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The Pinnacle Foundation

Ko te Hikuwai o Te Tihi Ora, The Pinnacle Foundation, is a charitable trust that reinvests surplus income from Pinnacle’s profit-for-purpose entities into primary care across Te Manawa Taki, supporting access, workforce and innovation.

Mai i te Tihi o Hikurangi tae atu ki te maunga Titōhea ko Taranaki, ka rere ngā hikuwai hei orokohanga, hei wai oranga mō te whenua me te tangata.

From the sacred summit of Hikurangi to the mountain peak of Taranaki, the flowing headwaters give rise to the waters of life that sustain both the land and the people.

Ko te Hikuwai o Te Tihi Ora, The Foundation was established by Pinnacle to strengthen support for general practice and community health across Te Manawa Taki. It creates a clear, transparent way to reinvest surplus income from Pinnacle’s profit-for-purpose entities back into primary care, alongside our role as a PHO. 

It sits alongside Pinnacle’s role as a PHO and government-funded service provider, with a clear separation between PHO funding and charitable investment. 

The Foundation is now open to applications from practices within the Pinnacle Midlands Health Network. It will invest in practical, high-value initiatives that improve access to care, strengthen the primary care workforce and support innovation.

The name of the Foundation

It is with privilege and honour that we, Te Taumata Hauora, offer this name as the name for the new Foundation Trust.

The Pinnacle Foundation has been gifted the name Ko te Hikuwai o Te Tihi Ora by Te Taumata Hauora and may may be referred to in everyday use by its working name, Te Hikuwai.  

The name emerged through kōrero and wānanga of Te Taumata Hauora members. Ko te Hikuwai o Te Tihi Ora translates as “The headwaters of the peaks of wellbeing”.  

Hikuwai, or headwaters, are where rainwater gathers and melting snow pools before beginning its flow towards the lands below, bringing life and vitality to the land and people. 

At the peaks of the mountains of Te Manawa Taki sit the collection pools of life-giving waters that flow out to the lands, bringing life and wellbeing to the people. Te Hikuwai represents the collection of resources that will flow throughout Te Manawa Taki and provide benefit for its people. 

The Foundation Trust is the organisation’s pool, where resources gather and trustees carve the path for those resources to flow to the land and the people. 

Why The Foundation was created

General practice continues to face rising demand, workforce shortages, and the shift of more care into community settings. Practices consistently tell us they need support with recruitment, capability building, and access to tools and innovations that make day-to care easier to deliver.

Te Hikuwai creates a purpose-built charitable mechanism for Pinnacle to provide additional support in these areas. It follows social investment principles, so funding decisions need to show clear charitable purpose and measurable benefit for patients, whānau and communities. 

This is not new work for Pinnacle. It is the next step in a strategy we have been pursuing for many years to support practices and communities across Te Manawa Taki, and a way to ensure more of what we earn as a network flows directly back into primary care. 

By focusing this approach within Te Manawa Taki, Te Hikuwai will also help build evidence about what works in primary care and where innovations may be scalable across the wider health system. 

Key information for practices

Updates

We will continue to share updates through the Pinnacle website, newsletters and direct communication to practices. As funding decisions are made, we will share examples of the initiatives supported, what we are learning, and how Ko te Hikuwai o Te Tihi Ora / The Foundation is helping return surpluses to primary care and the communities our network serves.

Contact details

Chief Governance Officer
liz.miller@pinnacle.health.nz