2023-05-15T13:22:45-05:00 2022-06-30 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2021-07-01 473769205 PENN STATE HEALTH PENN 7175318477 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 PAULA TINCH EVP & CFO 7175318477 2023-05-15 1 PAULA TINCH 999009999 RUSSLEE ARMSTRONG P00288383 2155614200 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X STEPHEN MASSINI 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 1066595811 0 X WWW.PENNSTATEHEALTH.ORG X 2014 PA TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF PENNSYLVANIA, AND BEYOND. 15 11 5313 11 1028910 12328 117334127 38476160 386449568 455368029 27515243 25061743 3073976 9505490 534372914 528411422 346370 497424 0 0 329743419 408110144 0 0 0 281992319 307435548 612082108 716043116 -77709194 -187631694 1750231253 1585838588 1934595057 2099567949 -184363804 -513729361 X 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 HEALTHCARE PROFESSIONALS; AND ADVANCES EVIDENCE-BASED MEDICAL INNOVATION THROUGH RESEARCH AND DISCOVERY. 0 0 582373294 497424 459733780 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, 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.PENN STATE HEALTH HAS FOUR, NOT-FOR-PROFIT, 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. ALL ACUTE CARE HOSPITALS PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.AS OF JUNE 30, 2022, PENN STATE HEALTH WAS PREPARING TO OPEN A NEWLY CONSTRUCTED ACUTE CARE HOSPITAL LOCATED IN LANCASTER COUNTY. THE PENN STATE HEALTH LANCASTER MEDICAL CENTER IS A 142 LICENSED BED HOSPITAL LOCATED IN LANCASTER COUNTY THAT OPENED IN OCTOBER 2022. 582373294 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 699 0 1 5313 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 15 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X PAULA TINCH EVP CFO 7177632100 100 CRYSTAL A DR MC CA210 HERSHEY PA 17033 X STEPHEN MASSINI DIRECTOR/PRESIDENT/CEO 44.00 6.00 X X 2036683 0 58744 KEVIN P BLACK MD DIRECTOR/DEAN 1.00 39.00 X 0 1301048 45395 DR ERIC BARRON DIRECTOR (PSU EMPLOYEE) (THRU 5/22) 1.00 49.00 X 0 1141668 42777 DR SARA THORNDIKE DIRECTOR (PSU EMPLOYEE) 1.00 49.00 X 0 464853 48749 DAVID C HAN MD DIRECTOR/PHYSICIAN 1.00 49.00 X 0 345467 54900 KEITH MASSER CHAIR / DIRECTOR 1.00 0.00 X X 0 0 0 PETER G TOMBROS VICE CHAIR / DIRECTOR 1.00 0.00 X X 0 0 0 NEELI BENDAPUDI DIRECTOR (AS OF 5/2022) 1.00 0.00 X 0 0 0 TIMOTHY P BROWN DIRECTOR 1.00 0.00 X 0 0 0 PETER M CARLINO DIRECTOR 1.00 1.00 X 0 0 0 KATHLEEN CASEY DIRECTOR 1.00 0.00 X 0 0 0 MARK DAMBLY DIRECTOR 1.00 0.00 X 0 0 0 KAREN HANLON DIRECTOR 1.00 0.00 X 0 0 0 DEBORAH RICE-JOHNSON DIRECTOR 1.00 0.00 X 0 0 0 BARRY ROBINSON DIRECTOR 1.00 0.00 X 0 0 0 TOM VANKIRK DIRECTOR 1.00 0.00 X 0 0 0 PAULA TINCH EVP & CFO, TREASURER (AS OF 7/21) 46.00 4.00 X 911609 0 87240 ANNEMARIE BOYAN THRU 222 SEC. / PSH ASSOC GC (PSU EMPLOYEE) 43.00 7.00 X 0 738739 55470 ROSS DARROW ASST. TREASURER 33.00 7.00 X 332353 0 58768 NICOLE LEHMAN INTERIM SEC. (PSU EMP) (AS OF 2/22) 1.00 49.00 X 0 254967 95500 DEBORAH ADDO COO (AS OF 8/2021) 45.00 5.00 X 288292 0 17760 KATHLEEN MILLER ASSOC. SECRETARY 34.00 6.00 X 94748 0 10435 PETER DILLON MD CHAIR, DEPARTMENT OF SURGERY 1.00 39.00 X 1224046 0 53126 THOMAS STOESSEL EXEC VP & CHIEF STRATEGY OFFICER 37.00 3.00 X 836745 0 83586 CLETIS EARLE SENIOR VP & CIO 40.00 0.00 X 692820 0 79741 JUDITH HLAFCSAK CHIEF OF STAFF 38.00 2.00 X 533100 0 56663 KIMBERLY LANSFORD CHIEF COMPLIANCE AND BUSINESS RISK 40.00 0.00 X 452156 0 71185 VENKATESH NADAR PHYSICIAN 40.00 0.00 X 885234 0 56276 LANCE WOOD PHYSICIAN 40.00 0.00 X 828227 0 58402 JOHN WEAVER PHYSICIAN 40.00 0.00 X 781901 0 52228 GREG THOMPSON PHYSICIAN 40.00 0.00 X 756111 0 58822 LOUIS BORGATTA MD PHYSICIAN 39.00 1.00 X 695709 0 53193 ALAN BRECHBILL COO (THRU 7/2020) 0.00 0.00 X 905466 0 0 12255200 4246742 1198960 890 1 1 0 INFOR US INC 13560 MORRIS RD SUITE 4100 ALPHARETTA GA 30004 IT SERVICES 6478034 GRANT THORNTON LLP 1901 S MEYERS ROAD SUITE 445 OAKBROOK TERRACE IL 60181 ADVISORY SERVICES 2365662 HUNTZINGER MANAGEMENT GROUP 72 GLENMAURA NATIONAL BLVD SUITE 1 MOOSIC PA 18507 IT SERVICES 2166019 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 IT SERVICES 1744940 QUANTUM IMAGING & THERAPEUTIC PO BOX 62165 BALTIMORE MD 21264 PROFESSIONAL IMAGING SERVICES 1710944 59 8450795 30025365 38476160 MANAGEMENT FEE 561000 238256129 238256129 NET PATIENT SERVICES 621110 140200740 140200740 SERVICES RENDERED CONT 900099 54413072 54413072 PHARMACY RETAIL SALES 621110 20592592 20592592 AMBULANCE SERVICE MEMB 621110 1905496 892934 1012562 455368029 12877132 16348 12860784 21920 0 21920 21920 21920 550369000 538184389 12184611 12184611 12184611 FEDERAL INCENTIVE PROG 900099 4643393 4643393 DISCOUNTS & REBATES 900099 3131673 3131673 REVALUATION OF ASSETS 900099 1234078 1234078 474426 474426 9483570 528411422 458721218 1028910 30185134 497424 497424 8583840 2499235 6084605 905503 181101 724402 321378090 257102472 64275618 19662117 15729694 3932423 33257038 26605630 6651408 24323556 19458845 4864711 2366328 2366328 444750 444750 2987135 2987135 41449143 33159314 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RESTRICTED RESTRICTED RESTRICTED 121202101 23434904 97767197 70785923 46836182 23949741 202459211 140030085 62429126 184146064 FIXED INCOME 82362000 F NON-US EQUITY 73589000 F EQUITY HEDGE FUNDS 50066000 F REAL ESTATE FUNDS 38958000 F MORTGAGE FUNDS 38625000 F MULTI-STRATEGY FUNDS 31707000 F EVENT DRIVEN FUNDS 31358000 F PRIVATE EQUITY 28989000 F MACRO FUNDS 25350000 F MARKET NEUTRAL FUNDS 17119000 F GUARANTEED INTEREST FUND 6035787 F 424158787 CAPITAL/OPERATING LEASES-ROU 80714900 HAMPDEN MED CENTER BUILDING PROJECT 63857150 SELF INSURANCE RECOVERIES 1327768 145899818 DUE TO AFFILIATES 1060272242 OPERATING LEASE 73619905 OTHER LIABILITIES 19988582 CAPITAL LEASE 2113004 1155993733 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 132948021 EUROPE 0 0 INVESTMENTS 22539863 0 0 0 0 0 0 155487884 0 155487884 1 0 1 0 1 0 PART III ACCOUNTING METHOD: 1 COCOA PACKS INC 500 HOMESTEAD RD PO BOX 613 HERSHEY PA 17033 812618467 501(C)(3) 27500 0 PROGRAM SUPPORT DOWNTOWN HERSHEY ASSOCIATION 600 CLEARWATER ROAD HERSHEY PA 17033 464743064 501(C)(3) 7000 0 PROGRAM SUPPORT FOUNDATION FOR ENHANCING COMMU 200 N 3RD STREET 8TH FLOOR PO BOX 678 HARRISBURG PA 171080678 010564355 501(C)(3) 23500 0 PROGRAM SUPPORT FRIENDS OF DERRY TWP PKS REC 600 CLEARWATER ROAD HERSHEY PA 17033 251622608 501(C)(3) 40000 0 PROGRAM SUPPORT HAMPDEN TOWNSHIP VETERANS RECOGNITION COMMITTEE 4900 CARLISLE PIKE PMB 267 MECHANICSBURG PA 17050 460748011 501(C)(3) 13500 0 PROGRAM SUPPORT HARRISBURG AREA YMCA 123 FORSTER ST 2ND FLOOR HARRISBURG PA 17102 231665437 501(C)(3) 10000 0 PROGRAM SUPPORT HARRISBURG REGIONAL CHAMBER 3211 NORTH FRONT STREET SUITE 201 HARRISBURG PA 17110 251750121 501(C)(6) 15575 0 PROGRAM SUPPORT HARRISBURG SYMPHONY ASSOC 800 CORPORATE CIRCLE STE 101 HARRISBURG PA 17110 231355180 501(C)(3) 17500 0 PROGRAM SUPPORT HERSHEY SYMPHONY ORCHESTRA PO BOX 93 HERSHEY PA 17033 232056048 501(C)(3) 10000 0 PROGRAM SUPPORT HERSHEY VOLUNTEER FIRE CO 21 WEST CARACAS AVENUE HERSHEY PA 17033 231360560 501(C)(3) 10000 0 PROGRAM SUPPORT HOSPICE OF CENTRAL PA 1320 LINGLESTOWN ROAD HARRISBURG PA 17110 232106895 501(C)(3) 11500 0 PROGRAM SUPPORT JOY OF SPORTS FOUNDATION PO BOX 16 HERSHEY PA 17033 471220812 501(C)(3) 6000 0 PROGRAM SUPPORT LANCASTER CHAMBER OF COMMERCE 115 EAST KING STREET LANCASTER PA 17602 232095463 501(C)(6) 29000 0 PROGRAM SUPPORT MS HERSHEY FOUNDATION 63 WEST CHOCOLATE AVE HERSHEY PA 17033 236242734 501(C)(3) 28000 0 PROGRAM SUPPORT NEW BIRTH FREEDOM COUNCIL BSA 1 BADEN POWELL LANE MECHANICSBUEG PA 17050 231365194 501(C)(3) 6500 0 PROGRAM SUPPORT PA CHAMBER BUSINESS & INDUSTRY 417 WALNUT STREET HARRISBURG PA 171011902 230961100 501(C)(6) 13000 0 PROGRAM SUPPORT BOY SCOUTS OF AMERICA 630 JANET AVENUE SUITE B114 LANCASTER PA 17601 231855082 501(C)(3) 15000 0 PROGRAM SUPPORT RONALD MCDONALD HOUSE 745 WEST GOVERNOR ROAD HERSHEY PA 17033 232204761 501(C)(3) 10000 0 PROGRAM SUPPORT SCHREIBER PEDIATRIC REHAB CTR 625 COMMUNITY WAY LANCASTER PA 176032301 231365369 501(C)(3) 7000 0 PROGRAM SUPPORT TOWNSHIP OF DERRY INDUSTRIAL 600 CLEARWATER ROAD HERSHEY PA 17033 251858891 115 7500 0 PROGRAM SUPPORT TROJAN FOUNDATION PO BOX 898 30 EAST GRANADA AVENUE HERSHEY PA 17033 582668921 501(C)(3) 10000 0 PROGRAM SUPPORT UNITED WAY OF THE CAPITAL REGN ONE UNITED WAY HARRISBURG PA 171100000 231352095 501(C)(3) 11431 0 PROGRAM SUPPORT VICKIES ANGEL FOUNDATION 511 BRIDGE STREET PO BOX 174 NEW CUMBERLAND PA 17070 208755452 501(C)(3) 10000 0 PROGRAM SUPPORT YWCA GREATER HARRISBURG 1101 MARKET STREET HARRISBURG PA 17103 231370514 501(C)(3) 7800 0 PROGRAM SUPPORT 21 3 PART I, LINE 2: 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 501(C)(3) 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. X X X X 1 1 0 0 0 0 0 1 0 STEPHEN MASSINI DIRECTOR/PRESIDENT/CEO 1198144 0 743685 0 94854 0 36360 0 22384 0 2095427 0 0 0 KEVIN P BLACK MD DIRECTOR/DEAN 0 935391 0 354972 0 10685 0 36360 0 9035 0 1346443 0 0 PETER DILLON MD CHAIR, DEPARTMENT OF SURGERY 823876 0 333653 0 66517 0 36360 0 16766 0 1277172 0 0 0 DR ERIC BARRON DIRECTOR (PSU EMPLOYEE) (THRU 5/22) 0 865920 0 200000 0 75748 0 26941 0 15836 0 1184445 0 0 PAULA TINCH EVP & CFO, TREASURER (AS OF 7/21) 662231 0 229391 0 19987 0 70363 0 16877 0 998849 0 0 0 VENKATESH NADAR PHYSICIAN 853800 0 25500 0 5934 0 36360 0 19916 0 941510 0 0 0 THOMAS STOESSEL EXEC VP & CHIEF STRATEGY OFFICER 565662 0 256233 0 14850 0 61202 0 22384 0 920331 0 0 0 ALAN BRECHBILL COO (THRU 7/2020) 0 0 0 0 905466 0 0 0 0 0 905466 0 0 0 LANCE WOOD PHYSICIAN 708016 0 117982 0 2229 0 36360 0 22042 0 886629 0 0 0 JOHN WEAVER PHYSICIAN 678300 0 90000 0 13601 0 36360 0 15868 0 834129 0 0 0 GREG THOMPSON PHYSICIAN 671801 0 80000 0 4310 0 36360 0 22462 0 814933 0 0 0 ANNEMARIE BOYAN THRU 222 SEC. / PSH ASSOC GC (PSU EMPLOYEE) 0 555510 0 0 0 183229 0 26941 0 28529 0 794209 0 0 CLETIS EARLE SENIOR VP & CIO 473314 0 199935 0 19571 0 56900 0 22841 0 772561 0 0 0 LOUIS BORGATTA MD PHYSICIAN 431696 0 257995 0 6018 0 36360 0 16833 0 748902 0 0 0 JUDITH HLAFCSAK CHIEF OF STAFF 375622 0 135069 0 22409 0 47694 0 8969 0 589763 0 0 0 KIMBERLY LANSFORD CHIEF COMPLIANCE AND BUSINESS RISK 446275 0 0 0 5881 0 54196 0 16989 0 523341 0 0 0 DR SARA THORNDIKE DIRECTOR (PSU EMPLOYEE) 0 425195 0 0 0 39658 0 26941 0 21808 0 513602 0 0 DAVID C HAN MD DIRECTOR/PHYSICIAN 0 330680 0 0 0 14787 0 36360 0 18540 0 400367 0 0 ROSS DARROW ASST. TREASURER 249405 0 75160 0 7788 0 36360 0 22408 0 391121 0 0 0 NICOLE LEHMAN INTERIM SEC. (PSU EMP) (AS OF 2/22) 0 254967 0 0 0 0 0 68172 0 27328 0 350467 0 0 DEBORAH ADDO COO (AS OF 8/2021) 261422 0 25000 0 1870 0 14500 0 3260 0 306052 0 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2022: - ALAN BRECHBILL - $905,466 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2022, CERTAIN OFFICERS 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 - $81,924 - PETER DILLON - $55,892 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2022, 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. - PAULA TINCH - $34,003 - THOMAS STOESSEL - $24,842 - CLETIS EARLE - $20,540 - KIMBERLY LANSFORD - $17,836 - JUDITH HLAFCSAK - $11,334 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. A CUMBERLAND COUNTY MUNICIPAL AUTHORITY 236003119 230614PD5 2019-11-07 249998409 HOSPITAL CONSTRUCTION AND EQUIPMENT 0 0 0 B LANCASTER COUNTY HOSPITAL AUTHORITY 236648018 514045W66 2021-11-10 349994822 HOSPITAL CONSTRUCTION AND EQUIPMENT 0 0 0 A 251908189 251908189 2021 0 0 1 1 B 350114999 286258017 63856982 0 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 3: (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. 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) ARE AVAILABLE AT WWW.PSU.EDU. PART VII/SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN DIRECTORS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THAT REMUNERATION TO THESE DIRECTORS AND OFFICERS WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED ORGANIZATION, NOT FOR SERVICES RENDERED AS DIRECTORS OF THE FILING ORGANIZATION. FORM 990, PART XI, LINE 9: TRANSFERS TO THE PENN STATE COLLEGE OF MEDICINE -56,863,628. OTHER CHANGES IN NET ASSETS -195,906. 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