TY 2018 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)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JOSEPH CANUSO ESQ...................................................................... BOARD MEMBER	1.00 ................. 0.00	X				0	0	0
(2) JOHN GRAHAM...................................................................... BOARD MEMBER	1.00 ................. 0.00	X				0	0	0
(3) SR ELLEN MARVEL CSR...................................................................... BOARD MEMBER	1.00 ................. 2.00	X				0	0	0
(4) MARC CRESPI...................................................................... CHAIRMAN	1.00 ................. 5.00	X	X			0	0	0
(5) MICHAEL B LAIGN...................................................................... BOARD MEMBER, PRESIDENT	7.30 ................. 40.70	X	X			158,472	773,165	41,723
(6) ROBERT WECKENMAN...................................................................... BOARD MEMBER - LEFT SEP 2018	1.00 ................. 1.00	X				0	0	0
(7) RUSSELL R WAGNER...................................................................... TREASURER, EXECUTIVE VP	7.30 ................. 41.20		X			74,559	363,763	104,700
(8) DONALD F FRIEL...................................................................... ASSISTANT TREASURER, EXECUTIVE VP	6.80 ................. 37.74		X			60,751	296,395	95,332
(9) DOLORES TORSITANO...................................................................... CORPORATE SECRETARY	7.30 ................. 41.20		X			14,900	72,699	28,527
(10) MARIAN THALLNER...................................................................... SENIOR VP WOMEN'S/CHILDREN'S HEALTH	30.00 ................. 10.00			X		216,758	72,252	85,467
(11) ROSEANNE SILVESTRI...................................................................... VP - LEFT JUL 2018	32.00 ................. 8.00			X		127,750	31,937	13,641
(12) JOEL KRAMER...................................................................... PHYSICIAN	40.00 ................. 0.00				X	616,374	0	35,684
(13) WILLIAM SCARLETT...................................................................... PHYSICIAN	33.60 ................. 6.40				X	410,005	78,096	44,299
(14) CATHERINE CARRUTHERS...................................................................... PHYSICIAN	32.00 ................. 8.00				X	373,346	93,337	49,122
(15) STACY KRISHER-VENTICINQUE...................................................................... PHYSICIAN	40.00 ................. 0.00				X	416,543	0	42,872
(16) HENRY UNGER MD...................................................................... PHYSICIAN	4.00 ................. 36.00				X	40,074	360,667	69,739

- 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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

HR PHYSICIAN SERVICES

Employer identification number

23-2696460

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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—2017. 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2018

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) 2018

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 (explain in Part VI). 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) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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) 2018

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HR PHYSICIAN SERVICES

Employer identification number

23-2696460

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 7/25/06, 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) 2018

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 ....	308,447	166,656	333,324	666,660	583,333
b	Contributions ...					250,000
c	Net investment earnings, gains, and losses	31,765	146,901
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	23,709	5,110	166,668	333,336	166,673
f	Administrative expenses ....
g	End of year balance ......	316,503	308,447	166,656	333,324	666,660

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

0 %

Temporarily restricted endowment SchDMd Bullet

100.000 %

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)

(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 .....
b	Buildings ....	6,174,314	3,751,958	2,422,356
c	Leasehold improvements	6,651,955	1,215,660	5,436,295
d	Equipment ....	9,866,890	5,963,234	3,903,656
e	Other .....	3,112,028		3,112,028
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				14,874,335

Schedule D (Form 990) 2018

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) DUE FROM AFFILIATES				23,117,554
(2) CASH SURRENDER VALUE OF LIFE INSURANCE				213,485
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				23,331,039

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
DUE TO AFFILIATES	96,105,902
SELF INSURANCE LIABILITY	2,636,395
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	98,742,297
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) 2018

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:	THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO SUPPORT HRPS'S SURGICAL PROGRAM.
PART X, LINE 2:	THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS.

Return Reference

Explanation

PART V, LINE 4:

THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO SUPPORT HRPS'S SURGICAL PROGRAM.

PART X, LINE 2:

THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS.

Schedule D (Form 990) 2018

Additional Data

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HR PHYSICIAN SERVICES

Employer identification number

23-2696460

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? .........

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 nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

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) 2018

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)
1MICHAEL B LAIGN BOARD MEMBER, PRESIDENT	(i) (ii)	148,091 ------------- 722,520	0 ------------- 0	10,381 ------------- 50,645	2,976 ------------- 14,522	4,121 ------------- 20,104	165,569 ------------- 807,791	9,499 ------------- 46,345
2RUSSELL R WAGNER TREASURER, EXECUTIVE VP	(i) (ii)	60,928 ------------- 297,260	0 ------------- 0	13,631 ------------- 66,503	13,514 ------------- 65,932	4,296 ------------- 20,958	92,369 ------------- 450,653	13,206 ------------- 64,433
3DONALD F FRIEL ASSISTANT TREASURER, EXECUTIVE VP	(i) (ii)	49,781 ------------- 242,875	0 ------------- 0	10,970 ------------- 53,520	11,411 ------------- 55,676	4,804 ------------- 23,441	76,966 ------------- 375,512	10,750 ------------- 52,450
4MARIAN THALLNER SENIOR VP WOMEN'S/CHILDREN'S HEALTH	(i) (ii)	199,713 ------------- 66,571	0 ------------- 0	17,045 ------------- 5,681	41,408 ------------- 13,803	22,692 ------------- 7,564	280,858 ------------- 93,619	16,193 ------------- 5,398
5ROSEANNE SILVESTRI VP - LEFT JUL 2018	(i) (ii)	127,750 ------------- 31,937	0 ------------- 0	0 ------------- 0	3,621 ------------- 905	7,292 ------------- 1,823	138,663 ------------- 34,665	0 ------------- 0
6JOEL KRAMER PHYSICIAN	(i) (ii)	553,110 ------------- 0	63,264 ------------- 0	0 ------------- 0	5,500 ------------- 0	30,184 ------------- 0	652,058 ------------- 0	0 ------------- 0
7WILLIAM SCARLETT PHYSICIAN	(i) (ii)	389,005 ------------- 74,096	21,000 ------------- 4,000	0 ------------- 0	11,288 ------------- 2,150	25,923 ------------- 4,938	447,216 ------------- 85,184	0 ------------- 0
8CATHERINE CARRUTHERS PHYSICIAN	(i) (ii)	363,846 ------------- 90,962	9,500 ------------- 2,375	0 ------------- 0	15,160 ------------- 3,790	24,138 ------------- 6,034	412,644 ------------- 103,161	0 ------------- 0
9STACY KRISHER-VENTICINQUE PHYSICIAN	(i) (ii)	414,494 ------------- 0	2,049 ------------- 0	0 ------------- 0	13,950 ------------- 0	28,922 ------------- 0	459,415 ------------- 0	0 ------------- 0
10HENRY UNGER MD PHYSICIAN	(i) (ii)	35,766 ------------- 321,897	0 ------------- 0	4,308 ------------- 38,770	5,910 ------------- 53,192	1,064 ------------- 9,573	47,048 ------------- 423,432	4,031 ------------- 36,275

Schedule J (Form 990) 2018

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
PART I, LINE 3	THE ORGANIZATION UTILIZES HOLY REDEEMER HEALTH SYSTEM (HRHS), A RELATED PENNSYLVANIA 501(C)(3) PUBLIC CHARITY, AS ITS COMMON PAYMASTER. THE TOP MANAGEMENT OFFICIAL PERFORMS SERVICES FOR MULTIPLE RELATED ENTITIES AND EACH ENTITY PAYS FOR THEIR PORTION OF SERVICES BY REMITTING FUNDS TO HRHS; THE OVERALL COMPENSATION PACKAGE IS REVIEWED AND APPROVED BY HRHS. HRHS USES THE FOLLOWING WHEN DETERMINING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER SIMILAR ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE.

Return Reference

Explanation

PART I, LINE 3

THE ORGANIZATION UTILIZES HOLY REDEEMER HEALTH SYSTEM (HRHS), A RELATED PENNSYLVANIA 501(C)(3) PUBLIC CHARITY, AS ITS COMMON PAYMASTER. THE TOP MANAGEMENT OFFICIAL PERFORMS SERVICES FOR MULTIPLE RELATED ENTITIES AND EACH ENTITY PAYS FOR THEIR PORTION OF SERVICES BY REMITTING FUNDS TO HRHS; THE OVERALL COMPENSATION PACKAGE IS REVIEWED AND APPROVED BY HRHS. HRHS USES THE FOLLOWING WHEN DETERMINING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER SIMILAR ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE.

Schedule J (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
HR PHYSICIAN SERVICES

Employer identification number
23-2696460

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MONTGOMERY COUNTY HIGHER EDUC & HEALTH AUTHORITY	23-2447147	613603TA7	10-01-2014	46,320,000	SEE EXPLANATION ON PART VI		X		X		X
B	MONTGOMERY COUNTY HIGHER EDUC & HEALTH AUTHORITY	23-2447147	613603VQ9	10-01-2016	70,915,000	SEE EXPLANATION ON PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	3,700,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	46,320,000		81,569,966
4 Gross proceeds in reserve funds .............	4,394,863
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	41,068,673
7 Issuance costs from proceeds ...............	856,464		1,058,236
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............			503,125
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............			30,000,000
12 Other unspent proceeds .............			50,008,605
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X
16 Has the final allocation of proceeds been made? ..........	X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...	X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........
c No rebate due? .........
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART V:	THE ORGANIZATION IS REVIEWING.
PART I, LINE A, COLUMN F:	THE SERIES 2014A BONDS WERE ISSUED TO FINANCE THE COSTS OF THE CURRENT REFUNDING OF ALL OF THE AUTHORITY'S OUTSTANDING HEALTH CARE REVENUE BONDS, THE 1997 SERIES A (HOLY REDEEMER HEALTH SYSTEM) BONDS WHICH WERE ORIGINALLY ISSUED BY THE AUTHORITY TO FINANCE AND REFINANCE THE COSTS OF VARIOUS CAPITAL PROJECTS FOR THE BENEFIT OF TWO PENNSYLVANIA NON-PROFIT CORPORATIONS - HOLY REDEEMER HEALTH SYSTEM, TAX ID#23-1534300 ("HRHS") AND HR PHYSICIAN SERVICES, TAX ID#23-2696460 ("HRPS"), THIS FILING ORGANIZATION - WHICH ARE PART OF AN INTEGRATED HEALTH AND SOCIAL SERVICE DELIVERY SYSTEM. THE PROCEEDS FROM THE SALE OF THE SERIES 2014A BONDS, TOGETHER WITH OTHER AVAILABLE FUNDS OF THE HRHS AND HRPS, WILL BE USED TO: (1) CURRENTLY REFUND ALL OF THE OUTSTANDING SERIES 1997 BONDS; (2) FUND A DEPOSIT TO THE DEBT SERVICE RESERVE FUND ESTABLISHED UNDER THE BOND INDENTURE IN AN AMOUNT SUFFICIENT TO SATISFY THE RESERVE FUND REQUIREMENT THEREUNDER UPON ISSUANCE OF THE SERIES 2014A BONDS; AND (3) PAY CERTAIN COSTS RELATED TO THE ISSUANCE OF THE SERIES 2014A BONDS.
PART I, LINE B, COLUMN F:	THE SERIES 2016A BONDS, TOGETHER WITH OTHER AVAILABLE FUNDS OF THE BORROWERS, WERE ISSUED TO: (1) FINANCE THE COSTS OF THE CURRENT REFUNDING OF ALL OF THE AUTHORITY'S OUTSTANDING MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY REVENUE BONDS, (HOLY REDEEMER HEALTH SYSTEM) SERIES 2006A (THE "CALLABLE SERIES 2006 BONDS"), WHICH BONDS WERE ORIGINALLY ISSUED BY THE AUTHORITY TO FINANCE AND REIMBURSE THE COSTS OF VARIOUS CAPITAL PROJECTS FOR THE BENEFIT OF TWO PENNSYLVANIA NON-PROFIT CORPORATIONS - HOLY REDEEMER HEALTH SYSTEM, TAX ID#23-1534300 ("HRHS") AND HR PHYSICIAN SERVICES, TAX ID#23-2696460, NOW DOING BUSINESS AS HOLY REDEEMER PHYSICIAN AND AMBULATORY SERVICES ("HRPAS") AND, TOGETHER WITH HRHS, REFERRED TO HEREIN AS THE "BORROWERS", WHICH ARE PART OF AN INTEGRATED HEALTH AND SOCIAL SERVICE DELIVERY SYSTEM; (2) FINANCE THE COST OF CERTAIN CAPITAL IMPROVEMENTS TO FACILITIES FOR THE BENEFIT OF THE BORROWERS AS FURTHER DESCRIBED HEREIN; AND (3) PAY CERTAIN COST AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE AND SALE OF THE SERIES 2016A BONDS.

Schedule K (Form 990) 2018

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

HR PHYSICIAN SERVICES

Employer identification number

23-2696460

Return Reference	Explanation
FORM 990, PART I, ITEM C	DBA: BOTT CANCER CENTER RADIATION ONCOLOGY DBA: COMPREHENSIVE BREAST CARE SURGEONS DBA: DEENEY AND ASSOCIATES DBA: DOYLESTOWN HEALTH CARDIOLOGY AT HUNTINGDON VALLEY DBA: EMERGENCY MEDICINE DBA: HOLLAND MEDICAL ASSOCIATES DBA: HOLY REDEEMER FAMILY HEALTH CENTER AT CARDONE DBA: HOLY REDEEMER FAMILY MEDICINE DBA: HOLY REDEEMER ORTHOPEDIC SURGERY DBA: HOLY REDEEMER PHYSICIAN AND AMBULATORY SERVICES DBA: HOLY REDEEMER SURGICAL ASSOCIATES AT MEADOWBROOK DBA: HOSPITALIST IWA DBA: HOUSE CALLS PA DBA: HR MEDICAL HOSPITALS DBA: HR WOMEN'S CARE OF MONTGOMERY COUNTY DBA: INTEGRATIVE WOMEN'S HEALTH & GYNECOLOGY DBA: JAMES W. FLANAGAN, MD FAMILY MEDICINE DBA: KRAMER OB/GYN AND ASSOCIATES DBA: MATERNAL FETAL MEDICINE DBA: MILLENIUM OB/GYN DBA: NATURAL WOMEN'S HEALTH DBA: OB HOUSE PHYSICIANS DBA: OCCUPATIONAL HEALTH DBA: PEDICINO PRIMARY HEALTH ASSOC DBA: PEDS HOSPITALIST DBA: PEDS URGI CARE/PEDS HOSPITALIST DBA: PHILMONT GUIDANCE CENTER DBA: PHYSICAL MEDICINE AND REHABILITATION SVCS/ DBA: PRE-ADMISSION TESTING DBA: RADIATION ONCOLOGY DBA: REDEEMER CARDIOLOGY DBA: REDEEMER IMAGING DBA: REDEEMER PATHOLOGY DBA: REDEEMER PULMONARY SERVICES DBA: SOMERTON FAMILY MEDICAL ASSOCIATES DBA: SURGICAL ASSISTANT
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER SHALL BE HOLY REDEEMER HEALTH SYSTEM (HRHS), A RELATED PENNSYLVANIA CORPORATION DESIGNATED AS A 501(C)(3) PUBLIC CHARITY BY THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION A, LINE 7A	HRHS HAS THE RESERVED POWER TO APPOINT ALL VOTING DIRECTORS TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	HRHS SHALL HAVE ADDITIONAL RESERVED POWERS AS OUTLINED IN THE FILING ORGANIZATION'S BYLAWS, INCLUDING BUT NOT LIMITED TO THE AUTHORITY TO: AMEND OR REPEAL THE GOVERNING DOCUMENTS, RATIFY AND/OR REMOVE THE OFFICERS OF THE BOARD OF DIRECTORS WITH OR WITHOUT CAUSE, APPOINT AND/OR REMOVE THE PRESIDENT OF THE ORGANIZATION, AND APPROVE ALL BOARD-APPROVED ANNUAL CONSOLIDATED OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 AND ALL ACCOMPANYING SCHEDULES (HEREIN FORM 990) IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN A PDF IS PROVIDED TO MANAGEMENT FOR REVIEW. THE PDF IS PUBLISHED ON A SECURE INTERNAL WEBSITE. MEMBERS AND OFFICERS OF THE GOVERNING BODY ARE NOTIFIED BY EMAIL, AND EACH ARE ISSUED AN INDIVIDUAL ACCESS CODE TO RETRIEVE THE FORM 990. THEY ARE GIVEN TWO WEEKS TO REVIEW, QUESTION, AND COMMENT ON THE FORM 990 AND THEN THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE SUBJECT TO THE TERMS OF THE CONFLICT OF INTEREST (COI) POLICY. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS, AND ENFORCES COMPLIANCE TO THE COI POLICY BY REQUIRING THAT ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ANNUALLY REVIEW, ACKNOWLEDGE AND SIGN A COI POLICY STATEMENT. THE POLICY STATEMENT REQUIRES DISCLOSURE TO THE BOARD OF DIRECTORS ANY INTERESTS THAT COULD GIVE RISE TO A CONFLICT. THE INDEPENDENT BOARD MEMBERS ARE RESPONSIBLE FOR DETERMINING IF A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT. IF AN ACTUAL CONFLICT IS IDENTIFIED THE INDIVIDUAL(S) IN CONFLICT SHALL RECUSE THEMSELVES FROM BOTH THE DELIBERATION AND VOTE ON ANY CONFLICTED MATTER, EXCEPT FOR THEIR ABILITY TO PRESENT FACTUAL EVIDENCE TO THE BOARD AS DEEMED NECESSARY FOR THE DELIBERATION.
FORM 990, PART VI, SECTION B, LINE 15	THE HRHS BOARD OF TRUSTEES, THROUGH THE COMMITTEE THAT OVERSEES EXECUTIVE AND PHYSICIAN COMPENSATION, PERIODICALLY ENGAGES THE SERVICES OF INTEGRATED HEALTHCARE STRATEGIES, A CONSULTING FIRM WITH EXPERTISE IN HEALTH CARE EXECUTIVE COMPENSATION, TO REVIEW THE EXTERNAL MARKET DATA. THE MARKET DATA PROVIDES COMPARABLE COMPENSATION LEVELS BASED ON GEOGRAPHY, REVENUE SIZE AND OTHER FACTORS TO DETERMINE A MARKET RANGE FOR EACH EXECUTIVE. THE RESULT OF THEIR FINDINGS ARE SHARED DIRECTLY WITH THE GOVERNANCE AND LEADERSHIP COMMITTEE OF THE HRHS BOARD OF TRUSTEES. THE DELIBERATION AND FINAL DECISION ARE TIMELY DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES. THIS PROCESS LAST TOOK PLACE IN 2018.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUESTS. INDIVIDUALS MAKING A REQUEST IN PERSON SHALL RECEIVE A COPY IMMEDIATELY UPON COMPLETING A FORMAL REQUEST FORM; THE FORM ONLY ASKS THE INDIVIDUAL TO IDENTIFY THEMSELVES, PROVIDE THEIR ADDRESSES AND SIGN THE FORM. ALL WRITTEN REQUESTS (MAIL OR EMAIL) FROM INDIVIDUALS, FOUNDATIONS OR GOVERNING AGENCIES ARE HONORED WITHIN 30 DAYS OF RECEIPT. IN ADDITION, THE HRHS CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE ON DAC BONDS QUARTERLY REPORT. NOTICE OF THE ANNUAL PUBLIC MEETING OF THE ORGANIZATION IS ADVERTISED IN LOCAL NEWSPAPERS.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

HR PHYSICIAN SERVICES

Employer identification number

23-2696460

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

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)HOLY REDEEMER MINISTRIES 1600 HUNTINGDON PK MEADOWBROOK,PA19046 23-7454932	UMBRELLA ENTITY FOR THE HOLY REDEEMER HEALTH SYSTEM	PA	501(C)(3)	LINE 3	SISTERS OF THE HOLY REDEEMER		No
(2)HOLY REDEEMER HEALTH SYSTEM 667 WELSH RD HUNTINGDON VALLEY,PA19006 23-1534300	PROVIDE HOSPITAL, LTC AND HOMECARE SERVICES	PA	501(C)(3)	LINE 3	HOLY REDEEMER MINISTRIES		No
(3)HOLY REDEEMER VISITING NURSE AGENCY INC 6550 DELILAH RD EDD HARBOR TOWNSHIP,NJ08234 22-2424253	PROVIDE HEALTHCARE SERVICES IN PATIENTS' HOME	NJ	501(C)(3)	LINE 10	HOLY REDEEMER HEALTH SYSTEM		No
(4)HRH MANAGEMENT CORPORATION 667 WELSH RD HUNTINGDON VALLEY,PA19006 23-2127559	IMPROVE OVERALL QUALITY OF CARE BY LEASING MEDICAL OFFICES	PA	501(C)(3)	LINE 12B, II	HOLY REDEEMER HEALTH SYSTEM		No
(5)DRUEDING CENTER 413 W MASTER ST PHILADELPHIA,PA19122 23-1532883	PROVIDE COMPREHENSIVE SUPPORTIVE SERVICES TO YOUNG HOMELESS FAMILIES	PA	501(C)(3)	LINE 7	HOLY REDEEMER HEALTH SYSTEM		No
(6)REDEEMER VILLAGE 1551 HUNTINGDON PK HUNTINGDON VALLEY,PA19006 23-2091414	HUD-SUBSIDIZED RENTAL HOUSING FOR LOW INCOME ELDERLY/DISABLED	PA	501(C)(3)	LINE 10	HOLY REDEEMER HEALTH SYSTEM		No
(7)REDEEMER VILLAGE II 1551 HUNTINGDON PK HUNTINGDON VALLEY,PA19006 22-2282223	HUD-SUBSIDIZED RENTAL HOUSING FOR LOW INCOME ELDERLY/DISABLED	PA	501(C)(3)	LINE 10	HOLY REDEEMER HEALTH SYSTEM		No
(8)VISITING NURSE AND HEALTH SERVICES INC PO BOX 250 RUNNEMEDE,NJ08078 22-1501364	PROVIDE HEALTHCARE SERVICES IN PATIENTS' HOME	NJ	501(C)(3)	LINE 10	HOLY REDEEMER HEALTH SYSTEM		No
(9)HOLY REDEEMER HOME CARE INC PO BOX 250 RUNNEMEDE,NJ08078 21-0634582	PROVIDE HEALTHCARE SERVICES IN PATIENTS' HOME	NJ	501(C)(3)	LINE 10	HOLY REDEEMER HEALTH SYSTEM		No
(10)HOLY REDEEMER HOSPICE PO BOX 250 RUNNEMEDE,NJ08078 22-3166974	PROVIDE CARE AND SUPPORT TO INDIVIDUALS WITH LIFE-LIMITING ILLNESS	NJ	501(C)(3)	LINE 10	VISITING NURSE SERVICE SYSTEM		No
(11)VISITING NURSE CUSTOM SERVICES INC PO BOX 250 RUNNEMEDE,NJ08078 22-3808046	PROVIDE HOME HEALTHCARE	NJ	501(C)(3)	LINE 10	VISITING NURSE SERVICE SYSTEM		No
(12)VISITING NURSE SERVICE SYSTEM INC PO BOX 250 RUNNEMEDE,NJ08078 22-2676688	PROVIDE ADMINISTRATIVE SUPPORT TO RELATED ENTITY HOMECARE PROGRAMS	NJ	501(C)(3)	LINE 12A, I	HOLY REDEEMER HEALTH SYSTEM		No
(13)VNHS FOUNDATION INC PO BOX 250 RUNNEMEDE,NJ08078 22-3043177	PROVIDE SUPPORT TO RELATED 501(C)(3) PUBLIC CHARITIES	NJ	501(C)(3)	LINE 12A, I	VISITING NURSE AND HEALTH SERVICES INC		No
(14)VISITING NURSE CUSTOM CARE INC PO BOX 250 RUNNEMEDE,NJ08078 22-2675226	PROVIDE HOME HEALTHCARE	NJ	501(C)(3)	LINE 7	VISITING NURSE SERVICE SYSTEM		No
(15)CUSTOM HOME CARE & REHAB INC PO BOX 250 RUNNEMEDE,NJ08078 22-3465890	PROVIDE HOME HEALTHCARE	NJ	501(C)(3)	LINE 7	VISITING NURSE SERVICE SYSTEM		No
(16)VNA HOME CARE OF MERCER COUNTY 2 S GOLD DR STE B HAMILTON,NJ08691 21-0634500	PROVIDE HEALTHCARE SERVICES IN PATIENTS' HOME AND TELEHEALTH MONITORING	NJ	501(C)(3)	LINE 10	HOLY REDEEMER HEALTH SYSTEM		No
(17)D'YOUVILLE MANOR 667 WELSH RD HUNTINGDON VALLEY,PA19006 23-2564327	PROVIDE PERSONAL CARE FOR INDEPENDENTLY MOBILE MEN AND WOMEN	PA	501(C)(3)	LINE 10	HOLY REDEEMER HEALTH SYSTEM		No
(18)LITTLE FLOWER MANOR 1201 SPRINGFIELD RD DARBY,PA19023 23-1896683	TO PROVIDE COMPASSIONATE LONG-TERM CARE FOR THE ELDERLY, POOR & INFIRM	PA	501(C)(3)	LINE 10	HOLY REDEEMER HEALTH SYSTEM		No
(19)HOLY REDEEMER ACTIVE AND RETIREMENT LIVING COMMUNITY 667 WELSH RD HUNTINGDON VALLEY,PA19006 23-2695245	PROVIDE CCRC WITH ACCESS TO MEDICAL CARE	PA	501(C)(3)	LINE 12A, I	HOLY REDEEMER HEALTH SYSTEM		No
(20)HOLY REDEEMER-DALE ZIPLEY HOMES FOR INDEPENDENT ADULTS 667 WELSH RD HUNTINGDON VALLEY,PA19006 20-8201594	PROVIDE HOUSING FOR ADULTS WITH DEVELOPMENTAL DISABILITIES	PA	501(C)(3)	LINE 10	HOLY REDEEMER HEALTH SYSTEM		No
(21)HOLY REDEEMER HOSPITAL & MEDICAL CENTER DISABILITY TRUST 1600 HUNTINGDON PK MEADOWBROOK,PA19046 23-2501530	PROVIDE LONG-TERM DISABILITY BENEFITS TO BENEFICIARIES	PA	501(C)(3)	LINE 12A, I	HOLY REDEEMER HEALTH SYSTEM		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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) THE VIEWS AT PINE VALLEY III LP 667 WELSH RD HUNTINGDON VALLEY,PA19006 86-1110759	INACTIVE ORGANIZATION	PA	N/A
(2) INNOVATIVE WELLNESS ALLIANCE LLC 667 WELCH RD 3RD FLR HUNTINGDON VALLEY,PA19006 46-4781400	DEVELOP A HEALTHCARE NETWORK	PA	N/A
(3) COMMUNITY CARE COLLABORATIVE OF PENNSYLVANIA AND NEW JERSEY LLC 595 WEST STATE ST DOYLESTOWN,PA18901 81-2682767	CLINICALLY AND FINANCIALLY INTEGRATED NETWORK	PA	N/A
(4) SOUTH POINT HEALTH NETWORK LLC 1801 N ROUTE 9 CAPE MAY COURT HOUSE,PA08210 22-3376863	INACTIVE ORGANIZATION	NJ	N/A
(5) ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL LLC 11221 ROE AVE LEAWOOD,KS66211 27-0260289	ORTHOPAEDIC SERVICES	PA	N/A
(6) HOLY REDEEMER AMBULATORY SURGERY CENTER LLC 821 HUNTINGDON PK STE 100 HUNTINGDON VALLEY,PA19006 23-3020527	MOBILE SURGERY SERVICES	PA	HR PHYSICIAN SERVICES	RELATED	613,596	1,885,325		No		Yes		41.210 %
(7) ORTHOPEDIC SURGERY & REHABILITATION ASSOCIATES LLC 667 WELSH RD HUNTINGDON VALLEY,PA19006 82-3050224	PROVIDE ORTHOPEDIC SURGERY AND REHABILIATION SERVICES	PA	HR PHYSICIAN SERVICES	RELATED		1,532,402		No		Yes		70.000 %
(8) PGC ACQUISITIONS LLC 667 WELSH RD HUNTINGDON VALLEY,PA19006 81-4767076	MANAGEMENT GUIDANCE CENTER	PA	HR PHYSICIAN SERVICES	RELATED		347,234		No		Yes		51.020 %
(9) THE VILLAGES AT PINE VALLEY MEDICAL OFFICE BUILDING LP 1551 HUNTINGDON PK HUNTINGDON VALLEY,PA19006 57-1208372	INACTIVE ORGANIZATION	PA	N/A
(10) VW 201 LLC 3 VILLAGE RD STE 200 HORSHAM,PA19044 45-4229929	CCRC PROPERTY MANAGERS	PA	N/A
(11) THE VIEWS AT PINE VALLEY I LP 667 WELSH RD HUNTINGDON VALLEY,PA19006 83-0402394	CCRC OPERATING ENTITY	PA	N/A
(12) THE VIEWS AT PINE VALLEY I LLC 667 WELSH RD HUNTINGDON VALLEY,PA19006 83-0402393	CCRC GENERAL PARTNER	PA	N/A
(13) THE VIEWS AT PINE VALLEY II LP 667 WELSH RD HUNTINGDON VALLEY,PA19006 86-1110753	CCRC OPERATING ENTITY	PA	N/A
(14) THE VIEWS AT PINE VALLEY II LLC 667 WELSH RD HUNTINGDON VALLEY,PA19006 86-1110750	CCRC GENERAL PARTNER	PA	N/A

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) THR INSURANCE COMPANY LTD 2ND FLR STRATHVALE HOUSE N CHURC GEORGE TOWN CJ 98-0461500	PROVIDE MALPRACTICE INSURANCE	CJ	N/A	C				No
(2) HOLY REDEEMER ACTIVE AND RETIREMENT LIVING COMMUNITIES INC 667 WELSH RD HUNTINGDON VALLEY,PA19006 02-0726139	CCRC PROPERTY MANAGERS	PA	N/A	C				No
(3) VISITING NURSE VENTURES INC PO BOX 250 RUNNEMEDE,NJ08078 22-3158453	PROVIDE ADMIN SUPPORT TO RELATED ENTITY HOMECARE PROGRAMS	NJ	N/A	C				No
(4) VISITING NURSE MANAGEMENT CO INC PO BOX 250 RUNNEMEDE,NJ08078 22-2653985	PROVIDE ADMIN SUPPORT TO RELATED ENTITY HOMECARE PROGRAMS	NJ	N/A	C				No

Schedule R (Form 990) 2018

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 .....................

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) ............................

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) .......................

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) ............................

Yes

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

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

Yes

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

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

Yes

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) ORTHOPEDIC SURGERY & REHABILITATION ASSOCIATES LLC	D	-528,650	YEAR-END BALANCE
(2) ORTHOPEDIC SURGERY & REHABILITATION ASSOCIATES LLC	Q	316,687	FAIR MARKET VALUE
(3) PGC ACQUISITIONS LLC	Q	273,236	FAIR MARKET VALUE

Schedule R (Form 990) 2018

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) 2018

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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE PHYSICIAN HEALTHCARE SERVICES FROM PRIMARY CARE TO EMERGENCY AND DIAGNOSTIC SERVICES
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	5
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	277
6	Total number of volunteers (estimate if necessary) .............	6	5
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	40,421,707	41,641,039
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-358,883	41,358
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	489,946	-616,202
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	40,552,770	41,066,195
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
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)	33,203,219	36,990,898
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)....	13,824,076	19,453,146
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	47,027,295	56,444,044
19	Revenue less expenses. Subtract line 18 from line 12.......	-6,474,525	-15,377,849
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	50,167,836	48,407,527
21	Total liabilities (Part X, line 26).............	90,303,744	103,915,465
22	Net assets or fund balances. Subtract line 21 from line 20.....	-40,135,908	-55,507,938

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 46,203,862 including grants of $ 0 ) (Revenue $ 41,641,039 )
	PROVIDE MEDICAL CARE SERVICES BY PHYSICIANS AND SPECIALISTS PRIMARILY IN THE FOLLOWING HEALTH CARE SERVICE AREAS: PRIMARY CARE, EMERGENCY CARE, SURGICAL CARE, OBSTETRICS, GYNECOLOGIC, CARDIOLOGY, PULMONARY, BREAST CANCER, RADIOLOGY, PATHOLOGY, OCCUPATIONAL HEALTH, DIAGNOSTIC AND IN-PATIENT CARE.IN FY2019, HR PHYSICIAN SERVICES SERVED 79,120 PATIENTS IN THE STATES OF PENNSYLVANIA AND NEW JERSEY, GENERATING APPROXIMATELY $36.5M IN NET PATIENT REVENUE.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses46,203,862

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,509,532	2,142,311	611,106

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

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

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

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

		Business Code
2a	PATIENT SERVICE REVENUE	621110	40,344,431	40,344,431
b	PROFESSIONAL/MANAGEMENT FEES	561000	1,296,608	1,296,608
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		41,641,039

3 Investment income (including dividends, interest, and othersimilar amounts) ......			95,812			95,812
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses		54,454
c	Gain or (loss)		-54,454
d	Net gain or (loss).....			-54,454			-54,454
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..
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..
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..
Business Code			Miscellaneous Revenue
11a	JOINT VENTURE INCOME		900099	-616,202			-616,202
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			-616,202
12	Total revenue. See Instructions......			41,066,195	41,641,039	0	-574,844

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	786,161	255,784	530,377
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	32,347,390	27,872,585	4,474,805
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	268,346	257,807	10,539
9	Other employee benefits .......	1,567,476	1,362,343	205,133
10	Payroll taxes ...........	2,021,525	1,730,020	291,505
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	2,553,736	1,937,266	616,470
12	Advertising and promotion ....	635	482	153
13	Office expenses .......	1,195,436	821,944	373,492
14	Information technology ......	1,277,435	968,734	308,701
15	Royalties ..
16	Occupancy ...........	2,590,001	1,708,384	881,617
17	Travel ............	10,223	6,640	3,583
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	209,758	136,259	73,499
20	Interest ...........	70,286	53,572	16,714
21	Payments to affiliates .......	5,211,217	3,903,243	1,307,974
22	Depreciation, depletion, and amortization ..	1,621,441	1,294,883	326,558
23	Insurance ...	17,867	16,720	1,147
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	MEDICAL SUPPLIES	2,449,576	2,090,437	359,139
b	MAINTENANCE/HOUSEHOLD	932,776	635,279	297,497
c	DRUGS/PHARMACEUTICALS	806,948	780,721	26,227
d	DUES/SUBSCRIPTIONS	102,236	66,412	35,824
e	All other expenses	403,575	304,347	99,228
25	Total functional expenses. Add lines 1 through 24e	56,444,044	46,203,862	10,240,182	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 ........			760,975	1	1,034,499
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			4,248,652	4	5,351,918
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
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 ..............
					6
7	Notes and loans receivable, net ....			1,319,436	7	1,982,476
8	Inventories for sale or use ........				8
9	Prepaid expenses and deferred charges ......			447,041	9	448,217
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	25,805,187
b	Less: accumulated depreciation	10b	10,930,852	10,611,132	10c	14,874,335
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			1,769,748	12	691,008
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			694,035	14	694,035
15	Other assets. See Part IV, line 11 ...........			30,316,817	15	23,331,039
16	Total assets. Add lines 1 through 15 (must equal line 34)...			50,167,836	16	48,407,527

17	Accounts payable and accrued expenses .....	3,830,625	17	4,452,296
18	Grants payable ...		18
19	Deferred revenue .........	8,782	19
20	Tax-exempt bond liabilities .........	783,454	20	720,872
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
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..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	85,680,883	25	98,742,297
26	Total liabilities. Add lines 17 through 25..	90,303,744	26	103,915,465

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	-40,135,908	27	-55,507,938
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	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 ...........	-40,135,908	33	-55,507,938
34	Total liabilities and net assets/fund balances ........	50,167,836	34	48,407,527