TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) GEORGE F GRODE...................................................................... CHAIRMAN	0.20 ................. 0.30	X	X	0	0
(2) FELIX GUTIERREZ MD...................................................................... DIRECTOR	0.10 ................. 39.90	X		512,226	37,924
(3) DEBORAH S MILLER...................................................................... DIRECTOR	0.30 ................. 0.40	X		0	0
(4) CLARENCE E ASBURY...................................................................... VICE CHAIRMAN	0.20 ................. 0.20	X	X	0	0
(5) DENNIS WALSH...................................................................... DIRECTOR	0.10 ................. 0.20	X		0	0
(6) BONY R DAWOOD...................................................................... DIRECTOR	0.30 ................. 0.40	X		0	0
(7) STEVEN C KUSIC...................................................................... DIRECTOR	0.40 ................. 0.50	X		0	0
(8) KENNETH OKEN MD...................................................................... DIRECTOR	0.40 ................. 0.40	X		76,400	0
(9) MICHAEL L FERNANDEZ MD...................................................................... DIRECTOR	0.20 ................. 0.30	X		0	0
(10) JOHN C HICKEY...................................................................... DIRECTOR	0.40 ................. 0.40	X		0	0
(11) CAROLYN KREAMER PHD...................................................................... DIRECTOR	0.30 ................. 0.30	X		0	0
(12) MICHAEL A YOUNG...................................................................... PRESIDENT/CEO	14.00 ................. 26.00	X	X	1,330,867	27,853
(13) ROGER LEVIN MD...................................................................... DIRECTOR	0.40 ................. 0.50	X		0	0
(14) CYNTHIA TOLSMA...................................................................... DIRECTOR	0.40 ................. 0.50	X		0	0
(15) E GERALD WOODWARD MD...................................................................... DIRECTOR	0.20 ................. 0.20	X		0	0
(16) BARRY KAIN...................................................................... DIRECTOR	0.10 ................. 0.20	X		0	0
(17) DANIEL KAMBIC...................................................................... DIRECTOR	39.70 ................. 0.30	X		138,965	25,672

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MICHAEL MURCHIE........................................................................ DIRECTOR	0.20 .......................0.20	X				0	0	0
(19) DOUG NEIDICH........................................................................ DIRECTOR	0.40 .......................0.50	X				0	0	0
(20) HAROLD YANG........................................................................ DIRECTOR	0.10 .......................0.20	X				0	0	0
(21) CHRISTOPHER P MARKLEY ESQ........................................................................ SEC'Y/SR VP STAT SVCC/GEN COUNSEL	12.00 .......................28.00		X			0	501,066	31,109
(22) WILLIAM H PUGH........................................................................ TREASURER/SR VP CORP FIN/CFO	14.00 .......................26.00		X			0	746,821	23,704
(23) JOHN DELORENZO........................................................................ ASSISTANT SECRETARY	24.00 .......................16.00		X			0	0	0
(24) PHILIP GUARNESCHELLI........................................................................ SR VICE PRESIDENT/COO	30.00 .......................10.00			X		0	742,475	34,854
(25) FRANK DITRAGLIA........................................................................ ED PHYSICIAN	40.00 .......................				X	545,567	0	14,845
(26) R SCOTT RANKIN........................................................................ ED PHYSICIAN	40.00 .......................				X	558,667	0	37,637
(27) MARK BARABAS........................................................................ SR VICE PRESIDENT OPERATIO	40.00 .......................				X	545,389	0	27,853
(28) EDWARD HILDREW........................................................................ ED PHYSICIAN	40.00 .......................				X	456,663	0	37,649
(29) CHRISTIAN CAICEDO MD........................................................................ VP, OPERATIONS/MED DIR. W. SHORE	40.00 .......................0.00				X	469,953	0	34,378

(A) Name and business address	(B) Description of services	(C) Compensation
SODEXO PO BOX 905374 CHARLOTTE,NC28290	FOOD SERVICES	19,099,498
THE MILTON S HERSHEY MEDICAL CENTER PO BOX 853 HERSHEY,PA17033	CALL COVERAGE	1,966,574
SPECIALTYCARE PO BOX 11407 BIRMINGHAM,AL352461614	PERFUSION SERVICES	1,648,970
PULMONARY CRITICAL MED PC INC 1631 N FRONT STREET HARRISBURG,PA17102	RESPIRATORY AND CRITICAL CARE SERVICES	1,512,697
MEDDATA INC PO BOX 8403 CAROL STREAM,IL60197	BILLING AND COLLECTIONS	1,380,408
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 59

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

PINNACLE HEALTH HOSPITALS

Employer identification number

25-1778644

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

PINNACLE HEALTH HOSPITALS

Employer identification number

25-1778644

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization PINNACLE HEALTH HOSPITALS

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization PINNACLE HEALTH HOSPITALS		Employer identification number 25-1778644

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization PINNACLE HEALTH HOSPITALS			Employer identification number 25-1778644
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

PINNACLE HEALTH HOSPITALS

Employer identification number

25-1778644

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	14,692,463		14,692,463
b	Buildings	624,153,142	319,418,123	304,735,019
c	Leasehold improvements	17,164,359	12,164,648	4,999,711
d	Equipment ...	368,190,617	247,798,271	120,392,346
e	Other ...	54,736,164	11,210,955	43,525,209
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				488,344,748

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
ADVANCES FROM THIRD-PARTY PAYORS	3,809,400
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,809,400
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	824,242,280
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-16,661,355
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-106,987,434
e	Add lines 2a through 2d .....................			2e	-123,648,789
3	Subtract line 2e from line 1..................			3	947,891,069
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	-12,532,364
c	Add lines 4a and 4b....................			4c	-12,532,364
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	935,358,705

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	803,887,487
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	12,532,364
e	Add lines 2a through 2d....................			2e	12,532,364
3	Subtract line 2e from line 1...................			3	791,355,123
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	52,306
c	Add lines 4a and 4b.....................			4c	52,306
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	791,407,429

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE PINNACLE HEALTH SYSTEM EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. INCREASES OF $356 AND $780 WERE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE FISCAL YEAR ENDED JUNE 30, 2016 AND JUNE 30, 2015, RESPECTIVELY.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	FINANCING FRAMEWORK TRANSFERS -80,981,215. INTERCOMPANY TRANSFERS - NET ASSETS RELEASED 2,429,825. PENSION SETTLEMENT LOSS -1,359,586. BANK FEES -52,306. CHANGES TO TEMPORARY AND PERMANENTLY RESTRICTED ASSETS -5,300,752. LOSS ON BOND SETTLEMENT -21,723,400.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES SHOWN NET OF RENTAL INCOME -12,372,594. COST OF GOODS SOLD -159,770.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES SHOWN NET OF RENTAL INCOME 12,372,594. COST OF GOODS SOLD 159,770.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BANK FEES 52,306.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

PINNACLE HEALTH HOSPITALS

Employer identification number

25-1778644

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 25000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	13,310,199		13,310,199	1.680 %
b	Medicaid (from Worksheet 3, column a) . . . . .	92,989,751	66,745,044	26,244,707	3.320 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	106,299,950	66,745,044	39,554,906	5.000 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7,186,031		7,186,031	0.910 %
f	Health professions education (from Worksheet 5) . . .	8,528,694		8,528,694	1.080 %
g	Subsidized health services (from Worksheet 6) . . . .	322,259		322,259	0.040 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,010,126		1,010,126	0.130 %
j	Total. Other Benefits . .	17,047,110		17,047,110	2.160 %
k	Total. Add lines 7d and 7j .	123,347,060	66,745,044	56,602,016	7.160 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	131,308	294,516	294,516	0.040 %
4	Environmental improvements
5	Leadership development and training for community members	1,000	20,000	20,000	0 %
6	Coalition building
7	Community health improvement advocacy	200	149,796	149,796	0.020 %
8	Workforce development
9	Other		2,361,978	2,361,978	0.300 %
10	Total	132,508	2,826,290	2,826,290	0.360 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

13,310,199

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,671,961

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

151,527,136

Enter Medicare allowable costs of care relating to payments on line 5.....

157,666,737

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-6,139,601

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 WEST SHORE SURGERY CENTER LTD	SURGICAL CARE - MEDICAL SERVICES	45.000 %	0 %	49.000 %
22 SUSQUEHANNA VALLEY SURGERY CENTER	SURGICAL CARE - MEDICAL SERVICES	50.000 %	0 %	50.000 %
33 WALNUT BOTTOM RADIOLOGY LLC	OUTPATIENT IMAGING SERVICES	50.000 %	0 %	50.000 %
44 RIVER HEALTH ACO	SURGICAL CARE - MEDICAL SERVICES	70.000 %	0 %	30.000 %
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?3 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	PINNACLE HEALTH HOSPITALS - HARRISBURG 111 SOUTH FRONT STREET HARRISBURG,PA17101 WWW.PINNACLEHEALTH.ORG 340601	X	X	X	X	X
2	PINNACLE HEALTH HOSPITALS - CGOH 4300 LONDONDERRY ROAD HARRISBURG,PA17109 WWW.PINNACLEHEALTH.ORG 340601	X	X	X	X	X
3	PINNACLE HEALTH HOSPITALS - WEST SHORE 1995 TECHNOLOGY PARKWAY MECHANICSBURG,PA17050 WWW.PINNACLEHEALTH.ORG 340601	X	X	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PINNACLE HEALTH HOSPITALS - HARRISBURG
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.PINNACLEHEALTH.ORG

Other website (list url): WWW.HSH.ORG, WWW.PENNSTATEHERSHEY.ORG, WWW.PPIMHS.ORG

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.PINNACLEHEALTH.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PINNACLE HEALTH HOSPITALS - HARRISBURG
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

WWW.PINNACLEHEALTH.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.PINNACLEHEALTH.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	PINNACLE HEALTH HOSPITALS - HARRISBURG
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PINNACLE HEALTH HOSPITALS - CGOH
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.PINNACLEHEALTH.ORG

Other website (list url): WWW.HSH.ORG, WWW.PENNSTATEHERSHEY.ORG, WWW.PPIMHS.ORG

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.PINNACLEHEALTH.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PINNACLE HEALTH HOSPITALS - CGOH
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

WWW.PINNACLEHEALTH.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.PINNACLEHEALTH.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	PINNACLE HEALTH HOSPITALS - CGOH
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	PINNACLE HEALTH HOSPITALS - WEST SHORE
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.PINNACLEHEALTH.ORG

Other website (list url): WWW.HSH.ORG, WWW.PENNSTATEHERSHEY.ORG, WWW.PPIMHS.ORG

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.PINNACLEHEALTH.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PINNACLE HEALTH HOSPITALS - WEST SHORE
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

WWW.PINNACLEHEALTH.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.PINNACLEHEALTH.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	PINNACLE HEALTH HOSPITALS - WEST SHORE
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PINNACLE HEALTH HOSPITALS - HARRISBURG	PART V, SECTION B, LINE 6A: PENN STATE HERSHEY MEDICAL CENTERHOLY SPIRIT- A GEISINGER AFFILIATECARLISLE REGIONAL MEDICAL CENTERPENNSYLVANIA PSYCHIATRIC INSTITUTE
PINNACLE HEALTH HOSPITALS - CGOH	PART V, SECTION B, LINE 6A: PENN STATE HERSHEY MEDICAL CENTERHOLY SPIRIT-A GEISINGER AFFILIATECARLISLE REGIONAL MEDICAL CENTERPENNSYLVANIA PSYCHIATRIC INSTITUTE
PINNACLE HEALTH HOSPITALS - WEST SHORE	PART V, SECTION B, LINE 6A: PENN STATE HERSHEY MEDICAL CENTERHOLY SPIRIT-A GEISINGER AFFILIATECARLISLE REGIONAL MEDICAL CENTERPENNSYLVANIA PSYCHIATRIC INSTITUTE
PINNACLE HEALTH HOSPITALS - HARRISBURG	PART V, SECTION B, LINE 6B: HAMILTON HEALTH
PINNACLE HEALTH HOSPITALS - CGOH	PART V, SECTION B, LINE 6B: HAMILTON HEALTH
PINNACLE HEALTH HOSPITALS - WEST SHORE	PART V, SECTION B, LINE 6B: HAMILTON HEALTH
PINNACLE HEALTH HOSPITALS - HARRISBURG	PART V, SECTION B, LINE 7D: COMMUNITY EVENTS
PINNACLE HEALTH HOSPITALS - CGOH	PART V, SECTION B, LINE 7D: COMMUNITY EVENTS
PINNACLE HEALTH HOSPITALS - WEST SHORE	PART V, SECTION B, LINE 7D: COMMUNITY EVENTS
PINNACLE HEALTH HOSPITALS - HARRISBURG	PART V, SECTION B, LINE 11: AFTER REVIEWING THE DATA GENERATED FROM THE CHNA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, PINNACLEHEALTH DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN WITH EVIDENCE-BASED STRATEGIES. PINNACLEHEALTH PRESENTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012 AND IN ACCORDANCE WITH IRS REGULATIONS TO CONDUCT THE CHNA EVERY THREE YEARS, HAS COMPLETED AND APPROVED THE 2015 CHNA. AS A RESULT OF EXTENSIVE PRIMARY AND SECONDARY RESEARCH, WITH THE ASSISTANCE OF COMMUNITY MEMBERS AND COMMUNITY LEADERS, PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES. THE RESEARCH ILLUSTRATED THAT THERE IS A NEED FOR ADDITIONAL INFORMATION AND SERVICES THAT PROMOTE AND PROVIDE ACCESS TO HEALTH SERVICES (1), BEHAVIORAL HEALTH SERVICES (2), AND HEALTHY LIFESTYLES (3). PRIORITY 1: ACCESS TO HEALTH SERVICESTHE FINDINGS OF THE CHNA POINTED TO A GROWING ISSUE: LACK OF ACCESS TO QUALITY HEALTHCARE, SPECIFICALLY RELATED TO PRIMARY, SPECIALTY AND DENTAL CARE, IN MANY COMMUNITIES OF THE FIVE-COUNTY REGION OF PENNSYLVANIA. HEALTH INSURANCE COVERAGE, AFFORDABILITY, HEALTH LITERACY, CULTURAL COMPETENCE, COORDINATION OF COMPREHENSIVE CARE, AND THE AVAILABILITY OF PHYSICIANS ARE ALL FACTORS AFFECTING THE LEVEL OF HEALTHCARE ACCESS.PRIMARY CARESTRATEGY: PROVIDE INSURANCE ENROLLMENT SPECIALISTS AND FINANCIAL ADVISORS TO EDUCATE AND ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS.ACTIONS/TACTICS- EXPAND THE AVAILABILITY OF CERTIFIED APPLICATION COUNSELORS (CAC) IN EACH EMERGENCY ROOM TO IDENTIFY UNINSURED PATIENTS AS THEY REGISTER. - EXPAND OUTREACH EFFORTS TO INFORM AND ASSIST FAMILIES WITH ENROLLING IN CHILDREN'S HEALTH INSURANCE PLAN (CHIP) AND IMPROVE ACCESS TO MORE AFFORDABLE MEDICATIONS.STRATEGY: OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME MODELACTIONS/TACTICS- COLLABORATE WITH SOCIAL WORKERS, NURSE CARE MANAGERS, AND COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS TO ASSIST WITH SOCIAL PROGRAM ELIGIBILITY AND BARRIERS TO INSURANCE ACCESS.- PROVIDE HOME VISITS TO HIGH-RISK POPULATIONS. - EXPAND NAVIGATION TEAMS.STRATEGY: COLLABORATE WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED AND DIVERSE POPULATIONS.ACTIONS/TACTICS- PROVIDE CARE COORDINATION AMONG EACH HEALTH SYSTEM AND COMMUNITY HEALTH CLINICS - CONDUCT EDUCATIONAL EVENTS AND PROGRAMS THAT FOCUS ON THE TRADITIONS, CULTURES AND HEALTHCARE NEEDS OF UNIQUE AND DIVERSE POPULATIONS IN THE SERVICE AREA. - UTILIZE COMMUNITY PARTNERSHIPS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. SPECIALTY CARESTRATEGY:EXPAND HEART AND STROKE HEALTH EDUCATION AND SCREENINGS THROUGH COMMUNITY OUTREACH ACTIVITIES.ACTIONS/TACTICS- ENHANCE PUBLIC AWARENESS OF HEART AND VASCULAR HEALTH TO REDUCE HEART AND VASCULAR DISEASE MORTALITY AND MORBIDITY.- WORK WITH STROKE PROGRAM, CARDIOVASCULAR AND THORACIC SURGERY TEAMS TO FOCUS EDUCATION ON SCHOOL-AGED CHILDREN AND AT-RISK ADULTS IN COLLABORATION WITH THE COMMUNITY TEAM. STRATEGY:IMPROVE DIABETIC ADULT CAREACTIONS/TACTICS- IDENTIFY HIGH-RISK PATIENTS DURING THEIR HOSPITALIZATION WITH A DIAGNOSIS OF DIABETES AND PROVIDE ONGOING EDUCATION POST DISCHARGE.STRATEGY: IMPROVE CANCER CARE.ACTIONS/TACTICS- CONTINUE THE NORTHERN APPALACHIA CANCER NETWORK (NACN) AND HARRISBURG COMMUNITY CANCER NETWORK (HCCN) INITIATIVES- WORK WITH COMMUNITY CANCER SUPPORT GROUPS SUCH AS CATALYST TO REDUCE HEALTH DISPARITIES AND IMPROVE THE HEALTH OF OUR COMMUNITIES.- EXPAND FREE MAMMOGRAM VOUCHER PROGRAM (MVP) TO UNDERSERVED AND/OR UNDERINSURED WOMEN. STRATEGY:IMPROVE HIV/AIDS CAREACTIONS/TACTICS- CONTINUE TO PROVIDE THE RESOURCES, EDUCATION AND COMPREHENSIVE CARE (REACCH) PROGRAM TO HIV/AIDS CLIENTS. - CONTINUE TO WORK WITH ALDER HEALTH SERVICES FOR HIV AIDS CARE.DENTAL CARESTRATEGY: INCREASE UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT AND COORDINATE CARE OF URGENT DENTAL NEEDS WITH THE EMERGENCY DEPARTMENT.ACTIONS/TACTICS- UTILIZE VOLUNTEER DENTISTS IN THE SMILES NETWORK. - PARTNER WITH COMMUNITY CLINICS TO PROVIDE ONGOING PREVENTIVE DENTAL CARE OR NON-URGENT DENTAL CARE. HAMILTON HEALTH CENTER IS A LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT IS EQUIPPED WITH A STATE-OF-THE-ART DENTAL CLINIC.PRIORITY 2: BEHAVIORAL HEALTHBEHAVIORAL HEALTH ISSUES AFFECT NOT ONLY THE MENTAL WELL-BEING OF AN INDIVIDUAL, BUT ALSO SPIRITUAL, EMOTIONAL AND PHYSICAL HEALTH.UNMANAGED MENTAL ILLNESSES INCREASE THE LIKELIHOOD OF ADVERSE HEALTH OUTCOMES, CHRONIC DISEASE, AND SUBSTANCE ABUSE PARTLY DUE TO A DECREASE IN ACCESSING MEDICAL CARE.MENTAL HEALTHSTRATEGY: IMPROVE ACCESS AND CONTINUITY OF BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES.ACTIONS/TACTICS - CREATE A DIRECT ADMIT PROGRAM. - IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH SERVICES. INTEGRATE PINNACLEHEALTH PSYCHOLOGICAL ASSOCIATES (PHPA) SERVICES INTO THE PINNACLEHEALTH MEDICAL GROUP (PHMG).- INTEGRATE PSYCHOLOGICAL EVALUATION INTO PSYCHOLOGICAL MEDICAL OFFICES. - PARTNER WITH HAMILTON HEALTH CENTER TO PROVIDE BEHAVIORAL HEALTH SERVICES. - PROMOTE CONSUMER AND SYSTEM HEALTH LITERACY ON MENTAL HEALTH CONCERNS. - PPI WILL EXPLORE A PARTNERSHIP FOR A TELE-PSYCHIATRY PROGRAM TO PROVIDE BEHAVIORAL HEALTH CARE TO PATIENTS IN AN ACUTE SETTING.- ENHANCE BEHAVIORAL HEALTH SERVICES FOR CHILDREN IN NEED. - DESIGN NEW ADOLESCENT UNIT AT PPI. - COLLABORATE WITH PA YOUTH SUICIDE PREVENTION INITIATIVE, PPI AND SCHOOLS TO IMPROVE EARLY DETECTION AND REDUCE RISK OF YOUTH SUICIDE.SUBSTANCE ABUSESTRATEGY: DEVELOP INPATIENT AND COMMUNITY-BASED SUBSTANCE ABUSE EDUCATION AND TREATMENT SERVICES.ACTIONS/TACTICS- IMPLEMENT AN OPIOID TASK FORCE AND STEWARDSHIP PROGRAM (OTF&SP). - PPI WILL INITIATE AN OPIATE TREATMENT PROGRAM BY 2017. - PROMOTE MEDICAL STAFF AND COMMUNITY AWARENESS EDUCATION FOR PREVENTING PRESCRIPTION DRUG AND OPIOID MISUSE, ABUSE AND OVERDOSE. DRUGS 101: WHAT PARENTS AND KIDS NEED TO KNOW IS A PROGRAM THAT HELPS TO INCREASE DRUG AND ALCOHOL AWARENESS FOR PARENTS AND CHILDREN AGES 10 AND OLDER.THE PROGRAM IS UNIQUE BECAUSE IT INVOLVES BOTH PARENTS AND CHILDREN IN THE SAME EVENT.- REDUCE ACCESS TO PRESCRIPTION DRUGS, AND THE POSSIBILITY OF MISUSE AND ABUSE, BY PARTICIPATING IN NATIONAL DRUG TAKE BACK DAY AND PROMOTING DRUG TAKE BACK COLLECTION SITES AVAILABLE AT COMMUNITY POLICE DEPARTMENTS. - PARTICIPATE IN COLLABORATIVE EFFORTS TO IMPROVE POLICY AND ADDRESS DRUG ADDICTION AND ABUSE. - OFFER AL-ANON SUPPORT FOR THOSE IN NEED. PRIORITY 3: HEALTHY LIFESTYLESTHE CHNA REVEALED A LACK OF HEALTHY LIFESTYLES IN THE FIVE-COUNTY REGION.OBESITY, BEING OVERWEIGHT, POOR NUTRITION, LACK OF PHYSICAL ACTIVITY AND SMOKING ARE ASSOCIATED WITH PROFOUND, ADVERSE HEALTH CONDITIONS.THESE INCLUDE HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, TYPE 2 DIABETES, HEART DISEASE, SOME CANCERS, AND OTHER LIMITING PHYSICAL AND MENTAL HEALTH ISSUES.PHYSICAL ACTIVITYSTRATEGY: ASSESS AND EXPAND EXISTING VENUES FOR PHYSICAL ACTIVITY.ACTIONS/TACTICS- CONDUCT A WALK-FRIENDLY ASSESSMENT TO IMPROVE WALKABILITY. - EXPAND THE BAND TOGETHER PROGRAM. - INCREASE WALKING OPPORTUNITIES. - CONTINUE EAT SMART, PLAY SMART (ESPS). STRATEGY: INITIATE NEW PHYSICAL ACTIVITY PROGRAMS.ACTIONS/TACTICS- LAUNCH "GET FIT TOGETHER" PROGRAM IN COLLABORATION WITH YMCA. - ESTABLISH A HMC BIKE SHARE PROGRAM.INADEQUATE NUTRITION AND OBESITYSTRATEGY: INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION.ACTIONS/TACTICS- INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION THROUGH THE FOOD AS MEDICINE PROGRAM. - CONTINUE THE HERSHEY COMMUNITY GARDEN LOCATED ON THE HMC CAMPUS. - PARTNER WITH PENN STATE EXTENSION AND PPI TO DEVELOP MONTHLY HEALTH EDUCATION SESSIONS FOR FOOD PANTRY CLIENTS TO IMPROVE THEIR HEALTH.IN ADDITION, HMC FACULTY, STAFF AND STUDENTS HAVE COLLABORATED WITH STEELTON FOOD PANTRY (MARY'S HELPERS AT PRINCE OF PEACE PARISH) AND PENN STATE EXTENSION TO BRING HEALTH EDUCATION TO CHILDREN AS PART OF THEIR SUMMER FEEDING PROGRAM.- CONTINUE TO SUPPORT THE POWER PACK PROGRAM. STRATEGY: IDENTIFY AT-RISK YOUTH THROUGH SCHOOL-BASED ASSESSMENTS AND IMPLEMENT COMMUNITY NUTRITION EDUCATION AND OBESITY PREVENTION PROGRAMS.ACTIONS/TACTICS- CONDUCT SCHOOL-BASED ASSESSMENTS. - EXPAND COMMUNITY NUTRITION EDUCATION AND OBESITYSMOKING CESSATIONSTRATEGY: PROVIDE TOBACCO CESSATION PROGRAMS.ACTIONS/TACTICS- CONDUCT PENN STATE HERSHEY MEDICAL CENTER'S MONDAY NIGHT SUPPORT GROUP FOR COMMUNITY AND EMPLOYEES. - CONDUCT SMOKING CESSATION LUNCH AND LEARNS. - IMPLEMENT TEXT TO QUIT AND BETTER BREATHERS CLUBS. OFFER AT BOTH PINNACLEHEALTH CAMPUSES AND EXPAND TO COMMUNITY LOCATIONS AND MEASURE ANNUALLY.- CONDUCT INPATIENT-BASED TOBACCO CESSATION INITIATIVES. - CONDUCT CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) INITIATIVE. STRATEGY: DECREASE THE USE OF ANY TOBACCO PRODUCT AMONG MIDDLE AND HIGH SCHOOL STUDENTS.ACTIONS/TACTICS- PROVIDE TOBACCO PREVENTION PROGRAMS TO MIDDLE AND HIGH SCHOOL STUDENTS. - CONDUCT CARBON MONOXIDE (CO) TESTING AND OFFER PREVENTION EDUCATION AND
PINNACLE HEALTH HOSPITALS - CGOH	PART V, SECTION B, LINE 11: AFTER REVIEWING THE DATA GENERATED FROM THE CHNA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, PINNACLEHEALTH DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN WITH EVIDENCE-BASED STRATEGIES. PINNACLEHEALTH PRESENTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012 AND IN ACCORDANCE WITH IRS REGULATIONS TO CONDUCT THE CHNA EVERY THREE YEARS, HAS COMPLETED AND APPROVED THE 2015 CHNA. AS A RESULT OF EXTENSIVE PRIMARY AND SECONDARY RESEARCH, WITH THE ASSISTANCE OF COMMUNITY MEMBERS AND COMMUNITY LEADERS, PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES. THE RESEARCH ILLUSTRATED THAT THERE IS A NEED FOR ADDITIONAL INFORMATION AND SERVICES THAT PROMOTE AND PROVIDE ACCESS TO HEALTH SERVICES (1), BEHAVIORAL HEALTH SERVICES (2), AND HEALTHY LIFESTYLES (3). PRIORITY 1: ACCESS TO HEALTH SERVICESTHE FINDINGS OF THE CHNA POINTED TO A GROWING ISSUE: LACK OF ACCESS TO QUALITY HEALTHCARE, SPECIFICALLY RELATED TO PRIMARY, SPECIALTY AND DENTAL CARE, IN MANY COMMUNITIES OF THE FIVE-COUNTY REGION OF PENNSYLVANIA. HEALTH INSURANCE COVERAGE, AFFORDABILITY, HEALTH LITERACY, CULTURAL COMPETENCE, COORDINATION OF COMPREHENSIVE CARE, AND THE AVAILABILITY OF PHYSICIANS ARE ALL FACTORS AFFECTING THE LEVEL OF HEALTHCARE ACCESS.PRIMARY CARESTRATEGY: PROVIDE INSURANCE ENROLLMENT SPECIALISTS AND FINANCIAL ADVISORS TO EDUCATE AND ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS.ACTIONS/TACTICS- EXPAND THE AVAILABILITY OF CERTIFIED APPLICATION COUNSELORS (CAC) IN EACH EMERGENCY ROOM TO IDENTIFY UNINSURED PATIENTS AS THEY REGISTER. - EXPAND OUTREACH EFFORTS TO INFORM AND ASSIST FAMILIES WITH ENROLLING IN CHILDREN'S HEALTH INSURANCE PLAN (CHIP) AND IMPROVE ACCESS TO MORE AFFORDABLE MEDICATIONS.STRATEGY: OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME MODELACTIONS/TACTICS- COLLABORATE WITH SOCIAL WORKERS, NURSE CARE MANAGERS, AND COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS TO ASSIST WITH SOCIAL PROGRAM ELIGIBILITY AND BARRIERS TO INSURANCE ACCESS.- PROVIDE HOME VISITS TO HIGH-RISK POPULATIONS. - EXPAND NAVIGATION TEAMS.STRATEGY: COLLABORATE WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED AND DIVERSE POPULATIONS.ACTIONS/TACTICS- PROVIDE CARE COORDINATION AMONG EACH HEALTH SYSTEM AND COMMUNITY HEALTH CLINICS - CONDUCT EDUCATIONAL EVENTS AND PROGRAMS THAT FOCUS ON THE TRADITIONS, CULTURES AND HEALTHCARE NEEDS OF UNIQUE AND DIVERSE POPULATIONS IN THE SERVICE AREA. - UTILIZE COMMUNITY PARTNERSHIPS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. SPECIALTY CARESTRATEGY:EXPAND HEART AND STROKE HEALTH EDUCATION AND SCREENINGS THROUGH COMMUNITY OUTREACH ACTIVITIES.ACTIONS/TACTICS- ENHANCE PUBLIC AWARENESS OF HEART AND VASCULAR HEALTH TO REDUCE HEART AND VASCULAR DISEASE MORTALITY AND MORBIDITY.- WORK WITH STROKE PROGRAM, CARDIOVASCULAR AND THORACIC SURGERY TEAMS TO FOCUS EDUCATION ON SCHOOL-AGED CHILDREN AND AT-RISK ADULTS IN COLLABORATION WITH THE COMMUNITY TEAM. STRATEGY:IMPROVE DIABETIC ADULT CAREACTIONS/TACTICS- IDENTIFY HIGH-RISK PATIENTS DURING THEIR HOSPITALIZATION WITH A DIAGNOSIS OF DIABETES AND PROVIDE ONGOING EDUCATION POST DISCHARGE.STRATEGY: IMPROVE CANCER CARE.ACTIONS/TACTICS- CONTINUE THE NORTHERN APPALACHIA CANCER NETWORK (NACN) AND HARRISBURG COMMUNITY CANCER NETWORK (HCCN) INITIATIVES- WORK WITH COMMUNITY CANCER SUPPORT GROUPS SUCH AS CATALYST TO REDUCE HEALTH DISPARITIES AND IMPROVE THE HEALTH OF OUR COMMUNITIES.- EXPAND FREE MAMMOGRAM VOUCHER PROGRAM (MVP) TO UNDERSERVED AND/OR UNDERINSURED WOMEN. STRATEGY:IMPROVE HIV/AIDS CAREACTIONS/TACTICS- CONTINUE TO PROVIDE THE RESOURCES, EDUCATION AND COMPREHENSIVE CARE (REACCH) PROGRAM TO HIV/AIDS CLIENTS. - CONTINUE TO WORK WITH ALDER HEALTH SERVICES FOR HIV AIDS CARE.DENTAL CARESTRATEGY: INCREASE UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT AND COORDINATE CARE OF URGENT DENTAL NEEDS WITH THE EMERGENCY DEPARTMENT.ACTIONS/TACTICS- UTILIZE VOLUNTEER DENTISTS IN THE SMILES NETWORK. - PARTNER WITH COMMUNITY CLINICS TO PROVIDE ONGOING PREVENTIVE DENTAL CARE OR NON-URGENT DENTAL CARE. HAMILTON HEALTH CENTER IS A LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT IS EQUIPPED WITH A STATE-OF-THE-ART DENTAL CLINIC.PRIORITY 2: BEHAVIORAL HEALTHBEHAVIORAL HEALTH ISSUES AFFECT NOT ONLY THE MENTAL WELL-BEING OF AN INDIVIDUAL, BUT ALSO SPIRITUAL, EMOTIONAL AND PHYSICAL HEALTH.UNMANAGED MENTAL ILLNESSES INCREASE THE LIKELIHOOD OF ADVERSE HEALTH OUTCOMES, CHRONIC DISEASE, AND SUBSTANCE ABUSE PARTLY DUE TO A DECREASE IN ACCESSING MEDICAL CARE.MENTAL HEALTHSTRATEGY: IMPROVE ACCESS AND CONTINUITY OF BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES.ACTIONS/TACTICS - CREATE A DIRECT ADMIT PROGRAM. - IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH SERVICES. INTEGRATE PINNACLEHEALTH PSYCHOLOGICAL ASSOCIATES (PHPA) SERVICES INTO THE PINNACLEHEALTH MEDICAL GROUP (PHMG).- INTEGRATE PSYCHOLOGICAL EVALUATION INTO PSYCHOLOGICAL MEDICAL OFFICES. - PARTNER WITH HAMILTON HEALTH CENTER TO PROVIDE BEHAVIORAL HEALTH SERVICES. - PROMOTE CONSUMER AND SYSTEM HEALTH LITERACY ON MENTAL HEALTH CONCERNS. - PPI WILL EXPLORE A PARTNERSHIP FOR A TELE-PSYCHIATRY PROGRAM TO PROVIDE BEHAVIORAL HEALTH CARE TO PATIENTS IN AN ACUTE SETTING.- ENHANCE BEHAVIORAL HEALTH SERVICES FOR CHILDREN IN NEED. - DESIGN NEW ADOLESCENT UNIT AT PPI. - COLLABORATE WITH PA YOUTH SUICIDE PREVENTION INITIATIVE, PPI AND SCHOOLS TO IMPROVE EARLY DETECTION AND REDUCE RISK OF YOUTH SUICIDE.SUBSTANCE ABUSESTRATEGY: DEVELOP INPATIENT AND COMMUNITY-BASED SUBSTANCE ABUSE EDUCATION AND TREATMENT SERVICES.ACTIONS/TACTICS- IMPLEMENT AN OPIOID TASK FORCE AND STEWARDSHIP PROGRAM (OTF&SP). - PPI WILL INITIATE AN OPIATE TREATMENT PROGRAM BY 2017. - PROMOTE MEDICAL STAFF AND COMMUNITY AWARENESS EDUCATION FOR PREVENTING PRESCRIPTION DRUG AND OPIOID MISUSE, ABUSE AND OVERDOSE. DRUGS 101: WHAT PARENTS AND KIDS NEED TO KNOW IS A PROGRAM THAT HELPS TO INCREASE DRUG AND ALCOHOL AWARENESS FOR PARENTS AND CHILDREN AGES 10 AND OLDER.THE PROGRAM IS UNIQUE BECAUSE IT INVOLVES BOTH PARENTS AND CHILDREN IN THE SAME EVENT.- REDUCE ACCESS TO PRESCRIPTION DRUGS, AND THE POSSIBILITY OF MISUSE AND ABUSE, BY PARTICIPATING IN NATIONAL DRUG TAKE BACK DAY AND PROMOTING DRUG TAKE BACK COLLECTION SITES AVAILABLE AT COMMUNITY POLICE DEPARTMENTS. - PARTICIPATE IN COLLABORATIVE EFFORTS TO IMPROVE POLICY AND ADDRESS DRUG ADDICTION AND ABUSE. - OFFER AL-ANON SUPPORT FOR THOSE IN NEED. PRIORITY 3: HEALTHY LIFESTYLESTHE CHNA REVEALED A LACK OF HEALTHY LIFESTYLES IN THE FIVE-COUNTY REGION.OBESITY, BEING OVERWEIGHT, POOR NUTRITION, LACK OF PHYSICAL ACTIVITY AND SMOKING ARE ASSOCIATED WITH PROFOUND, ADVERSE HEALTH CONDITIONS.THESE INCLUDE HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, TYPE 2 DIABETES, HEART DISEASE, SOME CANCERS, AND OTHER LIMITING PHYSICAL AND MENTAL HEALTH ISSUES.PHYSICAL ACTIVITYSTRATEGY: ASSESS AND EXPAND EXISTING VENUES FOR PHYSICAL ACTIVITY.ACTIONS/TACTICS- CONDUCT A WALK-FRIENDLY ASSESSMENT TO IMPROVE WALKABILITY. - EXPAND THE BAND TOGETHER PROGRAM. - INCREASE WALKING OPPORTUNITIES. - CONTINUE EAT SMART, PLAY SMART (ESPS). STRATEGY: INITIATE NEW PHYSICAL ACTIVITY PROGRAMS.ACTIONS/TACTICS- LAUNCH "GET FIT TOGETHER" PROGRAM IN COLLABORATION WITH YMCA. - ESTABLISH A HMC BIKE SHARE PROGRAM.INADEQUATE NUTRITION AND OBESITYSTRATEGY: INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION.ACTIONS/TACTICS- INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION THROUGH THE FOOD AS MEDICINE PROGRAM. - CONTINUE THE HERSHEY COMMUNITY GARDEN LOCATED ON THE HMC CAMPUS. - PARTNER WITH PENN STATE EXTENSION AND PPI TO DEVELOP MONTHLY HEALTH EDUCATION SESSIONS FOR FOOD PANTRY CLIENTS TO IMPROVE THEIR HEALTH.IN ADDITION, HMC FACULTY, STAFF AND STUDENTS HAVE COLLABORATED WITH STEELTON FOOD PANTRY (MARY'S HELPERS AT PRINCE OF PEACE PARISH) AND PENN STATE EXTENSION TO BRING HEALTH EDUCATION TO CHILDREN AS PART OF THEIR SUMMER FEEDING PROGRAM.- CONTINUE TO SUPPORT THE POWER PACK PROGRAM. STRATEGY: IDENTIFY AT-RISK YOUTH THROUGH SCHOOL-BASED ASSESSMENTS AND IMPLEMENT COMMUNITY NUTRITION EDUCATION AND OBESITY PREVENTION PROGRAMS.ACTIONS/TACTICS- CONDUCT SCHOOL-BASED ASSESSMENTS. - EXPAND COMMUNITY NUTRITION EDUCATION AND OBESITYSMOKING CESSATIONSTRATEGY: PROVIDE TOBACCO CESSATION PROGRAMS.ACTIONS/TACTICS- CONDUCT PENN STATE HERSHEY MEDICAL CENTER'S MONDAY NIGHT SUPPORT GROUP FOR COMMUNITY AND EMPLOYEES. - CONDUCT SMOKING CESSATION LUNCH AND LEARNS. - IMPLEMENT TEXT TO QUIT AND BETTER BREATHERS CLUBS. OFFER AT BOTH PINNACLEHEALTH CAMPUSES AND EXPAND TO COMMUNITY LOCATIONS AND MEASURE ANNUALLY.- CONDUCT INPATIENT-BASED TOBACCO CESSATION INITIATIVES. - CONDUCT CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) INITIATIVE. STRATEGY: DECREASE THE USE OF ANY TOBACCO PRODUCT AMONG MIDDLE AND HIGH SCHOOL STUDENTS.ACTIONS/TACTICS- PROVIDE TOBACCO PREVENTION PROGRAMS TO MIDDLE AND HIGH SCHOOL STUDENTS. - CONDUCT CARBON MONOXIDE (CO) TESTING AND OFFER PREVENTION EDUCATION AND
PINNACLE HEALTH HOSPITALS - WEST SHORE	PART V, SECTION B, LINE 11: AFTER REVIEWING THE DATA GENERATED FROM THE CHNA AND MAPPING EXISTING INTERNAL AND COMMUNITY BASED RESOURCES, PINNACLEHEALTH DEVELOPED THE FOLLOWING IMPLEMENTATION PLAN WITH EVIDENCE-BASED STRATEGIES. PINNACLEHEALTH PRESENTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2012 AND IN ACCORDANCE WITH IRS REGULATIONS TO CONDUCT THE CHNA EVERY THREE YEARS, HAS COMPLETED AND APPROVED THE 2015 CHNA. AS A RESULT OF EXTENSIVE PRIMARY AND SECONDARY RESEARCH, WITH THE ASSISTANCE OF COMMUNITY MEMBERS AND COMMUNITY LEADERS, PROJECT LEADERSHIP IDENTIFIED THREE REGIONAL PRIORITIES. THE RESEARCH ILLUSTRATED THAT THERE IS A NEED FOR ADDITIONAL INFORMATION AND SERVICES THAT PROMOTE AND PROVIDE ACCESS TO HEALTH SERVICES (1), BEHAVIORAL HEALTH SERVICES (2), AND HEALTHY LIFESTYLES (3). PRIORITY 1: ACCESS TO HEALTH SERVICESTHE FINDINGS OF THE CHNA POINTED TO A GROWING ISSUE: LACK OF ACCESS TO QUALITY HEALTHCARE, SPECIFICALLY RELATED TO PRIMARY, SPECIALTY AND DENTAL CARE, IN MANY COMMUNITIES OF THE FIVE-COUNTY REGION OF PENNSYLVANIA. HEALTH INSURANCE COVERAGE, AFFORDABILITY, HEALTH LITERACY, CULTURAL COMPETENCE, COORDINATION OF COMPREHENSIVE CARE, AND THE AVAILABILITY OF PHYSICIANS ARE ALL FACTORS AFFECTING THE LEVEL OF HEALTHCARE ACCESS.PRIMARY CARESTRATEGY: PROVIDE INSURANCE ENROLLMENT SPECIALISTS AND FINANCIAL ADVISORS TO EDUCATE AND ENROLL UNINSURED ADULTS AND CHILDREN IN APPROPRIATE INSURANCE PLANS.ACTIONS/TACTICS- EXPAND THE AVAILABILITY OF CERTIFIED APPLICATION COUNSELORS (CAC) IN EACH EMERGENCY ROOM TO IDENTIFY UNINSURED PATIENTS AS THEY REGISTER. - EXPAND OUTREACH EFFORTS TO INFORM AND ASSIST FAMILIES WITH ENROLLING IN CHILDREN'S HEALTH INSURANCE PLAN (CHIP) AND IMPROVE ACCESS TO MORE AFFORDABLE MEDICATIONS.STRATEGY: OPTIMIZE THE PATIENT-CENTERED MEDICAL HOME MODELACTIONS/TACTICS- COLLABORATE WITH SOCIAL WORKERS, NURSE CARE MANAGERS, AND COMMUNITY-BASED SOCIAL SERVICE ORGANIZATIONS TO ASSIST WITH SOCIAL PROGRAM ELIGIBILITY AND BARRIERS TO INSURANCE ACCESS.- PROVIDE HOME VISITS TO HIGH-RISK POPULATIONS. - EXPAND NAVIGATION TEAMS.STRATEGY: COLLABORATE WITH COMMUNITY HEALTH CENTERS AND CLINICS TO COORDINATE CARE TO UNINSURED, UNDERINSURED AND DIVERSE POPULATIONS.ACTIONS/TACTICS- PROVIDE CARE COORDINATION AMONG EACH HEALTH SYSTEM AND COMMUNITY HEALTH CLINICS - CONDUCT EDUCATIONAL EVENTS AND PROGRAMS THAT FOCUS ON THE TRADITIONS, CULTURES AND HEALTHCARE NEEDS OF UNIQUE AND DIVERSE POPULATIONS IN THE SERVICE AREA. - UTILIZE COMMUNITY PARTNERSHIPS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. SPECIALTY CARESTRATEGY:EXPAND HEART AND STROKE HEALTH EDUCATION AND SCREENINGS THROUGH COMMUNITY OUTREACH ACTIVITIES.ACTIONS/TACTICS- ENHANCE PUBLIC AWARENESS OF HEART AND VASCULAR HEALTH TO REDUCE HEART AND VASCULAR DISEASE MORTALITY AND MORBIDITY.- WORK WITH STROKE PROGRAM, CARDIOVASCULAR AND THORACIC SURGERY TEAMS TO FOCUS EDUCATION ON SCHOOL-AGED CHILDREN AND AT-RISK ADULTS IN COLLABORATION WITH THE COMMUNITY TEAM. STRATEGY:IMPROVE DIABETIC ADULT CAREACTIONS/TACTICS- IDENTIFY HIGH-RISK PATIENTS DURING THEIR HOSPITALIZATION WITH A DIAGNOSIS OF DIABETES AND PROVIDE ONGOING EDUCATION POST DISCHARGE.STRATEGY: IMPROVE CANCER CARE.ACTIONS/TACTICS- CONTINUE THE NORTHERN APPALACHIA CANCER NETWORK (NACN) AND HARRISBURG COMMUNITY CANCER NETWORK (HCCN) INITIATIVES- WORK WITH COMMUNITY CANCER SUPPORT GROUPS SUCH AS CATALYST TO REDUCE HEALTH DISPARITIES AND IMPROVE THE HEALTH OF OUR COMMUNITIES.- EXPAND FREE MAMMOGRAM VOUCHER PROGRAM (MVP) TO UNDERSERVED AND/OR UNDERINSURED WOMEN. STRATEGY:IMPROVE HIV/AIDS CAREACTIONS/TACTICS- CONTINUE TO PROVIDE THE RESOURCES, EDUCATION AND COMPREHENSIVE CARE (REACCH) PROGRAM TO HIV/AIDS CLIENTS. - CONTINUE TO WORK WITH ALDER HEALTH SERVICES FOR HIV AIDS CARE.DENTAL CARESTRATEGY: INCREASE UTILIZATION OF THE SMILES PROGRAM TO MINIMIZE DENTAL CARE AS A BARRIER TO OVERALL HEALTH STATUS IMPROVEMENT AND COORDINATE CARE OF URGENT DENTAL NEEDS WITH THE EMERGENCY DEPARTMENT.ACTIONS/TACTICS- UTILIZE VOLUNTEER DENTISTS IN THE SMILES NETWORK. - PARTNER WITH COMMUNITY CLINICS TO PROVIDE ONGOING PREVENTIVE DENTAL CARE OR NON-URGENT DENTAL CARE. HAMILTON HEALTH CENTER IS A LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT IS EQUIPPED WITH A STATE-OF-THE-ART DENTAL CLINIC.PRIORITY 2: BEHAVIORAL HEALTHBEHAVIORAL HEALTH ISSUES AFFECT NOT ONLY THE MENTAL WELL-BEING OF AN INDIVIDUAL, BUT ALSO SPIRITUAL, EMOTIONAL AND PHYSICAL HEALTH.UNMANAGED MENTAL ILLNESSES INCREASE THE LIKELIHOOD OF ADVERSE HEALTH OUTCOMES, CHRONIC DISEASE, AND SUBSTANCE ABUSE PARTLY DUE TO A DECREASE IN ACCESSING MEDICAL CARE.MENTAL HEALTHSTRATEGY: IMPROVE ACCESS AND CONTINUITY OF BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES.ACTIONS/TACTICS - CREATE A DIRECT ADMIT PROGRAM. - IMPLEMENT AN INTEGRATED CARE MODEL FOR BEHAVIORAL HEALTH SERVICES. INTEGRATE PINNACLEHEALTH PSYCHOLOGICAL ASSOCIATES (PHPA) SERVICES INTO THE PINNACLEHEALTH MEDICAL GROUP (PHMG).- INTEGRATE PSYCHOLOGICAL EVALUATION INTO PSYCHOLOGICAL MEDICAL OFFICES. - PARTNER WITH HAMILTON HEALTH CENTER TO PROVIDE BEHAVIORAL HEALTH SERVICES. - PROMOTE CONSUMER AND SYSTEM HEALTH LITERACY ON MENTAL HEALTH CONCERNS. - PPI WILL EXPLORE A PARTNERSHIP FOR A TELE-PSYCHIATRY PROGRAM TO PROVIDE BEHAVIORAL HEALTH CARE TO PATIENTS IN AN ACUTE SETTING.- ENHANCE BEHAVIORAL HEALTH SERVICES FOR CHILDREN IN NEED. - DESIGN NEW ADOLESCENT UNIT AT PPI. - COLLABORATE WITH PA YOUTH SUICIDE PREVENTION INITIATIVE, PPI AND SCHOOLS TO IMPROVE EARLY DETECTION AND REDUCE RISK OF YOUTH SUICIDE.SUBSTANCE ABUSESTRATEGY: DEVELOP INPATIENT AND COMMUNITY-BASED SUBSTANCE ABUSE EDUCATION AND TREATMENT SERVICES.ACTIONS/TACTICS- IMPLEMENT AN OPIOID TASK FORCE AND STEWARDSHIP PROGRAM (OTF&SP). - PPI WILL INITIATE AN OPIATE TREATMENT PROGRAM BY 2017. - PROMOTE MEDICAL STAFF AND COMMUNITY AWARENESS EDUCATION FOR PREVENTING PRESCRIPTION DRUG AND OPIOID MISUSE, ABUSE AND OVERDOSE. DRUGS 101: WHAT PARENTS AND KIDS NEED TO KNOW IS A PROGRAM THAT HELPS TO INCREASE DRUG AND ALCOHOL AWARENESS FOR PARENTS AND CHILDREN AGES 10 AND OLDER.THE PROGRAM IS UNIQUE BECAUSE IT INVOLVES BOTH PARENTS AND CHILDREN IN THE SAME EVENT.- REDUCE ACCESS TO PRESCRIPTION DRUGS, AND THE POSSIBILITY OF MISUSE AND ABUSE, BY PARTICIPATING IN NATIONAL DRUG TAKE BACK DAY AND PROMOTING DRUG TAKE BACK COLLECTION SITES AVAILABLE AT COMMUNITY POLICE DEPARTMENTS. - PARTICIPATE IN COLLABORATIVE EFFORTS TO IMPROVE POLICY AND ADDRESS DRUG ADDICTION AND ABUSE. - OFFER AL-ANON SUPPORT FOR THOSE IN NEED. PRIORITY 3: HEALTHY LIFESTYLESTHE CHNA REVEALED A LACK OF HEALTHY LIFESTYLES IN THE FIVE-COUNTY REGION.OBESITY, BEING OVERWEIGHT, POOR NUTRITION, LACK OF PHYSICAL ACTIVITY AND SMOKING ARE ASSOCIATED WITH PROFOUND, ADVERSE HEALTH CONDITIONS.THESE INCLUDE HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, TYPE 2 DIABETES, HEART DISEASE, SOME CANCERS, AND OTHER LIMITING PHYSICAL AND MENTAL HEALTH ISSUES.PHYSICAL ACTIVITYSTRATEGY: ASSESS AND EXPAND EXISTING VENUES FOR PHYSICAL ACTIVITY.ACTIONS/TACTICS- CONDUCT A WALK-FRIENDLY ASSESSMENT TO IMPROVE WALKABILITY. - EXPAND THE BAND TOGETHER PROGRAM. - INCREASE WALKING OPPORTUNITIES. - CONTINUE EAT SMART, PLAY SMART (ESPS). STRATEGY: INITIATE NEW PHYSICAL ACTIVITY PROGRAMS.ACTIONS/TACTICS- LAUNCH "GET FIT TOGETHER" PROGRAM IN COLLABORATION WITH YMCA. - ESTABLISH A HMC BIKE SHARE PROGRAM.INADEQUATE NUTRITION AND OBESITYSTRATEGY: INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION.ACTIONS/TACTICS- INCREASE ACCESS TO HEALTHY FOOD CHOICES AND NUTRITION EDUCATION THROUGH THE FOOD AS MEDICINE PROGRAM. - CONTINUE THE HERSHEY COMMUNITY GARDEN LOCATED ON THE HMC CAMPUS. - PARTNER WITH PENN STATE EXTENSION AND PPI TO DEVELOP MONTHLY HEALTH EDUCATION SESSIONS FOR FOOD PANTRY CLIENTS TO IMPROVE THEIR HEALTH.IN ADDITION, HMC FACULTY, STAFF AND STUDENTS HAVE COLLABORATED WITH STEELTON FOOD PANTRY (MARY'S HELPERS AT PRINCE OF PEACE PARISH) AND PENN STATE EXTENSION TO BRING HEALTH EDUCATION TO CHILDREN AS PART OF THEIR SUMMER FEEDING PROGRAM.- CONTINUE TO SUPPORT THE POWER PACK PROGRAM. STRATEGY: IDENTIFY AT-RISK YOUTH THROUGH SCHOOL-BASED ASSESSMENTS AND IMPLEMENT COMMUNITY NUTRITION EDUCATION AND OBESITY PREVENTION PROGRAMS.ACTIONS/TACTICS- CONDUCT SCHOOL-BASED ASSESSMENTS. - EXPAND COMMUNITY NUTRITION EDUCATION AND OBESITYSMOKING CESSATIONSTRATEGY: PROVIDE TOBACCO CESSATION PROGRAMS.ACTIONS/TACTICS- CONDUCT PENN STATE HERSHEY MEDICAL CENTER'S MONDAY NIGHT SUPPORT GROUP FOR COMMUNITY AND EMPLOYEES. - CONDUCT SMOKING CESSATION LUNCH AND LEARNS. - IMPLEMENT TEXT TO QUIT AND BETTER BREATHERS CLUBS. OFFER AT BOTH PINNACLEHEALTH CAMPUSES AND EXPAND TO COMMUNITY LOCATIONS AND MEASURE ANNUALLY.- CONDUCT INPATIENT-BASED TOBACCO CESSATION INITIATIVES. - CONDUCT CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) INITIATIVE. STRATEGY: DECREASE THE USE OF ANY TOBACCO PRODUCT AMONG MIDDLE AND HIGH SCHOOL STUDENTS.ACTIONS/TACTICS- PROVIDE TOBACCO PREVENTION PROGRAMS TO MIDDLE AND HIGH SCHOOL STUDENTS. - CONDUCT CARBON MONOXIDE (CO) TESTING AND OFFER PREVENTION EDUCATION AND
PINNACLE HEALTH HOSPITALS - HARRISBURG	PART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBILITY FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR.
PINNACLE HEALTH HOSPITALS - CGOH	PART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBILITY FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR.
PINNACLE HEALTH HOSPITALS - WEST SHORE	PART V, SECTION B, LINE 15E: IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT IS NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY, OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBILITY FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address		Type of Facility (describe)
1	2 - PINNACLE HEALTH EMERGENCY DEPARTMENT SER 111 SOUTH FRONT STREET HARRISBURG,PA17101	EMERGENCY MEDICAL SERVICES
2	3 - SUSQUEHANNA VALLEY SURGERY CENTER LLC 4310 LONDONDERRY ROAD SUITE 1 HARRISBURG,PA17109	SURGICAL CARE - MEDICAL SERVICES
3	4 - WEST SHORE SURGERY CENTER LTD 2015 TECHNOLOGY PARKWAY MECHANICSBURG,PA17050	SURGICAL CARE - MEDICAL SERVICES
4	6 - WALNUT BOTTOM RADIOLOGY LLC 850 WALNUT BOTTOM ROAD CARLISLE,PA17013	OUTPATIENT RADIOLOGY AND IMAGING SERVICES
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS PREPARED BY PINNACLE HEALTH SYSTEM, THE PARENT ORGANIZATION.
PART I, LINE 7:	THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID COSTS ARE CALCULATED BY THE HOSPITAL'S COST ACCOUNTING SYSTEM FOR EACH OF THE INDIVIDUAL SERVICES PROVIDED TO THE PATIENT. IT UTILIZES HOSPITAL EXPENSES FROM THE GENERAL LEDGER AND REVENUE DETAILS FROM THE PATIENT ACCOUNTING SYSTEM. EACH DEPARTMENT WITHIN THE HOSPITAL IS CLASSIFIED AS EITHER INDIRECT (OVERHEAD) OR DIRECT (PATIENT CARE AREAS). EXPENSES ARE CLASSIFIED AS FIXED OR VARIABLE AS THEY RELATE TO PATIENT VOLUME. LOGICAL STATISTICS ARE USED TO ALLOCATE OVERHEAD EXPENSES TO THE PATIENT CARE DEPARTMENTS. USING EITHER A RATIO OF COST-TO-CHARGE OR RVUS (RELATIVE VALUE UNITS), THE DIRECT AND INDIRECT COSTS FOR EACH DEPARTMENT ARE ALLOCATED TO THE SERVICES THEY PROVIDE.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE OF $32,713,413 IS INCLUDED IN NET PATIENT REVENUE ON FORM 990, PART VIII LINE 2A, AND THEREFORE IS NOT INCLUDED FOR THE PURPOSES OF CALCULATING THE APPLICABLE EXPENSE PERCENTAGES OF SCHEDULE H.
PART II, COMMUNITY BUILDING ACTIVITIES:	WITH A FOCUS ON PROVIDING LEADERSHIP IN IMPROVING THE OVERALL HEALTH OF OUR COMMUNITY, PINNACLE HEALTH HOSPITALS (PHH) VALUES RELATIONSHIPS WITH COMMUNITY PARTNERS AND THE ASSETS THEY BRING TO ANY COLLABORATIVE EFFORTS. PHH HELPED CREATE THE DAUPHIN COUNTY HEALTH IMPROVEMENT PARTNERSHIP (DCHIP) COMPRISED OF REGIONAL HEALTH AND HUMAN SERVICE PROVIDERS, PAYORS, COUNTY GOVERNMENT, AND BUSINESSES AND EDUCATION. PHH HAS WORKED COLLABORATIVELY WITH PHYSICIANS AND HEALTH AND HUMAN SERVICE ORGANIZATIONS FOR MANY YEARS TO MAXIMIZE COMMUNITY CAPACITY, PROVIDE NECESSARY SERVICES TO THE COMMUNITY AND REDUCE DUPLICATION OF SERVICES. PHH SERVES IN A CONVENING ROLE TO STRENGTHEN COMMUNITY ASSETS THROUGH REFERRAL NETWORKS AND PARTNERSHIPS; SUCH INITIATIVES INCLUDE: PHARMACY VOUCHER PROGRAM WITH THE HARRISBURG PHARMACY AND WITH THE LOCAL SCHOOL SYSTEM TO PROMOTE HEALTHY CHOICES. STAFF AND VOLUNTEERS SUPPORT THE SCHOOL NURSES BY ASSISTING WITH MANDATED HEALTH SCREENINGS INCLUDING HEIGHT, WEIGHT, VISION, HEARING, AND DENTAL SCREENINGS. DURING FALL 2015, PINNACLE STAFF AND VOLUNTEERS ASSISTED WITH SCREENING 5,984 STUDENTS IN THE HARRISBURG SCHOOL DISTRICT AND OVER 700 IN NEWPORT SCHOOL DISTRICT, A RURAL DISTRICT IN PERRY COUNTY. PHH ALSO ENGAGED THE HELP OF MESSIAH COLLEGE NURSING STUDENTS TO BUILD CAPACITY AND ENHANCE THE EDUCATIONAL EXPERIENCES FOR NURSING STUDENTS. THE SCHOOL DISTRICTS SHARE THE SCREENING DATA WITH PINNACLE TO AID IN FOCUSING OUR EFFORTS AND RESOURCES IN THE AREAS WITH THE HIGHEST NEEDS FOR ACCESS, EDUCATION, AND SUPPORT. BASED ON IDENTIFIED COMMUNITY NEEDS AND VULNERABLE POPULATIONS, CONTINUOUS AND FREE PUBLIC PROGRAMS TARGET 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 PHH'S LEADERSHIP IN BUILDING COMMUNITY CAPACITY ARE:FAITH COMMUNITY HEALTH CONNECTION (FCHC) IN FALL 2015, PINNACLE HIRED A NEW LEADER FOR SPIRITUAL CARE, REVEREND BRENDA ALTON. SHE HAS ENHANCED THE FAITH COMMUNITY HEALTH CONNECTION (FCHC) BY OFFERING A NUMBER OF EDUCATIONAL SESSIONS ON TOPICS SUCH AS ADVANCED DIRECTIVES AND PALLIATIVE CARE. OUR SPIRITUAL CARE DEPARTMENT ENGAGES OUR FAITH COMMUNITY WITH INVITATIONS TO ANY AND ALL EDUCATIONAL OPPORTUNITIES AND ALSO PARTNERS WITH THE FAITH LEADERS TO REACH OUT TO THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITY. IN MANY OF THE ETHNIC COMMUNITIES AROUND HARRISBURG HOSPITAL, THE FAITH LEADER IS THE MOST TRUSTED INDIVIDUAL AND MANY ARE PARTNERS OF PINNACLE DUE TO THE RELATIONSHIPS WITH THE LEADERS OF OUR SPIRITUAL CARE DEPARTMENT AND THE FCHC INITIATIVE. WHEN A MEMBER OF THE FAITH COMMUNITY IS ADMITTED TO A PINNACLE HEALTH HOSPITAL, THE FAITH LEADER AND OUR FCHC LEADERS WORK TO ENSURE THAT THE PATIENT HAS ALL AVAILABLE SUPPORT AND SERVICES ALIGNED TO ASSIST IN A HEALTHY RECOVERY. LEADERS AT LOCAL CONGREGATIONS WORK COLLABORATIVELY WITH PINNACLE STAFF TO:-PROVIDE ACCESS TO QUALITY HEALTH CARE AND HELP GUIDE INDIVIDUALS THROUGH THE HEALTHCARE SYSTEM.-PROVIDE ADVOCACY TO EMPOWER CONGREGANTS IN HEALTHCARE EDUCATION MAKING.-CONNECT FAITH COMMUNITIES TO A NETWORK OF SUPPORT FOLLOWING ILLNESS, INJURY, AND HOSPITALIZATION.-CONNECT PEOPLE WITH EDUCATION AND SERVICES THAT WILL ENABLE THEM TO MAINTAIN OPTIMAL LEVELS OF HEALTH AND WELLBEING.-ASSIST PINNACLEHEATH STAFF IN PROVIDING CULTURALLY SENSITIVE SERVICES TO DIVERSE POPULATIONS.KEYSTONE COMMUNITY CARE CONTINUUM (KCCC)EACH YEAR PINNACLE MAKES AVAILABLE $20,000 TO EACH CLINIC, AND IN FISCAL 2016 CLINICS UTILIZED APPROXIMATELY $27,000 TO PROVIDE DIAGNOSTIC TESTING AT NO COST TO THEIR PATIENTS. TO DATE, THE CONTINUUM PROJECT HAS DISBURSED OVER $200,000 IN FREE CARE FUNDS TO COVER THE COST OF DIAGNOSTIC SERVICES TO PATIENTS AT THE BEACON CLINIC, HOPE WITHIN CLINIC, BETHESDA MISSION, AND THE COMMUNITY CHECK UP CENTER. BASED ON PINNACLE GOALS AND THE ANALYSIS OF RELATED DATA TO DATE, THE FOLLOWING GOALS AND RELATED OUTCOMES HAVE BEEN NOTED:-DECREASED READMISSIONS WITHIN 30 DAYS FOR COMMUNITY HEALTH CENTER PATIENTS FROM 16% TO 12% IN EIGHTEEN MONTHS - METTHIS TRANSFORMATION FROM A TRADITIONAL INPATIENT BASED HEALTH CARE MODEL TO A COLLABORATIVE, PATIENT-CENTERED MEDICAL HOME MODEL REQUIRES A PARTNERSHIP BETWEEN INDIVIDUAL PATIENTS, PHYSICIANS, CLINICS AND THE COMMUNITY-BASED PATIENT SUPPORT SYSTEM. PATIENT CARE IS FACILITATED BY THE COMMUNITY HEALTH NAVIGATION TEAM USING RELATIONSHIPS WITH COMMUNITY BASED ORGANIZATIONS AND A HEALTH INFORMATION EXCHANGE TO ENSURE THAT PATIENTS GET THE INDICATED CARE WHEN AND WHERE THEY NEED AND WANT IT IN A CULTURALLY AND LINGUISTICALLY APPROPRIATE MANNER.CHILDREN'S RESOURCE CENTER (CRC)AS A TRUSTED PLACE FOR OUR COMMUNITY TO GO FOR ACCESS TO PUBLIC HEALTH SERVICES AND INFORMATION, PHH AND ITS STAFF OF PROFESSIONALS MEET THE NEEDS OF A DIVERSE POPULATION WITH CULTURAL AWARENESS AND SENSITIVITY. PHH PARTNERS WITH LAW ENFORCEMENT, DISTRICT ATTORNEY OFFICES, SOCIAL SERVICES, PSYCHOLOGICAL SUPPORT SERVICES, CRISIS INTERVENTION, AND CHILD PROTECTION SERVICES TO PROVIDE EFFICIENT, QUALITY CARE IN A SAFE, CHILD-FRIENDLY ENVIRONMENT FOR CHILDREN SUSPECTED OF HAVING BEEN ABUSED OR NEGLECTED. THROUGH ONGOING TRAINING AND EDUCATION IN THE COMMUNITY, THE CRC HAS SEEN AN INCREASE IN PARTICIPATION WITH PARTNER AGENCIES IN AN EVER-WIDENING GEOGRAPHIC SERVICE AREA. THE CRC SERVED 1,006 CHILDREN IN 2016 AND APPROXIMATELY 600 CAREGIVERS. WE SAW CHILDREN FROM OVER 20 COUNTIES IN PENNSYLVANIA BUT ROUTINELY SERVED CHILDREN FROM DAUPHIN, CUMBERLAND, PERRY, LEBANON, SCHUYKILL, JUNIATA, MIFFLIN, BLAIR, AND BEDFORD COUNTIES.LEAD AND HEALTHY HOMES PROGRAM (LHHP)IN FISCAL YEAR 2016, THE PENNSYLVANIA DEPARTMENT OF HEALTH (DOH) SET A GOAL OF 330 ENVIRONMENTAL HOME ASSESSMENTS (EHA) TO BE CONDUCTED IN LOW INCOME FAMILIES. WE RECEIVED THESE REFERRALS FROM MANY SOCIAL SERVICE AGENCIES THROUGHOUT OUR COMMUNITY. OUR GOAL IS TO ENSURE FAMILIES ARE LIVING IN SAFE AND HEALTHY HOUSING. (LHHP) IS AVAILABLE FOR BOTH HOMEOWNERS AND RENTERS. SUPPLIES SUCH AS CO(2) DETECTORS, FIRE EXTINGUISHERS, VACUUMS, DEHUMIDIFIERS, PEST SUPPLIES, BED BUG AND ASTHMA PREVENTION BEDDING COVERS, PLUS APPROXIMATELY 100 OTHER HOME SAFETY AND HEALTHY HOME SUPPLIES WERE DELIVERED TO FAMILIES, ALONG WITH EDUCATION AND A FULL INTERNAL AND EXTERNAL INSPECTION OF THEIR HOMES. THE EHA'S WERE PERFORMED BY PINNACLEHEALTH ENVIRONMENTAL HOME SPECIALISTS AND LICENSED LEAD RISK ASSESSORS.IN THE FIRST AND SECOND QUARTERS OF FY2016, OUR STAFF CONDUCTED 259 EHA'S. IN THE THIRD QUARTER OF THE PROGRAM, WE SERVED 90 FAMILIES FOR HEALTHY HOMES ISSUES AND 11 FAMILIES FOR ELEVATED LEAD LEVELS IN CHILDREN UP TO AGE 7. UNFORTUNATELY, THE DOH FUNDING FOR THIS PROGRAM WILL CEASE AFTER JUNE 30, 2016 SO THE FOURTH QUARTER OF THE LHHP GRANT ONLY ALLOWED US TO CONDUCT HEALTH HOME ASSESSMENTS FOR THE MONTH OF APRIL TO ALLOW ANY POST 60 DAY ASSESSMENTS TO BE COMPLETED BEFORE THE JUNE 30, 2016 COMPLETION DATE OF THE PROGRAM. TWENTY SIX (26) HEALTHY HOME ASSESSMENTS WERE CONDUCTED FOR FAMILIES, AND FOURTEEN (14) LEAD ENVIRONMENTAL ASSESSMENTS WERE COMPLETED. STAFF WAS VERY BUSY WITH ALL 60 DAY POST ASSESSMENTS AT EACH HOME SERVED. IN ADDITION, THE LHHP ALSO REMEDIATED APPROXIMATELY 153 UNSAFE AND UNHEALTHY ISSUES IN THE HOMES BY SUBCONTRACTING WITH PA LICENSED GENERAL CONTRACTORS TO FIX PROBLEMS IN HOMES THAT CAUSE FAMILY MEMBERS WHO SUFFER FROM ASTHMA, LEAD POISONING, PHYSICAL DISABILITIES AND MANY OTHER HEALTH CHALLENGES. THERE ARE EFFORTS TO SEEK OTHER SOURCES OF FUNDING FOR THIS IMPORTANT PROJECT. PINNACLEHEALTH IS COMMITTED TO THE COMMUNITY AND RECOGNIZES THAT THERE IS GREAT NEED FOR ENVIRONMENTAL HOME ASSESSMENTS.RESOURCE EDUCATION AND COMPREHENSIVE CARE FOR HIV (REACCH)THE PINNACLEHEALTH (REACCH) PROGRAM SERVES AS A COMPREHENSIVE MEDICAL CARE PROGRAM FOR ALL PEOPLE LIVING WITH HIV/AIDS WITHIN THE SOUTH CENTRAL PENNSYLVANIA REGION. IN 2016, REACCH SERVED 533 RACIALLY DIVERSE PATIENTS: 41% WERE AFRICAN AMERICAN, 46% CAUCASIAN/NON-HISPANIC, 11% HISPANIC, AND 2% MULTI-RACIAL OR OTHER. ALMOST ALL PATIENTS HAVE BEEN ABLE TO OBTAIN HEALTH INSURANCE THROUGH THE AFFORDABLE CARE ACT AND EXPANDED MEDICAID. 61% ARE COVERED BY MEDICAID OR MEDICARE, 32% HAD PRIVATE INSURANCE AND ONLY 7% WERE UNINSURED. 70% OF REACCH PATIENTS LIVE IN HARRISBURG CITY, 15% IN CUMBERLAND COUNTY, 2% IN PERRY COUNTY, AND THE REST OF THEM RESIDE IN FRANKLIN, YORK, OR OTHER SURROUNDING COUNTIES. IN ADDITION TO HIV TREATMENT AND PRIMARY MEDICAL CARE, STAFF SEEK TO REMOVE SOCIAL AND ECONOMIC BARRIERS TO CARE BY PROVIDING TREATMENT ADHERENCE COUNSELING, CASE MANAGEMENT, SOCIAL WORK SERVICES, NUTRITION THERAPY, AND FINANCIAL COUNSELING. REACCH ALSO PROVIDES OUTREACH AND TESTING WITHIN THE COMMUNITY, SEEKING TO IDENTIFY HIV+ INDIVIDUALS WHO DO NOT KNOW THEIR ST
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: "ACCOUNTS RECEIVABLES ARE RECORDED AT THEIR ESTIMATED NET REALIZABLE VALUE. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED UPON HISTORICAL COLLECTION RATES."THE BAD DEBT EXPENSE ON PART III, LINE 2 WAS CALCULATED BY TAKING THE AMOUNT WRITTEN OFF TO BAD DEBT FOR EACH ACCOUNT AND CONVERTING IT TO CHARGES BY APPROPRIATELY ADJUSTING THE AMOUNT BY THE PAYOR REIMBURSEMENT PERCENTAGE FOR THAT ACCOUNT. THEN, THE COST/CHARGE RATIO FOR EACH SPECIFIC ACCOUNT, UTILIZING THE COSTS FROM THE HOSPITAL COST ACCOUNTING SYSTEM (DESCRIBED IN DETAIL ABOVE), WAS APPLIED TO THIS CALCULATED PORTION OF THE TOTAL CHARGES. FOR THE PORTION OF BAD DEBT EXPENSE THAT IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE HOSPITAL DETERMINED THE CITY OF HARRISBURG ZIP CODES THAT PRIMARILY INCLUDE PUBLIC HOUSING. THEN WE REVIEWED OUR BAD DEBT WRITE-OFFS FOR THE FISCAL YEAR TO DETERMINE THE ACCOUNTS WHERE THE PATIENT ADDRESS WAS INCLUDED IN THOSE ZIP CODES. AN OVERALL COST TO CHARGE RATIO WAS THEN APPLIED TO THIS AMOUNT TO ARRIVE AT AN EXPENSE FIGURE. THIS AMOUNT CONTINUES TO DECREASE EACH YEAR AS WE HAVE FURTHER DEVELOPED OUR PRESUMPTIVE CHARITY CARE AND FINANCIAL AID APPROACH.
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 A PLAIN LANGUAGE VERSION OF THE POLICY HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES. ALL OF OUR PATIENT ACCOUNT STATEMENTS CONTAIN LANGUAGE THAT INDICATES THERE IS FINANCIAL AID AVAILABLE FOR QUALIFYING INDIVIDUALS. IN ADDITION, THE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL WEBSITE IN BOTH ENGLISH AND SPANISH. PATIENTS WHO APPLY FOR FINANCIAL ASSISTANCE AND PROVIDE ALL THE NECESSARY DOCUMENTATION REQUIREMENTS ARE NOTIFIED WITHIN THIRTY DAYS OF THE HOSPITAL'S DECISION. WHEN THE APPROVAL IS DETERMINED, THE APPROPRIATE DISCOUNT IS POSTED TO THE PATIENT'S ACCOUNT IMMEDIATELY. THE FINANCIAL ASSISTANCE DISCOUNT WILL BE APPLIED TO SERVICES FOR THE PREVIOUS TWELVE MONTHS AND SUBSEQUENT SIX MONTHS. THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. FOR THOSE INDIVIDUALS DETERMINED TO FULLY QUALIFY FOR CHARITY CARE. NO ADDITIONAL COLLECTION EFFORTS ARE MADE. APPLICANTS APPROVED FOR ONLY PARTIAL DISCOUNT WILL BE REQUIRED TO MAKE REASONABLE PAYMENT ARRANGEMENTS ON THEIR BALANCE IN ACCORDANCE WITH THE HOSPITAL'S CREDIT AND COLLECTION POLICY. THIS POLICY DOES PERMIT THE USE OF BOTH INTERNAL COLLECTION STAFF AND EXTERNAL COLLECTION AGENCIES WHO WILL ENGAGE IN STANDARD ACCEPTABLE BUSINESS PRACTICES WHICH INCLUDE PHONE CALLS, MAILINGS AND THE REPORTING OF ITS UNPAID DEBT TO THE CREDIT REPORTING AGENCIES; BUT UNDER NO CIRCUMSTANCES WILL THE HOSPITALS OR ITS CONTRACTED COLLECTION AGENCY ADOPT "EXTRAORDINARY COLLECTION ACTIONS" THAT ENTAIL ANY LEGAL COURSE OF ACTION OR JUDICIAL PROCESSES SUCH AS LAWSUITS OR LIENS.
PART VI, LINE 2:	LED BY THE MISSION EFFECTIVENESS DEPARTMENT, THE CHNA PROCESS REPRESENTS A COMPREHENSIVE COMMUNITY-WIDE PROCESS THAT CONNECTS MORE THAN 500,000 COMMUNITY RESIDENTS AND A WIDE RANGE OF PUBLIC AND PRIVATE ORGANIZATIONS, INCLUDING EDUCATIONAL INSTITUTIONS, HEALTH-RELATED PROFESSIONALS, LOCAL GOVERNMENT OFFICIALS, HUMAN SERVICE ORGANIZATIONS AND FAITH-BASED ORGANIZATIONS, TO EVALUATE THE COMMUNITY'S HEALTH AND SOCIAL NEEDS. THE ASSESSMENT UTILIZED SECONDARY DATA COLLECTION, INTERVIEWS WITH KEY COMMUNITY LEADERS, PUBLIC FORUMS, AND FOCUS GROUPS TO IDENTIFY HEALTH PROGRAMS AND RISK FACTORS IN THE SERVICE AREA. IN FY2013 PINNACLE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH TWO OTHER LOCAL HEALTH SYSTEMS. THIS COLLABORATIVE ENGAGED THE BROADER COMMUNITY TO GATHER INPUT AND DOCUMENT COMMUNITY HEALTH NEEDS. THE FOLLOWING TOOLS WERE USED TO ASSESS THE COMMUNITY IN FY 2013:COMMUNITY LEADER INTERVIEWSINTERVIEWS WITH FIFTY-EIGHT COMMUNITY LEADERS THROUGHOUT THE REGION WERE CONDUCTED TO GAIN AN UNDERSTANDING OF THE COMMUNITY'S HEALTH NEEDS FROM ORGANIZATIONS AND AGENCIES THAT HAVE A DEEP UNDERSTANDING OF THE POPULATIONS IN THE GREATEST NEED. THE COLLABORATIVE DEVELOPED A LIST OF COMMUNITY LEADERS TO INTERVIEW. INTERVIEWS WERE CONDUCTED WITH AN ARRAY OF DIRECTORS AND STAFF MEMBERS FROM COMMUNITY HEALTH CENTERS, MEMBERS FROM SOCIAL SERVICES ORGANIZATIONS, EDUCATIONAL LEADERS, RELIGIOUS GROUPS, AND ELECTED OFFICIALS. THE INFORMATION COLLECTED PROVIDED KNOWLEDGE ABOUT THE COMMUNITY'S HEALTH STATUS, RISK FACTORS, SERVICE UTILIZATION, AND COMMUNITY RESOURCE NEEDS, AS WELL AS GAPS AND SERVICE SUGGESTIONS.HAND DISTRIBUTED SURVEYSA HAND-DISTRIBUTION METHODOLOGY WAS EMPLOYED TO DISSEMINATE SURVEYS TO INDIVIDUALS THROUGHOUT THE STUDY AREA. THE SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. THE ASSISTANCE OF LOCAL COMMUNITY ORGANIZATIONS WAS VITAL TO THE SURVEY DISTRIBUTION PROCESS. IN TOTAL, 883 SURVEYS WERE USED FOR ANALYSIS. OF THESE SURVEYS 790 WERE COLLECTED IN ENGLISH AND 93 SURVEYS WERE COLLECTED IN SPANISH. COMMUNITY FORUMSA SERIES OF THREE COMMUNITY FORUMS WERE FACILITATED WITH COMMUNITY ORGANIZATION LEADERS, RELIGIOUS LEADERS, GOVERNMENT STAKEHOLDERS, AND OTHER KEY COMMUNITY LEADERS AT EACH OF THE SPONSORING HOSPITAL/HEALTH SYSTEM LOCATIONS. THE PURPOSE OF THE COMMUNITY FORUMS WAS TO PRESENT THE CHNA FINDINGS TO DATE AND TO RECEIVE INPUT WITH REGARD TO THE NEEDS AND CONCERNS OF THE COMMUNITY. WITH INPUT RECEIVED FROM FORUM PARTICIPANTS, COLLABORATIVE MEMBER IDENTIFIED THE THREE TOP PRIORITY AREAS AS: HEALTHY LIFESTYLES, BEHAVIORAL HEALTH SERVICES, AND ACCESS TO HEALTH SERVICES.PINNACLE HEALTH HOSPITALS USED 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 POPULATION IN PINNACLE'S FOUR CAMPUSES (COMMUNITY, WEST SHORE, HARRISBURG AND POLYCLINIC), FAMILY CARE PHYSICIAN PRACTICES, AND OUTPATIENT SURGERY AND IMAGING CENTERS. THROUGH VARIOUS OUTREACH PROGRAMS INCLUDING HEALTH FAIRS, SCREENINGS, LECTURES, AND EDUCATION SESSIONS, DATA IS COLLECTED AND INCLUDED IN ASSESSING THE OVERALL UNMET NEEDS OF THE COMMUNITY.AS PART OF THE CHNA PROCESS, OUR TEAM GATHERED BOTH PRIMARY AND SECONDARY DATA. AS A PART OF THE PRIMARY DATA COLLECTION, WE CONDUCTED 56 PHONE INTERVIEWS WITH LOCAL COMMUNITY LEADERS. WITH THE HELP OF COMMUNITY BASED, GRASSROOTS ORGANIZATIONS, A HAND-DISTRIBUTED SURVEY WAS DISSEMINATED TO OUR MOST VULNERABLE POPULATIONS. AVAILABLE IN BOTH ENGLISH AND SPANISH, WE RECEIVED 1,229 COMPLETED SURVEYS. IN ADDITION WE CONDUCTED 9 FOCUS GROUPS. LASTLY, TWO COMMUNITY FORUMS WERE HELD WELCOMING THE ENTIRE COMMUNITY TO REVIEW THE FINDINGS AND ADD COMMENTS OR ADDITIONAL CONCERNS.FY2016 CHNAPINNACLE CONDUCTED THE NEXT CHNA IN FY2016. AS PART OF THIS CHNA PROCESS, OUR TEAM GATHERED BOTH PRIMARY AND SECONDARY DATA. AS PART OF THE PRIMARY DATA COLLECTION, WE CONDUCTED 56 PHONE INTERVIEWS WITH LOCAL COMMUNITY LEADERS. WITH THE HELP OF COMMUNITY-BASED GRASS ROOTS ORGANIZATIONS. A HAND-DISTRIBUTED SURVEY WAS DISSEMINATED TO OUR MOST VULNERABLE POPULATIONS. AVAILABLE IN BOTH ENGLISH AND SPANISH, WE RECEIVED 833 COMPLETED SURVEYS. NEW TO THE CHNA PROCESS, PINNACLE COLLECTED 654 PROVIDER SERVICES SURVEYS WHICH DOCUMENTED COMMUNTY NEEDS AS IDENTIFIED BY PHYSICIANS, NURSES, AND MID-LEVEL PROVIDERS IN BOTH INPATIENT AND OUTPATIENT SETTINGS. ALSO THREE KIOSKS WERE MADE AVAILABLE THROUGHOUT THE SYSTEM FOR PUBLIC COMMENTARY. ADDITIONALLY, THIRTY FIVE COMMUNITY MEMBERS PROVIDED FEEDBACK ON THE PRIOR CHNA AND THE CURRENT HEALTH NEEDS OF THE COMMUNITY. FINALLY, TWO COMMUNITY FORUMS WERE HELD WELCOMING THE ENTIRE COMMUNITY TO REVIEW THE FINDINGS AND PROVIDE FEEDBACK AND/OR VOICE ADDITIONAL CONCERNS.SECONDARY DATA COLLECTIONSECONDARY DATA WAS COLLECTED FROM MULTIPLE SOURCES, INCLUDING: COUNTY HEALTH RANKINGS, HEALTHY PEOPLE 2020, OFFICE OF APPLIED STUDIES, PENNSYLVANIA DEPARTMENT OF HEALTH, BUREAU OF HEALTH STATISTICS AND RESEARCH, PENNSYLVANIA OFFICE OF RURAL HEALTH, CAPITAL AREA COALITION ON HOMELESSNESS, THE CENTERS FOR DISEASE PREVENTION AND CONTROL (CDC), ETC. THE DATA RESOURCES WERE RELATED TO DISEASE PREVALENCE, SOCIO-ECONOMIC FACTORS, AND BEHAVIORAL HABITS. THE DATA WAS BENCHMARKED AGAINST STATE AND NATIONAL TRENDS.PINNACLE HEALTH HOSPITALS UTILIZED THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES COMMUNITY HEALTH STATUS INDICATORS, WHICH PROVIDED DATA THAT CAN BE COMPARED TO PEER COUNTIES ON A STATE AND NATIONAL LEVEL. IN ADDITION, HEALTHY PEOPLE 2020 IDENTIFIED NEARLY 600 OBJECTIVES WITH MORE THAN 1,300 MEASURES TO IMPROVE THE HEALTH OF ALL AMERICANS. TO MONITOR PROGRESS TOWARDS ACHIEVING INDIVIDUAL OBJECTIVES, HEALTHY PEOPLE RELIES ON DATA SOURCES DERIVED FROM A NATIONAL CENSUS OF EVENTS LIKE NATIONAL VITAL STATISTICS SYSTEM AND NATIONALLY REPRESENTATIVE SAMPLE SURVEYS LIKE THE NATIONAL HEALTH INTERVIEW SURVEY. PINNACLE HEALTH HOSPITALS SEARCHES THE HEALTH INDICATORS WAREHOUSE FOR DATA RELATED TO HEALTHY PEOPLE 2020 OBJECTIVES DEVELOPED BY THE NATIONAL CENTER FOR HEALTH STATISTICS TO DEFINE PRIORITIES THAT ASSIST IN IMPROVING HEALTH IN THE COMMUNITY. DATA WAS ALSO OBTAINED THROUGH TRUVEN HEALTH ANALYTICS (FORMERLY KNOWN AS THOMSON REUTERS) TO QUANTIFY THE SEVERITY OF HEALTH DISPARITIES FOR EVERY ZIP CODE IN THE NEEDS ASSESSMENT AREA BASED ON SPECIFIC BARRIERS TO HEALTHCARE ACCESS. FIVE PROMINENT SOCIO-ECNONMIC BARRIERS TO COMMUNITY HEALTH WERE IDENTIFIED: INCOME BARRIERS, CULTURE/LANGUAGE BARRIERS, EDUCATIONAL BARRIERS, INSURANCE BARRIERS, AND HOUSING BARRIERS.THE PINNACLE HEALTH SYSTEM PRESENTED THE RESULTS OF A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN NOVEMBER 2015 AND DEVELOPED AN IMPLEMENTATION PLAN WITH STRATEGIES TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. THE FINAL IMPLEMENTATION PLAN WAS VIEWED BY THE MISSION EFFECTIVENESS AND STRATEGIC ISSUES COMMITTEE OF THE BOARD IN SEPTEMBER 2016 AND APPROVED BY THE PINNACLEHEALTH BOARD OF DIRECTORS IN NOVEMBER 2016. THE FINAL APPROVED VERSIONS OF THE CHNA AND IMPLEMENTATION PLAN ARE AVAILABLE TO THE PUBLIC ON THE WWW.PINNACLEHEALTH.ORG WEBSITE.AS PINNACLEHEALTH LOOKS TOWARDS THE FUTURE, WE ENSURE THAT OUR CORE VALUES OF QUALITY, ACCESS TO CARE AND COORDINATION OF CARE ARE AT THE CENTER OF ALL OF OUR ORGANIZATIONAL STRATEGIES. WE EMBRACE OUR COMMUNITY PARTNERS AND WORK COLLABORATIVELY WITH THEM TO STRENGTHEN THE SUPPORT SYSTEMS THAT WILL ALLOW US AND OUR PARTNERS TO MAINTAIN POSITIVE HEALTH OUTCOMES.IN ACCORDANCE WITH IRS GUIDELINES, PINNACLEHEALTH HOSPITALS WILL BEGIN THE NEXT COMMUNITY HEALTH NEEDS ASSESSMENT IN FALL 2017.
PART VI, LINE 3:	PATIENTS ARE INFORMED OF AVAILABLE ASSISTANCE IN NUMEROUS WAYS. SIGNAGE IS POSTED AND LITERATURE IS HANDED OUT TO THE UNINSURED AT ALL THE REGISTRATION SITES INDICATING TO THE PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. ALL UNINSURED PATIENTS WHO ARE SCHEDULED FOR HIGH DOLLAR TESTS AND SURGERIES ARE CONTACTED BY ONE OF THE HOSPITAL'S FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO THEM. THE FINANCIAL ASSISTANCE POLICY IS ALSO DISCLOSED ON THE HOSPITAL WEBSITE, ALONG WITH THE APPLICATION, IN BOTH ENGLISH AND SPANISH. IN ADDITION, ALL INPATIENTS WHO ARE RESIDENTS OF PENNSYLVANIA ARE PROVIDED PERSONAL ASSISTANCE IN THE COMPLETION OF THE MEDICAL ASSISTANCE APPLICATION. AS PART OF THE DISCHARGE PROCESS IN THE EMERGENCY DEPARTMENT, ALL UNINSURED PATIENTS ARE SCREENED FOR CHARITY CARE ELIGIBILITY UNDER THE HOSPITAL POLICY, AND IF APPROPRIATE PROVIDED ASSISTANCE IN APPLYING FOR MEDICAID OR OBTAINING INSURANCE THROUGH HEALTHCARE.GOV. LASTLY, INFORMATION ABOUT FINANCIAL ASSISTANCE IS INCLUDED ON THE PATIENT BILLING STATEMENTS. PROGRAMS DISCUSSED INCLUDE THE PENNSYLVANIA STATE MEDICAID PROGRAM (MEDICAL ASSISTANCE), HOSPITAL CHARITY CARE PROGRAM, AND FUNDS AVAILABLE THROUGH HOSPITAL ENDOWMENT FUNDS.IN INSTANCES WHEN AN UNINSURED PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE/FINANCIAL ASSISTANCE DISCOUNT, BUT LACKS DOCUMENTATION TO SUPPORT IT, CONSIDERATION WILL BE GIVEN BASED ON CIRCUMSTANCES PRESENTED OR CREDIT AGENCY INCOME DATA FOR PRESUMPTIVE CHARITY CARE/FINANCIAL ASSISTANCE. THIS WILL INCLUDE, BUT NOT LIMITED TO; HOMELESSNESS, NO INCOME, PARTICIPATION IN WOMEN'S INFANTS AND CHILDREN PROGRAMS (WIC), FOOD STAMP ELIGIBILITY AND OTHER STATE OR LOCAL ASSISTANCE THAT ARE UNFUNDED (E.G. MEDICAID SPEND-DOWN), INFORMATION FROM FAMILY OR FRIENDS, LOW INCOME HOUSING PROVIDED AS A VALID ADDRESS, PATIENT DECEASED WITH NO KNOWN ESTATE, ELIGIBLE FOR STATE FUNDED PRESCRIPTION PROGRAM, AND CREDIT BUREAU SOFT CREDIT CHECKS THAT ARE ONLY SEEN BY THE PATIENT/GUARANTOR.
PART VI, LINE 4:	PINNACLE HEALTH HOSPITALS' (PHH) PRIMARY SERVICE AREA (PSA) CONSISTS OF 43 CONTIGUOUS ZIP CODES IN PORTIONS OF 6 COUNTIES IN THE GREATER HARRISBURG AREA OF SOUTH CENTRAL PENNSYLVANIA. THE SIX COUNTIES INCLUDE DAUPHIN, CUMBERLAND, PERRY, YORK, LANCASTER AND LEBANON. THE COMMUNITY CAN BE DESCRIBED AS A MIX OF RURAL, URBAN, AND SUBURBAN AREAS. THE PSA ACCOUNTS FOR APPROXIMATELY 85 PERCENT OF THE OVERALL ACUTE PATIENT DISCHARGES OF THE HOSPITALS. PINNACLE HEALTH HOSPITALS COMPETES WITH THREE ACUTE CARE HOSPITALS AND 2 REHABILITATION HOSPITALS WITHIN THE PSA. ONE OF THE ACUTE CARE HOSPITALS IS A FOR-PROFIT HOSPITAL OWNED BY A LARGE, PUBLICLY TRADED HEALTH CARE SYSTEM. THE SECOND COMPETITOR IS AN ACADEMIC MEDICAL CENTER THAT IS AFFILIATED WITH A LARGE STATE-FUNDED PUBLIC UNIVERSITY. THE FINAL COMPETITOR IS A SMALLER, NON-TEACHING HOSPITAL THAT IS OWNED BY A LARGE, REGIONAL, VERTICALLY INTEGRATED NOT- FOR-PROFIT HEALTH SYSTEM. THE COMPETITOR REHABILITATION HOSPITALS ARE MAJORITY OR WHOLLY OWNED AND OPERATED BY TWO DIFFERENT PUBLICLY TRADED CORPORATIONS. THE PSA IN WHICH PHH SERVES HAS 12 CENSUS TRACTS WHICH HAVE BEEN IDENTIFIED BY THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION AS MEDICALLY UNDERSERVED AREAS (MUAS). IN ADDITION, IMMEDIATELY ADJACENT TO THE WEST OF THE PSA ARE AN ADDITIONAL 5 MINOR CIVIL DIVISIONS WHICH HAVE BEEN IDENTIFIED AS MUAS. PHH IS A SIGNIFICANT PROVIDER OF HEALTHCARE SERVICES TO PATIENTS IN THE AREAS ADJACENT TO ITS PSA.PHH IS THE PRIMARY PROVIDER FOR THE 50,000 PEOPLE LIVING IN THE CITY OF HARRISBURG. THE EMERGENCY DEPARTMENT (ED) OF THE HOSPITAL IS THE FIRST OPTION FOR A LARGE MAJORITY OF THE CITY RESIDENTS. IN ADDITION, THE HOSPITAL AND RELATED ORGANIZATIONS OPERATE ADULT, CHILDREN, WOMAN AND TEEN PRIMARY CARE CLINICS THAT MAINLY SERVE THE CITY'S MEDICAID AND UNINSURED POPULATION.NEARLY 75% OF THE HARRISBURG CITY POPULATION IS MINORITY, COMPARED TO 32% OF THE COUNTY POPULATION. AFRICAN-AMERICANS/BLACKS COMPRISE 52% OF HARRISBURG'S POPULATION AND HISPANICS/LATINOS MAKE UP 18% OF THE CITY'S POPULATION, COMPARED TO 17% AFRICAN-AMERICANS/BLACKS AND 9% HISPANICS/LATINOS IN DAUPHIN COUNTY AS A WHOLE. NEARLY 17% OF HARRISBURG CITY RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH IN THE HOME, COMPARED TO 10% OF COUNTY RESIDENTS.FULLY 32% OF CITY RESIDENTS HAVE INCOME BELOW THE POVERTY LEVEL, WHILE ONLY 12% OF COUNTY RESIDENTS HAVE INCOME BELOW THE POVERTY LEVEL. WHILE THE CITY REPRESENTS 18% OF THE COUNTY POPULATION, IT IS HOME TO 38% OF THOSE WITH INCOMES AT OR BELOW THE FEDERAL POVERTY LEVEL (FPL). NEARLY 26% OF HARRISBURG CITY RESIDENTS RECEIVED FOOD STAMPS/SNAP BENEFITS AT SOME POINT IN THE PAST YEAR, COMPARED TO 9.1% IN THE COUNTY AS A WHOLE. CURRENTLY 19% OF DAUPHIN COUNTY RESIDENTS HAVE NO HEALTH INSURANCE. PINNACLEHEALTH WORKS IN COLLABORATION WITH OUR LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAMILTON HEALTH CENTER, WHICH IS LOCATED IN THE HEART OF THE HARRISBURG HIGH-NEED AREA. ZIP CODE ANALYSIS CONDUCTED BY PINNACLE SHOWED THAT THIS SAME POPULATION USES PINNACLEHEALTH HARRISBURG HOSPITAL AS THEIR PRIMARY HOSPITAL INCLUDING THE EMERGENCY DEPARTMENT. MOST RECENTLY AVAILABLE INFORMATION SHOWS 81% OF THOSE SERVED HAD INCOME AT OR BELOW THE FEDERAL POVERTY LEVEL (FPL) AND 99% HAD INCOME AT OR BELOW 200% OF THE FPL. MORE THAN A THIRD OF THOSE SERVED (34.5%) BY HAMILTON DID NOT HAVE INSURANCE COVERAGE. THIS IS SUBSTANTIALLY HIGHER THAN FQHCS IN THE STATE AS A WHOLE, WHERE 26.9% OF PATIENTS SERVED HAD NO INSURANCE.COUNTIES IN EACH OF THE 50 STATES ARE RANKED ACCORDING TO SUMMARIES OF MORE THAN 30 HEALTH MEASURES. THOSE HAVING GOOD RANKINGS, SUCH AS 1 OR 2, ARE CONSIDERED TO BE THE "HEALTHIEST." COUNTIES ARE RANKED RELATIVE TO THE HEALTH OF OTHER COUNTIES IN THE SAME STATE (PENNSYLVANIA HAVING 67 COUNTIES) ON HEALTH OUTCOMES (MORTALITY, MORBIDITY) AND HEALTH MEASURES (HEALTH BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC, AND PHYSICAL ENVIRONMENTS). DAUPHIN COUNTY RANKS AMONG THE WORST (UNHEALTHIEST) OF THE COUNTIES IN: HEALTH OUTCOMES (52), MORBIDITY (54), HEALTH BEHAVIORS (51), AND SOCIAL AND ECONOMIC FACTORS (49). PERRY COUNTY RANKS AMONG THE WORST (UNHEALTHIEST) IN MORTALITY (53), CLINICAL CARE (54), AND PHYSICAL ENVIRONMENT (61). CUMBERLAND COUNTY RANKS IN THE TOP 5 (HEALTHIEST) IN A NUMBER OF CATEGORIES: HEALTH OUTCOMES (4), HEALTH FACTORS (4), MORTALITY - LENGTH OF LIFE (4), HEALTH BEHAVIORS (3), AND CLINICAL CARE (4).
PART VI, LINE 5:	PINNACLE HEALTH HOSPITALS MAINTAINS AN ACTIVE ROLE IN THE COMMUNITIES 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 DEVELOPING PATIENT SERVICES WHICH MAY NOT BE CURRENTLY AVAILABLE IN THE COMMUNITY.PINNACLEHEALTH HOSPITALS RECOGNIZES THAT THE HEALTH OF THE COMMUNITY GOES BEYOND THAT OF THE PHYSICAL HEALTH OF ITS MEMBERS. TAKING A HOLISTIC APPROACH TO ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY, PINNACLEHEALTH SUPPORTS A PLETHORA OF COMMUNITY-WIDE INITIATIVES THAT ADDRESS SOCIO-ECONOMIC BARRIERS TO IMPROVED HEALTH. STAFF WORK CLOSELY WITH THE CAPITAL AREA COALITION ON HOMELESSNESS AND HOLD SEATS ON BROAD-BASED INITIATIVES SUCH AS PROJECT HOMELESS CONNECT, AN EVENT THAT TARGETS THE HARDEST-TO-REACH MEN, WOMEN, TEENS, AND CHILDREN WHO ARE IN SHELTERS, ABOUT TO LEAVE SHELTERS, OR LIVING ON THE STREET. IN SEPTEMBER 2013, THIS EVENT HELPED MORE THAN THREE HUNDRED INDIVIDUALS MOVE FROM CRISIS TO MEANINGFUL AND LASTING SUCCESS. PINNACLE STAFF ALSO HAVE A LEAD ROLE IN THE COMPASSIONATE CLOSURES PROGRAM TO ASSIST INDIGENT FAMILIES WITH NO FINANCIAL RESOURCES TO RESPECTFULLY MEMORIALIZE, CREMATE OR BURY THEIR LOVED ONES. A BROAD COMMUNITY PARTNERSHIP HAS COME TOGETHER TO ADDRESS THIS NEED AND THE PARTNERS ARE: THE VNA OF CENTRAL PENNSYLVANIA AND CROSSINGS HOSPICE, THE HISPANIC COMMUNITY CENTER, THE INTERNATIONAL SERVICE CENTER, THE PENNSYLVANIA FUNERAL DIRECTORS ASSOCIATION, PINNACLEHEALTH SYSTEM, THE SALVATION ARMY, THE UNITED WAY OF THE CAPITAL REGION, DAUPHIN COUNTY COMMISSIONERS AND CORONER'S OFFICE, CUMBERLAND COUNTY COMMISSIONERS AND CORONER'S OFFICE, THE FOUNDATION FOR ENHANCING COMMUNITIES AND THE PA DEPARTMENT OF PUBLIC WELFARE. THE MISSION OF THE PARTNERS IS TO OFFER A MEASURE OF COMPASSIONATE CARE BLENDED WITH DIGNITY AND RESPECT FOR OUR INDIGENT FAMILIES LIVING IN DAUPHIN OR CUMBERLAND COUNTIES WHO HAVE LOST LOVED ONES. DURING THE YEAR A RETAIL PHARMACY WAS OPENED IN THE HARRISBURG HOSPITAL TO BETTER SERVE PATIENTS AND THEIR FAMILIES. ADDITIONALLY, CONSTRUCTION WAS COMPLETED FOR THE LEBANON VALLEY ADVANCED CARE CENTER WHICH OPENED IN JULY 2017.ADDITIONAL PROJECTS INCLUDE MODERNIZING AND UPDATING EXISTING LOCATIONS WITHIN THE PHH SERVICE AREA TO MEET THE PATIENT NEEDS IN THE COMMUNITIES WE SERVE AND IMPLEMENTATION OF THE ELECTRONIC HEALTH RECORDS ACROSS THE BREADTH OF THE PINNACLE HEALTH SYSTEM. SIGNIFICANT RESOURCES WERE EXPENDED TO INSTALL A NEW INTEGRATED CLINICAL ENTERPRISE WIDE COMPUTER SYSTEM WHICH WENT LIVE IN THE MEDICAL SERVICES PRACTICES IN THE FISCAL YEAR. THE TRANSITION TO A MORE EFFICIENT CENTRALIZED INFORMATION MANAGEMENT SYSTEM CENTERED ON THE PATIENT HAS ADVANCED THE VALUE OF ALL PATIENT CARE SERVICES DELIVERED.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 NINE 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 TRANSFORMED THE LIVES OF VULNERABLE FAMILIES. IN FY2016, NFP SERVED 277 CLIENTS. -CERTIFIED APPLICATION COUNSELORS (CAC)- DURING THE LAUNCH OF THE INSURANCE MARKETPLACE IN FALL 2013, PINNACLEHHEALTH HOSPITALS DEDICATED TWO STAFF TO THE OPEN ENROLLMENT PROCESS AND SUPPORTED THEIR ROLES AS CERTIFIED APPLICATION COUNSELORS. PINNACLEHEALTH CACS WERE POSITIONED IN OUR HEALTH CLINICS WHERE MANY UNINSURED AND VULNERABLE MEMBERS OF OUR COMMUNITY VISIT OUR HEALTHSYSTEM FOR SERVICES. THE CACS HELPED PEOPLE UNDERSTAND, APPLY, AND ENROLL FOR HEALTH COVERAGE THROUGH THE MARKETPLACE. THE CACS COMPLETED REQUIRED TRAINING, AND COMPLIED WITH PRIVACY AND SECURITY LAWS, AND OTHER PROGRAM STANDARDS. -BRIDGES TO CARE - NEARLY 1,000 CHILDREN AND MORE THAN 6,700 ADULTS IN THE CITY OF HARRISBURG ARE NOT RECEIVING ADEQUATE HEALTH CARE OR DO NOT HAVE HEALTH INSURANCE. TO ADDRESS THIS GAP IN CARE AND COVERAGE, CAPITAL BLUECROSS, HAMILTON HEALTH CENTER AND PINNACLEHEALTH HAVE PARTNERED WITH DAUPHIN COUNTY ON THIS PROGRAM, WHICH CONNECTS PEOPLE TO MUCH-NEEDED HEALTH CARE.LAUNCHED IN APRIL 2013, THE PROGRAM'S MISSION IS TO IDENTIFY, ENROLL AND COORDINATE HEALTH CARE SERVICES FOR HARRISBURG AREA CHILDREN UP TO AGE 19 WHO ARE UNINSURED OR MEDICALLY UNDERSERVED. THE PROGRAM ALSO PROVIDES FAMILY-CENTERED SUPPORT TO PARENTS OR GUARDIANS OF THESE CHILDREN. -DAUPHIN COUNTY HEALTH IMPROVEMENT PARTNERSHIP (DCHIP) - WITH A FOCUS ON CREATING A COHESIVE SYSTEM OF PUBLIC HEALTH SERVICES, WE CONVENED 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 EMPHASIZED TREATMENT AND PREVENTION OF THE SPREAD OF HIV FOR WOMEN AND CHILDREN. REACCH INCLUDES DIAGNOSTIC, THERAPEUTIC AND SUPPORTIVE SERVICES SUCH AS EDUCATION ABOUT HIV DISEASE AND TRANSMISSION, AS WELL AS TREATMENT RECOMMENDATIONS AND HOW TO ACCESS THEM.-EAT SMART, PLAY SMART - WITH A FOCUS ON LONG RANGE SUSTAINABLE GROWTH WITHIN OUR COMMUNITIES, IT IS EVIDENT THAT THE HEALTH OF OUR CHILDREN IS A FOCAL POINT. A MULTI-STEP, LONG-TERM APPROACH TO PARTNERING WITH SCHOOLS, BUSINESSES, AND PAYORS TO EDUCATE STUDENTS AND FAMILIES ON HEALTHY FOOD CHOICES AND PHYSICAL ACTIVITY ALTERNATIVES ENSURES SUSTAINABLE BEHAVIOR CHANGE. -EMERGENCY MANAGEMENT PLAN-SOUTH CENTRAL TASK FORCE - WITH A FOCUS ON PROVIDING LEADERSHIP IN IMPROVING THE OVERALL HEALTH OF OUR COMMUNITY, OUR EMERGENCY MANAGEMENT TEAM CREATES AN ENVIRONMENT THAT SUPPORTS ACCESSIBILITY AND CONSIDERATION OF BASIC FAMILY NEEDS INCLUDING SAFETY. THE TASK FORCE COLLABORATES AND COORDINATES BOTH PUBLIC AND PRIVATE SECTOR RESOURCES FOR REGIONAL SOLUTIONS THAT PROVIDE SUPPORT TO COMMUNITIES WHEN EVENTS EXCEED THEIR CAPABILITIES.-SMILES - IN JANUARY 2013, PINNACLEHEALTH STARTED WORKING IN PARTNERSHIP WITH MEMBERS OF THE HARRISBURG AREA DENTAL SOCIETY TO PROVIDE ACCESS TO DENTAL SERVICES FOR UNINSURED AND UNDERINSURED PATIENTS WITH URGENT DENTAL NEEDS, A NETWORK OF MORE THAN FIFTY VOLUNTEER DENTISTS SPAN THE EAST AND WEST SHORES OF HARRISBURG. ONCE IT IS DETERMINED THAT A PATIENT HAS AN URGENT DENTAL NEED, HE/SHE CAN BE REFERRED TO SMILES USING THE FOLLOWING REFERRAL PROCESS. PINNACLEHEALTH'S DENTAL ACCESS COORDINATOR WILL WORK WITH THE PATIENT AND DENTIST TO SET UP AN APPOINTMENT TO ALLEVIATE THE URGENT NEED. IN 2015, PINNACLE REFERRED 369 PATIENTS TO VOLUNTEER DENTISTS FOR URGENT DENTAL NEEDS. IT IS ESTIMATED THAT THIS PROGRAM HAS REDUCED DENTAL RELATED VISITS TO THE ER BY 35%. -FAITH COMMUNITY CONNECTION - A CONGREGATION-BASED HEALTH NETWORK DEVELOPED AS A PATIENT NAVIGATION MODEL THAT LINKS BODY, MIND, SPIRIT AND COMMUNITY TO ADDRESS CHRONIC DISEASES THAT SUPPORTS OUTCOME-BASED PLANNING, CARE COORDINATION AND FOLLOW UP OF CARE.
PART VI, LINE 6:	PINNACLE HEALTH HOSPITALS IS PART OF THE PINNACLE HEALTH SYSTEM, A FULLY INTEGRATED, AFFILIATED HEALTH CARE SYSTEM. THE SYSTEM IS COMPRISED OF NINE WHOLLY-OWNED ENTITIES AS WELL AS A VARIETY OF AFFILIATED JOINT VENTURES. THE ORGANIZATION'S MISSION IS TO MAINTAIN AND IMPROVE THE HEALTH AND QUALITY OF LIFE FOR EVERYONE IN CENTRAL PENNSYLVANIA. PINNACLE HEALTH SYSTEM IS ENGAGED IN AND CONDUCTS CHARITABLE, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES THROUGH THE SUPPORT AND BENEFIT OF PINNACLE HEALTH FOUNDATION, AND PROVIDES MANAGEMENT AND CONSULTATIVE SERVICES TO AFFILIATED ENTITIES. PINNACLE HEALTH MEDICAL SERVICES IS PRIMARILY ENGAGED IN THE PROVISION OF PHYSICIAN SERVICES TO SUPPORT AND ENHANCE THE SERVICES WITHIN PINNACLE HEALTH HOSPITALS AND PINNACLE HEALTH SYSTEM. THE PINNACLE HEALTH CARDIOVASCULAR INSTITUTE IS ENGAGED IN PROVIDING COMPREHENSIVE CARDIAC CARE, INCLUDING 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 AND PRE-HOSPITAL EMERGENCY MEDICAL SERVICES FOR THE RESIDENTS AND COMMUNITIES OF THE CENTRAL PENNSYLVANIA REGION.PINNACLE HEALTH VENTURES, INC. WAS FORMED AS A RESULT OF THE ACQUISITION OF 100% OF THE STOCK OF TRISTAN ASSOCIATES ON MARCH 1, 2012 AND IS THE SOLE SHAREHOLDER OF PINNACLE HEALTH IMAGING (PHI). PHI LEASES EQUIPMENT AND SERVICES TO PINNACLE HEALTH HOSPITALS. UNITED HEALTH RISK IS A WHOLLY-OWNED, FOR-PROFIT, OFFSHORE CAPTIVE INSURANCE COMPANY AND UNITED CENTRAL PENNSYLVANIA RECIPROCAL RISK RETENTION GROUP IS A WHOLLY-OWNED, FOR-PROFIT, VERMONT CAPTIVE INSURANCE COMPANY. BOTH INSURANCE ENTITIES OPERATE FOR THE BENEFIT OF PINNACLE HEALTH SYSTEM.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 $373,327 OF CHARITY CARE RECORDED AT CHARGES. THE SYSTEMS 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 - $3,161,673 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND CONTRIBUTIONS. -PINNACLE HEALTH MEDICAL SERVICES - $2,219,774 IN COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BASED CLINICAL SERVICES AND HEALTH CARE SUPPORT SERVICES -PINNACLE HEALTH FOUNDATION - $432,963 IN COMMUNITY BENEFIT OPERATIONS AND FINANCIAL CONTRIBUTIONS.WERE THE ABOVE COMMUNITY BENEFIT EXPENSES OF $5.8 MILLION INCLUDED IN THE HOSPITAL COMMUNITY BENEFIT EXPENSES OF $56.6 MILLION, THE PERCENTAGE OF COMMUNITY BENEFIT EXPENSE TO TOTAL EXPENSE WOULD HAVE BEEN 7.88%.
PART VI, LINE 7, REPORTS FILED WITH STATES	PA

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

PINNACLE HEALTH HOSPITALS

Employer identification number

25-1778644

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1FELIX GUTIERREZ MDDIRECTOR	(i) (ii)	0 ------------- 411,117	0 ------------- 87,239	0 ------------- 13,870	0 ------------- 25,000	0 ------------- 12,924	0 ------------- 550,150	0 ------------- 0
2MICHAEL A YOUNGPRESIDENT/CEO	(i) (ii)	0 ------------- 829,767	0 ------------- 318,520	0 ------------- 182,580	0 ------------- 13,250	0 ------------- 14,603	0 ------------- 1,358,720	0 ------------- 0
3DANIEL KAMBICDIRECTOR	(i) (ii)	0 ------------- 138,628	0 ------------- 0	0 ------------- 337	0 ------------- 7,229	0 ------------- 18,443	0 ------------- 164,637	0 ------------- 0
4CHRISTOPHER P MARKLEY ESQSEC'Y/SR VP STAT SVCC/GEN COUNSEL	(i) (ii)	0 ------------- 325,199	0 ------------- 96,656	0 ------------- 79,211	0 ------------- 15,900	0 ------------- 15,209	0 ------------- 532,175	0 ------------- 0
5WILLIAM H PUGHTREASURER/SR VP CORP FIN/CFO	(i) (ii)	0 ------------- 516,005	0 ------------- 151,972	0 ------------- 78,844	0 ------------- 15,900	0 ------------- 7,804	0 ------------- 770,525	0 ------------- 0
6PHILIP GUARNESCHELLISR VICE PRESIDENT/COO	(i) (ii)	0 ------------- 484,466	0 ------------- 147,839	0 ------------- 110,170	0 ------------- 15,900	0 ------------- 18,954	0 ------------- 777,329	0 ------------- 0
7FRANK DITRAGLIAED PHYSICIAN	(i) (ii)	375,345 ------------- 0	23,664 ------------- 0	146,558 ------------- 0	5,300 ------------- 0	9,545 ------------- 0	560,412 ------------- 0	0 ------------- 0
8R SCOTT RANKINED PHYSICIAN	(i) (ii)	401,747 ------------- 0	50,603 ------------- 0	106,317 ------------- 0	15,900 ------------- 0	21,737 ------------- 0	596,304 ------------- 0	0 ------------- 0
9MARK BARABASSR VICE PRESIDENT OPERATIO	(i) (ii)	482,844 ------------- 0	62,545 ------------- 0	0 ------------- 0	13,250 ------------- 0	14,603 ------------- 0	573,242 ------------- 0	0 ------------- 0
10EDWARD HILDREWED PHYSICIAN	(i) (ii)	325,323 ------------- 0	48,175 ------------- 0	83,165 ------------- 0	15,900 ------------- 0	21,749 ------------- 0	494,312 ------------- 0	0 ------------- 0
11CHRISTIAN CAICEDO MDVP, OPERATIONS/MED DIR. W. SHORE	(i) (ii)	331,983 ------------- 0	87,585 ------------- 0	50,385 ------------- 0	15,900 ------------- 0	18,478 ------------- 0	504,331 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	PINNACLE HEALTH HOSPITALS RELIES ON PINNACLE HEALTH SYSTEM, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. METHODS USED TO ESTABLISH COMPENSATION BY THE RELATED ORGANIZATION INCLUDE: * COMPENSATION COMMITTEE * INDEPENDENT COMPENSATION CONSULTANT * COMPENSATION SURVEY OR STUDY * APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD
PART I, LINE 4B	MICHAEL YOUNG PARTICIPATES IN A SPLIT INTEREST LIFE INSURANCE POLICY WHEREBY THE ORGANIZATION PAYS THE PREMIUMS AND MR. YOUNG REPORTS THE PREMIUMS AS OTHER REPORTABLE COMPENSATION. UPON MR. YOUNG'S DEATH, THE ORGANIZATION WILL RECOVER ITS PREMIUMS BEFORE ANY PROCEEDS ARE RELEASED TO THE BENEFICIARIES.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
PINNACLE HEALTH HOSPITALS

Employer identification number
25-1778644

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	DAUPHIN COUNTY GENERAL AUTHORITY	23-2336949	23825ECL6	06-24-2009	187,538,449	REFUND SERIES 2004, 2005 & 2007, SWAP TERMINATION, CAPITAL PROJECTS		X		X		X
B	DAUPHIN COUNTY GENERAL AUTHORITY	23-2336949	23825EDB7	08-07-2012	135,249,990	CAPITAL PROJECTS		X		X		X
C	DAUPHIN COUNTY GENERAL AUTHORITY	23-2336949	23825EDD5	06-22-2016	105,195,000	REFUNDING OF THE 2009 BONDS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	133,013,449
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	187,538,449		135,249,990		105,195,000
4 Gross proceeds in reserve funds .............	6,104,436
5 Capitalized interest from proceeds .............			10,851,923
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	2,962,259		1,512,711		1,125,296
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	6,775,515		122,255,668
11 Other spent proceeds .............	168,307,000				104,069,704
12 Other unspent proceeds .............
13 Year of substantial completion .............	2009		2014		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0.740 %		0 %		0 %
6 Total of lines 4 and 5 .............	0.740 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........	X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: DAUPHIN COUNTY GENERAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/24/2014 ISSUER NAME: DAUPHIN COUNTY GENERAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/30/2014

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

PINNACLE HEALTH HOSPITALS

Employer identification number

25-1778644

Return Reference	Explanation
FORM 990, PART V, LINE 1:	PINNACLE HEALTH SYSTEM, THE PARENT ENTITY OF A GROUP OF TAX-EXEMPT ORGANIZATIONS, IS THE COMMON REPORTING AGENT FOR THE GROUP AND FILES ALL 1099 FORMS FOR PINNACLE HEALTH HOSPITALS.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE CORPORATION IS PINNACLE HEALTH SYSTEM, A NONPROFIT CORPORATION (EIN 25-1778658).
FORM 990, PART VI, SECTION A, LINE 7A	AS SOLE MEMBER OF THE ORGANIZATION, PINNACLE HEALTH SYSTEM SHALL ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING POWERS ARE RESERVED TO THE SOLE MEMBER, PINNACLE HEALTH SYSTEM: TO APPROVE AND AUTHORIZE: ANNUAL OPERATING AND CAPITAL BUDGETS STRATEGIC PLANS BORROWINGS OR EXTENSIONS OF CREDIT EQUAL TO OR GREATER THAN ONE MILLION DOLLARS VOLUNTARY DISSOLUTION, MERGER, OR CONSOLIDATION THE SALE, PLEDGING, LEASING OR TRANSFER OF ASSETS IN EXCESS OF $500,000 THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE ADDITION OR DELETION OF CLINICAL CENTERS OF EMPHASIS ANY CONTRACT WITH AN UNRELATED PARTY FOR MANAGEMENT OF SUBSTANTIALLY ALL ACTIVITIES INVESTMENT POLICIES UNBUDGETED CAPITAL EXPENDITURES TO SELECT THE CERTIFIED PUBLIC ACCOUNTANTS TO ESTABLISH AN OBLIGATED GROUP FOR FINANCING PURPOSES TO ADOPT EMPLOYEE BENEFIT PLANS
FORM 990, PART VI, SECTION B, LINE 11	THE AUTHORITY AND RESPONSIBILITY FOR REVIEW OF THE FORM 990 FOR PINNACLE HEALTH SYSTEM AND SUBSIDIARIES IS DELEGATED TO THE FINANCE AND AUDIT COMMITTEE OF THE PINNACLE HEALTH SYSTEM BOARD. IN ORDER TO ACCOMPLISH THIS, ALL MEMBERS OF THE FINANCE AND AUDIT COMMITTEE ARE PROVIDED WITH A REASONABLE OPPORTUNITY TO REVIEW AND COMMENT TO EXECUTIVE LEADERSHIP ON THE IRS FORMS 990 OF THE PINNACLE HEALTH SYSTEM AND ITS SUBSIDIARIES, INCLUDING PINNACLE HEALTH HOSPITALS, PINNACLE HEALTH MEDICAL SERVICES, PINNACLE HEALTH FOUNDATION, AND COMMUNITY LIFE TEAM. IN ADDITION, EACH MEMBER OF EACH RESPECTIVE BOARD OF DIRECTORS WILL BE GIVEN ACCESS TO VIEW THEIR INDIVIDUAL FORM 990 VIA A SHARED, PASSWORD-PROTECTED WEBSITE BEFORE THE RETURNS ARE FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	IN THE PERFORMANCE OF THEIR DUTIES TO PINNACLE HEALTH SYSTEM AND SUBSIDIARIES (COLLECTIVELY REFERRED TO AS "PHS"), COVERED PERSONS SHALL SEEK TO ACT IN THE BEST INTERESTS OF PHS, AND SHALL EXERCISE GOOD FAITH, LOYALTY, DILIGENCE AND HONESTY. A COVERED PERSON IS ANY INDIVIDUAL WHO SERVES IN A FIDUCIARY CAPACITY TO, OR WHO HAS LEGAL AUTHORITY TO REPRESENT OR OBLIGATE, THE PINNACLE HEALTH SYSTEM OR ANY OF ITS AFFILIATED ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO, DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS. COVERED PERSONS ALSO INCLUDE A) IMMEDIATE FAMILIES (SPOUSES, CHILDREN, SIBLINGS, PARENTS, OR SPOUSE'S PARENTS), B) ANY ORGANIZATION IN WHICH THEY OR THEIR IMMEDIATE FAMILIES DIRECTLY OR INDIRECTLY I) HAVE A MATERIAL FINANCIAL OR BENEFICIAL INTEREST, OR II) SERVE AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, ATTORNEY OR SIMILAR CAPACITY. A COVERED PERSON SHALL DISCLOSE ANY BUSINESS OR PERSONAL INTERESTS OR RELATIONSHIPS WHICH MAY BE IN CONFLICT WITH THE INTERESTS OF PHS, INCLUDING, BUT NOT LIMITED TO (A) ENGAGING IN OR SEEKING TO BE ENGAGED IN (I) THE DELIVERY OF HEALTH CARE SERVICES OR (II) THE DELIVERY OF GOODS OR SERVICES TO PHS, OR (B) ANY TRANSACTION OR ARRANGEMENT WITH PHS WHICH WOULD RESULT IN BENEFIT TO COVERED PERSONS. THE GOVERNANCE COMMITTEE OF THE PHS BOARD REVIEWS ALL CONFLICT OF INTEREST STATEMENTS AND DETERMINES WHETHER EACH DIRECTOR ON THE BOARD IS INDEPENDENT. COVERED PERSONS WHO ARE DIRECTORS MUST COMPLY WITH THE PINNACLE HEALTH SYSTEM GUIDELINES FOR DETERMINING DIRECTOR INDEPENDENCE AND APPLYING DIRECTOR INDEPENDENCE REQUIREMENTS. COVERED PERSONS WITH A CONFLICT OF INTEREST SHALL NOT VOTE ON THE MATTER, AND THE PHS BOARD OR COMMITTEE MUST APPROVE, AUTHORIZE, OR RATIFY THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE NON-INTERESTED DIRECTORS OR COMMITTEE MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM. VIOLATIONS OF THIS STATEMENT OF POLICY MAY SUBJECT COVERED PERSONS TO APPROPRIATE SANCTIONS, INCLUDING REMOVAL FROM THEIR POSITIONS WITH PINNACLE.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF THE PINNACLE HEALTH SYSTEM ("PHS") BOARD OF DIRECTORS HAS THE AUTHORITY TO DEVELOP AND MAINTAIN EXECUTIVE AND PHYSICIAN COMPENSATION TO BE APPROVED BY THE PINNACLE HEALTH SYSTEM BOARD. THE COMPENSATION COMMITTEE WILL FOLLOW A DILIGENT PROCESS THAT MEETS REGULATORY REQUIREMENTS FOR A REBUTTABLE PRESUMPTION OF REASONABLENESS AND PROMOTES EFFECTIVE GOVERNANCE OF EXECUTIVE COMPENSATION, CONSISTENT WITH THE PHS COMPENSATION PHILOSOPHY. 1. FOLLOW A PROCESS THAT ESTABLISHES AND MAINTAINS A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR ALL EXECUTIVES AND PHYSICIANS POTENTIALLY SUBJECT TO INTERMEDIATE SANCTIONS. 2. PREPARE MINUTES FOR EACH MEETING TO RECORD THE TERMS OF THE COMMITTEE'S DECISIONS AND THE PROCESS FOLLOWED IN REACHING THOSE DECISIONS. THESE MINUTES MUST INCLUDE INDICATIONS THAT THE COMMITTEE IS FOLLOWING GOOD PRACTICES IN DEALING WITH CONFLICTS OF INTEREST AND IN OBTAINING AND RELYING ON APPROPRIATE COMPARABILITY DATA ON TOTAL COMPENSATION. 3. SELECT AND DIRECTLY ENGAGE AND SUPERVISE ANY CONSULTANT HIRED BY PHS TO ADVISE THE COMMITTEE ON EXECUTIVE AND PHYSICIAN COMPENSATION. 4. PERIODICALLY EVALUATE THE APPROPRIATENESS OF THIS CHARTER AND THE EFFECTIVENESS OF THE PROCESS THE COMMITTEE USES IN GOVERNING EXECUTIVE AND PHYSICIAN COMPENSATION AND REPORT THIS EVALUATION TO THE BOARD. 5. PROVIDE THE BOARD WITH AN ANNUAL REPORT ON THE COMMITTEE'S ACTIONS. 6. MONITOR CHANGES IN LAWS AND REGULATIONS PERTAINING TO EXECUTIVE COMPENSATION AND BENEFITS TO SEE THAT PHS COMPLIES WITH THEM. 7. SEEK OUTSIDE REVIEW OF COMMITTEE OPERATIONS TO ENSURE COMPLIANCE WITH THE IRS REBUTTABLE PRESUMPTION OF REASONABLENESS. 8. REVIEW ACTUAL EXECUTIVE COMPENSATION AND BENEFITS PROVIDED TO CONFIRM CONSISTENCY WITH COMPENSATION AND BENEFITS APPROVED BY THE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENTS WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 4,585,359. MANAGEMENT AND GENERAL EXPENSES 3,232,577. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,817,936. OUTSOURCING: PROGRAM SERVICE EXPENSES 28,835,864. MANAGEMENT AND GENERAL EXPENSES 6,763,968. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,599,832. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 8,408,375. MANAGEMENT AND GENERAL EXPENSES 1,845,741. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,254,116. LAB FEES: PROGRAM SERVICE EXPENSES 1,835,450. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,835,450. RESIDENT ROTATION: PROGRAM SERVICE EXPENSES 1,035,443. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,035,443. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 19,907,183. MANAGEMENT AND GENERAL EXPENSES 4,050,306. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,957,489. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,634,887. MANAGEMENT AND GENERAL EXPENSES 181,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,816,541.
FORM 990, PART XI, LINE 9:	PENSION SETTLEMENT LOSS -1,359,586. FINANCING FRAMEWORK TRANSFERS -80,981,215. INTERCOMPANY TRANFERS - NET ASSETS RELEASED 2,429,825. CHANGES IN TEMPORARY AND PERMANENTLY RESTRICTED NET ASSETS -5,300,752. INTERCOMPANY TRANSFERS LOSS ON BOND SETTLEMENT -21,723,400.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

PINNACLE HEALTH HOSPITALS

Employer identification number

25-1778644

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG,PA17105 86-1057582	MEDICAL EMERGENCY SERVICES	PA	-7,181,533	1,898,087	PINNACLE HEALTH HOSPITALS
(2) PINNACLE HEALTH HOSPITALISTS SERVICES LLC 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG,PA17105	HOSPITALISTS SERVICES	PA	-5,476,018	1,124,340	PINNACLE HEALTH HOSPITALS
(3) PINNACLE HEALTH OBSERVATION SERVICES LLC 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG,PA17105 47-2088742	PROFESSIONAL SERVICES TO OBSERVATION PATIENTS	PA	-1,371,341	97,733	PINNACLE HEALTH HOSPITALS

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)PINNACLE HEALTH SYSTEM 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG,PA171058700 25-1778658	MANAGEMENT AND CONSULTATIVE SERVICES FOR RELATED EXEMPT ORGS	PA	501(C)(3)	LINE 11B, II	N/A		No
(2)PINNACLE HEALTH MEDICAL SERVICES 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG,PA171058700 25-1709054	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 3	PINNACLE HEALTH SYSTEM		No
(3)PINNACLE HEALTH FOUNDATION 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG,PA171058700 22-2691718	INVESTMENT AND FUNDRAISING ACTIVITIES FOR RELATED TAX-EXEMPT ORGANIZATIONS	PA	501(C)(3)	LINE 11B, II	PINNACLE HEALTH SYSTEM		No
(4)COMMUNITY LIFE TEAM 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG,PA171058700 23-1890444	COMMUNITY EMERGENCY MANAGEMENT SERVICE AND MEDICAL TRANSPORT PROVIDER	PA	501(C)(3)	LINE 9	PINNACLE HEALTH SYSTEM		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) WEST SHORE SURGERY CENTER LTD 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG,PA171058700 25-1821415	SURGICAL CARE - MEDICAL SERVICES	PA	SEE PART VII - SUPPLEMENTAL INFORMATION	RELATED	11,113,477	1,298,544		No			No	49.000 %
(2) RIVER HEALTH ACO LLC 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG,PA171058700 46-2567488	MEDICAL SERVICES	PA	N/A
(3) SUSQUEHANNA VALLEY SURGICAL CENTER 409 SOUTH SECOND STREET PO BOX 8700 HARRISBURG,PA171058700 25-1847818	SURGICAL CARE - MEDICAL SERVICES	PA	N/A	RELATED	322,442	1,419,233		No			No	50.000 %
(4) WALNUT BOTTOM RADIOLOGY 880 WALNUT BOTTOM ROAD CARLISLE,PA17013 25-1675580	RADIOLOGY	PA	N/A	RELATED	16,227			No			No	50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) UNITED CENTRAL PA RISK RETENTION GROUP 76 ST PAUL STREET SUITE 500 BULINGTON,VT054014477 13-4224033	CAPTIVE INSURANCE	VT	N/A	C				No
(2) UNITED HEALTH RISK LTD PO BOX 2450 HAMILTON HM JX BD	CAPTIVE INSURANCE	BD	N/A	C				No
(3) PINNACLE HEALTH CARDIOVASCULAR INSTITUTE PO BOX 8700 HARRISBURG,PA17105 32-0321362	PHYSICIAN SERVICES	PA	N/A	C				No
(4) PINNACLE HEALTH VENTURES INC PO BOX 8700 HARRISBURG,PA17105 61-1677624	HOLDING COMPANY	PA	N/A	C				No
(5) PINNACLE HEALTH IMAGING INC PO BOX 8700 HARRISBURG,PA17105 23-1718571	IMAGING SERVICES	PA	N/A	C				No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) WEST SHORE SURGERY CENTER LTD	A	532,191	COST
(2) WEST SHORE SURGERY CENTER LTD	R	879,897	COST

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

FORM 990, SCHEDULE R, PART III

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.

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: INPATIENT AND OUTPATIENT HEALTHCARE FOR CITIZENS OF THE LOCAL & SURROUNDING COMMUNITIES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	20
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	5,403
6	Total number of volunteers (estimate if necessary) .............	6	380
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	6,984,892
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	2,167,211

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	11,600,410	6,628,509
9	Program service revenue (Part VIII, line 2g) .........	813,676,751	901,599,358
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,949,064	23,583,135
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,743,130	3,547,706
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	834,969,355	935,358,708
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	89,000	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	309,936,799	313,337,269
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	444,421,853	478,070,160
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	754,447,652	791,407,429
19	Revenue less expenses. Subtract line 18 from line 12.......	80,521,703	143,951,279
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,124,438,029	1,148,513,983
21	Total liabilities (Part X, line 26).............	734,899,445	738,620,606
22	Net assets or fund balances. Subtract line 21 from line 20.....	389,538,584	409,893,377

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 611,816,098 including grants of $ 0 ) (Revenue $ 880,060,539 )
	PINNACLE HEALTH HOSPITALS PINNACLE HEALTH HOSPITALS SUBSIDIZES THE COST OF TREATING PATIENTS WHO ARE UNINSURED, UNABLE TO PAY, OR HAVE GOVERNMENT SPONSORED HEALTH INSURANCE WHERE REIMBURSEMENT IS LESS THAN THE COST OF PROVIDING THE SERVICE.AS AN ANCHOR INSTITUTION AND A LEADER IN OUR COMMUNITY, OUR ROLE HAS BEEN TO CARE FOR PATIENTS EVEN IN THESE DIFFICULT ECONOMIC TIMES. IN KEEPING WITH OUR TRADITION OF CARING FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, PINNACLE HEALTH HOSPITALS IS A FORCE FOR STABILITY, STRENGTH, AND RELIABILITY FOR THOSE WE SERVE. IN ADDITION TO FINANCIAL SUPPORT, OUTREACH TO THE COMMUNITY IS CRUCIAL TO ACHIEVING OUR MISSION. THROUGH VOLUNTEERISM AND ENGAGEMENT, WE STRIVE TO BE A FORCE FOR HEALTH AND WELL-BEING. WE HELP THE UNDERSERVED, MENTOR STUDENTS, LEND EXPERTISE TO COMMUNITY ORGANIZATIONS, AND EDUCATE THE COMMUNITY ON DISEASE PREVENTION AND MANAGEMENT.COMMUNITY HEALTH IMPROVEMENT SERVICESAS ONE OF THE LARGEST PROVIDERS OF HEALTHCARE SERVICES IN THE STATE OF PENNSYLVANIA, PINNACLE HEALTH HOSPITALS OFFERS A VARIETY OF CLINICAL, EDUCATION AND SUPPORT SERVICES FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE.COMMUNITY HEALTH EDUCATIONDIABETES EDUCATION FOR DISPARATE POPULATIONS:TO PROVIDE CULTURALLY AND ECONOMICALLY APPROPRIATE EDUCATION THAT ENABLES PERSONS WITH DIABETES TO BETTER MANAGE THEIR DISEASE.EAT SMART PLAY SMART:THE GOAL OF ESPS IS TO PROVIDE AN EVIDENCE-BASED, CULTURALLY SENSITIVENUTRITION AND PHYSICAL ACTIVITY PROGRAM TO ALL YOUTH FROM PRESCHOOL TO HIGH SCHOOL.GOALS AND STRATEGIES1) IMPROVE KNOWLEDGE ABOUT HEALTH AND WELLNESS-OFFER EDUCATION THAT INCLUDES PRACTICAL INFORMATION ON FITNESS, NUTRITION, AND MENTAL HEALTH-OFFER FUN AND INTERACTIVE ACTIVITIES THAT WILL ENHANCE PROGRAM MATERIAL AND ARE ACCESSIBLE TO YOUTH-EVALUATE CHANGE IN YOUTHS' KNOWLEDGE BY ADMINISTERING PRE-TEST,POST-TEST, AND FUTURE FOLLOW UP2) EDUCATE YOUTH ON POSITIVE BEHAVIOR CHANGES TOWARDS A HEALTHYLIFESTYLE-IMPROVED KNOWLEDGE OF THE IMPORTANCE OF CARDIOVASCULAR FITNESS-NOTICEABLE CHANGE IN HEALTHY FOOD CHOICES-ENHANCED KNOWLEDGE OF TOOLS TO IMPROVE MENTAL HEALTH AND WELL-BEING3) DEVELOP A CURRICULUM THAT IS ACCESSIBLE AND CULTURALLY SENSITIVE FORYOUTH AND THEIR ROLE MODELS-OFFER THE PROGRAM IN A VARIETY OF SETTINGS THAT FIT THE NEEDS OF THECOMMUNITY, INCLUDING SCHOOL-BASED, AFTER SCHOOL-BASED, AND COMMUNITY-BASED PROGRAMS-PROVIDE THE PROGRAM TO A DIVERSE POPULATION-COLLABORATE WITH VARIOUS COMMUNITY PARTNERS TO ENSURE EFFICIENCY OFPROGRAM AND USE OF RESOURCES-OFFER MATERIALS IN A VARIETY OF DIFFERENT MEDIA, INCLUDING PRINT, ONLINE, AND ORAL COMMUNICATIONSA VARIETY OF CHILDBIRTH EDUCATION PROGRAMS ARE OFFERED FOR NEW AND EXPECTANT PARENTS AND SIBLINGS INCLUDING INFANT CARE CLASSES. PINNACLE IS ONE OF ONLY 90 HOSPITALS TO PARTICIPATE IN THE BEST FED BEGINNING LEARNING COLLABORATIVE, A ONE-OF-A-KIND NATIONAL EFFORT TO SIGNIFICANTLY IMPROVE BREAST-FEEDING RATES. 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, HIV/AIDS, SPORTS MEDICINE, ETHICS, AND END-OF-LIFE PLANNING.TOBACCO CESSATION EDUCATION IN CLINICS AND THROUGHOUT THE COMMUNITY. HEALTH EDUCATION STORIES IN THE NEWSPAPER, ON TELEVISION, ON RADIO AND IN HOSPITAL NEWSLETTER.CLERGY ARE AVAILABLE TO PATIENTS AND FAMILY MEMBERS TWENTY-FOUR HOURS A DAY. VOLUNTEER CHAPLAINS PROVIDE BASIC SPIRITUAL SUPPORT, I.E., PRAY WITH PATIENT, READ SCRIPTURE AND PROVIDE SPIRITUAL RESOURCES, SUCH AS ROSARIES, CROSSES AND RELIGIOUS BOOKS. STAFF CHAPLAINS VISIT WITH PATIENTS AND FAMILIES WHEN THERE IS A CRISIS SITUATION, WHEN THERE ARE ETHICAL/MORAL DILEMMAS, WHEN PATIENT IS EXPERIENCING GRIEF, ANXIETY, DEPRESSION, LONELINESS OR PERSONAL ISSUES.AS DESCRIBED IN THE HOSPITAL'S MISSION STATEMENT, PINNACLE HEALTH HOSPITALS IS COMMITTED TO PROVIDING COMMUNITY-BASED PROGRAMS AND SERVICES WHICH WILL ENHANCE THE HEALTH STATUS OF THE PEOPLE WE SERVE. TOWARD THAT END, PINNACLE HEALTH HOSPITALS PROVIDED THE FOLLOWING WELLNESS AND SCREENING PROGRAMS:SCREENINGS:CHOLESTEROL SCREENINGSBODY COMPOSITION SCREENINGSPROSTATE SCREENINGSINFANT DEVELOPMENT SCREENINGSSPEECH AND HEARING SCREENINGSDEPRESSION AND ANXIETY SCREENINGSBONE DENSITY SCREENINGSNUTRITION THERAPY EDUCATION PROGRAMSLEAD POISONING SCREENINGS PINNACLE HEALTH CANCER CENTER'S BOARD-CERTIFIED SURGEONS AND MEDICAL ONCOLOGISTS ATTACK ALL TYPES OF CANCER, SUPPORTED BY A TEAM OF PHARMACISTS, SOCIAL WORKERS, REHABILITATION AND PAIN MANAGEMENT SPECIALISTS, EACH WITH A UNIQUE AWARENESS OF PATIENT NEEDS. HEART FAILURE CENTER WAS DEVELOPED IN AN EFFORT TO PROVIDE PATIENTS SUFFERING FROM HEART FAILURE AN ALTERNATIVE TO FREQUENT HOSPITALIZATIONS. OUR TEAM OF EXPERIENCED HEALTHCARE PROFESSIONALS ASSISTS YOU IN LEARNING THE SKILLS NEEDED TO HELP SELF-MANAGE YOUR CHRONIC ILLNESS.SPINE INSTITUTE COMBINES THE EXPERTISE OF NEUROSURGEONS, ORTHOPEDIC SURGEONS, PSYCHIATRISTS, NEUROLOGISTS, PAIN MANAGEMENT SPECIALISTS, NURSES, IMAGING SERVICES AND REHABILITATION SERVICES TO TARGET EVERY PATIENT'S PARTICULAR PROBLEM AND PROVIDE OPTIMAL TREATMENT. BUS PASSES OR TAXI FEES ARE PROVIDED TO PATIENTS AND FAMILIES MEETING THE ORGANIZATION'S FINANCIAL ASSISTANCE GUIDELINES TO ENHANCE PATIENT ACCESS TO CARE. RESIDENT PHYSICIAN TRAINING PROGRAMS FOR ORTHOPEDIC SURGERY, INTERNAL MEDICINE, GENERAL SURGERY, PODIATRY, AND FAMILY PRACTICE.FELLOWSHIP PROGRAMS FOR TOXICOLOGY, SPORTS MEDICINE, AND MATERNAL FETAL MEDICINE.CLINICAL SITE FOR MEDICAL STUDENTSCLINICAL SITE FOR NURSING STUDENTSCLINICAL SITE FOR DIETITIANSCLINICAL SITE FOR EMERGENCY MEDICAL PERSONNELCLINICAL SITE FOR PARAMEDIC STUDENTSCLINICAL SITE FOR RESPIRATORY THERAPY STUDENTSCLINICAL SITE FOR RADIOLOGY STUDENTS INTERNSHIPS FOR MEDICAL ASSISTANTS, SPEECH AND HEARING, PT/OT AND OTHER ALLIED HEALTH PROFESSIONAL TRAINING.CONTINUING EDUCATION FOR NURSES AND PHYSICIAN OFFICE STAFF AND FOR LOCAL COMMUNITY PROFESSIONALS SUCH AS SCHOOL NURSES.AUXILIARY ERNEST R. MCDOWELL SCHOLARSHIP PROGRAMEQUIPMENT DONATIONSUNITED WAY FUNDRAISINGBAILEY HOUSE IS OUR HOME AWAY FROM HOME. IT PROVIDES FREE OVERNIGHT LODGING AND A COMFORTABLE, SUPPORTIVE, AND NURTURING ENVIRONMENT FOR FAMILIES FROM OUTSIDE THE HARRISBURG AREA.NURSE/FAMILY PARTNERSHIP PROGRAM WAS IMPLEMENTED BASED ON VERY HIGH TEEN BIRTH RATES AND A HIGH INCIDENCE OF WOMEN NOT RECEIVING PRENATAL CARE DURING THE FIRST TRIMESTER. THIS IS A NATIONALLY RENOWNED, EVIDENCE-BASED, NURSE HOME VISITATION PROGRAM THAT IMPROVES THE HEALTH, WELL-BEING AND SELF SUFFICIENCY OF LOW-INCOME FIRST-TIME PARENTS AND THEIR CHILDREN. CHILDREN'S RESOURCE CENTER(CRC) PROVIDES CARE AND COORDINATION TO CHILDREN SUSPECTED OF BEING ABUSED AND ENGAGES MULTIPLE DISCIPLINES TO DIAGNOSE, EVALUATE AND TREAT CHILDREN WHO ARE VICTIMS OF SEXUAL ABUSE.

4b	(Code: ) (Expenses $ 18,483,780 including grants of $ 0 ) (Revenue $ 14,523,884 )
	PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICESPINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES (PHEDS) IS A TAX EXEMPT, NON-PROFIT CORPORATION ENGAGED IN PROVIDING PROFESSIONAL SERVICES IN THE PINNACLE HEALTH EMERGENCY DEPARTMENT. EMERGENCY SERVICESTWENTY-FOUR HOUR MEDICAL EMERGENCY SERVICE IS PROVIDED IN THREE EMERGENCY DEPARTMENTS, (HARRISBURG HOSPITAL, COMMUNITY GENERAL HOSPITAL, AND WEST SHORE HOSPITAL) STAFFED BY PHYSICIANS AND NURSES SPECIALIZING IN EMERGENCY MEDICINE AND SUPPORT PERSONNEL. SERVICES ARE OPEN TO ALL PERSONS WITHOUT REGARD TO AGE, SEX, RACE, RELIGION, NATIONAL ORIGIN, HANDICAP OR ABILITY TO PAY.MEDICAL COVERAGE IS GIVEN FOR COMMUNITY SPORTING EVENTS.CPR TRAINING PROGRAMS ARE OFFERED TO COMMUNITY GROUPS AND ORGANIZATIONS.TWENTY-FOUR HOUR EMERGENCY MEDICAL COMMAND IS PROVIDED FOR THE TRI-COUNTY AREA.DURING FISCAL YEAR 2016, PINNACLE HEALTH HOSPITALS TREATED 142,088 PATIENTS IN ITS THREE EMERGENCY DEPARTMENTS. THIS WAS AN INCREASE OF 3% OVER THE PRIOR YEAR.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses630,299,878

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,576,239	4,048,820	333,478

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	193,961
e	Government grants (contributions)		1e	3,067,368

f	All other contributions, gifts, grants, and similar amounts not included above		1f	3,367,180

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		6,628,509

		Business Code
2a	PATIENT REVENUE, NET	621500	897,108,388	890,093,453	7,014,935
b	CONTRACTED MEDICAL SERVICES	621990	2,245,174	2,245,174
c	RETAIL PHARMACY	900099	728,726	728,726
d	MISC INPATIENT/OUTPATIENT	621990	634,639	634,639
e	MEDICAL EDUCATION	900099	424,164	424,164
f	All other program service revenue.			458,267	458,267
g Total.Add lines 2a–2f.....			901,599,358

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,480,971		-30,043	1,511,014
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		11,940,183
b	Less: rental expenses		12,372,594
c	Rental income or (loss)		-432,411
d	Net rental income or (loss)......			-432,411			-432,411
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	6,831	649,773,162
b	Less: cost or other basis and sales expenses	973,164	626,704,665
c	Gain or (loss)	-966,333	23,068,497
d	Net gain or (loss).....			22,102,164			22,102,164
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		395,510
b	Less: cost of goods sold ..b		159,770
c	Net income or (loss) from sales of inventory..			235,740			235,740
Business Code			Miscellaneous Revenue
11a	QUALITY INCENTIVE INCOME		900099	944,064			944,064
b	MEANINGFUL USE INCOME		900099	938,292			938,292
c	ADMIN SVCS - JC BLAIR		900099	832,772			832,772
d	All other revenue ....			1,029,249			1,029,249
e	Total. Add lines 11a–11d ......			3,744,377
12	Total revenue. See Instructions......			935,358,708	894,584,423	6,984,892	27,160,884

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	257,823,329	233,525,472	24,297,857
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	10,611,203	9,611,179	1,000,024
9	Other employee benefits .......	26,372,838	23,887,402	2,485,436
10	Payroll taxes ...........	18,529,899	16,783,599	1,746,300
11	Fees for services (non-employees):
a	Management ......	91,956,011		91,956,011
b	Legal .........	225,603		225,603
c	Accounting ...........	27,663		27,663
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	52,306		52,306
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	82,316,807	66,242,561	16,074,246
12	Advertising and promotion ....	546,554	440,803	105,751
13	Office expenses .......	4,262,171	4,355,843	-93,672
14	Information technology ......	18,428,879	12,951,661	5,477,218
15	Royalties ..
16	Occupancy ...........	50,160,444	37,147,169	13,013,275
17	Travel ............	422,517	298,207	124,310
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,376,852	1,198,724	178,128
20	Interest ...........	18,114,807	15,526,522	2,588,285
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	63,410,317	62,052,903	1,357,414
23	Insurance ...	1,612	429	1,183
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	145,179,043	145,026,937	152,106
b	UBIT TAXES	356,037	356,037
c	DUES AND SUBSCRIPTIONS	599,476	536,795	62,681
d	TEMP. REST. DONATIONS	528,506	263,253	265,253
e	All other expenses	104,555	94,382	10,173
25	Total functional expenses. Add lines 1 through 24e	791,407,429	630,299,878	161,107,551	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			3,188	1	4,886
2	Savings and temporary cash investments .........			3,127,518	2	42,541,910
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			121,943,887	4	113,553,445
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....			1,642,503	7	1,904,623
8	Inventories for sale or use ........			14,882,294	8	17,342,548
9	Prepaid expenses and deferred charges ......			12,454,194	9	10,803,815
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,078,936,745
b	Less: accumulated depreciation	10b	590,591,997	484,622,919	10c	488,344,748
11	Investments—publicly traded securities .			410,464,114	11	394,291,882
12	Investments—other securities. See Part IV, line 11 .....			19,730,288	12	20,287,116
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			337,206	14	2,070,953
15	Other assets. See Part IV, line 11 ...........			55,229,918	15	57,368,057
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,124,438,029	16	1,148,513,983

17	Accounts payable and accrued expenses .....	97,225,642	17	131,391,368
18	Grants payable ...		18
19	Deferred revenue .........	171,831,968	19	168,649,613
20	Tax-exempt bond liabilities .........	393,175,399	20	399,473,352
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	18,549,175	23	12,796,873
24	Unsecured notes and loans payable to unrelated third parties ..	45,000,000	24	22,500,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	9,117,261	25	3,809,400
26	Total liabilities. Add lines 17 through 25..	734,899,445	26	738,620,606

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	346,757,471	27	367,478,568
28	Temporarily restricted net assets ...........	21,684,711	28	21,102,266
29	Permanently restricted net assets	21,096,402	29	21,312,543
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	389,538,584	33	409,893,377
34	Total liabilities and net assets/fund balances ........	1,124,438,029	34	1,148,513,983