSICIAN 533947 0 75000 0 3752 0 15900 0 14605 0 643204 0 0 0 PART I, LINE 3 PINNACLE HEALTH MEDICAL SERVICES RELIES ON PINNACLE HEALTH SYSTEM, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION FOR 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. FORM 990, PART III, LINE 2 CRITICAL CARE IS A NEW SPECIALTY PRACTICE STARTING IN OCTOBER 2015. THE PRACTICE EMPLOYS NURSE PRACTITIONERS TO PROVIDE LIMITED COVERAGE AT THE WEST SHORE ICU UNIT TO SUPPLEMENT THE TIME NOT BEING COVERED BY PULMONARY & CRITICAL CARE MEDICINE ASSOCIATES, AN OUTSIDE PROVIDER. NEPHROLOGY PRACTICE IS A NEW SPECIALTY SITE OPENED IN NOVEMBER 2015. THIS PRACTICE HAS ONE PHYSICIAN AND ONE CERTIFIED REGISTERED NURSE PRACTITIONER TO ASSIST AND MANAGE PATIENTS WITH MORE COMPLEX NEPHROLOGY DISORDERS. FORM 990, PART III, LINE 3 CUMBERLAND FAMILY PRACTICE FC CLOSED JUNE 30, 2015, WITH TWO PHYSICIANS RELOCATING TO GOOD HOPE FAMILY PHYSICIANS. IN OCTOBER 2015, WATKIN NIPPLE ASSOC. AND GOLDMAN ASSOC. COMBINED THEIR PRACTICES BRINGING THEIR PROVIDERS TOGETHER AT ONE CONVENIENT LOCATION. THE OFFICES RELOCATED AND OPENED INTERNAL MEDICINE UNION DEPOSIT. BY JOINING TOGETHER THEY CAN OFFER ADDITIONAL STAFF AND EXPANDED HOURS TO THEIR PATIENTS. IN NOVEMBER 2015, COLONIAL PARK FAMILY PRACTICE RELOCATED ITS PRACTICE AND OPENED AS FAMILY CARE UNION DEPOSIT. EXPRESS CARE, OPENED PREVIOUSLY AT HARRISBURG HOSPITAL, RELOCATED TO THE UNION DEPOSIT CAMPUS IN FEBRUARY 2016. EXPRESS CARE IS FOR WHEN YOU CAN'T SEE YOUR REGULAR DOCTOR. IT IS A WALK-IN SERVICE TO PATIENTS 18 MONTHS & OLDER AND VISITS ARE TREATED LIKE URGENT CARE VISITS. IT IS OPEN 7 DAYS A WEEK, NIGHTS AND WEEK-ENDS. WITH THE RETIREMENT OF THE PEDIATRIC SURGEON AT PEDIATRIC SURGERY ASSOCIATES, THIS SPECIALTY OFFICE CLOSED IN FEBRUARY 2016. FORM 990, PART V, LINE 1A: PINNACLE HEALTH SYSTEM, THE PARENT ENTITY OF A GROUP COMPRISED OF TAXABLE AND TAX-EXEMPT ORGANIZATIONS, IS THE COMMON REPORTING AGENT FOR THE GROUP AND FILES ALL 1099 FORMS FOR PINNACLE HEALTH MEDICAL SERVICES. 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 OR 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 BEFORE THEY ARE FILED WITH THE INTERNAL REVENUE SERVICE. 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. 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 INTEREST 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 ANNUALLY 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 PHS. 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 UPON REQUEST. 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 XI, LINE 9: INTERCOMPANY TRANSFERS 49,374,770. NET ASSETS RELEASED 947,067. 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 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 PINNACLE HEALTH SYSTEM 0 COMMUNITY LIFE TEAM 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG PA 171058700 231890444 MEDICAL TRANSPORT SERVICES PA 501(C)(3) LINE 9 PINNACLE HEALTH SYSTEM 0 PINNACLE HEALTH HOSPITALS 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG PA 171058700 251778644 INPATIENT AND OUTPATIENT HEALTHCARE SERVICES PA 501(C)(3) LINE 3 PINNACLE HEALTH SYSTEM 0 WEST SHORE SURGERY CENTER LTD 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG PA 171058700 251821415 SURGICAL CARE - MEDICAL SERVICES PA PINNACLE HEALTH MEDICAL SERVICES RELATED 43716 105772 0 1 0.02000 RIVER HEALTH ACO 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG PA 171058700 462567488 MEDICAL SERVICES PA N/A 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 PO BOX 2450 HAMILTON HM JX BD CAPTIVE INSURANCE BD N/A C 0 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 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1