PENN STATE HEALTH: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: PENN STATE HEALTH (EIN 47-3769205)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202501359349305925
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T10:39:11-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	991856619	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON ADVISORS LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET STREET SUITE 800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	473769205	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PENN STATE HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PENN	BusinessNameControlTxt
Phone	7175318477	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 CRYSTAL A DRIVE MC CA210	AddressLine1Txt
City	HERSHEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17033	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TRACY L MOYER	PersonNm
Person Title	SVP FIN OPERATIONS	PersonTitleTxt
Phone	7177824756	PhoneNum
Signature	2025-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RUSSLEE ARMSTRONG	PreparerPersonNm
PTIN	P00288383	PTIN
Phone	2155614200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DEBORAH ADDO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 CRYSTAL A DRIVE MC CA210	AddressLine1Txt
City	HERSHEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17033	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$979,436,362	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PENNSTATEHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2014	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF PENNSYLVANIA, AND BEYOND.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	5359	TotalEmployeeCnt
Total Volunteers	11	TotalVolunteersCnt
Total Gross UBI	$1,659,761	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$53,783	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,981,225	PYContributionsGrantsAmt
CY Contributions Grants	$743,613	CYContributionsGrantsAmt
PY Program Service Revenue	$563,335,679	PYProgramServiceRevenueAmt
CY Program Service Revenue	$773,691,912	CYProgramServiceRevenueAmt
PY Investment Income	$18,164,075	PYInvestmentIncomeAmt
CY Investment Income	$37,108,949	CYInvestmentIncomeAmt
PY Other Revenue	$10,749,449	PYOtherRevenueAmt
CY Other Revenue	$54,476,429	CYOtherRevenueAmt
PY Total Revenue	$601,230,428	PYTotalRevenueAmt
CY Total Revenue	$866,020,903	CYTotalRevenueAmt
PY Grants And Similar Paid	$407,280	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$72,506,613	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$545,073,686	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$593,497,944	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$335,860,783	PYOtherExpensesAmt
CY Other Expenses	$367,755,979	CYOtherExpensesAmt
PY Total Expenses	$881,341,749	PYTotalExpensesAmt
CY Total Expenses	$1,033,760,536	CYTotalExpensesAmt
PY Revenues Less Expenses	-$280,111,321	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$167,739,633	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,460,460,820	TotalAssetsBOYAmt
Total Assets EOY	$1,637,318,794	TotalAssetsEOYAmt
Total Liabilities BOY	$2,292,247,179	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,588,395,255	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$831,786,359	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$951,076,461	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PENN STATE HEALTH'S MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF PENNSYLVANIA, AND BEYOND. THE ORGANIZATION PROVIDES PATIENTS WITH EXCELLENT, COMPASSIONATE AND EQUITABLE CARE; EDUCATES AND TRAINS (CONTINUED IN SCHEDULE O) HEALTHCARE PROFESSIONALS; AND ADVANCES EVIDENCE-BASED MEDICAL INNOVATION THROUGH RESEARCH AND DISCOVERY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$847,828,163	ExpenseAmt
Grant	$72,506,613	GrantAmt
Revenue	$775,861,227	RevenueAmt
Desc	TO PROMOTE, SUPPORT, AND FURTHER THE PENNSYLVANIA STATE UNIVERSITY; TO PROMOTE HEALTH THROUGH THE MANAGEMENT AND/OR SUPPORT OF FACILITIES AND OTHER ASSETS THAT PROVIDE HEALTH CARE SERVICES; TO INTEGRATE COMMUNITY-BASED AND ACADEMIC MEDICAL CENTER HEALTH CARE IN ORDER TO ACHIEVE IMPROVED OUTCOMES AND LIMIT THE COSTS OF CARE VIA IMPROVED EFFICIENCIES; TO SUPPORT FINANCIALLY AND OPERATIONALLY THE PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE; TO SUPPORT THE PENNSYLVANIA STATE UNIVERSITY IN THE PERFORMANCE OF ITS DUTIES AS SUCCESSOR TRUSTEE OF THE MILTON S. HERSHEY MEDICAL CENTER PURSUANT TO THAT CERTAIN DECREE OF THE ORPHANS COURT OF DAUPHIN COUNTY, PENNSYLVANIA DATED DECEMBER 17, 1968 (THE MSHMC TRUST); AND TO DO ALL LAWFUL ACTS INCIDENTAL TO THE ACCOMPLISHMENT OF SAID CHARITABLE, (CONTINUED IN SCHEDULE O) EDUCATIONAL, AND SCIENTIFIC PURPOSES.PENN STATE HEALTH PLAYS A VITAL ROLE IN SUPPORTING, BOTH OPERATIONALLY AND FINANCIALLY, THE PENNSYLVANIA STATE UNIVERSITY'S COLLEGE OF MEDICINE. THE PURPOSES OF THE TWO ORGANIZATIONS ARE INTEGRALLY INTERTWINED AND MUTUALLY SUPPORTIVE. PENN STATE HEALTH OFFERS THE COLLEGE OF MEDICINE ADDITIONAL PLATFORMS FOR EDUCATION AND RESEARCH AS WELL AS GENERATES SHARED REVENUE, WHEREAS THE COLLEGE OF MEDICINE OFFERS PENN STATE HEALTH ACCESS TO INNOVATIONS, CLINICAL TRIALS, DISCOVERIES AND A PIPELINE OF CLINICIANS AND SCIENTISTS.IN RECENT YEARS, THE PENN STATE HEALTH SYSTEM HAS UNDERGONE SUBSTANTIAL GROWTH AND MADE SIGNIFICANT PROGRESS TOWARDS CREATING A HIGH-QUALITY, LARGE SCALE INTEGRATED HEALTH CARE DELIVERY SYSTEM TO SERVE THE POPULATION OF SOUTHCENTRAL PENNSYLVANIA, BY FOCUSING ON BUILDING AN ACADEMIC HEALTH SYSTEM SUPPORTED BY A COMMUNITY NETWORK, ANCHORED BY THE ACADEMIC TERTIARY/QUATERNARY CARE RESOURCES OF ITS RELATED ORGANIZATION, MILTON S. HERSHEY MEDICAL CENTER.THE PENN STATE HEALTH SYSTEM HAS SIX, NONPROFIT TAX-EXEMPT, ACUTE CARE HOSPITALS. THE MILTON S. HERSHEY MEDICAL CENTER (MSHMC) IS A 639-LICENSED BED ACADEMIC MEDICAL CENTER LOCATED IN HERSHEY, PENNSYLVANIA. ST. JOSEPH REGIONAL HEALTH NETWORK (SJRHN) IS A 204-LICENCED BED HOSPITAL IN THE BERKS COUNTY REGION. HOLY SPIRIT MEDICAL CENTER (HSMC) WAS ACQUIRED ON NOVEMBER 1, 2020 AND IS A 306-LICENSED BED HOSPITAL IN CUMBERLAND COUNTY. PENN STATE HEALTH HAMPDEN MEDICAL CENTER (PSHHMC), OPENED IN OCTOBER 2021, IS A 110-LICENSED BED HOSPITAL ALONGSIDE INTERSTATE 81 IN HAMPDEN TOWNSHIP. PENN STATE HEALTH LANCASTER MEDICAL CENTER (PSHLMC), OPENED IN OCTOBER 2022, IS A 142-LICENSED BED HOSPITAL LOCATED IN LANCASTER COUNTY. PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI), IS A 89-BED ACUTE CARE PSYCHIATRIC FACILITY THAT SPECIALIZES IN PSYCHIATRIC AND SUBSTANCE ABUSE TREATMENT. ALL ACUTE CARE HOSPITALS PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.ON JULY 1, 2023, PENN STATE HEALTH ASSUMED 100% GOVERNANCE CONTROL OF HARRISBURG-BASED PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI) AND INTEGRATED THE SPECIALTY HOSPITAL INTO ITS OPERATIONS IN DECEMBER OF THAT YEAR. PPI WAS CREATED IN 2008 AS A COLLABORATION OF PENN STATE MILTON S. HERSHEY MEDICAL CENTER AND PINNACLE HEALTH SYSTEM.PPI IS A 89-LICENSED BED BEHAVIORAL HEALTH HOSPITAL THAT OFFERS A FULL RANGE OF BEHAVIORAL HEALTH CARE FOR PEOPLE OF ALL AGES AND SERVES MORE THAN 45,000 PATIENTS EACH YEAR THROUGH COMPREHENSIVE BEHAVIORAL HEALTH CARE THAT INCLUDES INPATIENT CARE, PARTIAL HOSPITALIZATION PROGRAMS, OUTPATIENT CLINICS AND SPECIALTY ACCESS. THE INSTITUTE IS A CENTER OF EXCELLENCE FOR COMMUNITY PSYCHIATRY AND A SITE FOR THE NATIONAL INSTITUTE ON DRUG ABUSE CLINICAL TRIALS NETWORK. PPI DEMONSTRATES PENN STATE HEALTH'S COMMITMENT TO PROVIDING VITAL BEHAVIORAL HEALTH SERVICES IN PENNSYLVANIA. PENN STATE HEALTH HAS THREE SINGLE MEMBER LLCS AS FOLLOWS:PENN STATE HEALTH COMMUNITY MEDICAL GROUPPENN STATE HEALTH'S COMMUNITY MEDICAL GROUP IS CHARGED WITH SERVING THE REGIONS SURROUNDING HERSHEY MEDICAL CENTER AND THE COLLEGE OF MEDICINE. CURRENTLY COMPOSED OF 650 PROVIDERS AND 2,000 TOTAL STAFF, THE COMMUNITY MEDICAL GROUP STAFFS EACH OF THE SIX COMMUNITY ACUTE CARE MEDICAL CENTERS. SERVICES INCLUDE IN-PATIENT, SPECIALTY AND PRIMARY CARE PROGRAMS THAT FOCUS ON HIGH QUALITY CARE CLOSE TO HOME. PRIMARY CARE PRACTICES SERVICE DAUPHIN, CUMBERLAND, BERKS AND LANCASTER COUNTIES WITH A FULL ARRAY OF ADULT AND PEDIATRIC GENERAL SERVICES AS WELL AS WALK-IN AND URGENT CARE. COMMUNITY MEDICAL GROUP COVERS APPROXIMATELY 215,000 PRIMARY CARE PATIENTS. SUBSPECIALTY SERVICES ARE ALSO ROBUST IN EACH COUNTY WITH QUATERNARY CARE NEEDS BEING REFERRED TO HERSHEY MEDICAL CENTER. IN-PATIENT SERVICES INCLUDE HOSPITALIST, EMERGENCY MEDICINE, CRITICAL CARE, NEONATOLOGY, OBSTETRICS, ANESTHESIA, AS WELL AS DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY. PENN STATE HEALTH LIFE LION LLCPENN STATE HEALTH LIFE LION LLC (LL LLC) IS THE HEALTH SYSTEM'S COMMUNITY FACING 911 EMERGENCY MEDICAL SERVICE (EMS) PROVIDER. INCORPORATED IN THE SUMMER OF 2020 THIS BROUGHT TOGETHER SEVERAL ESTABLISHED 3RD PARTY EMS ENTITIES UNDER THE PSH UMBRELLA AND HELPED SOLIDIFY AND EXPAND THE 911 SERVICE THESE EMS ENTITIES WHERE PROVIDING FOR MANY YEARS. LL LLC IS COMPRISED OF APPROXIMATELY 270 CLINICIANS AND SUPPORT STAFF AND PROVIDES 24/7 911 EMERGENCY SERVICES TO OVER 60 MUNICIPALITIES THROUGHOUT CUMBERLAND, PERRY, YORK, LANCASTER AND DAUPHIN COUNTIES. LL LLC RESPONDS TO OVER 30,000 CALLS FOR ASSISTANCE IN A GIVEN YEAR AND IS DISPATCHED THROUGH THE 911 CENTERS OF THE COUNTIES NOTED. SERVICES ARE PROVIDED AT BOTH THE BASIC LIFE SUPPORT (BLS) AND ADVANCED LIFE SUPPORT (ALS) LEVELS RESPONDING TO ANY 911 CALL THAT REQUIRES PRE HOSPITAL EMS CARE. LL LLC IS LICENSED BY THE COMMONWEALTH OF PA DEPT. OF HEALTH BUREAU OF EMS, AND FOLLOWS ALL CLINICAL REQUIREMENTS AND STANDARDS SET FORTH BY THE PA DOH FOR EMS AGENCIES. THESE 911 PATIENTS ARE TRANSPORTED TO MANY DIFFERENT HOSPITALS, NOT JUST PENN STATE HEALTH HOSPITALS. THIS IS PER THE PATIENT/FAMILY REQUEST OR DIRECTED BY COMMONWEALTH OF PA EMS PROTOCOLS WHERE INDICATED. BY PROVIDING THIS SERVICE PENN STATE HEALTH HELPS TO ALLEVIATE THESE MUNICIPALITIES OF THE COST AND BURDEN OF HAVING TO PROVIDE FOR EMS SERVICES ON THEIR OWN. AN EMS PROGRAM AFFILIATED WITH A HEALTH SYSTEM ALSO HELPS TO PROVIDE A HIGHER QUALITY OF EMS THAN WHAT MANY MUNICIPAL AGENCIES WOULD BE ABLE TO FIELD ON THEIR OWN. IN ADDITION, LL LLC ALSO PROVIDES NON-EMERGENCY TRANSPORTATION FOR PATIENTS REQUIRING AMBULANCE OR WHEELCHAIR SERVICES OUT OF, AND BETWEEN THE VARIOUS PENN STATE HEALTH HOSPITALS. LL LLC ALSO PROVIDES COMMUNITY EDUCATION AND OUTREACH FOR VARIOUS COMMUNITY GROUPS ON CPR, FIRST AID, SAFETY AND WELL-BEING AND OTHER PRE-HOSPITAL SERVICES AS NEEDED. LL LLC WORKS CLOSELY WITH MULTIPLE OTHER FIRST RESPONDER AGENCIES, INCLUDING POLICE, FIRE AND LOCAL AND STATE EMERGENCY MANAGEMENT AGENCIES TO PLAN FOR AND MITIGATE EMERGENCY OR DISASTER INCIDENTS WHEN THEY ARISE. CENTRAL PA HEALTH NETWORK, LLCCENTRAL PA HEALTH NETWORK, LLC (DBA: PENN STATE HEALTH CARE PARTNERS) IS THE PENN STATE HEALTH (PSH) SYSTEM'S CLINICALLY INTEGRATED NETWORK (CIN). GOVERNED BY A BOARD OF MANAGERS, THE CIN IS A COLLECTION OF HEALTH PROVIDERS THAT INCLUDES PHYSICIANS, HOSPITALS, AND POST-ACUTE SPECIALISTS WHO JOIN TOGETHER TO COORDINATE CARE, IMPROVE THE QUALITY OF CARE AND REDUCE COSTS FOR POPULATIONS. THE CIN HAS FORMED A COLLABORATION BETWEEN PSH AND 31 INDEPENDENT COMMUNITY PRACTICES ACROSS CENTRAL PA AND STATE COLLEGE REGIONS. THE CIN OFFERS VALUE-BASED CARE PROGRAMS TO THIS GROUP OF PHYSICIANS AND OTHER CARE PROVIDERS. THE CIN USES DATA FROM THESE PROGRAMS TO IDENTIFY CLINICAL INTERVENTIONS, INCREASE ADHERENCE TO CARE PLANS, SHARE BEST PRACTICES, THAT PROVIDE FINANCIAL REWARDS FOR IMPROVED CLINICAL OUTCOMES AND COST CONTROL ACHIEVEMENTS. OUR CIN IS CURRENTLY ADMINISTERING A COMMERCIAL PAYOR VALUE-BASED CARE PROGRAMS FOR 26,000 PEDIATRIC PATIENTS FOR ACROSS THE PSH REGIONS. IN ADDITION, THE CIN OFFERS POPULATION HEALTH MANAGEMENT SERVICES TO EMPLOYER GROUPS. THESE SERVICES INCLUDE DATA ANALYTICS AND CARE MANAGEMENT SERVICES THAT HAVE DEMONSTRATED IMPROVEMENTS IN PATIENT ADHERENCE TO CARE PLANS AND REDUCTION IN INAPPROPRIATE UTILIZATION TRANSLATING TO COST SAVINGS FOR AN EMPLOYER.	Desc
Total Program Service Expenses	$847,828,163	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	865	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5359	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TRACY L MOYER SVP FIN OPERATIONS	PersonNm
Phone	7177632100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 CRYSTAL A DRIVE MC CA210	AddressLine1Txt
City	HERSHEY	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17033	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEPHEN MASSINI
DIRECTOR / CEO	48.00	2.00	Yes (X)	Yes (X)	$1,600,902	$0	$68,408
NEELI BENDAPUDI
DIRECTOR (PSU EMP)	1.00	49.00	Yes (X)		$0	$1,378,476	$56,351
KEVIN P BLACK MD
DIRECTOR / DEAN (THRU 8/23)	1.00	39.00	Yes (X)		$0	$751,985	$51,975
DR SARA THORNDIKE
DIRECTOR (PSU EMP)	1.00	49.00	Yes (X)		$0	$548,583	$51,574
DR KAREN KIM
DIRECTOR / DEAN (AS OF 9/23)	1.00	39.00	Yes (X)		$0	$331,707	$45,830
KEITH MASSER
CHAIR / DIRECTOR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MARK DAMBLY
VICE CHAIR / DIRECTOR	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
TIMOTHY P BROWN
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
PETER M CARLINO
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
TONY FARAH
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
KAREN HANLON
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DAVID KLEPPINGER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DEBORAH RICE-JOHNSON
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
BARRY ROBINSON
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
PETER G TOMBROS
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
STEVEN WAGMAN
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
DEBORAH ADDO
PRESIDENT / COO	43.00	7.00		Yes (X)	$989,928	$0	$112,426
PAULA TINCH
EVP & CFO, TREASURER	48.00	2.00		Yes (X)	$770,936	$0	$113,925
NICOLE LEHMAN
INTERIM SEC. (PSU EMP)	1.00	49.00		Yes (X)	$0	$263,736	$103,230
ROSS DARROW
ASSOC. TREAS / VP TREAS - FINANCE	44.00	6.00		Yes (X)	$297,918	$0	$66,026
KATHLEEN MILLER
ASSOC. SECRETARY (THRU 5/24)	33.00	7.00		Yes (X)	$101,559	$0	$11,101
ANN ALLWEIN
INTERIM ASSOC. SEC. (AS OF 5/24)	33.00	7.00		Yes (X)	$77,372	$0	$14,403
PETER DILLON MD
PRN PHYSICIAN LEADER (THRU 12/23)	50.00	0.00			$538,613	$0	$32,393	Yes (X)
THOMAS STOESSEL
EXEC VP & CHIEF STRATEGY OFFICER	45.00	5.00			$741,755	$0	$68,408	Yes (X)
CLETIS EARLE
SENIOR VP & CIO	40.00	0.00			$582,929	$0	$94,814	Yes (X)
JUDITH HLAFCSAK
CHIEF OF STAFF	38.00	2.00			$575,663	$0	$78,793	Yes (X)
KIMBERLY LANSFORD
CHIEF COMPLIANCE AND BUSINESS RISK	40.00	0.00			$500,387	$0	$61,988	Yes (X)
ROLINE ADOLPHINE
PHYSICIAN	40.00	0.00			$1,098,941	$0	$35,006		Yes (X)
LANCE WOOD MD
PHYSICIAN	40.00	0.00			$1,023,663	$0	$67,683		Yes (X)
DANIEL LODGE
PHYSICIAN	40.00	0.00			$947,796	$0	$51,070		Yes (X)
IAN WILHELM
PHYSICIAN	40.00	0.00			$936,306	$0	$45,637		Yes (X)
DENNIS DURYEA
PHYSICIAN	40.00	0.00			$927,763	$0	$52,333		Yes (X)
DR ERIC BARRON
FMR DIRECTOR (PSU EMP) (THRU 5/22)	0.00	0.00			$0	$606,645	$40,407			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,712,431	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,881,132	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,323,781	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1129	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RI RCM INC
401 N MICHIGAN AVE SUITE 200	CHICAGO	IL	60611	IT SERVICES	$11,795,187
QUANTUM IMAGING & THERAPEUTIC
PO BOX 62165	BALTIMORE	MD	21264	PURCHASED SERVICE	$5,571,443
INFOR US INC
13560 MORRIS ROAD SUITE 4100	ALPHARETTA	GA	30004	IT SERVICES	$4,077,879
MEDSYS GROUP LLC
5465 LEGACY DRIVE SUITE 120	PLANO	TX	75024	IT SERVICES	$3,034,180
CERNER CORPORATION
8779 HILLCREST ROAD	KANSAS CITY	MO	64138	IT SERVICES	$2,793,663

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	107	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$743,613	AllOtherContributionsAmt
Total Contributions	$743,613	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEE	561000	$443,360,228	$443,360,228
NET PATIENT SERVICES	621110	$213,909,524	$213,909,524
SERVICES RENDERED CONT	900099	$58,290,450	$58,290,450
CLINIC SUBSIDY SUPPORT	621110	$32,338,148	$32,338,148
PHARMACY RETAIL SALES	621110	$24,137,708	$24,137,708

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,655,854	TotalRevenueColumnAmt
Related Or Exempt Func Income	$915,068	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$740,786	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$773,691,912	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,402,595	TotalRevenueColumnAmt
Unrelated Business Revenue	-$655,155	UnrelatedBusinessRevenueAmt
Exclusion	$23,057,750	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$60,650	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$60,650	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$60,650	TotalRevenueColumnAmt
Exclusion	$60,650	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$126,552,000	SecuritiesAmt
Other	$1,569,813	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$113,415,459	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$13,136,541	SecuritiesAmt
Other	$1,569,813	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,706,354	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,574,130	UnrelatedBusinessRevenueAmt
Exclusion	$13,132,224	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$66,109	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,109	TotalRevenueColumnAmt
Exclusion	$66,109	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PPI SETTLEMENT	900099	$44,365,397	$44,365,397
FEDERAL INCENTIVE PROG	900099	$5,945,433	$5,945,433
DISCOUNTS AND REBATES	900099	$2,910,101		$2,910,101

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,128,739	TotalRevenueColumnAmt
Exclusion	$1,128,739	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$54,349,670	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$866,020,903	TotalRevenueColumnAmt
Related Or Exempt Func Income	$775,861,227	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,659,761	UnrelatedBusinessRevenueAmt
Exclusion	$87,756,302	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$72,506,613	TotalAmt
Program Services	$72,506,613	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$14,296,106	TotalAmt
Program Services	$5,714,165	ProgramServicesAmt
Management And General	$8,581,941	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$490,289,317	TotalAmt
Program Services	$397,311,347	ProgramServicesAmt
Management And General	$92,977,970	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$21,681,860	TotalAmt
Program Services	$17,839,042	ProgramServicesAmt
Management And General	$3,842,818	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,063,206	TotalAmt
Program Services	$30,599,837	ProgramServicesAmt
Management And General	$7,463,369	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,167,455	TotalAmt
Program Services	$23,333,964	ProgramServicesAmt
Management And General	$5,833,491	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,491,484	TotalAmt
Management And General	$9,491,484	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$379,000	TotalAmt
Management And General	$379,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,824,872	TotalAmt
Management And General	$3,824,872	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,221,264	TotalAmt
Program Services	$24,977,011	ProgramServicesAmt
Management And General	$6,244,253	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,795,724	TotalAmt
Program Services	$4,636,579	ProgramServicesAmt
Management And General	$1,159,145	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$43,585,849	TotalAmt
Program Services	$34,868,679	ProgramServicesAmt
Management And General	$8,717,170	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$107,630,826	TotalAmt
Program Services	$86,104,661	ProgramServicesAmt
Management And General	$21,526,165	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,492,942	TotalAmt
Program Services	$15,594,354	ProgramServicesAmt
Management And General	$3,898,588	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,272,191	TotalAmt
Program Services	$1,017,753	ProgramServicesAmt
Management And General	$254,438	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,423,044	TotalAmt
Program Services	$1,423,044	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$46,380,314	TotalAmt
Program Services	$37,104,251	ProgramServicesAmt
Management And General	$9,276,063	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,357,994	TotalAmt
Program Services	$4,286,395	ProgramServicesAmt
Management And General	$1,071,599	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$83,132,672	$83,132,672
MEMBERSHIP DUES	$3,108,338	$2,486,670	$621,668
LICENSES & FEES	$1,817,771	$1,817,771
MERCHANT FEES	$1,602,465	$1,281,972	$320,493

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,239,229	TotalAmt
Program Services	$1,791,383	ProgramServicesAmt
Management And General	$447,846	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,033,760,536	TotalAmt
Program Services	$847,828,163	ProgramServicesAmt
Management And General	$185,932,373	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$229,275,208	BOYAmt
EOY	$342,826,110	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$36,807,797	BOYAmt
EOY	$38,964,533	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$93,756,844	BOYAmt
EOY	$90,027,600	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,913,647	BOYAmt
EOY	$3,894,143	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$29,310,277	BOYAmt
EOY	$34,895,870	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$485,641,557	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$299,028,262	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$205,636,246	BOYAmt
EOY	$186,613,295	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$322,560,992	BOYAmt
EOY	$321,688,167	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$448,611,986	BOYAmt
EOY	$530,706,258	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,471,490	BOYAmt
EOY	$8,571,887	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$79,116,333	BOYAmt
EOY	$79,130,931	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,460,460,820	BOYAmt
EOY	$1,637,318,794	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$158,644,613	BOYAmt
EOY	$184,801,141	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$816,708	BOYAmt
EOY	$635,602	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$785,636,573	BOYAmt
EOY	$782,120,175	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,347,149,285	BOYAmt
EOY	$1,620,838,337	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,292,247,179	BOYAmt
EOY	$2,588,395,255	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$831,786,359	BOYAmt
EOY	-$951,076,461	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$831,786,359	BOYAmt
EOY	-$951,076,461	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,460,460,820	BOYAmt
EOY	$1,637,318,794	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$167,739,633	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$48,229,351	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$220,180	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type1	Yes (X)	SupportingOrgType1Ind
IRS Written Determination	Yes (X)	IRSWrittenDeterminationInd
Supported Organizations	1	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	THE PENNSYLVANIA STATE UNIVERSITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
EIN	246000376	EIN
Organization Type	6	OrganizationTypeCd
Governing Document Listed	Yes (1)	GoverningDocumentListedInd
Support	$987,380,222	SupportAmt
Other Support	$0	OtherSupportAmt

Field	Value	IRS element (for citing)
Supported Organizations Total	1	SupportedOrganizationsTotalCnt
Support Sum	$987,380,222	SupportSumAmt
Other Support Sum	$0	OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (1)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	Yes (1)	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	0	OperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,808,946	OtherCostOrOtherBasisAmt
Book Value	$3,808,946	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$113,134,716	OtherCostOrOtherBasisAmt
Depreciation	$32,194,159	DepreciationAmt
Book Value	$80,940,557	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,322,814	OtherCostOrOtherBasisAmt
Depreciation	$72,593,346	DepreciationAmt
Book Value	$34,729,468	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$261,375,081	OtherCostOrOtherBasisAmt
Depreciation	$194,240,757	DepreciationAmt
Book Value	$67,134,324	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$186,613,295	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (11 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FIXED INCOME	$92,801,776	F
NON-US EQUITY	$90,909,450	F
PRIVATE EQUITY	$76,543,786	F
MULTI-STRATEGY FUNDS	$54,304,029	F
EQUITY HEDGE FUNDS	$53,534,973	F
MORTGAGE FUNDS	$46,813,644	F
EVENT DRIVEN FUNDS	$43,689,829	F
REAL ESTATE FUNDS	$30,390,639	F
MARKET NEUTRAL FUNDS	$18,551,395	F
MACRO FUNDS, MARKET NEUTRAL FUNDS, GUARANTEED INTEREST FUND	$16,499,739	F
GUARANTEED INTEREST FUND	$6,666,998	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$530,706,258	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$1,517,999,447
OPERATING LEASE	$79,237,209
MEDICAL MALPRACTICE RESERVES	$9,863,536
MEDICAL/RX RESERVES	$7,570,812
DUE TO PNC BANK	$4,862,540
SELF-INSURANCE LIABILITIES	$1,050,944
CAPITAL LEASE	$137,632
OTHER LIABILITIES	$116,217

Field	Value	IRS element (for citing)
Total Liability	$1,620,838,337	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	$174,763,377
EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	INVESTMENTS	$32,060,284

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$206,823,661	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$206,823,661	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION USES GAAP TO REPORT EXPENDITURES IN A FOREIGN REGION.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
THE PENNSYLVANIA STATE UNIVERSITY - COLLEGE OF MEDICINE
201 OLD MAIN	UNIVERSITY PARK	PA	16802	246000376	115	$72,080,443	$0	PROGRAM SUPPORT
COCOA PACKS INC
500 HOMESTEAD RD PO BOX 613	HERSHEY	PA	17033	812618467	501(C)(3)	$42,500	$0	PROGRAM SUPPORT
LANCASTER CHAMBER OF COMMERCE
115 EAST KING STREET	LANCASTER	PA	17602	232095463	501(C)(6)	$25,025	$0	PROGRAM SUPPORT
FOUNDATION FOR ENHANCING COMMUNITIES
200 N 3RD STREET 8TH FLOOR PO BOX	HARRISBURG	PA	171080678	010564355	501(C)(3)	$23,750	$0	PROGRAM SUPPORT	678
HARRISBURG REGIONAL CHAMBER
3211 NORTH FRONT STREET SUITE 201	HARRISBURG	PA	17110	251750121	501(C)(6)	$20,813	$0	PROGRAM SUPPORT
NEW BIRTH FREEDOM COUNCIL BSA
1 BADEN POWELL LANE	MECHANICSBURG	PA	17050	231365194	501(C)(3)	$18,500	$0	PROGRAM SUPPORT
TOWNSHIP OF DERRY
600 CLEARWATER ROAD	HERSHEY	PA	17033	236000290	GOV	$15,000	$0	PROGRAM SUPPORT
RONALD MCDONALD HOUSE
745 WEST GOVERNOR ROAD	HERSHEY	PA	17033	232204761	501(C)(3)	$12,500	$0	PROGRAM SUPPORT
MAKE A WISH FOUNDATION OF PHILADELPHIA DELAWARE & SUSQUEHANNA VALLEY
5 VALLEY SQ STE 210	BLUE BELL	PA	19422	222755963	501(C)(3)	$12,500	$0	PROGRAM SUPPORT
THE CARING CUPBOARD INC
131 NORTH RAILROAD ST	PALMYRA	PA	17078	820730818	501(C)(3)	$10,000	$0	PROGRAM SUPPORT
UNITED WAY OF LEBANON COUNTY
PO BOX 355	ANNVILLE	PA	17003	231465632	501(C)(3)	$10,000	$0	PROGRAM SUPPORT
HERSHEY VOLUNTEER FIRE CO
21 WEST CARACAS AVENUE	HERSHEY	PA	17033	231360560	501(C)(3)	$10,000	$0	PROGRAM SUPPORT
PA CHAMBER OF BUSINESS & INDUSTRY
417 WALNUT STREET	HARRISBURG	PA	171011902	230961100	501(C)(6)	$10,000	$0	PROGRAM SUPPORT
VICKIES ANGEL FOUNDATION
511 BRIDGE STREET PO BOX 174	NEW CUMBERLAND	PA	17070	208755452	501(C)(3)	$10,000	$0	PROGRAM SUPPORT
MS HERSHEY FOUNDATION
63 WEST CHOCOLATE AVENUE	HERSHEY	PA	17033	236242734	501(C)(3)	$9,908	$0	PROGRAM SUPPORT
JUVENILE DIABETES FOUNDATION
119 ASTER DRIVE SUITE 103	HARRISBURG	PA	17112	231907729	501(C)(3)	$7,500	$0	PROGRAM SUPPORT
KEYSTONE HUMAN SERVICES
4391 STURBRIDGE DRIVE	HARRISBURG	PA	17110	251847902	501(C)(3)	$7,500	$0	PROGRAM SUPPORT
DOWNTOWN HERSHEY ASSOCIATION
600 CLEARWATER ROAD	HERSHEY	PA	17033	464743064	501(C)(3)	$7,000	$0	PROGRAM SUPPORT
UNITED WAY OF THE CAPITAL REGN
ONE UNITED WAY	HARRISBURG	PA	17110	231352095	501(C)(3)	$6,500	$0	PROGRAM SUPPORT
HERSHEY SYMPHONY ORCHESTRA
PO BOX 93	HERSHEY	PA	17033	232056048	501(C)(3)	$6,000	$0	PROGRAM SUPPORT
WEST SHORE CHAMBER OF COMMERCE
4211 TRINDLE TOAD	CAMP HILL	PA	17011	231329320	501(C)(6)	$5,055	$0	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE THE U.S.: PENN STATE HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH SPONSORSHIPS OF SELECT CAUSES AND ORGANIZATIONS. WE SUPPORT A VARIETY OF WORTHY CAUSES AND NON-PROFIT ORGANIZATIONS THAT ALIGN WITH OUR FOUR PRIMARY MISSIONS: EDUCATION, PATIENT CARE, RESEARCH, AND COMMUNITY HEALTH; AND THE PRIORITIES IDENTIFIED THROUGH OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ALL ORGANIZATIONS HAVE TAX-EXEMPT STATUS AND ARE TYPICALLY LOCATED IN ONE OF OUR PRIMARY SERVICE AREAS. THE SPONSORSHIP APPLICATION REQUESTS THE FOLLOWING INFORMATION: PURPOSE, GOALS AND DETAILS OF THE EVENT/PROGRAM/ORGANIZATION; EXPECTED COMMUNITY IMPACTS AND OUTCOMES, INCLUDING NUMBER ESTIMATED TO BE REACHED BY THE ORGANIZATION; BENEFITS RECEIVED BY PENN STATE HEALTH AS A RESULT OF THE SPONSORSHIP; DEMOGRAPHICS IMPACT; AND A SERIES OF QUESTIONS DESIGNED TO DETAIL HOW WELL THE ORGANIZATIONS' VALUES ALIGN WITH THOSE OF PENN STATE HEALTH. IF THE REQUEST IS APPROVED, THE COMMUNITY RELATIONS DEPARTMENT SENDS AN EMAIL WITH THE FOLLOWING DETAILS: -RECIPIENT IS ASKED TO PROVIDE AN INVOICE FOR PAYMENT, PROVIDING THE EXACT AMOUNT REQUESTED AND DETAILS FOR WHAT IT WILL BE SPENT ON. -THE APPROPRIATE PSH LOGOS AND BRANDING ELEMENTS ARE PROVIDED FOR ANY MESSAGING. -THE FOLLOWING STATEMENT IS INCLUDED: "PENN STATE HEALTH IS PROUD TO SPONSOR PROGRAMS THAT SERVE OUR COMMUNITY. THIS ACTIVITY IS CONSISTENT WITH, AND SUPPORTIVE OF, OUR MISSION BY PROVIDING COMMUNITY BENEFIT WITHIN THE COMMUNITIES WE SERVE. ACCORDINGLY, YOU SHOULD CONSIDER THIS DONATION TO BE RESTRICTED TO ITS INTENDED PURPOSE. WE APPRECIATE YOUR SERVICE AND ARE EXCITED TO SUPPORT YOU IN THIS EFFORT!" THE SPONSORSHIPS ARE MONITORED BY THE ORGANIZATION'S COMMUNITY RELATIONS PERSONNEL TO ENSURE THE FUNDS ARE SPENT AS INTENDED AND PENN STATE HEALTH MAY REQUEST WRITTEN DOCUMENTATION AND RECEIPTS AS SUBSTANTIATION. ORGANIZATION PERSONNEL ATTEND MANY OF THE EVENTS/CAUSES WE SPONSOR, WORK/ENGAGE ACTIVELY WITH THESE NON-PROFIT ORGANIZATIONS THROUGHOUT THE YEAR, AND TYPICALLY RECEIVE CONFIRMATION LETTERS FROM THE ORGANIZATIONS AS WAYS TO ASSURE OUR CONTRIBUTIONS ARE USED FOR THEIR INTENDED PURPOSES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHEN MASSINI
DIRECTOR / CEO	$1,376,655	$0	$68,538	$0	$155,709	$0	$41,490	$0	$26,918	$0	$1,669,310	$0	$0	$0
NEELI BENDAPUDI
DIRECTOR (PSU EMP)	$0	$937,615	$0	$100,000	$0	$340,861	$0	$30,657	$0	$25,694	$0	$1,434,827	$0	$0
ROLINE ADOLPHINE
PHYSICIAN	$464,497	$0	$633,014	$0	$1,430	$0	$24,990	$0	$10,016	$0	$1,133,947	$0	$0	$0
DEBORAH ADDO
PRESIDENT / COO	$967,988	$0	$0	$0	$21,940	$0	$101,915	$0	$10,511	$0	$1,102,354	$0	$0	$0
LANCE WOOD MD
PHYSICIAN	$876,888	$0	$144,529	$0	$2,246	$0	$41,490	$0	$26,193	$0	$1,091,346	$0	$0	$0
DANIEL LODGE
PHYSICIAN	$828,305	$0	$116,373	$0	$3,118	$0	$24,990	$0	$26,080	$0	$998,866	$0	$0	$0
IAN WILHELM
PHYSICIAN	$461,504	$0	$472,157	$0	$2,645	$0	$24,990	$0	$20,647	$0	$981,943	$0	$0	$0
DENNIS DURYEA
PHYSICIAN	$421,166	$0	$504,140	$0	$2,457	$0	$24,990	$0	$27,343	$0	$980,096	$0	$0	$0
PAULA TINCH
EVP & CFO, TREASURER	$748,740	$0	$0	$0	$22,196	$0	$93,624	$0	$20,301	$0	$884,861	$0	$0	$0
THOMAS STOESSEL
EXEC VP & CHIEF STRATEGY OFFICER	$627,730	$0	$0	$0	$114,025	$0	$41,490	$0	$26,918	$0	$810,163	$0	$0	$0
KEVIN P BLACK MD
DIRECTOR / DEAN (THRU 8/23)	$0	$742,726	$0	$0	$0	$9,259	$0	$41,490	$0	$10,485	$0	$803,960	$0	$0
CLETIS EARLE
SENIOR VP & CIO	$472,832	$0	$0	$0	$110,097	$0	$69,305	$0	$25,509	$0	$677,743	$0	$0	$0
JUDITH HLAFCSAK
CHIEF OF STAFF	$562,098	$0	$0	$0	$13,565	$0	$68,398	$0	$10,395	$0	$654,456	$0	$0	$0
DR ERIC BARRON
FMR DIRECTOR (PSU EMP) (THRU 5/22)	$0	$536,749	$0	$0	$0	$69,896	$0	$30,657	$0	$9,750	$0	$647,052	$0	$0
DR SARA THORNDIKE
DIRECTOR (PSU EMP)	$0	$512,168	$0	$0	$0	$36,415	$0	$30,657	$0	$20,917	$0	$600,157	$0	$0
PETER DILLON MD
PRN PHYSICIAN LEADER (THRU 12/23)	$260,420	$0	$0	$0	$278,193	$0	$26,908	$0	$5,485	$0	$571,006	$0	$0	$0
KIMBERLY LANSFORD
CHIEF COMPLIANCE AND BUSINESS RISK	$461,978	$0	$0	$0	$38,409	$0	$41,490	$0	$20,498	$0	$562,375	$0	$0	$0
DR KAREN KIM
DIRECTOR / DEAN (AS OF 9/23)	$0	$306,707	$0	$25,000	$0	$0	$0	$29,418	$0	$16,412	$0	$377,537	$0	$0
NICOLE LEHMAN
INTERIM SEC. (PSU EMP)	$0	$263,736	$0	$0	$0	$0	$0	$73,693	$0	$29,537	$0	$366,966	$0	$0
ROSS DARROW
ASSOC. TREAS / VP TREAS - FINANCE	$287,771	$0	$0	$0	$10,147	$0	$38,745	$0	$27,281	$0	$363,944	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2024: - CLETIS EARLE - $42,032 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2024, AN OFFICER AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS VESTED IN THE PLAN IN A PRIOR YEAR; THEREFORE, CURRENT YEAR CONTRIBUTIONS ARE TAXABLE AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. - STEPHEN MASSINI - $111,437 - THOMAS STOESSEL - $66,348 - PETER DILLON - $59,178 - KIMBERLY LANSFORD - $18,539 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2024, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE NOT YET VESTED; UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. - DEBORAH ADDO - $60,425 - PAULA TINCH - $52,134 - CLETIS EARLE - $27,815 - JUDITH HLAFCSAK - $26,908

PART I, LINE 7

BONUSES ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE APPLICABLE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CUMBERLAND COUNTY MUNICIPAL AUTHORITY
A	236003119	230614PD5	2019-11-07	$249,998,409	HOSPITAL CONSTRUCTION AND EQUIPMENT	0	0	0
LANCASTER COUNTY HOSPITAL AUTHORITY
B	236648018	514045W66	2021-11-10	$349,994,822	HOSPITAL CONSTRUCTION AND EQUIPMENT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$251,908,189	$251,908,189	2021	0	0	Yes (1)	Yes (1)
B	$350,735,747	$350,735,747	2022	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0	0	Yes (1)
B	Yes (1)	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART II, LINE 3:	FormAndLineReferenceDesc
Explanation	(A) ISSUER NAME: CUMBERLAND COUNTY MUNICIPAL AUTHORITY PROCEEDS REPORTED ON PART II, LINE 3, EXCEED PART I, COLUMN (E) AS A RESULT OF INVESTMENT EARNINGS. (B) ISSUER NAME: LANCASTER COUNTY HOSPITAL AUTHORITY PROCEEDS REPORTED ON PART II, LINE 3, EXCEED PART I, COLUMN (E) AS A RESULT OF INVESTMENT EARNINGS. SCHEDULE K, PART IV, ARBITRAGE, LINE 2C: (A) ISSUER NAME: CUMBERLAND COUNTY MUNICIPAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/04/2024 (AFTER THIS 990'S FILING PERIOD) (B) ISSUER NAME: LANCASTER COUNTY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/04/2024 (AFTER THIS 990'S FILING PERIOD)	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6	ESTIMATED NUMBER OF VOLUNTEERS: 11 PENN STATE HEALTH IS REPORTING THE NONCOMPENSATED COMMUNITY VOLUNTEER MEMBERS OF ITS GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 2	CERTAIN LISTED OFFICERS AND BOARD MEMBERS ALSO SERVE AS OFFICERS AND BOARD MEMBERS OF A TAXABLE ENTITY.
FORM 990, PART VI, SECTION A, LINE 6	CLASSES OF MEMBERS OR STOCKHOLDERS: THE FILING ORGANIZATION'S TWO MEMBERS ARE THE PENNSYLVANIA STATE UNIVERSITY, A PENNSYLVANIA NONPROFIT CORPORATION AND INSTRUMENTALITY OF THE COMMONWEALTH OF PENNSYLVANIA, AND HIGHMARK HEALTH, A PENNSYLVANIA NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	ELECTING MEMBERS OF GOVERNING BODY: DIRECTORS SHALL BE ELECTED BY THE CORPORATE MEMBERS. PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS, THE CORPORATE MEMBERS MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: DESCRIBED IN THE BYLAWS DATED JULY 15, 2021 AND OTHER APPLICABLE DOCUMENTS, THE MEMBERS OF PENN STATE HEALTH ARE THE PENNSYLVANIA STATE UNIVERSITY ("PSU") AND HIGHMARK HEALTH ("HH"). SUBJECT TO CERTAIN LIMITATIONS AND CONDITIONS DESCRIBED IN THE BYLAWS AND OTHER APPLICABLE DOCUMENTS, THE MEMBERS HAVE RESERVED POWERS AS FOLLOWS: PSU: - TO DETERMINE THE NUMBER OF DIRECTORS THAT WILL COMPRISE THE BOARD OF DIRECTORS OF THE CORPORATION, AND TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, A SPECIFIED NUMBER OF DIRECTORS OF THE CORPORATION; - TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; - TO APPROVE ALL FUNDAMENTAL CHANGE TRANSACTIONS AND ALL OTHER TRANSACTIONS NOT IN THE ORDINARY COURSE OF BUSINESS, INCLUDING WITHOUT LIMITATION, ALL MERGERS, CONSOLIDATIONS, DIVISIONS, SALES OF SUBSTANTIALLY ALL ASSETS, AND THE LIQUIDATION OR DISSOLUTION OF THE CORPORATION; - TO APPROVE ANY INDEBTEDNESS OF THE CORPORATION OR ITS CONTROLLED AFFILIATES THAT WOULD CAUSE THE DEBT TO CAPITALIZATION RATIO OF THE CORPORATION ON A CONSOLIDATED BASIS TO BE HIGHER THAN A SPECIFIED LEVEL; - TO APPROVE CERTAIN CAPITAL PROJECTS; - TO APPROVE THE SALE, LEASE, TRANSFER OR OTHER DISPOSITION, AND CERTAIN USES, OF THE LAND OR BUILDINGS LOCATED ON THE EAST CAMPUS OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO APPROVE ANY CHANGE IN THE MISSION OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO EXERCISE THE CORPORATION'S POWER TO APPOINT AND REMOVE DIRECTORS OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO APPROVE ANY CHANGE IN THE ACADEMIC AFFILIATION OF THE CORPORATION OR ANY OF ITS CONTROLLED AFFILIATES; AND - SUBJECT TO SECTION 2.2 AND 2.3, THE MEMBER SHALL HAVE THE RIGHT AND POWER TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW. HH: - TO APPROVE: (I) THE CONVERSION OF THE CORPORATION TO A FOR-PROFIT ENTITY OR THE MERGER OF THE CORPORATION UNLESS IT IS THE SURVIVING ENTITY, (II) VOLUNTARY DISSOLUTION OF THE CORPORATION, (III) FILING OF A VOLUNTARY PETITION FOR RELIEF UNDER ANY BANKRUPTCY LAWS OR APPOINTMENT OF A RECEIVER OR LIQUIDATOR FOR ANY PART OF THE CORPORATION'S ASSETS OR PROPERTY OR THE MAKING OF A GENERAL ASSIGNMENT FOR THE BENEFIT OF ITS CREDITORS, OR (IV) ADMISSION OF A NEW MEMBER TO THE CORPORATION; - TO APPROVE ANY CHANGE TO THE NUMBER OF DIRECTORS APPOINTED BY HH IF SUCH CHANGE RESULTS IN A DILUTION OF HH'S BOARD REPRESENTATION; - TO APPROVE CERTAIN AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; - TO APPROVE CERTAIN ACQUISITIONS BY THE CORPORATION WITHIN A SPECIFIED REGION OF ANY AN EQUITY, MEMBERSHIP OR GOVERNANCE INTEREST IN OR THE RIGHT TO RECEIVE ANY DISTRIBUTIONS/FUNDS FROM ANY HOSPITAL, HEALTH SYSTEM, AMBULATORY CARE FACILITY, SKILLED NURSING FACILITY, HOME HEALTH AGENCY, HOSPICE, PHYSICIAN PRACTICE, OR OTHER HEALTHCARE PROVIDER ENTITY; - TO APPROVE CERTAIN CORPORATION BORROWINGS OR GUARANTEES; - TO APPROVE CERTAIN CHANGES TO THE AGREEMENT BETWEEN PSU AND THE CORPORATION RELATED TO THEIR ACADEMIC AFFILIATION; - TO APPROVE CERTAIN CHANGES TO THE STRATEGIC PLAN FOR THE COMMUNITY-BASED CARE DELIVERY NETWORK COMPONENT OF CORPORATION AND RELATED COMMITTEE CHARTER; - TO APPROVE CERTAIN INVESTMENTS IN EXCESS OF SPECIFIED AMOUNTS; - TO APPROVE THE ENTRY INTO CERTAIN NEW ARRANGEMENTS BETWEEN PSU AND THE CORPORATION OR CERTAIN MODIFICATIONS TO EXISTING ARRANGEMENTS BETWEEN PSU AND THE CORPORATION; - WITH CERTAIN EXCEPTIONS, TO APPROVE THE DIVESTITURE OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS OR A CONTROLLING MEMBERSHIP INTEREST IN THE CORPORATION TO AN UNAFFILIATED THIRD PARTY; AND - SUBJECT TO SECTION 2.2 AND 2.3, THE MEMBER SHALL HAVE THE RIGHT AND POWER TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990 BY GOVERNING BODY: THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM; IT IS REVIEWED BY ACCOUNTING/FINANCE DEPARTMENT PERSONNEL AND THE CHIEF FINANCIAL OFFICER, AND THEN DISTRIBUTED TO ALL MEMBERS OF THE BOARD FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: THE FILING ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST (COI) POLICIES FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). PER THE POLICY, NO COVERED PERSONS MAY ENGAGE IN ANY TRANSACTION OR ARRANGEMENT OR UNDERTAKE POSITIONS WITH OTHER ORGANIZATIONS THAT INVOLVE A CONFLICT OF INTEREST, EXCEPT IN COMPLIANCE WITH THE POLICY. EVERY COVERED PERSON SHALL DISCLOSE ALL ACTUAL AND POTENTIAL CONFLICTS THROUGH AN ANNUAL ONLINE DISCLOSURE STATEMENT AND AS MATTERS INVOLVING AN ACTUAL OR POTENTIAL CONFLICT ARISE. THE BOARD WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE POTENTIAL CONFLICT TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION OR ARRANGEMENT. A COVERED PERSON WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH THE BOARD OF DIRECTORS OR A COMMITTEE IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE PRESENTATION TO THE BOARD OR COMMITTEE TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. THE FILING ORGANIZATION MAY ENTER INTO A TRANSACTION OR ARRANGEMENT IN WHICH A COVERED PERSON HAS AN ACTUAL CONFLICT OF INTEREST IF A MAJORITY OF DIRECTORS WHO HAVE NO INTEREST IN THE TRANSACTION OR ARRANGEMENT APPROVE THE TRANSACTION OR ARRANGEMENT AT A BOARD OR COMMITTEE MEETING AFTER DETERMINING THAT THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, ANY COVERED PERSON WHO HAS A CONFLICT WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING SUCH TRANSACTION OR ARRANGEMENT (EXCEPT THAT THE COVERED PERSON MAY APPEAR AT A MEETING TO ANSWER QUESTIONS), AND IF THE TRANSACTION OR ARRANGEMENT INVOLVES COMPENSATION OR OTHER FINANCIAL BENEFIT TO THE COVERED PERSON, THE BOARD RELIES ON APPROPRIATE COMPARABILITY DATA TO DETERMINE REASONABLENESS. THE FILING ORGANIZATION WILL DOCUMENT THE FOREGOING IN THE MINUTES OF BOARD AND COMMITTEE MEETINGS, AS APPLICABLE. EACH COVERED PERSON MUST SIGN A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED A COPY OF THE COI POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD OF DIRECTORS OR OTHER POSITION WITH THE FILING ORGANIZATION, AS APPROPRIATE.
FORM 990, PART VI, SECTION B, LINE 15	PROCESS USED TO ESTABLISH COMPENSATION OF CEO, OFFICERS, AND KEY EMPLOYEES: THE BOARD COMPENSATION COMMITTEE IS DELEGATED RESPONSIBILITY BY THE BOARD TO MAKE AND RECOMMEND TO THE BOARD THE COMPENSATION DECISIONS FOR ITS KEY EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, OTHER OFFICERS AND ALL DISQUALIFIED PERSONS (AS DEFINED BY TREASURY REGULATIONS). THE COMMITTEE HAS STRONG GOVERNANCE PROCESSES IN PLACE TO ENSURE BEST PRACTICES AND THAT COMPENSATION DECISIONS FOR EXECUTIVES ARE REASONABLE AND SUPPORTIVE OF THE ORGANIZATION'S LEADERSHIP TALENT NEEDS. THE COMMITTEE'S COMPENSATION REVIEW PROCESS IS STRUCTURED TO SATISFY AND COMPLY WITH THE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, UNDER THE INTERMEDIATE SANCTION REGULATIONS (IRC SECTION 4958). 1. THE COMMITTEE OF THE BOARD IS AUTHORIZED BY THE BOARD OF DIRECTORS TO REVIEW AND APPROVE ALL COMPENSATION (INCLUDING EXECUTIVE BENEFITS) ARRANGEMENTS. 2. THE COMMITTEE IS COMPRISED OF DIRECTORS THAT ARE FREE OF MATERIAL FINANCIAL CONFLICT WITH RESPECT TO THE COMPENSATION BEING REVIEWED. 3. ANNUALLY, THE COMPENSATION COMMITTEE, ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A TOTAL COMPENSATION ANALYSIS FOR THE ORGANIZATION'S EXECUTIVES. 4. THE COMMITTEE REVIEWS AND APPROVES THESE COMPENSATION ARRANGEMENTS IN ADVANCE OF IMPLEMENTATION BY REVIEWING MARKET COMPARABILITY DATA PROVIDED BY ITS INDEPENDENT THIRD-PARTY CONSULTANT AND DOCUMENTED IN COMPREHENSIVE REPORTS. 5. THE COMMITTEE DOCUMENTS ITS DECISIONS, AND THE BASIS FOR ITS DECISIONS, IN A TIMELY MANNER WITHIN MEETING MINUTES. 6. THE COMMITTEE ALSO RECEIVES PROFESSIONAL OPINIONS WITH RESPECT TO REASONABLENESS FROM ITS INDEPENDENT COMPENSATION CONSULTANT, AS SUCH TERM IS DEFINED WITHIN INTERMEDIATE SANCTIONS REGULATIONS. 7. THE COMMITTEE REPORTS ITS ACTIONS ON A REGULAR BASIS TO THE FULL BOARD.
FORM 990, PART VI, SECTION C, LINE 19	REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE PENNSYLVANIA STATE UNIVERSITY AND ITS SUBSIDIARIES (WHICH INCLUDES PENN STATE HEALTH AND ITS AFFILIATES) ARE AVAILABLE AT WWW.PSU.EDU.
FORM 990, PART XI, LINE 9:	OTHER CHANGES IN NET ASSETS 192,070. CHANGES TO NET ASSETS WITHOUT DONOR RESTRICTIONS 28,110.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTRAL PA HEALTH NETWORK LLC
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	465750407	CLINICAL NTWK	PA	$1,462,401	$146,551	PSH
PENN STATE HEALTH COMM MED GRP LLC
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	300976099	PHYSICIAN PRACTICES	PA	$283,688,983	$111,204,985	PSH
PENN STATE HEALTH LIFE LION LLC
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	851607822	LIFE SUPPORT TRANSPORATION SVCS	PA	$16,832,691	$7,548,173	PSH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ST JOSEPH REGIONAL HEALTH NETWORK
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	231352211	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH	Yes (1)
ST JOSEPH MEDICAL CENTER FOUNDATION
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	232649362	FUNDRAISING	PA	501(C)(3)	LINE 12A, I	SJRHN	Yes (1)
ST JOSEPH MEDICAL GROUP
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	208544021	HEALTHCARE	PA	501(C)(3)	LINE 10	PSH	Yes (1)
THE PENNSYLVANIA STATE UNIVERSITY
201 OLD MAIN	UNIVERSITY PARK	PA	16802	246000376	EDUCATION	PA	115			0	N/A
THE MILTON S HERSHEY MEDICAL CENTER
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	251854772	HEALTHCARE	PA	501(C)(3)		PSH	Yes (1)
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	851608328	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH	Yes (1)
PENN STATE HEALTH LANCASTER MEDICAL CENTER
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	851620900	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH	Yes (1)
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	231512747	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH	Yes (1)
HOLY SPIRIT CORPORATION
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	232214540	REAL ESTATE	PA	501(C)(2)		PSHHSMC	Yes (1)
PENNSYLVANIA PSYCHIATRIC INSTITUTE
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	261699000	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH	Yes (1)
PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	822969322	HEALTHCARE	PA	501(C)(3)	LINE 3	PPI	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
HERSHEY OUTPATIENT SURGERY CENTER LP
15305 DALLAS PKWY	ADDISON	TX	75001	200469951	HEALTHCARE	PA	NITTANY HLTH	0	0
NITTANY HEALTH - VALUEHEALTH JOINT
11221 ROE AVE	LEAWOOD	KS	66211	851154159	HEALTHCARE	PA	NITTANY HLTH	0	0
SCOL HOLDINGS LLC
5000 COLLEGE BLVD STE 400	OVERLAND PARK	KS	66211	871736200	HEALTHCARE	KS	NITTANY HLTH	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
NITTANY HEALTH INC
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	251769611	HEALTHCARE	PA	PSH	C	$27,153,685	$27,411,879	1.00000	Yes (1)
CGH REALTY CO INC
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	232326801	REAL ESTATE	PA	SJRHN	C				0
HOLY SPIRIT VENTURES INC
100 CRYSTAL A DRIVE MC CA210	HERSHEY	PA	17033	232407709	REAL ESTATE	PA	PSHHSMC	C				0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	Yes (1)	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (40 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
O	$1,142,590,891	FMV
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
R	$2,198,117,762	FMV
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
K	$2,998,845	FMV
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
G	$276,559	FMV
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
Q	$789,967,733	FMV
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
L	$16,319,723	FMV
ST JOSEPH REGIONAL HEALTH NETWORK
O	$104,411,014	FMV
ST JOSEPH REGIONAL HEALTH NETWORK
R	$228,239,299	FMV
ST JOSEPH REGIONAL HEALTH NETWORK
K	$466,164	FMV
ST JOSEPH REGIONAL HEALTH NETWORK
Q	$120,979,793	FMV
ST JOSEPH REGIONAL HEALTH NETWORK
L	$1,267,110	FMV
ST JOSEPH MEDICAL CENTER FOUNDATION
R	$164,258	FMV
ST JOSEPH MEDICAL GROUP
O	$15,697,611	FMV
ST JOSEPH MEDICAL GROUP
R	$29,189,567	FMV
ST JOSEPH MEDICAL GROUP
Q	$13,582,692	FMV
PENN STATE HEALTH LANCASTER MEDICAL CENTER
O	$60,163,051	FMV
PENN STATE HEALTH LANCASTER MEDICAL CENTER
R	$105,494,369	FMV
PENN STATE HEALTH LANCASTER MEDICAL CENTER
K	$351,070	FMV
PENN STATE HEALTH LANCASTER MEDICAL CENTER
Q	$66,771,744	FMV
PENN STATE HEALTH LANCASTER MEDICAL CENTER
L	$78,159	FMV
NITTANY HEALTH INC
R	$244,783	FMV
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
O	$45,081,982	FMV
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
R	$109,933,800	FMV
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
K	$389,720	FMV
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
Q	$43,389,451	FMV
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
O	$109,029,492	FMV
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
R	$246,195,914	FMV
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
K	$806,400	FMV
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
G	$638,439	FMV
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
Q	$122,349,224	FMV
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
L	$4,881,332	FMV
HOLY SPIRIT CORPORATION
R	$1,676,683	FMV
HOLY SPIRIT CORPORATION
Q	$1,394,664	FMV
HOLY SPIRIT CORPORATION
L	$715,321	FMV
HOLY SPIRIT VENTURES INC
R	$3,319,947	FMV
HOLY SPIRIT VENTURES INC
Q	$185,251	FMV
PENNSLYVANIA PSYCHIATRIC INSTITUTE
O	$13,291,051	FMV
PENNSLYVANIA PSYCHIATRIC INSTITUTE
R	$361,201	FMV
PENNSLYVANIA PSYCHIATRIC INSTITUTE
Q	$7,000,063	FMV
PENNSLYVANIA PSYCHIATRIC INSTITUTE
L	$53,784	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SUPPLEMENTAL INFORMATION:	FormAndLineReferenceDesc
Explanation	SCHEDULE R LISTS ONLY THOSE RELATED ORGANIZATIONS THAT RELATE TO THE HEALTH CARE OPERATIONS UNDER THE COMMON CONTROL OF THE PENNSYLVANIA STATE UNIVERSITY.	ExplanationTxt