2024-05-10T17:27:30-05:00 2023-06-30 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2022-07-01 473769205 PENN STATE HEALTH PENN 7175318477 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 TRACY L MOYER VP FINANCIAL SERVICES 7175318477 2024-05-10 1 TRACY MOYER 999009999 1 RUSSLEE ARMSTRONG P00288383 2155614200 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z STEPHEN MASSINI 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 991859348 0 X WWW.PENNSTATEHEALTH.ORG X 2014 PA TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF PENNSYLVANIA, AND BEYOND. 15 11 5701 11 560734 0 38476160 8981225 455368029 563335679 25061743 18164075 9505490 10749449 528411422 601230428 497424 407280 0 0 408110144 545073686 0 0 0 307435548 335860783 716043116 881341749 -187631694 -280111321 1585838588 1460460820 2099567949 2292247179 -513729361 -831786359 X PENN STATE HEALTH'S MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF PENNSYLVANIA, AND BEYOND. THE ORGANIZATION PROVIDES PATIENTS WITH EXCELLENT, COMPASSIONATE AND EQUITABLE CARE; EDUCATES AND TRAINS (CONTINUED IN SCHEDULE O) HEALTHCARE PROFESSIONALS; AND ADVANCES EVIDENCE-BASED MEDICAL INNOVATION THROUGH RESEARCH AND DISCOVERY. 0 0 712327611 407280 566378096 TO PROMOTE, SUPPORT, AND FURTHER THE PENNSYLVANIA STATE UNIVERSITY; TO PROMOTE HEALTH THROUGH THE MANAGEMENT AND/OR SUPPORT OF FACILITIES AND OTHER ASSETS THAT PROVIDE HEALTH CARE SERVICES; TO INTEGRATE COMMUNITY-BASED AND ACADEMIC MEDICAL CENTER HEALTH CARE IN ORDER TO ACHIEVE IMPROVED OUTCOMES AND LIMIT THE COSTS OF CARE VIA IMPROVED EFFICIENCIES; TO SUPPORT FINANCIALLY AND OPERATIONALLY THE PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE; TO SUPPORT THE PENNSYLVANIA STATE UNIVERSITY IN THE PERFORMANCE OF ITS DUTIES AS SUCCESSOR TRUSTEE OF THE MILTON S. HERSHEY MEDICAL CENTER PURSUANT TO THAT CERTAIN DECREE OF THE ORPHANS COURT OF DAUPHIN COUNTY, PENNSYLVANIA DATED DECEMBER 17, 1968 (THE MSHMC TRUST); AND TO DO ALL LAWFUL ACTS INCIDENTAL TO THE ACCOMPLISHMENT OF SAID CHARITABLE, (CONTINUED IN SCHEDULE O) EDUCATIONAL, AND SCIENTIFIC PURPOSES.PENN STATE HEALTH PLAYS A VITAL ROLE IN SUPPORTING, BOTH OPERATIONALLY AND FINANCIALLY, THE PENNSYLVANIA STATE UNIVERSITY'S COLLEGE OF MEDICINE. THE PURPOSES OF THE TWO ORGANIZATIONS ARE INTEGRALLY INTERTWINED AND MUTUALLY SUPPORTIVE. PENN STATE HEALTH OFFERS THE COLLEGE OF MEDICINE ADDITIONAL PLATFORMS FOR EDUCATION AND RESEARCH AS WELL AS GENERATES SHARED REVENUE, WHEREAS THE COLLEGE OF MEDICINE OFFERS PENN STATE HEALTH ACCESS TO INNOVATIONS, CLINICAL TRIALS, DISCOVERIES AND A PIPELINE OF CLINICIANS AND SCIENTISTS.IN RECENT YEARS, THE PENN STATE HEALTH SYSTEM HAS UNDERGONE SUBSTANTIAL GROWTH AND MADE SIGNIFICANT PROGRESS TOWARDS CREATING A HIGH-QUALITY, LARGE SCALE INTEGRATED HEALTH CARE DELIVERY SYSTEM TO SERVE THE POPULATION OF SOUTHCENTRAL PENNSYLVANIA, BY FOCUSING ON BUILDING AN ACADEMIC HEALTH SYSTEM SUPPORTED BY A COMMUNITY NETWORK, ANCHORED BY THE ACADEMIC TERTIARY/QUATERNARY CARE RESOURCES OF ITS RELATED ORGANIZATION, MILTON S. HERSHEY MEDICAL CENTER.THE PENN STATE HEALTH SYSTEM HAS FIVE, NONPROFIT TAX-EXEMPT, ACUTE CARE HOSPITALS. THE MILTON S. HERSHEY MEDICAL CENTER (MSHMC) IS A 639-LICENSED BED ACADEMIC MEDICAL CENTER LOCATED IN HERSHEY, PENNSYLVANIA. ST. JOSEPH REGIONAL HEALTH NETWORK (SJRHN) IS A 204-LICENCED BED HOSPITAL IN THE BERKS COUNTY REGION. HOLY SPIRIT MEDICAL CENTER (HSMC) WAS ACQUIRED ON NOVEMBER 1, 2020 AND IS A 306-LICENSED BED HOSPITAL IN CUMBERLAND COUNTY. PENN STATE HEALTH HAMPDEN MEDICAL CENTER (PSHHMC), OPENED IN OCTOBER 2021, IS A 110-LICENSED BED HOSPITAL ALONGSIDE INTERSTATE 81 IN HAMPDEN TOWNSHIP. PENN STATE HEALTH LANCASTER MEDICAL CENTER (PSHLMC), OPENED IN OCTOBER 2022, IS A 142-LICENSED BED HOSPITAL LOCATED IN LANCASTER COUNTY. ALL ACUTE CARE HOSPITALS PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.PENN STATE HEALTH HAS THREE SINGLE MEMBER LLCS AS FOLLOWS:PENN STATE HEALTH COMMUNITY MEDICAL GROUPPENN STATE HEALTH'S COMMUNITY MEDICAL GROUP IS CHARGED WITH SERVING THE REGIONS SURROUNDING HERSHEY MEDICAL CENTER AND THE COLLEGE OF MEDICINE. CURRENTLY COMPOSED OF 650 PROVIDERS AND 2,000 TOTAL STAFF, THE COMMUNITY MEDICAL GROUP STAFFS EACH OF THE FOUR COMMUNITY ACUTE CARE MEDICAL CENTERS. SERVICES INCLUDE IN-PATIENT, SPECIALTY AND PRIMARY CARE PROGRAMS THAT FOCUS ON HIGH QUALITY CARE CLOSE TO HOME. PRIMARY CARE PRACTICES SERVICE DAUPHIN, CUMBERLAND, BERKS AND LANCASTER COUNTIES WITH A FULL ARRAY OF ADULT AND PEDIATRIC GENERAL SERVICES AS WELL AS WALK-IN AND URGENT CARE. COMMUNITY MEDICAL GROUP COVERS APPROXIMATELY 215,000 PRIMARY CARE PATIENTS. SUBSPECIALTY SERVICES ARE ALSO ROBUST IN EACH COUNTY WITH QUATERNARY CARE NEEDS BEING REFERRED TO HERSHEY MEDICAL CENTER. IN-PATIENT SERVICES INCLUDE HOSPITALIST, EMERGENCY MEDICINE, CRITICAL CARE, NEONATOLOGY, OBSTETRICS, ANESTHESIA, AS WELL AS DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY. PENN STATE HEALTH LIFE LION LLCPENN STATE HEALTH LIFE LION LLC (LL LLC) IS THE HEALTH SYSTEM'S COMMUNITY FACING 911 EMERGENCY MEDICAL SERVICE (EMS) PROVIDER. INCORPORATED IN THE SUMMER OF 2020 THIS BROUGHT TOGETHER SEVERAL ESTABLISHED 3RD PARTY EMS ENTITIES UNDER THE PSH UMBRELLA AND HELPED SOLIDIFY AND EXPAND THE 911 SERVICE THESE EMS ENTITIES WHERE PROVIDING FOR MANY YEARS. LL LLC IS COMPRISED OF APPROXIMATELY 270 CLINICIANS AND SUPPORT STAFF AND PROVIDES 24/7 911 EMERGENCY SERVICES TO OVER 60 MUNICIPALITIES THROUGHOUT CUMBERLAND, PERRY, YORK, LANCASTER AND DAUPHIN COUNTIES. LL LLC RESPONDS TO OVER 30,000 CALLS FOR ASSISTANCE IN A GIVEN YEAR AND IS DISPATCHED THROUGH THE 911 CENTERS OF THE COUNTIES NOTED. SERVICES ARE PROVIDED AT BOTH THE BASIC LIFE SUPPORT (BLS) AND ADVANCED LIFE SUPPORT (ALS) LEVELS RESPONDING TO ANY 911 CALL THAT REQUIRES PRE HOSPITAL EMS CARE. LL LLC IS LICENSED BY THE COMMONWEALTH OF PA DEPT. OF HEALTH BUREAU OF EMS, AND FOLLOWS ALL CLINICAL REQUIREMENTS AND STANDARDS SET FORTH BY THE PA DOH FOR EMS AGENCIES. THESE 911 PATIENTS ARE TRANSPORTED TO MANY DIFFERENT HOSPITALS, NOT JUST PENN STATE HEALTH HOSPITALS. THIS IS PER THE PATIENT/FAMILY REQUEST OR DIRECTED BY COMMONWEALTH OF PA EMS PROTOCOLS WHERE INDICATED. BY PROVIDING THIS SERVICE PENN STATE HEALTH HELPS TO ALLEVIATE THESE MUNICIPALITIES OF THE COST AND BURDEN OF HAVING TO PROVIDE FOR EMS SERVICES ON THEIR OWN. AN EMS PROGRAM AFFILIATED WITH A HEALTH SYSTEM ALSO HELPS TO PROVIDE A HIGHER QUALITY OF EMS THAN WHAT MANY MUNICIPAL AGENCIES WOULD BE ABLE TO FIELD ON THEIR OWN. IN ADDITION, LL LLC ALSO PROVIDES NON-EMERGENCY TRANSPORTATION FOR PATIENTS REQUIRING AMBULANCE OR WHEELCHAIR SERVICES OUT OF, AND BETWEEN THE VARIOUS PENN STATE HEALTH HOSPITALS. LL LLC ALSO PROVIDES COMMUNITY EDUCATION AND OUTREACH FOR VARIOUS COMMUNITY GROUPS ON CPR, FIRST AID, SAFETY AND WELL-BEING AND OTHER PRE-HOSPITAL SERVICES AS NEEDED. LL LLC WORKS CLOSELY WITH MULTIPLE OTHER FIRST RESPONDER AGENCIES, INCLUDING POLICE, FIRE AND LOCAL AND STATE EMERGENCY MANAGEMENT AGENCIES TO PLAN FOR AND MITIGATE EMERGENCY OR DISASTER INCIDENTS WHEN THEY ARISE. CENTRAL PA HEALTH NETWORK, LLCCENTRAL PA HEALTH NETWORK, LLC (DBA: PENN STATE HEALTH CARE PARTNERS) IS THE PENN STATE HEALTH (PSH) SYSTEM'S CLINICALLY INTEGRATED NETWORK (CIN). GOVERNED BY A BOARD OF MANAGERS, THE CIN IS A COLLECTION OF HEALTH PROVIDERS THAT INCLUDES PHYSICIANS, HOSPITALS, AND POST-ACUTE SPECIALISTS WHO JOIN TOGETHER TO COORDINATE CARE, IMPROVE THE QUALITY OF CARE AND REDUCE COSTS FOR POPULATIONS. THE CIN HAS FORMED A COLLABORATION BETWEEN PSH AND 31 INDEPENDENT COMMUNITY PRACTICES ACROSS CENTRAL PA AND STATE COLLEGE REGIONS. THE CIN OFFERS VALUE-BASED CARE PROGRAMS TO THIS GROUP OF PHYSICIANS AND OTHER CARE PROVIDERS. THE CIN USES DATA FROM THESE PROGRAMS TO IDENTIFY CLINICAL INTERVENTIONS, INCREASE ADHERENCE TO CARE PLANS, SHARE BEST PRACTICES, THAT PROVIDE FINANCIAL REWARDS FOR IMPROVED CLINICAL OUTCOMES AND COST CONTROL ACHIEVEMENTS. OUR CIN IS CURRENTLY ADMINISTERING A COMMERCIAL PAYOR VALUE-BASED CARE PROGRAMS FOR 26,000 PEDIATRIC PATIENTS FOR ACROSS THE PSH REGIONS. IN ADDITION, THE CIN OFFERS POPULATION HEALTH MANAGEMENT SERVICES TO EMPLOYER GROUPS. THESE SERVICES INCLUDE DATA ANALYTICS AND CARE MANAGEMENT SERVICES THAT HAVE DEMONSTRATED IMPROVEMENTS IN PATIENT ADHERENCE TO CARE PLANS AND REDUCTION IN INAPPROPRIATE UTILIZATION TRANSLATING TO COST SAVINGS FOR AN EMPLOYER. 712327611 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 851 0 1 5701 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X TRACY L MOYER VICE PRESIDENT FINA 7177632100 100 CRYSTAL A DR MC CA210 HERSHEY PA 17033 X STEPHEN MASSINI DIRECTOR/PRESIDENT/CEO 48.00 2.00 X X 1599857 0 61645 NEELI BENDAPUDI DIRECTOR (PSU EMP) 1.00 49.00 X 0 1239729 41853 KEVIN P BLACK MD DIRECTOR / DEAN 1.00 39.00 X 0 1030848 47707 DR SARA THORNDIKE DIRECTOR (PSU EMP) 1.00 49.00 X 0 481508 49023 KEITH MASSER CHAIR / DIRECTOR 1.00 0.00 X X 0 0 0 PETER G TOMBROS VICE CHAIR / DIRECTOR 1.00 0.00 X X 0 0 0 TIMOTHY P BROWN DIRECTOR 1.00 0.00 X 0 0 0 PETER M CARLINO DIRECTOR 1.00 1.00 X 0 0 0 MARK DAMBLY DIRECTOR 1.00 0.00 X 0 0 0 DAVID C HAN MD DIRECTOR 1.00 0.00 X 0 0 0 KAREN HANLON DIRECTOR 1.00 0.00 X 0 0 0 DAVID KLEPPINGER DIRECTOR 1.00 0.00 X 0 0 0 DEBORAH RICE-JOHNSON DIRECTOR 1.00 0.00 X 0 0 0 BARRY ROBINSON DIRECTOR 1.00 0.00 X 0 0 0 TOM VANKIRK DIRECTOR 1.00 0.00 X 0 0 0 DEBORAH ADDO COO 44.00 6.00 X 920763 0 48852 PAULA TINCH EVP & CFO, TREASURER 48.00 2.00 X 808482 0 119863 NICOLE LEHMAN INTERIM SEC. (PSU EMP) 1.00 49.00 X 0 276742 97256 ROSS DARROW VICE PRESIDENT, TREASURER 43.00 7.00 X 301878 0 61619 KATHLEEN MILLER ASSOC. SECRETARY 34.00 6.00 X 99552 0 10921 THOMAS STOESSEL EXEC VP & CHIEF STRATEGY OFFICER 47.00 3.00 X 1119232 0 61645 PETER DILLON MD CHAIR, DEPARTMENT OF SURGERY 48.00 2.00 X 1018570 0 55758 CLETIS EARLE SENIOR VP & CIO 40.00 0.00 X 575346 0 100855 JUDITH HLAFCSAK CHIEF OF STAFF 38.00 2.00 X 570939 0 70889 KIMBERLY LANSFORD CHIEF COMPLIANCE AND BUSINESS RISK 40.00 0.00 X 535298 0 56010 NICK ONYEMEKE MD PHYSICIAN 40.00 0.00 X 957195 0 47659 NAJAMUZ ZAMAN MD PHYSICIAN 40.00 0.00 X 913816 0 61835 LANCE WOOD MD PHYSICIAN 40.00 0.00 X 910624 0 61288 BRIAN CALABRESE DO PHYSICIAN 40.00 0.00 X 914343 0 54801 PAUL STAGG III MD PHYSICIAN 40.00 0.00 X 865969 0 55762 DR ERIC BARRON FMR DIRECTOR (PSU EMP) (THRU 5/22) 0.00 0.00 X 0 1992994 44755 ANNEMARIE BOYAN FMR SEC/PSH GC (PSU EMP) (THRU 2/22) 0.00 0.00 X 0 142089 12694 ALAN BRECHBILL FORMER COO (THRU 7/20) 0.00 0.00 X 557247 0 0 MATTHEW A SNYDER FMR KE / CHIEF INFO SECURITY 40.00 0.00 X 365577 0 61645 13034688 5163910 1284335 1023 1 1 0 R1 RCM INC 401 N MICHIGAN AVE SUITE 2700 CHICAGO IL 60611 IT SERVICES 12977228 MERCY SPECIALIZED BILLING SVCS 655 MARYVILLE CTR STE 100 ST LOUIS MO 63141 PURCHASED SERVICES 7906751 HUNTZINGER MANAGEMENT GROUP 72 GLENMAURA NATIONAL BLVD SUITE 1 MOOSIC PA 18507 IT SERVICES 7700303 MEDSYS GROUP LLC 5465 LEGACY DR SUITE 120 PLANO TX 75024 IT SERVICES 4274342 INFOR US INC 13560 MORRIS RD SUITE 4100 ALPHARETTA GA 30004 IT SERVICES 4043588 113 8073553 907672 8981225 MANAGEMENT FEE 561000 275526099 275526099 NET PATIENT SERVICES 621110 178632416 178632416 SERVICES RENDERED CONT 900099 59823942 59823942 CLINIC SUBSIDY SUPPORT 621110 25133132 25133132 PHARMACY RETAIL SALES 621110 22190890 22190890 2029200 1050761 978439 563335679 20820995 -417786 21238781 17272 0 17272 17272 17272 387972000 390628920 -2656920 -2656920 81 -2657001 FEDERAL INCENTIVE PROG 900099 6358150 6358150 DISCOUNTS AND REBATES 900099 3847180 3847180 REVALUATION OF ASSETS 900099 173676 173676 353171 353171 10732177 601230428 566378096 560734 25310373 407280 407280 11131905 8905524 2226381 1386159 1108927 277232 428560435 342848349 85712086 20865763 16692610 4173153 54801521 43841217 10960304 28327903 22662322 5665581 6101147 6101147 252999 252999 7040026 7040026 29959144 23967315 5991829 6919739 5535791 1383948 16937654 13550123 3387531 97404248 77923398 19480850 17765121 14212097 3553024 1270131 1016105 254026 8043403 8043403 51707485 41365988 10341497 2893626 2314901 578725 MEDICAL SUPPLIES 81446793 81446793 MEMBERSHIP DUES 3059276 2447421 611855 LICENSES AND FEES 1587460 1587460 TAXES 409297 409297 3063234 2450587 612647 881341749 712327611 169014138 0 202423557 229275208 22021384 36807797 97377118 93756844 10000080 5913647 31943330 29310277 461182434 255546188 184146064 205636246 456805188 322560992 424158787 448611986 0 11063262 9471490 145899818 79116333 1585838588 1460460820 153868213 158644613 553039 816708 789152964 785636573 1155993733 1347149285 2099567949 2292247179 X -513729361 -831786359 -513729361 -831786359 1585838588 1460460820 X -280111321 33029251 -70974928 X 0 1 X 1 1 1 X X X 1 THE PENNSYLVANIA STATE UNIVERSITY 246000376 6 1 829634264 0 1 829634264 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 539408 539408 92710439 28930352 63780087 89594899 59603270 29991629 278337688 167012566 111325122 205636246 FIXED INCOME 89763441 F NON-US EQUITY 81999266 F EQUITY HEDGE FUNDS 53557986 F PRIVATE EQUITY 48149270 F MORTGAGE FUNDS 41664485 F REAL ESTATE FUNDS 36672399 F MULTI-STRATEGY FUNDS 29996634 F EVENT DRIVEN FUNDS 27527950 F MACRO FUNDS 17329219 F MARKET NEUTRAL FUNDS 16035705 F GUARANTEED INTEREST FUND 5915631 F 448611986 CAPITAL/OPERATING LEASES-ROU 77691032 SELF INSURANCE RECOVERIES 1420172 HAMPDEN MED CENTER BUILDING PROJECT 5129 79116333 DUE TO AFFILIATES 1238889428 OPERATING LEASE 79043205 MEDICAL MALPRACTICE RESERVES 10113932 OTHER LIABILITIES 8142545 MEDICAL/RX RESERVES 5882260 DUE TO PNC 3064603 SELF-INSURANCE LIABILITIES 1420172 CAPITAL LEASE 593140 1347149285 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 127285486 EUROPE 0 0 INVESTMENTS 25941629 0 0 0 0 0 0 153227115 0 153227115 1 0 1 0 1 0 PART III ACCOUNTING METHOD: 1 COCOA PACKS INC 500 HOMESTEAD RD PO BOX 613 HERSHEY PA 17033 812618467 501(C)(3) 42500 0 PROGRAM SUPPORT FOUNDATION FOR ENHANCING COMMUNITIES 200 N 3RD STREET 8TH FLOOR PO BOX 678 HARRISBURG PA 171080678 010564355 501(C)(3) 36000 0 PROGRAM SUPPORT LANCASTER CHAMBER OF COMMERCE 115 EAST KING STREET LANCASTER PA 17602 232095463 501(C)(6) 25000 0 PROGRAM SUPPORT HARRISBURG REGIONAL CHAMBER 3211 NORTH FRONT STREET SUITE 201 HARRISBURG PA 17110 251750121 501(C)(6) 21125 0 PROGRAM SUPPORT PA CHAMBER BUSINESS & INDUSTRY 417 WALNUT STREET HARRISBURG PA 171011902 230961100 501(C)(6) 18000 0 PROGRAM SUPPORT MS HERSHEY FOUNDATION 63 WEST CHOCOLATE AVE HERSHEY PA 17033 236242734 501(C)(3) 13000 0 PROGRAM SUPPORT NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE PO BOX 911 LANCASTER PA 17608 236434574 501(C)(4) 12500 0 PROGRAM SUPPORT UNITED WAY OF THE CAPITAL REGION ONE UNITED WAY HARRISBURG PA 171100000 231352095 501(C)(3) 10600 0 PROGRAM SUPPORT COURTYARD OF HONOR INC PO BOX 453 HERSHEY PA 17033 880928791 501(C)(3) 10000 0 PROGRAM SUPPORT HERSHEY VOLUNTEER FIRE CO 21 WEST CARACAS AVENUE HERSHEY PA 17033 231360560 501(C)(3) 10000 0 PROGRAM SUPPORT PA PARTNERSHIP FOR CULTURE ONE NORTH SECOND STREET HEALTH EDUCATION HARRISBURG PA 17101 251888180 501(C)(3) 10000 0 PROGRAM SUPPORT THE CARING CUPBOARD INC 131 NORTH RAILROAD ST PALMYRA PA 17078 820730818 501(C)(3) 10000 0 PROGRAM SUPPORT UNITED WAY OF LEBANON COUNTY PO BOX 355 ANNVILLE PA 17003 231465632 501(C)(3) 10000 0 PROGRAM SUPPORT VICKIES ANGEL FOUNDATION 511 BRIDGE STREET PO BOX 174 NEW CUMBERLAND PA 17070 208755452 501(C)(3) 10000 0 PROGRAM SUPPORT BEACON CLINIC FOR HEALTH AND HOPE 248 SENECA STREET PO BOX 5870 HARRISBURG PA 17110 463507570 501(C)(3) 8750 0 PROGRAM SUPPORT KEYSTONE HUMAN SERVICES 4391 STURBRIDGE DRIVE HARRISBURG PA 17110 251847902 501(C)(3) 7500 0 PROGRAM SUPPORT DOWNTOWN HERSHEY ASSOCIATION 600 CLEARWATER ROAD HERSHEY PA 17033 464743064 501(C)(3) 7000 0 PROGRAM SUPPORT NEW BIRTH FREEDOM COUNCIL BSA 1 BADEN POWELL LANE MECHANICSBURG PA 17050 231365194 501(C)(3) 6250 0 PROGRAM SUPPORT 14 4 PART I, LINE 2: PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE THE U.S.: PENN STATE HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH SPONSORSHIPS OF SELECT CAUSES AND ORGANIZATIONS. WE SUPPORT A VARIETY OF WORTHY CAUSES AND NON-PROFIT ORGANIZATIONS THAT ALIGN WITH OUR FOUR PRIMARY MISSIONS: EDUCATION, PATIENT CARE, RESEARCH, AND COMMUNITY HEALTH; AND THE PRIORITIES IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ALL ORGANIZATIONS HAVE TAX-EXEMPT STATUS AND ARE TYPICALLY LOCATED IN ONE OF OUR PRIMARY SERVICE AREAS. THE SPONSORSHIP APPLICATION REQUESTS THE FOLLOWING INFORMATION: PURPOSE, GOALS AND DETAILS OF THE EVENT/PROGRAM/ORGANIZATION; EXPECTED COMMUNITY IMPACTS AND OUTCOMES, INCLUDING NUMBER ESTIMATED TO BE REACHED BY THE ORGANIZATION; BENEFITS RECEIVED BY PENN STATE HEALTH AS A RESULT OF THE SPONSORSHIP; DEMOGRAPHICS IMPACT; AND A SERIES OF QUESTIONS DESIGNED TO DETAIL HOW WELL THE ORGANIZATIONS' VALUES ALIGN WITH THOSE OF PENN STATE HEALTH. IF THE REQUEST IS APPROVED, THE COMMUNITY RELATIONS DEPARTMENT SENDS AN EMAIL WITH THE FOLLOWING DETAILS: -RECIPIENT IS ASKED TO PROVIDE AN INVOICE FOR PAYMENT, PROVIDING THE EXACT AMOUNT REQUESTED AND DETAILS FOR WHAT IT WILL BE SPENT ON. -THE APPROPRIATE PSH LOGOS AND BRANDING ELEMENTS ARE PROVIDED FOR ANY MESSAGING. -THE FOLLOWING STATEMENT IS INCLUDED: "PENN STATE HEALTH IS PROUD TO SPONSOR PROGRAMS THAT SERVE OUR COMMUNITY. THIS ACTIVITY IS CONSISTENT WITH, AND SUPPORTIVE OF, OUR MISSION BY PROVIDING COMMUNITY BENEFIT WITHIN THE COMMUNITIES WE SERVE. ACCORDINGLY, YOU SHOULD CONSIDER THIS DONATION TO BE RESTRICTED TO ITS INTENDED PURPOSE. WE APPRECIATE YOUR SERVICE AND ARE EXCITED TO SUPPORT YOU IN THIS EFFORT!" THE SPONSORSHIPS ARE MONITORED BY THE ORGANIZATION'S COMMUNITY RELATIONS PERSONNEL TO ENSURE THE FUNDS ARE SPENT AS INTENDED AND PENN STATE HEALTH MAY REQUEST WRITTEN DOCUMENTATION AND RECEIPTS AS SUBSTANTIATION. ORGANIZATION PERSONNEL ATTEND MANY OF THE EVENTS/CAUSES WE SPONSOR, WORK/ENGAGE ACTIVELY WITH THESE NON-PROFIT ORGANIZATIONS THROUGHOUT THE YEAR, AND TYPICALLY RECEIVE CONFIRMATION LETTERS FROM THE ORGANIZATIONS AS WAYS TO ASSURE OUR CONTRIBUTIONS ARE USED FOR THEIR INTENDED PURPOSES. X X X X 1 1 0 0 0 0 0 1 0 DR ERIC BARRON FMR DIRECTOR (PSU EMP) (THRU 5/22) 0 878873 0 1000000 0 114121 0 28335 0 16420 0 2037749 0 0 STEPHEN MASSINI DIRECTOR/PRESIDENT/CEO 1319391 0 75000 0 205466 0 38400 0 23245 0 1661502 0 0 0 NEELI BENDAPUDI DIRECTOR (PSU EMP) 0 778112 0 100000 0 361617 0 28335 0 13518 0 1281582 0 0 THOMAS STOESSEL EXEC VP & CHIEF STRATEGY OFFICER 604667 0 311731 0 202834 0 38400 0 23245 0 1180877 0 102171 0 KEVIN P BLACK MD DIRECTOR / DEAN 0 945068 0 75000 0 10780 0 38400 0 9307 0 1078555 0 0 PETER DILLON MD CHAIR, DEPARTMENT OF SURGERY 694569 0 75000 0 249001 0 38400 0 17358 0 1074328 0 0 0 NICK ONYEMEKE MD PHYSICIAN 492834 0 454413 0 9948 0 38400 0 9259 0 1004854 0 0 0 NAJAMUZ ZAMAN MD PHYSICIAN 477998 0 427946 0 7872 0 38400 0 23435 0 975651 0 0 0 LANCE WOOD MD PHYSICIAN 758896 0 142082 0 9646 0 38400 0 22888 0 971912 0 0 0 DEBORAH ADDO COO 788301 0 88462 0 44000 0 39593 0 9259 0 969615 0 0 0 BRIAN CALABRESE DO PHYSICIAN 504709 0 396550 0 13084 0 38400 0 16401 0 969144 0 0 0 PAULA TINCH EVP & CFO, TREASURER 740070 0 64231 0 4181 0 102173 0 17690 0 928345 0 0 0 PAUL STAGG III MD PHYSICIAN 519655 0 343230 0 3084 0 38400 0 17362 0 921731 0 0 0 CLETIS EARLE SENIOR VP & CIO 491006 0 65145 0 19195 0 77231 0 23624 0 676201 0 0 0 JUDITH HLAFCSAK CHIEF OF STAFF 379734 0 40000 0 151205 0 61630 0 9259 0 641828 0 0 0 KIMBERLY LANSFORD CHIEF COMPLIANCE AND BUSINESS RISK 458906 0 4762 0 71630 0 38400 0 17610 0 591308 0 47169 0 ALAN BRECHBILL FORMER COO (THRU 7/20) 0 0 0 0 557247 0 0 0 0 0 557247 0 0 0 DR SARA THORNDIKE DIRECTOR (PSU EMP) 0 481508 0 0 0 0 0 28335 0 20688 0 530531 0 0 MATTHEW A SNYDER FMR KE / CHIEF INFO SECURITY 323351 0 40000 0 2226 0 38400 0 23245 0 427222 0 0 0 NICOLE LEHMAN INTERIM SEC. (PSU EMP) 0 261742 0 15000 0 0 0 70490 0 26766 0 373998 0 0 ROSS DARROW VICE PRESIDENT, TREASURER 262516 0 25000 0 14362 0 38400 0 23219 0 363497 0 0 0 ANNEMARIE BOYAN FMR SEC/PSH GC (PSU EMP) (THRU 2/22) 0 142089 0 0 0 0 0 7383 0 5311 0 154783 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023: - ALAN BRECHBILL - $557,210 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, AN OFFICER AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS VESTED IN THE PLAN IN A PRIOR YEAR; THEREFORE, CURRENT YEAR CONTRIBUTIONS ARE TAXABLE AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. - STEPHEN MASSINI - $165,523 - THOMAS STOESSEL - $155,778 - PETER DILLON - $89,133 - KIMBERLY LANSFORD - $18,156 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE NOT YET VESTED; UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. - PAULA TINCH - $63,773 - CLETIS EARLE - $38,831 - JUDITH HLAFCSAK - $23,230 - DEBORAH ADDO - $1,193 PART I, LINE 7 BONUSES ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE APPLICABLE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS. A CUMBERLAND COUNTY MUNICIPAL AUTHORITY 236003119 230614PD5 2019-11-07 249998409 HOSPITAL CONSTRUCTION AND EQUIPMENT 0 0 0 B LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045W66 2021-11-10 349994822 HOSPITAL CONSTRUCTION AND EQUIPMENT 0 0 0 A 251908189 251908189 2021 0 0 1 1 B 350735747 350735747 2022 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 3: (A) ISSUER NAME: CUMBERLAND COUNTY MUNICIPAL AUTHORITY PROCEEDS REPORTED ON PART II, LINE 3, EXCEED PART I, COLUMN (E) AS A RESULT OF INVESTMENT EARNINGS. (B) ISSUER NAME: LANCASTER COUNTY HOSPITAL AUTHORITY PROCEEDS REPORTED ON PART II, LINE 3, EXCEED PART I, COLUMN (E) AS A RESULT OF INVESTMENT EARNINGS. PART I, LINE 6 ESTIMATED NUMBER OF VOLUNTEERS: 11 PENN STATE HEALTH IS REPORTING THE NONCOMPENSATED COMMUNITY VOLUNTEER MEMBERS OF ITS GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 2 CERTAIN LISTED OFFICERS AND BOARD MEMBERS ALSO SERVE AS OFFICERS AND BOARD MEMBERS OF A TAXABLE ENTITY. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE FILING ORGANIZATION'S TWO MEMBERS ARE THE PENNSYLVANIA STATE UNIVERSITY, A PENNSYLVANIA NONPROFIT CORPORATION AND INSTRUMENTALITY OF THE COMMONWEALTH OF PENNSYLVANIA, AND HIGHMARK HEALTH, A PENNSYLVANIA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ELECTING MEMBERS OF GOVERNING BODY: DIRECTORS SHALL BE ELECTED BY THE CORPORATE MEMBERS. PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS, THE CORPORATE MEMBERS MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: DESCRIBED IN THE BYLAWS DATED JULY 15, 2021 AND OTHER APPLICABLE DOCUMENTS, THE MEMBERS OF PENN STATE HEALTH ARE THE PENNSYLVANIA STATE UNIVERSITY ("PSU") AND HIGHMARK HEALTH ("HH"). SUBJECT TO CERTAIN LIMITATIONS AND CONDITIONS DESCRIBED IN THE BYLAWS AND OTHER APPLICABLE DOCUMENTS, THE MEMBERS HAVE RESERVED POWERS AS FOLLOWS: PSU: - TO DETERMINE THE NUMBER OF DIRECTORS THAT WILL COMPRISE THE BOARD OF DIRECTORS OF THE CORPORATION, AND TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, A SPECIFIED NUMBER OF DIRECTORS OF THE CORPORATION; - TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; - TO APPROVE ALL FUNDAMENTAL CHANGE TRANSACTIONS AND ALL OTHER TRANSACTIONS NOT IN THE ORDINARY COURSE OF BUSINESS, INCLUDING WITHOUT LIMITATION, ALL MERGERS, CONSOLIDATIONS, DIVISIONS, SALES OF SUBSTANTIALLY ALL ASSETS, AND THE LIQUIDATION OR DISSOLUTION OF THE CORPORATION; - TO APPROVE ANY INDEBTEDNESS OF THE CORPORATION OR ITS CONTROLLED AFFILIATES THAT WOULD CAUSE THE DEBT TO CAPITALIZATION RATIO OF THE CORPORATION ON A CONSOLIDATED BASIS TO BE HIGHER THAN A SPECIFIED LEVEL; - TO APPROVE CERTAIN CAPITAL PROJECTS; - TO APPROVE THE SALE, LEASE, TRANSFER OR OTHER DISPOSITION, AND CERTAIN USES, OF THE LAND OR BUILDINGS LOCATED ON THE EAST CAMPUS OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO APPROVE ANY CHANGE IN THE MISSION OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO EXERCISE THE CORPORATION'S POWER TO APPOINT AND REMOVE DIRECTORS OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO APPROVE ANY CHANGE IN THE ACADEMIC AFFILIATION OF THE CORPORATION OR ANY OF ITS CONTROLLED AFFILIATES; AND - SUBJECT TO SECTION 2.2 AND 2.3, THE MEMBER SHALL HAVE THE RIGHT AND POWER TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW. HH: - TO APPROVE: (I) THE CONVERSION OF THE CORPORATION TO A FOR-PROFIT ENTITY OR THE MERGER OF THE CORPORATION UNLESS IT IS THE SURVIVING ENTITY, (II) VOLUNTARY DISSOLUTION OF THE CORPORATION, (III) FILING OF A VOLUNTARY PETITION FOR RELIEF UNDER ANY BANKRUPTCY LAWS OR APPOINTMENT OF A RECEIVER OR LIQUIDATOR FOR ANY PART OF THE CORPORATION'S ASSETS OR PROPERTY OR THE MAKING OF A GENERAL ASSIGNMENT FOR THE BENEFIT OF ITS CREDITORS, OR (IV) ADMISSION OF A NEW MEMBER TO THE CORPORATION; - TO APPROVE ANY CHANGE TO THE NUMBER OF DIRECTORS APPOINTED BY HH IF SUCH CHANGE RESULTS IN A DILUTION OF HH'S BOARD REPRESENTATION; - TO APPROVE CERTAIN AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; - TO APPROVE CERTAIN ACQUISITIONS BY THE CORPORATION WITHIN A SPECIFIED REGION OF ANY AN EQUITY, MEMBERSHIP OR GOVERNANCE INTEREST IN OR THE RIGHT TO RECEIVE ANY DISTRIBUTIONS/FUNDS FROM ANY HOSPITAL, HEALTH SYSTEM, AMBULATORY CARE FACILITY, SKILLED NURSING FACILITY, HOME HEALTH AGENCY, HOSPICE, PHYSICIAN PRACTICE, OR OTHER HEALTHCARE PROVIDER ENTITY; - TO APPROVE CERTAIN CORPORATION BORROWINGS OR GUARANTEES; - TO APPROVE CERTAIN CHANGES TO THE AGREEMENT BETWEEN PSU AND THE CORPORATION RELATED TO THEIR ACADEMIC AFFILIATION; - TO APPROVE CERTAIN CHANGES TO THE STRATEGIC PLAN FOR THE COMMUNITY-BASED CARE DELIVERY NETWORK COMPONENT OF CORPORATION AND RELATED COMMITTEE CHARTER; - TO APPROVE CERTAIN INVESTMENTS IN EXCESS OF SPECIFIED AMOUNTS; - TO APPROVE THE ENTRY INTO CERTAIN NEW ARRANGEMENTS BETWEEN PSU AND THE CORPORATION OR CERTAIN MODIFICATIONS TO EXISTING ARRANGEMENTS BETWEEN PSU AND THE CORPORATION; - WITH CERTAIN EXCEPTIONS, TO APPROVE THE DIVESTITURE OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS OR A CONTROLLING MEMBERSHIP INTEREST IN THE CORPORATION TO AN UNAFFILIATED THIRD PARTY; AND - SUBJECT TO SECTION 2.2 AND 2.3, THE MEMBER SHALL HAVE THE RIGHT AND POWER TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY: THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM; IT IS REVIEWED BY ACCOUNTING/FINANCE DEPARTMENT PERSONNEL AND THE CHIEF FINANCIAL OFFICER, AND THEN DISTRIBUTED TO ALL MEMBERS OF THE BOARD FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE FILING ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST (COI) POLICIES FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). PER THE POLICY, NO COVERED PERSONS MAY ENGAGE IN ANY TRANSACTION OR ARRANGEMENT OR UNDERTAKE POSITIONS WITH OTHER ORGANIZATIONS THAT INVOLVE A CONFLICT OF INTEREST, EXCEPT IN COMPLIANCE WITH THE POLICY. EVERY COVERED PERSON SHALL DISCLOSE ALL ACTUAL AND POTENTIAL CONFLICTS THROUGH AN ANNUAL ONLINE DISCLOSURE STATEMENT AND AS MATTERS INVOLVING AN ACTUAL OR POTENTIAL CONFLICT ARISE. THE BOARD WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE POTENTIAL CONFLICT TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION OR ARRANGEMENT. A COVERED PERSON WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH THE BOARD OF DIRECTORS OR A COMMITTEE IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE PRESENTATION TO THE BOARD OR COMMITTEE TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. THE FILING ORGANIZATION MAY ENTER INTO A TRANSACTION OR ARRANGEMENT IN WHICH A COVERED PERSON HAS AN ACTUAL CONFLICT OF INTEREST IF A MAJORITY OF DIRECTORS WHO HAVE NO INTEREST IN THE TRANSACTION OR ARRANGEMENT APPROVE THE TRANSACTION OR ARRANGEMENT AT A BOARD OR COMMITTEE MEETING AFTER DETERMINING THAT THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, ANY COVERED PERSON WHO HAS A CONFLICT WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING SUCH TRANSACTION OR ARRANGEMENT (EXCEPT THAT THE COVERED PERSON MAY APPEAR AT A MEETING TO ANSWER QUESTIONS), AND IF THE TRANSACTION OR ARRANGEMENT INVOLVES COMPENSATION OR OTHER FINANCIAL BENEFIT TO THE COVERED PERSON, THE BOARD RELIES ON APPROPRIATE COMPARABILITY DATA TO DETERMINE REASONABLENESS. THE FILING ORGANIZATION WILL DOCUMENT THE FOREGOING IN THE MINUTES OF BOARD AND COMMITTEE MEETINGS, AS APPLICABLE. EACH COVERED PERSON MUST SIGN A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED A COPY OF THE COI POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD OF DIRECTORS OR OTHER POSITION WITH THE FILING ORGANIZATION, AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 PROCESS USED TO ESTABLISH COMPENSATION OF CEO, OFFICERS, AND KEY EMPLOYEES: THE BOARD COMPENSATION COMMITTEE IS DELEGATED RESPONSIBILITY BY THE BOARD TO MAKE AND RECOMMEND TO THE BOARD THE COMPENSATION DECISIONS FOR ITS KEY EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, OTHER OFFICERS AND ALL DISQUALIFIED PERSONS (AS DEFINED BY TREASURY REGULATIONS). THE COMMITTEE HAS STRONG GOVERNANCE PROCESSES IN PLACE TO ENSURE BEST PRACTICES AND THAT COMPENSATION DECISIONS FOR EXECUTIVES ARE REASONABLE AND SUPPORTIVE OF THE ORGANIZATION'S LEADERSHIP TALENT NEEDS. THE COMMITTEE'S COMPENSATION REVIEW PROCESS IS STRUCTURED TO SATISFY AND COMPLY WITH THE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, UNDER THE INTERMEDIATE SANCTION REGULATIONS (IRC SECTION 4958). 1. THE COMMITTEE OF THE BOARD IS AUTHORIZED BY THE BOARD OF DIRECTORS TO REVIEW AND APPROVE ALL COMPENSATION (INCLUDING EXECUTIVE BENEFITS) ARRANGEMENTS. 2. THE COMMITTEE IS COMPRISED OF DIRECTORS THAT ARE FREE OF MATERIAL FINANCIAL CONFLICT WITH RESPECT TO THE COMPENSATION BEING REVIEWED. 3. ANNUALLY, THE COMPENSATION COMMITTEE, ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A TOTAL COMPENSATION ANALYSIS FOR THE ORGANIZATION'S EXECUTIVES. 4. THE COMMITTEE REVIEWS AND APPROVES THESE COMPENSATION ARRANGEMENTS IN ADVANCE OF IMPLEMENTATION BY REVIEWING MARKET COMPARABILITY DATA PROVIDED BY ITS INDEPENDENT THIRD-PARTY CONSULTANT AND DOCUMENTED IN COMPREHENSIVE REPORTS. 5. THE COMMITTEE DOCUMENTS ITS DECISIONS, AND THE BASIS FOR ITS DECISIONS, IN A TIMELY MANNER WITHIN MEETING MINUTES. 6. THE COMMITTEE ALSO RECEIVES PROFESSIONAL OPINIONS WITH RESPECT TO REASONABLENESS FROM ITS INDEPENDENT COMPENSATION CONSULTANT, AS SUCH TERM IS DEFINED WITHIN INTERMEDIATE SANCTIONS REGULATIONS. 7. THE COMMITTEE REPORTS ITS ACTIONS ON A REGULAR BASIS TO THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE PENNSYLVANIA STATE UNIVERSITY AND ITS SUBSIDIARIES (WHICH INCLUDES PENN STATE HEALTH) ARE AVAILABLE AT WWW.PSU.EDU. PART VII/SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN DIRECTORS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THAT REMUNERATION TO THESE DIRECTORS AND OFFICERS WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED ORGANIZATION, NOT FOR SERVICES RENDERED AS DIRECTORS OF THE FILING ORGANIZATION. FORM 990, PART XI, LINE 9: TRANSFERS TO THE PENN STATE COLLEGE OF MEDICINE -61,259,721. NON-CAPITAL TRANSFERS TO AFFILIATES -10,700,000. OTHER CHANGES IN NET ASSETS 34,925. CHANGES TO NET ASSETS WITHOUT DONOR RESTRICTIONS 949,868. CENTRAL PA HEALTH NETWORK LLC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 465750407 CLINICAL NTWK PA 1234792 145163 PSH PENN STATE HEALTH COMM MED GRP LLC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 300976099 PHYSICIAN PRACTICES PA 260648773 103116342 PSH PENN STATE HEALTH LIFE LION LLC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851607822 LIFE SUPPORT TRANSPORATION SVCS PA 15916522 8795487 PSH ST JOSEPH REGIONAL HEALTH NETWORK 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 231352211 HEALTHCARE PA 501(C)(3) LINE 3 PSH 1 ST JOSEPH MEDICAL CENTER FOUNDATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232649362 FUNDRAISING PA 501(C)(3) LINE 12A, I SJRHN 1 ST JOSEPH MEDICAL GROUP 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 208544021 HEALTHCARE PA 501(C)(3) LINE 10 PSH 1 THE PENNSYLVANIA STATE UNIVERSITY 201 OLD MAIN UNIVERSITY PARK PA 16802 246000376 EDUCATION PA 115 N/A 0 THE MILTON S HERSHEY MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251854772 HEALTHCARE PA 115 PSH 1 PENN STATE HEALTH HAMPDEN MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851608328 HEALTHCARE PA 501(C)(3) LINE 3 PSH 1 PENN STATE HEALTH LANCASTER MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851620900 HEALTHCARE PA 501(C)(3) LINE 3 PSH 1 PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 231512747 HEALTHCARE PA 501(C)(3) LINE 3 PSH 1 HOLY SPIRIT CORPORATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232214540 REAL ESTATE PA 501(C)(2) PSHHSMC 1 SPIRIT PHYSICIAN SERVICES INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251766971 PHYSICIAN SERVICES PA 501(C)(3) LINE 10 PSH 1 HERSHEY OUTPATIENT SURGERY CENTER LP 15305 DALLAS PKWY ADDISON TX 75001 200469951 HEALTHCARE PA NITTANY HLTH 0 0 NITTANY HEALTH - VALUEHEALTH JOINT 11221 ROE AVE LEAWOOD KS 66211 851154159 HEALTHCARE PA NITTANY HLTH 0 0 NITTANY HEALTH INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251769611 HOMECARE INTEGRTN PA PSH C 24484556 24229435 1.00000 1 CGH REALTY CO INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232326801 REAL ESTATE PA SJRHN C 0 HOLY SPIRIT VENTURES INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232407709 REAL ESTATE PA PSHHSMC C 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 1 0 1 1 1 PENN STATE HEALTH HAMPDEN MEDICAL CENTER O 1144471197 FMV PENN STATE HEALTH HAMPDEN MEDICAL CENTER R 2159308174 FMV PENN STATE HEALTH HAMPDEN MEDICAL CENTER K 3903941 FMV PENN STATE HEALTH HAMPDEN MEDICAL CENTER G 11359966 FMV PENN STATE HEALTH HAMPDEN MEDICAL CENTER Q 773506446 FMV PENN STATE HEALTH HAMPDEN MEDICAL CENTER L 34447256 FMV ST JOSEPH REGIONAL HEALTH NETWORK O 103304952 FMV ST JOSEPH REGIONAL HEALTH NETWORK R 251764982 FMV ST JOSEPH REGIONAL HEALTH NETWORK K 529952 FMV ST JOSEPH REGIONAL HEALTH NETWORK G 4377446 FMV ST JOSEPH REGIONAL HEALTH NETWORK Q 118525334 FMV ST JOSEPH REGIONAL HEALTH NETWORK L 2998803 FMV ST JOSEPH MEDICAL CENTER FOUNDATION S 523813 FMV ST JOSEPH MEDICAL GROUP O 14781128 FMV ST JOSEPH MEDICAL GROUP R 23974539 FMV ST JOSEPH MEDICAL GROUP Q 12760350 FMV SPIRIT PHYSICIAN SERVICES INC O 27394133 FMV SPIRIT PHYSICIAN SERVICES INC R 15418379 FMV SPIRIT PHYSICIAN SERVICES INC J 3191443 FMV SPIRIT PHYSICIAN SERVICES INC Q 8999116 FMV SPIRIT PHYSICIAN SERVICES INC L 192317 FMV PENN STATE HEALTH LANCASTER MEDICAL CENTER R 18701144 FMV PENN STATE HEALTH LANCASTER MEDICAL CENTER K 462518 FMV PENN STATE HEALTH LANCASTER MEDICAL CENTER G 713871 FMV PENN STATE HEALTH LANCASTER MEDICAL CENTER Q 112637778 FMV PENN STATE HEALTH LANCASTER MEDICAL CENTER L 108152 FMV NITTANY HEALTH INC R 2986449 FMV PENN STATE HEALTH HAMPDEN MEDICAL CENTER O 39906423 FMV PENN STATE HEALTH HAMPDEN MEDICAL CENTER R 65619933 FMV PENN STATE HEALTH HAMPDEN MEDICAL CENTER J 122740 FMV PENN STATE HEALTH HAMPDEN MEDICAL CENTER G 2236621 FMV PENN STATE HEALTH HAMPDEN MEDICAL CENTER Q 41009706 FMV PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER O 101558487 FMV PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER R 245224395 FMV PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER K 846883 FMV PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER G 2977738 FMV PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Q 136821426 FMV PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER L 3642726 FMV HOLY SPIRIT CORPORATION R 1334088 FMV HOLY SPIRIT CORPORATION Q 1410785 FMV HOLY SPIRIT CORPORATION L 729306 FMV HOLY SPIRIT VENTURES INC Q 338412 FMV SUPPLEMENTAL INFORMATION: SCHEDULE R LISTS ONLY THOSE RELATED ORGANIZATIONS THAT RELATE TO THE HEALTH CARE OPERATIONS UNDER THE COMMON CONTROL OF THE PENNSYLVANIA STATE UNIVERSITY.