2024-05-13T09:16:44-05:00 2023-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-07-01 231352572 AFFILIA HOME HEALTH % DAVID ALEXANDER AFFI 7175442161 1006 NEW HOLLAND AVE LANCASTER PA 17601 David Alexander CFO PMAH 6107473400 2024-05-03 true David Alexander 999009999 ANTONIO C RUSSO DIRECTOR P00858539 2673303000 2024-05-02 2 2022 2023-04-26 12:10:37Z DAVID ALEXANDER 150 MONUMENT ROAD BALA CYNWYD PA 19004 10446214 false X WWW.LANCASTERGENERALHEALTH.ORG/SERVICE-AND-TR X 1926 PA AFFILIA HOME HEALTH IS A COMMUNITY SERVICE ORGANIZATION PROVIDING COMPREHENSIVE HOME HEALTH CARE AND OTHER HEALTH CARE RELATED SERVICES. 6 0 125 6 0 0 1694 1032 10106862 10433411 1670 7114 89940 4657 10200166 10446214 0 0 0 0 9288204 10099443 0 0 0 2154478 1676234 11442682 11775677 -1242516 -1329463 3095812 1764618 1498409 1478876 1597403 285742 X AFFILIA HOME HEALTH IS A COMMUNITY SERVICE ORGANIZATION THAT PROVIDES COMPREHENSIVE HOME HEALTH CARE TO PEOPLE OF ALL AGES IN LANCASTER, BERKS, CHESTER, SCHUYLKILL AND DAUPHIN COUNTIES AND THEIR SURROUNDING AREA REGARDLESS OF THEIR ABILITY TO PAY. AFFILIA HOME HEALTH PROVIDED SKILLED NURSING, THERAPY, MEDICAL SOCIAL SERVICES, AND HOME HEALTH AID SERVICES FOR THE FISCAL YEAR ENDED JUNE 30, 2023. false false 4365397 0 5329012 HOME HEALTH CARE: SKILLED NURSING (RN&LPN)-SKILLED NURSES HELP PATIENTS RECOVER AFTER AN OPERATION OR ILLNESS. PROVIDE CARE TO AGING OR CHRONICALLY ILL PATIENTS, AND RELIEVE THE STRESS FOR FAMILY MEMBERS CARING FOR THEIR LOVED ONES. (31,333 VISITS) 2558382 0 3120388 HOME HEALTH CARE: PHYSICAL THERAPY-PHYSICAL THERAPISTS HELP PATIENTS IMPROVE MUSCLE STRENGTH, REGAIN FUNCTIONAL MOVEMENT, RELIEVE PAIN AND USE MEDICAL EQUIPMENT PROPERLY. (18,363 VISITS) 999361 0 1218894 HOME HEALTH CARE: OCCUPATIONAL THERAPY-OCCUPATIONAL THERAPISTS WORK WITH PATIENTS TO REGAIN OR ADAPT TO THEIR ABILITY TO PERFORM DAILY LIVING SKILLS LIKE BATHING, DRESSING, OR PREPARING MEALS. (7,173 VISITS) 283522 0 345804 HOME HEALTH CARE AID 117310 0 143079 SPEECH THERAPY 230300 0 280891 MEDICAL SOCIAL WORKER 631132 0 769774 8554272 true false false false false false false false false true true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 7 0 true 125 true false false false false false false false false false false false false X 6 0 false true false false true true true true true true false true true true true true true true true false PA X DAVID ALEXANDER 6107473400 150 MONUMENT ROAD BALA CYNWYD PA 19004 X KEITH KASPER TRUSTEE/CHAIRPERSON 2.0 53.0 X X 0 1716990 210044 JOAN DOYLE TRUSTEE 2.0 53.0 X 0 589127 71320 MARGARET F COSTELLA ESQ FORMER OFFICER 0.0 55.0 X 0 450709 125756 TAMMY L OBER FORMER OFFICER 0.0 55.0 X 0 365602 97676 SANDRA JOST TRUSTEE 2.0 53.0 X 0 379214 4082 DAVID ALEXANDER TRUSTEE, CFO PMAH 2.0 53.0 X 0 332907 26768 SARAH JOHNSON TRUSTEE 2.0 53.0 X 0 302626 25698 DOUGLAS W RINEHART FORMER OFFICER 0.0 55.0 X 0 282463 35450 KRISTINA ARMITAGE BURKE AGENCY DIRECTOR-HOME HEALTH 55.0 0.0 X 184755 0 34695 KATHRYN WEINRICH FORMER OFFICER 0.0 55.0 X 0 192931 22324 CHARMAINE S ROCHESTER FORMER OFFICER 2.0 53.0 X 0 165812 46645 AMANDA J SHAW OFFICER 2.0 53.0 X X 0 125282 31732 DANIEL S BURKHART PHYSICAL THERAPIST 55.0 0.0 X 105923 0 35291 RACHEL HERTZOG HOME CARE RN 55.0 0.0 X 105794 0 25426 KENNETH W FOX PHYSICAL THERAPIST 55.0 0.0 X 117791 0 6415 ANDREA WOLF PHYSICAL THERAPIST 55.0 0.0 X 97460 0 26687 CARLA CHERRY DIRECTOR QUALITY, COMPLIANCE 55.0 0.0 X 102213 0 14512 713936 4903663 840521 7 true true false SIMITREE HEALTHCARE CONSULTING 1030 CONTINENTAL DRIVE KING OF PRUSSIA PA 19406 MEDICAL CODING SRVCS 183438 1 680 352 1032 HOME HEALTH CARE MEDICARE REVENUE 621610 4617050 4617050 HOME HEALTH CARE OTHER PAYERS 621610 5816361 5816361 10433411 7114 7114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISC OPERATING REVENUE 900099 4657 4657 4657 10446214 10438068 0 7114 0 0 0 0 167330 0 167330 0 0 7758818 5906878 1851940 0 347134 261083 86051 0 1247161 937025 310136 0 579000 435471 143529 0 398177 0 398177 0 0 0 0 0 0 277702 262532 15170 0 0 50478 28401 22077 0 168475 165053 3422 0 0 317271 103698 213573 0 292790 291082 1708 0 0 0 0 0 1897 0 1897 0 6395 0 6395 0 PROGRAM SUPPLIES-HOME CARE 79031 79031 0 0 MED/SURGICAL SUPPLIES 78027 78027 0 0 RECRUITING EXPENSES 5780 5780 0 0 INFORM/EDUCATION RESOURCES 211 211 0 0 11775677 8554272 3221405 0 X 230 250 1507332 271483 0 0 1204060 1030344 0 0 0 0 0 0 0 0 21733 14680 1800110 1787503 14505 12607 124678 128319 0 0 0 0 0 0 223274 306935 3095812 1764618 1306489 995349 0 0 34835 76262 0 0 0 0 0 0 0 0 0 0 157085 407265 1498409 1478876 X 1359448 42784 237955 242958 1597403 285742 3095812 1764618 X -1329463 4981 12821 X false true X true false X 4715 2823 4005 1694 1032 14269 16228669 10881548 11385977 10106862 10433411 59036467 0 0 0 16233384 10884371 11389982 10108556 10434443 59050736 0 0 0 59050736 62587 11123 2844 1670 7114 85338 0 62587 11123 2844 1670 7114 85338 0 21610 6926 7195 89940 4657 130328 16317581 10902420 11400021 10200166 10446214 59266402 0.99636 0.99610 0.00144 0.00207 X AFFILIA HOME HEALTH IS A COMMUNITY SERVICE ORGANIZATION THAT PROVIDES COMPREHENSIVE HOME HEALTH CARE TO PEOPLE OF ALL AGES IN THE LANCASTER, BERKS, CHESTER, SCHUYKILL, AND DAUPHIN COUNTIES OF PENNSYLVANIA AND THEIR SURROUNDING AREAS, REGARDLESS OF THEIR ABILITY TO PAY. AFFILIA HOME HEALTH PROVIDES SKILLED NURSING, THERAPY, MEDICAL SOCIAL SERVICES, AND HOME HEALTH AID SERVICES. FOR THE FISCAL YEAR ENDED JUNE 30, 2023, 36% OF OUR SERVICES PROVIDED WERE SPECIFICALLY PROVIDED TO TRADITIONAL MEDICARE AND MEDICAID PATIENTS. 46933 0 7804 0 0 0 54737 46933 0 0 0 0 0 46933 46933 0 0 0 0 0 46933 46922 0 11 0 0 0 46933 52315 0 -5393 0 0 0 46922 0.00000 0.70000 0.30000 false false 1800110 1787503 12607 12607 PERPETUAL TRUST 191107 MISC RECIEVABLE-INTER/PR -263 MISC RECEIVABLE-EMPLOYEE 31000 UNDISTRIBUTED-PATIENT REMIT -755 MISC RECEIVABLE-OTHER 12949 DUE FROM AFFILIATES 72897 306935 0 IBNR WORKER'S COMPENSATION 46483 DUE TO AFFILIATES 358514 UNPAID PATIENT REFUNDS 2268 407265 X SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE INTENDED USE OF ENDOWMENT FUNDS HELD BY AFFILIA HOME HEALTH ARE TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE OF PROVIDING COMPREHENSIVE HOME HEALTHCARE, REGARDLESS OF THE PATIENT'S ABILITY TO PAY. ------------------------------ SCHEDULE D, PART X, LINE 2 TEXT OF FIN 48 (ASC 740) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA ("UNIVERSITY"). THE FIN 48 (ASC 740) FOOTNOTE BELOW DERIVES FROM THE CONSOLIDATED JUNE 30, 2023 FINANCIAL STATEMENTS OF THE UNIVERSITY: THE UNIVERSITY REGULARLY EVALUATES ITS TAX POSITION AND DOES NOT BELIEVE IT HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO ITHE CONSOLIDATED FINANCIAL STATEMENTS. ----------------------- X false true false false false false false true false TAMMY L OBER FORMER OFFICER 0 294345 0 64050 0 7207 0 60989 0 36687 0 463278 0 0 MARGARET F COSTELLA ESQ FORMER OFFICER 0 353747 0 89408 0 7554 0 120583 0 5173 0 576465 0 0 DOUGLAS W RINEHART FORMER OFFICER 0 230264 0 37176 0 15023 0 14039 0 21411 0 317913 0 0 KRISTINA ARMITAGE BURKE AGENCY DIRECTOR-HOME HEALTH 158879 0 8451 0 17425 0 9372 0 25323 0 219450 0 0 0 CHARMAINE S ROCHESTER FORMER OFFICER 0 157989 0 0 0 7823 0 38762 0 7883 0 212457 0 0 KATHRYN WEINRICH FORMER OFFICER 0 189371 0 1000 0 2560 0 9770 0 12554 0 215255 0 0 AMANDA J SHAW OFFICER 0 123921 0 1000 0 361 0 6614 0 25118 0 157014 0 0 DAVID ALEXANDER TRUSTEE, CFO PMAH 0 269177 0 62561 0 1169 0 0 0 26768 0 359675 0 0 JOAN DOYLE TRUSTEE 0 356586 0 155875 0 76666 0 53100 0 18220 0 660447 0 0 KEITH KASPER TRUSTEE/CHAIRPERSON 0 983067 0 422785 0 311138 0 185400 0 24644 0 1927034 0 275942 SANDRA JOST TRUSTEE 0 303228 0 74654 0 1332 0 0 0 4082 0 383296 0 0 SARAH JOHNSON TRUSTEE 0 241935 0 60333 0 358 0 0 0 25698 0 328324 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION AFFILIA HOME HEALTH FOLLOWS THE COMPENSATION PROCESS OF LANCASTER GENERAL HEALTH, THE MANAGING MEMBER. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMPENSATION DEPARTMENT AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE POSITIONS. ------------------------------ SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE LANCASTER GENERAL HEALTH SERP PLAN DURING THE YEAR AND/OR RECEIVED EMPLOYER PAID AMOUNTS DURING THE YEAR: COSTELLA, MARGARET F. NO DISTRIBUTION OBER, TAMMY L. NO DISTRIBUTION ------------------------------ SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS AFFILIA HOME HEALTH PARTICIPATES IN THE LANCASTER GENERAL HEALTH ANNUAL INCENTIVE PLAN (THE PLAN). THE PURPOSE OF THE PLAN IS TO REINFORCE STRATEGIC PERFORMANCE PRIORITIES FOR SENIOR MANAGEMENT AND MANAGEMENT EMPLOYEES AND TO ENCOURAGE THE HIGHEST LEVEL OF PERFORMANCE IN THE DELIVERY OF HEALTH CARE SERVICES. AS A REWARD FOR EMPLOYEES' CONTRIBUTIONS TO LANCASTER GENERAL HEALTH'S SUCCESS, THE PLAN PROVIDES THE OPPORTUNITY TO EARN MEANINGFUL INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF LANCASTER GENERAL HEALTH AND THE INDIVIDUAL PARTICIPANTS. SPECIFICALLY, THE PLAN IS DESIGNED TO: *FOCUS PARTICIPANTS ON THE ACHIEVEMENT OF ORGANIZATION GOALS RELATED TO PEOPLE, SERVICE, QUALITY/SAFETY, FINANCIAL AND GROWTH; *PROMOTE AND FOSTER A TEAM ORIENTED CULTURE;*STRENGTHEN LANCASTER GENERAL HEALTH'S ABILITY TO ATTRACT AND RETAIN SUPERIOR TALENT, RECOGNIZE AND REWARD ACCOMPLISHMENTS THAT CLEARLY ADVANCE THE ORGANIZATION'S MISSION, AND DRIVE STRATEGIES; *PROVIDE INCENTIVE AWARDS THAT CAN BE ADJUSTED ANNUALLY FOR DIFFERENT BUSINESS CONDITIONS AND BUSINESS PLAN PRIORITIES WITHOUT CHANGING BASIC DESIGN FEATURES OF THE PLAN; AND *PROVIDE ANNUAL INCENTIVE OPPORTUNITIES WITH DUE CONSIDERATION TO THE REQUIREMENTS OF THE INTERMEDIATE SANCTIONS LAW AND THE REGULATIONS THERE UNDER. ------------------------------ SCHEDULE J, PART 1, LINE 4A SEVERANCE AND CHANGE OF CONTROL PAYMENTS NO INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2023 CALENDAR YEAR. ------------------------------ FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF MANAGEMENT DUTIES LANCASTER GENERAL HEALTH (EIN 23-2250941) AND LANCASTER GENERAL HOSPITAL EIN (23-1365353) PROVIDE MANAGEMENT SERVICES TO AFFILIA HOME HEALTH. SUCH SERVICES INCLUDE, BUT ARE NOT LIMITED TO: ACCOUNTING, HUMAN RESOURCES, INFORMATION TECHNOLOGY, AND COURIER SERVICES. ------------------------------- FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBER OR STOCKHOLDERS THE SOLE MEMBER OF THE CORPORATION IS LANCASTER GENERAL HEALTH. THE SOLE MEMBER MAY INITIATE AND IMPLEMENT ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING; AMENDMENT OF CHARTER, CERTIFICATE OF ARTICLES OF INCORPORATION OR BYLAWS; SALE, PURCHASE, LEASE OR ENCUMBRANCE WITH DEBT; THE TRANSFER OF ANY ASSETS OF THE CORPORATION, EXCLUDING EQUIPMENT; ELECTION OR REMOVAL OF THE BOARD OF TRUSTEEES OF THE CORPORATION; THE APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; THE APPROVAL OF INVESTMENT ADVISORS, OUTSIDE LEGAL COUNSEL, AND AUDITORS OF THE CORPORATION; AND THE APPROVAL OF NON-BUDGETED EXPENDITURES. ------------------------------ FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY LANCASTER GENERAL HEALTH ELECTS THE BOARD OF TRUSTEES OF AFFILIA HOME HEALTH. ------------------------------ FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE SOLE MEMBER OF LANCASTER GENERAL HOSPITAL IS LANCASTER GENERAL HEALTH. THE SOLE MEMBER MAY INITIATE AND IMPLEMENT ANY PROPOSAL WITH RESPECT TO ANY OF THE FOLLOWING; AMENDMENT OF CHARTER, CERTIFICATE OF ARTICLES OF INCORPORATION OR BYLAWS; SALE, PURCHASE, LEASE OR ENCUMBRANCE WITH DEBT; THE TRANSFER OF ANY ASSETS OF THE CORPORATION, EXCLUDING EQUIPMENT; ELECTION OR REMOVAL OF THE BOARD OF TRUSTEES OF THE CORPORATION; THE APPROVAL OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION; THE APPROVAL OF INVESTMENT ADVISORS, OUTSIDE LEGAL COUNSEL, AND AUDITORS OF THE CORPORATION; AND THE APPROVAL OF NON-BUDGETED EXPENDITURES. ------------------------------ FORM 990, PART VI, SECTION A, LINE 9 INTERESTED PERSON NOT AT ORGANIZATION'S ADDRESS BOARD MEMBERS DAVID ALEXANDER, JOAN DOYLE, SANDRA JOST AND SARAH JOHNSON CAN BE REACHED AT: PENN MEDICINE AT HOME, 150 MONUMENT ROAD, BALA CYNWYD, PA 19004. BOARD MEMBER KEITH KASPER CAN BE REACHED AT: THE TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA, 3451 WALNUT STREET, PHILADELPHIA, PA 19104. ------------------------------- FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY INFORMATION RELATED TO THIS ORGANIZATION'S FORM 990 FILING IS GATHERED AND THE RETURN WAS PREPARED BY FINANCE STAFF. THE CONTROLLER AND SELECT MEMBERS OF HTE FINANCE MANAGEMENT TEAM REVIEWED THE COMPLETED FORM 990. IT WAS THEN PROVIDED TO PWC US TAX LLP FOR THEIR REVIEW. IN ADDITION, THE MEMBERS OF THE GOVERNING BODY WERE GIVEN THE OPPORTUNITY TO VIEW THE 990 ONLINE VIA THE BOARD PORTAL SYSTEM PRIOR TO THE FILING. ------------------------------- FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS TO ESTABLISH COMP OF TOP MANAGEMENT THE FOLLOWING PRACTICES OCCUR IN REGARD TO THE REVIEW AND APPROVAL OF COMPENSATION FOR THE AGENCY DIRECTOR OF AFFILIA HOME HEALTH: AN INDEPENDENT BOARD REVIEWS COMPARATIVE MARKET DATA FOR SIMILARLY SIZED ORGANIZATIONS AS PROVIDED BY A THIRD PARTY CONSULTANT PRIOR TO TAKING ACTION ON ANY COMPENSATION DECISIONS. MINUTES OF THESE PROCEEDINGS ARE DOCUMENTED FOR FUTURE REFERENCE AND BOARD APPROVAL OCCURS BEFORE DECISIONS ARE IMPLEMENTED. THE POSITION OF AGENCY DIRECTOR IS THE ONLY POSITION CONSIDERED TO BE AN EXECUTIVE LEADER, THEREBY FOLLOWING THE PROCESS NOTED ABOVE. ------------------------------- FORM 990, PART VI, SECTION B, LINE 12A CONFLICT OF INTEREST POLICY IN ORDER TO ASCERTAIN AND EVALUATE ACTUAL OR POTENTIAL CONFLICTS, CERTAIN INTERESTED PERSONS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ENTERING EMPLOYMENT OR BECOMING A TRUSTEE OF LANCASTER GENERAL HEALTH OR AN AFFILIATE, AND OTHERS ARE ALSO REQUIRED TO FILL OUT SUCH A STATEMENT ON AN ANNUAL BASIS. IN ADDITION TO THIS REQUIREMENT, ALL OFFICERS AND TRUSTEES, REGARDLESS OF WHETHER OR NOT THEY HAVE FILLED OUT OR HAVE BEEN ASKED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, HAVE AN ONGOING AFFIRMATIVE DUTY TO BRING TO THE ATTENTION OF LANCASTER GENERAL HEALTH, SITUATIONS WHICH MAY GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS DESCRIBED IN THE POLICY. ------------------------------ FORM 990, PART VI, SECTION B, LINE 14 DOCUMENT RETENTION AND DESTRUCTION POLICY THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, LINE 14. HOWEVER, THEY ARE NOT CURRENTLY APPROVED B THE GOVERNING BOARD. ------------------------------ FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC AFFILIA HOME HEALTH DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC, AS THEY ARE REQUIRED TO BE INCLUDED WITH FORM 990, SCHEDULE H. ------------------------------- FORM 990, PART VII, SECTION A COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES THE AFFILIA HOME HEALTH BOARD TERM RUNS JULY 1 TO JUNE 30. THE FOLLOWING INDIVIDUALS LISTED ON PART VII, SECTION A EITHER STARTED OR TERMED DURING THE JUNE 30, 2023 FISCAL YEAR: KATHRYN WEINRCH (TERMED) 3/29/2023 THE HOURS NOTED IN COLUMN (B) RELATE TO THE HOURS DEDICATED TO THE FILING ORGANIZATION AND/OR TO OTHER ORGANIZATIONS WITHIN THE LANCASTER GENERAL HEALTH SYSTEM. THE HOURS DISCLOSED RELATE TO TIME SERVED ON A BOARD AND/OR FOR SERVICES PROVIDED RESULTING IN COMPENSATION PAID. MEMBERS OF THE BOARD ARE NOT COMPENSATED FOR THEIR POSITION ON THE BOARD. COMPENSATION DISCLOSED RELATES TO OTHER SERVICES PERFORMED. ------------------------------- FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS PERPETUAL TRUST- AMOUNT $ 12,821 ------------ TOTAL $ 12,821 ------------------------------- THE LEONARD AND MADLYN ABRAMSON INST 421 CURIE BLVD 450 BRB 11/111 PHILADELPHIA PA 19104 232929823 MED RESEARCH PA 501(C)(3) 4 NA false CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH PA 15222 236415355 SUPPORT TRUST PA 4947(A)(1) N/A NA false CHESTER COUNTY HOSPITAL & HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER PA 19380 264233321 MGMT SRVCS PA 501(C)(3) 12, I TRUSTEES false CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232729852 HEALTHCARE PA 501(c)(3) 10 TRUSTEES false LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER PA 17602 232250941 SUPPORT ORG PA 501(C)(3) 12, II TRUSTEES false LANCASTER GENERAL HEALTH COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA PA 17512 230485650 FACILITY MGMT PA 501(C)(3) 3 LG HOSPITAL false LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER PA 17602 205767147 FUNDRAISING PA 501(C)(3) 7 NA false LANCASTER GENERAL HEALTH HOLDINGS 555 NORTH DUKE STREET LANCASTER PA 17602 204943109 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET LANCASTER PA 17602 231365353 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL MEDICAL GROUP 1097 COMMERCIAL AVE EAST PETERSBURG PA 17520 232777286 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false MORRIS EST LYDIA T DECD TW 6325 S Rainbow Blvd Ste 300 LAS VEGAS NV 89118 236210940 SUPPORT TRUST PA 501(C)(3) 12, III-FI NA false NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER PA 19380 232324782 NURSING PA 501(C)(3) 12, I CCH&HS false NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER PA 19380 232324787 HEALTH SRVCS PA 501(C)(3) 10 CCH&HS false NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER PA 19380 231352243 NURSING PA 501(C)(3) 7 CCH&HS false OAP INC 3451 WALNUT STREET ROOM 748 PHILADELPHIA PA 19104 231986931 SUPPORT ORG PA 501(C)(3) 12, I TRUSTEES false PENN CENTER FOR REHAB AND CARE 3609 CHESTNUT STREET PHILADELPHIA PA 19104 232422635 HEALTHCARE PA 501(C)(3) 3 PMC false PENN CLUB OF NEW YORK INC 30 WEST 44TH STREET NEW YORK NY 10036 232726687 CLUB NY 501(c)(7) N/A NA false PENN PRAXIS INC 210 SOUTH 34TH STREET PHILADELPHIA PA 19104 752974931 SUPPORT ORG PA 501(C)(3) 12, I TRUSTEES false PENN PRESS INC 3905 SPRUCE STREET PHILADELPHIA PA 19107 231876142 PUBLISHING PA 501(C)(3) 12, I TRUSTEES false PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER PA 17601 061645496 HEALTH EDU PA 501(C)(3) 2 LG HOSPITAL false PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA PA 19107 311538725 HEALTHCARE PA 501(C)(3) 3 TRUSTEES false PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT ORG PA 501(C)(3) 12, I NA false PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA PA 19104 232901089 SUPPORT ORG PA 501(C)(3) 3 TRUSTEES false PRESBYTERIAN MEDICAL CENTER OF UPHS 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232810852 HEALTHCARE PA 501(C)(3) 3 TRUSTEES false THE ASC TRUST OF THE UNIV OF PA 1500 MARKET ST STE 3500E PHILADELPHIA PA 19102 810550464 BUS. TRUST PA 501(C)(3) 8 NA false CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 230469150 HEALTHCARE PA 501(C)(3) 3 CCH&HS false TRUSTEES OF THE UNIVERSITY OF PENN 3451 WALNUT STREET ROOM 305 PHILADELPHIA PA 19104 231352685 EDUCATION PA 501(C)(3) 2 NA false UNIVERSITY CITY ASSOCIATES INC 3451 WALNUT STREET ROOM 329 PHILADELPHIA PA 19104 233021159 SUPPORT ORG PA 501(C)(3) 12, I TRUSTEES false UNIVERSITY CLUB AT PENN INC 3611 WALNUT STREET PHILADELPHIA PA 19104 236299508 FAC. CLUB PA 501(C)(3) 12, I TRUSTEES false UPENN INTERNATIONAL 3451 WALNUT STREET SUITE 731 PHILADELPHIA PA 19104 454985731 SUPPORT ORG PA 501(C)(3) 12, I TRUSTEES false UPENN MASTER RETIREMENT TRUST 3451 WALNUT STREET ROOM 305 PHILADELPHIA PA 19104 043574136 RETIRE TRUST PA 501(A) N/A TRUSTEES false UPENN RETIREE BENEFITS TRUST 3451 WALNUT STREET ROOM 329 PHILADELPHIA PA 19104 232769744 BENEFITS PA 501(C)(3) 12, I TRUSTEES false WISSAHICKON HOSPICE OF UPHS 150 MONUMENT ROAD SUITE 300 BALA CYNWYD PA 19004 232152662 HOSPICE CARE PA 501(c)(3) 10 TRUSTEES false WOMEN'S AND CHILDREN'S HEALTH SERVICES 700 SPRUCE STREET PHILADELPHIA PA 19106 232248956 HEALTHCARE PA 501(c)(3) 3 PA HOSPITAL false PRINCETON HEALTHCARE SYSTEM ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 210635009 HEALTHCARE NJ 501(C)(3) 3 PHCS HOLDING false PRINCETON HEALTHCARE SYSTEM FDN INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 222225911 SUPPORT PHCS NJ 501(C)(3) 7 PHCS HOLDING false PRINCETON HEALTHCARE SYSTEM HOLDING INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 223493256 SUPPORT ORG NJ 501(C)(3) 12,I TRUSTEES false PRINCETON MEDICAL PROPERTIES INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 220022702 REAL ESTATE NJ 501(C)(2) N/A PHCS HOLDING false PRINCETON CAREGIVERS INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 222842773 HOMECARE SVCS NJ 501(C)(3) 3 PHCS HOLDING false PRINCETON HEALTHCARE AFFILIATED PHYS PC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 264203938 HLTHCARE SVCS NJ 501(C)(3) 10 PCHS HOLDING false HAJOCA 3025 INC 3451 WALNUT STREET ROOM 737 PHILADELPHIA PA 19104 843379653 SUPPORT ORG PA 501(C)(3) 12, I TRUSTEES false LAISE CA TUW FBO UNIV OF PENN 3451 WALNUT STREET SUITE 305 PHILADELPHIA PA 19104 823434615 SUPPORT TRUST PA 4947(A)(1) N/A NA false PENN MEDICINE-PMA 5 ATRIUM 3400 CIVIC CTR BLVD PHILADELPHIA PA 19104 863800365 HEALTHCARE PA 501(C)(3) 10 CCA false THE HEART GROUP OF LANCASTER GEN HEALTH 217 HARRISBURG AVENUE LANCASTER PA 17603 300634510 CARDIOLOGY PA 501(C)(3) 3 LG HEALTH false PDCP 1740 FUND LP 311 S WACKER DRIVE STE 2620 CHICAGO IL 60601 320472404 INVESTMENT IL NA false DVG 1740 FUND LP ONE FAWCETT PLACE GREENWICH CT 06830 800961539 INVESTMENT CT NA false EAST MARSHALL STREET PARTNERSHIP LP 701 E MARSHALL STREET WEST CHESTER PA 19380 232902742 INVESTMENT PA NA false FERN HILL PARTNERSHIP III LP 701 E MARSHALL STREET WEST CHESTER PA 19380 300409614 RENTAL PA NA false FERN HILL LLC 701 E MARSHALL STREET WEST CHESTER PA 19380 233005147 RENTAL PA NA false GALLOPAVO LP 2000 McKINNEY AVE STE 2125 DALLAS TX 75201 464621967 INVESTMENT TX NA false LANCASTER PET PARTNERSHIP LLP PO BOX 4216 LANCASTER PA 17604 233102793 MEDICAL SERVICES PA NA false LG HEALTH COMMUNITY CARE COLLABORATIVE 555 NORTH DUKE STREET LANCASTER PA 17602 455542179 ACO PA NA false KINGSTOWN 1740 FUND LP 167 MADISON AVE ST 205 1033 NEW YORK NY 10016 843119908 INVESTMENT NY NA false MRI GROUP LLP PO BOX 4216 LANCASTER PA 17604 331011386 MEDICAL SERVICES PA NA false NEIGHBRHD PRES & DEV FUND LP 240 NEW YORK DR STE 1 FORT WASHINGTON PA 19034 233037919 RENTAL PA NA false OAKLANDS WAY MEDICAL BUILDING ASSOCIATES 701 E MARSHALL STREET WEST CHESTER PA 19380 830490251 RENTAL PA NA false SRP INVESTORS FUND A LP 2001 ROSS AVE SUITE 400 DALLAS TX 75201 611748291 INVESTMENT TX NA false JOG V C LIMITED PARTNERSHIP STE 2370 440 2ND AVE SW CALGARY AL CA T2P5E9 INVESTMENT CA NA false TURK'S HEAD SURGERY CENTER LLC 915 OLD FERN HILL ROAD BLDG B PHILADELPHIA PA 19106 MEDICAL SERVICES PA NA false CYRUS 1740 MASTER FUND LP 89 NEXUS WAY CAMANA BAY GR CJ KY1-9009 981361754 INVESTMENT CJ NA false JOG VI C LIMITED PARTNERSHIP STE 2370 440 2ND AVE SW CALGARY AL CA INVESTMENT CA NA false LG HEALTH COMMUNITY CARE COLLABORATVE II 555 NORTH DUKE STREET LANCASTER PA 17602 823809581 ACO PA NA false CYRUS 1740 FUND LP 65 E 55TH STREET 35TH FLOOR NEW YORK NY 10022 821211542 INVESTMENT NY NA false ST-TO RIBBIT OPPORTUNITY V LLC 364 UNIVERSITY AVENUE PALO ALTO CA 94301 841814102 INVESTMENT CA NA false UNIVERSA BLACK SWAN PROTECTION PROTOCOL 2601 S BAYSHORE DR SUITE 2030 MIAMI FL 33133 852143048 INVESTMENT FL NA false AXIS UKA GP LLC 240 NEW YORK DRIVE SUITE 1 FORT WASHINGTON PA 19034 273617178 INVESTMENT PA NA false LIFT REAL ESTATE PARTNERS FUND II LP 180 SUTTER STREET SUITE 400 SAN FRANCISCO CA 94104 844983190 INVESTMENT CA NA false BEXP II (PARALLEL) LP 5914 W COURTYARD DRIVE AUSTIN TX 78730 873188834 INVESTMENT TX NA false FORERUNNER BUILDERS F-G LP ONE LETTERMAN DR BLDG C SUITE C5 SAN FRANCISCO CA 94129 873427543 INVESTMENT CA NA false GCM CARRIAGE SPV LP 250 WEST 55TH STREET 36TH FLOOR NEW YORK NY 10019 872075062 INVESTMENT NY NA false INITIALIZED CBH SPV LLC 464 TEHAMA STREET SAN FRANCISCO CA 94103 871123527 INVESTMENT CA NA false SAILINGSTONE GLOBAL NATURAL RESOURCES 100 WAUGH DRIVE SUITE 600 HOUSTON TX 77007 371770014 INVESTMENT TX NA false CLINICAL HEALTH CARE ASSOC OF NJ PC 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232865181 PHYS MGMT PA CCA C-CORP false DELANCEY CORPORATION 800 SPRUCE STREET PHILADELPHIA PA 19106 232060159 RENTAL PA PA HOSPITAL C-CORP false FRANKLIN CASUALTY INSURANCE CO PO BOX 530 BURLINGTON VT 05402 043378984 INSURANCE VT TRUSTEES C-CORP false LANCASTER GENERAL INSURANCE COMPANY PO BOX 1109 GT GRAND CAYMAN GRAND CAYMAN CJ KYI-1102 980176655 INSURANCE CJ LG HEALTH C-CORP false LANCASTER GENERAL SERVICES INC 555 NORTH DUKE STREET LANCASTER PA 17602 232250128 PROPERTY SVCS PA LG HEALTH C CORP false NAYA 1740 FUND LTD PO BOX 309 UGLAND HOUSE GRAND CAYMAN CJ KY1-1104 INVESTMENTS CJ TRUSTEES C-CORP false PENN WHARTON CONSULTING (BEIJING) CO LTD CHINA WORLD TOWER 1 14F CHAOYANG DIST BEIJING CH 100004 BUS. CONSULTING CH UPENN INT'L C-CORP false UPENN HOSPITALITY INC 3401 WALNUT STREET SUITE 440A PHILADELPHIA PA 19104 233076589 HOTEL/RESTAURANT PA TRUSTEES C-CORP false QUAKER INSURANCE COMPANY LTD VICTORIA STREET PO BOX HM 1826 VICTORIA HALL BD HM HX 300708282 SELF-INSURANCE BD TRUSTEES C-CORP false THE PAM 1740 FUND LTD PO BOX 309 UGLAND HOUSE GRAND CAYMAN CJ KYI-1104 INVESTMENTS CJ TRUSTEES C-CORP false TURK'S HEAD HEALTH SERVICES INC 701 E MARSHALL STREET WEST CHESTER PA 19380 232329753 MEDICAL SERVICES PA CCH&HS C-CORP false LANCASTER GENERAL 457 DEFERRED COMP PLAN 555 NORTH DUKE STREET LANCASTER PA 17602 232250941 TRUST PA LG HEALTH TRUST false ACRM 1740 FUND LTD 27 HOSPITAL ROAD GRAND CAYMAN CJ KY1-9008 INVESTMENTS CJ TRUSTEES C-CORP false PRINCETON HEALTH INC & SUBS ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 223450093 MEDICAL SERVICES NJ PHCS HOLDING C-CORP false PHI PHARMACY INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 223467899 INACTIVE NJ PHCS HOLDING C-CORP false CIRCLE MEDICAL ASSURANCE CO 2929 WALNUT STREET SUITE 460 PHILADELPHIA PA 19104 833556286 INSURANCE PA TRUSTEES C-CORP PENN MEDICINE LONDON LIMITED VISTRA SUITE 2 FIRST FLOOR TEMPLE BACK BRISTOL UK BS1 6FL NETWORKING UK UPENN INT'L LIMITED COMPANY false CYRUS 1740 FUND LTD 89 NEXUS WAY CAMANA BAY GRAND CAYMAN CAYMAN ISLANDS CJ 981361907 INVESTMENTS CJ TRUSTEES LIMITED COMPANY false false false false false false false false false false false false false false false true true true false false SCHEDULE R, PART V, LINE 2 TRANSACTIONS WITH RELATED ORGANIZATIONS ALL ARRANGEMENTS ARE NEGOTIATED AT ARM'S LENGTH AND FOR FAIR VALUE IN COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. AFFILIATES PERFORM INTER-COMPANY TRANSACTIONS AS PART OF THE NORMAL COURSE OF BUSINESS.