Civic Intelligence

Upmc Pinnacle Lititz

990 • Fiscal year 2019 • EIN 82-0844453

Jul 01, 2018 to Jun 30, 2019 • Filed on Jul 14, 2020

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

30th percentile

0.10x

Higher debt load relative to assets than 30% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Liabilities / Revenue

19th percentile

0.10x

Higher debt load relative to revenue than 19% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Net Margin

10th percentile

-20%

Higher net margin than 10% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Top Officer Pay

92nd percentile

$1,411,452

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Asset Growth

84th percentile

19%

Faster asset growth than 84% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Revenue Growth

88th percentile

35%

Faster revenue growth than 88% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Assets

Up

$81,864,299

Up $12,960,760 (+19%) from 2018

Net Assets

Up

$73,492,425

Up $10,982,297 (+18%) from 2018

Liabilities

Up

$8,371,874

Up $1,978,463 (+31%) from 2018

Revenue

Up

$83,139,500

Up $21,458,138 (+35%) from 2018

Expenses

Up

$99,467,721

Up $31,573,184 (+47%) from 2018

Net Income

Down

-$16,328,221

Down $10,115,046 (-163%) from 2018

Historical Trend

Balance Sheet Trend

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

$100M$50M$0Assets 2018: $68,903,539Liabilities 2018: $6,393,411Net Assets 2018: $62,510,1282018Assets 2019: $81,864,299Liabilities 2019: $8,371,874Net Assets 2019: $73,492,4252019Assets 2020: $82,927,293Liabilities 2020: $13,022,007Net Assets 2020: $69,905,2862020Assets 2021: $73,222,882Liabilities 2021: $11,775,615Net Assets 2021: $61,447,2672021Assets 2022: $63,287,588Liabilities 2022: $61,957,595Net Assets 2022: $1,329,9932022Assets 2023: $62,572,302Liabilities 2023: $59,806,190Net Assets 2023: $2,766,1122023Assets 2024: $65,496,154Liabilities 2024: $60,841,256Net Assets 2024: $4,654,8982024

Highlighted filing

2019

Assets$81,864,299
Liabilities$8,371,874
Net Assets$73,492,425

Operations Trend

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

$150M$100M$50M$0-$50MRevenue 2018: $61,681,362Expenses 2018: $67,894,537Net Income 2018: -$6,213,1752018Revenue 2019: $83,139,500Expenses 2019: $99,467,721Net Income 2019: -$16,328,2212019Revenue 2020: $113,467,840Expenses 2020: $138,587,326Net Income 2020: -$25,119,4862020Revenue 2021: $116,293,290Expenses 2021: $119,667,064Net Income 2021: -$3,373,7742021Revenue 2022: $123,904,867Expenses 2022: $124,960,385Net Income 2022: -$1,055,5182022Revenue 2023: $130,296,854Expenses 2023: $133,457,876Net Income 2023: -$3,161,0222023Revenue 2024: $131,584,540Expenses 2024: $132,693,937Net Income 2024: -$1,109,3972024

Highlighted filing

2019

Revenue$83,139,500
Expenses$99,467,721
Net Income-$16,328,221
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jul 14, 2020
Return Version
2018v3.2
Gross Receipts
$84,909,268
Mission and Program Overview

Mission

Upmc pinnacle lititz is a charitable organization dedicated to maintaining and improving the health and quality of life for all the people of central pennsylvania.

Inpatient and outpatient healthcare for citizens of the local & surrounding communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$58,258,124$62,275,020▲ $4,016,896
Accounts Receivable$7,202,760$15,303,043▲ $8,100,283
Savings and Temporary Cash Investments$78,656$1,452,215▲ $1,373,559
Inventories for Sale or Use$2,112,520$1,178,475▼ $934,045
Prepaid Expenses and Deferred Charges$1,026,690$1,160,403▲ $133,713
Cash and Non-Interest-Bearing Accounts$1,125$975▼ $150
Total Assets$68,903,539$81,864,299▲ $12,960,760
Other Assets Total$223,664$494,168▲ $270,504
Liabilities
Accounts Payable and Accrued Expenses$6,281,858$8,291,106▲ $2,009,248
Mortgage Notes Payable Secured by Investment Property$111,553$80,768▼ $30,785
Total Liabilities$6,393,411$8,371,874▲ $1,978,463
Net Assets / Fund Balance
Unrestricted Net Assets$62,510,128$73,492,425▲ $10,982,297
Total Net Assets Fund Balance$62,510,128$73,492,425▲ $10,982,297
Total Liabilities and Net Assets / Fund Balance$68,903,539$81,864,299▲ $12,960,760

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$42,762,421$2,389,915$45,152,336
Equipment$16,115,415$7,013,185$23,128,600
Land$2,400,000-$2,400,000
Leasehold Improvements$658,799$95,230$754,029
Other Land Buildings$338,385$1,727$340,112
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Deborah WillwerthPresident Upmc Lititz/secretaryFT$214,528$99,923$314,451
David SchmidtRegional CNO & VP Nursing OpsFT$150,282$52,687$202,969
David BennerClinical Staff PharmacistFT$145,953$24,285$170,238
Judith MccoyHouse Supervisor-wkndFT$137,274$24,521$161,795
Brianna DohmPharmacist SupervisorFT$130,174$21,936$152,110
Mike SherkRn, Weekend Flex PrnFT$145,875$2,918$148,793
Kenneth Oken MdDirector--$119,167$119,167
Michael L Fernandez MdDirector/medical Director--$37,583$37,583

Board Members and Trustees

NameTitle
John C HickeyChair
Michael a YoungFormer President/CEO (res. 3/17)
Philip W GuarneschelliPresident/CEO
Michael Brooks TurkelSVP & President, Lanc Div
Doug NeidichVice Chair
Carolyn Kreamer PhdDirector
Cynthia TolsmaDirector
David MartinDirector
Edward KarlovichDirector
John KunkleDirector
Jonathan Vipond IiiDirector
Leslie DavisDirector
Mark GlessnerDirector
Michael MurchieDirector
Paul Spears MdDirector
Richard HamiltonDirector
Robert MontlerDirector
Ronald Kratz MdDirector
Steven Shapiro MdDirector
Yvonne HollinsDirector
Christopher P Markley EsqASST. SEC'Y/SR VP STAT SVC/GEN COUNS
William H PughEvp-treas./CFO
Christian Caicedo MdSr. VP Upmc Pinnacle Cumberland Div
Alison BernhardtVP, Corp Acct&rpt/CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Community Anesthesia AssociatesContract Health Svcs.1575 HIGHLANDS DR 200B, Lititz, PA 17543$1,880,053
Pediatrix Medical Group Of PaContract Health Svcs.111 S FRONT ST, Harrisburg, PA 17101$466,453
Quest DiagnosticsContract Health Svcs.PO BOX 740709, Atlanta, GA 30374$448,728
Diversified Clinical Services INCContract Health Svcs.5220 BELFORT RD, Jacksonville, FL 32256$359,150
Penn State Milton S Hershey Medical CtrContract Health Svcs.SPECIAL BILLING MAIL CODE CA520, Hershey, PA 17033$180,155
Revenue and Support

Revenue Composition

Contributions and Grants
$500
Program Service Revenue
$83,539,069
Investment Income
$-18,701
Other Revenue
$-381,368
Change in Net Assets
$-16,328,221
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$65,721,923
Salaries, Compensation, and Employee Benefits$33,745,798
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$24,526,244$1,891,534-$26,417,778
Fees for Services Other$23,072,235$722,492-$23,794,727
Fees for Services Management-$8,805,071-$8,805,071
Depreciation Depletion$4,435,044$1,391,374-$5,826,418
Occupancy$3,175,119$1,128,520-$4,303,639
Other Employee Benefits$3,061,110$211,086-$3,272,196
Payroll Taxes$1,762,507$194,121-$1,956,628
Office Expenses$948,625$232,854-$1,181,479
Current Officers, Directors, Trustees, and Key Employees-$1,072,289-$1,072,289
Pension Plan Contributions$960,472$66,435-$1,026,907
All Other Expenses$644,364$169,831-$814,195
Information Technology$554,510$124,981-$679,491
Insurance-$550,196-$550,196
Other Expenses$462,302$2,502-$464,804
Advertising$14,885$148,282-$163,167
Conferences and Meetings$57,124$9,872-$66,996
Travel$55,618$9,326-$64,944
Interest-$6,833-$6,833
Total Functional Expenses$81,318,564$18,149,157$0$99,467,721
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Christian Caicedo MdOwner of Cis Pa LLCAS THE OWNER OF CIS PA LLC, MR. CAICEDO PROVIDES SOFTWARE SUPPORT FOR UPMC PINNACLE ENTITIES. ALL TRANSACTIONS ARE NEGOTIATED AT ARM'S LENGTH RATES.No$1,828,113
Daniel PughRelative of Officer William PughDANIEL PUGH IS A RELATIVE OF WILLIAM PUGH AND IS COMPENSATED BY UPMC PINNACLE AS AN EMPLOYEE. WILLIAM PUGH DOES NOT SUPERVISE DANIEL PUGH NOR DOES HE PARTICIPATE IN DISCUSSIONS ON DANIEL PUGH'S COMPENSATION.No$115,455
Michael HessRelative of Officer Philip GuarneschelliMICHAEL HESS IS A RELATIVE OF PHILIP GUARNESCHELLI AND IS COMPENSATED BY UPMC PINNACLE AS AN EMPLOYEE. PHILIP GUARNESCHELLI DOES NOT SUPERVISE MICHAEL HESS NOR DOES HE PARTICIPATE IN DISCUSSIONS ON MICHAEL HESS' COMPENSATION.No$70,071
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of the corporation is upmc pinnacle, a federally tax exempt, state nonprofit entity (ein 25-1778658).

Form 990, Part VI, Section A, Line 7A

As sole member of the organization, upmc pinnacle shall elect the board of directors.

Form 990, Part VI, Section A, Line 7B

Certain governance decisions of the organization require the approval of both the upmc pinnacle board and the upmc board, as the sole member of upmc pinnacle.

Form 990, Part VI, Section B, Line 11B

The authority and responsibility for review of the form 990 for upmc pinnacle and subsidiaries is delegated to the finance committee of the upmc board. In order to accomplish this, all members of the finance committee are provided with a reasonable opportunity to review and comment to executive leadership on the irs forms 990 of upmc pinnacle and its subsidiaries. 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 upmc pinnacle, covered persons shall seek to act in the best interests of upmc pinnacle, 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, upmc pinnacle 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 upmc pinnacle, 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 upmc pinnacle, or (b) any transaction or arrangement with upmc pinnacle which would result in benefit to covered persons. The governance committee of the upmc pinnacle 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 upmc pinnacle 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 upmc pinnacle 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 upmc pinnacle.

Form 990, Part VI, Section B, Line 15A

The compensation committee of the upmc pinnacle board of directors has the authority to develop and maintain executive and physician compensation to be approved by the upmc pinnacle 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 upmc pinnacle 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 upmc pinnacle 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 upmc pinnacle 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.

Filing and Contact Details

Filer

Filer Name
Upmc Pinnacle Lititz
EIN
82-0844453
Phone
7172318245
Address
PO BOX 8700, HARRISBURG, PA 17105-8700

Signing Officer

Name
Alison Bernhardt
Title
Chief Financial Officer
Phone
7172318907
Signed
2020-07-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alison Bernhardt
Formed
2017
Legal Domicile
Pa
Voting Board Members
20
Independent Board Members
17
Employees
491
Volunteers
138

Preparer

Firm
Baker Tilly Virchow Krause Llp
Address
1570 FRUITVILLE PIKE SUITE 400, LANCASTER, PA 17601
Preparer
Kerri N Bogda CPA
Phone
7177404863
Supplemental Narrative

Additional Explanations

FORM 990, PART V, LINE 1:

Upmc pinnacle, the parent entity of a group of tax-exempt organizations, is the common reporting agent for the group and files all 1099 forms for upmc pinnacle lititz.

Form 990, Part IX, Line 11G

Other professional fees: program service expenses 272,080. Management and general expenses 107,133. Fundraising expenses 0. Total expenses 379,213. Physician fees: program service expenses 3,862,765. Management and general expenses 42,839. Fundraising expenses 0. Total expenses 3,905,604. Consulting: program service expenses 379. Management and general expenses 95. Fundraising expenses 0. Total expenses 474. Prof fees i/c loss transfers: program service expenses 1,394,608. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,394,608. Collection fees: program service expenses 31. Management and general expenses 160,599. Fundraising expenses 0. Total expenses 160,630. Purchased services: program service expenses 57,626. Management and general expenses 10,136. Fundraising expenses 0. Total expenses 67,762. Outsourcing: program service expenses 1,543,236. Management and general expenses 368,405. Fundraising expenses 0. Total expenses 1,911,641. Cleaning services: program service expenses 13,535. Management and general expenses 31,780. Fundraising expenses 0. Total expenses 45,315. Lab services: program service expenses 517,867. Management and general expenses 0. Fundraising expenses 0. Total expenses 517,867. Radiology fees: program service expenses 28,279. Management and general expenses 0. Fundraising expenses 0. Total expenses 28,279. Medical visits: program service expenses 42,500. Management and general expenses 315. Fundraising expenses 0. Total expenses 42,815. Other fees: program service expenses 92,774. Management and general expenses 1,190. Fundraising expenses 0. Total expenses 93,964. Physician practice loss transfers: program service expenses 15,246,555. Management and general expenses 0. Fundraising expenses 0. Total expenses 15,246,555.

FORM 990, PART XI, LINE 9:

Contributed net assets 27,310,518.

PART XII, LINE 2C:

Upmc is audited on a consolidated basis. Therefore, there are no separate audited financial statements for upmc pinnacle and its subsidiaries.

Financial Statement Notes

PART X, LINE 2:

Tax benefits are recognized when it is more-likely-than-not that a tax position will be sustained upon examination by the tax authorities based on the technical merits of the position. Such tax positions are measured as the largest amount of tax benefit that is greater than 50% likely to be realized upon ultimate settlement with the tax authorities assuming full knowledge of the position and all relevant facts. Certain of the company's subsidiaries are subject to taxation in the united states, various states and foreign jurisdictions. As of december 31, 2018, the company's return for the fiscal year ended june 30, 2017 is open for examination by the various taxing authorities.

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IRS990/Desc0UPMC PINNACLE LITITZ IS A FULL-SERVICE ACUTE CARE HOSPITAL WITH 148 LICENSED BEDS OFFERING A WIDE RANGE OF SERVICES INCLUDING CARDIAC CARE, A CERTIFIED PRIMARY STROKE CENTER, EMERGENCY CARE, IMAGING, ONCOLOGY CARE, OBSTETRICS, ORTHOPEDICS, PLASTIC AND RECONSTRUCTIVE SURGERY, AND GENERAL SURGERY.WE PRIDE OURSELVES ON PROVIDING THE HIGHEST QUALITY CARE IN ALL SERVICE AREAS. OUR INTENSE FOCUS ON CUSTOMER SERVICE AND PATIENT SAFETY HAS CREATED A UNIQUE HEALING ENVIRONMENT. WE ARE AN ACCREDITED STROKE CENTER AND AN ACCREDITED CHEST PAIN AND HEART ATTACK CENTER.WE SERVE THE GREATER LANCASTER COUNTY AREA. IN KEEPING WITH OUR MISSION OF CARING FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, UPMC PINNACLE LITITZ HOSPITAL 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 SERVICES:TAKING HEALTH CARE BEYOND THE DOORS OF ITS HOSPITALS, CLINICS, AND OFFICES, AND BRINGING IT INTO THE REGION'S TOWNS, SCHOOLS AND WORKPLACES, UPMC PINNACLE LITITZ IS HELPING TO CREATE HEALTHIER COMMUNITIES IN LANCASTER COUNTY. THROUGH ITS CHARITABLE GIVING AND COMMUNITY INITIATIVES, UPMC PINNACLE LITITZ IS MAKING A DIFFERENCE IN THE HEALTH AND WELL-BEING OF ITS NEIGHBORS. FROM PUBLIC HEALTH AND WELLNESS INITIATIVES TO SCHOOL HEALTH SCREENINGS, INSURANCE ENROLLMENT HELP, HOME-VISIT PROGRAMS, CHARITY CARE, AND FREE HEALTH CLASSES, UPMC PINNACLE LITITZ PROVIDES BENEFITS TO THE COMMUNITY. UPMC PINNACLE LITITZ OFFERS A VARIETY OF FREE COMMUNITY PROGRAMS THAT ARE MAKING A DIFFERENCE IN THE LIVES OF CENTRAL PENNSYLVANIANS EVERY DAY, INCLUDING:1) HEALTH EDUCATION SEMINARS ARE HELD AT VARIOUS LOCATIONS WITHIN THE COMMUNITY TO EDUCATE PEOPLE ON VARIOUS CONDITIONS. THESE SEMINARS INCLUDE: - SKIN SAFETY IN THE SUN- CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND LUNG CANCER RISK FACTORS- EXERCISE FOR ARTHRITIS- CHRONIC KNEE AND HIP PAIN SOLUTIONS- STROKE PREVENTING DISABILITY- OH MY ACHING BACK- WHY WAIT? LET'S LOSE WEIGHT- HEALTHY AGING FOR WOMEN- IS DEPRESSION A NORMAL PART OF THE AGING PROCESS?- WHEN SHOULD I CALL 911?2) WELLNESS AND SCREENING PROGRAMS ARE PROVIDED INCLUDING:- CHOLESTEROL SCREENINGS- PROSTATE SCREENINGS- INFANT DEVELOPMENT SCREENINGS- SPEECH AND HEARING SCREENINGS- DEPRESSION AND ANXIETY SCREENINGS- BONE DENSITY SCREENINGS- NUTRITION THERAPY EDUCATION PROGRAMS- LEAD POISONING SCREENINGS
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IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt20PRESIDENT UPMC LITITZ/SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt21SVP & PRESIDENT, LANC DIV
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