2020-07-10T13:41:44-05:00 2019-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2018-07-01 231352572 AFFILIA HOME HEALTH % DOUGLAS W RINEHART AFFI 7175445398 1811 OLDE HOMESTEAD LANE LANCASTER PA 17601 DOUGLAS W RINEHART Treasurer 7175445398 2020-06-15 true ANTONIO C RUSSO P00858539 2673303000 155.201.35.117 23522320201925000033 2020-07-10 P 3336404C425FC5D94D995B9A40B339DB67595AA7 B15AFFE00AA92DD1C7B3142019CFD5496048555B 2018 2021-01-29 14:40:06Z DOUGLAS W RINEHART 555 N Duke St LANCASTER PA 17604 24345591 false X WWW.AFFILIAHOMEHEALTH.ORG X 1926 PA Affilia Home Health is a Community Service Organization providing comprehensive Home Health Care to people of all ages in Lancaster, Berks, Dauphin counties and their surrounding areas X 8 5 231 10 0 0 11902 4715 25351028 16228669 200219 22893 10163 21610 25573312 16277887 0 0 0 0 21282686 14530770 0 0 0 5227380 2668542 26510066 17199312 -936754 -921425 10117565 4353063 2841429 1655289 7276136 2697774 X AFFILIA HOME HEALTH IS A COMMUNITY SERVICE ORGANIZATION THAT PROVIDES COMPREHENSIVE HOME HEALTH CARE TO PEOPLE OF ALL AGES IN LANCASTER, BERKS, CHESTER, SCHUYLKILL AND DAUPHIN COUNTIES AND THEIR SURROUNDING AREA REGARDLESS OF THEIR ABILITY TO PAY. AFFILIA HOME HEALTH PROVIDES SKILLED NURSING, THERAPHY, MEDICAL SOCIAL SERVICES, AND HOME HEALTH AID SERVICES FOR FISCAL YEAR ENDED JUNE 30, 2019. false false 6321895 0 8065162 HOME HEALTH CARE: SKILLED NURSING (RN&LPN)-SKILLED NURSES HELP PATIENTS RECOVER AFTER AN OPERATION OR ILLNESS. PROVIDE CARE TO AGING OR CHRONICALLY ILL PATIENTS, AND RELIEVE THE STRESS FOR FAMILY MEMBERS CARING FOR THEIR LOVED ONES. (43,747 VISITS) 4242626 0 5499010 HOME HEALTH CARE: PHYSICAL THERAPY-PHYSICAL THERAPISTS HELP PATIENTS IMPROVE MUSCLE STRENGTH, REGAIN FUNCTIONAL MOVEMENT, RELIEVE PAIN AND USE MEDICAL EQUIPMENT PROPERLY. (31,988 VISITS) 1391440 0 1792738 Home Health Care: Occupational Therapy-occupational therapists work with patients to regain or adapt to their ability to perform daily living skills like bathing, dressing, or preparing meals. (10,491 VISITS) 289004 0 380601 HOME HEALTH CARE AID 228790 0 288441 SPEECH THERAPY 157700 0 202717 MEDICAL SOCIAL WORKER 675494 0 871759 12631455 true false false false false false false false false true true false false true false true true true false false false false false false false false false false false true false false false false false false false false false false false true false true false false false true 20 0 true 231 true false false false false false false false false false false false false X 8 5 false true true false true true true true true true false true true true true true true true true false PA X DOUGLAS W RINEHART 7175445398 555 NORTH DUKE ST lANCASTER PA 17604 Dan Ahern Chairperson/Member 2.0 0.0 X X 0 0 0 Tammy L Ober Vice Chair/Member 2.0 53.0 X X 0 262020 0 Kay Brady Trustee- AS OF 7/1/2018 2.0 53.0 X 0 248637 0 Susan Wynne Trustee 2.0 53.0 X 0 446544 0 Joan Silver Trustee 2.0 0.0 X 0 0 0 William K Wilkison Trustee 2.0 0.0 X 0 0 0 Mary C Agnew Trustee 2.0 0.0 X 0 0 0 Gary Conner Trustee 2.0 0.0 X 0 0 0 Margaret F Costella Esq Secretary 2.0 53.0 X 0 362322 0 Douglas W Rinehart Treasurer 2.0 53.0 X 0 265583 0 Michelle Dahlkemper CEO 55.0 0.0 X 228953 0 14964 Victoria Testa Director of Clinical Operation 55.0 0.0 X 117633 0 4316 Michael Roach Director of Clinical Operation 55.0 0.0 X 100316 0 26771 446902 1585106 46051 20 false true false Blacktree Healthcare Consulting 1030 Continental Drive KING OF PUSSIA PA 19406 Medical Coding 428607 1 1266 3449 4715 HOME HEALTH CARE MEDICARE REVENUE 621610 9831551 9831551 HOME HEALTH CARE OTHER PAYERS 621610 6397118 6397118 16228669 62587 62587 0 0 0 0 0 8028010 0 8047376 20328 -19366 -20328 -39694 -39694 0 0 0 0 0 0 0 0 0 MISC OPERATING REVENUE 900099 21610 21610 21610 16277887 16228669 44503 0 0 0 0 261687 0 261687 0 0 10677345 8381263 2296082 0 507135 403931 103204 2275821 1834459 441362 808782 644191 164591 553936 553936 18462 18462 23000 23000 0 0 1131 1131 475031 455637 19394 3174 148 3026 99188 15655 83533 149048 109588 39460 0 515019 138719 376300 428902 417414 11488 0 4798 103 4695 0 0 95764 12675 83089 57031 57031 MED PROG SUPPLIES 165219 165219 INFORM/EDUCATION RESOURCE 52599 52599 RECRUITING EXPENSES 23438 -146 23584 MISC FED TAX 2802 2802 17199312 12631455 4567857 0 650 250 3319468 2566512 0 0 2455552 1174432 0 0 0 0 0 0 0 0 403179 71730 3040773 2980448 176417 60325 3417218 127853 0 0 0 0 0 0 345081 351961 10117565 4353063 2030513 1290766 0 0 810916 364523 0 0 0 0 0 0 0 0 0 0 0 0 2841429 1655289 X 7008652 2437647 28020 25184 239465 234943 7276137 2697774 10117566 4353063 X -921425 -345568 -3311370 X false true X true false X 57702 32452 27374 24188 4715 146431 0 0 57702 32452 27374 24188 4715 146431 0 146431 71112 141173 98047 75647 62587 448566 0 17270 71151 24665 10163 21610 144859 739856 116219445 0.19792 0.27130 X AFFILIA HOME HEALTH IS A COMMUNITY SERVICE ORGANIZATION THAT PROVIDES COMPREHENSIVE HOME HEALTH CARE TO PEOPLE OF ALL AGES IN LANCASTER, BERKS, CHESTER, SCHUYLKILL AND DAUPHIN COUNTIES AND THEIR SURROUNDING AREA REGARDLESS OF THEIR ABILITY TO PAY. AFFILIA HOME HEALTH PROVIDES SKILLED NURSING, THERAPHY, MEDICAL SOCIAL SERVICES, AND HOME HEALTH AID SERVICES. FOR FISCAL YEAR ENDED JUNE 30, 2019, 55% OF OUR SERVICES PROVIDED WERE SPECIFICALLY TO MEDICARE AND MEDICAID PATIENTS. 52315 -5393 46922 49626 2689 52315 45178 4448 49626 46192 -1014 45178 33584 12608 46192 0.57000 0.43000 false false 3040773 2980448 60325 60325 PERPETUAL TRUST 208308 TPA-RESTRICTED ASSETS 91886 MISC RECIEVABLE-INTER/PR 25027 403B PLAN FORFEITURES 12484 MISC RECEIVABLE-EMPLOYEE 7500 UNPAID PATIENT REFUNDS 6756 INT RECEIVABLE 0 SECURITY DEPOSITS 0 351961 0 0 X 15941226 -345568 8907 -336661 16277887 16277887 17199312 17199312 17199312 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE INTENDED USE OF ENDOWMENT FUNDS HELD BY AFFILIA HOME HEALTH ARE TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE OF PROVIDING COMPREHENSIVE HOME HEALTH CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. ------------------------------ SCHEDULE D, PART X, LINE 2 FIN48 (ASC 740) FOOTNOTE AFFILIA HOME HEALTH FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECONGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. AFFILIA HOME HEALTH DOES NOT BELIEVE IT'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. ------------------------------ SCHEDULE D, PART XI, LINE 2D OTHER REVENUE IN AUDITED FINANCIAL STATEMENT NOT ON 990 PERPETUAL TRUST DISTRIBUTION $8,907 X false true X X X false true false false false false false true false Tammy L Ober Vice Chair/Member 0 257134 0 1094 0 3792 0 0 0 0 0 262020 0 0 Margaret F Costella Esq Secretary 0 278082 0 79220 0 5020 0 0 0 0 0 362322 0 0 Douglas W Rinehart Treasurer 0 217674 0 39946 0 7963 0 0 0 0 0 265583 0 0 Kay Brady Trustee- AS OF 7/1/2018 0 202005 0 41602 0 5030 0 0 0 0 0 248637 0 0 Susan Wynne Trustee 0 340011 0 97371 0 9162 0 0 0 0 0 446544 0 0 Michelle Dahlkemper CEO 187748 0 39897 0 1308 0 5691 0 9273 0 243917 0 0 0 SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS AFFILIA HOME HEALTH (EIN # 23-1352572) PROVIDES GROSS-UP PAYMENTS TO EMPLOYEES WHEN THEY RECEIVE HOLIDAY GIFT CARDS SO AS TO PROVIDE TAX ASSISTANCE IN THAT NO TAX BURDENS ARE CREATED WITH THE INTENDED GIFT. HOLIDAY GIFT CARDS IN THE AMOUNT OF $15 PER EMPLOYEE WERE GIVEN DURING THE 2018 TAX YEAR. ------------------------------ SCHEDULE J, PART I, LINE 1B WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT THERE ARE CURRENTLY NO WRITTEN POLICIES IN PLACE FOR GROSS UP PAYMENTS. ------------------------------ SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT COMPENSATION AFFILIA HOME HEALTH FOLLOWS THE COMPENSATION PROCESS OF LANCASTER GENERAL HEALTH, THE MANAGING MEMBER. LANCASTER GENERAL HEALTH'S EXECUTIVE COMPENSATION PROCESS INCLUDES THE FOLLOWING REVIEW AND ACTION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES WHICH IS COMPRISED OF INDEPENDENT TRUSTEES. AN EVALUATION OF PERFORMANCE AGAINST GOALS IS CONDUCTED AT THE CLOSE OF A FISCAL YEAR TO DETERMINE THE LEVEL OF ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE OF THE CEO AND SENIOR EXECUTIVES SO AS TO DETERMINE MERIT AND INCENTIVE PAY ACTIONS. MARKET DATA FOR BASE SALARY, TOTAL CASH COMPENSATION AND TOTAL COMPENSATION IS PROVIDED BY AN INDEPENDENT THIRD PARTY TO THE COMMITTEE AND REFLECTS A MARKET BASKET OF SIMILARLY SIZED ORGANIZATIONS WITH COMPARABLE EXECUTIVE POSITIONS. UPON REVIEW AND DISCUSSION OF THE RELATED DATA AND INFORMATION THE COMMITTEE TAKES ACTION WHICH IS RECORDED IN THE MEETING MINUTES WHICH ARE THEN FILED FOR FUTURE REFERENCE. ------------------------------ SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN THE LANCASTER GENERAL HEALTH SERP PLAN DURING THE YEAR AND/OR RECEIVED EMPLOYER PAID AMOUNTS DURING THE YEAR: COSTELLA, MARGARET F. NO DISTRIBUTION ------------------------------ SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS AFFILIA HOME HEALTH PARTICIPATES IN THE LANCASTER GENERAL HEALTH ANNUAL INCENTIVE PLAN (THE PLAN). THE PURPOSE OF THE PLAN IS TO REINFORCE STRATEGIC PERFORMANCE PRIORITIES FOR SENIOR MANAGEMENT AND MANAGEMENT EMPLOYEES AND TO ENCOURAGE THE HIGHEST LEVEL OF PERFORMANCE IN THE DELIVERY OF HEALTH CARE SERVICES. AS A REWARD FOR EMPLOYEES' CONTRIBUTIONS TO LANCASTER GENERAL HEALTH'S SUCCESS, THE PLAN PROVIDES THE OPPORTUNITY TO EARN MEANINGFUL INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF LANCASTER GENERAL HEALTH AND THE INDIVIDUAL PARTICIPANTS. SPECIFICALLY, THE PLAN IS DESIGNED TO: *FOCUS PARTICIPANTS ON THE ACHIEVEMENT OF ORGANIZATION GOALS RELATED TO PEOPLE, SERVICE, QUALITY/SAFETY, FINANCIAL AND GROWTH; *PROMOTE AND FOSTER A TEAM ORIENTED CULTURE;*STRENGTHEN LANCASTER GENERAL HEALTH'S ABILITY TO ATTRACT AND RETAIN SUPERIOR TALENT, RECOGNIZE AND REWARD ACCOMPLISHMENTS THAT CLEARLY ADVANCE THE ORGANIZATION'S MISSION, AND DRIVE STRATEGIES;*PROVIDE INCENTIVE AWARDS THAT CAN BE ADJUSTED ANNUALLY FOR DIFFERENT BUSINESS CONDITIONS AND BUSINESS PLAN PRIORITIES WITHOUT CHANGING BASIC DESIGN FEATURES OF THE PLAN; AND *PROVIDE ANNUAL INCENTIVE OPPORTUNITIES WITH DUE CONSIDERATION TO THE REQUIREMENTS OF THE INTERMEDIATE SANCTIONS LAW AND THE REGULATIONS THERE UNDER. ------------------------------ Payout distruibution per separation-PHS 2018-12-31 661527 Networking Capital 251778658 UPMC PINNACLE PO BOX 8700 HARRISBURG PA 170158700 501(c)(3) Payout distribution per separation-RH 2018-12-31 2571639 Networking Capital 231352204 Reading Hospital Sixth Ave Spruce St PO Box 16052 Reading PA 196126052 501(c)(3) false false false false SCHEDULE N, PART II SEPERATION DISCLOSURE PRIOR TO DECEMBER 31, 2018, AFFILIA HOME HEALTH OPERATED FOR THE BENEFIT OF THREE HEALTH SYSTEMS: LANCASTER GENERAL HEALTH, UPMC PINNACLE AND READING HOSPITAL. AFFILIA OPERATED OUT OF THREE BRANCH LOCATIONS, ONE FOR EACH MEMBER HEALTH SYSTEM. THE ORGANIZATION SEPARATED EFFECTIVE DECEMBER 31, 2018. EACH MEMBER HEALTH SYSTEM MAINTAINED THE OVERSIGHT OF THE BRANCH RELATED TO THEIR HEALTH SYSTEM. THE NAME, AFFILIA, AND THE TAX IDENTIFICATION NUMBER STAYED WITH THE LANCASTER BRANCH. A CALCULATION OF THE NET WORKING CAPITAL OF THE ORGANIZATION WAS PERFORMED AND A PAYOUT RELATED TO EACH MEMBER'S OWNERSHIP PERCENTAGE WAS ISSUED. ------------------------------ FORM 990,PART VI, SECTION A, LINE 3 DELEGATION OF MANAGEMENT DUTIES LANCASTER GENERAL HEALTH (EIN 23-2250941) AND LANCASTER GENERAL HOSPITAL (EIN 23-1365353) PROVIDE MANAGEMENT SERVICES TO AFFILIA HOME HEALTH. SUCH SERVICES INCLUDE, BUT ARE NOT LIMITED TO, ACCOUNTING, AUDIT, HUMAN RESOURCES, INFORMATION TECHNOLOGY, AND MANAGEMENT OVERSIGHT. ------------------------------- FORM 990, PART VI, SECTION A, LINE 4 CHANGES TO GOVERNING DOCUMENTS SEPARATION OF BRANCHES AND OWNERSHIP OCCURED ON DECEMBER 31, 2018. BYLAWS WERE AMENDED UPON SEPARATION. PLEASE SEE SCHEDULE N, PART II FOR FURTHER DETAILS. ------------------------------- FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBER OR STOCKHOLDERS AS OF JANUARY 1, 2012 TO DECEMBER 31,2018, THE MEMBERS OF THE CORPORATION SHALL BE LANCASTER GENERAL HEALTH (EIN 22-2250941), A PENNSYLVANIA NONPROFIT CORPORATION. READING HOSPITAL (EIN 23-1352204), A PENNSYLVANIA NONPROFIT CORPORATION. UPMC PINNACLE HOSPITALS, (EIN 25-1778658), A PENNSYLVANIA NONPROFIT CORPORATION. SUBSEQUENT TO DECEMBER 31, 2018 THE SOLE MEMBER OF THE CORPORATION IS LANCASTER GENERAL HEALTH. ------------------------------ FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OR STOCKHOLDERS THE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE COMPOSED OF EIGHT DIRECTORS. THIS NUMBER MAY BE INCREASED OR DECREASED, HOWEVER, THE PERCENTAGE OF PHYSICIAN DIRECTORS SHALL NEVER BE MORE THAN 20 PERCENT OF THE TOTAL NUMBER OF DIRECTORS IN OFFICE. AT THE BEGINNING OF THE FISCAL YEAR THE BOARD OF DIRECTORS CONSISTED OF THREE DIRECTORS EACH OF LG HEALTH (EIN 22-2250941) AND READING HOSPITAL (EIN 23-1352204), AND THE REMAINING ELECTED BY UPMC PINNACLE HOSPITALS (EIN 23-2024121). EACH DIRECTOR SHALL BE APPOINTED FOR A THREE YEAR TERM. UPON SEPARATION EFFECTIVE JANUARY 1ST, 2019, NUMBER OF MEMBERS DECREASE ONLY INCLUDING LG HEALTH MEMBERS. ------------------------------ FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS A MAJORITY OF THE DIRECTORS OF THE BOARD SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS. THE ACTS OF A MAJORITY OF THE DIRECTORS PRESENT AND VOTING AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACTS OF THE BOARD. ------------------------------ FORM 990, PART VI, SECTION A, LINE 9 INTERESTED PERSON NOT AT ORGANIZATION'S ADDRESS BOARD MEMBERS TAMMY L. OBER, MARGARET F. COSTELLA, DOUGLAS W. RINEHART, KAY BRADY AND SUSAN WYNNE CAN BE REACHED AT: LANCASTER GENERAL HEALTH, 555 NORTH DUKE STREET, PO BOX 3555, LANCASTER, PA 17604-3555. BOARD MEMBER DAN AHERN CAN BE REACHED AT THE READING HOSPITAL AND MEDICAL CENTER, 601 SPRUCE STREET, READING PA 19611. BOARD MEMBERS MARY C. AGNEW AND GARY CONNER CAN BE REACHED AT READING HOSPITAL, PO BOX 16052, READING, PA 19612. BOARD MEMBER WILLIAM K. WILKINSON CAN BE REACHED AT PINNACLE HEALTH COMMUNITY HOSPITAL, 4300 LONDONDERRY ROAD, HARRISBURG, PA 17109. BOARD MEMBER JOAN SILVER CAN BE REACHED AT PINNACLE HEALTH SYSTEM, P.O. BOX 8700, HARRISBURG, PA 17105-8700. ------------------------------- FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY THE VICE PRESIDENT CONTROLLER AND THE DIRECTOR OF BUDGETING, FORECASTING AND ACCOUNTING REVIEWED THE FORM 990. FORM 990 WILL ALSO BE PROVIDED TO BOARD MEMBERS UPON COMPLITION PRIOR TO FILING. ------------------------------- FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS TO ESTABLISH COMP OF TOP MANAGEMENT THE FOLLOWING PRACTICES OCCUR IN REGARD TO THE REVIEW AND APPROVAL OF COMPENSATION FOR THE CEO OF AFFILIA HOME HEALTH. AN INDEPENDENT BOARD REVIEWS COMPARATIVE MARKET DATA FOR SIMILARLY SIZED ORGANIZATIONS AS PROVIDED BY A THIRD PARTY CONSULTANT PRIOR TO TAKING ACTION ON ANY COMPENSATION DECISIONS. MINUTES OF THESE PROCEEDINGS ARE DOCUMENTED FOR FUTURE REFERENCE AND BOARD APPROVAL OCCURS BEFORE DECISIONS ARE IMPLEMENTED. THE POSITION OF CEO IS THE ONLY POSITION CONSIDERED TO BE AN EXECUTIVE LEADER THEREBY FOLLOWING PROCESS NOTED ABOVE. ------------------------------- FORM 990, PART VI, SECTION B, LINE 12A CONFLICT OF INTEREST POLICY IN ORDER TO ASCERTAIN AND EVALUATE ACTUAL OR POTENTIAL CONFLICTS, CERTAIN INTERESTED PERSONS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT UPON ENTERING EMPLOYMENT OR BECOMING A TRUSTEE OF LANCASTER GENERAL HEALTH OR AN AFFILIATE, AND OTHERS ARE ALSO REQUIRED TO FILL OUT SUCH A STATEMENT ON AN ANNUAL BASIS. IN ADDITION TO THIS REQUIREMENT, ALL OFFICERS AND TRUSTEES, REGARDLESS OF WHETHER OR NOT THEY HAVE FILLED OUT OR HAVE BEEN ASKED TO FILL OUT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, HAVE AN ONGOING AFFIRMATIVE DUTY TO BRING TO THE ATTENTION OF LANCASTER GENERAL HEALTH, SITUATIONS WHICH MAY GIVE RISE TO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST AS DESCRIBED IN THE POLICY. ------------------------------ FORM 990, PART VI, SECTION B, LINE 14 DOCUMENT RETENTION AND DESTRUCTION POLICY THE ORGANIZATION HAS THE POLICIES AND PROCEDURES IN PLACE AS MENTIONED IN FORM 990, PART VI, LINE 14. HOWEVER, THEY ARE NOT CURRENTLY APPROVED BY THE GOVERNING BOARD. ------------------------------ FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC AFFILIA HOME HEALTH DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ------------------------------- FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS PERPETUAL TRUST-AMOUNT $ 8,907 PAYOUT PER SEPERATION (3,320,227) ------------ TOTAL $(3,311,370) ----------------------------- THE LEONARD AND MADLYN ABRAMSON INST 421 CURIE BLVD 450 BRB 11/111 PHILADELPHIA PA 19104 232929823 MED RESEARCH PA 501(c)(3) 4 NA false CARL V S PATTERSON 19 UN OF PA C/O PNC BANK 620 LIBERTY AVE 10FL PITTSBURGH PA 15222 236415355 SUPPORT TRUST PA 4947(A)(1) N/A NA false CHESTER COUNTY HOSPITAL & HEALTH SYSTEM 701 E MARSHALL STREET WEST CHESTER PA 19380 264233321 MGMT SRVCS PA 501(C)(3) 12, I TRUSTEES false CLINICAL CARE ASSOCIATES OF UPHS 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232729852 HEALTHCARE PA 501(c)(3) 10 TRUSTEES false FRANKLIN SPECIALTY PHYSICIANS 3451 WALNUT STREET ROOM 305 PHILADELPHIA PA 19104 232992715 SUPPORT ORG PA 501(c)(3) 12, II PA HOSPITAL false LANCASTER GENERAL HEALTH 555 NORTH DUKE STREET LANCASTER PA 17604 232250941 SUPPORT ORG PA 501(C)(3) 12, II TRUSTEES false LANCASTER GENERAL HEALTH COLUMBIA CENTER 306 NORTH 7TH STREET COLUMBIA PA 17512 230485650 FACILITY MGMT PA 501(C)(3) 3 LG HOSPITAL false LANCASTER GENERAL HEALTH FOUNDATION 555 NORTH DUKE STREET LANCASTER PA 17604 205767147 FUNDRAISING PA 501(C)(3) 7 NA false LANCASTER GENERAL HEALTH HOLDINGS 555 NORTH DUKE STREET LANCASTER PA 17604 204943109 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL HOSPITAL 555 NORTH DUKE STREET LANCASTER PA 17604 231365353 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false LANCASTER GENERAL MEDICAL GROUP 1030 NEW HOLLAND AVENUE LANCASTER PA 17601 232777286 HEALTHCARE PA 501(C)(3) 3 LG HEALTH false MORRIS EST LYDIA T DECD TW 1525 W WT HARRIS BLVD CHARLOTTE NC 28262 236210940 SUPPORT TRUST PA 501(C)(3) 12, III-FI NA false NEIGHBORHOOD HEALTH AGENCIES INC 795 E MARSHALL STREET WEST CHESTER PA 19380 232324782 NURSING PA 501(C)(3) 12, I CCH&HS false NEIGHBORHOOD LEAGUE HEALTH SERVICES 795 E MARSHALL STREET WEST CHESTER PA 19380 232324787 HEALTH SRVCS PA 501(C)(3) 10 CCH&HS false NEIGHBORHOOD VISITING NURSE ASSOCIATION 795 E MARSHALL STREET WEST CHESTER PA 19380 231352243 NURSING PA 501(C)(3) 7 CCH&HS false OAP INC 3451 WALNUT STREET ROOM 748 PHILADELPHIA PA 19104 231986931 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false PENN CENTER FOR REHAB AND CARE 3609 CHESTNUT STREET PHILADELPHIA PA 19104 232422635 HEALTHCARE PA 501(c)(3) 3 PMC false PENN CLUB OF NEW YORK INC 30 WEST 44TH STREET NEW YORK NY 10036 232726687 CLUB NY 501(c)(7) N/A NA false PENN PRAXIS INC 210 SOUTH 34TH STREET PHILADELPHIA PA 19104 752974931 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false PENN PRESS INC 3905 SPRUCE STREET PHILADELPHIA PA 19107 231876142 PUBLISHING PA 501(c)(3) 12, I TRUSTEES false PENNSYLVANIA COLLEGE OF HEALTH SCIENCES 850 GREENFIELD ROAD LANCASTER PA 17601 061645496 HEALTH EDU PA 501(C)(3) 2 LG HOSPITAL false PENNSYLVANIA HOSPITAL OF UPHS 800 SPRUCE STREET PHILADELPHIA PA 19107 311538725 HEALTHCARE PA 501(C)(3) 3 TRUSTEES false PGH DEVELOPMENT CORP 426 CURIE BLVD PHILADELPHIA PA 19104 232351015 SUPPORT ORG PA 501(c)(3) 12, I NA false PHOENIXVILLE HOSPITAL OF UPHS 3001 MARKET STREET 3RD FLOOR PHILADELPHIA PA 19104 232901089 SUPPORT ORG PA 501(c)(3) 3 TRUSTEES false PRESBYTERIAN ANESTHESIOLOGY FOUNDATION 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232561573 SUPPORT ORG PA 501(c)(3) 12, I PMC false PRESBYTERIAN MEDICAL CENTER OF UPHS 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232810852 HEALTHCARE PA 501(c)(3) 3 TRUSTEES false PRESBYTERIAN MULTI-SPECIALTY GROUP 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232723154 HEALTHCARE PA 501(c)(3) 10 PMC false PRESBYTERIAN PERSONAL CARE RESIDENCE 51 NORTH 39TH STREET PHILADELPHIA PA 19104 232294713 HEALTHCARE PA 501(c)(3) 12, I PMC false SS HUEBNER FOUNDATION FOR INSURANCE EDUC 3000 STEINBERG HALL PHILADELPHIA PA 19104 236297325 EDU SUPPORT PA 501(c)(3) 12, I NA false THE ASC TRUST OF THE UNIV OF PA 1500 MARKET ST STE 3500E PHILADELPHIA PA 19102 810550464 BUS. TRUST PA 501(c)(3) 8 NA false CHESTER COUNTY HOSPITAL 701 E MARSHALL STREET WEST CHESTER PA 19380 230469150 HEALTHCARE PA 501(C)(3) 3 CCH&HS false TRUSTEES OF THE UNIVERSITY OF PENN 3451 WALNUT STREET ROOM 305 PHILADELPHIA PA 19104 231352685 EDUCATION PA 501(c)(3) 2 NA false UNITED AUXILIARIES TO LANCASTER GEN HOS 555 NORTH DUKE STREET LANCASTER PA 17604 231976868 SUPPORT ORG PA 501(C)(3) 10 NA false UNIVERSITY CITY ASSOCIATES INC 3451 WALNUT STREET ROOM 329 PHILADELPHIA PA 19104 233021159 SUPPORT ORG PA 501(c)(3) 12, I TRUSTEES false UNIVERSITY CLUB AT PENN INC 3611 WALNUT STREET PHILADELPHIA PA 19104 236299508 FAC. CLUB PA 501(c)(3) 12, I TRUSTEES false UPENN INTERNATIONAL 3451 WALNUT STREET SUITE 731 PHILADELPHIA PA 19104 454985731 SUPPORT ORG PA 501(C)(3) 12, I TRUSTEES false UPENN MASTER RETIREMENT TRUST 3451 WALNUT STREET ROOM 305 PHILADELPHIA PA 19104 043574136 RETIRE TRUST PA 501(A) N/A TRUSTEES false UPENN RETIREE BENEFITS TRUST 3451 WALNUT STREET ROOM 329 PHILADELPHIA PA 19104 232769744 BENEFITS PA 501(c)(3) 12, I TRUSTEES false WISSAHICKON HOSPICE OF UPHS 150 MONUMENT ROAD SUITE 300 BALA CYNWYD PA 19004 232152662 HOSPICE CARE PA 501(c)(3) 10 TRUSTEES false WOMEN'S AND CHILDREN'S HEALTH SERVICES 700 SPRUCE STREET PHILADELPHIA PA 19106 232248956 HEALTHCARE PA 501(c)(3) 3 PA HOSPITAL false PRINCETON HEALTHCARE SYSTEM ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 210635009 HEALTHCARE NJ 501(C)(3) 3 PHCS HOLDING false PRINCETON HEALTHCARE SYSTEM FDN INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 222225911 SUPPORT PHCS NJ 501(C)(3) 7 PHCS HOLDING false PRINCETON HEALTHCARE SYSTEM HOLDING INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 223493256 SUPPORT ORG NJ 501(C)(3) 12,I TRUSTEES false PRINCETON MEDICAL PROPERTIES INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 220022702 REAL ESTATE NJ 501(C)(2) N/A PHCS HOLDING false PRINCETON CAREGIVERS INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 222842773 HOMECARE SVCS NJ 501(C)(3) 3 PHCS HOLDING false PRINCETON HEALTHCARE AFFILIATED PHYS PC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 264203938 HLTHCARE SVCS NJ 501(C)(3) 10 PCHS HOLDING false ARI 1740 FUND N SETSON AVE STE 5500 CHICAGO IL 60601 320472404 INVESTMENT IL NA false DVG 1740 FUND LP ONE FAWCETT PLACE GREENWICH CT 06830 800961539 INVESTMENT CT NA false EAST MARSHALL STREET PARTNERSHIP LP 929 SOUTH HIGH STREET WEST CHESTER PA 19382 232902742 INVESTMENT PA NA false FERN HILL PARTNERSHIP III LP 929 SOUTH HIGH STREET WEST CHESTER PA 19382 300409614 RENTAL PA NA false FERN HILL LLC 929 SOUTH HIGH STREET WEST CHESTER PA 19382 233005147 RENTAL PA NA false GALLOPAVO LP 2000 McKINNEY AVE STE 2125 DALLAS TX 75201 464621967 INVESTMENT TX NA false LANCASTER PET PARTNERSHIP LLP PO BOX 4216 LANCASTER PA 17604 233102793 MEDICAL SERVICES PA NA false LG HEALTH COMMUNITY CARE COLLABORATIVE 555 NORTH DUKE STREET LANCASTER PA 17604 455542179 ACO PA NA false LIONVILLE MED OFFICE BLDG PARTNERSHIP 929 SOUTH HIGH STREET WEST CHESTER PA 19383 161640799 INVESTMENT PA NA false MRI GROUP LLP PO BOX 4216 LANCASTER PA 17604 331011386 MEDICAL SERVICES PA NA false NEIGHBRHD PRES & DEV FUND LP 240 NEW YORK DR STE 1 FORT WASHINGTON PA 19034 233037919 RENTAL PA NA false OAKLANDS WAY MEDICAL BUILDING ASSOCIATES 929 SOUTH HIGH STREET WEST CHESTER PA 19382 830490251 RENTAL PA NA false SRP INVESTORS FUND A LP 2001 ROSS AVE SUITE 2800 DALLAS TX 75201 611748291 INVESTMENT TX NA false JOG V C LIMITED PARTNERSHIP 2300-440 2ND AVE SW CALGARY AL CA T2P5E9 INVESTMENT CA NA false TURK'S HEAD SURGERY CENTER LLC 915 OLD FERN HILL ROAD BLDG B PHILADELPHIA PA 19106 MEDICAL SERVICES PA NA false CYRUS 1740 MASTER FUND LP 89 NEXUS WAY CAMANA BAY GR CJ KY1-9009 981361754 INVESTMENTS CJ NA false JOG VI C LIMITED PARTNERSHIP STE 2370 440 2ND AVE SW CALGARY AL CA INVESTMENTS CA NA false LIFT REAL ESTATE PARTNERS FUND I LP 180 SUTTER STREET SUITE 400 SAN FRANCISCO CA 94104 831339929 INVESTMENT CA NA false LG HEALTH COMMUNITY CARE COLLABORATVE II 555 NORTH DUKE STREET LANCASTER PA 17604 823809581 ACO PA ACO false BARGE GANSE VENACARE BUS TRUST 555 NORTH DUKE STREET LANCASTER PA 17604 232113017 HEALTHCARE PA LGS BT C CORP false CLINICAL HEALTH CARE ASSOC OF NJ PC 250 KING OF PRUSSIA RD 4TH FL RADNOR PA 19087 232865181 PHYS MGMT PA CCA C-CORP false DELANCEY CORPORATION 800 SPRUCE STREET PHILADELPHIA PA 19106 232060159 RENTAL PA PA HOSPITAL C-CORP false FRANKLIN CASUALTY INSURANCE CO PO BOX 530 BURLINGTON VT 054020530 043378984 INSURANCE VT TRUSTEES C-CORP false LANCASTER GENERAL INSURANCE COMPANY PO BOX 1109 GT GRAND CAYMAN GRAND CAYMAN CJ KYI-1102 980176655 INSURANCE CJ LG HEALTH C-CORP false LANCASTER GENERAL SERVICES INC 555 NORTH DUKE STREET LANCASTER PA 17604 232250128 PROPERTY SVCS PA LG HEALTH C CORP false NAYA 1740 FUND LTD PO BOX 309 UGLAND HOUSE GRAND CAYMAN CJ KY1-1104 INVESTMENTS CJ TRUSTEES C-CORP false PENN WHARTON CONSULTING (BEIJING) CO LTD CHINA WORLD TOWER 1 14F CHAOYANG DIST BEIJING CH 100004 BUS. CONSULTING CH UPENN INT'L C-CORP false PRESBYTERIAN MEDICAL SERVICES 39TH AND MARKET STREET PHILADELPHIA PA 19104 232307991 HEALTHCARE PA PMC C-CORP false UPENN HOSPITALITY INC 3401 WALNUT STREET SUITE 440A PHILADELPHIA PA 19104 233076589 HOTEL/RESTAURANT PA TRUSTEES C-CORP false QUAKER INSURANCE COMPANY LTD 3451 WALNUT ST ROOM 329 PHILADELPHIA PA 19104 300708282 SELF-INSURANCE BD TRUSTEES C-CORP false THE PAM 1740 FUND LTD PO BOX 309 UGLAND HOUSE GRAND CAYMAN CJ KYI-1104 INVESTMENTS CJ TRUSTEES C-CORP false TURK'S HEAD HEALTH SERVICES INC 701 E MARSHALL STREET WEST CHESTER PA 19380 232329753 MEDICAL SERVICES PA CCH&HS C-CORP false LANCASTER GENERAL 457 DEFERRED COMP PLAN 555 North Duke Street Lancaster PA 17604 232250941 TRUST PA LG HEALTH TRUST false ACRM 1740 FUND LTD 27 HOSPITAL ROAD GRAND CAYMAN CJ KY1-9008 INVESTMENTS CJ TRUSTEES C-CORP false PRINCETON HEALTH INC & SUBS ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 223450093 MEDICAL NJ PHCS HOLDING C-CORP false PHI PHARMACY INC ONE PLAINSBORO ROAD PLAINSBORO NJ 08536 223467899 INACTIVE NJ PHCS HOLDING C-CORP false CIRCLE MEDICAL ASSURANCE CO 2929 WALNUT STREET SUITE 460 PHILADELPHIA PA 19104 833556286 INSURANCE PA TRUSTEES C-CORP false PENN MEDICINE LONDON LIMITED RADIUS COMM SRVS LTD 11TH WHITEFRIARS LEWSIN MEAD BRISTOL UK BS1 2NT HEALTHCARE UK UPENN INT'L LIMITED COMPANY false false false false false false false false false false false false false false false true true true false false SCHEDULE R, PART V, LINE 2 TRANSACTIONS WITH RELATED ORGANIZATIONS ALL ARRANGEMENTS ARE NEGOTIATED AT ARM'S LENGTH AND FOR FAIR VALUE IN COMPLIANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. AFFILIATES PERFORM INTER-COMPANY TRANSACTIONS AS PART OF THE NORMAL COURSE OF BUSINESS.