2025-05-14T18:38:50-05:00 2024-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2023-07-01 231352160 Main Line Hospitals Inc % CURT WHITESIDE MAIN 4843371864 240 N RADNOR CHESTER ROAD RADNOR PA 19087 LEIGH EHRLICH EVP, CFO & TREASURER 4843371864 2025-05-12 true true ERICA R MCREYNOLDS P00977806 2673303000 2025-05-08 2023 2025-03-06 01:10:19Z X LEIGH EHRLICH 240 N RADNOR CHESTER ROAD RADNOR PA 19087 1746848267 false X www.mainlinehealth.org X 1893 PA PROVIDE A COMPREHENSIVE RANGE OF HEALTH SERVICES, COMPLEMENTED BY EDUCATIONAL & RESEARCH ACTIVITIES THAT MEET THE NEEDS AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. 22 18 9165 500 529845 0 11062559 7563961 1510896612 1622525889 55232840 89230175 35231585 27528242 1612423596 1746848267 11517 202942 0 0 630346287 646220029 0 0 0 1042874337 1060933052 1673232141 1707356023 -60808545 39492244 3004888193 3066740378 893554659 916898867 2111333534 2149841511 X THE MISSION OF MAIN LINE HOSPITALS, INC. IS TO PROVIDE A COMPREHENSIVE RANGE OF SAFE, HIGH QUALITY HEALTH SERVICES, COMPLEMENTED BY EDUCATIONAL AND RESEARCH ACTIVITIES THAT MEET HEALTHCARE NEEDS AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. false false 653359818 0 1067095887 Inpatient Acute Healthcare Services Main Line Hospitals, Inc. is comprised of three full-service community acute care hospitals and a rehabilitation hospital located in the suburbs of Philadelphia. Bryn Mawr Hospital, established 1893, operates 284 licensed beds, The Lankenau Hospital, established 1860, operates 370 licensed beds, Paoli Hospital operates 261 licensed beds, and Bryn Mawr Rehabilitation hospital operates 148 licensed beds. Main Line Hospitals, Inc. offers specialized services including Neonatal Intensive Care, Reproductive Medicine, Arthritis and Orthopedic services, Cardiovascular Care, Sleep Medicine, Cancer Care, a Kidney Transplant Program, Family Centered Maternity Care, Comprehensive Breast Care, and comprehensive rehabilitation services for brain injury, stroke, etc. to name a few. For the year presented, Main Line Hospitals, Inc. provided inpatient services to 53,735 adult patients, 574 Neonatal Care patients, performed 1,111 open heart cases, attended 7,094 births, and performed 11,015 inpatient surgeries. 437444974 202942 562754353 Outpatient Acute Healthcare Services Main Line Hospitals, Inc. offers a full array of outpatient services both within the campus of our four member hospitals (Bryn Mawr Hospital, The Lankenau Hospital, Paoli Hospital, and Bryn Mawr Rehabilitation Hospital), as well as in five separate ambulatory centers located in the communities we serve. Outpatient services offered include Imaging services, Clinical Laboratories, Physical, Occupational and Speech Therapy services, Sleep Disorder centers, Adult Day Services, Cardiology services and a Cardiac Rehabilitation program, Cancer Center, and multiple physicians in the areas of Primary Care, OB/GYN, Pediatric, Internal and Family Medicine and other specialists. For the fiscal period presented, Main Line Hospitals, Inc. attended to 926,104 outpatient visits, performed 19,494 outpatient surgeries, and provided emergent care with 164,860 visits to our hospital based 24 hours/day, 7 days/week emergency rooms. 0 0 0 1090804792 true true false true false false false false false true true true false true true false false true false false false false false false false false true true true false true false false false true false false false false false false false false true true true true false false true 268 0 true 9165 true true true false false false false false false false false false false false X 22 18 false false false false true true true true true false false true true true true true true true true true true PA X CURT WHITESIDE 4843371864 240 N RADNOR CHESTER ROAD SUITE 1 RADNOR PA 19087 X JOHN J LYNCH III CEO & Trustee 1.0 39.0 X X 0 2587326 418770 Michael J Buongiorno EVP/CFO/TREAS (UNTIL DEC 2023) 1.0 39.0 X 0 1210877 43357 Donna Phillips PRESIDENT, Rehab & Ambul SVCS 1.0 39.0 X 56301 827071 154840 James Paradis PRESIDENT, Paoli Hospital 39.0 1.0 X 851919 0 127444 BRIAN T CORBETT ESQ SVP, GEN COUNSEL & SECRETARY 1.0 39.0 X 0 836290 126392 Kathleen Galbraith President, Lankenau Hospital 38.0 2.0 X 825000 0 131765 JOHN SCHWARZ PRESIDENT, Bryn Mawr Hospital 37.0 3.0 X 722737 0 131500 James Gengaro VP, Medical Affairs 39.0 1.0 X 421488 0 51568 Deborah Gondek VP, Medical Affairs 40.0 0.0 X 416821 0 48131 Yonathan Kebede VP, Operations 40.0 0.0 X 377317 0 42809 WILLIAM SURKIS VP, MEDICAL AFFAIRS 40.0 0.0 X 387276 0 21134 ROSADELE PLUMARI VP, Administration 39.0 1.0 X 321226 0 27353 Ernest Gillan MD TRUSTEE 1.0 39.0 X 0 225540 0 Eileen Carr Assistant Secretary 1.0 39.0 X 0 133562 29098 LEIGH EHRLICH EVP/CFO/TREAS (START DEC 2023) 1.0 39.0 X 0 43261 23644 JENNIFER GILBERT DO TRUSTEE 1.0 3.0 X 0 48583 0 Cheryl Koch MD TRUSTEE 1.0 3.0 X 0 9000 0 Peter H Havens TRUSTEE 1.0 6.0 X 0 0 0 Andrea Anania Trustee 1.0 3.0 X 0 0 0 ELIZABETH J BALDERSTON Trustee 1.0 4.0 X 0 0 0 Michelle Hong Esq Trustee 1.0 3.0 X 0 0 0 CHRIS BRUNER Trustee 1.0 4.0 X 0 0 0 Ellen Rinaldi Trustee 1.0 4.0 X 0 0 0 Alexandre Costabile TRUSTEE 1.0 3.0 X 0 0 0 Robert Frederick MD TRUSTEE 1.0 3.0 X 0 0 0 Barbara Gasper TRUSTEE 1.0 4.0 X 0 0 0 DONNA HAVENS TRUSTEE 1.0 3.0 X 0 0 0 Deebeanne Tavani Trustee 1.0 3.0 X 0 0 0 Steven Higgins CHAIRMAN AND Trustee 1.0 10.0 X X 0 0 0 Mary Beth Kingston Trustee 1.0 3.0 X 0 0 0 Bradford Koles Trustee 1.0 3.0 X 0 0 0 Dalila Wilson-Scott Trustee 1.0 3.0 X 0 0 0 DARRELL GILES TRUSTEE 1.0 3.0 X 0 0 0 Laura Bessen-Nichtberger MD TRUSTEE 1.0 3.0 X 0 0 0 WILLIAM STULGINSKY TRUSTEE 1.0 4.0 X 0 0 0 4380085 5921510 1377805 1307 false true false UNITED ANESTHESIA SERVICE PC 610 W GERMANTOWN PIKE STE 150 PLYMOUTH MEETING PA 19462 PHYSICIAN SERVICES 33310205 RADIOLOGY ASSOC OF MAIN LINE PC PO BOX 678678 DALLAS TX 75267 PHYSICIAN SERVICES 11844417 MAIN LINE EMERGENCY MEDICINE ASSOC 11 SOUTH CHURCH STREET WEST CHESTER PA 19382 PHYSICIAN SERVICES 3331737 REGIONAL WOMEN'S HEALTH GROUP LLC 227 LAUREL ROAD STE 300 VOORHEES NJ 08043 PHYSICIAN SERVICES 2220743 KEMBERTON HEALTHCARE SERVICES LLC 2 INTERNATIONAL DRIVE SUITE 200 PORTSMOUTH NH 03801 PROFESSIONAL SVCS 1466309 36 6032555 236 1531170 7563961 INPATIENT REVENUE 621110 1050435690 1050435690 OUTPATIENT REVENUE 621400 552129671 551599826 529845 SUPPORT SERVICES 900099 19960528 19960528 1622525889 92532144 92532144 0 0 19674046 19674046 0 19674046 19674046 -2199467 -1102502 -2199467 -1102502 -3301969 -3301969 0 0 0 0 0 0 0 0 0 NET ASSETS RELEASED FROM RESTRICTIONS 900099 7052873 7052873 OTHER REVENUE 900099 801323 801323 7854196 1746848267 1629850240 529845 108904221 202942 202942 0 0 0 2573748 2573748 0 535000291 499881867 35118424 21963827 13901396 8062431 47148958 31854577 15294381 39533205 36814286 2718919 195520510 80351351 115169159 817918 6720 811198 0 61740 61740 0 0 88679451 50688233 37991218 30455 22301 8154 307410334 302201558 5208776 43128580 210260 42918320 0 26699399 4006699 22692700 179839 131158 48681 0 323756 292048 31708 14697436 212650 14484786 193165381 0 193165381 117387147 38216508 79170639 21542978 58444 21484534 MAINTENANCE CONTRACTS 16345248 16034564 310684 GENERAL REPAIRS 8129497 5511926 2617571 TEMPORARY HELP 5628609 5664536 -35927 MAINTENANCE - NONCONTRACTED 3894772 124792 3769980 17290002 4415976 12874026 1707356023 1090804792 616551231 0 X 0 0 107577759 116723727 0 0 173483391 191435300 12648061 13678554 0 0 0 0 32217839 31604024 16877085 20062752 2811779597 1684360099 1181357278 1127419498 1086879092 1052677219 128568621 206967219 45716505 66462782 0 0 219562562 239709303 3004888193 3066740378 163373088 161514316 0 0 3438928 14558588 471143175 458742781 0 0 0 0 0 0 0 0 255599468 282083182 893554659 916898867 X 2038502259 2071971870 72831275 77869641 2111333534 2149841511 3004888193 3066740378 X 39492244 7027209 -8011476 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 61740 61740 false SCHEDULE C, PART II-B, LINE 1I AMOUNT REPORTED REPRESENTS LOBBYING PERCENTAGE OF MEMBERSHIP DUES FOR HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA AND AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION. 68635000 4978000 73613000 66897000 1738000 68635000 78494000 -11597000 66897000 60920000 17574000 78494000 68190000 -7270000 60920000 1.00000 true true true 105325054 105325054 1787922256 961134576 826787680 9115377 7400448 1714929 878232854 715825075 162407779 31184056 31184056 1127419498 ALTERNATIVE INVESTMENTS 206967219 F 206967219 CONSTRUCTION ESCROWS 4549810 DIVIDEND AND INTEREST REC. 844786 DUE FROM AFFILIATES 9077509 MGMT SERVICE DEPOSIT 793998 NOTE RECEIVABLE - LIMR 2250000 OPERATING LEASE ASSETS 51584537 OTHER RECEIVABLES 10000037 RECOVERABLE FIVE POINTS INSUR 120471700 RECOVERABLE MALP CLAIMS 26503000 RECOVERABLE WKRS' COMP CLAIMS 1632483 SECURITY DEPOSIT - NON-CURRENT 47920 QUALIFIED PENSION ASSETS 11953523 239709303 0 DUE TO AFFILIATES 23105020 DUE TO AFFILIATED FOUNDATION 923467 ESTIMATED SELF-INSURANCE COSTS 196678167 OPERATING LEASE LIABILITIES 61376528 282083182 Part V, Line 4 Endowment funds support medical education, research, fellowship, and indigent care expenses. true true X true X 300. true X 500. true true false true true 5080491 0 5080491 0.00300 153692668 81958812 71733856 0.04200 158773159 81958812 76814347 0.04500 11066325 848774 10217551 0.00600 41450751 10552208 30898543 0.01810 4499318 1326050 3173268 0.00190 8149910 8149910 0.00480 209359 0 209359 0.00010 65375663 12727032 52648631 0.03080 224148822 94685844 129462978 0.07580 true 406380439 539871023 -133490584 X true true BRYN MAWR SURG CTR OUTPATIENT SURGICAL CENTER 0.51 0.42 5 1 MAIN LINE HOSPITALS INC-LANKENAU 100 East Lancaster Avenue Wynnewood PA 19096 www.mainlinehealth.org/lankenau 120401 X X X X X A 2 MAIN LINE HOSPITALS INC-BRYN MAWR 130 S Bryn Mawr Avenue Bryn Mawr PA 19010 www.mainlinehealth.org/brynmawr 280701 X X X X X A 3 MAIN LINE HOSPITALS INC-PAOLI 255 W Lancaster Avenue Paoli PA 19301 www.mainlinehealth.org/paoli 161081 X X X A 4 MAIN LINE HOSPITALS INC-BM REHAB 414 Paoli Pike Malvern PA 19355 www.mainlinehealth.org/rehab 540201 X A 5 PHYSICIAN CARE SURGICAL HOSPITAL 454 ENTERPRISE DRIVE ROYERSFORD PA 19468 WWW.PHYCAREHOSPITAL.COM 22630101 X X X B MAIN LINE HOSPITALS INC (GROUP A) 14 false false true X X X X X X X X X 22 true true false true X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 300. 500. X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false PHYCARE (GROUP B) 5 false false true X X X X X X X X X 22 true true false true X SEE PART V, SECTION C X true 22 true SEE PART V, SECTION C false true X 200. 0. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X true false false PART V, SECTION B, LINE 5 FACILITY REPORTING GROUP A AND GROUP B: MAIN LINE HOSPITALS, INC. CONTRACTED WITH THE HEALTH CARE IMPROVEMENT FOUNDATION (HCIF) TO CONDUCT A REGIONAL CHNA FOR THE FY23-FY25 CHNA CYCLE, WHICH WAS COMPLETED IN JUNE 2022. THE REGIONAL CHNA INCLUDED TEN LOCAL HEALTH SYSTEMS FROM THE SOUTHEASTERN PENNSYLVANIA REGION, ACROSS THE FIVE-COUNTY AREA OF BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA COUNTIES. MLH'S FOUR ACUTE CARE HOSPITALS AND BRYN MAWR REHABILITATION HOSPITAL WERE INCLUDED IN THE FINAL REGIONAL CHNA FINAL REPORT AND THE MAIN LINE HEALTH FY23-FY25 CHNA IMPLEMENDATION PLAN WAS COMPLETED AND POSTED ONLINE ON THE MAIN LINE HEALTH WEBSITE IN JUNE 2022. MAIN LINE HOSPITALS, INC., IN PARTNERSHIP WITH A STEERING COMMITTEE OF REPRESENTATIVES FROM EACH OF THE PARTNERING HEALTH SYSTEMS, AS WELL AS THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH (PDPH) - DEVELOPED A COLLABORATIVE, COMMUNITY-ENGAGED APPROACH, INVOLVING COLLECTION AND ANALYSIS OF QUANTITATIVE AND QUALITATIVE DATA TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. QUANTITATIVE DATA WAS ACQUIRED FROM LOCAL STATE, AND FEDERAL SOURCES AND FOCUSED ON INDICATORS THAT WERE UNIFORMLY AVAILABLE AT A ZIP CODE LEVEL ACROSS THE REGION. THE PDPH TEAM COMPILED, ANALYZED AND AGGREGATED OVER 60 HEALTH INDICATORS, ENCOMPASSING DATA ON COMMUNITY DEMOGRAPHIC CHARACTERISTICS, COVID-19, CHRONIC DISEASE AND HEALTH BEHAVIORS, INFANT AND CHILD HEALTH, BEHAVIORAL HEALTH, INJURIES, ACCESS TO CARE AND SOCIAL AND ECONOMIC CONDITIONS. HCIF GUIDED A QUALITATIVE TEAM, INCLUDING HEALTH SYSTEM REPRESENTATIVES, CONDUCTING 26 VIRTUAL FOCUS GROUP-STYLE "COMMUNITY CONVERSATIONS" ACROSS EACH OF THE FIVE COUNTIES, 21 VIRTUAL DISCUSSIONS ON "SPOTLIGHT" TOPICS LIKE, BEHAVIORAL HEALTH, CHRONIC DISEASE, FOOD INSECURITY, HOUSING AND HOMELESSNESS, OLDER ADULTS AND CARE, RACISM AND DISCRIMINATION IN HEALTH CARE, SUBSTANCE USE, AND VIOLENCE. IN ADDITION, THE HCIF TEAM ADDRESSED KEY FOCUS AREAS AND COMMUNITIES TO BETTER UNDERSTAND SPECIFIC NEEDS IN THESE POPULATIONS; THESE POPULATIONS INCLUDED PATIENTS AND COMMUNITY MEMBERS WITH CANCER, DISABILITY, AND ALSO IMMIGRANT, REFUGEE AND HERITAGE COMMUNITIES AND YOUTH VOICE. PART V, SECTION B, LINE 6A FACILITY REPORTING GROUP A AND GROUP B: IN ADDITION TO MLH, THE REGIONAL CHNA INCLUDED TEN LOCAL HEALTH SYSTEMS - CHILDREN'S HOSPITAL OF PHILADELPHIA, DOYLESTOWN HEALTH, JEFFERSON HEALTH, EINSTEIN HEALTH, GRAND VIEW HEALTH, HOLY REDEEMER, PENN MEDICINE, TEMPLE HEALTH, AND TRINITY HEALTH. THE CHNA INCLUDED THE FOUR ACUTE HOSPITALS IN THE MAIN LINE HEALTH SYSTEM - BRYN MAWR HOSPITAL (BMH), LANKENAU HOSPITAL (LH), AND PAOLI HOSPITAL (PH)-RIDDLE MEMORIAL HOSPITAL (RH), AND BRYN MAWR REHABILITATION HOSPITAL (BMRH), THE REHABILITATION HOSPITAL WITHIN MAIN LINE HOSPITALS, INC. PART V, SECTION B, LINE 7A FACILITY REPORTING GROUP A AND GROUP B: HTTPS://WWW.MAINLINEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 10A FACILITY REPORTING GROUP A AND GROUP B: HTTPS://WWW.MAINLINEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 11 FACILITY REPORTING GROUP A AND GROUP B: THE MAIN LINE HEALTH CHNA IMPLEMENTATION PLAN TO ADDRESS THE COMMUNITY NEEDS IDENTIFIED FROM THE REGIONAL CHNA WAS DEVELOPED, AND THE PLAN WAS ADOPTED BY THE MLH BOARD OF DIRECTORS IN JUNE 2022. THE IMPLEMENTATION PLAN INCLUDES 19 SYSTEM-WIDE INITIATIVES, ADDRESSING 9 OF THE 12 COMMUNITY HEALTH NEED PRIORITY AREAS IDENTIFIED IN THE 2022 REGIONAL CHNA REPORT. OF THE 12 COMMUNITY HEALTH NEEDS IN THE 2022 REGIONAL CHNA REPORT, A TOP HEALTH NEED IDENTIFIED IS MENTAL HEALTH CONDITIONS, PRIORITIZED BY YOUTH AND ADULT COMMUNITY MEMBERS AND COMMUNITY PARTNERS. SIGNIFICANT MENTAL HEALTH NEEDS ACROSS THE REGION ARE INDICATED BY HIGH RATES OF DEPRESSION, MENTAL DISTRESS AND SUICIDE MORTALITY AND IDEATION RATES. THESE TRENDS WERE EXACERBATED BY SOCIAL ISOLATION AND STRESS DURING THE COVID-19 PANDEMIC. MAIN LINE HEALTH CONTINUES TO PURSUE WAYS TO INCREASE OUTPATIENT ACCESS TO BEHAVIORAL HEALTH THROUGH THE ADDITION OF SERVICES LIKE THE INTEGRATED BEHAVIORAL HEALTH PROGRAM IN PRIMARY CARE, ACROSS 35 PRACTICES, AND OVER 14 PROVIDERS. ADDITIONALLY, THE MAIN LINE HEALTH CALL CENTER NOW INCLUDES ACCEPTING CALLS FOR BEHAVIORAL HEALTH SERIVICES AND CONTINUES TO BE OPTIMIZED TO PROVIDE ACCESS TO PATIENTS. ADDITIONAL COMMUNITY HEALTH NEED PRIORITY AREAS IDENTIFIED IN THE 2022 REGIONAL CHNA REPORT AND ADDRESSED IN THE MAIN LINE HEALTH FY23-FY25 CHNA IMPLEMENTATION PLAN INCLUDE SUBSTANCE USE AND RELATED DISORDERS, CHRONIC DISEASE PREVENTION AND MANAGEMENT, ACCESS TO CARE, RACISM AND DISCRIMINATION IN HEALTHCARE, AND SOCIAL AND ECONOMIC CONDITIONS - SPECIFICALLY IN ADDRESSING FOOD INSECURITY. THERE ARE THREE COMMUNITY HEALTH NEED PRIORITY AREAS IDENTIFIED IN THE 2022 REGIONAL CHNA REPORT THAT ARE NOT ADDRESSED IN OUR FY23-FY25 CHNA IMPLEMENTATION PLAN. ONE OF THESE AREAS IS CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES. MLH IS OPERATIONALLY ADDRESSING THIS COMMUNTIY HEALTH NEED THROUGH OUR LANGUAGE INTERPRETATION SERVICES IN PLACE ACROSS OUR HOSPITAL CAMPUSES AND OVERALL, LESS THAN 3% OF MLH PATIENTS INDICATE THAT ENGLISH IS NOT THEIR FIRST LANGUAGE. ADDITIONALLY, MLH HAS CULTURAL COMPETENCY RESOURCES AVAILABLE THROUGH OUR ACCESS THE CULTURE VISION, AND SYSTEM-WIDE DIVERSITY, RESPECT, EQUITY & INCLUSION (DREI) TRAINING TO CONTINUE TO ENSURE WE ARE MEETING NEEDS OF OUR DIVERSE PATIENT POPULATIONS. ANOTHER COMMUNITY HEALTH NEED NOT BEING ADDRESSED IN OUR FY23-FY25 CHNA IMPLEMENTATION PLAN IS COMMUNITY VIOLENCE. MLH CURRENTLY EXPERIENCES A LOW INCIDENCE OF PATIENTS PRESENTING IN THE EMERGENCY DEPARTMENTS DUE TO VIOLENT EVENTS, HOWEVER MLH HAS TWO LEVEL II TRAUMA CENTERS AT LANKENAU MEDICAL CENTER (LMC) AND PAOLI HOSPITAL TO TREAT PATIENTS ADMITTED DUE TO VIOLENT EVENTS. LASTLY, WE DID NOT ADDRESS NEIGHBORHOOD CONDITIONS AS WE DO NOT CURRENTLY HAVE SYSTEM-WIDE STRATEGIES TO ADDRESS THIS IN THE COMMUNITY. WE DO OFFER PATIENTS AND COMMUNITY MEMBERS GARDEN, NUTRITION AND WELLNESS ACCESS, THROUGH OUR DEAVER WELLNESS FARM, LOCATED AT LMC, ESTABLISHED IN 2016 IN PARTNERSHIP WITH GREENER PARTNERS. PART V, SECTION B, LINES 16A, 16B, 16C FACILITY REPORTING GROUP A: HTTPS://WWW.MAINLINEHEALTH.ORG/ABOUT/POLICIES/CHARITY-CARE FACILITY REPORTING GROUP B: HTTP://WWW.PHYCAREHOSPITAL.COM/FINANCIAL-ASSISTANCE.HTML PART V, SECTION B, LINE 16G FACILITY REPORTING GROUP A: THE FINANCIAL ASSISTANCE POLICY AND NOTICE OF CHARITY CARE ARE MADE AVAILABLE TO THE COMMUNITY SERVED BY EACH HOSPITAL FACILITY IN THE FORM OF NOTICES POSTED IN THE EMERGENCY ROOM AND REGISTRATION AREAS, TAKE AWAY BROCHURES AVAILABLE IN THE EMERGENCY ROOM, WAITING ROOMS, REGISTRATION AREAS, ADMISSION AREAS, THE MLH WEBSITE, AND STATEMENTS REGARDING THE FINANCIAL ASSISTANCE POLICIES ON BILLING STATEMENTS. PART V, SECTION B, LINE 22 FACILITY REPORTING GROUP B: ACCORDING TO THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, PATIENTS WHO ARE UNINSURED OR UNDERINSURED FOR A MEDICALLY NECESSARY SERVICE, OR WHO ARE INELIGIBLE FOR GOVERNMENTAL OR OTHER INSURANCE COVERAGE, AND WHO HAVE FAMILY INCOME LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR 100% CHARITY CARE (FINANCIAL ASSISTANCE). SINCE THE ORGANIZATION PROVIDES FULL FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY, FAP-ELIGIBLE INDIVIDUALS RECEIVE A FULL WRITE-OFF. BECAUSE THE ORGANIZATION ONLY PROVIDES FULL CHARITY CARE, AND DOES NOT BILL PATIENTS ELIGIBLE FOR CHARITY CARE, PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FAP WILL NOT BE CHARGED. THEREFORE, THE ORGANIZATION DOES NOT CALCULATE AMOUNTS GENERALLY BILLED. 8 Main Line Health Center-Lawrence Park 1991 Sproul Road Broomall PA 19008 General medical & surgical Main Line Health Center-Collegeville 599 Arcola Road Collegeville PA 19426 General medical & surgical Main Line Health Center-Exton 154 Exton Square Parkway Exton PA 19341 General medical & surgical Main Line Health Center-Newtown Square 3855 West Chester Pike Newtown Square PA 19073 General medical & surgical Bryn Mawr Hospital PM&R 780 Lancaster Avenue Wayne PA 19087 General medical & surgical Lankenau Hospital OP Rehab 308 Lancaster Avenue Wynnewood PA 19096 General medical & surgical Bryn Mawr Hospital OP Imaging Center 101 S Bryn Mawr Avenue Bryn Mawr PA 19010 General medical & surgical Main Line Health Center King of Prussia 120 Valley Green Lane King of Prussia PA 19406 GENERAL MEDICAL & SURGICAL PART I, LINE 3B ANY PERSON WHO DOES NOT HAVE INSURANCE AND DOES NOT HAVE THE ABILITY TO PAY ALL OR PART OF THEIR FINANCIAL RESPONSIBILITY TO MAIN LINE HOSPITALS, INC. FOR MAIN LINE HOSPITALS, INC. PROVIDED SERVICES (WITH THE EXCEPTION OF ELECTIVE COSMETIC OR PLASTIC SURGERY), IS ELIGIBLE FOR CHARITY CARE AND FINANCIAL ASSISTANCE. FOR FURTHER EXPLANATION OF THE OPTIONS AVAILABLE TO PATIENTS WITHOUT INSURANCE, PLEASE SEE THE INFORMATION PRESENTED IN RESPONSE TO SCHEDULE H, PART VI, LINE 3. PART III, SECTION A, LINE 4 THE FOLLOWING TEXT HAS BEEN TAKEN FROM THE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MAIN LINE HEALTH SYSTEM AND AFFILIATES DESCRIBING BAD DEBT. THIS CAN BE FOUND ON PAGE 13 OF THE MAIN LINE HEALTH SYSTEM AND AFFILIATES CONSOLIDATED AUDITED FINANCIAL STATEMENTS. "GENERALLY, PATIENTS WHO ARE INSURED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. MLHS ALSO PROVIDES SERVICES TO UNINSURED PATIENTS. THE TRANSACTION PRICE FOR BOTH UNINSURED PATIENTS AS WELL AS INSURED PATIENTS WITH DEDUCTIBLES AND COINSURANCE IS ESTIMATED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. MLHS ENTERS INTO VERY FEW EXPLICIT CONTRACTS WITH PATIENTS. FOR THESE CONTRACTS, MLHS TYPICALLY RECEIVES PAYMENT PRIOR TO THE SERVICE BEING PERFORMED, AND AS SUCH, HAS NOT RECORDED BAD DEBT EXPENSE IN THE PERIODS PRESENTED." PART III, SECTION B, LINE 8 MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A SOPHISTICATED COST ACCOUNTING SOFTWARE SYSTEM. THE MAIN LINE HOSPITALS, INC. COST SHORTFALL FOR CARE TO MEDICARE PATIENTS HAS BEEN ABSORBED BY THE HOSPITALS AS PART OF OUR MISSION TO PROVIDE A COMPREHENSIVE RANGE OF SAFE, HIGH-QUALITY HEALTH SERVICES AND EMERGENCY CARE, COMPLEMENTED BY RELATED EDUCATIONAL AND RESEARCH ACTIVITIES, THAT MEET HEALTH CARE NEEDS AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. FOR THE FISCAL YEAR PRESENTED, THE MEDICARE SHORTFALL WAS $133.0 MILLION AND ACCOUNTED FOR 23.3% OF HOSPITAL NET REVENUES. THE HOSPITAL CONTINUES TO PROVIDE QUALITY HEALTHCARE TO MEDICARE PATIENTS, REGARDLESS OF THIS SHORTFALL, AND IN DOING SO, RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR THIS PATIENT POPULATION. PART III, SECTION C, LINE 9B PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE PRIOR TO SERVICE ARE NOT BILLED FOR THE SERVICES RENDERED. FOR OTHER ACCOUNTS, IF A PATIENT INDICATES A FINANCIAL HARDSHIP AT ANY POINT DURING COLLECTION, THE PATIENT IS REFERRED TO THE FINANCIAL COUNSELING AREA FOR ASSISTANCE WITH THE REQUIRED DOCUMENTATION TO DETERMINE ELIGIBILITY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. FURTHER EXPLANATION OF THE ROLE OF FINANCIAL COUNSELORS AND OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICY IS INCLUDED IN RESPONSE TO SCHEDULE H, PART VI, QUESTION 3 ON PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE. PART VI, LINE 2 LOCAL HOSPITALS/HEALTH SYSTEMS AND SUPPORTING PARTNERS DEVELOPED THE CHNA PROCESS AND REPORT TO IDENTIFY REGIONAL HEALTH PRIORITIES AND ISSUES SPECIFIC TO EACH PARTICIPATING INSTITUTION'S SERVICE AREA. BASED ON THESE PRIORITIES, EACH PARTICIPATING HOSPITALS/HEALTH SYSTEM PRODUCED IMPLMENTATION PLANS TO RESPOND TO UNMET HALTH NEEDS. THE DATA COLLECTION PROCESS WAS LED BY PDPH TO COLLECT AND ANALYZE OVER 60 QUANTITATIVE HEALTH INDICATORS BY COUNTY AND GEOGRAPHIC COMMUNITY. ADDITIONAL HEALTH SYSTEM PROFILES PROVIDED INFORMATION ABOUT KEY SERVICES, RECOGNITIONS AND IMPACT OF PRIOR CHNA IMPLEMENTATION PLANS. COMMUNITY AND STAKEHOLDER INPUT WAS GATHERED BY HCIF, PACDC AND COMMUNITY PARTNERS ACROSS THE 5-COUNTY SOUTHEASTERN PENNSYLVANIA REGION TO CAPTURE QUALITATIVE DATA ACROSS POPULATIONS IN OUR COMMUNITIES. HCIF, SYNTHESIZED THESE FINDINGS TO PROVIDE INPUTS FOR THE PRIORITIZATION PROCESS USING A MODIFIED HANLON METHOD, FOR HOSPITALS/HEALTH SYSTEMS TO RANK COMMUNITY HEALTH NEEDS. THE PRIORITIES WERE THEN SUMMARIZED IN THE FINAL CHNA REPORT. THE MLH CHNA OVERSIGHT COMMITTEE, COMPRISING MLH SYSTEM LEADERSHIP, PROVIDED OVERSIGHT AND ACTIVE GOVERNANCE IN THE DEVELOPMENT, IMPLEMENTATION AND TRACKING OF THE CHNA IMPLEMENTATION PLAN. GOAL SELECTION WAS BASED ON PROGRAM AND INITIATIVES THAT ALIGN WITH EXISTING MLH STRATEGIC PLAN AND OTHER SYSTEM-WIDE INITIATIVES. PART VI, LINE 3 MAIN LINE HOSPITALS, INC. IS ONE OF A NUMBER OF HEALTH CARE PROVIDER SUBSIDIARIES OF MAIN LINE HEALTH SYSTEM (MLHS). MLHS' MISSION IS TO PROVIDE A COMPREHENSIVE RANGE OF SAFE, HIGH-QUALITY HEALTH SERVICES, COMPLEMENTED BY EDUCATIONAL AND RESEARCH ACTIVITIES, WHICH MEET HEALTHCARE NEEDS AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. NO PATIENT WILL BE REFUSED EMERGENCY TREATMENT AT MLH BECAUSE OF HIS/HER FINANCIAL STATUS. MLH IS COMMITTED TO TREATING PATIENTS WITH EMERGENCY MEDICAL CONDITIONS REGARDLESS OF ABILITY TO PAY. ONE OF THE WAYS MLH FULFILLS THIS MISSION IS TO PROVIDE FINANCIAL ASSISTANCE TO THOSE MEMBERS OF THE COMMUNITY WHO ARE IN NEED OF HEALTHCARE SERVICES. THERE ARE SEVERAL DIFFERENT PROGRAMS THAT HAVE BEEN ESTABLISHED FOR THIS PURPOSE. EACH OF THE PROGRAMS HAS A SET OF CRITERIA WHICH MUST BE MET FOR THE PATIENT TO QUALIFY FOR HEALTHCARE FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MLH PROVIDES FINANCIAL COUNSELORS AT EACH HOSPITAL (AND VIA A CALL CENTER) TO HELP PATIENTS FIND WAYS TO MEET THEIR FINANCIAL OBLIGATIONS FOR THE HEALTHCARE SERVICES PROVIDED TO THEM. SPECIFICALLY, FINANCIAL COUNSELORS HELP PATIENTS APPLY FOR GOVERNMENT ASSISTANCE PROGRAMS AS WELL AS MLH CHARITY CARE AND FINANCIAL ASSISTANCE. ANY PATIENT MAY REQUEST TO SPEAK TO A FINANCIAL COUNSELOR WHEN BEING SCHEDULED FOR TREATMENT AT MLH. UNINSURED PATIENTS WHO ARE ADMITTED TO THE HOSPITAL WILL AUTOMATICALLY RECEIVE HELP FROM A FINANCIAL COUNSELOR. THERE ARE SEVERAL OPTIONS AVAILABLE TO PATIENTS WITHOUT INSURANCE. THEY ARE: OPTION 1: GOVERNMENT SPONSORED MEDICAL ASSISTANCE THERE ARE A NUMBER OF AVAILABLE PROGRAMS FROM THE FEDERAL, STATE AND LOCAL LEVELS SUCH AS MEDICAL ASSISTANCE WHICH CAN HELP PAY THE MEDICAL BILLS OF PEOPLE WHO HAVE LOW INCOME AND CANNOT AFFORD MEDICAL CARE. OFTEN, PATIENTS ARE UNAWARE OF THESE PROGRAMS OR ARE UNABLE TO ACCESS THEM DUE TO THE CUMBERSOME ENROLLMENT PROCESS REQUIRED TO RECEIVE THESE BENEFITS. FINANCIAL COUNSELORS CAN HELP PATIENTS APPLY FOR MEDICAL ASSISTANCE TO DETERMINE ELIGIBILITY. OUR FINANCIAL COUNSELORS WILL ASSIST IN THE APPLICATION PROCESS AND FOLLOW THROUGH WITH THE GOVERNMENTAL AGENCY TO ASSIST THE PATIENT. OPTION 2: CHARITY CARE MLH OFFERS CHARITY CARE/FINANCIAL ASSISTANCE TO UNINSURED PATIENTS THAT NEED CARE. FOR PATIENTS WITH INCOME LEVELS AT 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES, 100% CHARITY CARE (FREE CARE) IS PROVIDED. FOR PATIENTS WITH INCOME BETWEEN 300% AND 500% OF THE FEDERAL POVERTY GUIDELINES SIGNIFICANT CHARITY DISCOUNTS ARE OFFERED AND PAYMENTS ARE EQUIVALENT TO MEDICARE REIMBURSEMENT RATES. MLH FINANCIAL COUNSELORS ASSIST PATIENTS WITH THE CHARITY CARE/FINANCIAL ASSISTANCE APPLICATION. PRESUMPTIVE CHARITY CARE ELIGIBILITY: THERE ARE INSTANCES WHERE A PATIENT MAY APPEAR ELIGIBLE FOR CHARITY CARE, BUT SUPPORTING DOCUMENTATION IS LACKING OR UNAVAILABLE. IN SUCH EVENT MAIN LINE HEALTH WILL USE OTHER APPROPRIATE 3RD PARTY RESOURCES TO ESTIMATE AN INDIVIDUAL'S INCOME. A PATIENT MEETING THE CRITERIA FOR PRESUMPTIVE FINANCIAL ASSISTANCE WILL HAVE ALL CHARGES WAIVED. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. ENROLLED IN A STATE-FUNDED PRESCRIPTION PROGRAMS; 2. BEING HOMELESS OR RECEIVING CARE FROM A HOMELESS CLINIC; 3. PARTICIPATING IN THE PENNSYLVANIA DEPARTMENT OF WELFARE'S WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); 4. BEING ELIGIBLE FOR FOOD STAMPS; 5. RECEIVING SUBSIDIZED SCHOOL LUNCHES; 6. BEING ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G., MEDICAID SPEND-DOWN); 7. RESIDING IN LOW INCOME/SUBSIDIZED HOUSING, PROVIDING THE ADDRESS SUPPLIED BY THE PATIENT IS A VALID ADDRESS; 8. PATIENT IS DECEASED WITH NO KNOWN ESTATE. OPTION 3: UNINSURED PATIENT DISCOUNT FOR UNINSURED PATIENTS WHOSE INCOME IS IN EXCESS OF 500% OF THE FEDERAL POVERTY GUIDELINES, A SUBSTANTIAL DISCOUNT BASED ON THE FOLLOWING GUIDELINES IS PROVIDED: - FOR ALL INPATIENT NON-ELECTIVE SERVICES A DISCOUNT OF 60% OFF TOTAL CHARGES WILL BE APPLIED. - FOR ALL INPATIENT ELECTIVE SERVICES A DISCOUNT OF 40% OFF TOTAL CHARGES WILL BE APPLIED. - FOR ALL EMERGENCY DEPARTMENT SERVICES, THOSE TREATED AND RELEASED, A DISCOUNT OF 40% OFF TOTAL CHARGES WILL BE APPLIED WITH A MAXIMUM CHARGE OF $1,000 FOR THE EMERGENCY DEPARTMENT VISIT. - FOR ALL OTHER OUTPATIENT SERVICES A DISCOUNT OF 40% OFF TOTAL CHARGES. MLH APPLIES THE UNINSURED PATIENT DISCOUNT ON A CONSISTENT AND NON DISCRIMINATORY BASIS. THE MLH CHARITY CARE & FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE TO THE PUBLIC ON THE MLH WEBSITE. EXTENDED PAYMENT ARRANGEMENTS TO PATIENTS IF PATIENTS ARE UNABLE TO PAY THE PATIENT RESPONSIBILITY PORTION OF THEIR BILL AT THE TIME OF SERVICE OR AT THE TIME OF DISCHARGE, PAYMENT OPTIONS FOR EXTENDED, INTEREST FREE PAYMENT PERIODS ARE AVAILABLE. CHARGES FOR SERVICES RENDERED TO PATIENTS THAT MEET MLH'S GUIDELINES FOR CHARITY CARE ARE NOT REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. DISCOUNTS OFFERED FOR FINANCIAL ASSISTANCE ARE REFLECTED AS REDUCTIONS OF NET PATIENT REVENUE. MLH MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE PROVIDED. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED. SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. MANAGEMENT ESTIMATES THAT THE COST ASSOCIATED WITH THESE SERVICES FOR CHARITY CARE PROVIDED BY MAIN LINE HOSPITALS, INC. APPROXIMATED $5,080,491 FOR THE FISCAL YEAR ENDED JUNE 30, 2024. MANAGEMENT ESTIMATES THAT THE COST ASSOCIATED WITH SERVICES FOR CHARITY CARE PROVIDED BY MAIN LINE HEALTH SYSTEM APPROXIMATED $5,383,530 FOR THE FISCAL YEAR ENDED JUNE 30, 2024. COMMUNITY BENEFIT AND SERVICES SERVICES ARE PROVIDED TO INDIVIDUALS THAT QUALIFY FOR MEDICAL ASSISTANCE, WHO PARTICIPATE IN THE PENNSYLVANIA MEDICAL ASSISTANCE PROGRAM. THE COST OF PROVIDING SUCH SERVICES TO ELIGIBLE WELFARE RECIPIENTS WAS $153,692,668 AND EXCEEDED REIMBURSEMENT BY $71,733,856 IN THE FISCAL YEAR ENDED JUNE 30, 2024 FOR MAIN LINE HOSPITALS, INC. THE COST OF PROVIDING SUCH SERVICES TO ELIGIBLE WELFARE RECIPIENTS WAS $179,995,770 AND EXCEEDED REIMBURSEMENT BY $84,910,897 IN THE FISCAL YEAR ENDED 2024 FOR MAIN LINE HEALTH SYSTEM. IN TOTAL, MAIN LINE HOSPITALS, INC. RECEIVED APPROXIMATELY 28.0 PERCENT OF ITS NET REVENUE FROM GOVERNMENT PROGRAMS IN FY 2024. THE LOSS INCURRED IN PROVIDING HEALTHCARE SERVICES TO PATIENTS OF GOVERNMENT PROGRAMS APPROXIMATED $205,224,440 AS DETAILED ON SCHEDULE H, PART I, LINE 7B(E) $71,733,856 (MEDICAID) AND PART III, LINE 7 $133,490,584 (MEDICARE). IN ACCORDANCE WITH THE MLH CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, MLH PROVIDES FINANCIAL ASSISTANCE IN THE FORM OF DISCOUNTS TO UNINSURED PATIENTS WITH INCOME BETWEEN 300% AND 500% OF THE FEDERAL POVERTY GUIDELINES. THE AMOUNT OF FINANCIAL ASSISTANCE PROVIDED BY MAIN LINE HOSPITALS, INC. FOR THE FISCAL YEAR ENDED JUNE 30, 2024 APPROXIMATED $49,347,743. THIS AMOUNT REFLECTED AT COST IS $8,002,706. THE AMOUNT OF FINANCIAL ASSISTANCE PROVIDED BY MAIN LINE HEALTH SYSTEM, FOR THE FISCAL YEAR ENDED JUNE 30, 2024, APPROXIMATED $58,381,560. THIS AMOUNT REFLECTED AT COST IS $9,342,356. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, MLH SYSTEM MEMBERS SUPPORT EDUCATION AND RESEARCH ACTIVITES THROUGH ITS MEMBER AFFILIATE, LANKENAU INSTITUTE FOR MEDICAL RESEARCH, AND PROVIDES SPONSORSHIPS AND VARIOUS COMMUNITY SERVICES SUCH AS EDUCATION, SCREENINGS AND SUPPORT GROUPS FOR CANCER PATIENTS AND THEIR FAMILIES, IMMUNIZATION PROGRAMS, REHABILITATION SUPPORT FOR AMPUTEES, STROKE, AND BRAIN INJURY PATIENTS AND THEIR FAMILIES, HEALTH WELLNESS FESTIVALS, CONTINUUM OF INDEPENDENT LIVING AND SENIOR HEALTH PROGRAMS, HEART DISEASE SCREENINGS, MATERNITY CARE AND CHILDBIRTH PROGRAMS, A PARAMEDIC AMBULANCE PROGRAM AND OTHER RELATED COMMUNITY HEALTH PROGRAMS AND LECTURES. MLH IS ALSO INVOLVED WITH SCHOOL PARTNERSHIPS AND HELPS ORGANIZE EDUCATIONAL PROGRAMS FOR CHILDHOOD AND ADOLESCENT HEALTH ISSUES, INCLUDING UNDERAGE DRINKING AND SMOKING. ASSOCIATED AMOUNTS EXPENDED FOR THE ABOVE COMMUNITY SERVICES APPROXIMATED $42,321,431 FOR MAIN LINE HOSPITALS, INC. AND $44,990,173 FOR MAIN LINE HEALTH SYSTEM IN THE FISCAL YEAR ENDED JUNE 30, 2024. THIS AMOUNT FOR MAIN LINE HOSPITALS, INC. NET OF DIRECT OFF-SETTING REVENUE IS $41,472,657. PART VI, LINE 3 CONT'D MAIN LINE HEALTH HOSPITALS SUBSIDIZE SEVERAL HEALTH PROGRAMS THROUGHOUT THE SYSTEM, INCLUDING LANKENAU CLINICAL CARE CENTER, PRENATAL PROGRAMS, COMMUNITY BLOOD DRAWS, HOSPITAL HOSPICE SERVICES, TRANSITIONAL CARE, HEALTHY WOMEN PROGRAMS, AQUATICS REHABILITATION, AND HEAD INJURY. THE COST FOR THESE SUBSIDIZED PROGRAMS THROUGHOUT THE SYSTEM AMOUNTED TO $3,555,444 IN NET COST. SPECIFICALLY FOR MAIN LINE HOSPITALS, INC, THESE SERVICES AMOUNTED TO $3,173,268 IN NET COST, AS REFLECTED ON SCHEDULE H, PART I, LINE 7G, COLUMN (E). ADDITIONALLY, THE HOSPITALS INVEST IN NUMEROUS PHYSICIAN BASED PATIENT CARE PROGRAMS ADMINISTERED BY AN AFFILIATE, MAIN LINE HEALTHCARE, NOT CAPTURED IN THE ABOVE. PART VI, LINE 4 THE MLH CHNA IDENTIFIED 3 SUB-REGIONS SERVED BY THIS ORGANIZATION, INCLUDING EASTERN, CENTRAL, AND NORTHWESTERN. THE EASTERN SUB-REGION INCLUDES MUCH OF THE WESTERN PORTION OF PHILADELPHIA COUNTY AS WELL AS PORTIONS OF EASTERN AND SOUTHERN DELAWARE COUNTY. THIS SUB-REGION IS HOME TO A MAJORITY OF THE RACIAL DIVERSITY IN THE COMMUNITY AS WELL AS THE LOWEST MEDIAN HOUSEHOLD INCOME. THE CENTRAL SUB-REGION COVERS SOUTHERN MONTGOMERY COUNTY, EASTERN CHESTER COUNTY AND MUCH OF DELAWARE COUNTY AND IS GENERALLY AFFLUENT WITH THE HIGHEST MEDIAN INCOME AMONG THE 3 SUB-REGIONS; EACH MLH ACUTE HOSPITAL AND BMRH ARE LOCATED IN THIS SUB-REGION. THE NORTHWESTERN SUB-REGION COVERS MUCH OF CHESTER COUNTY AND SOUTHWESTERN MONTGOMERY COUNTY AND HAS THE HIGHEST PROJECTED 5 YEAR POPULATION GROWTH. COLLECTIVELY, THESE 3 SUB-REGIONS ARE CONTAINED WITHIN PORTIONS OF CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA COUNTIES. LANKENAU MEDICAL CENTER (LMC) IS LOCATED ALONG THE EDGE OF MONTGOMERY AND PHILADELPHIA COUNTIES AND SERVES PARTS OF THE CENTRAL AND EASTERN SUB-REGIONS. THE ROBERT WOOD JOHNSON FOUNDATION'S 2024 HEALTH RANKINGS OF PENNSYLVANIA COUNTIES LIST CHESTER AND MONTGOMERY COUNTIES AS AMONG THE TOP FOUR HEALTHIEST COUNTIES IN THE STATE AND PHILADELPHIA COUNTY FARES WORSE THAN THE AVERAGE COUNTY IN PENNSYLVANIA FOR HEALTH OUTCOMES AND HEALTH FACTORS. DELAWARE COUNTY IS SLIGHTLY BETTER THAN THE AVERAGE COUNTY IN PENNSYLVANIA FOR HEALTH OUTCOMES AND HEALTH FACTORS. LANKENAU MEDICAL CENTER PROVIDES CLINICAL CARE THAT ATTRACTS PATIENTS FROM PHILADELPHIA AND HAS MULTIPLE OUTREACH INITIATIVES TO ADDRESS NEEDS IN PHILADELPHIA. THE BMRH CHNA'S SERVICE AREA COVERS A POPULATION SIZE APPROXIMATELY 13.6% SMALLER THAN THE TOTAL ACUTE CHNA SERVICE AREA. BMRH'S SERVICE AREA IS LESS RACIALLY DIVERSE AND MORE AFFLUENT THAN THE TOTAL ACUTE SERVICE AREA, INCLUDING A LARGER PORTION OF CHESTER COUNTY AND A SMALLER REACH INTO PHILADELPHIA COUNTY. THE POPULATION IN SOUTHEASTERN PA AND MAIN LINE HEALTH'S CHNA SERVICE AREAS ARE PROJECTED TO CONTINUE AGING OVER THE NEXT 5 YEARS (AGE 65 AND OVER, +12.7%), WHILE THE POPULATION UNDER AGE 65 IS PROJECTED TO BE FLAT OR SLIGHTLY NEGATIVE IN EACH OF THE INCLUDED CHNA SERVICE AREAS AND SUBREGIONS. THE ACUTE NORTHWESTERN SUB REGION'S TOTAL POPULATION IS PROJECTED TO GROW AT MORE THAN TWICE THE RATE OF THE OTHER ACUTE SUB-REGIONS, DRIVEN BY BOTH SMALLER DECLINES IN THE UNDER 65 AGE COHORTS AND A LARGER INCREASE IN THE AGE 65+ COHORT. THE BMRH CHNA SERVICE AREA AND THE ACUTE CENTRAL AND NORTHWESTERN SUB-REGIONS EACH HAVE HIGHER HOUSEHOLD INCOMES AND A LARGER PROPORTION OF RESIDENTS WITH COLLEGE DEGREES THAN SOUTHEASTERN PA OVERALL. THE ACUTE EASTERN SUB-REGION SIGNIFICANTLY LAGS BEHIND SOUTHEASTERN PA AND THE OTHER CHNA SERVICE AREAS AND SUB-REGIONS. SELECT DEMOGRAPHIC POPULATION CHARACTERISTICS OF THE ACUTE AND BMRH SERVICE AREAS ARE SHOWN BELOW, WITH SOUTHEASTERN PA INCLUDED AS A BENCHMARK. 2024 POPULATION, INCOME AND EDUCATION: POPULATION; 5 YEAR TOTAL POPULATION PROJECTION CHANGE %; 5 YEAR AGE 65+ POPULATION CHANGE %; % OF HOUSEHOLDS WITH INCOME OF AT LEAST $100,000; % OF ADULTS WITH COLLEGE DEGREE ACUTE, CENTRAL SUB-REGION: 460,242; +0.8%; +10.2%; 64.5%; 68.4% ACUTE, EASTERN SUB-REGION: 616,992; -0.5%; +13.7%; 28.3%; 35.5% ACUTE, NORTHWESTERN SUB-REGION: 582,504; +1.7%; +14.3%; 55.0%; 52.5% ACUTE TOTAL: 1,659,741; +0.6%; +12.7%; 47.2%; 50.7% BRYN MAWR REHAB HOSPITAL: 1,448,107; +0.8%; +13.0%; 52.3%; 52.9% SOUTHEASTERN PA: 4,247,480; +0.5%; +12.7%; 45.0%; 44.9% 2024 POPULATION BY RACE/ETHNICITY: % WHITE ; % BLACK ; % ASIAN ; % HISPANIC; % OTHER**; ACUTE, CENTRAL SUB-REGION: 77.5%; 4.6%; 10.6%; 4.1%; 7.2% ACUTE, EASTERN SUB-REGION: 33.1%; 51.4%; 6.7%; 5.9%; 8.8% ACUTE, NORTHWESTERN SUB-REGION: 72.2%; 9.5%; 6.9%; 8.5%; 11.4% ACUTE TOTAL: 59.2%; 23.7%; 7.9%; 6.3%; 9.3% BRYN MAWR REHAB HOSPITAL: 66.5%; 16.1%; 7.7%; 6.9%; 9.8% SOUTHEASTERN PA: 58.6%; 21.2%; 7.8%; 10.3%; 12.4% ** %OTHER RACE INCLUDES 'AMERICAN INDIAN', 'PACIFIC ISLANDER', 'OTHER RACE', OR '2 OR MORE RACES' THE MAIN LINE HEALTH CHNAS AND CHNA IMPLEMENATION PLANS ARE LOCATED ON THE MLH WEBSITE, URL: MAINLINEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PART VI, LINE 5 WHEN MAIN LINE HEALTH (MLH) WAS FORMED IN 1985, THE LONG TERM OBJECTIVES INCLUDED THE DESIRE OF THE COMMUNITY-BASED BOARDS TO MORE FULLY SERVE THE INDIVIDUAL COMMUNITIES BY PROVIDING GREATER EFFICIENCIES AND BY INCREASING THE BROADER OUTREACH OF THE HOSPITALS. THIS IS BEING ACHIEVED THROUGH THE COMMITMENT OF THE COMMUNITY BOARD AND MEDICAL STAFF. THE MLH MEDICAL STAFF TODAY IS COMPRISED OF APPROXIMATELY 2,100 PHYSICIANS FOR THE 4 ACUTE HOSPITALS AND BMRH. OF THESE PHYSICIANS, 569 ARE EMPLOYED BY AN AFFILIATED NONPROFIT TAX-EXEMPT CORPORATION OF MAIN LINE HEALTH. THE SUCCESS OF THE MAIN LINE HOSPITALS TO A LARGE DEGREE IS DEPENDENT ON SELF-GOVERNED, COMMUNITY-BASED PHYSICIANS. IN ADDITION TO PROVIDING OUTSTANDING MEDICAL CARE, THEY SERVE AS AN OPEN CONDUIT TO INFORMATION ABOUT AND FROM THE COMMUNITY. MEMBERS OF THE MEDICAL STAFF SERVE ON THE BOARDS OF BOTH MAIN LINE HOSPITALS AND EACH HOSPITAL'S FOUNDATION BOARD. THE MEDICAL EXECUTIVE COMMITTEE OF THE MAIN LINE HOSPITALS MEDICAL STAFF IS A FULL PARTICIPANT IN A BOARD, MEDICAL LEADERSHIP, SENIOR STAFF RETREAT THAT TAKES PLACE EVERY 18 MONTHS. THIS 2 DAY RETREAT HAS FOCUSED ON TOPICS AS PATIENT SAFETY AND QUALITY, INVESTMENTS IN NEW TECHNOLOGY AND FACILITIES, COMMUNICATIONS, FINANCIAL IMPLICATIONS OF HEALTHCARE REFORM, ROLES AND RESPONSIBILITIES OF LEADERSHIP. MAIN LINE HEALTH HAS AN ACTIVE AND ENGAGED BOARD OF TRUSTEES THAT REPRESENTS THE COMMUNITY. MEMBERSHIP IN THE GOVERNING BOARD IS MONITORED CLOSELY TO ENSURE REPRESENTATION IN SOCIO-DEMOGRAPHICS AND ACROSS SUBJECT MATTER EXPERT AREAS THAT WOULD BE EXPECTED AND NEEDED TO PROVIDE THE GUIDANCE AND OVERSIGHT OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. MEMBERS INCLUDE EXECUTIVES WITH EXPERTISE IN HEALTH CARE QUALITY, FINANCE, HUMAN RESOURCES, LAW, TECHNOLOGY, MARKETING AND MANUFACTURING AS WELL AS HEALTHCARE. THE BOARD IS FOCUSED ON ITS RESPONSIBILITY TO PROVIDE EXCELLENT CARE TO THE COMMUNITY WHILE GENERATING FUNDS FOR REINVESTMENT IN TECHNOLOGY, EQUIPMENT AND FACILITIES. FOREMOST, THEY ARE ADAMANT THAT QUALITY AND PATIENT SAFETY NOT BE COMPROMISED, PARTICULARLY AS HEALTHCARE PROVIDERS ARE CHALLENGED BY: -FINANCIAL RAMIFICATIONS OF THE ECONOMY -THE IMPACTS OF INFLATION SUBSEQUENT TO THE PANDEMIC -THE IMPACT OF DEMOGRAPHICS -THE UNCERTAINTY RELATING TO FUTURE LEVELS OF REIMBURSEMENT -THE GROWING EXPECTATIONS OF AN AGING POPULATION THAT THE BEST HEALTHCARE WILL BE "THERE" FOR THEM. THE MAIN LINE HEALTH BOARD IS FOCUSED ON ACHIEVING A REINVESTMENT SURPLUS IN ORDER TO MEET COMMUNITY EXPECTATIONS FOR STATE OF THE ART FACILITIES AND CARE. PART VI, LINE 6 MAIN LINE HEALTH SYSTEM (MLHS) IS THE PARENT HEALTH SYSTEM FOR MAIN LINE HEALTH. MLHS AND ITS BOARD PROVIDE OVERSIGHT AND GUIDANCE FOR ITS MEMBERS. WHILE COGNIZANT OF EACH OF ITS MEMBERS' COMMUNITY ACTIVITIES AND CHARITABLE MISSIONS, MLHS PROVIDES NO DIRECT COMMUNITY OUTREACH ACTIVITIES. RATHER, THOSE ARE PROVIDED BY ITS MEMBERS WITH FULL SUPPORT AND ENCOURAGEMENT OF MLHS' BOARD OF DIRECTORS. MAIN LINE HEALTH SYSTEM FOUNDED IN 1985, MAIN LINE HEALTH, INC. (MLH) IS A NOT-FOR-PROFIT HEALTH SYSTEM SERVING PORTIONS OF PHILADELPHIA AND ITS WESTERN SUBURBS. AT ITS CORE ARE FOUR OF THE REGION'S RESPECTED ACUTE CARE HOSPITALS - LANKENAU MEDICAL CENTER, BRYN MAWR HOSPITAL, PAOLI HOSPITAL AND RIDDLE MEMORIAL HOSPITAL - AS WELL AS ONE OF THE NATION'S PREMIER FACILITIES FOR REHABILITATIVE MEDICINE, BRYN MAWR REHABILITATION HOSPITAL; MIRMONT TREATMENT CENTER FOR DRUG AND ALCOHOL RECOVERY; AND MAIN LINE HEALTH HOMECARE AND HOSPICE, A HOME HEALTH SERVICE. MAIN LINE HEALTH ALSO CONSISTS OF MAIN LINE HEALTHCARE, ONE OF THE REGION'S LARGEST MULTI-SPECIALTY PHYSICIAN NETWORKS, AND THE LANKENAU INSTITUTE FOR MEDICAL RESEARCH, A NON-PROFIT BIOMEDICAL RESEARCH ORGANIZATION LOCATED ON THE CAMPUS OF LANKENAU MEDICAL CENTER. MAIN LINE HEALTH, WITH MORE THAN 13,700 EMPLOYEES AND 2,100 PHYSICIANS, ARE THE RECIPIENTS OF NUMEROUS AWARDS FOR QUALITY CARE AND SERVICE, INCLUDING RECOGNITION AMONG TRUVEN HEALTH ANALYTICS' LIST OF TOP 100 HOSPITALS AND MAGNET, THE NATION'S HIGHEST HONOR FOR NURSING EXCELLENCE. MAIN LINE HEALTH IS AMONG THE AREA'S LEADERS IN MEDICINE, PROVIDING ADVANCED PATIENT CENTERED CARE, EDUCATION AND RESEARCH TO HELP OUR COMMUNITY STAY HEALTHY. THE DELAWARE VALLEY ACCOUNTABLE CARE ORGANIZATION (DVACO) MAIN LINE HEALTH, INC. IS AN OWNER OF DVACO. DVACO IS A LIMITED LIABILITY COMPANY THAT IS OWNED BY MAIN LINE HEALTH (24.5%), JEFFCARE ALLIANCE, LLC (24.5%), AND HUMANA (51%) AS OF JUNE 30, 2024. DVACO'S PURPOSE IS TO ENHANCE THE QUALITY OF HEALTH CARE AND REDUCE THE GROWTH RATE OF HEALTH CARE COSTS BY PROVIDING THE FOUNDATION NEEDED TO ASSIST ITS PARTICIPATING MEMBERS IN TRANSITIONING FROM A FEE FOR SERVICE MODEL TO A MODEL FOCUSED ON POPULATION HEALTH. DVACO OPERATES UNDER THE MEDICARE SHARED SAVINGS PROGRAM (MSSP) THROUGH AN AGREEMENT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). CURRENTLY DVACO IS THE REGION'S LARGEST MEDICARE ACO WITH MORE THAN 2,000 PRIMARY CARE PHYSICIANS AND OVER 90,000 MEDICARE FEE-FOR-SERVICE BENEFICIARIES. ADDITIONALLY, DVACO CURRENTLY HOLDS THREE PERFORMANCE BASED CONTRACTS WITH PRIVATE PAYERS - ENHANCING DVACO'S TOTAL NUMBER OF BENEFICIARIES TO APPROXIMATELY 250,000 - A NUMBER THAT WILL LIKELY INCREASE IN THE FUTURE AS DVACO PARTICIPATES WITH ADDITIONAL INSURANCE PAYERS IN POPULATION HEALTH CONTRACTS. FOR THE FISCAL YEAR PRESENTED, MLH WAS RESPONSIBLE FOR APPROXIMATELY 36,000 OF THE MEDICARE ATTRIBUTED LIVES. MAIN LINE HEALTH HOSPITALS BRYN MAWR HOSPITAL (BMH), BRYN MAWR, PA. BRYN MAWR HOSPITAL, A MEMBER OF MAIN LINE HEALTH, IS A 284-BED, NOT-FOR-PROFIT ACUTE CARE TEACHING HOSPITAL DEDICATED TO HELPING THE COMMUNITY STAY WELL AHEAD ON THE PATH TO LIFELONG HEALTH. Bryn Mawr Hospital has been named among U.S. News & World Report's Best Hospitals for the Philadelphia metro area. The hospital has achieved numerous honors and awards and has been nationally recognized by Press Ganey, Truven Analytics, The Joint Commission, and other health care rating organizations, for its high-quality patient care. Bryn Mawr Hospital and its outpatient site at Newtown Square offer a full range of services and programs, including a comprehensive cancer program, surgical and non-surgical orthopaedic care, cardiovascular care, behavioral health, maternity care, pediatric care, bariatric surgery and weight wellness, neurointervention, comprehensive gender care program, plastic and reconstructive surgery, general surgery, breast cancer program, and a level III neonatal intensive care unit (NICU). Affiliated with Jefferson Health, Main Line Health-Jefferson neurosurgeons offer expert neurosurgical care to provide 24/7 specialized care for successful outcomes such as minimally invasive spine surgery, endovascular neurosurgery, and neurointervention stroke care. Our dedicated team of healthcare professionals employ the latest innovative tools such as the da VinciTM Surgical System's robotic technology. Our providers and staff are dedicated to teaching the next generation of medical professionals. The team trains medical students, residents, and fellows in numerous specialties. Bryn Mawr Hospital's Inpatient Psychiatric Unit provides essential, best-in-class mental health treatment for patients and their loved ones. Bryn Mawr Hospital has been Awarded the Quest for Quality Award by the American Hospital Association (AHA) by providing the highest quality of safe and equitable care to our patients and community. Bryn Mawr Hospital was Named High Performing in Orthopedics and Urology by U.S. News & World Report's Best Hospitals for 2023-2024 and was Rated a Top Performer in the Centers for Medicare and Medicaid Services' (CMS) Overall Hospital Quality Star Rating. With a score of 5 stars out of the possible 5, Bryn Mawr Hospital ranks among the top percentile of hospitals nationwide. It has also been Awarded The American Heart Association/American Stroke Association's Get With The Guidelines: - Gold Plus Target: Stroke Gold Plus - Target: Stroke Honor Roll-Elite Plus - Target: Advanced Therapy Honor Roll - Target: Type 2 Diabetes Honor Roll Bryn Mawr Hospital received the American Heart Association: Mission: Lifeline Gold Quality Award for the treatment of high-risk emergencies, including heart attack, stroke, and cardiac arrest to help save lives and improve patient outcomes. It earned Leapfrog Hospital Safety Grade: Spring 2023, A, and was also named Newsweek World's Best Hospitals and best hospital for maternity for a 4th year in a row. BRYN MAWR HOSPITAL IS AFFILIATED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP) TO DELIVER EXCEPTIONAL CARE FOR PEDIATRIC PATIENTS AND THEIR FAMILIES, INCLUDING 24/7 COVERAGE OF THE PEDIATRIC EMERGENCY DEPARTMENT, PEDIATRIC INPATIENT UNIT AND LEVEL III NICU. FOR MORE INFORMATION ABOUT BRYN MAWR HOSPITAL, VISIT MAINLINEHEALTH.ORG/BRYNMAWR LANKENAU HOSPITAL (LH), ALSO KNOWN AS LANKENAU MEDICAL CENTER, WYNNEWOOD, PA. LANKENAU MEDICAL CENTER, A MEMBER OF MAIN LINE HEALTH, HAS BEEN DEVOTED TO THE HEALTH AND WELL-BEING OF THE COMMUNITY SINCE 1860, WITH A FOUNDING MISSION TO SERVE ALL THOSE IN NEED. OUR CONTINUED DEDICATION TO SERVICE, COMPASSIONATE PATIENT CARE, AND SUPERIOR CLINICAL PROGRAMS MAKES LANKENAU A PREFERRED DESTINATION FOR CARE BY PEOPLE THROUGHOUT THE PHILADELPHIA REGION AND BEYOND. LANKENAU OFFERS PRIMARY CARE, DISEASE PREVENTION AND SPECIALIZED MEDICAL AND SURGICAL MANAGEMENT OF ALL DISEASES AND DISORDERS, AS WELL AS ACCESS TO CLINICAL TRIALS. AS A 370-BED TEACHING AND RESEARCH HOSPITAL, LANKENAU IS COMMITTED TO MAINTAINING HIGH-LEVEL EXPERTISE ACROSS ALL CLINICAL areas. Our doctors, nurses, researchers, and other clinicians are consistently recognized for providing outstanding care across all clinical specialties including the Lankenau Heart Institute, comprehensive cancer care, obstetrics and gynecology, pulmonology, nephrology, gastroenterology & GI surgery, and orthopaedics. Lankenau Hospital offers the most advanced and innovative treatments in a modern, comfortable, patient-centered environment, including Leading-edge technology such as the most advanced robotic surgical systems, imaging equipment and operating suites, State-of-the-art Heart Pavilion, The Barbara Brodsky Suites - offering distinctive private inpatient accommodations, deluxe amenities and personal concierge services, and A Shabbat Suite for families to observe Shabbat and religious holidays while a loved one is hospitalized. Lankenau Hospital has been Awarded the Quest for Quality Award by the American Hospital Association for providing the highest quality of safe and equitable care to our patients and community. Lankenau Hospital has been Named to the top three hospitals in the region, top seven in the state, and top 50 in the nation for Urology, by U.S. News & World Report Best Hospitals for 2023-2024. It has been Recognized by U.S. News & World Report as High Performing in the following specialties: Cardiology, Heart & Vascular Surgery, Gastroenterology & GI Surgery, and Pulmonology & Lung Surgery for 2023-2024. Lankenau Hospital was Rated a high performer in the Centers for Medicare and Medicaid Services Overall Hospital Quality Star Rating. It has been Recognized by the American Heart Association/American Stroke Association Get with the Guidelines: - Gold Plus Target: Stroke Gold Plus - Target: Stroke Elite Honor Roll - Target: Type 2 Diabetes Honor Roll Lankenau Hospital Received the American Heart Association Mission: Lifeline Gold Plus Award for the treatment of high-risk emergencies, including heart attac MAIN LINE HEALTH RELATED CENTERS AND PROGRAMS BEHAVIORAL HEALTH SERVICES BEHAVIORAL HEALTH SERVICES HELPS INDIVIDUALS, COUPLES, CHILDREN AND FAMILIES ADDRESS AND MANAGE THEIR PERSONAL CHALLENGES WITH A FOCUS ON HEALTHY, PRODUCTIVE SOLUTIONS. EXPERIENCED BEHAVIORAL HEALTH SPECIALISTS DEAL WITH MANY FACTORS THAT AFFECT MENTAL AND EMOTIONAL HEALTH AND QUALITY OF LIFE. OUR EXTENSIVE NETWORK OF BEHAVIORAL HEALTH SPECIALISTS AND PROFESSIONALS INCLUDES M.D.S AND PH.D.S WITH EXPERTISE IN A WIDE VARIETY OF DISORDERS AND PROBLEMS, INCLUDING ANXIETY, DEPRESSION, RELATIONSHIP/MARRIAGE ISSUES, CHILD AND ADULT PSYCHOLOGY, ADDICTIONS AND DOMESTIC VIOLENCE. MIRMONT ALCOHOL REHABILITATION CENTER, ALSO KNOWN AS MIRMONT TREATMENT CENTER (MTC), LIMA, PA. FOR MORE THAN 20 YEARS, MIRMONT TREATMENT CENTER HAS HELPED THOSE SUFFERING FROM ADDICTION TO BEGIN THE JOURNEY OF RECOVERY FROM ALCOHOLISM AND DRUG DEPENDENCY. WE OFFER PEOPLE AGED 18 AND OVER AND THEIR FAMILIES A FULL SPECTRUM OF PROGRAMS, INCLUDING: INPATIENT SERVICES, SUCH AS MEDICALLY MONITORED DETOXIFICATION, REHABILITATION AND TREATMENT FOR DUAL-DIAGNOSIS PATIENTS; INTENSIVE OUTPATIENT THERAPY; AND INDIVIDUAL THERAPY. FOR MORE INFORMATION ABOUT MIRMONT TREATMENT CENTER, VISIT MAINLINEHEALTH.ORG/MIRMONT. FIRSTCALL EAP FIRSTCALL IS AN INNOVATIVE EMPLOYEE ASSISTANCE PROGRAM (EAP) THAT PROVIDES THE EXPERTISE AND RESOURCES NEEDED TO ADDRESS AND RESOLVE PERSONAL, FAMILY AND WORK/LIFE ISSUES AFFECTING EMPLOYEE JOB PERFORMANCE. FIRSTCALL OFFERS SERVICES THROUGH IN-PERSON COUNSELING, TELEPHONE COUNSELING, AND PRINT AND ONLINE RESOURCES. MAIN LINE HEALTH HOMECARE & HOSPICE (MLHHH) ALSO KNOWN AS THE HOME CARE NETWORK, PROVIDES SKILLED HOME HEALTHCARE, HOSPICE, HOME INFUSION SERVICES, EXTENDED HOME CARE, AND RESPIRATORY AND HOME MEDICAL EQUIPMENT FOR PATIENTS IN THEIR OWN HOMES. LANKENAU INSTITUTE FOR MEDICAL RESEARCH (LIMR) LOCATED ADJACENT TO LANKENAU MEDICAL CENTER IN WYNNEWOOD, PA., THE LANKENAU INSTITUTE FOR MEDICAL RESEARCH IS AN INDEPENDENT MEDICAL RESEARCH AND EDUCATIONAL FACILITY THAT CONDUCTS ADVANCED INVESTIGATIVE RESEARCH INTO CANCER, CARDIOVASCULAR DISEASE AND OTHER AGE-RELATED DISEASES IN COLLABORATION WITH MAIN LINE HEALTH PHYSICIANS AND HOSPITALS. MAIN LINE HEALTHCARE (MLHC) MAIN LINE HEALTHCARE IS A DYNAMIC NETWORK OF PHYSICIAN PRACTICES ALIGNED WITH MAIN LINE HEALTH AND MAIN LINE HEALTH SYSTEM. OUR NETWORK INCLUDES MANY OF THE REGION'S MOST RESPECTED AND ACCOMPLISHED PHYSICIANS AND SURGEONS, WHO SERVE ON THE MEDICAL STAFF OF OUR HOSPITALS AND SHARE AN UNPARALLELED COMMITMENT TO PROVIDING QUALITY CARE. MAIN LINE HEALTH, DIRECTLY OR INDIRECTLY, OWNS INTERESTS IN OTHER ENTITIES THAT COMPLEMENT ITS HEALTH CARE MISSION. PLEASE REFERENCE FORM 990 SCHEDULE R FOR A COMPLETE LISTING OF ALL RELATED ORGANIZATIONS. true Lower Merion Township 75 East Lancaster Avenue Ardmore PA 190032323 236003034 501(c)(3) 6117 cost Annual donation ELDERNET 9 South Bryn Mawr Avenue Bryn Mawr PA 19010 232005485 501(C)(3) 8500 COST BROOMALL FIRE COMPANY 1 N MALIN ROAD BROOMALL PA 19008 236391146 501(C)(3) 6075 COST PPE - GOWNS ANNUAL DONATION MONTGOMERY COUNTY FIRE COMPANY 1526 BETHLEHEM PIKE FLOURTOWN PA 19031 232093931 501(C)(4) 60750 COST PPE - GOWNS ANNUAL DONATION EDDYSTONE FIRE COMPANY 1112 E 7TH STREET CRUM LYNNE PA 19022 60750 COST PPE - GOWNS ANNUAL DONATION BROOKHAVEN FIRE COMPANY 2 CAMBRIDGE ROAD STE 52 BROOKHAVEN PA 19015 237393433 501(C)(3) 60750 COST PPE - GOWNS ANNUAL DONATION 4 2 Part I, Line 2 The donations were made to community members to assist with their charitable services within the communities we serve. X X X X X false true false false false false false true false JOHN J LYNCH III CEO & Trustee 0 1349781 0 797068 0 440477 0 380074 0 38696 0 3006096 0 554414 Michael J Buongiorno EVP/CFO/TREAS (UNTIL DEC 2023) 0 751055 0 447453 0 12369 0 0 0 43357 0 1254234 0 118545 BRIAN T CORBETT ESQ SVP, GEN COUNSEL & SECRETARY 0 567076 0 179425 0 89789 0 87548 0 38844 0 962682 0 157770 Eileen Carr Assistant Secretary 0 133312 0 250 0 0 0 0 0 29098 0 162660 0 0 James Paradis PRESIDENT, Paoli Hospital 540733 0 189976 0 121210 0 87803 0 39641 0 979363 0 208933 0 Donna Phillips PRESIDENT, Rehab & Ambul SVCS 56301 479832 0 191796 0 155443 0 102227 4813 47800 61114 977098 0 244006 JOHN SCHWARZ PRESIDENT, Bryn Mawr Hospital 472398 0 152524 0 97815 0 80951 0 50549 0 854237 0 162618 0 ROSADELE PLUMARI VP, Administration 277022 0 44204 0 0 0 0 0 27353 0 348579 0 0 0 Ernest Gillan MD TRUSTEE 0 225540 0 0 0 0 0 0 0 0 0 225540 0 0 Kathleen Galbraith President, Lankenau Hospital 615025 0 122167 0 87808 0 79950 0 51815 0 956765 0 95013 0 Yonathan Kebede VP, Operations 304112 0 73205 0 0 0 0 0 42809 0 420126 0 0 0 Deborah Gondek VP, Medical Affairs 358991 0 55080 0 2750 0 0 0 48131 0 464952 0 0 0 James Gengaro VP, Medical Affairs 367374 0 54114 0 0 0 0 0 51568 0 473056 0 0 0 WILLIAM SURKIS VP, MEDICAL AFFAIRS 318248 0 67019 0 2009 0 0 0 21134 0 408410 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: THE CEO AND EVP/CFO/TREASURER ("PARTICIPANTS") PARTICIPATE IN A NONQUALIFIED RETIREMENT PLAN. MAIN LINE HOSPITALS, INC. PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH A FUNDING ARRANGEMENT KNOWN AS A COLLATERAL ASSIGNMENT SPLIT DOLLAR POLICY. THE PLAN PROVIDES THAT THE SYSTEM WILL PAY PREMIUM PAYMENTS ON A LIFE INSURANCE POLICY FOR EACH OF THE PARTICIPANTS. DURING THE PARTICIPANTS' LIFE, TO THE EXTENT SERVICE AND VESTING REQUIREMENTS ARE FULFILLED, THE PARTICIPANT CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. IT IS REASONABLE TO BELIEVE THAT THE LOAN IS PAID IN FULL UPON THE DEATH OF THE PARTICIPANT. FORGIVEN INTEREST INCLUDED IN PARTICIPANTS' EARNINGS ARE: CEO $41,370 EVP/CFO/TREASURER (MICHAEL BUONGIORNO) $12,369 SERP DISCLOSURE: MAIN LINE HEALTH, INC. ("MLH") AND ITS AFFILIATES PROVIDED SUPPLEMENTAL RETIREMENT BENEFITS THROUGH ESTABLISHED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS ("SERP") TO SELECT MEMBERS OF SENIOR LEADERSHIP IN FY24. SERP BENEFITS FUNDED BY MLH ARE SUBJECT TO VESTING AND EMPLOYMENT DATE REQUIREMENTS AND ARE PAID OUT AT THE CONCLUSION OF A PREDETERMINED PERFORMANCE PERIOD. A PERFORMANCE PERIOD IS A TIMEFRAME OF AT LEAST TWELVE MONTHS THAT MAY COVER VARYING LENGTHS OF TIME FOR EACH INDIVIDUAL EMPLOYEE. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE REPORTED IN SCHEDULE J, PART II, COLUMN (B) (III) AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE REPORTED IN SCHEDULE J, PART II, COLUMN (C). FORM 990, SCHEDULE J, PART I, LINE 7 THE COMPENSATION OF THE CEO, EVP & CHIEF FINANCIAL OFFICER, HOSPITAL PRESIDENTS, AND OTHER SENIOR EXECUTIVES DID INCLUDE A NON-FIXED COMPONENT PAYMENT OF COMPENSATION BASED UPON PRE-ESTABLISHED QUALITY, PATIENT SAFETY, AND FINANCIAL TARGETS ESTABLISHED AT THE BEGINNING OF THE FISCAL YEAR. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE MAIN LINE HEALTH BOARD IS RESPONSIBLE FOR EVALUATING AND DETERMINING THE APPROPRIATENESS OF THE TARGETS. AFTER REVIEW AND DELIBERATION, THE COMMITTEE DOCUMENTS ITS DECISIONS AND REPORTS TO THE FULL BOARD OF GOVERNORS WHO REVIEW THE COMPENSATION DECISIONS. PAYMENTS ARE MADE TO THE APPROPRIATE INDIVIDUALS BY THE ORGANIZATION WITHIN WHICH THOSE INDIVIDUALS RESIDE FOR PAYROLL REPORTING PURPOSES. JOHN J LYNCH III OFFICER SEE SCH J PART I 4B X 9560735 10197060 false true true MICHAEL J BUONGIORNO OFFICER SEE SCH J PART I 4B X 3982777 4283203 false true true 14480263 PART VI, SECTION A, LINES 6, 7A AND 7B AS PER THE ARTICLES OF INCORPORATION, THE SOLE MEMBER OF MAIN LINE HOSPITALS, INC. IS MAIN LINE HEALTH, INC., A PA NONPROFIT CORPORATION. AS SOLE MEMBER, MAIN LINE HEALTH, INC. HOLDS CERTAIN POWERS OF ELECTION AND APPROVAL IN CONNECTION WITH THE GOVERNING BODY OF MAIN LINE HOSPITALS, INC. THESE POWERS ARE PRESENTED IN DETAIL IN THE COMPANY'S GOVERNING DOCUMENTS WHICH THE COMPANY MAKES AVAILABLE TO THE PUBLIC UPON REQUEST. PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED IN CONJUNCTION WITH PWC US TAX LP AND REVIEWED INTERNALLY BY MANAGEMENT. IT IS THEN SENT TO THE BOARD OF TRUSTEES FOR THEIR REVIEW. THE FORM 990 IS REVIEWED AT A MEETING OF THE BOARD OF TRUSTEES PRIOR TO FILING. PART VI, SECTION B, LINE 12C ANNUAL CONFLICTS OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED BY ALL TRUSTEES, OFFICERS, DIRECTORS, AND OTHER INTERESTED PERSONS. ANY CONFLICT ARISING ARE REFERRED TO THE LEGAL DEPARTMENT FOR RESOLUTION. IF DEEMED NECESSARY OR ADVISABLE, CONFLICTS MAY BE REFERRED TO THE FULL BOARD FOR RESOLUTION. PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION PAID TO THE CEO, TOP MANAGEMENT OFFICIALS AND KEY PERSONNEL OF THE ORGANIZATION IS AS FOLLOWS: THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE MAIN LINE HEALTH BOARD, USING THE SERVICES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM AND BOTH NATIONAL AND REGIONAL HEALTHCARE DELIVERY MARKET COMPARABLE COMPENSATION DATA, IS RESPONSIBLE FOR THE EVALUATION AND DETERMINATION OF SENIOR EXECUTIVE BENEFITS AND COMPENSATION FOR THE CEO, EVP AND CHIEF FINANCIAL OFFICER, HOSPITAL PRESIDENTS, AND SENIOR VICE PRESIDENTS. AFTER REVIEW AND DELIBERATION, THE COMMITTEE DOCUMENTS ITS COMPENSATION DECISIONS AND REPORTS TO THE FULL MAIN LINE HEALTH BOARD OF GOVERNORS. THE COMPENSATION PAID TO KEY PERSONNEL OF MAIN LINE HEALTH SYSTEM AND AFFILIATES IS SIMILARLY DETERMINED USING MARKET SURVEY DATA REPRESENTING COMPARABLE POSITIONS IN SIMILAR ORGANIZATIONS AS PROVIDED BY INDEPENDENT CONSULTING FIRMS. COMPENSATION RECOMMENDATIONS AT THIS LEVEL ARE REVIEWED AND RECOMMENDED BY MLH COMPENSATION FUNCTION TO MEMBERS OF SENIOR MANAGEMENT. PART VI, SECTION B, LINES 16A & 16B WRITTEN POLICIES ARE IN PLACE WITHIN THE ORGANIZATION AND PARTICIPATION WAS EVALUATED AND APPROVED INTERNALLY, AS REQUIRED, TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS. PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. PART VII, SECTION A AFTER FILING THE FY23 FORMS 990, MAIN LINE HEALTH SYSTEM AND AFFILIATES CONDUCTED A SYSTEM-WIDE ANALYSIS OF HOW IT REPORTS COMPENSATION OF KEY EMPLOYEES FOR PURPOSES OF FORM 990. AS A RESULT, MAIN LINE HEALTH SYSTEM AND AFFILIATES DETERMINED THAT IT HAD BEEN OVER-REPORTING KEY EMPLOYEES ON ITS PRIOR FORMS 990. BEGINNING WITH THE FY24 FORM 990 AND GOING FORWARD, MAIN LINE HEALTH SYSTEM AND AFFILIATES IS LIMITING ITS REPORTING OF KEY EMPLOYEES TO FOLLOW THE KEY EMPLOYEE RESPONSIBILITY TEST OUTLINED IN THE FORM 990 INSTRUCTIONS. PART VII, SECTION A, COLUMN B THE OFFICERS DEVOTE THEIR TIME TO ALL OF THE ORGANIZATIONS WITHIN MAIN LINE HEALTH SYSTEM AND, AS SUCH, THE TOTAL HOURS WORKED BY THE OFFICERS, ACROSS ALL OF THE ORGANIZATIONS, CUMULATIVELY REPRESENT THEIR FULL-TIME EMPLOYMENT STATUS. PART X, LINE 20 CERTAIN BOND PROCEEDS HAVE BEEN ALLOCATED TO MAIN LINE HOSPITALS, INC. FROM MAIN LINE HEALTH SYSTEM, A RELATED ORGANIZATION. THE LIABILITIES FOR THE SERIES ARE REPORTED ON FORM 990 SCHEDULE K FOR MAIN LINE HEALTH SYSTEM. PART XI, LINE 9 OTHER CHANGES IN NET ASSETS INCLUDE THE FOLLOWING: ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL PURCHASES $12,276,104 Other Changes in Pension Liability* $4,952,665 TRANSFERS TO AFFILIATES ($30,010,847) OTHER CHANGES ($267,765) TEMPORARILY RESTRICTED NET ASSET INVESTMENT ACTIVITY $2,076,261 INCREASE IN PERMANENTLY RESTRICTED INVESTMENT VALUATION $2,962,106 ------------- TOTAL ($8,011,476) *IN ACCORDANCE WITH STATEMENT OF FINANCIAL ACCOUNTING STANDARDS NO. 158, "EMPLOYERS' ACCOUNTING FOR DEFINED BENEFIT PENSION AND OTHER POSTRETIREMENT PLANS." 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