2024-05-15T16:17:15-05:00 2023-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-07-01 261699000 PENNSYLVANIA PSYCHIATRIC INSTITUTE PENN 7177826420 2501 NORTH THIRD STREET HARRISBURG PA 171102098 BRIAN M MORGAN CFO 7177826420 2024-05-14 1 BRIAN MORGAN 999009999 1 KERRI N BOGDA CPA P00760402 7177404863 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KIMBERLY A FEEMAN 2501 NORTH THIRD STREET HARRISBURG PA 171102098 50503579 0 X WWW.PPIMHS.ORG X 2008 PA PROVIDE COMPREHENSIVE BEHAVIORAL HEALTH SERVICES FOR PATIENTS THROUGHOUT CENTRAL PENNSYLVANIA. 10 10 485 10 0 0 14013363 19658950 28972092 30731989 8444 69885 86424 42755 43080323 50503579 0 0 0 0 24490238 30802327 0 0 0 19375235 21246604 43865473 52048931 -785150 -1545352 12766955 18320354 10923985 18022736 1842970 297618 X PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI) IS COMMITTED TO PROVIDING A WIDE RANGE OF HIGH QUALITY INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES. CONTINUED ON SCHEDULE O.PPI IS DEDICATED TO PROVIDING CLINICAL EXCELLENCE, DIVERSE EDUCATION, RESEARCH, AND COMMUNITY COLLABORATION IN A MANNER THAT EVOLVES TO MEET THE CHANGING BEHAVIORAL HEALTH CARE NEEDS OF THE REGION. 0 0 27779145 0 19741465 PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI) IS A FREESTANDING HEALTHCARE FACILITY THAT SPECIALIZES IN PSYCHIATRIC AND SUBSTANCE ABUSE TREATMENT. INPATIENT CARE IS PROVIDED ON A 24 HOUR BASIS, SEVEN DAYS A WEEK, IN AN 89 BED ACUTE CARE PSYCHIATRIC SETTING. ADULTS, ADOLESCENTS AND CHILDREN WHOSE SOCIAL, EMOTIONAL OR BEHAVIORAL DISORDERS ARE SEVERE ENOUGH THAT THEY ARE UNABLE TO FUNCTION NORMALLY IN SCHOOL, HOME OR A COMMUNITY SETTING ARE SUPPORTED BY PPI'S INPATIENT SERVICES. 8882462 0 8553649 PPI'S OUTPATIENT AND PARTIAL HOSPITALIZATION PROGRAMS CONTINUE THE SUPPORT ADULTS, ADOLESCENTS, AND CHILDREN RECEIVE FROM THE INPATIENT TREATMENT, AT A LESS RESTRICTIVE LEVEL THAT PROVIDES THE SUPPORT NEEDED WHILE ALLOWING THE PATIENTS TO CONTINUE WITH THEIR FAMILY, SCHOOL, OR PROFESSIONAL COMMITMENTS. 2382945 0 1567504 THE ADVANCEMENT IN RECOVERY PROGRAM OFFERS A COMPREHENSIVE MEDICATION ASSISTED TREATMENT PROGRAM FOR INDIVIDUALS STRUGGLING WITH OPIOID USE DISORDER. COMBINED WITH THERAPEUTIC SUPPORT, THE TEAM PROVIDES SUPPORT FOR PATIENTS THROUGHOUT ALL PHASES OF TREATMENT. 1540232 0 869371 ELECTROCONVULSIVE THERAPY (ECT) IS A PROCEDURE USED TO TREAT SEVERE DEPRESSION WHEN OTHER TREATMENTS SUCH AS PSYCHOTHERAPY AND ANTIDEPRESSANT MEDICATIONS HAVE NOT BEEN SUCCESSFUL. ECT IS PERFORMED UNDER ANESTHESIA AND THE PATIENT IS ASLEEP. 1091716 0 0 PPI HAS A TEAM OF DEDICATED MEDICAL PRACTITIONERS AVAILABLE AT ALL TIMES TO TREAT THE PHYSICAL HEALTH NEEDS OF ITS PATIENTS IN ALL OF THE BEHAVIORAL HEALTH SETTINGS. 2631948 0 869371 41676500 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 485 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X AMANDA H MORGAN VP CFO HOSP FIN 7172318245 409 SOUTH SECOND STREET HARRISBURG PA 17104 THOMAS STOESSEL CO-CHAIR 1.00 1.00 X X 0 0 0 LOUIS BAVERSO CO-CHAIR 1.00 1.00 X X 0 0 0 PHILIP W GUARNESCHELLI CO-CHAIR (UNTIL 09/22) 1.00 1.00 X X 0 0 0 AMANDA MORGAN SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 ALISON BERNHARDT SECRETARY/TREASURER (UNTIL 12/22) 1.00 1.00 X X 0 0 0 DEBORAH BRODINE DIRECTOR 1.00 1.00 X 0 0 0 CAMELLIA HERISKO DIRECTOR 1.00 1.00 X 0 0 0 ERIKA SAUNDERS MD DIRECTOR 1.00 1.00 X 0 0 0 SUSAN PROMES MD DIRECTOR 1.00 1.00 X 0 0 0 JULIE NICKELL DIRECTOR 1.00 1.00 X 0 0 0 JAMES W JORDAN DIRECTOR (UNTIL 09/22) 1.00 1.00 X 0 0 0 ROBERT WHALEN DIRECTOR 1.00 1.00 X 0 0 0 TAYLOR ANDREWS DIRECTOR 1.00 1.00 X 0 0 0 KIMBERLY A FEEMAN CHIEF EXECUTIVE OFFICER 39.00 1.00 X 313301 0 33299 HARRY PADILLA CHIEF NURSING OFFICER 40.00 X 126281 0 15923 BRIAN M MORGAN CHIEF FINANCIAL OFFICER 39.00 1.00 X 159202 0 26614 JOSEPH OBANOR REGISTERED NURSE 40.00 X 214282 0 15889 ROSE WHITLEY REGISTERED NURSE 40.00 X 147627 0 27614 STEPHANIE KEGEL DIRECTOR OF OPERATION 40.00 X 141696 0 26392 LAURIE TALBOT DIRECTOR OF PRODUCT INTEGRITY 40.00 X 123800 0 10877 WANDA GEESEY DIRECTOR OF HUMAN RESOURCES 40.00 X 123106 0 26209 1349295 0 182817 25 0 1 0 PENN STATE HEALTH 500 UNIVERSITY DR HERSHEY PA 17033 PHYSICIAN STAFFING 7211652 UPMC PINNACLE 409 SOUTH SECOND ST HARRISBURG PA 171058700 ADMIN & SUPPORT SVCS 2138202 VOLUME RECRUITMENT SERVICES 2124 MARIETTA AVENUE LANCASTER PA 17603 RECRUITING SERVICES 638506 AB STAFFING 3451 S MERCY RD STE 102 GILBERT AZ 85297 PHYSICIAN STAFFING 561941 MIDSTATE CONSTRUCTION 638 ANTOINE ST HARRISBURG PA 17110 CONSTRUCTION SERVICES 281691 10 248999 19409951 19658950 NET PATIENT REVENUE 621110 30731989 30731989 30731989 69885 69885 INCENTIVE BONUS 900099 51085 51085 OTHER INCOME 900099 -8330 -8330 42755 50503579 30731989 0 112640 X 767044 767044 23862799 19934349 3928450 942594 773644 168950 3664776 2945528 719248 1565114 1239020 326094 163162 163162 400 400 91551 91551 11114962 8795965 2318997 110446 57778 52668 320634 167734 152900 98725 51646 47079 3078518 2842351 236167 127692 66800 60892 12274 6421 5853 313815 180984 132831 827776 827776 BAD DEBT 3763806 3763806 RECRUITMENT 553422 289514 263908 MEDICAL SUPPLIES 432631 432631 DUES AND SUBSCRIPTIONS 137373 71864 65509 99417 56465 42952 52048931 41676500 10372431 0 200 7016557 2059864 3147986 5116292 639328 685062 3615403 2271506 1292633 1343897 8242197 670451 872842 12766955 18320354 34683 441521 0 10482464 17988053 10923985 18022736 X 1566941 21589 276029 276029 1842970 297618 12766955 18320354 -1545352 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 162693 20184 142509 1635056 1254392 380664 1817654 996930 820724 1343897 DUE TO EXEMPT MEMBERS 9745856 OPERATING LEASE LIABILITIES 8242197 17988053 X 46911894 -3591685 -3591685 50503579 0 50503579 49298074 1012949 1012949 48285125 3763806 3763806 52048931 PART X, LINE 2: THE ORGANIZATION ADHERES TO THE PROVISIONS OF THE FASB ASC 740, INCOME TAXES. ASC 740 PRESCRIBES A COMPREHENSIVE MODEL FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO FISCAL YEAR 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE OF AFFILIATE 172,121. BAD DEBT EXPENSE -3,763,806. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF AFFILIATE 1,012,949. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 3,763,806. 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 389350 473787 0 0.00000 14353419 9810982 4542437 0.08730 14742769 10284769 4542437 0.08730 14742769 10284769 4542437 0.08730 4 542 1856 1856 0.00000 10 6960 6960 0.00010 14 542 8816 8816 0.00010 1 3763806 267230 1492521 2352947 -860426 X 1 1 1 1 PENNSYLVANIA PSYCHIATRIC INSTITUTE 2501 NORTH THIRD STREET HARRISBURG PA 171102098 WWW.PPIMHS.ORG 325480 X ACUTE PSYCHIATRIC PENNSYLVANIA PSYCHIATRIC INSTITUTE 1 0 0 1 X X X X X X X X 21 1 1 1 1 X WWW.PPIMHS.ORG/ABOUT-US/COMMUNITY-PROGRAMS X WWW.PENNSTATEHEALTH.ORG X 1 21 1 WWW.PPIMHS.ORG/ABOUT-US/COMMUNITY-PROGRAMS 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X WWW.PPIMHS.ORG/PATIENTS-AND-VISITORS/PATIENT-BILLING-INFORMATION X WWW.PPIMHS.ORG/PATIENTS-AND-VISITORS/PATIENT-BILLING-INFORMATION X WWW.PPIMHS.ORG/PATIENTS-AND-VISITORS/PATIENT-BILLING-INFORMATION X X X X X X 1 X 0 1 X 0 0 PENNSYLVANIA PSYCHIATRIC INSTITUTE PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPRESENTED A COMMUNITY-WIDE PROCESS WHERE PENN STATE HEALTH, PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH REHABILITATION CENTER AND PENNSYLVANIA PSYCHIATRIC INSTITUTE CONNECTED WITH A WIDE RANGE OF PUBLIC AND PRIVATE ORGANIZATIONS, SUCH AS EDUCATIONAL INSTITUTIONS, HEALTH-RELATED PROFESSIONALS, LOCAL GOVERNMENT OFFICIALS, HUMAN SERVICE ORGANIZATIONS, AND FAITH-BASED ORGANIZATIONS TO EVALUATE THE COMMUNITY'S HEALTH AND SOCIAL NEEDS. THE ASSESSMENT INCLUDED PRIMARY DATA COLLECTION, INTERVIEWS WITH COMMUNITY STAKEHOLDERS, FOCUS GROUPS WITH KEY AUDIENCES, AND COMMUNITY FORUMS. PENNSYLVANIA PSYCHIATRIC INSTITUTE PART V, SECTION B, LINE 6A: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH REHABILITATION HOSPITAL. PENNSYLVANIA PSYCHIATRIC INSTITUTE PART V, SECTION B, LINE 6B: THE COLLABORATING PARTNERS CAN BE FOUND BY ACCESSING THE LINK BELOW:HTTPS://PPIMHS.ORG/WP-CONTENT/UPLOADS/2022/06/2022-CHNA-IMPLEMENTATION-PLAN_PPI_V2.PDF PENNSYLVANIA PSYCHIATRIC INSTITUTE PART V, SECTION B, LINE 11: THE LAST COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN WAS APPROVED BY THE BOARD OF DIRECTORS IN MAY 2022.MENTAL HEALTH AND SUBSTANCE USE DISORDERS ARE PPI'S NUMBER ONE PRIORITY. TO ENHANCE OUR COMMUNITY ENGAGEMENT, PPI HAS, THROUGH COLLABORATION WITH A GRANT FROM UNITED WAY OF THE CAPITAL REGION, ENGAGED A COMMUNITY HEALTH WORKER (CHW) TO BE IN THE COMMUNITY IDENTIFYING INDIVIDUALS WHO NEED MENTAL AND MEDICAL SERVICES, DENTAL, VISION, HOUSING AND OTHER RESOURCES WHO ARE UNDER INSURED OR UNINSURED. PPI CONTINUES TO IMPROVE THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY, BY PROMOTING MENTAL HEALTH TRAININGS EXPANDING SERVICES, AND RECRUITMENT OF PHYSICIANS. PPI HAS TRAINED 542 INDIVIDUALS IN THE COMMUNITY TO IDENTIFY THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND WHAT THEY CAN DO TO SUPPORT THOSE DEALING WITH THESE ILLNESSES. PPI HAS INCREASED ITS OUTPATIENT AND ADVANCEMENT IN RECOVERY APPOINTMENTS. PENN STATE HEALTH RECRUITS AND PROVIDES PHYSICIAN SERVICES FOR PPI. PENNSYLVANIA PSYCHIATRIC INSTITUTE PART V, SECTION B, LINE 16J: PENNSYLVANIA PSYCHIATRIC INSTITUTE USES THE LOOK-BACK METHOD WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PART V, SECTION B, LINES 19 & 20: PPI'S POLICIES DO NOT PERMIT HOSPITAL FACILITIES OR ANY OTHER AUTHORIZED PARTIES TO ENGAGE IN EXTRAORDINARY COLLECTIONS ACTIONS IN ANY CIRCUMSTANCES. THEREFORE, LINE 20 HAS BEEN LEFT BLANK SINCE IT IS NOT APPLICABLE AND UPMC BELIEVES IT WOULD BE MISLEADING TO CHECK ANY OF THE BOXES. 1 1 - PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICE 2501 NORTH THIRD STREET HARRISBURG PA 17110 HEALTH CARE SERVICES PART I, LINE 7: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEANS-TESTED GOVERNMENT PROGRAMS WAS THE 2022 MEDICAL ASSISTANCE COST REPORT, SCHEDULES S-6 AND S-7, AND THE MEDICARE COST REPORT SCHEDULE C. PART I, LN 7 COL(F): THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 COLUMN A INCLUDES BAD DEBT EXPENSE. THE EXPENSE USED TO CALCULATE THE PERCENT OF TOTAL EXPENSE FOR FORM 990 SCHEDULE H PART I LINE 7 COLUMN F ARE THE TOTAL EXPENSES FROM FORM 990 PART IX NET OF BAD DEBT EXPENSE. THE TOTAL EXPENSES USED FOR THIS CALCULATION NET OF BAD DEBT EXPENSE IS $48,285,125. PART II, COMMUNITY BUILDING ACTIVITIES: NO VOLUNTEERING EFFORTS IN FY 2023.PART II, LINE 5: PPI TRAINED A TOTAL OF 542 INDIVIDUALS ON MENTAL HEALTH IN FY23. THE TRAINING WAS PRESENTED FOR THE FOLLOWING ORGANIZATIONS: PA STATE CADETS DAUPHIN COUNTY JUDICIAL CENTER INTERNATIONAL SERVICE CENTERTHE CIVIC CLUB OF HARRISBURGPART II, LINE 6: THE DIRECTOR OF COMMUNITY ENGAGEMENT AND DIVERSITY & INCLUSION CONTINUES ITS COLLABORATION WITH THE FOLLOWING COMMUNITY ORGANIZATIONS: - UNITED WAY CORE SOLUTIONS PARTNERS - UNITED WAY ROAD TO SUCCESS - HAMILTON HEALTH ACCESS TO HEALTH CARE PROGRAMS - NAMI OF DAUPHIN CO. - HOSPITAL ASSOCIATION OF PENNSYLVANIA - DAUPHIN CO. LAW ENFORCEMENT - PENNSYLVANIA STATE POLICE ACADEMY - DIVERSITY PROFESSIONALS OF CENTRAL PA - PENN STATE HEALTH - CIVIC CLUB OF HARRISBURG PART III, LINE 2: ACTUAL BAD DEBTS WERE GROSSED UP BY A CONTRACTUAL AMOUNT TO ARRIVE AT TOTAL ESTIMATED GROSS REVENUES. THE COST-TO-CHARGE RATIO WAS APPLIED TO THE ESTIMATED GROSS REVENUES TO ESTIMATE THE COST OF BAD DEBT. PART III, LINE 4: THE FINANCIAL STATEMENTS DO NOT HAVE A SPECIFIC NOTE ON BAD DEBT EXPENSE; RATHER, THE FINANCIAL STATEMENTS EVALUATE BAD DEBTS BASED ON ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOOTNOTE 2, SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, ADDRESSES THIS AS FOLLOWS: "THE PREPARATION OF FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES MANAGEMENT TO MAKE ESTIMATES AND ASSUMPTIONS THAT AFFECT THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES AND DISCLOSURE OF CONTINGENT ASSETS AND LIABILITIES AT THE DATE OF THE FINANCIAL STATEMENTS AND THE REPORTED AMOUNTS OF REVENUES AND EXPENSES DURING THE REPORTING PERIOD." THESE SIGNIFICANT ESTIMATES INCLUDE THE ACCOUNTS RECEIVABLE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ALLOWANCES. ACTUAL RESULTS COULD DIFFER FROM THOSE ESTIMATES AS THEY ARE PREPARED BASED ON CERTAIN ASSUMPTIONS WHICH ARE SUBJECT TO CHANGE. THE FOOTNOTE FOR THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS, "ACCOUNTS RECEIVABLE ARE RECORDED AT THEIR ESTIMATED NET REALIZABLE VALUE. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED UPON HISTORICAL COLLECTION RATES." PART III, LINE 8: MEDICARE SHOULD BE CONSIDERED A COMMUNITY BENEFIT IN PART BECAUSE THE MEDICARE BASE PER DIEM IS APPROXIMATELY $500 PER DAY BELOW COST.THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS:FISCAL YEAR ENDING 2023 MEDICARE COST REPORT WORKSHEETS D-1, PART II, E PART B, AND E-3, PART II. THE COST REPORT USES A COMBINATION OF DATA FROM THE GENERAL LEDGER AND QUERIES FROM THE DECISION SUPPORT DATABASE FOR DETERMINATION OF MEDICARE ALLOWABLE COSTS.IT IS PPI'S CONTENTION THAT ALL AMOUNTS CALCULATED TO BE SHORTFALLS IN REIMBURSEMENT FOR SERVICES PROVIDED TO MEDICARE PATIENTS ARE TRULY UNCOMPENSATED CARE THAT SHOULD BE STATED IN PART I LINE 7 FOR PATIENTS FOR WHICH THE ENTITY IS UNABLE TO COLLECT, REGARDLESS OF THE EFFICIENCY OF PROVISION OF THE RELATED CARE COSTS. FOR PPI THE MEDICARE BASE PER DIEM IS APPROXIMATELY $500 PER DAY BELOW THE COST OF PROVIDING THE SERVICES. PART III, LINE 9B: IT IS THE POLICY OF PPI TO CONSIDER EACH PATIENT'S ABILITY TO PAY FOR HIS OR HER MEDICAL CARE BY PROVIDING A LEVEL OF CHARITY CARE AND FINANCIAL ASSISTANCE TO UNINSURED AND UNDERINSURED PATIENTS REQUIRING MEDICALLY NECESSARY HEALTH CARE SERVICES BASED ON FINANCIAL ELIGIBILITY CRITERIA. PPI IS COMMITTED TO TREATING PATIENTS WHO HAVE FINANCIAL NEEDS WITH THE SAME DIGNITY AND CONSIDERATION THAT IS EXTENDED TO ALL OF ITS PATIENTS CONSISTENT WITH THE MISSION OF PPI.A PATIENT WHO IS IDENTIFIED AS A POTENTIAL RECIPIENT OF FINANCIAL ASSISTANCE IS ASKED TO COMPLETE AN APPLICATION, ALONG WITH SUPPORTING DOCUMENTATION, WHICH WILL BE REVIEWED AND A DETERMINATION WILL BE PROVIDED WITHIN TWO WEEKS. IF APPROVED, THE DISCOUNT IS APPLIED TO ALL OPEN ACCOUNTS AND IS EFFECTIVE FOR SIX MONTHS FROM THE DATE OF APPROVAL. PATIENTS PROVIDED PARTIAL FINANCIAL AID DISCOUNTS ARE EXPECTED TO MAKE REASONABLE PAYMENT ARRANGEMENTS.UNINSURED AND UNDERINSURED PATIENTS ARE INTERVIEWED BY HEALTHCARE RECEIVABLE SPECIALISTS, INC. (HRSI) TO DETERMINE MEDICAL ASSISTANCE ELIGIBILITY. IN TOTAL 415 PATIENTS WERE REFERRED TO HRSI TO COMPLETE MEDICAL ASSISTANCE APPLICATIONS DURING FISCAL YEAR 2023. PART VI, LINE 2: IN CONJUNCTION WITH FOUR OTHER AREA HOSPITALS AND A FEDERALLY QUALIFIED HEALTH CENTER, PPI ASSESSES THE NEEDS THROUGH THE CHNA AND COLLABORATES WITH OTHER COMMUNITY ORGANIZATIONS LOOKING AT THEIR COMPILED DATA AND FINDINGS.PPI CONTINUES TO ASSIST REFERRING FACILITIES THROUGH TRAININGS AND FURTHER COLLABORATION MEETINGS TO REDUCE WAIT TIMES IN THEIR EMERGENCY ROOMS. PPI'S "DIRECT ADMISSION PROCESS" TO REFER PATIENTS FROM AN OUTPATIENT CLINIC FACILITY DIRECTLY TO PPI (SUBJECT TO ADMISSION CRITERIA) NOW INCLUDES EDUCATIONAL FACILITIES. THIS ACCELERATES THE DELIVERY OF NEEDED TREATMENT.PPI CONTINUES TO ENHANCE AND ASSIST PROVIDERS AND PATIENTS BY MAKING OUTPATIENT APPOINTMENTS AND REQUESTS FOR INFORMATION AND SERVICES AVAILABLE THROUGH MULTIPLE MEDIA AT A TIME THAT BETTER SUITS EACH INDIVIDUAL'S NEEDS. PART VI, LINE 3: PPI CONTRACTS WITH HEALTHCARE RECEIVABLE SPECIALISTS (HRSI) TO ASSIST UNINSURED AND UNDER INSURED PATIENTS, WITHOUT THE RESOURCES TO PAY THEIR PPI BILLINGS, IN OBTAINING ELIGIBILITY UNDER THE MEDICAL ASSISTANCE PROGRAM. IN ADDITION, THE PPI BILLING DEPARTMENT REVIEWS BAD DEBTS FOR POSSIBLE CHARITY CARE TREATMENT. BROCHURES ARE AVAILABLE SUMMARIZING THE PPI GUIDE TO PATIENT BILLING AND PAYMENT POLICIES. FINANCIAL ASSISTANCE DIRECTION IS INCLUDED IN THE BROCHURE AND THE BROCHURES ARE AVAILABLE UPON REQUEST. IN ADDITION, AT PATIENT ENTRY LOCATIONS, CHARITY CARE AND FINANCIAL ASSISTANCE POSTERS HAVE BEEN POSTED. PART VI, LINE 4: PPI PROVIDES FOR THE INPATIENT AND OUTPATIENT PSYCHIATRIC NEEDS TO ASSURE A COMPLETE CONTINUUM OF CARE FOR THE TWO MEMBER ORGANIZATIONS, PENN STATE HEALTH IN HERSHEY, PENNSYLVANIA AND UPMC PINNACLE IN HARRISBURG, PENNSYLVANIA, BOTH IN DAUPHIN COUNTY. APPROXIMATELY 86% OF PPI'S INPATIENT ADMISSIONS ARE FROM THESE TWO ORGANIZATIONS. HERSHEY IS A SUBURBAN SETTING AND HARRISBURG IS AN URBAN SETTING. IN ADDITION, APPROXIMATELY 2% OF ADMISSIONS ARE FROM PPI'S OUTPATIENT CLINICS.PPI'S PAYER MIX IS MEDICARE 29%, MEDICAID 53%, BLUES 10%, OTHER THIRD PARTY 8%, AND SELF-PAY 1%.APPROXIMATELY 25% OF PPI PATIENTS ADMITTED ARE NOT INSURED OF WHICH APPROXIMATELY 90% BECOME ELIGIBLE FOR MEDICAL ASSISTANCE. APPROXIMATELY 30% OF PPI'S PATIENTS ARE ADMITTED WITH MEDICAL ASSISTANCE.THERE ARE THREE OTHER HOSPITALS IN THE AREA THAT SERVICE AN INPATIENT PSYCHIATRIC POPULATION, HOLY SPIRIT - A GEISINGER AFFILIATE IN CUMBERLAND COUNTY, TO THE WEST, PHILHAVEN BEHAVIORAL HEALTHCARE IN LEBANON COUNTY AND LANCASTER BEHAVIORIAL HEALTH HOSPITAL IN LANCASTER COUNTY, BOTH TO THE EAST.PPI ALSO RECEIVES REFERRALS FOR INPATIENT PSYCHIATRIC CARE FROM ALL OTHER COUNTIES IN CENTRAL PENNSYLVANIA WHERE PSYCHIATRIC RESOURCES ARE LIMITED. PART VI, LINE 5: PPI HAS THREE COMMUNITY MEMBERS ON ITS GOVERNING BODY. ONE IS THE EXECUTIVE DIRECTOR OF THE PENNSYLVANIA CHAPTER OF THE NATIONAL ALLIANCE ON MENTAL ILLNESS, THE SECOND IS CEO OF H. B. MCCLURE, A LOCAL PLUMBING, HEATING AND AIR CONDITIONING COMPANY, AND THE THIRD IS A PARTNER AT ANDREWS AND JOHNSON LAW OFFICE.A MAJORITY OF THE MEDICAL STAFF IS PROVIDED BY PENN STATE HEALTH, THE LOCAL ACADEMIC MEDICAL CENTER, WITH WHOM PPI HAS A CONTRACTUAL RELATIONSHIP FOR THIS SERVICE. PPI HAS THE ABILITY TO PROVIDE EMERGENCY MEDICAL STAFF PRIVILEGES IF NEEDED.PPI HAS OPERATED AT A LOSS IN EACH YEAR OF EXISTENCE, WHEN EXCLUDING THE FINANCIAL SUPPORT OF ITS MEMBER ORGANIZATIONS, PENN STATE HEALTH AND UPMC PINNACLE. PART VI, LINE 6: ON JANUARY 27, 2006, A STATE-OWNED INPATIENT PSYCHIATRIC HOSPITAL LOCATED IN THE CITY OF HARRISBURG WAS CLOSED, RESULTING IN A COMMUNITY NEED FOR INPATIENT PSYCHIATRIC SERVICES. IN ADDITION, DURING THE SAME TIMEFRAME, THE STATE HAS CLOSED OTHER INPATIENT PSYCHIATRIC HOSPITALS, CAUSING INCREASED LENGTHS OF STAY FOR ISOLATED PATIENTS AND CREATING PLACEMENT ISSUES FOR THE PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI).PPI IS A NON-PROFIT ORGANIZATION THAT WAS CREATED ON JANUARY 10, 2008 BY A JOINT VENTURE BETWEEN PENN STATE MILTON S. HERSHEY MEDICAL CENTER AND UPMC PINNACLE, COLLECTIVELY KNOWN AS "MEMBERS" IN RESPONSE TO THE SIGNIFICANT VOID THAT WAS CREATED BY THE CLOSURE OF THE STATE-OWNED PSYCHIATRIC HOSPITALS. THE MEMBERS ARE REQUIRED TO FUND PPI AND ITS FUTURE OPERATIONS.THE MISSION OF PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI) IS TO PROVIDE BEHAVIORAL HEALTH SERVICES TO THE RESIDENTS OF CENTRAL PENNSYLVANIA AND THE SURROUNDING REGIONS. PPI CREATES SPECIALIZED BEHAVIORAL HEALTH TREATMENT PROGRAMS FOR CHILDREN, ADOLESCENTS, ADULTS, AND MATURE ADULTS SO THAT THE UNIQUE NEEDS OF EACH GROUP CAN BE ADDRESSED SEPARATELY. PPI TREATS MENTAL HEALTH AND SUBSTANCE USE DISORDERS AT THE MAIN PSYCHIATRIC HOSPITAL ON THIRD STREET IN HARRISBURG, PA. PPI ALSO PROVIDES OUTPATIENT MENTAL HEALTH SERVICES FOR ADULTS AT THE DIVISION STREET CLINIC AND OUTPATIENT AND PARTIAL HOSPITALIZATION TREATMENT FOR CHILDREN, ADOLESCENTS, AND TEENS AT THE THIRD STREET CLINIC. X X X 0 0 0 0 0 0 0 1 0 KIMBERLY A FEEMAN CHIEF EXECUTIVE OFFICER 273426 0 39875 0 0 0 15589 0 17710 0 346600 0 0 0 JOSEPH OBANOR REGISTERED NURSE 179844 0 34438 0 0 0 9229 0 6660 0 230171 0 0 0 BRIAN M MORGAN CHIEF FINANCIAL OFFICER 126767 0 32435 0 0 0 9037 0 17577 0 185816 0 0 0 ROSE WHITLEY REGISTERED NURSE 139072 0 8555 0 0 0 9040 0 18574 0 175241 0 0 0 STEPHANIE KEGEL DIRECTOR OF OPERATION 141196 0 500 0 0 0 8682 0 17710 0 168088 0 0 0 PART I, LINE 7 PPI UTILIZES A MANAGEMENT INCENTIVE PLAN (THE "PLAN"). THE PURPOSE OF THE PLAN IS TO FURTHER THE MISSION OF THE PENNSYLVANIA PSYCHIATRIC INSTITUTE BY PROMOTING EFFECTIVE MANAGEMENT OF OPERATIONS, QUALITY OF CARE AND SERVICE, AND WISE USE OF RESOURCES IN MEETING COMMUNITY NEEDS. THE PLAN IS INTENDED TO HELP PPI ATTRACT AND RETAIN EXECUTIVES OF THE CALIBER IT NEEDS TO BE SUCCESSFUL BY PROVIDING MEANINGFUL INCENTIVES AND REWARDS FOR SUPERIOR PERFORMANCE AND A COMPETITIVE LEVEL OF TOTAL CASH COMPENSATION. NO AWARDS SHALL BE PAID UNLESS PPI MAINTAINS ITS JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS ACCREDITATION, MEETS ITS OBLIGATIONS TO PROVIDE SUFFICIENT LEVEL OF CHARITABLE CARE AND COMMUNITY BENEFIT TO SATISFY STANDARDS IMPOSED UNDER ACT 55 AND ACHIEVES 90% OF BUDGETED OPERATING MARGIN INCLUDING PLAN EXPENSE. A HOSPITALIST MAY QUALIFY FOR ADDITIONAL COMPENSATION BY MEETING QUALITY OF CARE OUTCOME INDICATORS AGREED UPON BETWEEN THE CHIEF MEDICAL OFFICER AND THE HOSPITALIST. THE ADDITIONAL COMPENSATION MAY BE NO MORE THAN $6,000 ANNUALLY. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE ORGANIZATION ARE PENN STATE HEALTH AND UPMC PINNACLE. THESE ORGANIZATIONS REPRESENT A SINGLE CLASS OF MEMBERS. ADMISSION OF ADDITIONAL MEMBERS, IF ANY, SHALL BE IN ACCORDANCE WITH THE AGREEMENT BETWEEN MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS CONSISTS OF 4 DIRECTORS DESIGNATED BY PENN STATE HEALTH AND 4 DIRECTORS DESIGNATED BY UPMC PINNACLE. THESE 8 DIRECTORS THEN SELECT UP TO THREE COMMUNITY BOARD MEMBERS AND ANY ADDITIONAL MEMBERS, NOT EXCEEDING A TOTAL OF 4 ADDITIONAL MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS REQUIRE APPROVAL BY THE MEMBER DIRECTORS: (A) THE SALE OF THE ORGANIZATION OR SUBSTANTIALLY ALL OF THE ASSETS; (B) A CHANGE IN LOCATION OF THE HOSPITAL; (C) THE ADMISSION OF NEW MEMBERS; (D) THE DISSOLUTION OF THE ORGANIZATION; (E) THE INCURRING OF INDEBTEDNESS IN EXCESS OF $10,000; (F) A CAPITAL EXPENDITURE IN EXCESS OF THE AMOUNT APPROVED IN THE CAPITAL BUDGET; (G) THE APPOINTMENT OF AUDITORS; (H) ANY AMENDMENT TO THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE REVIEWED BY THE CEO PRIOR TO FILING. EACH BOARD MEMBER WILL RECEIVE A COPY PRIOR TO THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND ANY RELEVANT COMMITTEE MEMBERS. AN INTERESTED PERSON SHALL INCLUDE ANY DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE OF THE CORPORATION OR AN ENTITY AFFILIATED WITH THE CORPORATION WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IN A PROPOSED TRANSACTION. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CONFLICT OF INTEREST POLICY DOES MENTION FAMILY RELATIONSHIPS AS A SOURCE FOR POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 MEMBERS OF THE BOARD ARE PART OF A SEARCH COMMITTEE THAT ESTABLISHES SALARY RECOMMENDATIONS AND ANALYSIS USING COMPARABILITY DATA FOR THE CEO POSITION UPON THEIR INITIAL HIRE WITH THE INTENTION TO MAINTAIN COMPENSATION WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. ANNUALLY, A PERFORMANCE REVIEW IS PERFORMED UPON WHICH A MERIT INCREASE IS BASED. INCREASES ARE APPROVED BY THE BOARD. COMPENSATION FOR SENIOR LEADERSHIP IS BASED ON A HUMAN RESOURCES FORMULA IN CONJUNCTION WITH COMPARABILITY DATA AND APPROVED BY THE CEO. ANNUALLY, BASED ON SUGGESTIONS FROM THE CEO, SENIOR LEADERSHIP RECEIVE MERIT INCREASES BASED ON PERFORMANCE. CEO RECOMMENDATIONS ARE REVIEWED AND APPROVED BY THE BOARD. THE BOARD DETERMINES THE MAXIMUM ORGANIZATIONAL MERIT RATE INCREASES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENTS WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,096,997. MANAGEMENT AND GENERAL EXPENSES 849,018. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,946,015. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 33,003. MANAGEMENT AND GENERAL EXPENSES 3,948. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,951. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,599,554. MANAGEMENT AND GENERAL EXPENSES 1,458,086. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,057,640. CONSULTING : PROGRAM SERVICE EXPENSES 66,411. MANAGEMENT AND GENERAL EXPENSES 7,945. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,356. FORM 990, PART V, LINE 1: UPMC (EIN 25-1423657), THE PARENT ENTITY OF MEMBER UPMC PINNACLE ISSUES AND FILES ALL FORMS 1099 FOR PPI SINCE MEMBER UPMC PINNACLE IS ENGAGED TO PROVIDE ACCOUNTING AND REPORTING SERVICES. FORM 990, PART VI, LINE 1B: THE MEMBERS OF THE PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI) ARE PENN STATE HEALTH AND UPMC PINNACLE. THE BOARD OF DIRECTORS CONSISTS OF 4 DIRECTORS DESIGNATED BY PENN STATE HEALTH AND 4 DIRECTORS DESIGNATED BY UPMC PINNACLE. THE MEMBERS ARE NOT CONSIDERED TO BE RELATED ORGANIZATIONS TO PPI SINCE NEITHER MEMBER HAS A CONTROLLING INTEREST IN PPI. AS SUCH, THE MEMBERS ARE NOT REPORTED ON SCHEDULE R AS RELATED ORGANIZATIONS. ALSO, THE COMPENSATION PAID BY THE MEMBERS TO THE MEMBER DIRECTORS FOR THEIR SERVICES PERFORMED AS EMPLOYEES OF THE MEMBERS (NOT PPI) IS NOT REPORTED AS COMPENSATION PAID BY A RELATED ORGANIZATION. HOWEVER, IN THE INTEREST OF TRANSPARENCY, PPI IS NOT REPORTING THE EIGHT MEMBER DIRECTORS DESIGNATED BY THE MEMBERS AS BEING INDEPENDENT BOARD MEMBERS. PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES 2501 NORTH THIRD STREET HARRISBURG PA 17110 822969322 MEDICAL SERVICE PROVIDER PA 501(C)(3) LINE 3 PENNSYLVANIA PSYCHIATRIC INSTITUTE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES P 840828 COST