2019-05-15T15:12:07-05:00 2018-06-30 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2017-07-01 231360851 UPMC PINNACLE HANOVER % WILLIAM PUGH UPMC 7173163711 300 Highland Avenue Hanover PA 173312214 WILLIAM PUGH VP FINANCE, SOUTH 7173162153 2019-05-14 true Marc Berger P01871563 7038930600 4.15.233.162 54621820191355000095 2019-05-15 P 453C092F4FAE56C85AAB65CCAB8DCA36E7EE5C2A 21113678E977CF0F147E11547FB84355093581B2 2017 2019-02-21 02:37:17Z MICHAEL GASKINS 300 Highland Avenue Hanover PA 173312214 200830053 false X UPMCPinnacle.org/Hanover X 1924 PA NON-PROFIT COMMUNITY HOSPITAL DEDICATED TO PROMOTING WELLNESS WITHIN THE GREATER HANOVER AREA. 18 11 1402 167 1062725 -249171 1366202 424797 160849976 163499954 926718 -403110 1807462 1464514 164950358 164986155 120973 150458 0 0 78888492 78225532 60102 89067 145041 79553811 79176840 158623378 157641897 6326980 7344258 188386708 184143322 63653781 59090130 124732927 125053192 X WE ARE A NOT-FOR-PROFIT COMMUNITY HOSPITAL WHICH IS DEDICATED TO THE PROMOTION OF WELLNESS, PRESERVATION OF HEALTH, AND THE PROVISION OF DIAGNOSTIC AND THERAPEUTIC SERVICES TO THE PEOPLE OF THE GREATER HANOVER AREA. WE WILL BE THE PROVIDER OF CHOICE FOR HOSPITAL SUPPORTED ACUTE CARE, DIAGNOSTIC, THERAPEUTIC, REHABILITATIVE, AND WELLNESS SERVICES REQUIRED TO SUPPORT OUR NETWORK OF CARE. false false 105691263 150458 163499954 UPMC PINNACLE HANOVER "HH" OPERATES A NOT-FOR PROFIT HOSPITAL WITH SERVICE INCLUDING OBSTETRICS, EMERGENCY, CARDIAC CARE, CRITICAL CARE, OCCUPATIONAL HEALTH, SURGICAL SERVICES, AND A WIDE RANGE OF CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRIC/GYNECOLOGICAL, PEDIATRIC AND CRITICAL CARE. OUR MEDICAL SURGICAL UNITS ARE STAFFED IN THREE LOCATIONS, FOR A COMBINED TOTAL OF 60 BEDS. TOTAL PATIENTS DISCHARGED BY THESE UNITS DURING THE YEAR ENDED JUNE 30, 2018 WERE 4,185. OBSTETRICS/GYNECOLOGY STAFFS A TOTAL OF 18 BEDS AND DISCHARGED 547 PATIENTS. THE PEDIATRIC UNIT IS EQUIPPED WITH 5 BEDS AND HAD 104 PATIENTS DISCHARGED. THERE ARE 10 BEDS IN THE CRITICAL CARE UNIT AND 331 PATIENTS WERE DISCHARGED. THERE WERE 507 DISCHARGES FROM THE NURSERY AND 128 DISCHARGES FROM THE EMERGENCY DEPARTMENT AND OVERFLOW AS WELL. UPMC PINNACLE HANOVER PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES FOR BOTH INPATIENTS AND OUTPATIENTS. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, LABORATORY, IMAGING SERVICES, CARDIAC SERVICES, TOTAL WOUND CARE SERVICES, HYPERBARIC OXYGEN THERAPY, AND OUTPATIENT PHYSICAL THERAPY SERVICES. IMAGING SERVICES INCLUDED RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, AND CT SCANNING. CARDIAC SERVICES ARE COMPRISED OF CARDIAC REHAB, DIAGNOSTIC TESTING, CARDIAC CATHETERIZATION, CATHETER CARDIAC INTERVENTION AND PERIPHERAL CATHETER BASED VASCULAR INTERVENTION. UPMC PINNACLE HANOVER PROVIDES MULTIPLE OUTPATIENT FACILITIES FOR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES. UPMC PINNACLE HANOVER PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT A REDUCED FEE. CHARGES ARE EXCUSED FOR SERVICES RENDERED AND SUPPLIES FURNISHED UNDER THE FINANCIAL ASSISTANCE POLICY AMOUNTED TO APPROXIMATELY $6,944,550 DURING THE YEAR ENDED JUNE 30, 2018. 105691263 true true false true false false false true true true false false false true true false true false false false false false true true false true true true false true true false false false false false false false false true true false false false false false true false false false true 141 0 true 1402 true true true false false false false true true false false true false X 18 11 true false true false false false false true true false false true true true true true true true true false PA X X WILLIAM PUGH 7172318245 409 S 2ND STREET HARRISBURGH PA 17104 X Paul F Spears Chair 1.0 1.0 X X 0 0 0 Alan J Stock Vice Chair 1.0 1.0 X X 0 0 0 Michael W Gaskins President & CEO 40.0 1.0 X X 704093 0 43486 Barbara A Rupp Secretary 1.0 1.0 X X 0 0 0 G Steven McKonly Esq Treasurer 1.0 1.0 X X 3475 0 0 Liam Behrens BOARD MEMBER 1.0 1.0 X 0 0 0 David L Crooks MD BOARD MEMBER 1.0 40.0 X 0 426358 16392 Gagandeep S Gurm MD BOARD MEMBER 1.0 40.0 X 0 668461 34130 Thomas K Howard MD BOARD MEMBER 1.0 1.0 X 0 0 0 John-Paul Lunn BOARD MEMBER 1.0 1.0 X 0 0 0 Andrew D Riggle CFP BOARD MEMBER 1.0 1.0 X 0 0 0 Jill R Rohrbaugh BOARD MEMBER 1.0 1.0 X 10740 0 0 Andres A Valdes-Dapena MD BOARD MEMBER 1.0 1.0 X 0 0 0 C Daniel Weber BOARD MEMBER 1.0 1.0 X 0 0 0 Clarence E Asbury BOARD MEMBER 1.0 1.0 X 0 0 0 Susan Comp Board member 1.0 40.0 X 0 484456 2720 Bony R Dawood BOARD MEMBER 1.0 1.0 X 0 0 0 Douglas C Dyer BOARD MEMBER 1.0 40.0 X 0 430735 8762 Philip W Guarnaschelli BOARD MEMBER 1.0 40.0 X 0 1203474 10623 Dylan B Lissette Former Vice Chair 1.0 1.0 X 0 0 0 Troy E Eckert Former Secretary 1.0 1.0 X 0 0 0 Liam Behrens Board Member 1.0 1.0 X 0 0 0 Michael H Ader VP of Medical Affairs 40.0 1.0 X 377945 0 34742 Michael A Hockenberry Senior VP/COO 40.0 1.0 X 323578 0 40928 Christine K Miller General Counsel and VP of HR 40.0 1.0 X 277499 0 28297 Mary P Saunders VP of Nursing 40.0 1.0 X 243376 0 20692 Donna L Muller SENIOR VP & CFO 40.0 1.0 X 218215 0 16058 Charlene D Baker VP of Hanover Medical Group 20.0 20.0 X 0 183752 0 Daniel L Leib Supervisor of Information Ops 40.0 0.0 X 164088 0 31085 Timothy S McCall Director of Pharmacy 40.0 0.0 X 173789 0 22616 Andrew C Rinehart Pharmacist 40.0 0.0 X 165343 0 31014 Nancy J Eschrich QI Special Project Coordinator 40.0 0.0 X 157355 0 28167 Aaron C Rinehart PHARMACIST 40.0 0.0 X 157062 0 8306 James E Wissler Former President&CEO (8/7/15) 0.0 0.0 X 239140 0 0 3215698 3397236 378018 67 true true false Huntzinger Management Group Inc 72 GLENMAURA NATIONAL BLVD STE 105 MOOSIC PA 18507 INFO TECH SERVICES 3690648 Hanover Anesthesiology Pain MEDIC 250 Fame Ave Suite 110 HANOVER PA 17331 ANESTHESIA SERVICES 1831094 Quest Diagnostics 12436 Collections Center Dr CHICAGO IL 60693 LAB TEST PROCESSING 1147327 ENGIE RESOURCES 203 LYNNDALE CT MECHANICSBURG PA 17050 MECHANICAL CONTRACT 1125999 KAUFMAN HALL ASSOCIATES 5202 OLD ORCHARD RD SUITE N700 SKOKIE IL 60077 SOFTWARE SERVICES 1029913 70 105088 319709 424797 NET PATIENT SERVICE REVENUE 621990 121159119 121159119 EMERGENCY DEPARTMENT NET REVENUE 621990 13245476 13245476 LAB SERVICE NET REVENUE 621500 29095359 28049092 1046267 163499954 1660331 1660331 0 0 256262 254889 1373 0 1373 16458 -15085 33441660 38353 35499617 43837 -2057957 -5484 -2063441 -2063441 43907 105088 45555 -1648 -1648 0 0 0 0 0 0 FOOD SERVICES 721110 558020 558020 EMR BILLINGS 900099 504751 504751 SUBSCRIPTIONS 900099 83900 83900 318118 318118 1464789 164986155 162453687 1062725 1044946 150458 150458 0 0 0 2962342 817637 2144705 0 0 57396194 43851409 13527969 16816 2247187 1632616 613098 1473 11241900 8192886 3045924 3090 4377909 3293562 1083071 1276 1170985 408308 762677 0 63844 0 63844 0 99603 0 99603 0 0 89067 89067 99600 0 99600 0 15124198 11763986 3360112 100 397743 0 397723 20 1235594 530921 704289 384 6902705 603660 6267486 31559 0 4515037 1512078 3002959 0 87615 81096 6519 0 0 0 1447000 0 1447000 0 0 12757146 5206938 7549729 479 919495 0 919495 0 MEDICAL SUPPLIES 25394955 24697473 697482 REPAIR & MAINTENANCE 4319224 2447128 1872096 UBIT TAX & PA MEDICAID MOD TAX 2085329 2085329 CHARITY CARE SUBSIDIES 596577 596577 1960190 501107 1458306 777 157641897 105691263 51805593 145041 2136 2867 7295446 12171711 18573 0 13764879 30771465 0 0 0 0 0 0 3750887 3978072 3844765 3226356 219023317 131651493 93091692 87371824 65493652 44939167 0 0 0 0 0 0 1124678 1681860 188386708 184143322 14993408 12509810 0 0 2026587 1549743 38115133 39115038 0 0 0 0 1763024 826326 0 0 6755629 5089213 63653781 59090130 X 123996900 124323217 630041 630519 105986 99456 124732927 125053192 188386708 184143322 X 7344258 4243977 -11267970 X X false true X true false X false false false false false false false false true 1936 1936 false Part II-B, Line 1, Lobbying Activities: A PORTION OF DUES PAID TO OTHER NON-PROFIT ORGANIZATIONS ARE DEEMED AS LOBBYING EXPENSE PER DUES NOTICES FROM THESE ORGANIZATIONS. true 10335 59 4265 6129 true X 48850426 227516 -4600839 500 2504419 55414 41916770 49755714 121838 3843449 12983 4802433 55159 48850426 41621291 7068143 1163126 5500 39647 51699 49755714 34356532 7081686 274044 7000 32411 51560 41621291 16792906 14594797 3051766 4500 34277 44160 34356532 0.99760 0.00240 false false 2280065 2280065 120907357 64092244 56815113 1833227 1524488 308739 87184396 60155383 27029013 6818272 5879378 938894 87371824 0 OBLIGATIONS UNDER CAPITAL LEASE 3497034 ADVANCES RECEIVED FROM THIRD-P 273622 DEFERRED COMPENSATION 797357 ADVANCED WORKING CAPITAL 521200 5089213 X PART IV, LINE 1B: JOSEPH & PATRICIA HUMBERT ORIGINALLY CONTRIBUTED TO UPMC PINNACLE HANOVER. THE TWO DONORS PASSED AWAY BUT THE BALANCE OF THE FUND IS BEING HELD UNTIL THEIR SON PASSES AWAY. HE CURRENTLY RECEIVES A DISTRIBUTION FROM THE FUND EVERY SIX MONTHS. PART V, LINE 4: BOARD DESIGNATED FUNDS ARE ASSETS SET ASIDE BY THE BOARD OF TRUSTEES FOR FUTURE CAPITAL IMPROVEMENTS, OVER WHICH THE BOARD RETAINS CONTROL AND MAY, AT ITS DISCRETION, SUBSEQUENTLY USE FOR OTHER PURPOSES. THE FOLLOWING ENDOWMENTS' INCOMES ARE USED FOR THE PURPOSE OF PROVIDING UPMC PINNACLE HANOVER STAFF SCHOLARSHIPS FOR CONTINUING EDUCATION IN THE NOTED SPECIALTIES: BATHON-CRITICAL CARE, CARDIAC AND EMERGENCY SERVICES PATHOLOGISTS- LABORATORY KIRKPATRICK-MATERNITY/OBSTETRICS SHIPMAN-RADIOLOGY BONNIE HART-OPERATING ROOM STEVE LAWRENCE-EMERGENCY MEDICINE THE JACKIE LAWRENCE ENDOWMENT IS RESTRICTED FOR THE PURPOSE OF AWARDING A $500 SCHOLARSHIP TO A DELONE CATHOLIC HIGH SCHOOL SENIOR THAT IS PURSUING A BACHELOR OF SCIENCE- NURSING DEGREE. THE LEHMAN ENDOWMENT FUND IS TO SUPPORT A "WENDELL LEHMAN EDUCATION DAY" FOR THE UPMC PINNACLE HANOVER CARDIAC SERVICES STAFF. 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, 2017, THE COMPANY'S RETURNS FOR THE FISCAL YEARS ENDED JUNE 30, 2014, 2015, AND 2016 ARE OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES. 2016 ARE OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES. EXAMINATION BY THE VARIOUS TAXING AUTHORITIES. X true GOVERNMENT MANAGEMENT SERVICES LLC 354 ALEXANDER SPRING RD CARLISLE PA 17015 GRANT WRITING false 1950000 89067 1860933 1950000 89067 1860933 PA GOLF TOURNAMENT 144040 100868 43172 15298 10179 17695 1648 0 144040 100868 43172 15298 10179 17695 1648 44820 -1648 true true X true X true X true true true false false 2268 2672957 2672957 0.01700 19036 13371577 5321276 8050301 0.05110 21304 16044534 5321276 10723258 0.06810 41 121972 664848 46184 618664 0.00390 2 24 110085 110085 0.00070 6 1898 164830 164830 0.00100 49 123894 939763 46184 893579 0.00560 49 145198 16984297 5367460 11616837 0.07370 2 1163 9639 20889 0.00010 2 1163 9639 20889 0.00010 true 2900765 50683 42489521 52818265 -10328744 X true true 1 1 UPMC PINNACLE HANOVER 300 Highland Ave Hanover PA 17331 X X X UPMC PINNACLE HANOVER 1 false false true X X X X X X X X 15 true true false true X SEE PART V, SECTION C X X true 16 true SEE PART V, SECTION C false true X 200. 350. X X X X true true X X X X true X UPMCPinnacle.org/Hanover X UPMCPinnacle.org/Hanover X SEE SECTION C X X X X X true false X X X X true X false false PART V, SECTION B, Line 5: UPMC PINNACLE HANOVER, as part of consortium of other not for profit health care agencies, community philanthropy groups, higher education institutions and a municipal health bureau, contracted with the Center for Opinion Research, Franklin and Marshall College, to assess the population through the collection of 1800 Behavioral Risk Factor Surveys from a representative sample in York and Adams counties of Pennsylvania. Additional secondary data was taken from the US census and the Pennsylvania Dept of Health's morbidity and mortality surveillance system, EpiQMS. PART V, SECTION B, Line 6a: UPMC PINNACLE HANOVER'S (FORMERLY HANOVER HOSPITAL) CHNA was conducted with UPMC PINNACLE MEMORIAL (FORMERLY MEMORIAL HOSPITAL). PART V, SECTION B, Line 7a: https://www.pinnaclehealth.org/our-health-system/about-upmc-pinnacle/why-u pmc-pinnacle/mission-effectiveness/community-health-needs-assessment/york- county-community-health-needs-assessment PART V, SECTION B, Line 7d: The CHNA was presented to the Hanover Rotary Club, Hanover Area Council of Churches, and Hanover Area Chamber of Commerce Leadership program. PART V, SECTION B, LINE 10A: https://www.pinnaclehealth.org/our-health-system/about-upmc-pinnacle/why-u pmc-pinnacle/mission-effectiveness/community-health-needs-assessment/york- county-community-health-needs-assessment PART V, SECTION B, LINE 11: The Hospital addresses the needs identified by the CHNA through programs like low cost or no cost blood pressure, laboratory and pulmonary screenings multiple times through-out the year. In addition, it creates educational programs to address healthcare knowledge shortfalls identified by the CHNA such as smoking cessation, newborn care, nutritional workshops, etc. The hospital sponsors better living radio each weekday on a local radio station that provides health information to area residents. The hospital provides speakers for any community groups on health related topics upon request. The hospital works collaboratively with other local healthcare providers to address any needs identified by the CHNA that can't be addressed by the hospital. All of the needs in its most recently conducted CHNA that the hospital did not address: The hospital will not address psychiatric needs since the hospital's approach is to work with other local medical providers who handle this specific need. PART V, SECTION B, LINE 16C: UPMCPINNACLE.org/HANOVER 13 Hillside Diagnostic Center 250 Fame Ave Ste 104 Hanover PA 17331 Lab, MRI, X-Ray, CT Scan, US South Hanover 1404 Baltimore St Hanover PA 17331 EKG, Lab, X-Ray Cherry Tree 785 Cherry Tree Ct Hanover PA 17331 Rehab & Pediatrics Rehab Hillside Cardiac Diagnostic 250 Fame Ave Ste 207 Hanover PA 17331 Cardiac Rehab Spring Grove 2030 Thistle Hill Dr Spring Grove PA 17362 Lab, Rehab, X-Ray New Oxford 5615 York Rd New Oxford PA 17350 Lab & X-Ray Littlestown 300 W King St Littlestown PA 17340 Lab & Rehab Eichelberger Lab 195 Stock St Hanover PA 17331 Outpatient Lab Hillside Lung & Sleep Center 250 Fame Ave Ste 200 Hanover PA 17331 Pulmonology & Sleep Center York Street 400 York St Hanover PA 17331 Rehab Hillside Rehab 250 Fame Ave Ste 100 Hanover PA 17331 Rehab Hanover Medical Fitness Center 250 Fame Ave Ste 100 Hanover PA 17331 Fitness Center total wound care center 3130 grandview road hanover PA 17331 wound care hyperbaric oxygen Part I, Line 3c: The amount of discount varies based on income and the size of family. Financial assistance decisions are based on the household's "gross income," which means gross earnings reportable to the federal government. A patient whose household's gross income does not exceed 350% of the Federal Poverty Level (FPL) may qualify for financial assistance. The FPL varies with family size and is updated annually. A person also be granted financial assistance if they can show extenuating financial circumstances (such as large outstanding medical bills). Part I, Line 7F: Workforce development promoted the health of the community by increasing awareness about jobs in healthcare. The following activities occurred during the year: -Career Day Presentations are usually done outside the hospital at schools or other locations. Provide information regarding various healthcare professions including school-based programs on health care careers and health career mentoring projects. Collaborate with area schools to present to students on choosing a career in the health care profession. -Career Shadowing: The career shadowing & mentoring programs are offered to adults and students interested in learning about various healthcare careers. The regular shadowing program is offered for half day or a full day. Extended shadowers are scheduled for more than two days. -Nursing Symposium: Educational event directed toward nursing for continuing education to help maintain licensure. To network with other RN's within the community and neighboring counties. Part III, Line 4: Bad debt expense is the uncollectible portion of charges generated by patient care. This should be included in community benefit to show how much money was deemed uncollectible from patients. The allowable adjustment is taken prior to when the remaining balance is written off to bad debt expense. If any payments come in subsequently, the write-off is reversed and the bad debt expense is reduced. Bad debt expense was determined using the cost to charge ratio. Part III, Line 8: The organization is providing care to community members who are enrolled in Medicare, but the organization cannot collect on the shortfall because of the government's limitations on allowable charges. The same level of care is provided to all patients no matter what the insurance situation, so the organization should be allowed to claim the Medicare shortfall as community benefit. Medicare allowable cost of care was obtained from the Medicare cost report. Part VI, Line 3: Notification of the financial assistance policy, which shall include a contact number, will be distributed by various means including, but not limited to, posting notices in prominent patient locations and placing information on patient statements. UPMC PINNACLE HANOVER will also publicize a summary of the financial assistance policy on the facility website and in brochures available in patient access areas. Such notices and summary information will be provided in the primary languages spoken by the population served by UPMC PINNACLE HANOVER. The Hospital has financial assistance counselors who provide counseling to patients with regard to the financial assistance policy and also can help in applying for federal, state or other financial assistance. Part VI, Line 4: The community defined for this assessment includes each of the Pennsylvania zip codes 17316, 17301, 17350, 17364, 17362, 17344, 17331, 17329 & 17340. Secondary data is collected and representative of the entire counties of York and Adams. Part VI, Line 5: UPMC PINNACLE HANOVER furthers its exempt purpose by promoting the health of its community through the following: UPMC PINNACLE HANOVER utilizes approximately 170 volunteers offering support to the organization, from the Board of Directors to those who deliver flowers and transport patients. These volunteers are also active community members living in the Hospital's primary service area. Through their involvement at the Hospital, they are able to communicate its programs and services that benefit the welfare of the community. Through a wholly owned subsidiary it employs approximately 46 physicians. These physicians specialize in family medicine, internal medicine, general surgery, geriatrics, lung and sleep medicine, endocrinology, urology, cardiology, and OB/GYN. Our physicians work with thousands of families providing exceptional care. Finally, UPMC PINNACLE HANOVER applies its surplus funds by reinvesting in the organization. Over the past FEW yearS, the Hospital has paid for the expenses to roll out a community-wide electronic medical record (EMR). Hanover is one of the very few communities to have approximately eighty percent of its employed and affiliated physician practices join this roll out. Together the Hospital and its physicians are committed to providing a timely, accurate record for patients to reduce unnecessary testing and reduce costs. In addition to the EMR, the Hospital has invested funds to improve technology and to open new centers. Most recently, the Hospital opened AN ADDITIONAL LAB TO CARDIOVASCULAR. Through our most valuable assets, our volunteers and employees, along with our ongoing commitment to our community, UPMC PINNACLE HANOVER has furthered its exempt purpose. Part VI, Line 7: List of states receiving community benefit report: PA Part III, Line 2: The percentage of total patient care expenses to gross revenue was calculated. This percentage was applied to the gross bad debts to estimate the net bad debts expense. Part III, Line 3: The percentage of gross charges represented by those patients qualifying for assistance under the hospital's financial assistance policy as compared to total gross charges was calculated. This percentage was applied to the estimated net bad debts amount to estimate the amount of bad debts associated with patients qualifying for financial assistance under the hospital's financial assistance policy. This amount is being reflected as a community benefit since this amount is not being pursued under the hospital's bad debt policy due to the qualification for financial assistance by the patient. true American Heart Association 5455 North High Street Columbus OH 43214 135613797 501(c)(3) 13500 sponsorship Friends of Codorus State Park 1066 Blooming Grove Road Hanover PA 17331 562675802 501(c)(3) 10000 sponsorship New Hope Ministries PO Box 448 Dillsburg PA 17019 232223120 501(c)(3) 18000 sponsorship YMCA Hanover Area 500 NORTH George St PO Box 381 Hanover PA 17331 237172265 501(c)(3) 11500 sponsorship Sweet Charities PMB 154 1150 Carlisle ST Hanover PA 17331 113662416 501(c)(3) 12000 sponsorship Healthy York County Coalition 605 S George St STE 160 York PA 17401 222517863 501(c)(3) 22500 sponsorship Hanover Area Chamber of Commerce 146 Carlisle Street Hanover PA 17331 232290798 501(C)(6) 9290 sponsorship Gettysburg Adams Chamber of Commerce 1382 Biglerville Road Gettysburg PA 17325 231332240 501(c)(6) 7270 sponsorship 6 2 Part I, Line 2: Donations are made to 501(c)(3) public charities for use in exempt activities related to healthcare. Additional donations are made to local non-charitable contributions to support the community. X X true true X X X X X X true false false false false false false false false Michael W Gaskins President & CEO 434978 0 233783 0 35332 0 17100 0 26386 0 747579 0 0 0 David L Crooks MD BOARD MEMBER 0 344471 0 3256 0 78631 0 13500 0 2892 0 442750 0 0 Gagandeep S Gurm MD BOARD MEMBER 0 356732 0 281614 0 30115 0 13500 0 20630 0 702591 0 0 James E Wissler Former President&CEO (8/7/15) 0 0 0 0 239140 0 0 0 0 0 239140 0 0 0 Michael H Ader VP of Medical Affairs 219567 0 141790 0 16588 0 11700 0 23042 0 412687 0 0 0 Michael A Hockenberry Senior VP/COO 238984 0 71453 0 13141 0 15960 0 24968 0 364506 0 0 0 Christine K Miller General Counsel and VP of HR 208064 0 67461 0 1974 0 13956 0 14341 0 305796 0 0 0 Mary P Saunders VP of Nursing 198226 0 23484 0 21666 0 14222 0 6470 0 264068 0 0 0 Donna L Muller SENIOR VP & CFO 175256 0 34004 0 8955 0 10290 0 5768 0 234273 0 0 0 Daniel L Leib Supervisor of Information Ops 162282 0 0 0 1806 0 8038 0 23047 0 195173 0 0 0 Timothy S McCall Director of Pharmacy 172511 0 0 0 1278 0 8625 0 13991 0 196405 0 0 0 Andrew C Rinehart Pharmacist 154821 0 0 0 10522 0 7998 0 23016 0 196357 0 0 0 Nancy J Eschrich QI Special Project Coordinator 155732 0 0 0 1623 0 4653 0 23514 0 185522 0 0 0 Aaron C Rinehart PHARMACIST 147011 0 0 0 10051 0 7665 0 641 0 165368 0 0 0 Charlene D Baker VP of Hanover Medical Group 0 164177 0 7501 0 12074 0 0 0 0 0 183752 0 0 Susan Comp Board member 0 298117 0 121493 0 64846 0 2322 0 398 0 487176 0 0 Douglas C Dyer BOARD MEMBER 0 302099 0 92484 0 36152 0 3564 0 5198 0 439497 0 0 Philip W Guarnaschelli BOARD MEMBER 0 754533 0 249290 0 199651 0 2322 0 8301 0 1214097 0 0 PART I, LINE 1A: DUES PAID TO ROTARY CLUB OF HANOVER PART I, LINE 4A: james e. wissler received a severance payment of $239,140 during calendar year 2017. Part I, Line 1a: The Organization provided a gross-up to its CEO on supplemental retirement plan earnings which were treated as taxable compensation to the CEO. A General Authority of Southcentral Pennsylvania 232982233 84129NGH6 2013-04-15 17227616 Refinance 2002 series bond issue false false false B General Authority of Southcentral Pennsylvania 232982233 84129NJV2 2015-12-01 26665698 Refinance 2005 series bond issue false false false A 17367146 0 16996983 2675496 0 0 358734 0 0 0 0 0 2013 true false true true B 28390000 0 26149810 561350 0 0 515888 0 0 0 0 0 2015 true false true true A false false false false 0 false true 0.15600 true B false false false false 0 false false false false A false false false false false false 0 false 0 false false B false false false false false false 0 false 0 false false A false B false Alan Stock DIRECTOR 145160 see Part V false Michael Hess RELATIVE OF OFFICER 58954 MICHAEL HESS false Business Transaction Involving INterested person: Alan Stock ownED Eicholtz company until September 2017. The hosptial purchased office furniture AND LEASED COPIERS from Eicholtz Company. the board maintained a conflict of interest policy and all transactions with Eicholtz Company were conducted at arm's length. (A) NAME OF PERSON: MICHAEL HESS (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: RELATIVE OF OFFICER PHILIP GUARNESCHELLI (D) DESCRIPTION OF TRANSACTION: MICHAEL HESS IS A RELATIVE OF PHILIP GUARNESCHELLI DOES NOT SUPERVISE MICHAEL NOR DOES HE PARTICIPATE IN DISCUSSIONS ON MICHAEL HESS' COMPENSATION. Form 990, Part VI, Section A, Line 4: Effective September 1,2017 UPMC Pinnacle became the sole member of Hanover Healthcare Plus, Inc. (HHCP), which remains the sole member of UPMC Pinnacle Hanover. UPMC Pinnacle Hanover bylaws were amended and restated and among the changes, but not limited to, are the board composition change to reflect UPMC Pinnacle certain leadership and board members on the UPMC Pinnacle Hanover/HHCP boards. Governance consolidates at the UPMC Pinnacle level with more direction from that board and committee level which includes representation from the UPMC Pinnacle Hanover and HHCP board. The creation of Hanover Hospital Foundation was created with the intent to distribute semi-restricted funds to be used for UPMC Pinnacle Hanover purposes. This distribution has not occurred as of the end of this tax year ending June 30, 2018. Form 990, Part VI, Section B, Line 11: Review of the draft of the Form 990 is performed by management with the outside accounting firm. All members of the board of directors are given a final copy of the form 990 prior to filing with the IRS. The final submission is reviewed by the finance committee so that their questions and concerns may be addressed. Form 990, Part VI, Section B, Line 12C: UPMC Pinnacle Hanover's code of conduct contains principles outlining the policy of UPMC Pinnacle Hanover and standards that are intended to provide guidance to all individuals participating in UPMC Pinnacle Hanover's operations. the principles and standards shall be distributed at least annually to all directors, officers, employees and agents of UPMC Pinnacle Hanover. individuals are responsible to ensure that their behavior and activity is consistent with the code of conduct. the term "individuals" includes directors, employees and agents of UPMC Pinnacle Hanover and includes any person who fills such a role or provides services on behalf of UPMC Pinnacle Hanover including non-employed members of UPMC Pinnacle Hanover's medical staff providing services in UPMC Pinnacle Hanover, non-physician practitioners exercising privileges in UPMC Pinnacle Hanover, interns and medical students and shall include volunteers in UPMC Pinnacle Hanover. upon hire and annually thereafter, all employees must complete our compliance training, including review of our code of conduct statement. a copy of the code of conduct is located in UPMC Pinnacle Hanover's administrative policy manual. our code of conduct has standards and policies that address conflicts of interest. it is each employee's responsibility to review and comply with the code of conduct or discuss any questions or report any concerns to the corporate director of compliance. individuals are instructed that they owe undivided and unqualified loyalty to UPMC Pinnacle Hanover. individuals may not use their positions to profit personally or to assist others in profiting in any way at the expense of UPMC Pinnacle Hanover. individuals are expected to conduct themselves so as to avoid actual impropriety and/or appearance of impropriety in dealing with UPMC Pinnacle Hanover and to avoid disclosure or private use of the business affairs or plans of UPMC Pinnacle Hanover. determination of whether a conflict of interest exists or not and the assignment of any necessary action is made by the UPMC Pinnacle Hanover's audit committee, a subcommittee of our board of directors. participation on board of directors/trustees: - an individual must obtain approval of UPMC Pinnacle Hanover compliance officer prior to serving as a member of the board of directors/trustees of any organization whose interests may conflict with those of UPMC Pinnacle Hanover. an individual who is asked or seeks to serve on the board of directors/trustees of any organization whose interest would not impact UPMC Pinnacle Hanover (e.g., civic, charitable, fraternal, etc.) will not be required to obtain approval. - individuals shall seek the approval of UPMC Pinnacle Hanover compliance officer prior to retaining any fees or compensation (other than reimbursement for expenses) that are received by the individual for board services which may have been rendered during normal paid work time as an employee of UPMC Pinnacle Hanover. Form 990, Part VI, Section B, Line 15A: the executive compensation committee, consisting of independent members of the UPMC PINNACLE HANOVER board of directors, establishes pay and subsequent compensation increases of top management by utilizing four independent, industry specific compensation surveys. the committee recommendations were subsequently approved by the board of directors in executive session. Form 990, Part VI, Section B, Line 15B: FOR PHYSICIANS LISTED AS OFFICERS OR KEY EMPLOYEES, SUCH COMPENSATION IS DERIVED FROM AN INDEPENDENT SURVEY REPORT, AS WELL AS A RETAINED EXTERNAL VENDOR WHEN NECESSARY TO DETERMINE FAIR MARKET VALUE. THE COMPENSATION FOR OTHER KEY EMPLOYEES IS DETERMINED BY BOTH LOCAL AND NATIONAL INDEPENDENT, INDUSTRY SPECIFIC SURVEY DATA. Form 990, Part VI, Section C, Line 18: THE ORGANIZATION MAKES FORMS 990 AND 990-T AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VI, Section C, Line 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, Line 9: Changes in Net Assets: NET ASSET TRANSFER TO AFFILIATES -10,060,000 Miscellaneous adjustment -1,207,970 Total -11,267,970 Form 990, 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. Form 990, Schedule K, Part III, Line 3: There are no management or service contracts or research agreements relating to the financed properties for the 2005 bonds. FORM 990, PART VI, SECTION A, LINE 2: (A) NAME OF PERSON: MICHAEL HESS (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: RELATIVE OF OFFICER PHILIP GUARNESCHELLI (D) DESCRIPTION OF TRANSACTION: MICHAEL HESS IS A RELATIVE OF PHILIP GUARNESCHELLI AND IS COMPENSATED BY UPMC PINNACLE AS AN EMPLOYEE. PHILIP GUARNESCHELLI DOES NOT SUPERVISE MICHAEL NOR DOES HE PARTICIPATE IN DISCUSSIONS ON MICHAEL HESS' COMPENSATION. 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