Civic Intelligence

Pinnacle Health System

990 • Fiscal year 2017 • EIN 25-1778658

Jul 01, 2016 to Jun 30, 2017 • Filed on May 11, 2018

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

16th percentile

0.07x

Higher debt load relative to assets than 16% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Liabilities / Revenue

13th percentile

0.14x

Higher debt load relative to revenue than 13% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Net Margin

47th percentile

4.1%

Higher net margin than 47% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Top Officer Pay

74th percentile

$1,486,303

Higher top officer pay than 74% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Asset Growth

12th percentile

-3.3%

Faster asset growth than 12% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Revenue Growth

61st percentile

7.9%

Faster revenue growth than 61% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Assets

Down

$250,793,721

Down $8,546,604 (-3.3%) from 2016

Net Assets

Down

$233,423,795

Down $9,939,006 (-4.1%) from 2016

Liabilities

Up

$17,369,926

Up $1,392,402 (+8.7%) from 2016

Revenue

Up

$122,345,982

Up $9,005,532 (+7.9%) from 2016

Expenses

Up

$117,299,347

Up $16,847,401 (+17%) from 2016

Net Income

Down

$5,046,635

Down $7,841,869 (-61%) from 2016

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

2017

Assets$250,793,721
Liabilities$17,369,926
Net Assets$233,423,795

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

2017

Revenue$122,345,982
Expenses$117,299,347
Net Income$5,046,635
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 11, 2018
Return Version
2016v3.0
Gross Receipts
$233,716,326
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$126,800,215$136,624,812▲ $9,824,597
Investments Other Securities$40,211,859$41,918,559▲ $1,706,700
Savings and Temporary Cash Investments$36,821,045$15,879,108▼ $20,941,937
Prepaid Expenses and Deferred Charges$5,042,765$5,062,403▲ $19,638
Land, Buildings, and Equipment, Net$1,463,043$3,164,939▲ $1,701,896
Receivables From Officers Etc$654,905$845,052▲ $190,147
Accounts Receivable$131,871$103,232▼ $28,639
Other Notes and Loans Receivable, Net$3,943$8,156▲ $4,213
Cash and Non-Interest-Bearing Accounts$200$200→ $0
Investments Program Related$-49,475,829$-71,147,976▼ $21,672,147
Total Assets$259,340,325$250,793,721▼ $8,546,604
Other Assets Total$97,686,308$118,335,236▲ $20,648,928
Liabilities
Accounts Payable and Accrued Expenses$15,977,524$17,369,926▲ $1,392,402
Total Liabilities$15,977,524$17,369,926▲ $1,392,402
Net Assets / Fund Balance
Unrestricted Net Assets$243,362,801$233,423,795▼ $9,939,006
Total Net Assets Fund Balance$243,362,801$233,423,795▼ $9,939,006
Total Liabilities and Net Assets / Fund Balance$259,340,325$250,793,721▼ $8,546,604

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$2,379,838$4,208,179$6,588,017
Equipment$772,464$4,506,632$5,279,096
Leasehold Improvements$12,637$51,171$63,808
Other Assets Org$2,692,898--
Other Securities$12,959,680--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michael a YoungPresident & CEO (Resigned 3/17)PT$840,420$645,883$1,486,303
Philip Guarneschellipresident & CEO-$480,377$369,978$850,355
William H PughTreasurer/SR VP Corp fin./CFOPT$509,998$293,437$803,435
Deborah CancillaChief Information OfficerFT$480,894$302,484$783,378
Nirmal Joshi MDSR VP, Medical AffairsFT$401,516$351,445$752,961
Christopher P Markley EsqSEC'Y/SR VP STAT SVCS/GEN counselPT$328,827$223,116$551,943
john goldman MDphysicianFT$299,525$196,370$495,895
ann gormleysenior VP human resourcesFT$289,810$185,714$475,524
douglas dyerVP of planning & Bus. Dev.FT$249,083$136,537$385,620
john delorenzoassistant secretary-$145,434$55,949$201,383
daniel kambic DOdIRECTOR/DIR., MED. EDUCATion--$132,668$132,668
Kenneth Oken MDDirector--$83,751$83,751

Highest Paid Contractors

ContractorServicesLocationCompensation
Pricewaterhouse coopers llpAuditing and Consulting Services2 North Second St, harrisburg, PA 17101$2,301,259
nthrive incCollectionspo box 733492, dallas, TX 75373$2,121,128
Compass Lexeconlegal ServicesPo box 418005, boston, MA 02241$1,378,892
mcnees wallace & nurickLegal Servicespo box 1166, harrisburg, PA 17108$1,291,740
Jones DayLegal Services51 Louisiana Avenue, Washington, DC 20001$1,101,169
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$111,587,081
Investment Income
$5,891,295
Other Revenue
$4,867,606
Change in Net Assets
$5,046,635

Audited Revenue Reconciliation

Revenue per Audited Statements
$122,345,982
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-16,021,490
Total Revenue per Audited Statements
$106,324,492
Total Revenue per Form 990
$122,345,982
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$71,995,997
Other Expenses$45,303,350
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$35,440,564$7,796,842-$43,237,406
Other Employee Benefits$11,179,813$7,379,699-$18,559,512
Fees for Services Other$9,351,141$6,282,469-$15,633,610
Insurance$9,865,988--$9,865,988
Office Expenses$6,525,234--$6,525,234
Current Officers, Directors, Trustees, and Key Employees-$4,157,985-$4,157,985
Information Technology$3,769,125--$3,769,125
Payroll Taxes$2,553,193$851,064-$3,404,257
Advertising$3,127,737--$3,127,737
Pension Plan Contributions$1,622,780$1,014,057-$2,636,837
Conferences and Meetings$1,097,438--$1,097,438
Occupancy$1,080,921--$1,080,921
Fees for Service Investment Mgmnt Fees-$1,035,849-$1,035,849
Fees for Services Legal-$856,822-$856,822
Depreciation Depletion$553,578--$553,578
Fees for Services Accounting-$474,000-$474,000
Travel$267,813--$267,813
Interest$45,207--$45,207
Fees for Services Lobbying-$23,609-$23,609
Other Expenses$527--$527
Total Functional Expenses$87,426,951$29,872,396$0$117,299,347

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$117,299,347
Expenses per Audited Statements$116,263,498
Total Expenses per Audited Statements$116,263,498
Expenses Not Reported on Financial Statements$1,035,849
Other Expense Adjustments$1,035,849
Expenses Not Reported on Form 990$0
International Activity

International Summary

Offices
1
Employees
0
Spending
$26,061,754

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 -Captive InsuranceN/a10$19,511,063
North America - Canada and Mexico, but not the United Statesinvestments-00$6,550,691
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Daniel PughRelative of Officer William PughDANIEL PUGH IS A RELATIVE OF WILLIAM PUGH AND IS COMPENSATED BY PINNACLE HEALTH AS AN EMPLOYEE. WILLIAM PUGH DOES NOT SUPERVISE DANIEL PUGH NOR DOES HE PARTICIPATE IN DISCUSSIONS ON DANIEL PUGH'S COMPENSATION.No$107,079
Michael HessRelative of Officer Philip GuarnaschelliMICHAEL HESS IS A RELATIVE OF PHILIP GUARNASCHELLI AND IS COMPENSATED BY PINNACLE HEALTH AS AN EMPLOYEE. PHILIP GUARNESCHELLI DOES NOT SUPERVISE MICHAEL NOR DOES HE PARTICIPATE IN DISCUSSIONS ON MICHAEL HESS' COMPENSATION.No$41,844
Matt MckaskeyRelative of Officer William PughMATT MCKASKEY IS A RELATIVE OF WILLIAM PUGH AND IS COMPENSATED BY PINNACLE HEALTH AS AN INDEPENDENT CONTRACTOR. WILLIAM PUGH DOES NOT SUPERVISE MATT MCKASKEY NOR DOES HE PARTICIPATE IN DISCUSSIONS ON MATT MCKASKEY'S COMPENSATION.No$20,805

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$654,905$845,052▲ $190,147
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
Yes
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 11B

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 annually 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
2018-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
William H Pugh
Formed
1995
Legal Domicile
Pa
Voting Board Members
20
Independent Board Members
17
Employees
635
Volunteers
107

Preparer

Firm
baker tilly virchow krause
Address
1650 MARKET STREET SUITE 4500, PHILADELPHIA, PA 19103
Preparer
Julius Green CPA
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 7,185,151. Management and general expenses 5,083,635. Fundraising expenses 0. Total expenses 12,268,786. Consulting: Program service expenses 2,059,690. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,059,690. Physician Fees: Program service expenses 106,300. Management and general expenses 0. Fundraising expenses 0. Total expenses 106,300. Recruiting Fees: Program service expenses 0. Management and general expenses 1,198,834. Fundraising expenses 0. Total expenses 1,198,834.

Form 990, Part XI, line 9:

Equity method income - insurance sub filing form 1120-PC (EIN#13-4224033) -515,601. Equity method income - United Health Risk LTD 750,526. Equity Method income - Pinnacle Health Cardiovascular Institute -21,070,283. EQUITY METHOD INCOME - PINNACLE HEALTH VENTURES INC. -609,034. Intercompany Transfers 5,002,515. EQUITY METHOD INCOME - RHACO -132,418. Equity Method Income- JC Blair -506,969.

Financial Statement Notes

Part X, Line 2:

The 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 to expenses of $391,000 and $356,000 were recorded in the consolidated financial statements for the fiscal years ended June 30, 2017 and June 30, 2016, respectively.

Part XI, Line 2D - Other Adjustments:

Intercompany Transfers 5,002,515. Equity method income - insurance sub filing form 1120-Pc (EIN#13-4224033) -515,601. Equity method income - Foreign sub filing Form 5471 750,526. Equity Method income - Pinnacle Health Cardiovascular Institute -21,070,283. Equity method income - PINNACLE HEALTH VENTURES -609,034. Equity method income - RHACO -132,418. Equity method income - JC Blair -506,969. Investment Fees -1,035,849.

Part XII, Line 4B - Other Adjustments:

Investment Fees 1,035,849.

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IRS990/Desc0Pinnacle Health System is dedicated to the health and well-being of the people we serve and makes a concerted effort to establish enduring bonds between the health system and the community. Pinnacle Health System offers an array of community services and programs to improve health awareness among community groups and organizations, provides optimal and timely care and treatment for target populations and addresses diverse community needs. Pinnacle Health provides various training programs and tracks and evaluates the impact of its services and programs on the overall health of the community.
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