Civic Intelligence

Pinnacle Health System

990 • Fiscal year 2015 • EIN 25-1778658

Jul 01, 2014 to Jun 30, 2015 • Filed on May 10, 2016

409 South Second Street PO Box 8700Harrisburg, PA 17105-8700

(717) 231-8245

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

14th percentile

0.05x

Higher debt load relative to assets than 14% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Liabilities / Revenue

12th percentile

0.14x

Higher debt load relative to revenue than 12% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Net Margin

40th percentile

4.4%

Higher net margin than 40% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Top Officer Pay

67th percentile

$1,243,984

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Asset Growth

81st percentile

10%

Faster asset growth than 81% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2014 to 2015

Revenue Growth

82nd percentile

16%

Faster revenue growth than 82% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2014 to 2015

Assets

Up

$245,697,349

Up $22,356,379 (+10%) from 2014

Net Assets

Up

$232,607,869

Up $18,377,087 (+8.6%) from 2014

Liabilities

Up

$13,089,480

Up $3,979,292 (+44%) from 2014

Revenue

Up

$95,297,660

Up $12,793,058 (+16%) from 2014

Expenses

Up

$91,090,811

Up $13,792,336 (+18%) from 2014

Net Income

Down

$4,206,849

Down $999,278 (-19%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5B$1.0B$500M$0Assets 2011: $175,625,922Liabilities 2011: $4,221,050Net Assets 2011: $171,404,8722011Assets 2012: $236,649,761Liabilities 2012: $4,726,451Net Assets 2012: $231,923,3102012Assets 2014: $223,340,970Liabilities 2014: $9,110,188Net Assets 2014: $214,230,7822014Assets 2015: $245,697,349Liabilities 2015: $13,089,480Net Assets 2015: $232,607,8692015Assets 2016: $259,340,325Liabilities 2016: $15,977,524Net Assets 2016: $243,362,8012016Assets 2017: $250,793,721Liabilities 2017: $17,369,926Net Assets 2017: $233,423,7952017Assets 2019: $1,042,836,738Liabilities 2019: $286,625,416Net Assets 2019: $756,211,3222019Assets 2021: $643,774,575Liabilities 2021: $292,185,107Net Assets 2021: $351,589,4682021Assets 2024: $291,621,322Liabilities 2024: $30,083,751Net Assets 2024: $261,537,5712024

Highlighted filing

2015

Assets$245,697,349
Liabilities$13,089,480
Net Assets$232,607,869

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0Expenses 2011: $17,434,5532011Expenses 2012: $19,341,6992012Revenue 2014: $82,504,602Expenses 2014: $77,298,475Net Income 2014: $5,206,1272014Revenue 2015: $95,297,660Expenses 2015: $91,090,811Net Income 2015: $4,206,8492015Revenue 2016: $113,340,450Expenses 2016: $100,451,946Net Income 2016: $12,888,5042016Revenue 2017: $122,345,982Expenses 2017: $117,299,347Net Income 2017: $5,046,6352017Revenue 2019: $157,383,105Expenses 2019: $153,696,753Net Income 2019: $3,686,3522019Revenue 2021: $172,959,353Expenses 2021: $170,437,139Net Income 2021: $2,522,2142021Revenue 2024: $229,979,761Expenses 2024: $228,819,451Net Income 2024: $1,160,3102024

Highlighted filing

2015

Revenue$95,297,660
Expenses$91,090,811
Net Income$4,206,849
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 10, 2016
Return Version
2014v6.0
Gross Receipts
$286,725,811
Mission and Program Overview

Mission

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 that qualify for federal income tax exemption under code section 501(C)(3).

Provide management and consultative services to affiliated tax-exempt entities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$136,902,086$129,795,430▼ $7,106,656
Savings and Temporary Cash Investments$15,004,027$29,560,418▲ $14,556,391
Investments Other Securities$20,625,814$26,288,497▲ $5,662,683
Prepaid Expenses and Deferred Charges$3,758,570$4,114,410▲ $355,840
Land, Buildings, and Equipment, Net$2,321,537$1,926,298▼ $395,239
Receivables From Officers Etc$284,702$485,020▲ $200,318
Accounts Receivable$169,856$115,504▼ $54,352
Cash and Non-Interest-Bearing Accounts$150$150→ $0
Investments Program Related$-10,904,849$-28,824,075▼ $17,919,226
Total Assets$223,340,970$245,697,349▲ $22,356,379
Other Assets Total$55,179,077$82,235,697▲ $27,056,620
Liabilities
Accounts Payable and Accrued Expenses$9,110,188$12,689,480▲ $3,579,292
Mortgage Notes Payable Secured by Investment Property-$400,000-
Total Liabilities$9,110,188$13,089,480▲ $3,979,292
Net Assets / Fund Balance
Unrestricted Net Assets$214,230,782$232,607,869▲ $18,377,087
Total Net Assets Fund Balance$214,230,782$232,607,869▲ $18,377,087
Total Liabilities and Net Assets / Fund Balance$223,340,970$245,697,349▲ $22,356,379

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$1,001,529$5,329,402$6,330,931
Equipment$882,374$4,162,975$5,045,349
Leasehold Improvements$42,395$36,062$78,457
Other Assets Org$150,000--
Other Securities$4,011,472--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael a YoungPresident & CEOPT$736,060$507,924$1,243,984
Philip GuarneschelliSr Vice President/COO-$457,130$296,503$753,633
William H PughTreasurer/sr VP Corp Fin./CFOPT$487,613$259,816$747,429
George BeauregardSenior VP and Chief ClinicFT$479,167$263,608$742,775
Nirmal Joshi MdSr VP, Medical AffairsFT$445,247$259,227$704,474
Christopher P Markley EsqSEC'Y/SR VP STAT SVCS/GEN COUNSELPT$302,600$180,897$483,497
Steven RothSenior VP Info Svcs/CIOFT$126,782$277,982$404,764
Thomas StoesselSenior VP Business DevelopmentFT$228,934$150,039$378,973
William WilkisonVP Ambulatory Svcs.-$240,439$119,274$359,713
Nancy HammondsAssistant Treasurer-$163,408$94,748$258,156
Daniel KambicDirector/dir., Med. Educat-$111,116$25,693$136,809
Kenneth Oken MdDirector--$75,000$75,000

Board Members and Trustees

NameTitle
Clarence AsburyChairman
Steven C KusicVice Chair
Barry KainDirector
Bony R DawoodDirector
Carolyn Kreamer PhdDirector
Cynthia TolsmaDirector
Deborah S MillerDirector
Dennis WalshDirector
E Gerald Woodward MdDirector
Felix Gutierrez MdDirector
George F GrodeDirector
John C HickeyDirector
Kevin Kelly MdDirector
Michael L Fernandez MdDirector
Michael MurchieDirector
Roger Levin MdDirector
John Cavanaugh PhdDirector (resigned 1/2015)
Tina NixonDirector (resigned 5/15)
M Richard KleimanDirector (resigned 6/15)
John DelorenzoAssistant Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Pricewaterhouse Coopers LLPAuditing And Consulting Services2 NORTH SECOND ST, Harrisburg, PA 17101$2,000,765
Mcnees Wallace & NurickLegal ServicesPO BOX 1166, Harrisburg, PA 17108$756,173
Jones DayLegal Services51 LOUISIANA AVENUE, Washington, DC 20001$658,543
National Research CorporationPatient Experience Consulting1245 QUEEN STREET, Lincoln, NE 68508$352,866
AndcultureResource Dashboard200 LOCUST STREET, Harrisburg, PA 17101$291,481
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$89,648,601
Investment Income
$5,437,080
Other Revenue
$211,979
Change in Net Assets
$4,206,849

Audited Revenue Reconciliation

Revenue per Audited Statements
$94,427,312
Revenue Not Reported on Financial Statements
$870,348
Revenue Not Reported on Form 990
$14,170,238
Total Revenue per Audited Statements
$108,597,550
Total Revenue per Form 990
$95,297,660
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$55,389,981
Other Expenses$35,700,830
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$22,606,205$3,943,961-$26,550,166
Other Employee Benefits$9,683,176$6,367,085-$16,050,261
Fees for Services Other$10,454,144$641,442-$11,095,586
Insurance$9,157,927--$9,157,927
Pension Plan Contributions$4,097,483$2,653,357-$6,750,840
Office Expenses$5,762,678--$5,762,678
Current Officers, Directors, Trustees, and Key Employees-$3,758,106-$3,758,106
Advertising$2,469,193--$2,469,193
Payroll Taxes$1,710,456$570,152-$2,280,608
Information Technology$2,125,353--$2,125,353
Occupancy$1,390,245--$1,390,245
Depreciation Depletion$1,028,448--$1,028,448
Conferences and Meetings$782,518--$782,518
Fees for Services Accounting-$446,613-$446,613
Travel$268,649--$268,649
Fees for Services Legal-$185,711-$185,711
Fees for Services Lobbying-$67,631-$67,631
Interest$55,091--$55,091
Other Expenses$12,841--$12,841
Fees for Services Management-$1,406-$1,406
Total Functional Expenses$72,455,347$18,635,464$0$91,090,811

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$91,090,811
Expenses per Audited Statements$90,220,463
Total Expenses per Audited Statements$90,220,463
Expenses Not Reported on Financial Statements$870,348
Expenses Not Reported on Form 990$0
International Activity

International Summary

Offices
1
Employees
1
Spending
$2,538,584

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the Caribbean -Insurance CoverageN/a11$2,538,584
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$284,702$485,020▲ $200,318
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

The authority and responsibility for review of the form 990 for pinnacle health system and associated subsidiaries is delegated to the finance and audit committee of the system board. In order to accomplish this, all members of the finance and audit committee are provided with a reasonable opportunity to review and comment to executive leadership on the irs forms 990 of the pinnacle health system and its subsidiaries, including pinnacle health hospitals, pinnacle health medical services, pinnacle health foundation, and community life team before the returns are filed with the internal revenue service. In addition, each member of the respective boards of directors will be given access to view his or her entity's individual form 990 via a shared, password-protected website.

Form 990, Part VI, Section B, Line 12C

In the performance of their duties to pinnacle health system and subsidiaries (collectively referred to as "phs"), covered persons shall seek to act in the best interests of phs, and shall exercise good faith, loyalty, diligence and honesty. A covered person is any individual who serves in a fiduciary capacity to, or who has legal authority to represent or obligate, the pinnacle health system or any of its affiliated organizations including, but not limited to, directors, officers, employees, and agents. Covered persons also include a) immediate families (spouses, children, siblings, parents, or spouse's parents), b) any organization in which they or their immediate families directly or indirectly i) have a material financial or beneficial interest, or ii) serve as a director, officer, employee, agent, attorney or similar capacity. A covered person shall disclose any business or personal interests or relationships which may be in conflict with the interest of phs, including, but not limited to (a) engaging in or seeking to be engaged in (i) the delivery of health care services or (ii) the delivery of goods or services to phs, or (b) any transaction or arrangement with phs which would result in benefit to covered persons. The governance committee of the phs board reviews all conflict of interest statements and determines whether each director on the board is independent. Covered persons who are directors must comply with the pinnacle health system guidelines for determining director independence and applying director independence requirements. Covered persons with a conflict of interest shall not vote on the matter, and the phs board or committee must approve, authorize, or ratify the transaction or arrangement by a majority vote of the non-interested directors or committee members present at a meeting that has a quorum. Violations of this statement of policy may subject covered persons to appropriate sanctions, including removal from their positions with phs.

Form 990, Part VI, Section B, Line 15

The compensation committee of the pinnacle health system ("phs") board of directors has the authority to develop and maintain executive and physician compensation to be approved by the pinnacle health system board. The compensation committee will follow a diligent process that meets regulatory requirements for a rebuttable presumption of reasonableness and promotes effective governance of executive compensation, consistent with the phs 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 upon request. 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.

Filing and Contact Details

Filer

Filer Name
Pinnacle Health System
EIN
25-1778658
Phone
7172318245
Address
409 SOUTH SECOND STREET PO BOX 8700, HARRISBURG, PA 17105-8700

Signing Officer

Name
William H Pugh
Title
CFO
Phone
7172318245
Signed
2016-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
William H Pugh
Formed
1995
Legal Domicile
Pa
Voting Board Members
22
Independent Board Members
17
Employees
420
Volunteers
112

Preparer

Firm
Baker Tilly Virchow Krause
Address
1650 MARKET STREET SUITE 4500, PHILADELPHIA, PA 19103
Preparer
Julius Green CPA Jd
Phone
7178467000
Supplemental Narrative

Additional Explanations

FORM 990, PART V, LINE 1:

Pinnacle health system, the parent company, is the common reporting agent for the group of related tax-exempt organizations and files all 1099 forms for the following: community life team, pinnacle health foundation, pinnacle health hospitals, and pinnacle health medical services.

Form 990, Part IX, Line 11G

Other professional fees: program service expenses 7,824,903. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,824,903. Consulting: program service expenses 2,539,206. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,539,206. Physician fees: program service expenses 90,035. Management and general expenses 0. Fundraising expenses 0. Total expenses 90,035. Recruiting fees: program service expenses 0. Management and general expenses 641,442. Fundraising expenses 0. Total expenses 641,442.

FORM 990, PART XI, LINE 9:

Equity method income - insurance sub filing form 1120-pc (ein#13-4224033) 813,200. Equity method income - united health risk ltd -728,719. Equity method income - pinnacle health cardiovascular institute -17,611,098. Equity method income - pinnacle health ventures inc. -296,975. Intercompany transfers 37,603,591. Equity method income - rhaco -3,340,736. Equity method income- jc blair -1,046,190.

Financial Statement Notes

PART X, LINE 2:

The pinnacle health system evaluates uncertain tax positions using a two-step approach for recognizing and measuring tax benefits taken or expected to be taken in an unrelated business activity tax return and disclosures regarding uncertainties in tax positions. An adjustment to the consolidated financial statements was required as a result of this evaluation in the amount of $780 for the fiscal year ended june 30, 2015. No adjustment was required for the fiscal year ended june 30, 2014.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Intercompany transfers 37,603,591. Equity method income - insurance sub filing form 1120-pc (ein#13-4224033) 813,200. Equity method income - foreign sub filing form 5471 -728,719. Equity method income - pinnacle health cardiovascular institute -17,611,098. Equity method income - pinnacle health ventures -296,975. Equity method income - rhaco -3,340,736. Equity method income - jc blair -1,046,190.

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