UPMC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: UPMC (EIN 25-1778644)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201321359349301582
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T08:59:17-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	232932984	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARENTEBEARD LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	SUITE 200 221 W PHILADELPHIA ST	AddressLine1
City	YORK	City
State	PA	State
ZIP Code	174012993	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	251778644	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PINNACLE HEALTH HOSPITALS	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PINN	NameControl
Phone	7172318245	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	409 SOUTH SECOND ST PO BOX 8700	AddressLine1
City	HARRISBURG	City
State	PA	State
ZIP Code	171058700	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WILLIAM H PUGH	Name
Title	TREASURER/CFO	Title
Phone	7172318245	Phone
Date Signed	2013-05-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS GREEN CPA	Name
PTIN	P00350393	PTIN
Phone	7178467000	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	WILLIAM H PUGH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	409 SOUTH SECOND ST PO BOX 8700	AddressLine1
City	HARRISBURG	City
State	PA	State
ZIP Code	171058700	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	812147714	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.PINNACLEHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	INPATIENT AND OUTPATIENT NON-PROFIT HEALTHCARE SERVICES FOR CITIZENS OF THE LOCAL COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	4533	TotalNbrEmployees
Total Nbr Volunteers	461	TotalNbrVolunteers
Total Gross UBI	3476976	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6634714	ContributionsGrantsPriorYear
Contributions Grants Current Year	4563329	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	602219557	ProgramServiceRevenuePriorYear
Program Service Revenue CY	685536106	ProgramServiceRevenueCY
Investment Income Prior Year	4942988	InvestmentIncomePriorYear
Investment Income Current Year	4751454	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-1027022	OtherRevenuePriorYear
Other Revenue Current Year	2979262	OtherRevenueCurrentYear
Total Revenue Prior Year	612770237	TotalRevenuePriorYear
Total Revenue Current Year	697830151	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	266807037	SalariesEtcPriorYear
Salaries Etc Current Year	277613958	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	307799228	OtherExpensePriorYear
Other Expenses Current Year	338070547	OtherExpensesCurrentYear
Total Expenses Prior Year	574606265	TotalExpensesPriorYear
Total Expenses Current Year	615684505	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	38163972	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	82145646	RevenuesLessExpensesCY
Total Assets BOY	661811208	TotalAssetsBOY
Total Assets EOY	674650752	TotalAssetsEOY
Total Liabilities BOY	433311643	TotalLiabilitiesBOY
Total Liabilities EOY	503128863	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	228499565	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	171521889	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	PROVIDING BOTH INPATIENT AND OUTPATIENT HEALTHCARE SERVICES ON A NON-PROFIT BASIS FOR CITIZENS OF THE SURROUNDING COMMUNITY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	499958583	Expense
Revenue	666948067	Revenue
Description	PINNACLE HEALTH HOSPITALS PINNACLE HEALTH HOSPITALS SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNINSURED, UNABLE TO PAY, OR ARE ON GOVERNMENT PROGRAMS 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 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 IS 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 SCREENINGBODY COMPOSITION SCREENINGPROSTATE SCREENINGINFANT DEVELOPMENT SCREENINGSSPEECH AND HEARING SCREENINGSDEPRESSION AND ANXIETY SCREENINGSBONE DENSITYNUTRITION THERAPY EDUCATION PROGRAMSLEAD POISONING SCREENINGS PINNACLE HEALTH-FOX CHASE REGIONAL 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, PHYSIATRISTS, 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.TOXICOLOGY CENTER IS A NEEDED COMMUNITY SERVICE THAT PROVIDES SPECIALIZED CARE AND RELEVANT TREATMENT TO ADULTS AND ADOLESCENTS AS A RESULT OF OVERDOSE OR ACCIDENTAL POISONING. THE TOXICOLOGY CENTER FILLS A CRITICAL PUBLIC HEALTH GAP, IS A SIGNIFICANT RESOURCE TO THE REGION AND ACROSS THE STATE AND DEDICATED TO THE EMERGENT NEEDS OF UNINTENTIONAL INJURY AND OPERATES AT A LOSS. 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 OF 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	18305124	Expense
Revenue	15211472	Revenue
Description	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 TWO EMERGENCY DEPARTMENTS, (HARRISBURG HOSPITAL AND COMMUNITY GENERAL 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 2012, PINNACLE HEALTH HOSPITALS TREATED 107,616 PATIENTS IN ITS TWO EMERGENCY DEPARTMENTS THIS WAS AN INCREASE OF 5.3% OVER THE PRIOR YEAR AND WAS MADE POSSIBLE DUE TO THE COMPLETION OF THE EXPANSION OF THE EMERGENCY DEPARTMENT AT THE HARRISBURG HOSPITAL SITE.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	518263707	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	234	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4533	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM H PUGH CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7172318245	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	409 SOUTH SECOND ST	AddressLine1
City	HARRISBURG	City
State	PA	State
ZIP Code	171058700	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ROBERT L LYON
CHAIRMAN	0.70	X	X	0	0	0
GEORGE F GRODE
VICE-CHAIRMAN	0.70	X	X	0	0	0
JOHN O CAMPBELL
DIRECTOR	0.70	X		0	0	0
FELIX GUTIERREZ MD
DIRECTOR	0.30	X		0	351498	31401
M RICHARD KLEIMAN
DIRECTOR	0.30	X		0	0	0
DEBORAH S MILLER
DIRECTOR	0.50	X		0	0	0
LARRY L SOLLENBERGER MD
DIRECTOR	0.70	X		0	0	0
CLARENCE E ASBURY
DIRECTOR	0.70	X		0	0	0
DENNIS WALSH
DIRECTOR	0.20	X		0	0	0
BONY R DAWOOD
DIRECTOR	0.70	X		0	0	0
DENISE F HARR MD
DIRECTOR (THRU APR 2012)	0.20	X		0	0	0
GREGORY CAVOLI
DIRECTOR	0.20	X		0	0	0
DOUGLAS C DYER
DIRECTOR (THRU SEP 2011)	0.20	X		0	0	0
STEVEN C KUSIC
DIRECTOR	0.60	X		0	0	0
KENNETH OKEN MD
DIRECTOR	0.40	X		0	0	0
MICHAEL L FERNANDEZ MD
DIRECTOR	0.30	X		0	0	0
JOHN C HICKEY
DIRECTOR	0.50	X		0	0	0
CAROLYN KREAMER PHD
DIRECTOR	0.40	X		0	0	0
MICHAEL A YOUNG
PRESIDENT/CEO	10.80	X	X	0	535864	5167
CHRISTOPHER P MARKLEY ESQ
SECRETARY	24.00		X	0	353696	47435
RICHARD C SENECA ESQ
ASST. SECRETARY	40.00		X	278280	0	0
WILLIAM H PUGH
TREASURER	28.00		X	0	401411	45360
NANCY HAMMONDS
ASST. TREASURER	26.00		X	0	145331	35560
KIM KELLY
CRNA	40.00			324203	0	34547	X
EDWARD HILDREW
ED PHYSICIAN	40.00			359384	0	59485	X
JULIAN GUTIERREZ
ED PHYSICIAN	40.00			343141	0	34291	X
JED SPRUCE SEITZINGER
ED PHYSICIAN	40.00			324668	0	44681	X
JOHN GOLDMAN MD
DIRECTOR, RESIDENCY	40.00			323217	0	36331	X
ROGER LONGENDERFER MD
FORMER PRESIDENT/CEO	0.00			0	615873	254		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1952893	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2403673	TotalReportableCompFrmRltdOrgs
Total Other Compensation	374512	TotalOtherCompensation
Number Individuals GT100 K	164	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SIEMENS MEDICAL SOLUTIONS USA INC
PO BOX 640401	PITTSBURGH	PA	15264	SOFTWARE SUPPORT SVCS	16153271
SODEXO
PO BOX 905374	CHARLOTTE	NC	28290	FOOD SERVICES	14214370
CPTA INC
205 SOUTH FRONT STREET	HARRISBURG	PA	17104	TRANSPLANT SERVICES	2903598
QUANTUM IMAGING & THERAPEUTIC ASSOCIATES
629-D LOWTHER ROAD	LEWISBERRY	PA	17339	RADIOLOGY SERVICES	1338447
MILTON HERSHEY MEDICAL CENTER
500 UNIVERSITY DR	HERSHEY	PA	17033	MEDICAL SERVICES	1242746

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	55	NumberOfContractorsGT100K
Federated Campaigns	24753	FederatedCampaigns
Related Organizations	440530	RelatedOrganizations
Government Grants	3101884	GovernmentGrants
All Other Contributions	996162	AllOtherContributions
Noncash Contributions	5457	NoncashContributions
Total Contributions	4563329	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE, NET	621500	681014368	677565333	3449035
CONTRACTED MEDICAL SER	621990	3177481	3177481
MEDICAL EDUCATION	900099	488105	488105
MISC INPATIENT/OUTPATI	621990	255562	255562
TOXICOLOGY MEMBERSHIP	900099	144875	144875

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	455715	TotalRevenueColumn
Related Or Exempt Function Income	455715	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	685536106	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	789290	TotalRevenueColumn
Related Or Exempt Function Income	72468	RelatedOrExemptFunctionIncome
Exclusion	$716,822	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	8558843	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	11341329	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-2782486	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-2782486	TotalRevenueColumn
Unrelated Business Revenue	27941	UnrelatedBusinessRevenue
Exclusion	-$2,810,427	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	104011043	Securities
Other	2927355	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	102445261	Securities
Other	530973	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1565782	Securities
Other	2396382	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3962164	TotalRevenueColumn
Exclusion	$3,962,164	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
HITECH REPORTING INCEN	900099	4451317	$4,451,317
VENDOR REBATE INCOME	900099	310667	$310,667
CAFETERIA SALES	900099	221659	$221,659

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	778105	TotalRevenueColumn
Exclusion	$778,105	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5761748	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	697830151	TotalRevenueColumn
Related Or Exempt Function Income	682159539	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3476976	UnrelatedBusinessRevenue
Exclusion	$7,630,307	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	278280	Total
Program Services	137916	ProgramServices
Management And General	140364	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	211307670	Total
Program Services	196709255	ProgramServices
Management And General	14598415	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	13929005	Total
Program Services	12456248	ProgramServices
Management And General	1472757	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	37196265	Total
Program Services	34030569	ProgramServices
Management And General	3165696	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	14902738	Total
Program Services	10563340	ProgramServices
Management And General	4339398	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	19143528	Total
Program Services	1468263	ProgramServices
Management And General	17675265	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	596141	Total
Program Services	295447	ProgramServices
Management And General	300694	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	26871	Total
Program Services	12272	ProgramServices
Management And General	14599	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	107876	Total
Management And General	107876	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	65929376	Total
Program Services	50373998	ProgramServices
Management And General	15555378	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2078637	Total
Program Services	267105	ProgramServices
Management And General	1811532	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	30642594	Total
Program Services	27693811	ProgramServices
Management And General	2948783	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6458342	Total
Program Services	4046272	ProgramServices
Management And General	2412070	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	36469754	Total
Program Services	21663230	ProgramServices
Management And General	14806524	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	412363	Total
Program Services	335259	ProgramServices
Management And General	77104	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1122727	Total
Program Services	949765	ProgramServices
Management And General	172962	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	10801901	Total
Program Services	7603508	ProgramServices
Management And General	3198393	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	38166985	Total
Program Services	29016340	ProgramServices
Management And General	9150645	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6341200	Total
Program Services	4884065	ProgramServices
Management And General	1457135	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	84894511	84894511
BAD DEBT EXPENSE	33862993	30476694	3386299
TEMP. RESTRICTED DONATI	647719	161930	485789
DUES AND SUBSCRIPTIONS	246432	109708	136724

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	120597	Total
Program Services	114201	ProgramServices
Management And General	6396	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	615684505	Total
Program Services	518263707	ProgramServices
Management And General	97420798	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4704	BOY
EOY	5278	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	541276	BOY
EOY	713872	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	63659797	BOY
EOY	79245851	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2639637	BOY
EOY	2521564	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	11419513	BOY
EOY	11552138	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6531967	BOY
EOY	8606302	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	742593447	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	410431839	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	331894236	BOY
EOY	332161608	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	206320298	BOY
EOY	205205880	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4875133	BOY
EOY	11110622	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	141669	BOY
EOY	330269	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	33782978	BOY
EOY	23197368	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	661811208	BOY
EOY	674650752	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	122941664	BOY
EOY	166859872	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	144720	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	279575398	BOY
EOY	274579531	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	19277133	BOY
EOY	43255812	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	11517448	BOY
EOY	18288928	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	433311643	BOY
EOY	503128863	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	194321459	BOY
EOY	144524071	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	15239834	BOY
EOY	8801077	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	18938272	BOY
EOY	18196741	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	228499565	BOY
EOY	171521889	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	661811208	BOY
EOY	674650752	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	82145646	ReconcilationRevenueExpenses
Reconcilation Other Changes	-139123322	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12756099	OtherCostOrOtherBasis
Book Value	12756099	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	442670382	OtherCostOrOtherBasis
Depreciation	231456401	Depreciation
Book Value	211213981	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13947695	OtherCostOrOtherBasis
Depreciation	6909897	Depreciation
Book Value	7037798	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	220944377	OtherCostOrOtherBasis
Depreciation	153063958	Depreciation
Book Value	67880419	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	52274894	OtherCostOrOtherBasis
Depreciation	19001583	Depreciation
Book Value	33273311	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	332161608	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ADVANCES FROM THIRD-PARTY PAYORS	$3,809,400
DUE TO THIRD PARTY PAYORS	$5,894,811
ACCRUED LONG-TERM SWAP CONTRACT	$8,584,717

Field	Value	IRS element (for citing)
Total Of Amounts	18288928	TotalOfAmounts
Total Revenue	697830151	TotalRevenue
Total Expenses	615684505	TotalExpenses
Excess Or Deficit For Year	82145646	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-1529794	NetUnrealizedGLOnInvestments
Other	-$137,593,528	OtherAmount
Total Adjustments	-139123322	TotalAdjustments
Excess Or Deficit Per FS	-56977676	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	706841694	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-1064245	NetUnrealizedGainsInvestments
Other Revenues	1772602	OtherRevenues
Revenue Not Rptd F990	708357	RevenueNotRptdF990
Revenue Subtotal	706133337	RevenueSubtotal
Investment Expenses Not Included	48061	InvestmentExpensesNotIncluded
Other Revenues Not Included	-8351247	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-8303186	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	697830151	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	626869597	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	11341329	OtherExpensesIncluded
Expenses Not Rptd F990	11341329	ExpensesNotRptdF990
Expenses Subtotal	615528268	ExpensesSubtotal
Investment Expenses Not Included2	155937	InvestmentExpensesNotIncluded2
Other Expenses Not Included	300	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	156237	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	615684505	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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:		CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY -48,689,926. FUND BALANCE TRANSFER - PINNACLE HEALTH SYSTEM -12,819,636. FUND BALANCE TRANSFER - PINNACLE HEALTH MEDICAL SERVICES -38,779,212. FUND BALANCE TRANSFER - PINNACLE HEALTH HOME CARE & HOSPICE -6,104,214. FUND BALANCE TRANSFER - COMMUNITY LIFE TEAM -3,152,963. FUND BALANCE TRANSFER - PINNACLE HEALTH FOUNDATION -193,142. FUND BALANCE TRANSFER - MEDICAL GROUP -3,017,057. FUND BALANCE TRANSFER - VENTURES 1,923,717. FUND BALANCE TRANSFER - PHCVI -27,439,192. HORIZON INVESTMENT VALUATION ADJUSTMENT 678,097. TOTAL TO SCHEDULE D, PART XI, LINE 8: -137,593,528.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		NET ASSETS RELEASED FROM RESTRICTIONS 1,772,602.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		RESTRICTED CONTRIBUTIONS 2,183,739. INVESTMENT INCOME FROM RESTRICTED ASSETS 99,458. NET REALIZED GAIN/LOSS FROM SALE OF RESTRICTED INVESTMENTS 81,916. RENTAL EXPENSES SHOWN NET OF RENTAL INCOME -11,341,329. UNRESTRICTED CONTRIBUTIONS FROM PINNACLE HEALTH FOUNDATION 445,688. ADDITIONAL GAINS PERMANENT RESTRICTED FUNDS 178,981. INSURANCE EXPENSE ADJUSTED FOR FOUNDATION CONTRIBUTIONS 300.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES SHOWN NET OF RENTAL INCOME 11,341,329. TENANT MONTHLY INCOME RECLASSED FROM EXPENSES
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		INSURANCE EXPENSE ADJUSTED FOR FOUNDATION CONTRIBUTIONS 300.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	250.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7070650	TotalCommunityBenefitExpense
Net Community Benefit Expense	7070650	NetCommunityBenefitExpense
Percent Of Total Expense	0.01150	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	64776302	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47015047	DirectOffsettingRevenue
Net Community Benefit Expense	17761255	NetCommunityBenefitExpense
Percent Of Total Expense	0.02880	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	71846952	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47015047	DirectOffsettingRevenue
Net Community Benefit Expense	24831905	NetCommunityBenefitExpense
Percent Of Total Expense	0.04030	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3604596	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1215	DirectOffsettingRevenue
Net Community Benefit Expense	3603381	NetCommunityBenefitExpense
Percent Of Total Expense	0.00590	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14814411	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6672429	DirectOffsettingRevenue
Net Community Benefit Expense	8141982	NetCommunityBenefitExpense
Percent Of Total Expense	0.01320	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3786339	TotalCommunityBenefitExpense
Net Community Benefit Expense	3786339	NetCommunityBenefitExpense
Percent Of Total Expense	0.00610	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22205346	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6673644	DirectOffsettingRevenue
Net Community Benefit Expense	15531702	NetCommunityBenefitExpense
Percent Of Total Expense	0.02520	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	94052298	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53688691	DirectOffsettingRevenue
Net Community Benefit Expense	40363607	NetCommunityBenefitExpense
Percent Of Total Expense	0.06550	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	5950	PersonsServed
Total Community Building Expense	39086	TotalCommunityBuildingExpense
Net Community Building Expense	39086	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Persons Served	250	PersonsServed
Total Community Building Expense	15000	TotalCommunityBuildingExpense
Net Community Building Expense	15000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	50	PersonsServed
Total Community Building Expense	87	TotalCommunityBuildingExpense
Net Community Building Expense	87	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Persons Served	1850	PersonsServed
Total Community Building Expense	1043	TotalCommunityBuildingExpense
Net Community Building Expense	1043	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Persons Served	1317	PersonsServed
Total Community Building Expense	2942	TotalCommunityBuildingExpense
Net Community Building Expense	2942	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	9417	PersonsServed
Total Community Building Expense	58158	TotalCommunityBuildingExpense
Net Community Building Expense	58158	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$13,222,552	BadDebtExpenseAmount
Amount Attributable To	5080666	AmountAttributableTo
Amount Reimbursed By Medicare	125941999	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	127610682	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1668683	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
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

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
PINNACLE HEALTH HOSPITALS - HARRISBURG
1	111 SOUTH FRONT STREET	HARRISBURG	PA	17101	X	X	X	X	X
PINNACLE HEALTH HOSPITALS - CGOH
2	4300 LONDONDERRY ROAD	HARRISBURG	PA	17109	X	X	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Insurance StatusInsuranceStatus	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
PINNACLE HEALTH HOSPITALS - HARRISBURG
1	1	1	250.000000000000	1	400.000000000000	1	X	X	1	1	X	X	X	X	X	1	0	1	X	0	0
PINNACLE HEALTH HOSPITALS - CGOH
2	1	1	250.000000000000	1	400.000000000000	1	X	X	1	1	X	X	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	7	NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType	Address Line2Address/AddressLine2
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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, L7 COL(F): THE AMOUNT OF BAD DEBT INCLUDED IN FORM 990, PART IX, LINE 25 AND NOT INCLUDED FOR THE PURPOSES OF CALCULATING THE APPLICABLE PERCENTAGES OF SCHEDULE H IS $33,862,993.
PART II: 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, 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 OPPORTUNITY FOR FAMILIES TO PARTICIPATE IN CLASSES TOGETHER TO LEARN ABOUT HEALTHY COOKING AND PHYSICAL ACTIVITY. OUR JOINT VENTURES WITH REGIONAL PHYSICIAN SPECIALTY GROUPS AND RADIOLOGICAL SERVICES ARE NUMEROUS. 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:CONGREGATIONAL HEALTH NETWORK (CHN)PINNACLEHEALTH SYSTEM KNOWS THAT 70% OF OUR PATIENTS BELONG TO A CONGREGATION IN CENTRAL PENNSYLVANIA. THE CHN IS A PARTNERSHIP BETWEEN CONGREGATIONS, THE HEALTHCARE SYSTEM AND THE COMMUNITY. BY NETWORKING WITH THESE PARTNERS, THE CHN WORKS TO IMPROVE THE HEALTH OF ALL IN OUR REGION. CONGREGATIONS PARTNER WITH PINNACLEHEALTH SYSTEM AND OTHERS TO PROVIDE A NETWORK OF HEALTH SUPPORT. AS A MEMBER OF CONGREGATION, AND AS A MEMBER OF THE CONGREGATIONAL HEALTH NETWORK (CHN), INDIVIDUALS HAVE ACCESS TO A WEALTH OF SUPPORT ON ISSUES SUCH AS PREVENTIVE MEDICINE AND FOLLOW-UP CARE. THE CHN WORKS WITH CONGREGATIONS TO EDUCATE AND PROVIDE A SUPPORTIVE NETWORK TO HELP INDIVIDUAL MEMBERS NAVIGATE THE HEALTH SYSTEM. TRAINED LEADERS AT LOCAL CONGREGATIONS AND AT PINNACLEHEALTH SYSTEM CAN HELP: 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.KEYSTONE COMMUNITY CARE CONTINUUM (KCCC) IN 2009, PINNACLEHEALTH LAUNCHED THE KEYSTONE COMMUNITY CARE CONTINUUM (KCCC), A COLLABORATION BETWEEN PINNACLEHEALTH AND FIVE COMMUNITY CLINICS TO IMPROVE ACCESS TO AND INTEGRATION OF CARE FOR OUR REGION'S NEEDIEST POPULATIONS. THIS INNOVATIVE PROGRAM REQUIRES THE COLLABORATION AND COOPERATION OF NUMEROUS ENTITIES BOTH INTERNAL AND EXTERNAL TO PINNACLEHEALTH TO ESTABLISH THE INFRASTRUCTURE TO SUPPORT THE IMPLEMENTATION OF PINNACLEHEALTH'S HEALTH INFORMATION EXCHANGE (HIE) TO COMMUNICATE CARE, DIAGNOSTIC NEEDS AND RESULTS AMONG THE CONTINUUM OF HEALTHCARE PROVIDERS.TO DATE, THE CONTINUUM PROJECT HAS SERVED 134 (43 PATIENTS 1ST QUARTER, 29 PATIENTS 2ND QUARTER, AND 62 PATIENTS THE 3RD QUARTER) PATIENTS AT THE HOPE WITHIN CLINIC AND BETHESDA MISSION, AND DISBURSED OVER $46,519.00 IN FREE CARE FUNDS TO PATIENTS. BASED ON THE ANALYSIS TO DATE AND PINNACLEHEALTH SYSTEM GOALS, THE FOLLOWING OUTCOMES HAVE BEEN ESTABLISHED FOR THE KCCC PROJECT: DECREASE READMISSIONS WITHIN THIRTY DAYS FOR COMMUNITY HEALTH CENTER PATIENTS FROM 23% TO 20% IN EIGHTEEN MONTHS. DECREASE PERCENT OF COMMUNITY HEALTH CENTER PATIENTS WITH ACUITY LEVELS OF 4 OR 5 IN THE ED FROM 55% TO 50% IN EIGHTEEN MONTHS. THIS 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 WILL BE 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, OUR PHH STAFF OF PROFESSIONALS MEETS THE NEEDS OF A DIVERSE POPULATION WITH CULTURAL AWARENESS AND SENSITIVITY. THE CHILDREN'S RESOURCE CENTER (CRC) PARTNERS WITH LAW ENFORCEMENT, DISTRICT ATTORNEY'S 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. IN 2012, 845 CHILDREN WERE SERVED ACROSS 24 COUNTIES IN THE CENTRAL PENNSYLVANIA REGION. WE SERVED APPROXIMATELY 500 NON-OFFENDING CAREGIVERS MAKING OUR TOTAL NUMBERS 1345 FOR THE YEAR. OUR MAIN SERVICE AREAS ARE DAUPHIN, CUMBERLAND, PERRY, LEBANON, SCHUYLKILL, MIFFLIN, AND JUNIATA COUNTIES.OVER THIS PAST YEAR, THE PINNACLEHEALTH CHILDHOOD LEAD PREVENTION PROGRAM SCREENED 6183 CHILDREN FOR LEAD POISONING OF WHICH 300 OF THESE CHILDREN WERE DETERMINED TO BE LEAD POISONED. THAT RESULT CALCULATES TO APPROXIMATELY 6% OF THE TOTAL NUMBER TESTED. IF PINNACLEHEALTH DID NOT TEST THESE CHILDREN AT HEAD STARTS, WIC'S, DAY CARES, AND HOME VISITS, THAT WOULD EQUATE TO 300 CHILDREN WHO WOULD MOST LIKELY GO UNDETECTED FOR LEAD POISONING. APPROXIMATELY 90% OF ALL THE CHILDREN WE TEST FOR LEAD ARE MEDICAL ASSISTANCE RECIPIENTS. PINNACLEHEALTH SERVES THE HIV/AIDS POPULATION THROUGH PINNACLE'S RESOURCE EDUCATION AND COMPREHENSIVE CARE FOR HIV (REACCH) CLINIC, IN CALENDAR YEAR 2012, 93% OF 465 CLIENTS WHO RECEIVED A RYAN WHITE PART B OR PART C SERVICE FROM REACCH WERE FROM DAUPHIN, CUMBERLAND, AND PERRY COUNTIES. REACCH HAS A HISTORY IN WORKING WITH PATIENTS OF RACIAL AND SOCIOECONOMIC DIVERSITY. PER 2012 REACCH DEMOGRAPHICS, 42% OF PATIENTS IDENTIFIED AS BLACK, AND 56% IDENTIFIED AS WHITE. PATIENTS WHO IDENTIFY AS HISPANIC (CAN INCLUDE OTHER DEMOGRAPHIC CATEGORIES) COMPRISED 10% OF THE REACCH POPULATION. IN ITS FIFTEEN YEARS IN EXISTENCE, REACCH HAS SUCCESSFULLY ACHIEIVED ZERO PERINATAL TRANSMISSIONS IN 88 PREGNANCIES. REACCH IS LOCATED IN WHAT IS CONSIDERED PART OF THE 'SOUTHCENTRAL' REGION OF PENNSYLVANIA IN THE PA DOH EPIDEMIOLOGICAL LITERATURE. THE SOUTHCENTRAL REGION'S HIV PREVALENCE RATE IS 173.26 PERSONS PER 100,000; SECOND ONLY IN THE STATE TO THE TWO REGIONS SURROUNDING PHILADELPHIA. IN THE STATEWIDE COORDINATED STATEMENT OF NEED FOR THE STATE OF PENNSYLVANIA (REACCH PERSONNEL CONTRIBUTED TO AUTHORSHIP), AN ESTIMATE IS GIVEN BY THE STATE EPIDEMIOLOGIST THAT 30% OF AN (ESTIMATED 960) PERSONS LIVING WITH HIV IN THE SOUTHCENTRAL REGION ARE NOT IN MEDICAL CARE. FOR A SENSE OF SCALE, IN 2011, THERE WERE 1,352 IDENTIFIED PEOPLE LIVING WITH HIV IN DAUPHIN, CUMBERLAND, AND PERRY COUNTIES. WITH 405 POTENTIAL PERSONS LIVING WITH HIV WHO ARE NOT YET DIAGNOSED (30% OF 1,352); REACCH RECOGNIZES THAT MEDICAL CARE CONTINUES TO BE A NECESSITY IN OUR REGION.
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 FORM 990, 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 DATA 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 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 THAT APPLY FOR FINANCIAL ASSISTANCE AND PROVIDE ALL THE NECESSARY DOCUMENTATION REQUIREMENTS ARE NOTIFIED WITHIN TWO WEEKS OF THE HOSPITALS' 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. APPLICANTS APPROVED FOR ONLY PARTIAL DISCOUNT WILL BE REQUIRED TO MAKE REASONABLE PAYMENT ARRANGEMENTS ON THEIR BALANCE IN ACCORDANCE TO 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: AS A CO-SPONSOR OF THE 2007 COMMUNITY NEEDS ASSESSMENT CONDUCTED BY THE DREXEL UNIVERSITY SCHOOL OF PUBLIC HEALTH, PINNACLEHEALTH HOSPITALS USES EVIDENCE-BASED FINDINGS TO OUTLINE COMMUNITY HEALTH IMPROVEMENT STRATEGIES. THIS "POINT-IN-TIME" STUDY NOTED, "THE HEALTH STATUS OF DAUPHIN COUNTY'S RESIDENTS IS POOR AND RANKS AMONG THE FIVE WORST IN PENNSYLVANIA FOR HIV/AIDS, SEXUALLY TRANSMITTED DISEASES, AND LOW BIRTH WEIGHT." SPECIFICALLY, SEVEN KEY NEEDS FOR ENHANCING PUBLIC HEALTH AND IMPROVING ACCESS TO PERSONAL HEALTH SERVICES WERE CITED: MATERNAL AND CHILD HEALTH; SEXUALLY TRANSMITTED DISEASES AND HIV/AIDS; EMERGENCY PREPAREDNESS; MEDICAL CARE AND SERVICES; DENTAL CARE; CHRONIC DISEASE PREVENTION AND MANAGEMENT; AND BEHAVIORAL HEALTH. THE STUDY ALSO IDENTIFIED THE LACK OF A SINGLE, WELL-KNOWN AND ACCEPTED PLACE FOR DAUPHIN COUNTY RESIDENTS TO GO FOR PUBLIC HEALTH SERVICES AND INFORMATION. PINNACLEHEALTH HOSPITALS HAVE USED THE RESULTS OF THIS STUDY TO DEVELOP A COMMUNITY HEALTH STRATEGY THAT IS BROAD IN SCOPE AND FOCUSED ON OUTCOMES THAT MEET THE SPECIFIC NEEDS OF A DIVERSE POPULATION.PINNACLEHEALTH HOSPITALS (PHH) ACCESSES VARIOUS STATE AND NATIONAL SOURCES FOR SECONDARY DATA, INCLUDING THE PENNSYLVANIA DEPARTMENT OF HEALTH EPIQMS SYSTEM (EPIDEMIOLOGIC QUERY AND MAPPING SYSTEM), AN INTERACTIVE HEALTH STATISTICS WEB TOOL WHERE YOU CAN CREATE CUSTOMIZED DATA TABLES, CHARTS, MAPS, AND COUNTY ASSESSMENTS/PROFILES FOR THE FOLLOWING DATASETS: -BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)-BIRTHS-CANCER INCIDENCE -COMMUNICABLE DISEASES (OTHER THAN STDS) -DEATHS -EMERGENCY MEDICAL SERVICES -ENVIRONMENTAL PUBLIC HEALTH TRACKING NETWORK (EPHTN) -INFANT DEATHS -POPULATION -SEXUALLY TRANSMITTED DISEASES (STDS) -TEEN PREGNANCIES (REPORTED)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 TO 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), FAMILYCARE PHYSICIAN PRACTICES, HOME HEALTH AND HOSPICE SERVICES, 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.AN UPDATED COMMUNITY HEALTH NEEDS ASSESSMENT IS BEING DEVELOPED DURING FISCAL YEAR 2013 IN COORDINATION WITH TWO HOSPITALS LOCATED WITHIN PINNACLEHEALTH HOSPITAL'S MAJOR SERVICE AREA.
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 UN-INSURED PATIENTS WHO ARE SCHEDULED FOR HIGH DOLLAR TESTS AND SURGERIES ARE CONTACTED BY ONE OF THE HOSPITALS 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.
PART VI, LINE 4: PINNACLE HEALTH HOSPITALS' (PHH) PRIMARY SERVICE AREA (PSA) CONSISTS OF 53 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 IN THE OUTLYING COUNTIES, SUBURBAN AND THE URBAN AREA OF THE CITY OF HARRISBURG. 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 REGISTERED HEALTH CARE SYSTEM. THE SECOND COMPETITOR IS A MEDICAL ACADEMIC HOSPITAL AFFILIATED WITH A LARGE STATE FUNDED PUBLIC UNIVERSITY AND THE FINAL COMPETITOR IS A SMALLER, NON-TEACHING NOT-FOR-PROFIT HOSPITAL. THE FIRST REHABILITATION HOSPITAL IS OWNED AND OPERATED BY A LARGE PUBLICLY REGISTERED CORPORATION AND THE OTHER REHABILITATION HOSPITAL IS OPERATED BY THE MEDICAL ACADEMIC HOSPITAL OF THE LARGE STATE FUNDED PUBLIC UNIVERSITY ALREADY MENTIONED. 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 49,000 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. OTHER DEMOGRAPHIC STATISTICS OF HARRISBURG INCLUDE 27.5 PERCENT OF THE POPULATION IS UNDER THE AGE OF 18, 41.6 PERCENT HAVE HOUSEHOLD INCOMES OF LESS THAN $25,000, 45 PERCENT OF CHILDREN LIVE BELOW THE FEDERAL POVERTY LINE, 77 PERCENT OF THE POPULATION IS COMPRISED OF ETHNICALLY DIVERSE MINORITY POPULATIONS AND FINALLY 22 PERCENT OF THE POPULATION IS ESTIMATED TO HAVE NO HEALTH INSURANCE AND 29 PERCENT HAVE MEDICAID INSURANCE. THE HOSPITAL'S MARKET SHARE OF THE CITY OF HARRISBURG'S MEDICAID POPULATION IS APPROXIMATELY 77.5 PERCENT. 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. RECENT PROJECTS INCLUDE A $34 MILLION PROJECT TO RENOVATE AND EXPAND THE EMERGENCY DEPARTMENT AT THE HARRISBURG HOSPITAL DUE TO THE IMPORTANCE OF THIS AREA IN THE HARRISBURG COMMUNITY, AND A GREATER THAN $32 MILLION DOLLAR PROJECT TO CREATE EXPANDED ONCOLOGY SERVICES TO THE GREATER HARRISBURG COMMUNITY. 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 FIVE 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.-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.
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 SEVEN 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 AND PINNACLE HEALTH MEDICAL GROUP ARE 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. 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 $455,731 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 - $1,454,883 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND CONTRIBUTIONS-PINNACLE HEALTH MEDICAL SERVICES - $684,394 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BASED CLINICAL SERVICES AND HEALTH CARE SUPPORT SERVICES-COMMUNITY LIFE TEAM - $175,818 IN SUBSIDIZED HEALTH SERVICES-PINNACLE HEALTH FOUNDATION - $434,568 IN COMMUNITY BENEFIT OPERATIONS AND FINANCIAL CONTRIBUTIONS. THE ABOVE COMMUNITY BENEFIT ACTIVITIES WOULD HAVE CONTRIBUTED AN ADDITIONAL 0.46% OF BENEFIT PROVIDED TO THE CENTRAL PENNSYLVANIA COMMUNITY HAD THEY BEEN REPORTABLE BY THE PINNACLE HEALTH HOSPITALS. OTHER COMMUNITY BENEFIT ACTIVITIES PROVIDED BY PINNACLE HEALTH SYSTEM WHICH ARE NOT DESCRIBED ABOVE ARE URBAN BASED CLINICS SERVING MOSTLY LOW INCOME, UNDERINSURED PATIENTS, URGENT CARE CENTERS THROUGHOUT THE SERVICE AREA, SEVERAL JOINT VENTURES WITH PHYSICIANS FOR AMBULATORY SURGERY AND IMAGING SERVICES.
PA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FELIX GUTIERREZ MD
0	301509	0	36891	0	13098	0	22774	0	8627	0	382899	0	0
MICHAEL A YOUNG
0	310826	0	146255	0	78783	0	0	0	5167	0	541031	0	0
CHRISTOPHER P MARKLEY ESQ
0	279185	0	46200	0	28311	0	14803	0	32632	0	401131	0	0
RICHARD C SENECA ESQ
278280	0	0	0	0	0	0	0	0	0	278280	0	0	0
WILLIAM H PUGH
0	339233	0	47600	0	14578	0	14700	0	30660	0	446771	0	0
NANCY HAMMONDS
0	127097	0	12400	0	5834	0	20947	0	14613	0	180891	0	0
KIM KELLY
323945	0	0	0	258	0	14806	0	19741	0	358750	0	0	0
EDWARD HILDREW
230587	0	15701	0	113096	0	34406	0	25079	0	418869	0	0	0
JULIAN GUTIERREZ
197011	0	13497	0	132633	0	14778	0	19513	0	377432	0	0	0
JED SPRUCE SEITZINGER
230693	0	9365	0	84610	0	14803	0	29878	0	369349	0	0	0
JOHN GOLDMAN MD
288279	0	8000	0	26938	0	12248	0	24083	0	359548	0	0	0
ROGER LONGENDERFER MD
0	592010	0	17760	0	6103	0	103	0	151	0	616127	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	ROGER 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, 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 * WRITTEN EMPLOYMENT CONTRACT * COMPENSATION SURVEY OR STUDY * APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD
PART I, LINES 4A-B	ROGER 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 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 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
DAUPHIN COUNTY GENERAL AUTHORITY
232336949	23825ECL6	2009-06-24	187538449	REFUND SERIES 2004, 2005 & 2007, SWAP TERMINATION, CAPITAL PROJECTS	0	0	0
DAUPHIN COUNTY GENERAL AUTHORITY
232336949	23825ECY8	2011-06-28	100000000	REFUND 2009B NOTES AND CAPITAL PROJECTS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent
11665000	187538449	9493675	168307000	2962259	6775515	2009	1	0	1	1
1250000	100000000		70000000	279272	27640702	2012	1	0	0	1	2080026

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	1	1	0	0.00410	0.00410	1
0	0	1	1	0	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
CITIGROUP
0	0	1	30.000000000000	0	0	0	0	0
(no name)
0	1	0				0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
RIVERSIDE
DIRECTOR FELIX GUTIERREZ, MD IS A PARTNER IN RIVERSIDE	710980	SEE PART V - RENTAL OF PHYSICIAN OFFICE SPACE.	0
M&T BANK
DIRECTOR JOHN CAMPBELL IS ADMINISTRATIVE VP OF PERSONAL TRUST WITH M&T BANK	132548	SEE PART V - INVESTMENT MANAGMENT SERVICES PROVIDED BY M&T BANK	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 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, 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 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 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 AND DIRECTORS HAVE WORKED AN AVERAGE OF 40 HOURS PER WEEK BETWEEN PINNACLE HEALTH HOSPITALS AND ALL RELATED ORGANIZATIONS OF PINNACLE HEALTH SYSTEM, THE PARENT COMPANY: CHRISTOPHER P. MARKLEY, ESQ. PHILIP GUARNESCHELLI WILLIAM H. PUGH RICHARD C. SENECA, ESQ. THE FOLLOWING DIRECTORS ARE ALSO DIRECTORS OF PINNACLE HEALTH SYSTEM, THE PARENT ORGANIZATION: ROBERT L. LYON GEORGE F. GRODE JOHN O. CAMPBELL SUSAN S. COHEN FELIX GUTIERREZ, MD M. RICHARD KLEIMAN DEBORAH S. MILLER DOUGLAS A. NEIDICH LARRY L. SOLLENBERGER, MD CLARENCE E. ASBURY DENNIS WALSH BONY R. DAWOOD DENISE F. HARR, MD GREGORY CAVOLI MARK KIMMEL, ESQ. DOUGLAS C. DYER STEVEN C. KUSIC KENNETH OKEN, MD MICHAEL L. FERNANDEZ, MD 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 AND PINNACLE HEALTH HOME CARE & HOSPICE, BOTH OF WHICH ARE RELATED ORGANIZATIONS.
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -1,529,794. CHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY -48,689,926. FUND BALANCE TRANSFER - PINNACLE HEALTH SYSTEM -12,819,636. FUND BALANCE TRANSFER - PINNACLE HEALTH MEDICAL SERVICES -38,779,212. FUND BALANCE TRANSFER - PINNACLE HEALTH HOME CARE & HOSPICE -6,104,214. FUND BALANCE TRANSFER - COMMUNITY LIFE TEAM -3,152,963. FUND BALANCE TRANSFER - PINNACLE HEALTH FOUNDATION -193,142. FUND BALANCE TRANSFER - MEDICAL GROUP -3,017,057. FUND BALANCE TRANSFER - VENTURES 1,923,717. FUND BALANCE TRANSFER - PHCVI -27,439,192. HORIZON INVESTMENT VALUATION ADJUSTMENT 678,097. TOTAL TO FORM 990, PART XI, LINE 5: -139,123,322.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	PINNACLE HEALTH HOSPITALS WAS INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SUPPLEMENTAL DATA FOR PINNACLE HEALTH SYSTEM AND ITS SUBSIDIARIES. 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 I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Direct Controlling Entity NADirectControllingEntityNA
PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC
409 SOUTH SECOND STREET PO BOX 8700	HARRISBURG	PA	17105	861057582	MEDICAL EMERGENCY SERVICES	PA	15233228	1566208	N/A
PINNACLE HEALTH CUMBERLAND CONDOMINIUM ASSOCIATION
409 SOUTH SECOND STREET PO BOX 8700	HARRISBURG	PA	171058700	208977427	CONDOMINIUM ASSOCIATION	PA	0	0	N/A

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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
PINNACLE HEALTH HOME CARE & HOSPICE
409 SOUTH SECOND STREET PO BOX 8700	HARRISBURG	PA	171058700	232024121	SKILLED HOMECARE SERVICES AND SERVICES TO THE TERMINALLY ILL	PA	501(C)(3)	LINE 3		1	PINNACLE HEALTH HOSPITALS

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	WEST SHORE SURGERY CENTER LTD	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	409 SOUTH SECOND STREET PO BOX 8700	AddressLine1
City	HARRISBURG	City
State	PA	State
ZIP Code	171058700	ZIPCode

Field	Value	IRS element (for citing)
EIN	251821415	EIN
Primary Activity	SURGICAL CARE - MEDICAL SERVICES	PrimaryActivity
Legal Domicile State	PA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SEE PART VII - SUPPLEMENTAL INFORMATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	1080523	ShareOfTotalIncome
Share Of EOY Assets	1138415	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.49000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
UNITED CENTRAL PA RISK RETENTION GROUP
76 ST PAUL STREET SUITE 500	BULINGTON	VT	054014477	134224033	CAPTIVE INSURANCE	VT	N/A	C
UNITED HEALTH RISK LTD
					CAPTIVE INSURANCE		N/A	C	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
CARDIOLOGY PRACTICE INC
PO BOX 8700	HARRISBURG	PA	17105	800658616	PHYSICIAN SERVICES	PA	N/A	C
PINNACLE HEALTH MEDICAL GROUP
PO BOX 8700	HARRISBURG	PA	17105	800771040	PHYSICIAN SERVICES	PA	N/A	C
PINNACLE HEALTH VENTURES INC
PO BOX 8700	HARRISBURG	PA	17105	611677624	HOLDING COMPANY	PA	N/A	C
PINNACLE HEALTH IMAGING INC
PO BOX 8700	HARRISBURG	PA	17105	231718571	RADIOLOGY SERVICES	PA	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
WEST SHORE SURGERY CENTER LTD
A	651345	FMV
WEST SHORE SURGERY CENTER LTD
Q	832642	FMV
PINNACLE HEALTH HOME CARE & HOSPICE
A	82677	FMV
PINNACLE HEALTH HOME CARE & HOSPICE
Q	80007	FMV
PINNACLE HEALTH HOME CARE & HOSPICE
B	6253929	FMV
PINNACLE HEALTH HOME CARE & HOSPICE
C	149715	FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP:	Identifier
Return Reference	FORM 990, SCHEDULE R, PART III	ReturnReference
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.	Explanation