RIDDLE HEALTHCARE FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RIDDLE HEALTHCARE FOUNDATION (EIN 04-3601189)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201231329349303158
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-11T15:27:35-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1700AddressLine1
CityPHILADELPHIACity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043601189EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1The Riddle Healthcare FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRIDDNameControl
Phone6108913651Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11068 W Baltimore PikeAddressLine1
CityMediaCity
StatePAState
ZIP Code19063ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVEN DERBYName
TitleVP & ASSISTANT SECRETARYTitle
Date Signed2012-05-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2673303000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteven R Derby VP DevelopmentNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11068 W Baltimore PikeAddressLine1
CityMediaCity
StatePAState
ZIP Code19063ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3228607GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.riddlehealthcarefoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionFUNDRAISING AND DEVELOPMENT FOR RIDDLE MEMORIAL HOSPITALActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members23NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers81TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1295181ContributionsGrantsPriorYear
Contributions Grants Current Year1218223ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year147696InvestmentIncomePriorYear
Investment Income Current Year318743InvestmentIncomeCurrentYear
Other Revenue Prior Year1221888OtherRevenuePriorYear
Other Revenue Current Year1129992OtherRevenueCurrentYear
Total Revenue Prior Year2664765TotalRevenuePriorYear
Total Revenue Current Year2666958TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year984711GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY494147GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year668892TotalFundrsngExpCurrentYear
Other Expense Prior Year657085OtherExpensePriorYear
Other Expenses Current Year730905OtherExpensesCurrentYear
Total Expenses Prior Year1641796TotalExpensesPriorYear
Total Expenses Current Year1225052TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1022969RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1441906RevenuesLessExpensesCY
Total Assets BOY22257591TotalAssetsBOY
Total Assets EOY24459730TotalAssetsEOY
Total Liabilities BOY417039TotalLiabilitiesBOY
Total Liabilities EOY454532TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY21840552NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24005198NetAssetsOrFundBalancesEOY
Mission DescriptionFUNDRAISING AND DEVELOPMENT FOR RIDDLE MEMORIAL HOSPITALMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense494147Expense
Grants494147Grants
Revenue1478735Revenue
DescriptionRaised funds and disbursed grants in support of Riddle Memorial Hospital in accordance with donors' intent; e.g. Education, Capital Purchases, and support for other Hospital programs, such as Women's Health, Oncology, and Community health. The revenue consists of net income from fundraising events, investment income and land lease revenue.Description
Total Program Service Expense494147TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members23NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonANGELO SAVELLONINamePerson
Telephone Number4843378840TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1950 E HAVERFORD ROAD SUITE 110AddressLine1
CityBryn MawrCity
StatePAState
ZIP Code19010ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Thomas A Bruder Jr
Chairman & Trustee1.0XX000
Catherine D Granger
Vice Chairperson Trustee1.0XX000
Gary L Perecko
President & Trustee1.0XX043019197195
Toni M Cavanagh
Secretary & Trustee1.0XX000
Donald S Guthrie Esq
Treasurer & Trustee1.0XX000
Robert Brod MD
Trustee1.0X000
Christine Fizzano Cannon
Trustee1.0X000
Raymond Cisneros
Trustee1.0X000
Robert Fischer CPA
Trustee1.0X000
Thomas A Goldsmith Jr
Trustee1.0X000
Jon D Helms
Trustee1.0X000
Rosemary Kerwin
Trustee1.0X000
Martha I Macartney
Trustee1.0X000
Theresa M Murtagh
Trustee1.0X000
Andrew J Reilly
Trustee1.0X000
Peter F Sharkey MD
Trustee1.0X000
David A Thomas DO
Trustee1.0X000
John D Unangst
Trustee1.0X000
Hassan C Vakil MD
Trustee1.0X000
James J Walsh
Trustee1.0X000
Lawrence G Weathers II
Trustee1.0X000
Catherine Warren
Trustee1.0X016786839
Donald P Saleski
Trustee1.0X000
Richard Wood III
Trustee1.0X000
Albert Berman
Trustee1.0X000
Steven Derby
VP & Assistant Secretary25.0X014330727387
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs590284TotalReportableCompFrmRltdOrgs
Total Other Compensation125421TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions1218223AllOtherContributions
Total Contributions1218223TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column318743TotalRevenueColumn
Exclusion$318,743ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real952870Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real952870Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column952870TotalRevenueColumn
Exclusion$952,870ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events738771GrossIncomeFundraisingEvents
Fundraising Direct Expenses561649FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column177122TotalRevenueColumn
Exclusion$177,122ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2666958TotalRevenueColumn
Exclusion$1,448,735ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total494147Total
Program Services494147ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54700Total
Management And General54700ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total125Total
Management And General125ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5686Total
Management And General5686ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total197Total
Management And General197ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1305Total
Management And General1305ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionDEVELOPMENT COSTSDescription
Total668892Total
Fundraising668892Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1225052Total
Program Services494147ProgramServices
Management And General62013ManagementAndGeneral
Fundraising668892Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2201663BOY
EOY3192743EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY260806BOY
EOY261217EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10962BOY
EOY408EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY758809BOY
EOY607047EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY21076BOY
EOY23391EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12856094LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14602LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12841689BOY
EOY12841492EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5157183BOY
EOY6194458EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1005403BOY
EOY1338974EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22257591BOY
EOY24459730EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26578BOY
EOY37927EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY390461BOY
EOY416605EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY417039BOY
EOY454532EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9405807BOY
EOY10993755EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2105345BOY
EOY2681043EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10329400BOY
EOY10330400EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21840552BOY
EOY24005198EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22257591BOY
EOY24459730EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1441906ReconcilationRevenueExpenses
Reconcilation Other Changes722740ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1RIDDLE MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN231529076EIN
Type Of Organization03TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$494,147Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts494147SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10329400BeginningOfYearBalance
End Of Year Balance10329400EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10329300BeginningOfYearBalance
Contributions100Contributions
End Of Year Balance10329400EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10304000BeginningOfYearBalance
Contributions25300Contributions
End Of Year Balance10329300EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12840141OtherCostOrOtherBasis
Book Value12840141BookValue
FieldValueIRS element (for citing)
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12993OtherCostOrOtherBasis
Depreciation12993Depreciation

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2960OtherCostOrOtherBasis
Depreciation1609Depreciation
Book Value1351BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12841492TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionACCRUED RENT RECEIVABLEDescription
Book Value1338974BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1338974TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCHARITABLE GIFT ANNUITIESDescription
Amount$416,605Amount
FieldValueIRS element (for citing)
Total Of Amounts416605TotalOfAmounts
Total Revenue2666958TotalRevenue
Total Expenses1225052TotalExpenses
Excess Or Deficit For Year1441906ExcessOrDeficitForYear
Net Unrealized GL On Investments703785NetUnrealizedGLOnInvestments
Donated Services And Facilities125DonatedServicesAndFacilities
Other$18,830OtherAmount
Total Adjustments722740TotalAdjustments
Excess Or Deficit Per FS2164646ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3951347TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments703785NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities125DonatedSrvcAndUseOfFacilities
Other Revenues580479OtherRevenues
Revenue Not Rptd F9901284389RevenueNotRptdF990
Revenue Subtotal2666958RevenueSubtotal
Total Revenue Per Form9902666958TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1786701TotExpensesEtcAuditedFinclStmt
Other Expenses Included561649OtherExpensesIncluded
Expenses Not Rptd F990561649ExpensesNotRptdF990
Expenses Subtotal1225052ExpensesSubtotal
Total Expenses Per Form9901225052TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanation
Part V Line 4Endowment Funds support Nursing & Employee scholarships and awards
Part XI Line 8Change in Value of Trust $72,582 Other income $5,480 Change in Annuity Value ($59,232) --------- TOTAL 18,830 ==========
Part XII Line 2DOther income $5,480 Change in Annuity Value ($59,232) Change in Trust Value $72,582 Associated Auxiliary Expenses $561,649 ---------- TOTAL 580,479 ==========
Part XIII Line 2DAssociated Auxiliary Expenses $561,649
Part X Line 2Liability to Annuitants

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Thrift ShopNameOfEvent1
Gross Receipts Event1520873GrossReceiptsEvent1
Gross Revenue Event1520873GrossRevenueEvent1
Other Direct Expenses Event1448456OtherDirectExpensesEvent1
Name Of Event2Man-O-War BallNameOfEvent2
Gross Receipts Event2148751GrossReceiptsEvent2
Gross Revenue Event2148751GrossRevenueEvent2
Other Direct Expenses Event281813OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events69147GrossReceiptsOtherEvents
Gross Revenue Other Events69147GrossRevenueOtherEvents
Other Direct Expenses Other Events31380OtherDirectExpensesOtherEvents
Gross Receipts Total738771GrossReceiptsTotal
Gross Revenue Total Events738771GrossRevenueTotalEvents
Other Direct Expenses Total Events561649OtherDirectExpensesTotalEvents
Direct Expense Summary Events561649DirectExpenseSummaryEvents
Net Income Summary177122NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RIDDLE MEMORIAL HOSPITALBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11068 W BALTIMORE PIKEAddressLine1
CityMEDIACity
StatePAState
ZIP Code19063ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient231529076EINOfRecipient
IRC Section501 (C) (3)IRCSection
Amount Of Cash Grant494147AmountOfCashGrant
Purpose Of GrantSupport Hospital ProgramsPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPat 1 Line 2Identifier
ExplanationThe Hospital prepares a summary of program expenditures and presents a grant request form to the Foundation. The Foundation reviews and approves requests, ensuring compliance with Donor intent.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Gary L Perecko
0329905098440018460511590460360527386021535
Steven Derby
01285980120160269300027387017069400

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPart 1 Line 7Identifier
ExplanationThe Compensation of the 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. Related Compensation Compensation reported on part VII and Schedule J of Form 990, related to certain trustees and officers of the foundation is paid by an affiliate of Main Line Hospitals, Inc., Main Line Services, for compensation provided to Main Line Hospitals, Inc. and other controlled members of Main Line Health, Inc.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Part VI, Section A, Line 6 and 7AThe business and affairs of the Corporation shall be managed by the Board of Directors. The Board shall be elected by the members. Part VI, Section B, Line 11a The Form 990 is prepared in conjunction with PriceWaterhouseCoopers, LLP 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 12CAnnual conflict of interest statements are required to be completed by all trustees, officers, directors, key employees, and other interested persons. Any conflicts arising are referred to the Governance Committee for resolution. If deemed necessary or advisable, cases may be referred to the full Main Line Health Board for resolution.
Part VI, Section B, Line 15The compensation paid to Board members is paid by affiliates of Main Line Hospitals, Inc. The process for determining compensation for Board members is as follows: The Human Resources & Compensation committee of the Main Line Health Board, using services of an independent executive compensation consulting firm, is responsible for evaluating and determining the total senior executive benefits and compensation for the hospital presidents and other senior executives using both national and regional healthcare delivery market comparable compensation data. After review and deliberation the committee documents its compensation decisions and reports to the full MLH Board of Governors who review and approve these compensation decisions.
Part VI, Section C, Line 19The organization makes its governing documents, conflict of interest policy, and financial statements available upon request.
Part VII, Section A, Column BThe compensated officers devote their time to all of the organizations within Main Line Health, Inc. As such, the total hours worked by the officers, across all of the organizations, cumulatively represent their full-time employment status.
Part VIII, Line 16AGross rent is comprised of land lease rental income received from Riddle Village.
Part XI, Line 5Includes net Unrealized Gains on Investments $703,785 Change in Value of Trusts 72,582 Other income 5,480. Change in annuity values (59,232) Donated professional services 125 ----------- TOTAL $722,740 ===========
Part XII, Line 2CThe Board of Trustees, through an audit committee, engage independent auditors annually. The audit statements are presented to and approved by the Board of Trustees.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Riddle Memorial HospitalBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11068 W Baltimore PikeAddressLine1
CityMediaCity
StatePAState
ZIP Code19063ZIPCode
FieldValueIRS element (for citing)
EIN231529076EIN
Primary ActivitiesHealthcarePrimaryActivities
Legal Domicile StatePALegalDomicileState
Exempt Code Section501 (C) (3)ExemptCodeSection
Public Charity Status3PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MLH IncBusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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