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UPMC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UPMC (EIN 25-1778658)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201301359349301375
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T08:58:50-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN232932984EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1SUITE 200 221 W PHILADELPHIA STAddressLine1
CityYORKCity
StatePAState
ZIP Code174012993ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251778658EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PINNACLE HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPINNNameControl
Phone7172318245Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1409 SOUTH SECOND ST PO BOX 8700AddressLine1
CityHARRISBURGCity
StatePAState
ZIP Code171058700ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM H PUGHName
TitleCFOTitle
Phone7172318245Phone
Date Signed2013-05-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIUS GREEN CPAName
PTINP00350393PTIN
Phone7178467000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM H PUGHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1409 SOUTH SECOND ST PO BOX 8700AddressLine1
CityHARRISBURGCity
StatePAState
ZIP Code171058700ZIPCode
FieldValueIRS element (for citing)
Gross Receipts193568125GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PINNACLEHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE MANAGEMENT AND CONSULTATIVE SERVICES TO AFFILIATED TAX-EXEMPT ENTITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees84TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year299249ContributionsGrantsPriorYear
Contributions Grants Current Year273854ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16764467ProgramServiceRevenuePriorYear
Program Service Revenue CY18563645ProgramServiceRevenueCY
Investment Income Prior Year4763261InvestmentIncomePriorYear
Investment Income Current Year4866135InvestmentIncomeCurrentYear
Other Revenue Prior Year56822OtherRevenuePriorYear
Other Revenue Current Year35007OtherRevenueCurrentYear
Total Revenue Prior Year21883799TotalRevenuePriorYear
Total Revenue Current Year23738641TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9868318SalariesEtcPriorYear
Salaries Etc Current Year12162020SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7566235OtherExpensePriorYear
Other Expenses Current Year7179679OtherExpensesCurrentYear
Total Expenses Prior Year17434553TotalExpensesPriorYear
Total Expenses Current Year19341699TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4449246RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4396942RevenuesLessExpensesCY
Total Assets BOY175625922TotalAssetsBOY
Total Assets EOY236649761TotalAssetsEOY
Total Liabilities BOY4221050TotalLiabilitiesBOY
Total Liabilities EOY4726451TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY171404872NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY231923310NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPINNACLE 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 THAT QUALIFY FOR FEDERAL INCOME TAX EXEMPTION UNDER CODE SECTION 501(C)(3).PINNACLE HEALTH SYSTEM IS DEDICATED TO THE HEALTH AND WELL-BEING OF THE PEOPLE WE SERVE AND MAKES A CONCERTED EFFORT TO ESTABLISH ENDURING BONDS BETWEEN THE HEALTH SYSTEM AND THE COMMUNITY. PINNACLE HEALTH SYSTEM OFFERS AN ARRAY OF COMMUNITY SERVICES AND PROGRAMS TO IMPROVE HEALTH AWARENESS AMONG COMMUNITY GROUPS AND ORGANIZATIONS, PROVIDE OPTIMAL AND TIMELY CARE AND TREATMENT FOR TARGET POPULATIONS AND TO ADDRESS DIVERSE COMMUNITY NEEDS. PINNACLE HEALTH PROVIDES VARIOUS TRAINING PROGRAMS AND TRACKS AND EVALUATES THE IMPACT OF ITS SERVICES AND PROGRAMS ON THE OVERALL HEALTH OF THE COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense14777720Expense
Revenue18563645Revenue
DescriptionPINNACLE 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 THAT QUALIFY FOR FEDERAL INCOME TAX EXEMPTION UNDER CODE SECTION 501(C)(3).Description
Total Program Service Expense14777720TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office1ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096390NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees84NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WILLIAM H PUGH CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7172318245TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1409 SOUTH SECOND STREETAddressLine1
CityHARRISBURGCity
StatePAState
ZIP Code171058700ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ROBERT L LYON
CHAIRMAN0.70XX000
GEORGE F GRODE
VICE-CHAIR0.70XX000
JOHN O CAMPBELL
DIRECTOR0.70X000
FELIX GUTIERREZ MD
DIRECTOR0.30X035149831401
M RICHARD KLEIMAN
DIRECTOR0.30X000
DEBORAH S MILLER
DIRECTOR0.50X000
LARRY L SOLLENBERGER MD
DIRECTOR0.70X000
DENNIS WALSH
DIRECTOR0.20X000
BONY R DAWOOD
DIRECTOR0.70X000
DENISE F HARR MD
DIRECTOR (THRU APR 2012)0.20X000
GREGORY CAVOLI
DIRECTOR0.20X000
DOUGLAS C DYER
DIRECTOR (THRU SEP 2011)0.20X000
STEVEN C KUSIC
DIRECTOR0.60X000
KENNETH OKEN MD
DIRECTOR0.40X000
MICHAEL L FERNANDEZ MD
DIRECTOR0.30X000
JOHN C HICKEY
DIRECTOR0.50X000
CAROLYN KREAMER PHD
DIRECTOR0.40X000
MICHAEL A YOUNG
PRESIDENT & CEO28.20XX53586405167
CLARENCE ASBURY
DIRECTOR0.70X000
WILLIAM H PUGH
TREASURER5.10X401401045360
CHRISTOPHER P MARKLEY ESQ
SECRETARY6.00X353696047435
RICHARD C SENECA ESQ
ASSISTANT SECRETARY0.10X02782800
NANCY HAMMONDS
ASSISTANT TREASURER2.00X145331035560
PHILIP GUARNESCHELLI
SR VICE PRESIDENT/COO6.00721099061877X
DANA KELLIS MD
SR VP MEDICAL AFFAIRS8.00431110065860X
COREY RIGBERG
VP MEDICAL AFFAIRS, GME10.80282993053677X
NIRMAL JOSHI
VP MEDICAL EDUCATION, RESEARCH & CLIN INFO32.00267582050466X
STEVEN ROTH
VP INFORMATIONS SYSTEMS/ CIO2.00263388049241X
ROGER LONGENDERFER MD
FORMER PRESIDENT/CEO0.006158730254X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4018337TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs629778TotalReportableCompFrmRltdOrgs
Total Other Compensation446298TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AMERICAN HEALTHCARE SOLUTIONS
1701 KENNETH AVEARNOLDPA15068HEALTHCARE STAFFING490544
STUDER GROUP
913 GULF BREEZE PARKWAYGULF BRIDGEFL32561HEALTHCARE LEADERSHIP CONSULTING412200
STANTEC ARCHITECTURE INC
13980 COLLECTIONS CENTER DRIVECHICAGOIL60693ARCHITECTURAL SERVICES387647
PRICEWATERHOUSECOOPERS LLP
PO BOX 7247-8001PHILADELPHIAPA191708001ACCOUNTING354750
MCNEES WALLACE & NURICK
PO BOX 1166HARRISBURGPA17108LEGAL SERVICES311510
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Related Organizations273854RelatedOrganizations
Total Contributions273854TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT & SUPPORTDescription
Business Code624100BusinessCode
Total Revenue Column18563645TotalRevenueColumn
Related Or Exempt Function Income18563645RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18563645TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4102862TotalRevenueColumn
Exclusion$4,102,862ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities170592757Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities169829484Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities763273Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column763273TotalRevenueColumn
Exclusion$763,273ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column35007TotalRevenueColumn
Exclusion$35,007ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue35007TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23738641TotalRevenueColumn
Related Or Exempt Function Income18563645RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,901,142ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2029059Total
Program Services1521794ProgramServices
Management And General507265ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total597579Total
Program Services448184ProgramServices
Management And General149395ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7353081Total
Program Services5514811ProgramServices
Management And General1838270ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total691018Total
Program Services414611ProgramServices
Management And General276407ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total973310Total
Program Services583986ProgramServices
Management And General389324ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total517973Total
Program Services388480ProgramServices
Management And General129493ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total506475Total
Management And General506475ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total314304Total
Management And General314304ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total142553Total
Program Services142553ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total348038Total
Management And General348038ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3641431Total
Program Services3536423ProgramServices
Management And General105008ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total138879Total
Program Services138879ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total341102Total
Program Services341102ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total223094Total
Program Services223094ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total93273Total
Program Services93273ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total97478Total
Program Services97478ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total600760Total
Program Services600760ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total47112Total
Program Services47112ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total120323Total
Program Services120323ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DUES AND SUBSCRIPTIONS571296571296
OTHER EXPENSES-6439-6439

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19341699Total
Program Services14777720ProgramServices
Management And General4563979ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY350BOY
EOY350EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY25012258BOY
EOY24508757EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY113324BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY527843BOY
EOY428522EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1201039LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec829921LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY184745BOY
EOY371118EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY117830482BOY
EOY132987542EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY24359445BOY
EOY24986071EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY5079777BOY
EOY27668876EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY49375BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2468323BOY
EOY25698525EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY175625922BOY
EOY236649761EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4221050BOY
EOY4726451EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4221050BOY
EOY4726451EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY171404872BOY
EOY231923310EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY171404872BOY
EOY231923310EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY175625922BOY
EOY236649761EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4396942ReconcilationRevenueExpenses
Reconcilation Other Changes56121496ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
PINNACLE HEALTH HOSPITALS
2517786443011$0
PINNACLE HEALTH MEDICAL SERVICES
2517090543011$0
COMMUNITY LIFE TEAM
2318904449011$0
PINNACLE HEALTH FOUNDATION
222691718LINE 11, II011$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: FORM 990, SCHEDULE A, PART I, LINE 1H, COLUMN (IV) - IS THE ORGANIZATION LISTED IN YOUR GOVERNING DOCUMENT?: THE GOVERNING DOCUMENTS OF PINNACLE HEALTH SYSTEM DO NOT SPECIFICALLY NAME THE ORGANIZATIONS TO WHICH SUPPORT IS PROVIDED; HOWEVER, DO MEET THE REQUIREMENTS OF SECTION 509(A)-4(D)(2)(I) BY DESIGNATING ITS PUBLICLY SUPPORTED ORGANIZATIONS TO BE ANY OTHER ORGANIZATION AFFILIATED WITH THE CORPORATION WHICH QUALIFIES AS AN EXEMPT ORGANIZATION UNDER SECTIONS 501(C)(3), 509(A)(1), OR 509(A)(2). FORM 990, SCHEDULE A, PART I, LINE 1H, COLUMN (VII) - AMOUNT OF SUPPORT: PINNACLE HEALTH SYSTEM DOES NOT PROVIDE MONETARY SUPPORT TO ITS SUPPORTING ORGANIZATIONS. SUPPORT PROVIDED IS IN THE FORM OF MANAGEMENT AND CONSULTATIVE SERVICES TO ITS AFFILIATED ORGANIZATIONS.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals142553FilingOrganizationsTotals
Affiliated Group Totals142553AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals142553FilingOrganizationsTotals
Affiliated Group Totals142553AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals19199146FilingOrganizationsTotals
Affiliated Group Totals719685321AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals19341699FilingOrganizationsTotals
Affiliated Group Totals719827874AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3184943CurrentYearMinus3
Current Year Minus2191027CurrentYearMinus2
Current Year Minus1194538CurrentYearMinus1
Current Year142553CurrentYear
Total713061Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis945667OtherCostOrOtherBasis
Depreciation761183Depreciation
Book Value184484BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis255372OtherCostOrOtherBasis
Depreciation68738Depreciation
Book Value186634BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings371118TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN UNITED HEALTH RISK, LTD.10263020C
INVESTMENT IN UNITED CENTRAL PA RECIPROCAL RISK RETENTION GROUP14723051C
FieldValueIRS element (for citing)
Total Of Book Value Securities24986071TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
INVESTMENT IN QUEST BEHAVIORAL HEALTH1355C
INVESTMENT IN CENTRAL PENNSYLVANIA ALLIANCE LABORATORIES348831C
INVESTMENT IN PINNACLE HEALTH CARDIOVASCULAR INSTITUTE-7523774C
INVESTMENT IN PH VENTURES30759123C
INVESTMENT IN PH MEDICAL GROUP4083341C
FieldValueIRS element (for citing)
Total Of Book Value Program Related27668876TotalOfBookValueProgramRelated

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
CASH SURRENDER VALUE LIFE INSURANCE128200
DUE FROM RELATED PARTIES25570325
FieldValueIRS element (for citing)
Total Book Value Other Assets25698525TotalBookValueOtherAssets
Total Revenue23738641TotalRevenue
Total Expenses19341699TotalExpenses
Excess Or Deficit For Year4396942ExcessOrDeficitForYear
Net Unrealized GL On Investments-919606NetUnrealizedGLOnInvestments
Other$57,041,102OtherAmount
Total Adjustments56121496TotalAdjustments
Excess Or Deficit Per FS60518438ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6726204TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-919606NetUnrealizedGainsInvestments
Other Revenues-16092831OtherRevenues
Revenue Not Rptd F990-17012437RevenueNotRptdF990
Revenue Subtotal23738641RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99023738641TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18888653TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18888653ExpensesSubtotal
Investment Expenses Not Included2348038InvestmentExpensesNotIncluded2
Other Expenses Not Included105008OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt453046ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019341699TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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. NO ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS WERE REQUIRED AS A RESULT OF THIS EVALUATION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:EQUITY METHOD INCOME - INSURANCE SUB FILING FORM 1120-PC (EIN#13-4224033) 95,869. EQUITY METHOD INCOME - UNITED HEALTH RISK LTD -407,335. EQUITY METHOD INCOME - PINNACLE HEALTH CARDIOVASCULAR INSTITUTE -14,563,914. FUND BALANCE TRANSFER - PINNACLE HEALTH HOSPITALS 12,819,636. FUND BALANCE TRANSFER - PINNACLE HEALTH MEDICAL SERVICES 24,206,623. FUND BALANCE TRANSFER - COMMUNITY LIFE TEAM 1,781,931. FUND BALANCE TRANSFER - PINNACLE HEALTH HOME CARE & HOSPICE 5,337,617. FUND BALANCE TRANSFER - PINNACLE PHCVI 20,378,230. FUND BALANCE TRANSFER - PINNACLE PH VENTURES 133. FUND BALANCE TRANSFER - PINNACLE PH IMAGING -1,923,849. FUND BALANCE TRANSFER - PINNACLE MEDICAL GROUP 3,031,422. EQUITY METHOD INCOME - PINNACLE HEALTH VENTURES INC. -191,547. EQUITY METHOD INCOME - PINNACLE HEALTH MEDICAL GROUP -589,004. FUND BALANCE TRANSFER - CARDIOLOGY PRACTICE, INC. 7,065,290. TOTAL TO SCHEDULE D, PART XI, LINE 8: 57,041,102.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EQUITY METHOD INCOME - INSURANCE SUB FILING FORM 1120-PC (EIN#13-4224033) 95,869. EQUITY METHOD INCOME - FOREIGN SUB FILING FORM 5471 -512,343. EQUITY METHOD INCOME - PINNACLE HEALTH CARDIOVASCULAR INSTITUTE -14,563,915. INVESTMENT EXPENSE INCLUDED IN INVESTMENT INCOME ON FINANCIALS -348,038. NET ASSETS RELEASED FROM RESTRICTIONS 16,147. EQUITY METHOD INCOME - PINNACLE HEALTH VENTURES -191,547. EQUITY METHOD INCOME - PINNACLE HEALTH MEDICAL GROUP -589,004.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:EXPENSES REPORTED BY FOREIGN SUB FILING FORM 5471 105,008.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN -Region
Number Of Offices1NumberOfOffices
Number Of Employees1NumberOfEmployees
Type Of Activities ConductedINSURANCE COVERAGETypeOfActivitiesConducted
Specific Services ProvidedN/ASpecificServicesProvided
Total Expenditures1933447TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Subtotal Number Of Employees1SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees1TotalNumberOfEmployees
Subtotal Amount Spent1933447SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent1933447TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierMETHOD USED TO ACCCOUNT FOR EXPENDITURES:Identifier
ExplanationSCHEDULE F, PART I, LINE 3: INSURANCE PREMIUMS PAID BASED ON CLAIMS EXPERIENCEExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Personal ServicesXPersonalServices
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FELIX GUTIERREZ MD
030150903689101309802277408627038289900
MICHAEL A YOUNG
310826014625507878300051670541031000
WILLIAM H PUGH
3392230476000145780147000306600446761000
CHRISTOPHER P MARKLEY ESQ
2791850462000283110148030326320401131000
RICHARD C SENECA ESQ
027828000000000027828000
NANCY HAMMONDS
127097012400058340209470146130180891000
PHILIP GUARNESCHELLI
38837502804600522640148030470740782976000
DANA KELLIS MD
3444460580000286640147840510760496970000
COREY RIGBERG
243620034500048730148060388710336670000
NIRMAL JOSHI
231984032100034980143730360930318048000
STEVEN ROTH
221972037600038160137190355220312629000
ROGER LONGENDERFER MD
59201001776006103010301510616127000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1AROGER LONGENDERFER, M.D., A FORMER PRESIDENT AND CEO, RECEIVED A REIMBURSEMENT FOR PERSONAL FINANCIAL SERVICES. THE REIMBURSEMENT WAS INCLUDED IN HIS TAXABLE COMPENSATION.
PART I, LINES 4A-BROGER LONGENDERFER, M.D., A FORMER PRESIDENT AND CEO, WAS PAID SEVERANCE IN THE FORM OF SALARY AND BENEFITS TOTALING $616,127 IN 2011 AS PART OF HIS RETIREMENT PACKAGE. 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 2011 AT A TOTAL COST OF $12,323.
PART I, LINE 7THE 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 PERECENTILE 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
M&T BANK
DIRECTOR,JOHN CAMPBELL IS ADMINISTRATIVE VP OF PERSONAL TRUST WITH M&T BANK125467SEE PART V - INVESTMENT MANAGEMENT SERVICES PROVIDED BY M&T BANK0
RIVERSIDE CARDIOLOGY
DIRECTOR, FELIX GUTIERREZ IS A PARTNER IN RIVERSIDE CARDIOLOGYSEE PART V - RENTAL INCOME PAID TO RIVERSIDE BY PINNACLE HEALTH HOSPITALS. PAYMENTS MADE BY THIS ORGANIZATION AND ALL RELATED TAX-EXEMPT ORGANIZATIONS ARE AGGREGATED AND REPORTED ON FORM 990 FOR EACH OF THE TAX-EXEMPT ORGANIZATIONS IF THE THRESHOLD IS MET AT ANY OF THE TAX-EXEMPT ENTITIES.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART V, LINE 1:PINNACLE HEALTH SYSTEM, THE PARENT COMPANY, IS THE COMMON REPORTING AGENT FOR THE GROUP OF RELATED TAX-EXEMPT ORGANIZATIONS AND FILES ALL 1099 FORMS FOR THE FOLLOWING: COMMUNITY LIFE TEAM, PINNACLE HEALTH FOUNDATION, PINNACLE HEALTH HOSPITALS, PINNACLE HEALTH HOME CARE & HOSPICE, AND PINNACLE HEALTH MEDICAL SERVICES.
FORM 990, PART VI, SECTION B, LINE 11THE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR PINNACLE HEALTH SYSTEM AND ASSOCIATED SUBSIDIARIES IS DELEGATED TO THE FINANCE AND AUDIT COMMITTEE OF THE 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, PINNACLE HEALTH HOME CARE & HOSPICE AND COMMUNITY LIFE TEAM BEFORE THEY ARE FILED WITH THE INTERNAL REVENUE SERVICE. IN ADDITION, EACH MEMBER OF EACH RESPECTIVE BOARD OF DIRECTORS WILL BE GIVEN ACCESS TO VIEW THEIR INDIVIDUAL FORM 990 VIA A SHARED, PASSWORD-PROTECTED WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12CIN THE PERFORMANCE OF THEIR DUTIES TO PINNACLE HEALTH SYSTEM AND SUBSIDIARIES (COLLECTIVELY REFERRED TO AS "PHS"), COVERED PERSONS SHALL SEEK TO ACT IN THE BEST INTERESTS OF PHS, AND SHALL EXERCISE GOOD FAITH, LOYALTY, DILIGENCE AND HONESTY. A COVERED PERSON IS ANY INDIVIDUAL WHO SERVES IN A FIDUCIARY CAPACITY TO, OR WHO HAS LEGAL AUTHORITY TO REPRESENT OR OBLIGATE, THE PINNACLE HEALTH SYSTEM OR ANY OF ITS AFFILIATED ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS. COVERED PERSONS ALSO INCLUDE A) IMMEDIATE FAMILIES (SPOUSES, CHILDREN, SIBLINGS, PARENTS, OR SPOUSE'S PARENTS), B) ANY ORGANIZATION IN WHICH THEY OR THEIR IMMEDIATE FAMILIES DIRECTLY OR INDIRECTLY I) HAVE A MATERIAL FINANCIAL OR BENEFICIAL INTEREST, OR II) SERVE AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, ATTORNEY OR SIMILAR CAPACITY. A COVERED PERSON SHALL DISCLOSE ANY BUSINESS OR PERSONAL INTERESTS OR RELATIONSHIPS WHICH MAY BE IN CONFLICT WITH THE INTEREST OF PHS, INCLUDING, BUT NOT LIMITED TO (A) ENGAGING IN OR SEEKING TO BE ENGAGED IN (I) THE DELIVERY OF HEALTH CARE SERVICES OR (II) THE DELIVERY OF GOODS OR SERVICES TO PHS, OR (B) ANY TRANSACTION OR ARRANGEMENT WITH PHS WHICH WOULD RESULT IN BENEFIT TO COVERED PERSONS. THE GOVERNANCE COMMITTEE OF THE PHS BOARD REVIEWS ALL CONFLICT OF INTEREST STATEMENTS 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 15THE 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 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION AS THIS IS NOT REQUIRED BY FEDERAL OR STATE LAW. 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 VII, SECTION A:THE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES HAVE WORKED AN AVERAGE OF 40 HOURS PER WEEK FOR PINNACLE HEALTH SYSTEM, THE PARENT COMPANY, AND ALL RELATED ORGANIZATIONS: PHILIP GUARNESCHELLI CHRISTOPHER P. MARKLEY, ESQ. RICHARD C. SENECA, ESQ. WILLIAM H. PUGH DANA KELLIS, MD COREY RIGBERG STEVEN ROTH NIRMAL JOSHI MIKE YOUNG NANCY HAMMONDS THE FOLLOWING DIRECTORS ARE ALSO DIRECTORS OF PINNACLE HEALTH HOSPITAL, A RELATED ORGANIZATION: ROBERT L. LYON GEORGE F. GRODE JOHN O. CAMPBELL FELIX GUTIERREZ, MD M. RICHARD KLEIMAN DEBORAH S. MILLER LARRY L. SOLLENBERGER, MD CLARENCE E. ASBURY DENNIS WALSH BONY R. DAWOOD DENISE F. HARR, MD GREGORY CAVOLI DOUGLAS C. DYER STEVEN C. KUSIC KENNETH OKEN, MD MICHAEL L. FERNANDEZ, MD JOHN C. HICKEY CAROLYN KREAMER, PHD MICHAEL A. YOUNG DIRECTOR M. RICHARD KLEIMAN IS ALSO A DIRECTOR OF PINNACLE HEALTH FOUNDATION, A RELATED ORGANIZATION. DIRECTOR DEBORAH S. MILLER IS ALSO A DIRECTOR OF PINNACLE HEALTH MEDICAL SERVICES, A RELATED ORGANIZATION.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -919,606. EQUITY METHOD INCOME - INSURANCE SUB FILING FORM 1120-PC (EIN#13-4224033) 95,869. EQUITY METHOD INCOME - UNITED HEALTH RISK LTD -407,335. EQUITY METHOD INCOME - PINNACLE HEALTH CARDIOVASCULAR INSTITUTE -14,563,914. FUND BALANCE TRANSFER - PINNACLE HEALTH HOSPITALS 12,819,636. FUND BALANCE TRANSFER - PINNACLE HEALTH MEDICAL SERVICES 24,206,623. FUND BALANCE TRANSFER - COMMUNITY LIFE TEAM 1,781,931. FUND BALANCE TRANSFER - PINNACLE HEALTH HOME CARE & HOSPICE 5,337,617. FUND BALANCE TRANSFER - PINNACLE PHCVI 20,378,230. FUND BALANCE TRANSFER - PINNACLE PH VENTURES 133. FUND BALANCE TRANSFER - PINNACLE PH IMAGING -1,923,849. FUND BALANCE TRANSFER - PINNACLE MEDICAL GROUP 3,031,422. EQUITY METHOD INCOME - PINNACLE HEALTH VENTURES INC. -191,547. EQUITY METHOD INCOME - PINNACLE HEALTH MEDICAL GROUP -589,004. FUND BALANCE TRANSFER - CARDIOLOGY PRACTICE, INC. 7,065,290. TOTAL TO FORM 990, PART XI, LINE 5: 56,121,496.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C:THE FINANCE AND AUDIT COMMITTEE OF THE PINNACLE HEALTH SYSTEM BOARD ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
PINNACLE HEALTH MEDICAL SERVICES
409 SOUTH SECOND STREET PO BOX 8700HARRISBURGPA171058700251709054PHYSICIAN SERVICESPA501(C)(3)LINE 3PINNACLE HEALTH SYSTEM1
PINNACLE HEALTH HOME CARE & HOSPICE
409 SOUTH SECOND STREET PO BOX 8700HARRISBURGPA171058700232024121SKILLED HOMECARE SERVICES AND SERVICES TO THE TERMINALLY ILLPA501(C)(3)LINE 3PINNACLE HEALTH HOSPITALS1
PINNACLE HEALTH HOSPITALS
409 SOUTH SECOND STREET PO BOX 8700HARRISBURGPA171058700251778644INPATIENT AND OUTPATIENT HEALTHCARE SERVICESPA501(C)(3)LINE 3PINNACLE HEALTH SYSTEM1
PINNACLE HEALTH FOUNDATION
409 SOUTH SECOND STREET PO BOX 8700HARRISBURGPA171058700222691718INVESTMENT AND FUNDRAISING ACTIVITIES FOR RELATED TAX-EXEMPT ORGANIZATIONSPA501(C)(3)LINE 11B, IIPINNACLE HEALTH SYSTEM1
COMMUNITY LIFE TEAM
409 SOUTH SECOND STREET PO BOX 8700HARRISBURGPA171058700231890444MEDICAL TRANSPORT SERVICESPA501(C)(3)LINE 9PINNACLE HEALTH SYSTEM1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1WEST SHORE SURGERY CENTER LTDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1409 SOUTH SECOND STREET PO BOX 8700AddressLine1
CityHARRISBURGCity
StatePAState
ZIP Code171058700ZIPCode
FieldValueIRS element (for citing)
EIN251821415EIN
Primary ActivitySURGICAL CARE - MEDICAL SERVICESPrimaryActivity
Legal Domicile StatePALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UNITED CENTRAL PA RISK RETENTION GROUP
76 ST PAUL ST SUITE 500BURLINGTONVT054014477134224033CAPTIVE INSURANCEVTN/AC-266320201774841.00000
UNITED HEALTH RISK LTD
CAPTIVE INSURANCEN/AC938092134221871.00000PO BOX 2450HAMILTON HM JXBDBD
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE
PO BOX 8700HARRISBURGPA17105320321362PHYSICIAN SERVICESPAC-766056450429101.00000PINNACLE HEALTH SYSTEM
CARDIOLOGY PRACTICE INC
PO BOX 8700HARRISBURGPA17105800658616PHYSICIAN SERVICESPAC-640044647793561.00000PINNACLE HEALTH CARDIOVASCULAR INSTITUTE
PINNACLE HEALTH MEDICAL GROUP
PO BOX 8700HARRISBURGPA17105800771040PHYSICIAN SERVICESPAC-77998370943541.00000PINNACLE HEALTH SYSTEM
PINNACLE HEALTH VENTURES INC
PO BOX 8700HARRISBURGPA17105611677624HOLDING COMPANYPAC-67305396581.00000PINNACLE HEALTH SYSTEM
PINNACLE HEALTH IMAGING INC
PO BOX 8700HARRISBURGPA17105231718571RADIOLOGY SERVICESPAC182843391054461.00000PINNACLE HEALTH VENTURES INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (14 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
PINNACLE HEALTH HOSPITALS
C12819636FMV
PINNACLE HEALTH MEDICAL SERVICES
C24206623FMV
COMMUNITY LIFE TEAM
C1781931FMV
PINNACLE HEALTH HOME CARE & HOSPICE
C5337617FMV
PINNACLE HEALTH FOUNDATION
C273854FMV
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE
C20378230FMV
PINNACLE HEALTH VENTURES
C133FMV
PINNACLE HEALTH MEDICAL GROUP
C3031422FMV
PINNACLE HEALTH IMAGING
B1923849FMV
CARDIOLOGY PRACTICE INC
C7065290FMV
CARDIOLOGY PRACTICE INC
R4564900FMV
PINNACLE HEALTH CARDIOVASCULAR INSTITUTE
R4517590FMV
PINNACLE HEALTH MEDICAL GROUP
R2386517FMV
PINNACLE HEALTH IMAGING
R7122501FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH RELATED ORGANIZATIONSIdentifier
Return ReferencePART V, LINE 2ReturnReference
ExplanationPINNACLE HEALTH SYSTEM CANNOT SEPARATELY STATE AMOUNTS FOR EACH TRANSACTION IDENTIFIED WITH A RELATED ORGANIZATION. ITS ACCOUNTING SYSTEM NETS ALL TRANSACTIONS INTO A SINGLE AMOUNT, WHICH IS REPORTED AS A GIFT, GRANT AND/OR CAPITAL CONTRIBUTION TO OR FROM RELATED ORGANIZATIONS.Explanation

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedSchedule (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINElecting OrgElectingOrgTotal Grassroots LobbyingTotalGrassrootsLobbyingTotal Direct LobbyingTotalDirectLobbyingTotal Lobbying ExpendituresTotalLobbyingExpendituresOther Exempt Purpose ExpendituresOtherExemptPurposeExpendituresTotal Exempt Purpose ExpendituresTotalExemptPurposeExpendituresLobbying NontaxableLobbyingNontaxableAmountGrassroots NontaxableGrassrootsNontaxableAmountTot Lobbying Grassroot Minus NontxTotLobbyingGrassrootMinusNontxTot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontxShare Of Excess Lobbying ExpendtrsShareOfExcessLobbyingExpendtrs
PINNACLE HEALTH SYSTEM
409 S SECOND STREET PO BOX 8700HARRISBURGPA17105251778658X01425531425531919914619341699$1,000,000$250,000000
PINNACLE HEALTH HOSPITALS
409 S SECOND STREET PO BOX 8700HARRISBURGPA17105251778644000615684505615684505$1,000,000$250,000000
PINNACLE HEALTH HOME CARE & HOSPICE
409 S SECOND STREET PO BOX 8700HARRISBURGPA1710523202412100080994598099459$554,973$138,743000
PINNACLE HEALTH MEDICAL SERVICES
409 S SECOND STREET PO BOX 8700HARRISBURGPA171052517090540006806712568067125$1,000,000$250,000000
PINNACLE HEALTH FOUNDATION
409 S SECOND STREET PO BOX 8700HARRISBURGPA1710522269171800013303691330369$208,037$52,009000
COMMUNITY LIFE TEAM
409 S SECOND STREET PO BOX 8700HARRISBURGPA1710523189044400073047177304717$515,236$128,809000