UPMC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: UPMC (EIN 25-1778644)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201141369349301999
Schema version: 2009v1.7
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	2011-05-16T09:32:46-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2009-07-01	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	2011-05-13	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Julius Green CPA	Name
Phone	7178467000	Phone
Date Prepared	2011-05-11	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	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	791853673	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	4544	TotalNbrEmployees
Total Nbr Volunteers	532	TotalNbrVolunteers
Total Gross UBI	4025753	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	12323223	ContributionsGrantsPriorYear
Contributions Grants Current Year	6857923	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	537130580	ProgramServiceRevenuePriorYear
Program Service Revenue CY	552134240	ProgramServiceRevenueCY
Investment Income Prior Year	-12152335	InvestmentIncomePriorYear
Investment Income Current Year	1334284	InvestmentIncomeCurrentYear
Other Revenue Prior Year	862508	OtherRevenuePriorYear
Other Revenue Current Year	-795480	OtherRevenueCurrentYear
Total Revenue Prior Year	538163976	TotalRevenuePriorYear
Total Revenue Current Year	559530967	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	250239731	SalariesEtcPriorYear
Salaries Etc Current Year	261149682	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	280483556	OtherExpensePriorYear
Other Expenses Current Year	284364093	OtherExpensesCurrentYear
Total Expenses Prior Year	530723287	TotalExpensesPriorYear
Total Expenses Current Year	545513775	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7440689	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	14017192	RevenuesLessExpensesCY
Total Assets BOY	535108496	TotalAssetsBOY
Total Assets EOY	629460924	TotalAssetsEOY
Total Liabilities BOY	358339823	TotalLiabilitiesBOY
Total Liabilities EOY	437790572	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	176768673	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	191670352	NetAssetsOrFundBalancesEOY
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	451707970	Expense
Revenue	532561811	Revenue
Description	Pinnacle Health Hospitals (Corp 200)Since the founding of Pinnacle Health Hospitals in 1996, its mission has been to provide quality medical treatment and health care for everyone in the community, regardless of their ability to pay. In the broad sense, this care includes social, educational and nutritional services which help people to learn better how to care for themselves. 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.In addition, a variety of health-related services and programs are provided to the community and are partially or fully subsidized by Pinnacle Health Hospitals.Finally, Pinnacle Health Hospitals provides or participates in a significant number of educational services and programs dedicated to the training of health professionals.The materials that follow describe some of the various patient services, community programs, and educational training provided by Pinnacle Health Hospitals.Community Health Improvement ServicesAs one of the largest providers of women's hospital services in the state of Pennsylvania, Pinnacle Health Hospitals offers a variety of clinical, education and support services to women in the greater Harrisburg area.Community Health EducationMammography Voucher Program (200-4301) provides a free mammography program for low income, at risk women.WomanCare Resource Centers (200-4301) offer a variety of opportunities to become better informed on health issues which affect women. These include classes, seminars, discussion groups, counseling sessions and a referral library. Membership is free to over 33,000 members.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. Kidshape is a pediatric weight management program offering education and support to children ages 6-14 and their families. Pinnacle Health has been approved as one of the KidShape facilitators, offering the free nine-week program to those families in need. (200-1076)Community health fairs.Consumer health information service provided by the LibraryCommunity 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 screening Body composition screening Prostate screening Podiatric screening Infant Development screenings Speech and hearing screenings Depression and anxiety screenings Lead Poison Bone Density Diabetes Education Nutrition Therapy Education programs Lead Poisoning Screenings Regional Cancer Center's (200-8007) 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 (200-0827) 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 (200-7187) 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. As described in the Hospital's Mission statement, Pinnacle Health System is committed to providing professional and community health education programs which will enhance the health status of the people we serve. Toward that end, Pinnacle Health Hospitals provided the following professional education programs: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. Auxilliary 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. (200-1101)Nurse/Family Partnership program (200-7021) - 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 renown, evidence based, nurse home visitation program that improvise the health, well-being and self sufficiency of low income, first time parents and their children. Children's Resource Center (200-0128) (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	15120055	Expense
Revenue	14271871	Revenue
Description	Pinnacle Health Emergency Department Services (Corp 205)Pinnacle 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 2010, Harrisburg Hospital Emergency Department had 56,926 billed patient visits and Community General Hospital had 34,118 billed patient visits.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	466828025	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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
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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	4544	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
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	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	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
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	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

Form990 Part VII Section A Form990PartVIISectionA (32 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	1.80	X	X	0	0	0
ROGER LONGENDERFER MD
PRESIDENT/CEO	8.70	X	X	0	687286	276616
Cynthia T Tolsma
Vice-Chairman	0.20	X	X	0	0	0
EDNA V BAEHRE PHD
DIRECTOR	0.50	X		0	0	0
Theodore Bernstein
DIRECTOR	1.30	X		0	0	0
JOHN O CAMPBELL
DIRECTOR	1.60	X		0	0	0
Gregory Cavoli
DIRECTOR	0.50	X		0	0	0
Susan S Cohen
DIRECTOR	1.00	X		0	0	0
Paul J Creary MD
DIRECTOR	1.00	X		0	0	0
Bony R Dawood
DIRECTOR	1.60	X		0	0	0
George F Grode
dIRECTOR	3.10	X		0	0	0
Felix Gutierrez MD
DIRECTOR	0.90	X		0	0	0
Denise F Harr MD
DIRECTOR	1.00	X		0	0	0
Mark Kimmel Esq
DIRECTOR	0.40	X		0	0	0
M Richard Kleiman
DIRECTOR	1.20	X		0	0	0
Deborah S Miller
DIRECTOR	1.40	X		0	0	0
Douglas A Neidich
DIRECTOR	0.50	X		0	0	0
Larry L Sollenberger MD
DIRECTOR	1.50	X		0	0	0
Dennis Walsh
dIRECTOR	0.60	X		0	0	0
Clarence E Asbury
DIRECTOR	2.30	X		0	0	0
Paul A Kunkel MD
DIRECTOR	0.10	X		0	0	0
William H Pugh
Treasurer	28.20		X	0	348480	42998
CHRISTOPHER P MARKLEY ESQ
SECRETARY	22.00		X	0	331390	48198
RICHARD C SENECA ESQ
ASST. SECRETARY	34.00		X	259935	0	0
KIM KELLY
CRNA	40.00			488023	0	32068	X
Wendy Biedrzycki
CRNA	40.00			327747	0	23256	X
Edward Hildrew
Er Physician	40.00			354332	0	58160	X
John Goldman
ER Physician	40.00			291575	0	34881	X
Julian Gutierrez
er Physician	40.00			289720	0	41749	X
E Danfield-surviving sps
Former director	0.00			61929	0	0		X
E Fletcher-surviving sps
Former director	0.00			16143	0	0		X
Jesse A Weigel
former director	0.00			27963	0	0		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2117367	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1367156	TotalReportableCompFrmRltdOrgs
Total Other Compensation	557926	TotalOtherCompensation
Number Individuals GT100 K	131	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	15416728
SODEXO
PO Box 905374	Charlotte	NC	28290	Food services	13830200
CPTA Inc
205 South Front Street	harrisburg	PA	17104	Transplant services	3191409
Up to Date Laundry Inc
1221 Desoto Road	Baltimore	MD	21223	Laundry services	1302746
Quest Diagnostics Nichols Institute
12436 Collections Center Drive	Chicago	IL	60693	diagnostic laboratory services	1153338

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	44	NumberOfContractorsGT100K
Federated Campaigns	18000	FederatedCampaigns
Related Organizations	532342	RelatedOrganizations
Government Grants	4677428	GovernmentGrants
All Other Contributions	1630153	AllOtherContributions
Total Contributions	6857923	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	547522475	543521245	4001230
contracted medical ser	621500	3018848	3018848
misc inpatient/outpati	621500	464215	464215
medical education	900099	342073	342073
Toxicology membership	900099	163050	163050

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	623579	TotalRevenueColumn
Related Or Exempt Function Income	623579	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	552134240	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1258976	TotalRevenueColumn
Related Or Exempt Function Income	-1299328	RelatedOrExemptFunctionIncome
Exclusion	$2,558,304	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	7714361	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	9341040	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-1626679	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-1626679	TotalRevenueColumn
Unrelated Business Revenue	24523	UnrelatedBusinessRevenue
Exclusion	-$1,651,202	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	223039315	Securities
Other	17659	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	222414872	Securities
Other	566794	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	624443	Securities
Other	-549135	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	75308	TotalRevenueColumn
Exclusion	$75,308	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Miscellaneous Income	900099	494912	$494,912
Cafeteria Sales	900099	131666	$131,666
Parking Fees	900099	114527	$114,527

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	90094	TotalRevenueColumn
Exclusion	$90,094	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	831199	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	559530967	TotalRevenueColumn
Related Or Exempt Function Income	546833682	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4025753	UnrelatedBusinessRevenue
Exclusion	$1,813,609	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	265318	Total
Program Services	131492	ProgramServices
Management And General	133826	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	192873609	Total
Program Services	177041720	ProgramServices
Management And General	15831889	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	21887577	Total
Program Services	19748990	ProgramServices
Management And General	2138587	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	31800828	Total
Program Services	28926045	ProgramServices
Management And General	2874783	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	14322350	Total
Program Services	10175486	ProgramServices
Management And General	4146864	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	14115196	Total
Program Services	83280	ProgramServices
Management And General	14031916	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	54118	Total
Program Services	26821	ProgramServices
Management And General	27297	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	114907	Total
Program Services	52478	ProgramServices
Management And General	62429	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	95983	Total
Management And General	95983	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	54352466	Total
Program Services	40403017	ProgramServices
Management And General	13949449	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1398333	Total
Program Services	179686	ProgramServices
Management And General	1218647	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	109877606	Total
Program Services	107357186	ProgramServices
Management And General	2520420	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4473714	Total
Program Services	2761565	ProgramServices
Management And General	1712149	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	20838043	Total
Program Services	15371068	ProgramServices
Management And General	5466975	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	356294	Total
Program Services	288600	ProgramServices
Management And General	67694	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	942875	Total
Program Services	797416	ProgramServices
Management And General	145459	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	10482681	Total
Program Services	7525780	ProgramServices
Management And General	2956901	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	31234398	Total
Program Services	24645394	ProgramServices
Management And General	6589004	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5062157	Total
Program Services	3897839	ProgramServices
Management And General	1164318	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad Debts Expense	30018766	27016889	3001877
Temp. Restricted Donati	533293	133323	399970
Dues and Subscriptions	243229	110299	132930
Miscellaneous Expense	170034	153651	16383

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	545513775	Total
Program Services	466828025	ProgramServices
Management And General	78685750	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5834	BOY
EOY	4704	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	803600	BOY
EOY	918392	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	62835194	BOY
EOY	56411226	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	4267522	BOY
EOY	2747263	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	11917900	BOY
EOY	11860354	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6221045	BOY
EOY	6879061	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	763785898	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	468456950	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	274534601	BOY
EOY	295328948	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	144915461	BOY
EOY	222168206	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	6313933	BOY
EOY	6157458	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	23293406	BOY
EOY	26985312	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	535108496	BOY
EOY	629460924	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	146474989	BOY
EOY	153858256	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	447530	BOY
EOY	264008	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	187536946	BOY
EOY	253250368	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	9485440	BOY
EOY	11935494	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	14394918	BOY
EOY	18482446	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	358339823	BOY
EOY	437790572	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	150490279	BOY
EOY	161192189	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11375319	BOY
EOY	14372294	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14903075	BOY
EOY	16105869	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	176768673	BOY
EOY	191670352	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	535108496	BOY
EOY	629460924	EOY

Field	Value	IRS element (for citing)
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	12053845	OtherCostOrOtherBasis
Book Value	12053845	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	372305007	OtherCostOrOtherBasis
Depreciation	199697651	Depreciation
Book Value	172607356	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10813748	OtherCostOrOtherBasis
Depreciation	4505374	Depreciation
Book Value	6308374	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	308535125	OtherCostOrOtherBasis
Depreciation	253655608	Depreciation
Book Value	54879517	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	60078173	OtherCostOrOtherBasis
Depreciation	10598317	Depreciation
Book Value	49479856	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	295328948	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Advances from Third-Party Payors	$3,809,400
Due to third party payors	$9,070,476
Accrued Long-Term Swap Contract	$5,602,570

Field	Value	IRS element (for citing)
Total Of Amounts	18482446	TotalOfAmounts
Total Revenue	559530967	TotalRevenue
Total Expenses	545513775	TotalExpenses
Excess Or Deficit For Year	14017192	ExcessOrDeficitForYear
Net Unrealized GL On Investments	11609026	NetUnrealizedGLOnInvestments
Other	-$10,724,539	OtherAmount
Total Adjustments	884487	TotalAdjustments
Excess Or Deficit Per FS	14901679	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	574445118	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	8411078	NetUnrealizedGainsInvestments
Other Revenues	1423968	OtherRevenues
Revenue Not Rptd F990	9835046	RevenueNotRptdF990
Revenue Subtotal	564610072	RevenueSubtotal
Other Revenues Not Included	-5079105	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-5079105	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	559530967	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	554757793	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	9341040	OtherExpensesIncluded
Expenses Not Rptd F990	9341040	ExpensesNotRptdF990
Expenses Subtotal	545416753	ExpensesSubtotal
Investment Expenses Not Included2	97022	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	97022	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	545513775	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part X:	Description of Uncertain Tax Positions Under FIN 48:	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: 723547. Fund balance transfer - Pinnacle health System: 33933532. Fund balance transfer - Pinnacle Health Medical Services: -31127135. Fund Balance transfer - Pinnacle Health Home Care & Hospice: -11810893. Fund Balance Transfer - Community Life Team: -2218209. Fund Balance Transfer - Pinnacle Health Foundation: -225381.
Part XII, Line 2d - Other Adjustments:		Net Assets Released from Restrictions: 1425007. Investment fees reported net of investment income: -1039.
Part XII, Line 4b - Other Adjustments:		Restricted Contributions: 4266815. Investment income from restricted assets: 26065. Net realized losses from sale of restricted investments: -563287. rental expenses shown net of rental income: -9341040. Unrestricted contributions from Pinnacle Health Foundation: 532342.
Part XIII, Line 2d - Other Adjustments:		rental expenses shown net of rental income: 9341040.

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	4905299	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	4905299	NetCommunityBenefitExpense
Percent Of Total Expense	0.00950	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	58093699	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39663691	DirectOffsettingRevenue
Net Community Benefit Expense	18430008	NetCommunityBenefitExpense
Percent Of Total Expense	0.03580	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	62998998	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39663691	DirectOffsettingRevenue
Net Community Benefit Expense	23335307	NetCommunityBenefitExpense
Percent Of Total Expense	0.04530	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2261213	TotalCommunityBenefitExpense
Direct Offsetting Revenue	280	DirectOffsettingRevenue
Net Community Benefit Expense	2260933	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13425882	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5466589	DirectOffsettingRevenue
Net Community Benefit Expense	7959293	NetCommunityBenefitExpense
Percent Of Total Expense	0.01540	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	29274	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	29274	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3611946	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	3611946	NetCommunityBenefitExpense
Percent Of Total Expense	0.00700	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19328315	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5466869	DirectOffsettingRevenue
Net Community Benefit Expense	13861446	NetCommunityBenefitExpense
Percent Of Total Expense	0.02690	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	82327313	TotalCommunityBenefitExpense
Direct Offsetting Revenue	45130560	DirectOffsettingRevenue
Net Community Benefit Expense	37196753	NetCommunityBenefitExpense
Percent Of Total Expense	0.07220	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	71813	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	71813	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	196	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	196	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	22298	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	22298	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	94307	TotalCommunityBuildingExpense
Net Community Building Expense	94307	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$12,796,705	BadDebtExpenseAmount
Amount Attributable To	4172467	AmountAttributableTo
Amount Reimbursed By Medicare	113773577	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	111571221	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	2202356	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 (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
West Shore Surgery Center Ltd
Surgical Care - Medical Services	0.49000	0.00000	0.49000
Susquehanna Valley Surgery Center
Surgical Care - Medical Services	0.50000	0.00000	0.50000

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

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
111 South Front Street	Harrisburg	PA	17101	X	X	X	X	X
Pinnacle health Hospitals - Community
4300 Londonderry Road	Harrisburg	PA	17109	X	X	X	X	X

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Annual Community Benefit Expln	Part I, Line 6a: The community benefit report is prepared by Pinnacle Health System, the parent organization.	AnnualCommunityBenefitExpln
Costing Method Used	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.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: The subsidized health services include costs associated with the expanded Emergency Room services during Fiscal Year 2010 to respond to the H1N1 Flu Pandemic to meet the needs of the community for testing and response. The subsidized services also include prescription medications that were provided at no or very little cost to inpatients that otherwise would not have been able to obtain the medications.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: 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 $30,018,766.	PercentOfTotalExpenseExpln
Bad Debt Footnote	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 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.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: The Medicare costs were determined based on the Hospitals' cost accounting system allocation of costs based on the services rendered. The entire amount should be treated as community benefit as this shortfall must be supplemented by the community through higher charges and payor rates.	ShortfallAsCommunityBenefit
Debt Collection Policy	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 at all the registration sites. In addition, the patient account statements contain language that indicates there is financial aid available for qualifying individuals. Furthermore, the Hospital contracts with a third party, MedeAnalytics, to review patient data to determine if certain patient accounts may qualify for charity care. Once the data is reviewed and the patient account indicates it may be possible for charity care, the patient may be contacted in writing of the policy and provided an application. Not all patients receive an application as it is a case by case basis depending on each patient's financial situation. Once the patient returns to the Hospital a completed application, along with supporting documentation, the Hospital will review the data and provide a determination within two weeks. If approved, the discount is applied to all open accounts and is effective for six months from the date of approval. Patients provided partial financial aid discounts are expected to make reasonable payment arrangements.	DebtCollectionPolicy
Needs Assessment	Part VI, Line 2: As a co-sponsor of the 2007 Community Needs Assessment conducted by the Drexel University School of Public Health, Pinnacle Health 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. Pinnacle Health Hospitals has 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.Pinnacle Health Hospitals 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. Pinnacle searches the Health Indicators Warehouse for data related to Healthy People 2020 objectives developed by the National Center for Health Statistics. 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.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: Patients are informed of available assistance in numerous ways. Signage is posted 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 our financial counselors to discuss the financial assistance options available to them. 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 the hospital endowment.	PatientEducationAssistance
Community Information	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 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 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 population. Other demographic statistics of Harrisburg include 27.9 percent of the population is under the age of 18, 39.4 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 81.9 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 47th out of a total of 67 Pennsylvania Counties in an assessment of the overall health of each county. The PA department of health 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, breast cancer incidence, lung cancer incidence, heart disease and stroke.	CommunityInformation
Community Building Activities	Part VI, Line 5: Pinnacle Health Hospitals' long standing relationship with the local community positions us as a leader at improving the community's overall well-being. We actively support the United Way of the Capital Region and our Senior Leadership leads a charge to incrementally increase employee giving and financial support. We work collaboratively with the Harrisburg Chamber of Commerce to improve the economic development of the community including the Harrisburg Downtown Improvement District and Team Pennsylvania Foundation to help build and retain a qualified workforce in Pennsylvania. The Pinnacle Health Foundation granted the Latino Hispanic American Community Center a computer to allow clients to access the internet to apply for public assistance programs including job placement and health insurance. As previously noted, Pinnacle Health co-sponsored the 2007 Community Needs Assessment conducted by the Drexel University School of Public Health, to provide the community evidence-based findings to outline community health improvement strategies. Additionally Pinnacle Health Hospitals supports the Institute for Cultural Partnerships to facilitate opportunities for understanding among diverse cultures and communities. Pinnacle Health Hospitals' staff collaborates with traditional health care focused organizations including the American Health Association, American Lung Association, American Cancer Society, American Diabetes, YMCA, and Central Pennsylvania Food Bank to provide resources and expertise.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. 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. 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.Recently, Pinnacle Health Hospitals initiated the creation of a jointly owned psychiatric hospital in collaboration with Hershey Medical Center. This venture was pursued due to growing community needs for psychiatric services and closing of the state-operated psychiatric hospital.As a trusted place for our community to go for access to public health services and information, our staff of professionals meets the needs of a diverse population with cultural awareness and sensitivity. In 2009, the Children's Resource Center evaluated 877 children in the region for child abuse which is an increase over prior years. More than 5,000 children were screened for lead poisoning with 13% confirmations of poisoning. Since the inception of the lead poisoning screening program in 2004, we have assisted more than 872 patients with medication assistance, with a growing number being served each year. More than 450 active HIV positive patients are served by Pinnacle Health Hospitals while the numbers continue to grow by 13% each year. These initiatives are part of over $62 million of uncompensated care, charity care and community benefits provided by Pinnacle Health Hospitals to those in need in Central Pennsylvania.Many of the community needs are initially addressed through the emergency departments of Pinnacle Health Hospitals where more than 90,000 patients are seen each year. In addition, women and children's clinics are provided for those without insurance or with minimal ability to pay. In 2008, 16,700 visits were provided through the Women's Outpatient Health Center and 18,743 were provided through the Children and Teen Center.Although in its infancy stages, Pinnacle is convening a network of health centers to broaden its reach to the underserved populations. The Keystone Community Care Continuum includes four Community Health Centers working collaboratively with Pinnacle Health Hospitals' leadership to develop information technology to improve access to and integration of care for our regions most needy populations. The three main goals are to increase access to care, build capacity and performance of community clinics, and enhance coordination of care between Pinnacle Health Hospitals and community clinics.	CommunityBuildingActivities
Other Information	Part VI, Line 6: 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. Currently more than 85% of the medical staff of the Hospital is community based. Other community based medical staff which serve at the hospital include nurse practitioners, physician assistants, psychologists and nurse midwives. The hospital also provides training for both medical students and residents in a number of specialties. The Hospital has two ACGME accredited residency programs as well as four AOA accredited teaching programs. The Hospital uses its surplus funds to renovate and expand patient care areas included to provide patient services which may not be currently available in the community. Recent projects include a $28 million project to renovate and expand the Emergency Department at the Harrisburg Hospital due to the importance of this area in the Harrisburg community, a greater than $28 million dollar project to create expanded oncology services to the greater Harrisburg community and additional expansion and renovation to existing sites within the Hospital campuses to ensure the Hospital is meeting the needs of the community we serve. 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.-Improving the Health of Our Youth Program - 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.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: Pinnacle Health Hospitals is part of the Pinnacle Health System, a fully integrated, affiliated health care system. The system is comprised of six 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 Homecare is dedicated to providing high quality, holistic home care services to homebound individuals of all ages with intermittent skilled needs. Pinnacle Health Hospice is dedicated to providing comprehensive, individualized, quality care to terminally ill adults, children and their families regardless of personal or financial circumstances. Pinnacle Health Medical Services is primarily engaged in the provision of physician services to support and enhance the services within Pinnacle Health Hospitals and Pinnacle Health System. 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 $121,129 of charity care. 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 - $858,404 in Community Health Improvement Services, Health Professions Education, Community Benefit Operations and Cash and In-kind contributions-Pinnacle Health Medical Services - $672,395 in Community Health Improvement Services-Pinnacle Health Home Care & Hospice - $226,000 in Subsidized health services-Pinnacle Health Foundation - $11,791 in Community Benefit OperationsThe above community benefit activities would have contributed an additional 0.34% of benefit provided to the central Pennsylvania community had they been reportable by the Pinnacle Health Hospital. 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 procedures and a bereavement camp for children and teens.	AffiliatedHealthCareSystem
Reports Filed With States	PA	ReportsFiledWithStates

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
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	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	0	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
ROGER LONGENDERFER MD
0	574336	0	86636	0	26314	0	223989	0	52627	0	963902	0	0
William H Pugh
0	298589	0	35726	0	14165	0	13627	0	29371	0	391478	0	0
CHRISTOPHER P MARKLEY ESQ
0	267132	0	29268	0	34990	0	14833	0	33365	0	379588	0	0
RICHARD C SENECA ESQ
259935	0	0	0	0	0	0	0	0	0	259935	0	0	0
KIM KELLY
483583	0	0	0	4440	0	14846	0	17222	0	520091	0	0	0
Wendy Biedrzycki
327747	0	0	0	0	0	11364	0	11892	0	351003	0	0	0
Edward Hildrew
236199	0	11463	0	106670	0	33246	0	24914	0	412492	0	0	0
John Goldman
204765	0	62210	0	24600	0	12308	0	22573	0	326456	0	0	0
Julian Gutierrez
185734	0	9425	0	94561	0	14730	0	27019	0	331469	0	0	0
E Danfield-surviving sps
61929	0	0	0	0	0	0	0	0	0	61929	0	0	0
E Fletcher-surviving sps
16143	0	0	0	0	0	0	0	0	0	16143	0	0	0
Jesse A Weigel
27963	0	0	0	0	0	0	0	0	0	27963	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation
Part I, Line 1a	Roger Longenderfer, M.D., President and CEO, received a reimbursement for personal financial services. The reimbursement was included in his taxable compensation.
Part I, Line 4a	Roger Longenderfer, M.D., President and CEO was covered by a 457(f) Supplemental Retirement Agreement (SERP) which was not funded in the current year.

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
Dauphin County General Authority
232336949	23825ECL6	2009-06-24	187538449	refund Series 2004, 2005 & 2007, SWAP termination, capital projects	0	0
Dauphin County General Authority
232336949	23825ecx0	2009-08-31	70000000	Capital projects	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Amount DefeasedAmountDefeased	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent
187538449	9493675	168307000	2962259	6775515	2009	1	0	1	1
70000000			536506	53278497		0	0	0	1	16184997

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	0.00000	0.02060	0.02060	1
0	0	0	0	1	0.00000	0.00780	0.00780	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Denise F Harr MD Partner with Heritage Medical Group
Board Director	450000	See Sch O - Contract termination related to Hospitalist coverage agreement with medical group in which Dr. Harr is a Partner. Payment was made to the group, not Dr. Harr directly.	0
Felix Gutierrez MD President of Moffitt Heart & Vascular Group
Board Director	360217	See Sch O - Cardiology services agreement with medical group in which Dr. Gutierrez is an owner. Payment was made to the group, not Dr. Gutierrez directly.	0
(no name)
			0
(no name)
			0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	ExplanationExplanation
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 Form 990's 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 interest of PHS, including, but not limited to (a) engaging in or seeking to be engaged in (i) the delivery of health care services or (ii) the delivery of goods or services to PHS, or (b) any transaction or arrangement with PHS which would result in benefit to covered persons. The Governance Committee of the PHS Board reviews all conflict of interest statements and determines whether each director on the Board is independent. Covered persons who are Directors must comply with the Pinnacle Health System Guidelines for determining director independence and applying director independence requirements. Covered persons with a conflict of interest shall not vote on the matter, and the PHS Board or committee must approve, authorize, or ratify the transaction or arrangement by a majority vote of the non-interested directors or committee members present at a meeting that has a quorum. Violations of this statement of policy may subject covered persons to appropriate sanctions, including removal from their positions with PHS.
Form 990, Part VI, Section B, line 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's 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. Roger Longenderfer, M.D. William H. Pugh Richard C. Seneca, Esq.
Form 990, Part XI, Line 2C:	Pinncale 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 LLC
409 SOUTH SECOND STREET PO BOX 8700	HARRISBURG	PA	17105	861057582	Medical Emergency Services	PA	14271871	1533802	N/A
pinnacle health cumberland condominium association
409 SOUTH SECOND STREET PO BOX 8700	hARRISBURG	PA	171058700	208977427	Condominium Association	PA	0	6251	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
Pinnacle health System
409 South Second Street PO Box 8700	Harrisburg	PA	171058700	251778658	management and consultative services for related entities	PA	501(c)(3)	Line 11c, III-FI	N/A
Pinnacle health Medical Services
409 South Second Street PO Box 8700	harrisburg	PA	171058700	251709054	Physician services	PA	501(c)(3)	Line 3	N/A
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	N/A
Community Life TEam
409 South Second Street PO Box 8700	harrisburg	PA	171058700	231890444	Medical transport services	PA	501(c)(3)	Line 9	N/A
Pinnacle health HomeCare & Hospice
409 South Second Street PO Box 8700	harrisburg	PA	171058700	232024121	skilled homecare services and services to terminally ill	PA	501(c)(3)	Line 3	N/A

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 NA	N/A	DirectControllingEntityNA
Predominant Income Type	related	PredominantIncomeType
Share Of Total Income	1071101	ShareOfTotalIncome
Share Of EOY Assets	1313787	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 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 HM 2450	Hamilton HM JX	BD	BD

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 (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
west shore surgery center Ltd
A	627144
west shore surgery center Ltd
Q	270102
Pinnacle Health Home Care & Hospice
A	155861
Pinnacle Health Home Care & Hospice
Q	160008