TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) ALBA E MARTINEZ...................................................................... TRUSTEE	1.0 ................. 3.0	X		0	0
(2) ALBERT S ROHR MD...................................................................... TRUSTEE	1.0 ................. 3.0	X		0	0
(3) David A Berkowitz...................................................................... Trustee	1.0 ................. 3.0	X		0	0
(4) DAVID B NASH MD...................................................................... Trustee	1.0 ................. 4.0	X		0	0
(5) ELIZABETH J BALDERSTON...................................................................... Trustee	1.0 ................. 5.0	X		0	0
(6) Ellen D Harvey...................................................................... Trustee	1.0 ................. 4.0	X		0	0
(7) George W Gephart Jr...................................................................... Trustee	1.0 ................. 5.0	X		0	0
(8) JAMES M BUCK III...................................................................... Trustee	1.0 ................. 4.0	X		0	0
(9) Jay W Siegfried MD...................................................................... Trustee	1.0 ................. 4.0	X		0	0
(10) JOHN J LYNCH III...................................................................... CEO & TRUSTEE	22.0 ................. 18.0	X	X	1,678,757	453,460
(11) JOHN C VAN RODEN JR...................................................................... Trustee	1.0 ................. 4.0	X		0	0
(12) Loretta Sweet Jemmott PhD...................................................................... Trustee	1.0 ................. 3.0	X		0	0
(13) MARTHA I MACARTNEY ESQ...................................................................... Trustee	1.0 ................. 3.0	X		0	0
(14) Mary Stengel Austen...................................................................... Trustee	1.0 ................. 3.0	X		0	0
(15) N Peter Hamilton...................................................................... Trustee	1.0 ................. 3.0	X		0	0
(16) Patricia B Holloway...................................................................... VICE CHAIRMAN/TRUSTEE	1.0 ................. 5.0	X		0	0
(17) Peter H Havens...................................................................... Trustee	1.0 ................. 7.0	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Renee Amoore........................................................................ Trustee	1.0 .......................3.0	X				0	0	0
(19) RONALD B ANDERSON MD........................................................................ Trustee	1.0 .......................3.0	X				0	0	0
(20) STEPHEN S AICHELE ESQ........................................................................ CHAIRMAN & TRUSTEE	1.0 .......................10.0	X	X			0	0	0
(21) Steven D Higgins........................................................................ Trustee	1.0 .......................3.0	X				0	0	0
(22) Steven Gamburg MD........................................................................ Trustee	1.0 .......................3.0	X				0	44,583	0
(23) Steven Nichtberger MD........................................................................ Trustee	1.0 .......................3.0	X				0	0	0
(24) Wendell F Holland Esq........................................................................ Trustee	1.0 .......................3.0	X				0	0	0
(25) William R Greer MD........................................................................ Trustee	1.0 .......................3.0	X				0	0	0
(26) William Stulginsky........................................................................ Trustee	1.0 .......................4.0	X				0	0	0
(27) BRIAN T CORBETT........................................................................ SVP, GEN COUNSEL & SECRETARY	27.0 .......................13.0		X			0	603,345	119,584
(28) Eileen Carr........................................................................ ASSISTANT SECRETARY	34.0 .......................6.0		X			0	100,710	16,566
(29) MICHAEL J BUONGIORNO........................................................................ EVP, CFO & TREASURER	25.0 .......................15.0		X			0	914,321	200,490
(30) PHILLIP ROBINSON........................................................................ PRESIDENT, LMC	38.0 .......................2.0		X			922,721	0	190,687
(31) ANDREA GILBERT........................................................................ PRESIDENT, BMH	38.0 .......................2.0		X			736,608	0	161,820
(32) DONNA PHILLIPS........................................................................ PRESIDENT, BMRH	36.0 .......................4.0		X			492,723	0	121,249
(33) JAMES PARADIS........................................................................ PRESIDENT, PH	39.0 .......................1.0		X			554,782	0	136,295
(34) RAYMOND BARALDI........................................................................ VP, MEDICAL AFFAIRS	40.0 .......................0.0			X		350,547	0	27,051
(35) JANET NASH........................................................................ VP, PATIENT CARE SERVICES	40.0 .......................0.0			X		348,467	0	26,357
(36) ROBERT BENZ........................................................................ VP, MEDICAL AFFAIRS	40.0 .......................0.0			X		330,006	0	30,527
(37) BONNIE GRAHAM........................................................................ VP, FINANCE	39.0 .......................1.0			X		321,095	0	31,352
(38) MARGARET IACOBACCI........................................................................ DIRECTOR OF NURSING	40.0 .......................0.0			X		302,065	0	26,064
(39) MARIANNE HARKIN........................................................................ VP, PATIENT CARE SVCS	40.0 .......................0.0			X		296,784	0	16,853
(40) JOHN SCHWARZ........................................................................ VP, ADMINISTRATION	40.0 .......................0.0			X		292,767	0	29,207
(41) BRENDA DEFEO........................................................................ VP, ADMINISTRATION	40.0 .......................0.0			X		288,338	0	26,488
(42) AJAYA DEVABHAKTUNI........................................................................ CHIEF PHYSICIST	40.0 .......................0.0			X		246,963	0	29,473
(43) DAVID WANG........................................................................ CHIEF PHYSICIST	40.0 .......................0.0			X		245,740	0	28,005
(44) ROBERT FRIED........................................................................ VP, MEDICAL AFFAIRS	24.0 .......................1.0			X		243,063	0	23,914
(45) DOUGLAS HUGHES........................................................................ DIR OF NURSING OPS, PAOLI HOSP	40.0 .......................0.0			X		233,611	0	28,311
(46) LYNNE STILLEY........................................................................ VP, ADMINISTRATION	40.0 .......................0.0			X		226,090	0	19,219
(47) AHMED NAWAZ........................................................................ CHIEF PHYSICIST	40.0 .......................0.0			X		217,655	0	26,497
(48) ELENA CASANOVA-GHOSH........................................................................ NURSE PRACTITIONER - VAD	40.0 .......................0.0			X		211,884	0	26,347
(49) ALBERT CELIDONIO........................................................................ DIRECTOR, PHARMACY	40.0 .......................0.0			X		207,503	0	22,231
(50) CRAIG GOLDBERG........................................................................ SENIOR PHYSICIST	40.0 .......................0.0			X		205,304	0	26,351
(51) FRANCES DIEGNAN........................................................................ ADMIN DIR, IMAGING/DIAGNOSTICS	40.0 .......................0.0			X		202,007	0	17,383
(52) WILLIAM GROCHOWSKI........................................................................ DIRECTOR, PHARMACY	40.0 .......................0.0			X		198,581	0	25,025
(53) DAVID PHILLIPS........................................................................ EXEC DIR, DEVELOPMENT	40.0 .......................0.0			X		196,150	0	26,041
(54) HARDING WILLIAMS........................................................................ DIRECTOR, PHARMACY	40.0 .......................0.0				X	189,560	0	25,625
(55) IVAN SCOTT........................................................................ DIRECTOR OF NURSING	40.0 .......................0.0				X	185,920	0	25,851
(56) EILEEN FARLEY........................................................................ ADMIN DIR, NURSING	40.0 .......................0.0				X	184,458	0	21,161
(57) GREGORY PAPA........................................................................ DIRECTOR, Human Resources	40.0 .......................0.0				X	183,166	0	15,841
(58) JOAN GIBSON........................................................................ Director of Nursing Operations	40.0 .......................0.0				X	182,635	0	21,489

(A) Name and business address	(B) Description of services	(C) Compensation
UNITED ANESTHESIA SERVICE PC, 937 E Haverford Road BRYN MAWR,PA19010	Physician Services	9,517,262
RADIOLOGY ASSOC OF MAIN LINE PC, PO Box 225 PAOLI,PA19301	Physician Services	5,665,991
MAIN LINE EMERGENCY MEDICINE ASSOC, 11 SOUTH CHURCH STREET WEST CHESTER,PA19382	Physician Services	2,229,274
PFS Group, 2600 NORTH LOOP WEST 150 HOUSTON,TX77092	Professional svcs	2,556,521
Women's Health Care Group of PA, 100 E Lancaster Ave-MOBW Ste 433 WYNNEWOOD,PA19096	Physician Services	1,389,887
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 39

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Main Line Hospitals Inc

Employer identification number

23-1352160

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

Main Line Hospitals Inc

Employer identification number

23-1352160

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization Main Line Hospitals Inc

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization Main Line Hospitals Inc		Employer identification number 23-1352160

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization Main Line Hospitals Inc			Employer identification number 23-1352160
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Main Line Hospitals Inc

Employer identification number

23-1352160

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

50,866

Total. Add lines 1c through 1i ....................................................................................................

50,866

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Main Line Hospitals Inc

Employer identification number

23-1352160

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	63,686,000	65,980,000	60,412,000	55,662,000	59,293,000
b	Contributions ...
c	Net investment earnings, gains, and losses	-3,215,000	-2,294,000	5,568,000	4,750,000	-3,631,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	60,471,000	63,686,000	65,980,000	60,412,000	55,662,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

Yes

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	35,572,161		35,572,161
b	Buildings	1,271,281,906	611,596,130	659,685,776
c	Leasehold improvements	5,348,855	4,237,623	1,111,232
d	Equipment ...	546,302,337	436,548,567	109,753,770
e	Other ...	67,336,790		67,336,790
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				873,459,729

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) ASSETS HELD IN PERPETUITY				38,209,604
(2) DIVIDEND AND INTEREST REC.				3,570,663
(3) OTHER RECEIVABLES				9,020,477
(4) CONSTRUCTION ESCROWS				8,053,632
(5) DUE FROM AFFILIATED FOUNDATION				970,326
(6) NOTE RECEIVABLE-LIMR				3,000,000
(7) MGMT SERVICE DEPOSIT				1,657,782
(8) SECURITY DEPOSIT-NON-CURRENT				31,101
(9) DUE FROM AFFILIATES				6,757,912
(10) RECOVERABLE MALP CLAIMS				11,722,500
(11) RECOVERABLE WKRS' COMP CLAIMS				57,697
(12) RECOVERABLE FIVE POINTS INSUR				53,120,835
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				136,172,529

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
QUALIFIED PENSION LIABILITY	318,737,155
ESTIMATED SELF-INSURANCE COSTS	90,621,485
DUE TO AFFILIATES-RELATED	15,149,352
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	424,507,992
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part V, Line 4	Endowment funds support medical education, research, fellowship, and indigent care expenses.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Main Line Hospitals Inc

Employer identification number

23-1352160

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 300 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 500 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	5,589,444	0	5,589,444	0.500 %
b	Medicaid (from Worksheet 3, column a) . . . . .	72,183,090	56,303,446	15,879,644	1.410 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	77,772,534	56,303,446	21,469,088	1.910 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7,690,636	977,815	6,712,821	0.600 %
f	Health professions education (from Worksheet 5) . . .	31,343,191	21,848,813	9,494,378	0.850 %
g	Subsidized health services (from Worksheet 6) . . . .	5,658,794	2,340,222	3,318,572	0.300 %
h	Research (from Worksheet 7) .	6,868,089	0	6,868,089	0.610 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	103,890	0	103,890	0.010 %
j	Total. Other Benefits . .	51,664,600	25,166,850	26,497,750	2.370 %
k	Total. Add lines 7d and 7j .	129,437,134	81,470,296	47,966,838	4.280 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

4,554,822

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

297,662,521

Enter Medicare allowable costs of care relating to payments on line 5.....

394,427,555

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-96,765,034

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1BRYN MAWR SURGERY CT	OUTPATIENT SURGICAL CENTER	51 %	42 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?4 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Facility reporting group
1	MAIN LINE HOSPITALS INC-LANKENAU 100 East Lancaster Avenue Wynnewood,PA19096 www.mainlinehealth.org/lankenau 120401	X	X	X	X	X	1
2	MAIN LINE HOSPITALS INC-BRYN MAWR 130 S Bryn Mawr Avenue Bryn Mawr,PA19010 www.mainlinehealth.org/brynmawr 280701	X	X	X	X	X	1
3	MAIN LINE HOSPITALS INC-PAOLI 255 W Lancaster Avenue Paoli,PA19301 www.mainlinehealth.org/paoli 161081	X	X			X	1
4	MAIN LINE HOSPITALS INC-BM REHAB 414 Paoli Pike Malvern,PA19355 www.mainlinehealth.org/rehab 540201	X					1

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MAIN LINE HOSPITALS INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MAIN LINE HOSPITALS INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.% and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	MAIN LINE HOSPITALS INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, LINE 5	MAIN LINE HOSPITALS, INC. CONTRACTED WITH THE PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) TO CONDUCT A JOINT CHNA FOR THE FOUR ACUTE CARE HOSPITALS AND A CHNA FOR BRYN MAWR REHABILIATION HOSPITAL. PHMC HAS CONDUCTED NUMEROUS CHNAS FOR HOSPITALS AND HEALTH SYSTEMS IN SOUTHEASTERN PENNSYLVANIA. IN ADDITION TO THEIR EXPERTISE, PHMC CONDUCTED COMMUNITY HEALTH FORUMS IN EACH OF THE FOUR COUNTIES SERVED BY THE MLH HOSPITALS, SOUGHT INPUT FROM THE COUNTY HEALTH DEPARTMENTS INCLUDING THE PHILADEPHIA DEPARTMENT OF HEALTH, PHILADELPHIA CITY COUNCIL MEMBERS AS WELL AS SURVEYS OF THE MLH MEDICAL STAFF AND SCHOOL HEALTH NURSES. A WIDE RANGING LIST OF COMMUNITY REPRESENTATIVES WAS INVITED TO THE COUNTY FORUMS. AN EFFORT WAS MADE TO ENSURE THAT THE BROAD INTERESTS OF THE COMMUNITY WERE REPRESENTED, INCLUDING PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. IN ADDITION TO INFORMATION PROVIDED BY COMMUNITY REPRESENTATIVES, QUANTITATIVE DATA FROM THE US CENSUS, PENNSYLVANIA DEPARMENT OF HEALTH AND THE PHMC COMMUNITY HEALTH DATABASE WAS USED IN THE CHNA. THE PHMC COMMUNITY HEALTH DATABASE HAS SURVEY DATA (SEPA HOUSEHOLD HEALTH SURVEY) FROM 10,000 HOUSEHOLDS IN SOUTHEASTERN PENNSYLVANIA INCLUDING 3,400 HOUSEHOLDS IN THE MLH HOSPITALS SERVICE AREAS. PHMC STAFF HAS EXTENSIVE EXPERIENCE IN SURVEY RESEARCH AND PUBLIC HEALTH.
PART V, LINE 6A	A JOINT CHNA WAS COMPLETED FOR THE FOUR ACUTE HOSPITALS IN THE MAIN LINE HEALTH SYSTEM. THIS JOINT CHNA INCLUDED THE MAIN LINE HOSPITALS, INC. (BRYN MAWR HOSPITAL, LANKENAU HOSPITAL, AND PAOLI HOSPITAL) AND RIDDLE MEMORIAL HOSPITAL. CONCURRENTLY, A CHNA WAS COMPLETED FOR THE BRYN MAWR REHABILITAION HOSPITAL (BMRH), THE REHABILIATION HOSPITAL WITHIN MAIN LINE HOSPITALS, INC. THE ACUTE HOSPITALS FOCUSED ON THE GENERAL HEALTH NEEDS OF THE POPULATION WHILE BMRH FOCUSED ON COMMUNITY NEEDS THAT IMPACT THE NEED FOR REHAB SERVICES. THE SEPARATE IMPLEMENATION PLANS FOR THE ACUTE HOSPITALS AND BMRH HAVE OVERLAPING PRIORITY NEEDS FOR INJURY PREVENTION, BEHAVIORAL HEALTH, HEALTHY LIVING, AND CULTURE / DISPARITIES OF CARE.
PART V, LINE 7A	WWW.MAINLINEHEALTH.ORG/COMMUNITYNEEDSASSESSMENT PART V, LINE 10A WWW.MAINLINEHEALTH.ORG/COMMUNITYNEEDSASSESSMENT
PART V, LINE 11	A JOINT CHNA WAS CONDUCTED FOR THE FOUR ACUTE MAIN LINE HEALTH HOSPITALS; BRYN MAWR HOSPITAL, LANKENAU HOSPITAL, PAOLI HOSPTIAL, AND RIDDLE MEMORIAL HOSPITAL. A SEPARATE CHNA WAS CONDUCTED FOR BRYN MAWR REHABILITATION HOSPITAL (BMRH). SUBSEQUENTLY, IMPLEMENTATION PLANS, TO ADDRESS THE COMMUNITY NEEDS IDENTIFIED FOR EACH OF THE HOSPITALS, WERE ADOPTED. THE IMPLEMENTATION PLANS ARE DIRECTED TO ADDRESS THE MOST PRESSING NEEDS OF THE COMMUNITY, AND THOSE AREAS WHICH PRESENTED THEMSELVES CONSISTENTLY THROUGHOUT OUR FINDING. WITH THAT IN MIND, NOT ALL IDENTIFIED NEEDS WERE ADDRESSED SPECIFICALLY FOR A VARIETY OF REASONS THAT ARE DESCRIBED IN DETAIL IN THE TWO MAIN LINE HEALTH HOSPITALS CHNA IMPLEMENTATION PLANS. SOME NEEDS ARE ADDRESSED WITHIN OTHER SELECTED PRIORITIES (LUNG DISEASE IN CANCER), OR BY A MAIN LINE HEALTH SYSTEM PARTNER (ARTHRITIS BY BMRH AND PEDIATRICS BY THE NEMOURS FOUNDATION). THE SERVICE AREAS OF THE ACUTE HOSPITALS AND BMRH OVERLAP TO A LARGE EXTENT, THE ACUTE CARE HOSPITALS FOCUSED ON THE OVERAL HEALTH OF THE COMMUNITY WHILE BMRH FOCUSED IT RESOURCES ON MEETING NEEDS OF PATIENTS WHO MIGHT EXPERIENCE A NEED FOR REHABILIATION SERVICES. NEITHER IMPLEMENTATION PLAN ADDRESSED "AVAILABILITY OF LOW COST INSURANCE"COST OF PRESCRIPTIONS," HOWEVER, MLH HOSPITALS HAVE A CHARITY CARE POLICY TO HELP PATIENTS IN THIS REGARD (www.mainlinehealth.org/charitycare).
PART V, LINE 16A & 16B	www.mainlinehealth.org/charitycare PART V, LINE 16G 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 ROOM, REGISTRATION AREAS, ADMISSION AREAS, AND STATEMENTS REGARDING THE FINANCIAL ASSISTANCE POLICIES ON BILLING STATEMENTS.
PART V, LINE 22D	A MINIMUM DISCOUNT OF 40% OFF TOTAL CHARGES WILL BE APPLIED WITH A MAXIMUM LIABILITY OF $1,000 FOR EMERGENCY DEPARTMENT SERVICES FOR THOSE WHO ARE TREATED AND RELEASED.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?10
Name and address		Type of Facility (describe)
1	Main Line Health Center-Lawrence Park 1991 Sproul Road Broomall,PA19008	General medical & surgical
2	Main Line Health Center-Collegeville 599 Arcola Road Collegeville,PA19426	General medical & surgical
3	Main Line Health Center-Exton 154 Exton Square Parkway Exton,PA19341	General medical & surgical
4	Main Line Health Center-Newtown Square 3855 West Chester Pike Newtown Square,PA19073	General medical & surgical
5	Main Line Health Center-Shannondell 1000 Shannondell Drive Audubon,PA19403	General medical & surgical
6	ADTC - Drexel Hill 401 Pilgrim Lane Suite 100 Drexel Hill,PA19026	General medical & surgical
7	ADTC - Exton 479 Thomas Jones Way Suite 300 Exton,PA19341	General medical & surgical
8	Bryn Mawr Hospital PM&R 780 Lancaster Avenue Wayne,PA19087	General medical & surgical
9	Lankenau Hospital OP Rehab 308 Lancaster Avenue Wynnewood,PA19096	General medical & surgical
10	Bryn Mawr Hospital Breast Center 101 S Bryn Mawr Avenue Bryn Mawr,PA19010	General medical & surgical

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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 2	A PROVISION FOR BAD DEBT EXPENSE IS ACCRUED IN THE FINANCIAL STATEMENTS OF MAIN LINE HOSPITALS, INC. BASED UPON THE BALANCES OF UNPAID, SELF-PAY AGED PATIENT ACCOUNTS RECEIVABLE OUTSTANDING AT THE END OF THE YEAR. FOR THE FISCAL YEAR PRESENTED, IN ACCORDANCE WITH GUIDANCE FROM THE FINANCIAL ACCOUNTING STANDARD BOARD, MAIN LINE HOSPITALS, INC. HAS PRESENTED THE PROVISION OF BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE AS A DEDUCTION FROM PATIENT SERVICE REVENUE ON OUR COMBINED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. FOR THE FISCAL YEAR PRESENTED, MAIN LINE HOSPITALS, INC.'S ALLOWANCE FOR DOUBTFUL ACCOUNTS INCREASED BY PROVISION FOR BAD DEBTS OF $26,651,000 (CHARGES) AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS DECREASED DUE TO WRITE-OFFS OF $28,600,000 (CHARGES).
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 11 OF THE ATTACHED MAIN LINE HEALTH SYSTEM AND AFFILIATES CONSOLIDATED AUDITED FINANCIAL STATEMENTS. "MLHS records an allowance for doubtful accounts for estimated losses resulting from non-payment from patients. MLHS accounts for uncollectible balances from third-party commercial insurers as reductions to net patient service revenue rather than a provision for bad debt. Management routinely evaluates patient account collection history, economic conditions, and trends in health care coverage in determining the sufficiency of the allowance for doubtful accounts and provision for bad debts. Accounts receivable are written off against the allowance for doubtful accounts when management determines that recovery is unlikely and collection efforts cease. The allowance for doubtful accounts increased by provisions for bad debt of $37,983,000 and $45,539,000 in 2016 and 2015, respectively. The allowance for doubtful accounts decreased due to write-offs, net of recoveries, of $38,993,000 and $45,315,000 in 2016 and 2015, respectively."
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 THE ELDERLY AND 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 $96 MILLION AND ACCOUNTED FOR 25.4% OF HOSPITAL NET REVENUES. THE HOSPITAL CONTINUES TO PROVIDE QUALITY HEALTHCARE TO THE ELDERLY OF OUR COMMUNITY, 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 BACK TO THE FINANCIAL COUNSELING AREA FOR ASSISTANCE WITH THE REQUIRED DOCUMENTATION TO DETERMINE ELIGIBILITY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. PAYMENT OPTIONS FOR EXTENDED, INTEREST FREE PAYMENT PERIODS ARE OFFERED AS AN ALTERNATIVE FOR REMAINING PATIENT BALANCES. 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	IN ADDITION TO CONDUCTING THE TWO CHNAS THE MAIN LINE HEALTH HOSPTIALS (BRYN MAWR HOSPTIAL (BMH), LANKENAU HOSPTIAL (LH), PAOLI HOSPITAL (PH), AND RIDDLE MEMORIAL HOSPITAL (RMH) AND BRYN MAWR REHABILITATION HOSPITAL (BMRH)), EACH HOSPITAL HAS A COMMUNITY HEALTH SERVICES (CHS) DEPARTMENT THAT CONTINUALLY ASSESSES AND ACTIVELY ENGAGES THE COMMUNITY IN HEALTH PROMOTION AND OUTREACH ACTIVITIES. MOST OF THE MLH CHS DIRECTORS, HOLD BOARD POSITIONS ON A NUMBER OF EXTERNAL COMMUNITY ORGANIZATIONS WHICH KEEP MLH CONTINUALLY INFORMED ABOUT THE HEALTH NEEDS OF THE COMMUNITY. HOSPITAL ADMINISTRATORS, MLH PHYSICIAN LEADERS, INPATIENT CASE MANAGERS AND OUTREACH COORDINATORS ALSO COLLABORATE WITH COMMUNITY PHYSICIANS, AMBULANCE SERVICES AND OTHER COMMUNITY SERVICES TO ASSESS AND RESPOND TO SPECIFIC COMMUNITY NEEDS. ADDITIONALLY, MLH HOSPITALS HAVE AN ACTIVE ROLE WITH KEY COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY, AMERICAN CANCER SOCIETY, COUNTY SENIOR SERVICES AND COUNTY AND LOCAL HEALTH DEPARTMENTS, ALL CONTRIBUTING TO THE ASSESSMENT OF COMMUNITY HEALTH NEEDS. THE MAIN LINE HEALTH ACUTE HOSPITALS IDENTIFIED ELEVEN NEED PRIORITIES; ONE OR MORE OF THE HOSPITALS ARE ALLOCATING RESOURCES TO ADDRESS THOSE NEEDS. BMRH IDENTIFIED FIVE NEED PRIORITIES. VARIOUS INITIATIVES FOR HEALHLY WEIGHT / DIABETES, HEART HEATH / STROKE, METABOLIC SYNDROME, BEHAVIORAL HEALTH, INJURY PREVENTION, SENIORS AND CULTURE / DISPARITIES OF CARE ARE CONDUCTED AT THE MAIN LINE HEALTH SYSTEM LEVEL. THE MAIN LINE HEALTH HOSPITALS FOCUSED ON VARIOUS INITIATIVES TO SPECIALLY ADDRESS COMMUNITY HEALTH IMPROVEMENT AT VARIOUS HOSPITALS. THE CHS DIRECTORS OF THE FIVE MAIN LINE HEALTH HOSPITALS HAVE FORMED A SYSTEM-WIDE "CHS AFFINITY GROUP." THE GROUP WHICH INCLUDES THE DIRECTORS AND KEY STAFF MEETS QUARTERLY. THE PURPOSE OF THE GROUP IS TO COORDINATE COMMUNITY HEALTH SERVICES PROVIDED TO THE VARIED COMMUNITIES AND POPULATIONS SERVED BY THE HOSPITALS. BMH FOCUSED ON SEVEN GOALS COVERING SENIOR HEALTH, CANCER, OBESITY AND CARDIOVASCULAR DISEASE. BMH STAFF CHAIRED THE MLH OBESITY WORK GROUP WHICH CREATED AND DISTRIBUTED A WEIGHT AND WELLNESS RESOURCE GUIDE FOR MLH PHYSICIANS. BMH NOW SPONSORS FALLS PREVENTION CLASSES FOR SENIORS; FALLS ARE A LEADING CAUSE OF ED TRAUMA INVOLVING SENIORS IN LOCAL EMERGENCY ROOMS. BMH ALSO HAS FREE HEALTH SCREENINGS AT LOCAL SENIOR CENTERS WHICH HAS RESULTED IN SEVERAL INDIVIDUALS IDENTIFIED WITH A SERVERE CONDITION THAT WAS REFERRED FOR IMMEDIATE MEDICAL ATTENTION. THE LH SERVICE AREA INCLUDES WEST PHILADELPHIA, AN AREA THAT IS SIGNIFICANTLY DIFFERENT (POORER, LOWER HEALTH STATUS, ETC.) FROM MANY OF THE COMMUNITIES SERVED BY MAIN LINE HOSPITALS. LH IS THE EXCLUSIVE HOSPITAL PARTNER OF THE FOOD TRUST, A NON-PROFIT ORGANIZATION THAT MANAGES MARKETS IN UNDERSERVED PHILADELPHIA COMMUNITIES TO ENSURE THE AVAILABILITY OF AFFORDABLE, HEALTHY FOODS. LH CLINIC PHYSICIANS PROVIDE "PHILLY FOOD BUCKS" TO CLINIC PATIENTS THAT CAN BE REDEEMED FOR FRESH FRUITS AND VEGETABLES AT ANY FOOD TRUST FARMERS MARKET. "FOOD BUCKS" ARE TRACKED TO MEASURE HEALTH IMPROVEMENT IN CLINIC PATIENTS. LH PARTICIPATES IN THE "GOOD FOOD, HEALTHY HOSPTIALS" INITIATIVE, DEVELOPED BY THE COMMON MARKET AND GET HEALTHY PHILLY. LH IS COMMITMENT TO INCORPORATING LOCAL PRODUCE INTO THE PRIMARY CARE SETTING AND CAFETERIA FARM STAND TO MAKE A DIRECT CONNECTION BETWEEN NUTRITION AND HEALTH FOR PATIENTS AND VISITORS. THE LOCAL PRODUCE IS PROVIDED FROM THE DELEMA G. DEAVER WELLNESS FARM, MANAGED BY GREENER PARTNERS AND LOCATED ON LH CAMPUS, AND THROUGH A COLLABORATION BETWEEN LH, ARAMARK AND THE COMMON MARKET. THE GOOD FOOD, HEALTHY HOSPITALS IS A FOUR-YEAR, GOVERNMENT-FUNDED PROGRAM WITH A GOAL OF TRANSFORMING PHILADELPHIA'S HOSPITAL FOOD ENVIRONMENT AND BRINGING HEALTHIER OPTIONS TO EMPLOYEES, PATIENTS AND VISITORS EVERY DAY. THE GARDEN WILL PRODUCE ABOUT 2,000 POUNDS OF ORGANIC VEGETABLES PER YEAR FOR EDUCATIONAL PROGRAMS, PATIENTS AND LOCAL FOOD BANKS. IN ADDITION TO PROVIDING FRESH PRODUCE FOR PATIENTS AND MEMBERS OF THE COMMUNITY, THE HALF-ACRE DELEMA G. DEAVER WELLNESS FARM SERVES AS A HANDS-ON EDUCATIONAL CENTER FOR THOUSANDS OF STUDENTS WHO VISIT LANKENAU MEDICAL CENTER'S HEALTH EDUCATION CENTER. THE LH OB CLINIC IS ADDRESSING AN EXPRESSED COMMUNITY NEED (AS DETERMINED BY MLH DISPARITY OF CARE RESEARCH AND THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH) TO PROVIDE FREE LONG ACTING REPRODUCTIVE CONTRACEPTIVES (LARC) TO ELIGIBLE PATIENTS. LH ALSO WORKS CLOSELY WITH THE LOCAL JEWISH COMMUNITY TO MEET THE CULTURAL HEALTH NEEDS OF THIS COMMUNITY SUBPOPULATION. PH CONTINUED ITS MISSION TO PROVIDE FREE CARE TO PATIENTS OF THE CLINIC (PHOENIXVILLE, PA) AND COMMUNITY VOLUNTEERS IN MEDICINE (WEST CHESTER, PA). PH CONDUCTED A FOCUS GROUP OF LOCAL SENIORS TO CLARIFY UNMET NEEDS IN THE SENIOR POPULATION. PH PROVIDES VARIOUS COMMUNITY EDUCATION SESSIONS FOR ADULTS AND CHILDREN TO PROMOTE HEALTHY EATING AND NUTRITION. RECENT RESEARCH INDICATES THAT THE PERCENTAGE OF CHILDREN IDENTIFIED AS OBESE IN CHESTER COUNTY HAS DECLINED FOR THE FIRST TIME AFTER MANY YEARS OF INCREASES. AS THE DESIGNED TRAUMA CENTER FOR CHESTER COUNTY, PA, PH CONDUCTS VARIOUS INJURY PREVENTION CLASSES INCLUDING A CHNA PRIORITY OF PREVENTING FALLS AT HOME AMONG THE ELDERLY. THE RMH SERVICE AREA HAS A LARGE POPULATION OF PERSONS OVER AGE 65. RH SPONSORS A VARIETY OF SENIOR PROGRAMS (SENIOR SUPPERS, MATURE SAFE DRIVING) ALONG WITH A PROGRAM TO REDUCE FALLS AT HOME AMONG SENIORS. RH HAS A FOCUS ON RISK FACTORS (SMOKING CESSATION, BLOOD PRESSURE SCREENINGS) THAT LEAD TO CARDIOVASCULAR DISEASE. AND FINALLY, RMH OFFERS FREE MAMMOGRAMS TO UNINSURED AND UNDERINSURED WOMEN THROUGH A PARTNERSHIP WITH A LOCAL FOUNDATION. BMRH HAS FOCUSED THE ON COMMUNITY EDUCATION FOR THE PREVENTION AND TREATMENT OF STROKES, CONCUSSIONS AND BRAIN TRAUMA. BMRH STAFF PROVIDES NUMEROUS FREE COMMUNITY HEALTH PROGRAMS AT SENIOR CENTERS AND TO COMMUNITY GROUPS. BMRH PRESENTED ITS AWARD WINNING CRUISIN' SMART PROGRAM TO OVER 25,000 HIGH SCHOOL STUDENTS DURING THE YEAR. BMRH NOW PARTNERS THE CRUISIN SMART PROGRAM WITH THE MOCK CRASH PROGRAM OF THE MAIN LINE (ACUTE) HOPSITALS. STUDENT AND COMMUNITY FEEDBACK ON THESE PROGRAMS IS EXCELLENT. IN SUMMARY, THE MAIN LINE HOSPITALS WERE VERY ACTIVE IN ENGAGING THEIR COMMUNITIES TOWARD LIVING HEALTHY LIFESTYLES AND IN IMPROVING THE COMMUNITY'S HEALTH. THESE ACTIVITIES WERE OFTEN DONE IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS. IN TOTAL, THE HOSPITALS PROVIDED OVER 1,100 COMMUNITY HEALTHCARE EVENTS REACHING ALMOST 49,000 COMMUNITY MEMBERS. ABOUT 7,000 OF THOSE CONTACTS WITH COMMUNITY MEMBERS OCCURRED IN WEST PHILADELPHIA. IN ADDITION, MLH COMPLETED ITS 5TH ANNUAL HEALTH CARE DISPARITIES COLLOQUIUM WITH PRESENTATION OF RESEARCH EXPLORING POTENTIAL DISPARITIES OF CARE IN THE COMMUNITIES SERVED BY MLH HOSPITALS. THE HEALTH EDUCATION CENTER AT LH HOSTED 7,000 CHILDREN AND 3,000 ADULTS IN EDUCATION SESSIONS ON THE FUNDAMENTALS OF THE HUMAN BODY AND TAKING CARE OF IT. FINALLY, IN ADDITION TO THE VARIOUS COMMUNITY AND POPULATION HEALTH IMPROVEMENT PROJECTS UNDERTAKEN BY THE MAIN LINE HOSPITALS DURING THE TIMEFRAME (2014 / 2015 / 2016) OF THE FIRST CHNA, MAIN LINE HOSPITALS SPONSORED ALMOST 3,300 COMMUNITY EVENTS IMPACTING 186,000 RESIDENTS OF THE SERVICE AREAS. LH, WITH A FOCUS ON WEST PHILADELPHIA, IMPACTED ALMOST 21,000 LIVES WITH COMMUNITY HEALTH ACTIVITIES IN THIS SERVICE AREA. SPONSORED ALMOST 3,300 COMMUNITY EVENTS IMPACTING 186,000 RESIDENTS OF THE SERVICE AREAS. LH, WITH A FOCUS ON WEST PHILADELPHIA, IMPACTED ALMOST 21,000 LIVES WITH COMMUNITY HEALTH ACTIVITIES IN THIS SERVICE AREA.
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 RELATED 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. 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 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 (75%) ARE PROVIDED. MLH FINANCIAL COUNSELORS ASSIST PATIENTS WITH THE CHARITY CARE/FINANCIAL ASSISTANCE APPLICATION. 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 $5,589,444 FOR THE FISCAL YEAR ENDED JUNE 30, 2016. THESE AMOUNTS DO NOT INCLUDE THE PROVISION FOR BAD DEBTS, AMOUNTING TO $26,650,938 (GROSS). THIS AMOUNT REFLECTED AT COST IS $4,554,882. MANAGEMENT ESTIMATES THAT THE COST ASSOCIATED WITH SERVICES FOR CHARITY CARE PROVIDED BY MLH SYSTEM APPROXIMATED $6,021,827 FOR THE FISCAL YEAR ENDED JUNE 30, 2016. THIS AMOUNT DOES NOT INCLUDE THE PROVISION FOR BAD DEBTS, AMOUNTING TO $31,774,506 (GROSS). THIS AMOUNT REFLECTED AT COST IS $5,246,332. 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 EXCEEDED REIMBURSEMENT BY $15,879,644 IN THE FISCAL YEAR ENDED JUNE 30, 2016 FOR MAIN LINE HOSPITALS, INC. THE COST OF PROVIDING SUCH SERVICES TO ELIGIBLE WELFARE RECIPIENTS EXCEEDED REIMBURSEMENT BY $20,344,625 IN THE FISCAL YEAR ENDED 2016 FOR MLH SYSTEM. IN TOTAL, MAIN LINE HOSPITALS, INC. RECEIVED APPROXIMATELY 30.2 PERCENT OF ITS NET REVENUE FROM GOVERNMENT PROGRAMS IN FY2016. THE LOSS INCURRED IN PROVIDING HEALTHCARE SERVICES TO PATIENTS OF GOVERNMENT PROGRAMS APPROXIMATED $112,644,678 AS DETAILED ON SCHEDULE H, PART I, LINE 7B(E) AND PART III, LINE 7. IN ACCORDANCE WITH THE MLH CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, MLH PROVIDES FINANCIAL ASSISTANCE IN THE FORM OF DISCOUNTS TO UNINSURED PATIENTS. THE AMOUNT OF FINANCIAL ASSISTANCE PROVIDED BY MAIN LINE HOSPITALS, INC. FOR THE FISCAL YEAR ENDED JUNE 30, 2016 APPROXIMATED $23,033,114. THIS AMOUNT REFLECTED AT COST IS $3,889,083. THE AMOUNT OF FINANCIAL ASSISTANCE PROVIDED BY MLH SYSTEM, FOR THE FISCAL YEAR ENDED JUNE 30, 2016, APPROXIMATED $27,131,176. THIS AMOUNT REFLECTED AT COST IS $4,448,992. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, MLH SYSTEM MEMBERS PROVIDE 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 $13,672,911 FOR MAIN LINE HOSPITALS, INC. AND $15,600,888 FOR MLH SYSTEM IN THE FISCAL YEAR ENDED JUNE 30, 2016. THIS AMOUNT FOR MAIN LINE HOSPITALS, INC. NET OF DIRECT OFF-SETTING REVENUE IS $12,695,096. 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 $3,838,262 IN NET COST. SPECIFICALLY FOR MAIN LINE HOSPITALS, INC, THESE SERVICES AMOUNTED TO $3,138,572 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	GENERAL GEOGRAPHY: MAIN LINE HEALTH (MLH) INCLUDING ITS FOUR ACUTE CARE HOSPITALS - BRYN MAWR HOSPITAL (BMH), LANKENAU HOSPITAL (LH), PAOLI HOSPITAL (PH) AND RIDDLE MEMORIAL HOSPITAL (RMH) AND ITS REHABILITATION HOSPITAL, BRYN MAWR REHABILITATION HOSPITAL (BMRH) ARE LOCATED IN AND SERVE POPULATIONS WITHIN CHESTER, DELAWARE, MONTGOMERY COUNTIES AND THE WESTERN AREA OF PHILADELPHIA COUNTY (CITY). A JOINT COMMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FOR THE FOUR MLH ACUTE HOSPITALS. THE JOINT CHNA SERVICE AREA WAS DIVIDED INTO THREE GEOGRAPHIC SUBAREAS SUBURBAN, NORTHWEST PHILADELPHIA AND WEST PHILADELPHIA. THE THREE SUBAREAS REPRESENT THREE DISTINCT SOCIO-DEMOGRAPHIC POPULATIONS SERVED BY THE ACUTE CARE HOSPITALS. A SEPARATE CHNA WAS CONDUCTED FOR THE BMRH BECAUSE OF THE SPECIFIC HEALTH NEEDS OF ITS PATIENTS AS A PROVIDER OF REHABILATION SERVICES AND BECAUSE OF ITS EXTENDED SERVICE AREA AS THE LONE REHABILITATION HOSPITAL IN THE WESTERN PHILADELPHIA SUBURBS. DEMOGRAPHICS: THE TOTAL POPULATION OF THE COMMUNITY SERVICE AREAS FOR THE FOUR ACUTE HOSPITALS WAS 1,323,650 IN FY 2015 AND IS PROJECTED TO INCREASE BY 1.6% THROUGH 2020. THE TOTAL POPULATION FOR THE BMRH COMMUNITY SERVICE AREA WAS 1,196,023 IN 2015 AND IS EXPECTED TO INCREASE 1.6% BY 2020. SOCIO-DEMOGRAPHICS: BMH, PH, RMH AND BMRH MAINLY SERVE POPULATIONS IN THE THREE SUBURBAN COUNTIES THAT ARE GENERALLY AFFLUENT WITH SOME POCKETS OF POVERTY. OVERALL THERE ARE HIGHER AVERAGE HOUSEHOLD AND MEDIAN INCOMES AND MORE EDUCATION AS COMPARED TO SOUTHEAST PA. EACH MAIN LINE HEALTH HOSPITAL HAS A VERY ACTIVE COMMUNITY HEALTH SERVICES (CHS) DEPARTMENT THAT PROVIDES OUTREACH, EDUCATION AND IN SOME AREAS CLINIC SUPPORT FOR THE LOWER SOCIOECONOMIC AND VULNERABLE POPULATIONS. MANY OF THESE OUTREACH ACTIVITIES ARE LISTED IN THE CHNA IMPLEMENTATION. LH SERVES PARTS OF THE SUBURBAN SUBAREA AS WELL AS THE NORTHWEST PHILADELPHIA AND WEST PHILADELPHIA. THE WEST PHILDALEPHIA SUBAREA HAS SIGNIFICANT POVERTY AND HIGHER RATES OF SELF REPORTED FAIR OR POOR HEALTH STATUS THAN THE OTHER TWO SUBAREAS. THE HEALTH RANKINGS OF PENNSYLVANIA COUNTIES LIST CHESTER AND MONTGOMERY COUNTIES AS AMONG THE TOP THREE HEALTHIEST COUNTIES IN THE STATE AND PHILADELPHIA COUNTY 67TH (LAST); DELAWARE COUNTY RANKS AMONG THE TOP GROUP IN HEALTH FACTORS BUT 35TH FOR HEALTH OUTCOMES. LH PROVIDES CLINIC CARE THAT ATTRACTS PATIENTS FROM WEST PHILADELPHIA AND HAS MULTIPLE OUTREACH INITIATIVES TO ADDRESS THE NEEDS IN WEST PHILADELPHIA. THE CHNA PROVIDES SPECIFIC DATA FOR THE WEST PHILADELPHIA SUBAREA. WHILE PH SERVES A RELATIVELY AFFLUENT COMMUNITY, PH PROVIDES FREE CARE OF INDIGENT PATIENTS FROM TWO COMMUNITY HEALTH CENTERS, THE CLINIC (PHOENIXVILLE, PA) AND COMMUNITY VOLUNTEERS IN MEDICINE (WEST CHESTER, PA). FOR ALL OF THE MAIN LINE HEALTH HOSPITALS' CHNA SERVICE AREAS, THE LARGEST CURRENT AGE SEGMENT IS 18 TO 44 YEARS OF AGE FOLLOWED BY THE 45 TO 64 AGE SEGMENT. HOWEVER, THE POPULATION WITH THE GREATEST PERCENTAGE CHANGE FROM 2012 TO 2017 IS THE 65 PLUS AGE SEGMENT. CENSUS DATA INDICATES THAT THE SUBURBAN SUBAREA SERVED BY MAIN LINE HEALTH HOSPITALS HAS HOUSEHOLDS WITH HIGHER MEDIAN INCOMES AND HAVE MORE ADULTS WITH A COLLEGE EDUCATION THAN SEPA BENCHMARKS. CHNA SERVICE AREAS: POPULATION; MEDIAN INCOME; %ADULTS WITH COLLEGE DEGREE, SUBURBAN: 1,005,978; $81,624; 48% NORTHWEST PHILADELPHIA: 52,971; $59,430; 43% WEST PHILADELPHIA: 264,701; $28,844; 21% TOTAL ACUTE HOSPITALS: 1,323,650; N/A; 29% BRYN MAWR REHAB HOSPITAL: 1,196,023; $78,844; 45% RACE/ETHNICITY: THE MAJORITY OF THE ACUTE HOSPITALS SUBURBAN AND NW PHILADELPHIA SUBAREAS AND THE BMRH SERVICE AREA POPULATIONS ARE CAUCASIAN. THE WEST PHILADELPHIA SUBAREA POPULATION, SERVED BY LH, IS PREDOMINATELY AFRICAN AMERICAN. THE POPULATION SERVED SPECIFICALLY BY PH HAS A GROWING SOUTH ASIAN POPULATION. MAIN LINE HEALTH 2015 RACE/ETHNICITY: %CAUCASIAN, %AFRICAN AMER, %ASIAN, %HISPANIC, %OTHER SUBURBAN: 76.3%, 11.2%, 6.6%, 3.9%, 2.0% NORTHWEST PHILADELPHIA: 78.6%, 12.6%, 3.0%, 3.6%, 2.4% WEST PHILADELPHIA: 15.5%, 72.2%, 5.9%, 3.5%, 2.9% TOTAL ACUTE HOSPITALS: 64.5%, 23.5%, 6.3%, 3.8%, 2.2% BRYN MAWR REHAB HOSPITAL: 74.0%, 12.0%, 6.0%, 6.0%, 2.0% WHILE SOCIO-DEMOGRAPHIC DATA AND HEALTH STATUS HAVE CHANGED SINCE THE CHNA WAS PREPARED, THE REPORTED CHNA DATA REMAINS AN ACCUARATE REFLECTION OF THE BMRH AND MAIN LINE HOSPITALS' SERVICE AREAS. AS NOTED THERE ARE POCKETS OF LOWER SOCIOECONOMIC AND POORER HEALTH STATUS THAT HAVE BEEN IDENTIFIED IN THE SUBURBAN COMMUNITIES SERVED BY THE MLH HOSPITALS. THESE SUB-COMMUNITIES ARE NOT NECESSARILY REFLECTED IN THE OVERALL AREA DATA SETS. HOWEVER, VIA COMMUNITY INPUT AND OUTREACH, THESE COMMUNITIES ARE BEING ADDRESSED THROUGH THE HOSPITALS COMMUNITY SERVICES DEPARTMENTS AND THE CHNA IMPLEMENTATION PLANS. THE MAIN LINE HEALTH CHNAS AND CHNA IMPLEMENATION PLANS ARE LOCATED ON THE MLH WEBSITE, URL: https://www.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, 367 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 TWO-DAY, OFF-CAMPUS 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 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 10,000 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 (49%), Jefferson University and Hospitals (49%), and Magee Rehab (2%). DVACOs 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 regions largest Medicare ACO with more than 670 primary care physicians and over 100,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds three performance based contracts with private payers - enhancing DVACOs total number of beneficiaries to approximately 200,000 - 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 34,000 of the Medicare attributed lives. MAIN LINE HEALTH HOSPITALS BRYN MAWR HOSPITAL, BRYN MAWR, PA. BRYN MAWR HOSPITAL (BMH), A MEMBER OF MAIN LINE HEALTH, IS A 319-BED, NOT-FOR-PROFIT ACUTE-CARE TEACHING HOSPITAL DEDICATED TO HELPING THE COMMUNITY STAY WELL AHEAD ON THE PATH TO LIFE-LONG HEALTH. THE HOSPITAL HAS ACHIEVED MAGNET DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC), THE NATION'S HIGHEST AWARD FOR RECOGNIZING EXCELLENCE IN NURSING CARE, AND HAS BEEN NATIONALLY RECOGNIZED BY PRESS GANEY, THOMSON REUTERS (NOW TRUVEN ANALYTICS), THE JOINT COMMISSION AND OTHER HEALTHCARE RATINGS ORGANIZATIONS FOR ITS HIGH QUALITY PATIENT CARE. THE HOSPITAL WAS NAMED AMONG US NEWS & WORLD REPORT'S BEST HOSPITALS in THE PHILADELPHIA METRO AREA. THE HOSPITAL OFFERS A FULL RANGE OF SERVICES, INCLUDING CANCER CARE, ORTHOPEDIC CARE, CARDIOVASCULAR CARE, MATERNITY CARE, BARIATRICS, NEUROVASCULAR AND A LEVEL III NEONATAL INTENSIVE CARE UNIT, ALL AIDED BY A DEDICATED TEAM OF HEALTH CARE PROFESSIONALS AND INNOVATIVE TECHNOLOGY SUCH AS THE DA VINCITM SURGICAL SYSTEM'S ROBOTIC TECHNOLOGY AND RIO ROBOTIC ARM INTERACTIVE ORTHOPEDIC SYSTEM. BRYN MAWR HOSPITAL HAS COLLABORATED WITH NEMOURS/ALFRED I. DUPONT HOSPITAL FOR CHILDREN TO INCLUDE ROUND-THE-CLOCK PEDIATRIC CARE FOR THE PEDIATRIC INPATIENT UNIT AND IN THE PEDIATRIC EMERGENCY DEPARTMENT WITH ADDITIONAL BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS. 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 DEDICATED TO HEALING AND COMFORTING THE COMMUNITY WITH A WARM, PERSONAL TOUCH FOR OVER 150 YEARS. LOCATED ON A 93-ACRE SUBURBAN CAMPUS JUST OUTSIDE OF PHILADELPHIA, THE 370-BED, NOT-FOR-PROFIT TEACHING HOSPITAL INCLUDES ONE OF THE NATION'S LEADING CARDIOVASCULAR CENTERS; THE LANKENAU INSTITUTE OF MEDICAL RESEARCH, ONE OF THE FEW FREESTANDING HOSPITAL-ASSOCIATED RESEARCH CENTERS IN THE NATION; AND OFFERS STATE-OF-THE-ART SERVICES IN CANCER CARE, DIGESTIVE HEALTH CARE, HEART CARE, LUNG CARE, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDIC CARE, PEDIATRIC CARE AND MATERNITY CARE. LANKENAU HAS BEEN NAMED AMONG US NEWS & WORLD REPORT'S BEST HOSPITALS IN THE PHILADELPHIA METRO AREA FOR DIGESTIVE HEALTH, GERIATRICS, HEART CARE, KIDNEY DISORDERS, NEUROLOGY AND NEUROSURGERY, LUNG CARE AND UROLOGY. LANKENAU HAS ACHIEVED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR STROKE CARE AND BREAST CANCER CARE AND IS ONE OF THE NATION'S TOP PERFORMING HOSPITALS FOR HEART ATTACK, HEART FAILURE, PNEUMONIA AND SURGICAL CARE. THE HOSPITAL HAS ACHIEVED MAGNET DESIGNATION, THE NATION'S HIGHEST AWARD FOR EXCELLENCE IN NURSING CARE. LANKENAU IS RECOGNIZED AS A NATIONAL LEADER IN ADVANCING NEW OPTIONS TO DIAGNOSE AND TREAT ILLNESS, PROTECT AGAINST DISEASE AND SAVE LIVES. FOR MORE INFORMATION ABOUT LANKENAU MEDICAL CENTER, VISIT MAINLINEHEALTH.ORG/LANKENAU. PAOLI HOSPITAL (PH), PAOLI, PA. PAOLI HOSPITAL, A MEMBER OF MAIN LINE HEALTH, IS A 231-BED, NOT-FOR-PROFIT ACUTE CARE HOSPITAL AND LEVEL II REGIONAL TRAUMA CENTER WITH OUTPATIENT FACILITIES IN EXTON AND COLLEGEVILLE. PAOLI HOSPITAL WAS NAMED FOR THE FOURTH TIME AMONG THE NATION'S 100 TOP HOSPITALS BY THOMSON REUTERS (NOW TRUVEN HEALTH ANALYTICS). IT WAS ONE OF ONLY 20 MEDIUM-SIZED COMMUNITY HOSPITALS NATIONWIDE AND THE ONLY HOSPITAL IN PENNSYLVANIA TO MAKE THE LIST IN THIS CATEGORY. PAOLI WAS NAMED AMONG US NEWS & WORLD REPORT'S BEST HOSPITALS IN THE PHILADELPHIA METRO AREA FOR EXCELLENCE IN FIVE SPECIALTIES INCLUDING ORTHOPEDICS, GERIATRICS, NEPHROLOGY, GASTROENTEROLOGY AND UROLOGY AND IS A MULTI-YEAR RECIPIENT OF THE PREMIER "AWARD FOR QUALITY" FOR PROVIDING OUTSTANDING PATIENT CARE AND MAINTAINING OPERATIONAL EFFICIENCY. PAOLI IS ONE OF ONLY THREE PERCENT OF HOSPITALS NATIONWIDE TO EARN MAGNET DESIGNATION TWICE FOR ITS SUPERIOR NURSING STAFF AND WAS AMONG THE FIRST IN EFFICIENCY, SATISFACTION AND HEALING. FOR MORE INFORMATION ABOUT PAOLI HOSPITAL, VISIT MAINLINEHEALTH.ORG/PAOLI. RIDDLE MEMORIAL HOSPITAL (RMH), MEDIA, PA. RIDDLE MEMORIAL HOSPITAL, A MEMBER OF MAIN LINE HEALTH, IS A NOT-FOR-PROFIT, ACUTE-CARE HOSPITAL FOR 204 INPATIENT BEDS AND 23 TRANSITIONAL CARE CENTER BEDS. RIDDLE HAS BEEN NATIONALLY RECOGNIZED BY THE JOINT COMMISSION, HEALTHGRADES, THE SOCIETY OF CHEST PAIN CENTERS AND OTHER HEALTH CARE RATINGS ORGANIZATIONS FOR ITS HIGH QUALITY PATIENT CARE. THE HOSPITAL OFFERS A FULL RANGE OF SERVICES INCLUDING MATERNITY, ORTHOPEDIC CARE AND CARDIOVASCULAR CARE AIDED BY A DEDICATED TEAM OF HEALTH CARE PROFESSIONALS AND ADVANCED TECHNOLOGY. THE EMERGENCY DEPARTMENT PROVIDES 24-HOUR CARE. HEALTH CENTER 4, A LEED CERTIFIED GOLD BUILDING, HOUSES THE ROTHMAN INSTITUTE, A VARIETY OF OUTPATIENT PROGRAMS AND A NEW STATE OF THE ART SURGICAL CENTER. FOR MORE INFORMATION ABOUT RIDDLE HOSPITAL, VISIT MAINLINEHEALTH.ORG/RIDDLE. BRYN MAWR REHABILITATION HOSPITAL (BMRH), MALVERN, PA. BRYN MAWR REHAB HOSPITAL, A MEMBER OF MAIN LINE HEALTH, IS A LEADER IN THE FIELD OF PHYSICAL MEDICINE AND REHABILITATION. THE 148-BED, NOT-FOR-PROFIT HOSPITAL OFFERS THE FULL CONTINUUM OF REHABILITATION SERVICES, INCLUDING ACUTE INPATIENT CARE, AS WELL AS OUTPATIENT SERVICES FOR ADULTS AND ADOLESCENTS. THE RANGE OF ILLNESSES AND INJURIES TREATED AT BRYN MAWR REHAB HOSPITAL INCLUDES TRAUMATIC, MILD TRAUMATIC AND NON-TRAUMATIC BRAIN INJURY, STROKE AND OTHER NEUROLOGICAL DISORDERS, SPINAL CORD INJURY AND AMPUTEE AND ORTHOPEDIC INJURIES AND ILLNESSES. IN ADDITION, THE MAIN LINE HEALTH OUTPATIENT REHAB NETWORK PROVIDES REHABILITATION SERVICES AT CONVENIENT LOCATIONS IN PHILADELPHIA'S WESTERN SUBURBS FOR PATIENTS OF ALL AGES. FOR MORE INFORMATION ABOUT BRYN MAWR REHAB HOSPITAL, VISIT MAINLINEHEALTH.ORG/REHAB. 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, INC

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
Main Line Hospitals Inc

Employer identification number
23-1352160

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) Lower Merion Township 75 East Lancaster Avenue Ardmore,PA19003			10,000		cost	Lower Merion Library Foundation donation.
(2) ElderNet 9 South Bryn Mawr Avenue Bryn Mawr,PA19010			5,400		cost	Annual donation
(3) KOCOVIC education fund 100 lancaster ave suite 558 wynnewood,PA19096			7,000		cost
(4) Volunteer medical service corps of Narberth 101 Sibley Avenue Ardmore,PA19003	23-6298074	501(C)(3)	6,287		cost
(5) The Clinic 143 Church Street Phoenixville,PA19460	23-3072363	501(C)(3)	30,000		cost
(6) Community Volunteers in Medicine 300B Lawrence Drive West Chester,PA19380	25-1897969	501(c)(3)		19,874	cost

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
Part I, Line 2	The donations were made to community members to assist with their charitAble services within the communities we serve.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Main Line Hospitals Inc

Employer identification number

23-1352160

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1BRIAN T CORBETTSVP, GEN COUNSEL & SECRETARY	(i) (ii)	0 ------------- 412,168	0 ------------- 190,318	0 ------------- 859	0 ------------- 88,159	0 ------------- 31,425	0 ------------- 722,929	0 ------------- 92,989
2JOHN J LYNCH IIICEO & TRUSTEE	(i) (ii)	0 ------------- 996,295	0 ------------- 669,708	0 ------------- 12,754	0 ------------- 422,446	0 ------------- 31,014	0 ------------- 2,132,217	0 ------------- 364,500
3MICHAEL J BUONGIORNOEVP, CFO & TREASURER	(i) (ii)	0 ------------- 556,836	0 ------------- 356,731	0 ------------- 754	0 ------------- 168,931	0 ------------- 31,559	0 ------------- 1,114,811	0 ------------- 192,435
4PHILLIP ROBINSONPRESIDENT, LMC	(i) (ii)	603,197 ------------- 0	319,524 ------------- 0	0 ------------- 0	168,091 ------------- 0	22,596 ------------- 0	1,113,408 ------------- 0	179,005 ------------- 0
5ANDREA GILBERTPRESIDENT, BMH	(i) (ii)	481,664 ------------- 0	254,190 ------------- 0	754 ------------- 0	134,604 ------------- 0	27,216 ------------- 0	898,428 ------------- 0	142,403 ------------- 0
6DONNA PHILLIPSPRESIDENT, BMRH	(i) (ii)	319,610 ------------- 0	172,359 ------------- 0	754 ------------- 0	90,673 ------------- 0	30,576 ------------- 0	613,972 ------------- 0	96,560 ------------- 0
7JAMES PARADISPRESIDENT, PH	(i) (ii)	369,132 ------------- 0	185,650 ------------- 0	0 ------------- 0	105,416 ------------- 0	30,879 ------------- 0	691,077 ------------- 0	98,586 ------------- 0
8RAYMOND BARALDIVP, MEDICAL AFFAIRS	(i) (ii)	316,570 ------------- 0	33,622 ------------- 0	355 ------------- 0	0 ------------- 0	27,051 ------------- 0	377,598 ------------- 0	0 ------------- 0
9JANET NASHVP, PATIENT CARE SERVICES	(i) (ii)	300,437 ------------- 0	46,880 ------------- 0	1,150 ------------- 0	0 ------------- 0	26,357 ------------- 0	374,824 ------------- 0	0 ------------- 0
10ROBERT BENZVP, MEDICAL AFFAIRS	(i) (ii)	287,998 ------------- 0	41,619 ------------- 0	389 ------------- 0	0 ------------- 0	30,527 ------------- 0	360,533 ------------- 0	0 ------------- 0
11BONNIE GRAHAMVP, FINANCE	(i) (ii)	268,439 ------------- 0	51,513 ------------- 0	1,143 ------------- 0	0 ------------- 0	31,352 ------------- 0	352,447 ------------- 0	0 ------------- 0
12MARGARET IACOBACCIDIRECTOR OF NURSING	(i) (ii)	255,145 ------------- 0	46,505 ------------- 0	415 ------------- 0	0 ------------- 0	26,064 ------------- 0	328,129 ------------- 0	0 ------------- 0
13MARIANNE HARKINVP, PATIENT CARE SVCS	(i) (ii)	250,715 ------------- 0	44,919 ------------- 0	1,150 ------------- 0	0 ------------- 0	16,853 ------------- 0	313,637 ------------- 0	0 ------------- 0
14JOHN SCHWARZVP, ADMINISTRATION	(i) (ii)	246,302 ------------- 0	46,076 ------------- 0	389 ------------- 0	0 ------------- 0	29,207 ------------- 0	321,974 ------------- 0	0 ------------- 0
15BRENDA DEFEOVP, ADMINISTRATION	(i) (ii)	241,914 ------------- 0	45,281 ------------- 0	1,143 ------------- 0	0 ------------- 0	26,488 ------------- 0	314,826 ------------- 0	0 ------------- 0
16AJAYA DEVABHAKTUNICHIEF PHYSICIST	(i) (ii)	246,187 ------------- 0	365 ------------- 0	411 ------------- 0	0 ------------- 0	29,473 ------------- 0	276,436 ------------- 0	0 ------------- 0
17DAVID WANGCHIEF PHYSICIST	(i) (ii)	244,991 ------------- 0	360 ------------- 0	389 ------------- 0	0 ------------- 0	28,005 ------------- 0	273,745 ------------- 0	0 ------------- 0
18ROBERT FRIEDVP, MEDICAL AFFAIRS	(i) (ii)	208,932 ------------- 0	33,894 ------------- 0	237 ------------- 0	0 ------------- 0	23,914 ------------- 0	266,977 ------------- 0	0 ------------- 0
19DOUGLAS HUGHESDIR OF NURSING OPS, PAOLI HOSP	(i) (ii)	197,466 ------------- 0	34,994 ------------- 0	1,151 ------------- 0	0 ------------- 0	28,311 ------------- 0	261,922 ------------- 0	0 ------------- 0
20LYNNE STILLEYVP, ADMINISTRATION	(i) (ii)	192,377 ------------- 0	32,564 ------------- 0	1,149 ------------- 0	0 ------------- 0	19,219 ------------- 0	245,309 ------------- 0	0 ------------- 0
21AHMED NAWAZCHIEF PHYSICIST	(i) (ii)	215,690 ------------- 0	360 ------------- 0	1,605 ------------- 0	0 ------------- 0	26,497 ------------- 0	244,152 ------------- 0	0 ------------- 0
22ELENA CASANOVA-GHOSHNURSE PRACTITIONER - VAD	(i) (ii)	164,644 ------------- 0	45,616 ------------- 0	1,624 ------------- 0	0 ------------- 0	26,347 ------------- 0	238,231 ------------- 0	0 ------------- 0
23ALBERT CELIDONIODIRECTOR, PHARMACY	(i) (ii)	183,401 ------------- 0	23,707 ------------- 0	395 ------------- 0	0 ------------- 0	22,231 ------------- 0	229,734 ------------- 0	0 ------------- 0
24CRAIG GOLDBERGSENIOR PHYSICIST	(i) (ii)	203,337 ------------- 0	361 ------------- 0	1,606 ------------- 0	0 ------------- 0	26,351 ------------- 0	231,655 ------------- 0	0 ------------- 0
25FRANCES DIEGNANADMIN DIR, IMAGING/DIAGNOSTICS	(i) (ii)	177,230 ------------- 0	23,179 ------------- 0	1,598 ------------- 0	0 ------------- 0	17,383 ------------- 0	219,390 ------------- 0	0 ------------- 0
26WILLIAM GROCHOWSKIDIRECTOR, PHARMACY	(i) (ii)	169,991 ------------- 0	22,201 ------------- 0	6,389 ------------- 0	0 ------------- 0	25,025 ------------- 0	223,606 ------------- 0	0 ------------- 0
27DAVID PHILLIPSEXEC DIR, DEVELOPMENT	(i) (ii)	172,758 ------------- 0	22,236 ------------- 0	1,156 ------------- 0	0 ------------- 0	26,041 ------------- 0	222,191 ------------- 0	0 ------------- 0
28HARDING WILLIAMSDIRECTOR, PHARMACY	(i) (ii)	168,492 ------------- 0	20,670 ------------- 0	398 ------------- 0	0 ------------- 0	25,625 ------------- 0	215,185 ------------- 0	0 ------------- 0
29IVAN SCOTTDIRECTOR OF NURSING	(i) (ii)	164,119 ------------- 0	20,197 ------------- 0	1,604 ------------- 0	0 ------------- 0	25,851 ------------- 0	211,771 ------------- 0	0 ------------- 0
30EILEEN FARLEYADMIN DIR, NURSING	(i) (ii)	164,695 ------------- 0	19,368 ------------- 0	395 ------------- 0	0 ------------- 0	21,161 ------------- 0	205,619 ------------- 0	0 ------------- 0
31GREGORY PAPADIRECTOR, Human Resources	(i) (ii)	160,232 ------------- 0	21,310 ------------- 0	1,624 ------------- 0	0 ------------- 0	15,841 ------------- 0	199,007 ------------- 0	0 ------------- 0
32JOAN GIBSONDirector of Nursing Operations	(i) (ii)	161,433 ------------- 0	20,046 ------------- 0	1,156 ------------- 0	0 ------------- 0	21,489 ------------- 0	204,124 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

FORM 990, SCHEDULE J, PART I, LINE 4B

SERP DISCLOSURE: ON JULY, 1, 2011 MAIN LINE HEALTH, INC. ("MLH") AND ITS AFFILIATES ADOPTED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. UNDER THE TERMS OF THE SERP, MLH WILL FUND THE PLAN USING A PERCENTAGE OF EACH EMPLOYEE'S BASE SALARY AT THE CONCLUSION OF A PREDETERMINED PERFORMANCE PERIOD. THE PERFORMANCE PERIOD IS A TIMEFRAME OF AT LEAST TWELVE MONTHS THAT MAY COVER VARYING LENGTHS OF TIME FOR EACH EMPLOYEE. AMOUNTS EARNED DURING THE PERIOD OF JULY 1, 2015 THROUGH JUNE 30, 2016 ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C), RETIREMENT AND OTHER DEFERRED COMPENSATION.

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.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Main Line Hospitals Inc

Employer identification number

23-1352160

Return Reference	Explanation
PART VI, SECTION A, LINE 2	A BOARD MEMBER'S PROFESSIONAL BUSINESS OF ESTATE PLANNING IS UTILIZED BY CERTAIN OTHER MEMBERS OF THE BOARD, THUS ESTABLISHING A PROFESSIONAL BUSINESS ASSOCIATION.
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 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 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: IN CONJUNCTION WITH AN INDEPENDENT CONSULTING FIRM, MAIN LINE HEALTH SYSTEM UTILIZED NO FEWER THAN THREE EXECUTIVE COMPENSATION SURVEYS IN DETERMINING THE COMPENSATION OF THE MAIN LINE HEALTH CEO. MARKET DATA REPRESENTING FUNCTIONALLY COMPARABLE JOBS WITHIN SIMILARLY SITUATED ORGANIZATIONS WAS USED IN MAKING THESE COMPENSATION DETERMINATIONS. AFTER REVIEW AND DELIBERATION OF THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE BOARD, COMPENSATION RECOMMENDATIONS WERE REVIEWED BY THE FULL BOARD. BASE PAY INCREASES AND ADDITIONAL LONG-TERM INCENTIVE PAYMENTS AS REPORTED ON SCHEDULE J FOR THE PERIOD PRESENTED WERE REVIEWED AND APPROVED BY THE MLH HUMAN RESOURCES & COMPENSATION COMMITTEE, ALONG WITH SHORT-TERM INCENTIVE PAYMENTS INCLUDED AS REPORTABLE COMPENSATION ON SCHEDULE J FOR THE PERIOD PRESENTED. FURTHER, 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 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. FORM 990, 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, 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 $9,484,673 INCREASE IN THE PENSION PROJECTED BENEFIT OBLIGATION($162,569,360) TRANSFERS TO AFFILIATES ($14,923,660) TEMPORARILY RESTRICTED NET ASSET INVESTMENT ACTIVITY ($2,123,957) INCREASE IN PERMANENTLY RESTRICTED INVESTMENT VALUATION($1,471,677) ------------- ($171,603,981) ============= IN ACCORDANCE WITH STATEMENT OF FINANCIAL ACCOUNTING STANDARDS NO. 158, "EMPLOYERS' ACCOUNTING FOR DEFINED BENEFIT PENSION AND OTHER POSTRETIREMENT PLANS".

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Main Line Hospitals Inc

Employer identification number

23-1352160

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) MAIN LINE HEALTH PHYSICIAN PARTNERS LLC 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 81-2054626	HEALTHCARE	PA	0	0	ML HOSPITALS

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)MAIN LINE HEALTH SYSTEM 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 23-2814503	HEALTHCARE	PA	501(C)(3)	11A	NONE		No
(2)MAIN LINE HEALTH INC 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 23-2331531	HEALTHCARE	PA	501(C)(3)	11B	MLHS		No
(3)LANKENAU INSTITUTE FOR MEDICAL RESEARCH 100 LANCASTER AVE WYNNEWOOD,PA19096 23-2175659	HEALTHCARE	PA	501(C)(3)	4	ML HOSPITALS	Yes
(4)MAIN LINE HEALTH HOMECARE AND HOSPICE 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 23-2308028	HEALTHCARE	PA	501(C)(3)	9	MLDS		No
(5)RIDDLE MEMORIAL HOSPITAL 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 23-1529076	HEALTHCARE	PA	501(C)(3)	3	MLH		No
(6)RIDDLE HEALTH CARE SERVICES 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 22-2606545	HEALTHCARE	PA	501(C)(3)	11B	RMH		No
(7)RIDDLE HEALTHCARE ASSOCIATES 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 23-2900844	PHYSICIAN	PA	501(C)(3)	9	MLH		No
(8)MIRMONT ALCOHOL REHABILITATION CENTER 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 23-2215243	HEALTHCARE	PA	501(C)(3)	3	RMH		No
(9)MAIN LINE AFFILIATES 240 RADNOR-CHESTER ROAD RADNOR,PA19087 23-2308668	HEALTHCARE	PA	501(C)(3)	9	MLDS		No
(10)MAIN LINE DIVERSIFIED SERVICES INC 240 RADNOR-CHESTER ROAD RADNOR,PA19087 23-2859148	HEALTHCARE	PA	501(C)(3)	11A	MLH		No
(11)MAIN LINE HEALTHCARE 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 23-2359401	PHYSICIAN MGM	PA	501(C)(3)	11A	MLH		No
(12)MAIN LINE REALTY CORPORATION 240 RADNOR-CHESTER ROAD RADNOR,PA19087 22-2440273	REAL ESTATE	PA	501(C)(3)	11A	MLH		No
(13)MAIN LINE SERVICES 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 23-2359402	HEALTHCARE	PA	501(C)(3)	11B	MLDS		No
(14)THE BRYN MAWR HOSPITAL FOUNDATION 130 SOUTH BRYN MAWR AVE BRYN MAWR,PA19010 23-2179020	FUNDRAISING	PA	501(C)(3)	7	NA		No
(15)LANKENAU MEDICAL CENTER FOUNDATION 100 LANCASTER AVE WYNNEWOOD,PA19096 23-2176723	FUNDRAISING	PA	501(C)(3)	7	NA		No
(16)PAOLI HOSPITAL FOUNDATION 255 WEST LANCASTER AVE PAOLI,PA19301 23-2359407	FUNDRAISING	PA	501(C)(3)	7	NA		No
(17)BRYN MAWR REHABILITATION FOUNDATION 414 PAOLI PIKE MALVERN,PA19355 23-2507348	FUNDRAISING	PA	501(C)(3)	11C	NA		No
(18)HOSPICE AND HOMECARE FOUNDATION 240 RADNOR-CHESTER ROAD RADNOR,PA19087 23-2306936	FUNDRAISING	PA	501(C)(3)	7	MLHHH		No
(19)THE RIDDLE HEALTHCARE FOUNDATION 1068 WEST BALTIMORE PIKE MEDIA,PA19063 04-3601189	FUNDRAISING	PA	501(C)(3)	11C	NA		No
(20)FIVE POINTE PROFESSIONAL LIABILITY INSUR 1105 N MARKET ST SUITE 1300 WILMINGTON,DE19899 20-4191006	INSURANCE	DE	501(C)(3)	11A	NA		No
(21)THE SHARPE-STRUMIA RESEARCH FOUNDATION 100 LANCASTER AVE WYNNEWOOD,PA19096 20-0106546	HOSP SUPPORT	PA	501(C)(3)	11C	NA		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BMHR ASSOCIATES 240 RADNOR-CHESTER ROAD RADNOR,PA19087 23-2311589	HEALTHCARE	PA	NA	N/A	0	0		No			No
(2) MAIN LINE HEALTH IMAGING LP 100 LANCASTER AVE WYNNEWOOD,PA19096 23-2409186	HEALTHCARE	PA	NA	N/A	0	0		No			No
(3) PAOLI AMBULATORY SURGERY CENTER 1 INDUSTRIAL BLVD PAOLI,PA19301 62-1595402	HEALTHCARE	PA	NA	N/A	0	0		No			No
(4) RIDDLE DIALYSIS LLC (DAVITA) 100 GRANITE DRIVE MEDIA,PA19063 20-8438006	HEALTHCARE	PA	NA	N/A	0	0		No			No
(5) RIDDLE SURGICAL CENTER LLC 1118 WEST BALTIMORE PIKE MEDIA,PA19063 26-3899068	HEALTHCARE	PA	NA	N/A	0	0		No			No
(6) RMH HEALTH CARE CENTER ASSOCIATES 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 23-2236644	OFFICE RENTAL	PA	NA	N/A	0	0		No			No
(7) MAIN LINE HEALTH REAL ESTATE LP 240 RADNOR-CHESTER ROAD RADNOR,PA19087 23-3089503	REAL ESTATE	PA	NA	N/A	-64,858	2,163,503		No		Yes		48.260 %
(8) MAIN LINE HEALTH REALTY LLC 240 RADNOR-CHESTER ROAD RADNOR,PA19087 23-3089502	REAL ESTATE	PA	NA	N/A	-66	18,183		No		Yes		49.000 %
(9) ACCOUNTABLE CARE ORGANIZATION OF PA LLC 259 N RADNOR CHESTER ROAD RADNOR,PA19087 27-4553972	HEALTHCARE	PA	NA	N/A	0	0		No			No
(10) BRYN MAWR SURGERY CENTER LLC 130 SOUTH BRYN MAWR AVE BRYN MAWR,PA19010 47-2590785	HEALTHCARE	PA	NA	N/A	191	1,364,821		No		Yes		51.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) LIMR DEVELOPMENT INC 100 LANCASTER AVENUE WYNNEWOOD,PA19096 26-0442830	PRODUCT DEVEL	PA	NA	C CORPORATION	0	0		No
(2) MAIN LINE CORPORATION 240 RADNOR-CHESTER ROAD RADNOR,PA19087 23-1704075	INACTIVE	PA	NA	C CORPORATION	0	0		No
(3) MOUNTAIN LAUREL RISK RETENTION GROUP 3803 WEST CHESTER PIKE STE 250 NEWTOWN SQUARE,PA19073 14-1868175	INSURANCE	VT	NA	C CORPORATION	0	0		No
(4) RIDDLE HEALTH NETWORK LLC 1068 W BALTIMORE PIKE MEDIA,PA19063 23-2975542	INACTIVE	PA	NA	C CORPORATION	0	0		No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) LANKENAU INSTITUTE FOR MEDICAL RESEARCH	A	101,550	COST
(2) LANKENAU INSTITUTE FOR MEDICAL RESEARCH	M	367,916	COST
(3) LANKENAU INSTITUTE FOR MEDICAL RESEARCH	Q	2,125,304	COST
(4) LANKENAU INSTITUTE FOR MEDICAL RESEARCH	R	6,595,000	COST

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	26
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	24
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	7,370
6	Total number of volunteers (estimate if necessary) .............	6	2,297
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	253,944
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-9,440

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,118,958	10,055,488
9	Program service revenue (Part VIII, line 2g) .........	1,162,076,632	1,197,002,942
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	13,703,565	18,209,644
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,587,310	9,695,707
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,192,486,465	1,234,963,781
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	25,400	58,687
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	448,098,197	471,365,951
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	595,902,631	648,759,098
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,044,026,228	1,120,183,736
19	Revenue less expenses. Subtract line 18 from line 12.......	148,460,237	114,780,045
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,421,558,779	2,579,863,411
21	Total liabilities (Part X, line 26).............	538,359,636	749,373,462
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,883,199,143	1,830,489,949

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 495,160,532 including grants of $ 0 ) (Revenue $ 768,131,872 )
	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 319 licensed beds, The Lankenau Hospital, established 1860, operates 370 licensed beds, Paoli Hospital operates 231 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 46,435 adult patients, 520 Neonatal Care patients, performed 1088 open heart cases, attended 6,457 births, and performed 12,008 inpatient surgeries.

4b	(Code: ) (Expenses $ 293,659,197 including grants of $ 0 ) (Revenue $ 438,312,833 )
	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 853,965 outpatient visits, performed 20,106 outpatient surgeries, and provided emergent care with 140,956 visits to our hospital based 24 hours/day, 7 days/week emergency rooms.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
4e	Total program service expenses788,819,729

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,797,193	3,341,716	2,022,814

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	10,052,811
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,677

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		10,055,488

			Business Code
2a	INPATIENT REVENUE	621110	756,379,294	756,379,294
b	OUTPATIENT REVENUE	621400	416,034,183	415,780,239	253,944
c	SUPPORT SERVICES	900099	24,589,465	24,589,465
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,197,002,942

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			15,204,648			15,204,648
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		3,130,592
b	Less: cost or other basis and sales expenses	125,596
c	Gain or (loss)	-125,596	3,130,592
d	Net gain or (loss).....			3,004,996			3,004,996
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	NET ASSETS RELEASED FROM RESTRICTIONS		900099	6,117,726	6,117,726
b	RESEARCH OVERHEAD		900099	2,125,304	2,125,304
c	ALL OTHER REVENUE		900099	1,452,677	1,452,677
d	All other revenue ....
e	Total. Add lines 11a–11d ......			9,695,707
12	Total revenue. See Instructions......			1,234,963,781	1,206,444,705	253,944	18,209,644

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	58,687	58,687
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	9,445,372	0	9,445,372
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	370,253,250	340,680,287	29,572,963
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,288,570	3,045,673	242,897
9	Other employee benefits .......	61,018,639	54,114,600	6,904,039
10	Payroll taxes ...........	27,360,120	24,759,421	2,600,699
11	Fees for services (non-employees):
a	Management ......	81,027,502	49,742,816	31,284,686
b	Legal .........	777,992		777,992
c	Accounting ...........	0
d	Lobbying ...........	50,866		50,866
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	63,482,302	45,129,656	18,352,646
12	Advertising and promotion ....	2,555,291	44,234	2,511,057
13	Office expenses .......	219,942,650	217,210,984	2,731,666
14	Information technology ......	16,855,371	161,963	16,693,408
15	Royalties ..	0
16	Occupancy ...........	25,096,214	-148,582	25,244,796
17	Travel ............	302,151	176,806	125,345
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	730,979	500,648	230,331
20	Interest ...........	6,563,639	5,454	6,558,185
21	Payments to affiliates .......	110,885,195		110,885,195
22	Depreciation, depletion, and amortization ..	79,113,449	25,948,033	53,165,416
23	Insurance ...	5,841,485	3,964,081	1,877,404
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	TEMP HELP & OUTSIDE SVCS	6,265,841	6,185,895	79,946	0
b	REPAIRS & MAINTENANCE	21,816,096	15,251,232	6,564,864	0
c	DUES, POST, PUB, & DUP SVCS	4,505,467	1,223,167	3,282,300	0
d	OTHER EXPENSE	2,946,608	764,674	2,181,934	0
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	1,120,183,736	788,819,729	331,364,007	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			81,196,769	2	102,524,108
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			135,104,941	4	127,114,949
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			17,943,931	8	17,978,149
9	Prepaid expenses and deferred charges ......			9,890,560	9	9,286,413
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,925,842,049
b	Less: accumulated depreciation	10b	1,052,382,320	845,654,018	10c	873,459,729
11	Investments—publicly traded securities .			1,144,314,033	11	1,253,334,054
12	Investments—other securities. See Part IV, line 11 .....			39,072,004	12	38,455,254
13	Investments—program-related. See Part IV, line 11 ..			30,390,643	13	21,538,226
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			117,991,880	15	136,172,529
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,421,558,779	16	2,579,863,411

17	Accounts payable and accrued expenses .....	117,811,162	17	130,920,199
18	Grants payable ...	0	18	0
19	Deferred revenue .........	1,717,410	19	1,562,955
20	Tax-exempt bond liabilities .........	161,890,888	20	192,382,316
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	256,940,176	25	424,507,992
26	Total liabilities. Add lines 17 through 25..	538,359,636	26	749,373,462

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,814,155,252	27	1,765,041,693
28	Temporarily restricted net assets ...........	23,749,814	28	21,625,856
29	Permanently restricted net assets	45,294,077	29	43,822,400
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	1,883,199,143	33	1,830,489,949
34	Total liabilities and net assets/fund balances ........	2,421,558,779	34	2,579,863,411