UPMC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: UPMC (EIN 25-1778644)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201621349349300727
Schema version: 2014v6.0
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 I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-13T07:33:39-05:00	ReturnTs
Tax Period End	2015-06-30	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	2014-07-01	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	2016-05-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JULIUS C GREEN CPA JD	PreparerPersonNm
PTIN	P00350393	PTIN
Phone	7178467000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
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	$1,180,607,555	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	22	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	5247	TotalEmployeeCnt
Total Volunteers	394	TotalVolunteersCnt
Total Gross UBI	$5,817,901	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,486,091	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$12,163,127	PYContributionsGrantsAmt
CY Contributions Grants	$11,600,410	CYContributionsGrantsAmt
PY Program Service Revenue	$741,652,505	PYProgramServiceRevenueAmt
CY Program Service Revenue	$813,676,751	CYProgramServiceRevenueAmt
PY Investment Income	$4,331,113	PYInvestmentIncomeAmt
CY Investment Income	$5,949,064	CYInvestmentIncomeAmt
PY Other Revenue	$925,463	PYOtherRevenueAmt
CY Other Revenue	$3,743,130	CYOtherRevenueAmt
PY Total Revenue	$759,072,208	PYTotalRevenueAmt
CY Total Revenue	$834,969,355	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$89,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$282,825,956	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$309,936,799	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$381,550,456	PYOtherExpensesAmt
CY Other Expenses	$444,421,853	CYOtherExpensesAmt
PY Total Expenses	$664,376,412	PYTotalExpensesAmt
CY Total Expenses	$754,447,652	CYTotalExpensesAmt
PY Revenues Less Expenses	$94,695,796	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$80,521,703	CYRevenuesLessExpensesAmt
Total Assets BOY	$944,382,251	TotalAssetsBOYAmt
Total Assets EOY	$1,123,516,533	TotalAssetsEOYAmt
Total Liabilities BOY	$572,631,197	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$733,977,949	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$371,751,054	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$389,538,584	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	$619,466,857	ExpenseAmt
Grant	$89,000	GrantAmt
Revenue	$800,694,644	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.KIDSHAPE:9 WEEK PEDIATRIC WEIGHT MANAGEMENT PROGRAM FOR KIDS AGE 6 - 14 YEARS OLD. KIDSHAPE TEACHES THE ENTIRE FAMILY HOW TO EAT MORE NUTRITIOUSLY, MAKE EXERCISE A FUN PART OF THE DAILY ROUTINE, FORM NEW HEALTHY HABITS, AND TO LIKE THEMSELVES, REGARDLESS OF SIZE. A TEAM OF HEALTH EXPERTS CONSISTING OF A REGISTERED DIETITIAN, A MENTAL HEALTH PROFESSIONAL, A PHYSICAL ACTIVITY EXPERT, AND A HEALTH EDUCATOR ADMINISTERS THE KIDSHAPE PROGRAM.ALL KIDSHAPE PROGRAMS ARE FAMILY-BASED. EACH PROGRAM INCORPORATES HANDS-ON ACTIVITIES TO EMPOWER YOUTH AND ADULTS TO EAT HEALTHY, MOVE MORE, AND FEEL GOOD.A VARIETY OF CHILDBIRTH EDUCATION PROGRAMS ARE OFFERED FOR NEW AND EXPECTANT PARENTS AND SIBLINGS INCLUDING INFANT CARE CLASSES. 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, AIDS, SPORTS MEDICINE, AND ETHICS.TOBACCO CESSATION EDUCATION IN CLINICS. 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. 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.THE PINNACLE HEALTH WOUND AND HYPERBARIC CENTER WITH HYPERBARIC OXYGEN THERAPY CAPABILITIES IS DEVOTED TO THE TREATMENT, REHABILITATION AND PREVENTION OF CHRONIC WOUNDS. OUR CARING TEAM OF SPECIALTY PHYSICIANS, NURSES, PHYSICAL THERAPISTS AND NUTRITIONISTS CAN HELP ACCELERATE PATIENTS' HEALING, DECREASE DISCOMFORT, REDUCE COMPLICATIONS AND DECREASE RE-OCCURRENCE. 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.SUPERVISION FOR PSYCHOLOGY STUDENTSCONTINUING 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	$20,043,837	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$12,982,107	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 2015, PINNACLE HEALTH HOSPITALS TREATED 137,845 PATIENTS IN ITS THREE EMERGENCY DEPARTMENTS. THIS WAS AN INCREASE OF 14% OVER THE PRIOR YEAR WHICH IS ATTRIBUTED TO THE OPENING OF THE EMERGENCY ROOM AT THE NEW WEST SHORE HOSPITAL LAST FISCAL YEAR.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$639,510,694	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	Yes (1)	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	Yes (1)	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	5247	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	22	GoverningBodyVotingMembersCnt
Independent Voting Member	17	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 (32 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
GEORGE F GRODE
DIRECTOR	0.90	1.00	Yes (X)	Yes (X)	$0	$0	$0
FELIX GUTIERREZ MD
DIRECTOR	0.30	39.70	Yes (X)		$0	$509,565	$24,731
M RICHARD KLEIMAN
DIRECTOR	0.30	0.40	Yes (X)		$0	$0	$0
DEBORAH S MILLER
DIRECTOR	0.60	0.70	Yes (X)		$0	$0	$0
CLARENCE E ASBURY
CHAIRMAN	0.80	0.90	Yes (X)	Yes (X)	$0	$0	$0
DENNIS WALSH
DIRECTOR	0.40	0.50	Yes (X)		$0	$0	$0
BONY R DAWOOD
DIRECTOR	0.70	0.80	Yes (X)		$0	$0	$0
STEVEN C KUSIC
VICE CHAIRMAN	0.80	0.90	Yes (X)	Yes (X)	$0	$0	$0
KENNETH OKEN MD
DIRECTOR	0.70	0.80	Yes (X)		$0	$75,000	$0
MICHAEL L FERNANDEZ MD
DIRECTOR	0.20	0.30	Yes (X)		$0	$0	$0
JOHN C HICKEY
DIRECTOR	0.60	0.70	Yes (X)		$0	$0	$0
CAROLYN KREAMER PHD
DIRECTOR	0.50	0.40	Yes (X)		$0	$0	$0
MICHAEL A YOUNG
PRESIDENT/CEO	13.30	26.70	Yes (X)	Yes (X)	$0	$1,218,282	$25,702
JOHN CAVANAUGH PHD
DIRECTOR	0.30	0.40	Yes (X)		$0	$0	$0
KEVIN KELLY MD
DIRECTOR	0.60	39.40	Yes (X)		$0	$203,397	$18,659
ROGER LEVIN MD
DIRECTOR	0.70	0.80	Yes (X)		$0	$0	$0
TINA NIXON
DIRECTOR	0.30	0.40	Yes (X)		$0	$0	$0
CYNTHIA TOLSMA
DIRECTOR	0.80	1.20	Yes (X)		$0	$0	$0
E GERALD WOODWARD MD
DIRECTOR	0.30	0.40	Yes (X)		$0	$0	$0
BARRY KAIN
DIRECTOR	0.10	0.30	Yes (X)		$0	$0	$0
DANIEL KAMBIC
DIRECTOR	39.40	0.60	Yes (X)		$0	$111,116	$25,693
MICHAEL MUNCHIE
DIRECTOR	0.50	0.60	Yes (X)		$0	$0	$0
CHRISTOPHER P MARKLEY ESQ
SEC'Y/SR VP STAT SVCC/GEN COUNSEL	16.00	24.00		Yes (X)	$0	$460,495	$23,002
WILLIAM H PUGH
TREASURER/SR VP CORP FIN/CFO	24.40	15.60		Yes (X)	$0	$724,542	$22,887
NANCY HAMMONDS
ASST. TREASURER/CFO	27.20	12.80		Yes (X)	$0	$233,459	$24,697
PHILIP GUARNESCHELLI
SR VICE PRESIDENT/COO	30.00	10.00		Yes (X)	$0	$718,900	$34,733
JOHN DELORENZO
ASSISTANT SECRETARY	26.00	14.00		Yes (X)	$0	$163,286	$24,310
FRANK DITRAGLIA
ED PHYSICIAN	40.00				$472,900	$0	$5,200	Yes (X)
R SCOTT RANKIN
ED PHYSICIAN	40.00				$423,306	$0	$27,981	Yes (X)
JED SPRUCE SEITZINGER
ER PHYSICIAN	40.00				$435,957	$0	$33,866	Yes (X)
MARK BARABAS
SR VICE PRESIDENT OPERATIONS	40.00				$521,332	$0	$27,627	Yes (X)
CARLO DEAUGUSTINE
ER PHYSICIAN	40.00				$525,697	$0	$26,441	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,379,192	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,418,042	TotReportableCompRltdOrgAmt
Total Other Compensation	$345,529	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	304	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	$19,926,962
SIEMENS MEDICAL SOLUTIONS USA INC
PO BOX 640401	PITTSBURGH	PA	15264	SOFTWARE SUPPORT SVCS	$14,375,372
PULMONARY CRITICAL MED PC INC
1631 N FRONT STREET	HARRISBURG	PA	17102	RESPIRATORY AND CRITICAL CARE SVCS.	$1,722,500
AMCOL SYSTEMS INC
PO BOX 21625	COLUMBIA	SC	29221	PATIENT PAY ADMINISTRATION	$1,707,591
QUANTUM IMAGING & THERAPEUTIC ASSOCIATES
629D LOWTHER ROAD	LEWISBERRY	PA	17339	IMAGING SERVICES	$1,478,013

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	63	CntrctRcvdGreaterThan100KCnt
Related Organizations	$511,663	RelatedOrganizationsAmt
Government Grants	$2,940,228	GovernmentGrantsAmt
All Other Contributions	$8,148,519	AllOtherContributionsAmt
Noncash Contributions	$4,817,971	NoncashContributionsAmt
Total Contributions	$11,600,410	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE, NET	621500	$809,934,812	$804,116,911	$5,817,901
CONTRACTED MEDICAL SERVICES	621990	$2,213,342	$2,213,342
MISC INPATIENT/OUTPATIENT	621990	$456,325	$456,325
COMMUNITY PROGRAM INCOME	900099	$441,785	$441,785
MEDICAL EDUCATION	900099	$399,301	$399,301

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$231,186	TotalRevenueColumnAmt
Related Or Exempt Func Income	$231,186	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$813,676,751	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,556,803	TotalRevenueColumnAmt
Exclusion	$3,556,803	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$10,353,320	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$10,696,245	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$342,925	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$342,925	TotalRevenueColumnAmt
Exclusion	-$342,925	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$335,442,799	SecuritiesAmt
Other	$1,891,417	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$332,594,022	SecuritiesAmt
Other	$2,347,933	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,848,777	SecuritiesAmt
Other	-$456,516	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,392,261	TotalRevenueColumnAmt
Exclusion	$2,392,261	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
HITECH REPORTING INCENTIVES	900099	$1,937,086	$1,937,086
QUALITY INCENTIVE INCOME	900099	$788,076	$788,076
MISCELLANEOUS INCOME	900099	$603,153	$603,153

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$757,740	TotalRevenueColumnAmt
Exclusion	$757,740	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,086,055	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$834,969,355	TotalRevenueColumnAmt
Related Or Exempt Func Income	$807,858,850	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,817,901	UnrelatedBusinessRevenueAmt
Exclusion	$9,692,194	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$89,000	TotalAmt
Program Services	$89,000	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$257,544,093	TotalAmt
Program Services	$233,232,348	ProgramServicesAmt
Management And General	$24,311,745	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,106,505	TotalAmt
Program Services	$9,152,467	ProgramServicesAmt
Management And General	$954,038	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,337,907	TotalAmt
Program Services	$22,040,448	ProgramServicesAmt
Management And General	$2,297,459	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,948,294	TotalAmt
Program Services	$16,254,004	ProgramServicesAmt
Management And General	$1,694,290	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$83,739,996	TotalAmt
Program Services	$38,430,996	ProgramServicesAmt
Management And General	$45,309,000	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$560,926	TotalAmt
Program Services	$286,072	ProgramServicesAmt
Management And General	$274,854	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$56,769	TotalAmt
Program Services	$56,201	ProgramServicesAmt
Management And General	$568	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$34,380	TotalAmt
Management And General	$34,380	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$83,405,821	TotalAmt
Program Services	$66,070,050	ProgramServicesAmt
Management And General	$17,335,771	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$658,528	TotalAmt
Program Services	$523,901	ProgramServicesAmt
Management And General	$134,627	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,048,429	TotalAmt
Program Services	$4,474,306	ProgramServicesAmt
Management And General	-$425,877	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,547,127	TotalAmt
Program Services	$7,514,755	ProgramServicesAmt
Management And General	$3,032,372	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$44,505,429	TotalAmt
Program Services	$33,658,349	ProgramServicesAmt
Management And General	$10,847,080	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$354,131	TotalAmt
Program Services	$269,854	ProgramServicesAmt
Management And General	$84,277	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,247,999	TotalAmt
Program Services	$1,076,616	ProgramServicesAmt
Management And General	$171,383	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,065,397	TotalAmt
Program Services	$15,464,676	ProgramServicesAmt
Management And General	$2,600,721	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$61,940,352	TotalAmt
Program Services	$57,029,466	ProgramServicesAmt
Management And General	$4,910,886	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$158	TotalAmt
Program Services	-$139	ProgramServicesAmt
Management And General	$297	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$133,256,856	$133,090,493	$166,363
UBIT TAXES	$779,749		$779,749
TEMP. REST. DONATIONS	$736,894	$368,447	$368,447
DUES AND SUBSCRIPTIONS	$365,165	$321,255	$43,910

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$117,747	TotalAmt
Program Services	$107,129	ProgramServicesAmt
Management And General	$10,618	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$754,447,652	TotalAmt
Program Services	$639,510,694	ProgramServicesAmt
Management And General	$114,936,958	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,813	BOYAmt
EOY	$3,188	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,043,071	BOYAmt
EOY	$3,127,518	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$119,798,012	BOYAmt
EOY	$121,943,887	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,094,498	BOYAmt
EOY	$1,642,503	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,949,746	BOYAmt
EOY	$14,882,294	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,899,715	BOYAmt
EOY	$12,454,194	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,017,531,920	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$532,909,001	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$491,717,271	BOYAmt
EOY	$484,622,919	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$246,040,102	BOYAmt
EOY	$410,464,114	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$11,638,664	BOYAmt
EOY	$19,730,288	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$327,069	BOYAmt
EOY	$337,206	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$48,871,290	BOYAmt
EOY	$54,308,422	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$944,382,251	BOYAmt
EOY	$1,123,516,533	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$143,915,525	BOYAmt
EOY	$97,225,642	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$43,743	BOYAmt
EOY	$171,831,968	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$398,972,228	BOYAmt
EOY	$393,175,399	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$18,731,965	BOYAmt
EOY	$18,549,175	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$45,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,967,736	BOYAmt
EOY	$8,195,765	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$572,631,197	BOYAmt
EOY	$733,977,949	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$329,947,539	BOYAmt
EOY	$346,757,471	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,505,311	BOYAmt
EOY	$21,684,711	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,298,204	BOYAmt
EOY	$21,096,402	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$371,751,054	BOYAmt
EOY	$389,538,584	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$944,382,251	BOYAmt
EOY	$1,123,516,533	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$80,521,703	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,070,760	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$60,663,413	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	$12,331,974	OtherCostOrOtherBasisAmt
Book Value	$12,331,974	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$615,074,807	OtherCostOrOtherBasisAmt
Depreciation	$295,747,408	DepreciationAmt
Book Value	$319,327,399	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,845,953	OtherCostOrOtherBasisAmt
Depreciation	$11,161,459	DepreciationAmt
Book Value	$5,684,494	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$342,106,443	OtherCostOrOtherBasisAmt
Depreciation	$211,869,642	DepreciationAmt
Book Value	$130,236,801	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,172,743	OtherCostOrOtherBasisAmt
Depreciation	$14,130,492	DepreciationAmt
Book Value	$17,042,251	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$484,622,919	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ADVANCES FROM THIRD-PARTY PAYORS	$3,809,400
DUE TO THIRD PARTY PAYORS	-$921,496
ACCRUED LONG-TERM SWAP CONTRACT	$5,307,861

Field	Value	IRS element (for citing)
Total Liability	$8,195,765	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$782,808,047	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$2,070,760	NetUnrealizedGainsInvstAmt
Other Revenue	-$60,786,793	OtherRevenueAmt
Revenue Not Reported	-$62,857,553	RevenueNotReportedAmt
Revenue Subtotal	$845,665,600	RevenueSubtotalAmt
Other Revenues Not Included	-$10,696,245	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$10,696,245	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$834,969,355	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$765,020,517	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$10,696,245	OtherExpensesIncludedAmt
Expenses Not Reported	$10,696,245	ExpensesNotReportedAmt
Expenses Subtotal	$754,324,272	ExpensesSubtotalAmt
Other Expenses Not Included	$123,380	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$123,380	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$754,447,652	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. AN ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS WAS REQUIRED AS A RESULT OF THIS EVALUATION IN THE AMOUNT OF $780 FOR THE FISCAL YEAR ENDED JUNE 30, 2015. NO ADJUSTMENT WAS REQUIRED FOR THE FISCAL YEAR ENDED JUNE 30, 2014.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	FINANCING FRAMEWORK TRANSFERS -57,711,939. CHANGE IN ADDITIONAL PENSION LIABILITY 46,033,298. INTERCOMPANY TRANSFERS - NET ASSETS RELEASED 176,137. PENSION SETTLEMENT LOSS -58,452,210. INVESTMENT FEES -34,380. INCREASE IN VALUE OF SELECT MEDICAL REHAB JOINT VENTURE 10,786,769. INTERCOMPANY TRANSFERS -1,584,468.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES SHOWN NET OF RENTAL INCOME -10,696,245.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES SHOWN NET OF RENTAL INCOME 10,696,245.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENT FEES 34,380. CONTRIBUTIONS TO COMMUNITY LIFE TEAM 89,000.

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	0	ExpensesExceedBudgetInd
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	$7,193,713	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,193,713	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,373,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,229,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,143,769	NetCommunityBenefitExpnsAmt
Total Expense	0.03330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,567,322	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,229,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,337,482	NetCommunityBenefitExpnsAmt
Total Expense	0.04280	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,407,438	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,407,438	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,510,861	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,510,861	NetCommunityBenefitExpnsAmt
Total Expense	0.01130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$443,057	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$443,057	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$792,887	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$792,887	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,154,243	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,154,243	NetCommunityBenefitExpnsAmt
Total Expense	0.02410	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,721,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,229,840	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,491,725	NetCommunityBenefitExpnsAmt
Total Expense	0.06690	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	200	PersonsServedCnt
Total Community Benefit Expns	$85,194	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$85,194	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	40	PersonsServedCnt
Total Community Benefit Expns	$2,305	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,305	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	240	PersonsServedCnt
Total Community Benefit Expns	$87,499	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$87,499	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$18,666,782	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,199,023	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$140,853,158	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$150,728,684	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,875,526	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	0.49000	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)	12	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.PINNACLEHEALTH.ORG	Yes (X)	WWW.HSH.ORG, WWW.PENNSTATEHERSHEY.ORG	Yes (X)	Yes (X)	Yes (1)	12	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)	12	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	WWW.PINNACLEHEALTH.ORG	Yes (X)	WWW.HSH.ORG, WWW.PENNSTATEHERSHEY.ORG	Yes (X)	Yes (X)	Yes (1)	12	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	Yes (1)	Yes (1)	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 (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PINNACLE HEALTH HOSPITALS - HARRISBURG	PART V, SECTION B, LINE 6A: PENN STATE HERSHEY MEDICAL CENTERHOLY SPIRIT HOSPITAL
PINNACLE HEALTH HOSPITALS - CGOH	PART V, SECTION B, LINE 6A: PENN STATE HERSHEY MEDICAL CENTERHOLY SPIRIT HOSPITAL
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 2: UTILIZING PROCEEDS FROM THE SERIES A REVENUE BONDS OF 2012, PINNACLEHEALTH HOSPITAL UNDERTOOK A PROJECT CONSISTING OF THE CONSTRUCTION, EQUIPPING, AND DEVELOPMENT OF A NEW APPROXIMATELY 200,000 SQUARE FOOT, 108 BED PRIVATE ROOM ACUTE CARE HOSPITAL ON THE FREDRICKSON CAMPUS LOCATED IN HAMPDEN TOWNSHIP PENNSYLVANIA. KNOWN AS THE WEST SHORE HOSPITAL, THIS FACILITY WAS COMPLETED AND OPENED IN MAY 2014 PROVIDING CONVENIENT ACCESS TO HEALTHCARE FOR THE RESIDENTS IN AND AROUND CUMBERLAND AND PERRY COUNTIES.
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'S CHNA IMPLEMENTATION PLAN (THE PLAN) DESCRIBES THE ASSESSMENT PROCESS, THE NEEDS IDENTIFIED, AND THE PRIORITIES CHOSEN TO INCLUDE: (1) HEALTHY LIFESTYLES WITH A FOCUS ON OBESITY AND PHYSICAL ACTIVITY/NUTRITION; (2) HEALTH EDUCATION IN THE AREAS OF DIABETES, HEART DISEASE AND CANCER ENSURING THAT THE EDUCATION IS CULTURALLY COMPETENT AND PRIMARILY FOCUSED ON SCHOOL AGED CHILDREN; AND (3) ACCESS TO CARE IN THE AREAS OF SPECIALTY CARE, PRIMARY CARE, DENTAL CARE, AND MENTAL HEALTH CARE. FOR EACH PRIORITY, THE PLAN DOCUMENTS PINNACLEHEALTH'S OBJECTIVES, GOALS, AND STRATEGIES FOR ADDRESSING THE COMMUNITY NEED. THE STRATEGIES ARE SUPPORTED BY SENIOR MANAGEMENT AND WILL BE SUSTAINED BY PINNACLEHEALTH STAFF, VOLUNTEERS, PARTNERSHIPS WITH COMMUNITY BASED ORGANIZATIONS INCLUDING PAYORS AND LOCAL FOUNDATIONS, AND FUNDING FROM THE PINNACLEHEALTH FOUNDATION WHEN APPROPRIATE. PINNACLEHEALTH WILL NOT DIRECTLY ADDRESS THE NEED FOR ACCESS TO MENTAL HEALTH SERVICES; HOWEVER, THE NEED WILL BE ADDRESSED BY THE PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI) WHICH IS A PARTNERSHIP BETWEEN PINNACLEHEALTH AND PENN STATE HERSHEY MEDICAL CENTER, CREATED IN 2008. PPI STAFFS A COMPREHENSIVE TEAM OF SPECIALISTS WHO PROVIDE CARE FOR CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS. ADVANTAGES OF PPI EXPERTISE INCLUDE:- LICENSED PSYCHIATRISTS, PSYCHOLOGISTS, THERAPISTS, NURSES AND OTHER MENTAL HEALTH PROFESSIONALS- PERSONALIZED TREATMENT PLANS TO MEET UNIQUE PATIENT NEEDS- THE FULL RANGE OF INPATIENT AND OUTPATIENT THERAPIES- MODERN, 80-BED INPATIENT FACILITY- TWO CONVENIENT LOCATIONS OFFERING OUTPATIENT SERVICESPPI ALSO OFFERS HISPANIC PSYCHIATRIC PROGRAMS WHICH INCLUDE PSYCHIATRIC EVALUATIONS, MEDICATION MANAGEMENT AND THERAPY THAT ARE DESIGNED FORADOLESCENTS AND ADULTS IN INDIVIDUAL, FAMILY OR GROUP SETTINGS.
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'S CHNA IMPLEMENTATION PLAN (THE PLAN) DESCRIBES THE ASSESSMENT PROCESS, THE NEEDS IDENTIFIED, AND THE PRIORITIES CHOSEN TO INCLUDE: (1) HEALTHY LIFESTYLES WITH A FOCUS ON OBESITY AND PHYSICAL ACTIVITY/NUTRITION; (2) HEALTH EDUCATION IN THE AREAS OF DIABETES, HEART DISEASE AND CANCER ENSURING THAT THE EDUCATION IS CULTURALLY COMPETENT AND PRIMARILY FOCUSED ON SCHOOL AGED CHILDREN; AND (3) ACCESS TO CARE IN THE AREAS OF SPECIALTY CARE, PRIMARY CARE, DENTAL CARE, AND MENTAL HEALTH CARE. FOR EACH PRIORITY, THE PLAN DOCUMENTS PINNACLEHEALTH'S OBJECTIVES, GOALS, AND STRATEGIES FOR ADDRESSING THE COMMUNITY NEED. THE STRATEGIES ARE SUPPORTED BY SENIOR MANAGEMENT AND WILL BE SUSTAINED BY PINNACLEHEALTH STAFF, VOLUNTEERS, PARTNERSHIPS WITH COMMUNITY BASED ORGANIZATIONS INCLUDING PAYORS AND LOCAL FOUNDATIONS, AND FUNDING FROM THE PINNACLEHEALTH FOUNDATION WHEN APPROPRIATE. PINNACLEHEALTH WILL NOT DIRECTLY ADDRESS THE NEED FOR ACCESS TO MENTAL HEALTH SERVICES; HOWEVER, THE NEED WILL BE ADDRESSED BY THE PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI) WHICH IS A PARTNERSHIP BETWEEN PINNACLEHEALTH AND PENN STATE HERSHEY MEDICAL CENTER, CREATED IN 2008. PPI STAFFS A COMPREHENSIVE TEAM OF SPECIALISTS WHO PROVIDE CARE FOR CHILDREN, ADOLESCENTS, ADULTS AND OLDER ADULTS. ADVANTAGES OF PPI EXPERTISE INCLUDE:- LICENSED PSYCHIATRISTS, PSYCHOLOGISTS, THERAPISTS, NURSES AND OTHER MENTAL HEALTH PROFESSIONALS- PERSONALIZED TREATMENT PLANS TO MEET UNIQUE PATIENT NEEDS- THE FULL RANGE OF INPATIENT AND OUTPATIENT THERAPIES- MODERN, 80-BED INPATIENT FACILITY- TWO CONVENIENT LOCATIONS OFFERING OUTPATIENT SERVICESPPI ALSO OFFERS HISPANIC PSYCHIATRIC PROGRAMS WHICH INCLUDE PSYCHIATRIC EVALUATIONS, MEDICATION MANAGEMENT AND THERAPY THAT ARE DESIGNED FORADOLESCENTS AND ADULTS IN INDIVIDUAL, FAMILY OR GROUP SETTINGS.
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'S INFANTS AND CHILDREN'S PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR.
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'S INFANTS AND CHILDREN'S PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR.
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'S INFANTS AND CHILDREN'S PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
PINNACLE HEALTH HOSPITALS - HARRISBURG PART V, SECTION B, LINE 16B WEBSITE:	WWW.PINNACLEHEALTH.ORG
PINNACLE HEALTH HOSPITALS - HARRISBURG PART V, SECTION B, LINE 16C WEBSITE:	WWW.PINNACLEHEALTH.ORG
PINNACLE HEALTH HOSPITALS - CGOH PART V, SECTION B, LINE 16B WEBSITE:	WWW.PINNACLEHEALTH.ORG
PINNACLE HEALTH HOSPITALS - CGOH PART V, SECTION B, LINE 16C WEBSITE:	WWW.PINNACLEHEALTH.ORG
PINNACLE HEALTH HOSPITALS - WEST SHORE PART V, SECTION B, LINE 16B WEBSITE:	WWW.PINNACLEHEALTH.ORG
PINNACLE HEALTH HOSPITALS - WEST SHORE PART V, SECTION B, LINE 16C WEBSITE:	WWW.PINNACLEHEALTH.ORG

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
HORIZON HEALTH CARE SERVICES LLP
607 N DUKE STREET	LANCASTER	PA	17602	IN-HOME DRUG INFUSION THERAPY
PINNACLE HEALTH EMERGENCY DEPARTMENT SER
111 SOUTH FRONT STREET	HARRISBURG	PA	17101	EMERGENCY MEDICAL SERVICES
SUSQUEHANNA VALLEY SURGERY CENTER LLC
4310 LONDONDERRY ROAD SUITE 1	HARRISBURG	PA	17109	SURGICAL CARE - MEDICAL SERVICES
WEST SHORE SURGERY CENTER LTD
2015 TECHNOLOGY PARKWAY	MECHANICSBURG	PA	17050	SURGICAL CARE - MEDICAL SERVICES
CONCENTRA OCCUPATIONAL HEALTHCARE HARRIS
495 OLD CONNECTICUT PATH SUITE 220	FRAMINGHAM	MA	01701	URGENT CARE CENTER - MEDICAL SERVICES
WALNUT BOTTOM RADIOLOGY LLC
850 WALNUT BOTTOM ROAD	CARLISLE	PA	17013	OUTPATIENT RADIOLOGY AND IMAGING SERVICES
VNA COMMUNITY CARE SERVICES
1811 OLDE HOMESTEAD LANE PO BOX	LANCASTER	PA	17604	HOME HEALTH CARE PROVIDER	10788

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 COSTS 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 $49,211,282 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 VALUES RELATIONSHIPS WITH COMMUNITY PARTNERS AND THE ASSETS THEY BRING TO ANY COLLABORATIVE EFFORTS. PINNACLE HEALTH HOSPITALS HELPED CREATE THE DAUPHIN COUNTY HEALTH IMPROVEMENT PARTNERSHIP (DCHIP) COMPRISED OF REGIONAL HEALTH AND HUMAN SERVICE PROVIDERS, PAYORS, COUNTY GOVERNMENT, 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 THE PHARMACY VOUCHER PROGRAM WITH THE HARRISBURG PHARMACY AND WITH THE LOCAL SCHOOL SYSTEM TO PROMOTE HEALTH AWARENESS AND PHYSICAL ACTIVITY AMONG CHILDREN. THE PROGRAM INCLUDES A PREMIUM SYSTEM TO ENCOURAGE STUDENTS TO ADOPT AND MAINTAIN A HEALTHIER LIFESTYLE AND OFFERS OPPORTUNITIES FOR FAMILIES TO PARTICIPATE IN CLASSES TOGETHER TO LEARN ABOUT HEALTHY COOKING AND PHYSICAL ACTIVITY. BASED ON IDENTIFIED COMMUNITY NEEDS AND VULNERABLE POPULATIONS, CONTINUOUS AND FREE PUBLIC PROGRAMS ARE TARGETED AT 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 PINNACLEHEALTH'S LEADERSHIP IN BUILDING COMMUNITY CAPACITY ARE:FAITH COMMUNITY HEALTH CONNECTION (FCHC) - FORMERLY KNOWN AS CONGREGATIONAL HEALTH NETWORK OR CHNPINNACLEHEALTH SYSTEM KNOWS THAT 70% OF OUR PATIENTS BELONG TO A CONGREGATION IN CENTRAL PENNSYLVANIA. THE FCHC IS A PARTNERSHIP BETWEEN CONGREGATIONS, THE HEALTHCARE SYSTEM AND THE COMMUNITY. BY NETWORKING WITH THESE SPIRITUAL LEADERS AS PARTNERS. THE FCHC WORKS TO IMPROVE THE HEALTH OF ALL IN OUR REGION. IN FY2015, PINNACLEHEALTH'S BILINGUAL OUTREACH COORDINATOR CONTINUED TO GIVE SPECIAL FOCUS TO THE LATINO CONGREGATIONS AND ENGAGED MORE THAN 25 LATINO SPIRITUAL LEADERS. SEVERAL LATINO COMMUNITY LEADERS NOW PARTICIPATE IN OUR SPIRITUAL CARE ADVISORY COUNCIL IN ORDER TO ENSURE THAT THE LATINO COMMUNITY NEEDS ARE HEARD AND ADDRESSED BY THE HEALTHSYSTEM. SEVERAL MEMBERS OF THE FCHC PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN PARTNERSHIP WITH PINNACLE TO ENSURE POPULATIONS THAT ARE CONSIDERED HARD TO REACH AND MOST VULNERABLE ARE INCLUDED IN THE IDENTIFIED NEEDS OF THE CHNA. OFTEN, CONGREGATIONAL LEADERS ARE THE ONLY TRUSTED INDIVIDUALS FOR MANY REMOTE AND UNACCESSIBLE MEMBERS OF OUR COMMUNITY. THE FCHC WORKS WITH CONGREGATIONS TO EDUCATE AND PROVIDE A SUPPORTIVE NETWORK TO HELP INDIVIDUAL MEMBERS NAVIGATE THE HEALTH SYSTEM. TRAINED LEADERS AT LOCAL CONGREGATIONS WORK COLLABORATIVELY WITH PINNACLEHEALTH STAFF TO:- PROVIDE ACCESS TO QUALITY HEALTH CARE AND HELP GUIDE INDIVIDUALS THROUGH THE HEALTHCARE SYSTEM.- PROVIDE ADVOCACY TO EMPOWER CONGREGANTS IN HEALTHCARE DECISION MAKING.- CONNECT FAITH COMMUNITIES TO A NETWORK OF SUPPORT FOLLOWING ILLNESS, INJURY, AND HOSPITALIZATION.- CONNECT PEOPLE WITH EDUCATION AND SERVICES THAT WILL ENABLE THEM TO MAINTAIN OPTIMAL LEVELS OF HEALTH AND WELLBEING.-ASSIST PINNACLEHEALTH 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 2015 CLINICS UTILIZED APPROXIMATELY $30,000 TO PROVIDE DIAGNOSTIC TESTING AT NO COST TO THEIR PATIENTS. TO DATE, THE CONTINUUM PROJECT HAS DISBURSED OVER $100,000 IN FREE CARE FUNDS TO COVER THE COST OF DIAGNOSTIC SERVICES TO PATIENTS AT THE HOPE WITHIN CLINIC, BETHESDA MISSION, AND THE COMMUNITY CHECK UP CENTER. BASED ON PINNACLEHALTH SYSTEM GOALS AND THE ANALYSIS OF RELATED DATA TO DATE, THE FOLLOWING GOALS AND RELATED OUTCOMES HAVE BEEN NOTED:-DECREASE READMISSIONS WITHIN 30 DAYS FOR COMMUNITY HEALTH CENTER PATIENTS FROM 18% TO 16% IN EIGHTEEN MONTHS - MET-DECREASE THT TOTAL NUMBER OF COMMUNITY HEALTH CENTER PATIENTS WITH ACUITY LEVELS OF 4 OR 5 IN THE ED FROM 55% TO 18% IN EIGHTEEN MONTHS - METTHIS TRANSFORMATION FROM A TRADITIONAL INPATIENT BASED HEALTH CARE MODEL TO A COLLABORATIVE, PATIENT-CENTERED MEDICAL HOME MODEL FACILITATES 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 ASSURE THAT PATIENTS GET THE INDICATED CARE WHEN AND WHERE THEY NEED AND WANT IT IN A CULTURALLY AND LINGUISTICALLY APPROPRIATE MANNER.AS A TRUSTED PLACE FOR OUR COMMUNITY TO GO FOR ACCESS TO PUBLIC HEALTH SERVICES AND INFORMATION, THE PHH AND ITS STAFF OF PROFESSIONALS MEET THE NEEDS OF A DIVERSE POPULATION WITH CULTURAL AWARENESS AND SENSITIVITY. THE CHILDREN'S RESOURCE CENTER (CRC) PARTNERS WITH LAW ENFORCEMENT, DISTRICT ATTORNEY OFFICES, SOCIAL SERVICES, PSYCHOLOGICAL SUPPORT SERVICES, CRISIS INTERVENTION, AND CHILD PROTECTION SERVICES TO PROVIDE EFFICIENT, QUALITY CARE IN A SAFE, CHILD-FRIENDLY ENVIRONMENT FOR CHILDREN SUSPECTED OF HAVING BEEN ABUSED OR NEGLECTED. THROUGH ONGOING TRAINING AND EDUCATION IN THE COMMUNITY, THE CRC HAS SEEN AN INCREASE IN PARTICIPATION WITH PARTNER AGENCIES IN AN EVER-WIDENING GEOGRAPHIC SERVICE AREA. THE CRC SERVED 1,199 CHILDREN IN 2015 AND APPROXIMATELY 600 CAREGIVERS. WE SAW CHILDREN FROM OVER 20 COUNTIES IN PENNSYLVANIA, BUT ROUTINELY SERVED CHILDREN FROM DAUPHIN, CUMBERLAND, PERRY, LEBANON, SCHUYLKILL, JUNIATA, MIFFLIN, BLAIR AND BEDFORD COUNTIES. LEAD AND HEALTHY HOMES PROGRAM (LHHP)THE LHHP SEEKS TO CREATE SAFE AND HEALTHY HOUSING BY ADDRESSING ENVIRONMENTAL HEALTH AND SAFETY ISSUES IN HOMES. WHEN HAZARDS ARE PRESENT IN A HOME, THEY CAN AFFECT THE HEALTH OF THE OCCUPANTS, PARTICULARLY THOSE MOST VULNERABLE SUCH AS CHILDREN AND SENIORS. THE PURPOSE OF THE LHHP IS TO REDUCE HOSPITALIZATIONS, INJURIES, ILLNESSES, OR DEATHS FROM PREVENTABLE HOME HEALTH OR SAFETY RISKS.RESOURCE EDUCATION AND COMPREHENSIVE CARE FOR HIV (REACCH)THE PINNACLEHEALTH MEDICAL SERVICES' RESOURCES, EDUCATION AND COMPREHENSIVE CARE FOR HIV INDIVIDUALS (REACCH) PROGRAM SERVES AS A COMPREHENSIVE MEDICAL CARE PROGRAM FOR ALL PEOPLE LIVING WITH HIV/AIDS WITHIN THE SOUTH CENTRAL PENNSYLVANIA REGION. IN 2015, REACCH SERVED A POPULATION OF APPROXIMATELY 510 INDIVIDUALS WHO WERE RACIALLY DIVERSE: 46% WERE AFRICAN AMERICAN, 42% CAUCASIAN/NON-HISPANIC, 12% HISPANIC, AND LESS THAN 1% MULTI-RACIAL OR OTHER. ALMOST ALL PATIENTS HAVE BEEN ABLE TO OBTAIN HEALTH INSURANCE THROUGH THE AFFORDABLE CARE ACT AND EXPANDED MEDICAID. 60% ARE COVERED BY MEDICAID OR MEDICARE, 32% HAD PRIVATE INSURANCE AND ONLY 1% WERE UNINSURED. 71% OF REACCH PATIENTS LIVE IN HARRISBURG CITY, AND ALL OF THEM RESIDE IN DAUPHIN, CUMBERLAND, OR PERRY 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 STATUS THROUGH TESTING HIGH-RISK POPULATIONS, AND REACHING OUT TO INDIVIDUALS KNOWN TO BE POSITIVE BUT WHO ARE NOT ACTIVELY ENGAGED IN MEDICAL TREATMENT. REACCH HAS EXCELLENT PROGRAM OUTCOMES. 88% OF REACCH PATIENTS CONSISTENTLY HAVE AN UNDETECTABLE AMOUNT OF HIV IN THEIR BLOOD, COMPARED WITH THE NATIONAL RATE OF ONLY 33%. OVER 100 BABIES HAVE BEEN BORN TO HIV+ MOTHERS THROUGH THE REACCH PROGRAM, AND THERE HAS BEEN NO VERTICAL TRANSMISSION OF HIV; ALL OF THESE BABIES ARE HIV NEGATIVE.
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: "PATIENT 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 UTILIZES A HISTORICAL PERCENTAGE PROVIDED BY MEDEANALYTICS, A THIRD PARTY INDEPENDENT COMPANY, ON THE PATIENT'S ESTIMATED INCOME WHICH IS DERIVED BY NORMALIZING DATA FROM MULTIPLE, DISPARATE SOURCES TO DETERMINE WHICH OF THE BAD DEBT ACCOUNTS COULD HAVE BEEN ELIGIBLE FOR CHARITY CARE BUT THE PATIENT HAD NOT APPLIED. THIS PATIENT FINANCIAL DATA HAS BEEN FOUND TO BE REASONABLY ACCURATE BASED ON COMPARISONS TO THE PATIENTS' ACTUAL INCOME PER SUPPORTING DOCUMENTATION PROVIDED FOR THOSE THAT HAVE APPLIED FOR CHARITY CARE. AN OVERALL COST TO CHARGE RATIO WAS THEN APPLIED TO THIS AMOUNT TO ARRIVE AT AN EXPENSE FIGURE.
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 PAMPHLETS OUTLINING THE APPLICATION PROCESS 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 TWO WEEKS 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 EIGHTEEN 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 (OVER 96% OF APPROVED CHARGES) 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 LEGAL COURSE OF ACTION OR JUDICIAL PROCESS 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 CONNECTED MORE THAN 500,000 COMMUNITY RESIDENTS, A WIDE RANGE OF PUBLIC AND PRIVATE ORGANIZATIONS, SUCH AS 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. PINNACLEHEALTH ENGAGED THE BROADER COMMUNITY TO GATHER INPUT AND DOCUMENT COMMUNITY HEALTH NEEDS. THE FOLLOWING TOOLS WERE USED TO ASSESS THE COMMUNITY: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.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.DATA WAS ALSO OBTAINED THROUGH TRUVEN HEALTH ANALYTICS (FORMERLY KNOWN AS THOMSON REUTERS) TO QUANTIFY THE SEVERITY OF HEALTH DISPARITIES FOR EVERY ZIP CODE IN THE NEEDS ASSESSMENT AREA BASED ON SPECIFIC BARRIERS TO HEALTHCARE ACCESS. FIVE PROMINENT SOCIO-ECONOMIC BARRIERS TO COMMUNITY HEALTH WERE IDENTIFIED: INCOME BARRIERS, CULTURAL/LANGUAGE BARRIERS, EDUCATIONAL BARRIERS, INSURANCE BARRIERS, AND HOUSING BARRIERS.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 IN SPANISH. THE ASSISTANCE OF LOCAL COMMUNITY ORGANIZATIONS WAS VITAL TO THE SURVEY DISTRIBUTION PROCESS. IN TOTAL, 1,279 SURVEYS WERE USED FOR ANALYSIS. OF THESE SURVEYS 1,175 WERE COLLECTED IN ENGLISH AND 104 SURVEYS WERE COLLECTED IN SPANISH. FOCUS GROUPSNINE FOCUS GROUPS WERE FACILITATED WITHIN THE STUDY AREA WITH AT-RISK HEALTHCARE POPULATIONS. THE FOLLOWING TABLE LISTS THE TARGETED FOCUS GROUPS: 1. HIV/AIDS 2. HOMELESS 3. IMMIGRANT/DISENFRANCHISED 4. OBESE ADULTS/DIABETIC 5. RURAL UNDER-SERVED 6. SENIORS ON A FIXED-INCOME 7. SPANISH-SPEAKING ADULTS 8. VETERANS 9. WORKING-POOR 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 MEMBERS IDENTIFIED THE THREE TOP PRIORITY AREAS AS: HEALTHY LIFESTYLES, HEALTH EDUCATION, AND ACCESS TO AFFORDABLE HEALTHCARE. PINNACLE HEALTH HOSPITALS UTILIZES THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES' COMMUNITY HEALTH STATUS INDICATORS WHICH PROVIDES DATA THAT CAN BE COMPARED TO PEER COUNTIES ON A STATE AND NATIONAL LEVEL. IN ADDITION, HEALTHY PEOPLE 2020 IDENTIFIES NEARLY 600 OBJECTIVES WITH MORE THAN 1,300 MEASURES TO IMPROVE THE HEALTH OF ALL AMERICANS. TO MONITOR PROGRESS TOWARD ACHIEVING INDIVIDUAL OBJECTIVES, HEALTHY PEOPLE RELIES ON DATA SOURCES DERIVED FROM A NATIONAL CENSUS OF EVENTS LIKE THE NATIONAL VITAL STATISTICS SYSTEM AND NATIONALLY REPRESENTATIVE SAMPLE SURVEYS LIKE THE NATIONAL HEALTH INTERVIEW SURVEY. PINNACLEHEALTH 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.PINNACLE HEALTH HOSPITALS USES 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 CONTACT, QUESTIONNAIRES, AND OBSERVATION OF THE PATIENT POPULATION IN PINNACLE'S FOUR CAMPUSES (COMMUNITY, CUMBERLAND, HARRISBURG AND POLYCLINIC), FAMILY CARE PHYSICIAN PRACTICES, 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 A PART OF THE CHNA PROCESS, OUR TEAM GATHERED BOTH PRIMARY AND SECONDARY DATA. AS A PART OF THE PRIMARY DATA COLLECTION, WE CONDUCTED 58 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 1,279 COMPLETED SURVEYS. IN ADDITION, WE CONDUCTED (9) FOCUS GROUPS IN THE AREAS OF: HIV/AIDS; HOMELESS; IMMIGRANTS/DISENFRANCHISED; OBESE ADULTS/DIABETICS; RURAL UNDERSERVED: SENIORS ON FIXED INCOME; SPANISH SPEAKING ADULTS; VETERANS, AND WORKING POOR. LASTLY, THREE COMMUNITY FORUMS WERE HELD WELCOMING THE ENTIRE COMMUNITY TO REVIEW THE FINDINGS AND ADD COMMENTS OR ADDITIONAL CONCERNS. AS PINNACLEHEALTH LOOKS TOWARD 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 OUR PATIENTS TO MAINTAIN POSITIVE HEALTH OUTCOMES. THE PINNACLEHEALTH SYSTEM PRESENTED THE RESULTS OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN SEPTEMBER 2012 AND DEVELOPED AN IMPLEMENTATION PLAN WITH STRATEGIES TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. THE FINAL IMPLEMENTATION PLAN WAS REVIEWED BY THE MISSION EFFECTIVENESS AND STRATEGIC ISSUES COMMITTEE OF THE BOARD IN MAY 2013 AND APPROVED BY THE PINNACLEHEALTH BOARD OF DIRECTORS IN MAY 2013. THE FINAL APPROVED VERSION OF THE CHNA AND IMPLEMENTATION PLAN IS AVAILABLE TO THE PUBLIC ON THE WWW.PINNACLEHEALTH.ORG WEBSITE.IN ACCORDANCE WITH IRS GUIDELINES, PINNACLEHEALTH HOSPITALS BEGAN THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT IN FALL 2014.
PART VI, LINE 3:	PATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE IN NUMEROUS WAYS. SIGNAGE IS POSTED AND PAMPHLETS ARE AVAILABLE 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. 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'S PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR.
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 WHOLELY 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 33% OF THE COUNTY POPULATION. AFRICAN-AMERICANS/BLACKS COMPRISE 45.9% OF HARRISBURG'S POPULATION AND HISPANICS/LATINOS MAKE UP 22.1% OF THE CITY'S POPULATION, COMPARED TO 17.1% AFRICAN-AMERICANS/BLACKS AND 8.7% 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 31.6% OF CITY RESIDENTS HAVE INCOME BELOW THE POVERTY LEVEL, WHILE ONLY 12.3% OF COUNTY RESIDENTS HAVE INCOME BELOW POVERTY. WHILE THE CITY REPRESENTS 18% OF THE COUNTY POPULATION, IT IS HOME TO 45% 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. AMERICAN COMMUNITY SURVEY DATA FOR 2011 SHOWED THAT THE 10.3% OF DAUPHIN COUNTY RESIDENTS HAD NO HEALTH INSURANCE. ALTHOUGH INSURANCE COVERAGE RATES FOR MOST OF THE COUNTRY INCREASED BECAUSE OF THE AFFORDABLE CARE ACT'S PROVISIONS EXTENDING PARENT'S INSURANCE TO 18-TO-26-YEAR-OLDS, AN INCREASE IN COVERAGE RATES WAS NOT VISIBLE IN DAUPHIN COUNTY. 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 AS THEIR PRIMARY HOSPITAL INCLUDING THE EMERGENCY DEPARTMENT. IN 2012, 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.PHH IS ALSO THE MAJOR PROVIDER OF HEALTH CARE SERVICES FOR ALL OF DAUPHIN COUNTY, WHERE THE CITY OF HARRISBURG IS LOCATED, AND ACCORDING TO "COUNTY HEALTH RANKINGS," DAUPHIN COUNTY RANKS 38TH OUT OF A TOTAL OF 67 PENNSYLVANIA COUNTIES IN AN ASSESSMENT OF THE OVERALL HEALTH OF EACH COUNTY. THE PA DEPARTMENT OF HEALTH (DOH) REPORTS THAT DAUPHIN COUNTY RANKS ABOVE THE STATE OF PA AS A WHOLE IN THE FOLLOWING CATEGORIES: LOW BIRTH WEIGHT, BIRTHS TO MOTHERS UNDER THE AGE OF 18, MOTHERS RECEIVING NO PRENATAL CARE IN THE FIRST TRIMESTER, BREAST CANCER INCIDENCE, HEART DISEASE AND DIABETES.
PART VI, LINE 5:	PINNACLE HEALTH HOSPITALS MAINTAINS AN ACTIVE ROLE IN THE COMMUNITY 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 PROVIDING 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 HAS 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. SEVERAL MAJOR CONSTRUCTION PROJECTS WERE COMPLETED IN FISCAL YEAR 2014 INCLUDING CONSTRUCTION OF A NEW 108 BED ACUTE CARE HOSPITAL ON THE FREDRICKSEN CAMPUS AT A COST OF $114.4 MILLION; EXPANSION AND RENOVATION FROM SEMI-PRIVATE TO MOSTLY PRIVATE ROOMS AT COMMUNITY GENERAL HOSPITAL WITH AN EXPECTED COST OF $25.0 MILLION; RENOVATIONS AND NEW CONSTRUCTION AT HARRISBURG HOSPITAL TO INCLUDE NEW HEART CATH AND ELECTROPHYSIOLOGY LABS AND A CARDIOTHORACIC INTENSIVE CARE UNIT; AND PATIENT ROOM UPGRADES TO MOSTLY PRIVATE ROOMS WITH COSTS ESTIMATED AT $34.0 MILLION; AND CONSTRUCTION OF A NEW CANCER CENTER LOCATED ON THE WEST SHORE FREDRICKSEN CAMPUS WITH A COST OF $20.6 MILLION. THE NEW WEST SHORE HOSPITAL BEGAN OPERATIONS ON MAY 19, 2014 FOLLOWED BY THE OPENING OF THE WEST SHORE CANCER CENTER IN AUGUST 2014.ADDITIONAL PROJECTS INCLUDE MODERNIZING AND UPDATING EXISTING LOCATIONS WITHIN THE PHH SERVICE AREA TO MEET THE PATIENT NEEDS IN THE COMMUNITY WE SERVE AND EXPANDING THE UTILIZATION OF ELECTRONIC MEDICAL RECORDS BOTH WITHIN PINNACLE HEALTH SYSTEM AS WELL AS WITHIN THE COMMUNITY-BASED PHYSICIAN PRACTICES OF OUR AREA. 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 SIX 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 TRANSFORMS THE LIVES OF VULNERABLE FAMILIES.-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 CONVENE 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 EMPHASIZE 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 2012, PINNACLE REFERRED CLOSE TO 100 PATIENTS TO VOLUNTEER DENTISTS FOR URGENT DENTAL NEEDS.-FAITH COMMUNITY CONNECTION - A CONGREGATIONAL 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 FOUNDATION ENGAGES IN INVESTMENT AND FUNDRAISING ACTIVITIES FOR THE BENEFIT OF THE RELATED ORGANIZATIONS. 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 LEADING EDGE 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, 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 BENEIFIT OF PINNACLE HEALTH SYSTEM.RIVER HEALTH ACO IS AN ACCOUNTABLE CARE ORGANIZATION DEDICATED TO IMPROVING THE COST, QUALITY, ACCESS, AND PATIENT EXPERIENCE TO CARE FOR A MEDICARE POPULATION IN CENTRAL PENNSYLVANIA. PINNACLE HEALTH SYSTEM IS A 70% MAJORITY PARTNER IN THIS ENTITY.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 $278,860 OF CHARITY CARE RECORDED AT CHARGES. THE SYSTEM ENTITIES ARE ALSO ACTIVELY ENGAGED IN A VARIETY OF COMMUNITY 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 - $2,818,942 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND CONTRIBUTIONS. -PINNACLE HEALTH MEDICAL SERVICES - $1,491,867 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BASED CLINICAL SERVICES AND HEALTH CARE SUPPORT SERVICES -PINNACLE HEALTH FOUNDATION - $193,880 IN COMMUNITY BENEFIT OPERATIONS AND FINANCIAL CONTRIBUTIONS.WERE THE ABOVE COMMUNITY BENEFIT EXPENSES OF $4.8 MILLION INCLUDED IN THE HOSPITAL COMMUNITY BENEFIT EXPENSES OF $50.4 MILLION, THE PERCENTAGE OF COMMUNITY BENEFIT EXPENSE TO TOTAL EXPENSE WOULD HAVE BEEN 7.51%.
PART VI, LINE 7, REPORTS FILED WITH STATES	PA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY LIFE TEAM	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	409 SOUTH SECOND STR PO BOX 8700	AddressLine1Txt
City	HARRISURG	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17105	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	231890444	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$89,000	CashGrantAmt
Purpose Of Grant	GENERAL OPERATIONS	PurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION MAKES INTERCOMPANY GRANTS TO OTHER, AFFILIATED ORGANIZATIONS. THE MONITORING IS PERFORMED THROUGH COMMON MANAGEMENT AND ACCOUNTING PRACTICES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
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	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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	$394,357	$0	$93,892	$0	$21,316	$0	$12,195	$0	$12,536	$0	$534,296	$0	$0
MICHAEL A YOUNG
PRESIDENT/CEO	$0	$736,060	$0	$324,970	$0	$157,252	$0	$13,000	$0	$12,702	$0	$1,243,984	$0	$0
KEVIN KELLY MD
DIRECTOR	$0	$146,627	$0	$46,138	$0	$10,632	$0	$11,090	$0	$7,569	$0	$222,056	$0	$0
CHRISTOPHER P MARKLEY ESQ
SEC'Y/SR VP STAT SVCC/GEN COUNSEL	$0	$302,600	$0	$102,910	$0	$54,985	$0	$14,734	$0	$8,268	$0	$483,497	$0	$0
WILLIAM H PUGH
TREASURER/SR VP CORP FIN/CFO	$0	$487,613	$0	$158,533	$0	$78,396	$0	$15,600	$0	$7,287	$0	$747,429	$0	$0
NANCY HAMMONDS
ASST. TREASURER/CFO	$0	$163,408	$0	$50,310	$0	$19,741	$0	$10,061	$0	$14,636	$0	$258,156	$0	$0
PHILIP GUARNESCHELLI
SR VICE PRESIDENT/COO	$0	$457,130	$0	$160,128	$0	$101,642	$0	$15,600	$0	$19,133	$0	$753,633	$0	$0
JOHN DELORENZO
ASSISTANT SECRETARY	$0	$137,771	$0	$25,086	$0	$429	$0	$7,158	$0	$17,152	$0	$187,596	$0	$0
FRANK DITRAGLIA
ED PHYSICIAN	$0	$0	$0	$0	$472,900	$0	$5,200	$0	$0	$0	$478,100	$0	$0	$0
R SCOTT RANKIN
ED PHYSICIAN	$241,005	$0	$36,131	$0	$146,170	$0	$15,600	$0	$12,381	$0	$451,287	$0	$0	$0
JED SPRUCE SEITZINGER
ER PHYSICIAN	$254,670	$0	$39,086	$0	$142,201	$0	$15,600	$0	$18,266	$0	$469,823	$0	$0	$0
MARK BARABAS
SR VICE PRESIDENT OPERATIONS	$459,658	$0	$0	$0	$61,674	$0	$13,000	$0	$14,627	$0	$548,959	$0	$0	$0
CARLO DEAUGUSTINE
ER PHYSICIAN	$190,871	$0	$33,911	$0	$300,915	$0	$14,125	$0	$12,316	$0	$552,138	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE ORGANIZATION PAYS FOR THE CEO'S CLUB DUES, WHICH ARE REPORTABLE AS TAXABLE COMPENSATION FOR THE CEO. THE CEO'S SPOUSE ACCOMPANIED THE CEO ON INFREQUENT TRIPS WHERE THE PRESENCE OF THE SPOUSE WAS EXPECTED. RELATED COSTS WERE MINIMAL AND WERE NOT INCLUDED IN THE CEO'S COMPENSATION.
PART I, LINE 1B	THERE IS A WRITTEN POLICY REGARDING THE PAYMENT OF CLUB DUES, HOWEVER, THERE IS NO WRITTEN POLICY REGARDING COMPANION TRAVEL. THE INFREQUENCY OF THE TRAVEL AND THE DE MINIMIS COSTS ASSOCIATED WITH THE ACTIVITY WERE DEEMED NOT TO RISE TO THE LEVEL WHERE A WRITTEN POLICY WAS CONSIDERED NECESSARY.
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	DR. FELIX GUTIERREZ IS A MEMBER OF THE BOARD OF DIRECTORS AND IS EMPLOYED AS A CARDIOLOGIST IN A RELATED ENTITY. HE WAS COVERED BY A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2014 AT A TOTAL COST OF $12,195. 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.
PART I, LINE 7	THE COMPENSATION COMMITTEE OF THE BOARD, WITH ASSISTANCE FROM AN INDEPENDENT OUTSIDE ADVISOR, ESTABLISHES A COMPENSATION PHILOSOPHY TO COMPENSATE LEADERS OF THE ORGANIZATION AT THE MARKET MEDIAN WITH AN INCENTIVE OPPORTUNITY TO REACH THE 75TH PERCENTILE OF THE MARKET FOR THEIR POSITION. THE INCENTIVE OPPORTUNITY IS DIVIDED BETWEEN PERSONAL GOALS AND SYSTEM LEVEL GOALS. ALL GOALS ARE MEASURABLE AND ARE DESIGNED TO IMPROVE QUALITY OF CARE, PATIENT SAFETY, PATIENT EXPERIENCE, AND MANAGEMENT OF RESOURCES. PERFORMANCE IS REWARDED AT THREE LEVELS; THRESHOLD (IMPROVEMENT OVER THE BASELINE), TARGET (SIGNIFICANT IMPROVEMENT OVER THE PRIOR YEAR) AND OPTIMUM (STRETCH).

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	23825ECY8	2011-06-28	$100,000,000	REFUND 2009B NOTES AND CAPITAL PROJECTS	0	0	0
DAUPHIN COUNTY GENERAL AUTHORITY
C	232336949	23825EDB7	2012-08-07	$135,249,990	CAPITAL PROJECTS	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	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	UnspentUnspentAmt
A	$23,911,212	$187,538,449	$14,590,708	$2,962,259	$6,775,515	$168,307,000	2009	Yes (1)	Yes (1)	Yes (1)
B	$5,765,000	$100,000,000		$279,272	$27,640,702	$70,000,000	2012	Yes (1)	Yes (1)	Yes (1)
C		$135,249,990		$1,512,711	$122,255,668		2014	0	0	Yes (1)	$10,851,923	$668,893

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	0.00680	0.00680	Yes (1)
B	Yes (1)	Yes (1)	0.00000	0.00000	Yes (1)
C	Yes (1)	Yes (1)	0.00000	0.00000	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	0	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	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: 07/01/2013 ISSUER NAME: DAUPHIN COUNTY GENERAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2014	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	EQUIPMENT	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$4,817,971	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE NUMBER OF CONTRIBUTIONS REPRESENTS THE NUMBER OF CONTRIBUTORS.	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 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. 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 4,580,284. MANAGEMENT AND GENERAL EXPENSES 2,255,961. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,836,245. OUTSOURCING: PROGRAM SERVICE EXPENSES 28,337,266. MANAGEMENT AND GENERAL EXPENSES 6,647,013. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,984,279. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 8,319,725. MANAGEMENT AND GENERAL EXPENSES 1,826,281. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,146,006. LAB FEES: PROGRAM SERVICE EXPENSES 2,865,035. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,865,035. RESIDENT ROTATION: PROGRAM SERVICE EXPENSES 1,121,122. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,121,122. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 19,588,208. MANAGEMENT AND GENERAL EXPENSES 6,466,693. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,054,901. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,258,410. MANAGEMENT AND GENERAL EXPENSES 139,823. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,398,233.
FORM 990, PART XI, LINE 9:	PENSION SETTLEMENT LOSS -58,452,210. CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY 46,033,298. FINANCING FRAMEWORK TRANSFERS -57,711,939. INTERCOMPANY TRANFERS - NET ASSETS RELEASED 176,137. INCREASE IN VALUE OF SELECT MEDICAL REHAB JOINT VENTURE 10,786,769. INTERCOMPANY TRANSFERS -1,495,468.

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	-$7,473,073	$1,451,808	PINNACLE HEALTH HOSPITALS
PINNACLE HEALTH HOSPITALISTS SERVICES LLC
409 SOUTH SECOND STREET PO BOX 8700	HARRISBURG	PA	17105		HOSPITALISTS SERVICES	PA	-$7,329,307	$68,799	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	-$551,824	$11,722	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 11C, III-FI	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	$1,139,985	$1,161,458	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	$693,272	$1,361,782	0	0	0.50000	N/A
WALNUT BOTTOM RADIOLOGY
850 WALNUT BOTTOM ROAD	CARLISLE	PA	17013	251675580	RADIOLOGY	PA		RELATED	-$11,037	-$151,993	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	$138,805	COST
WEST SHORE SURGERY CENTER LTD
R	$724,310	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