MAIN LINE HEALTH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MAIN LINE HEALTH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES (EIN 82-5397205)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-10-17
- IRS object ID
- 202342909349300324
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-17T08:33:33-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PwC US Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 MARKET ST SUITE 1800 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 825397205 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAIN LINE HEALTH INTEGRATIVE AND FUNCTIONAL | BusinessNameLine1Txt |
| Business Name Line2 | MEDICINE SERVICES | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CURT WHITESIDE | InCareOfNm |
| Business Name Control | MAIN | BusinessNameControlTxt |
| Phone | 4843371864 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 S BRYN MAWR AVENUE | AddressLine1Txt |
| City | BRYN MAWR | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19010 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL J BUONGIORNO | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4843371864 | PhoneNum |
| Signature | 2023-10-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL J | PersonFirstNm |
| Person Last | BUONGIORNO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERICA R MCREYNOLDS | PreparerPersonNm |
| PTIN | P00977806 | PTIN |
| Phone | 2673303000 | PhoneNum |
| Preparation | 2023-10-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | MICHAEL J BUONGIORNO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3803 W CHESTER PIKE 250 | AddressLine1Txt |
| City | NEWTOWN SQUARE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19073 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $337,348 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2018 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | To be known as the best place to receive holistic care that achieves total wellness and rejuvenation for the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 3 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $337,996 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $337,348 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $337,996 | PYTotalRevenueAmt |
| CY Total Revenue | $337,348 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,028,140 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $835,411 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $736,671 | PYOtherExpensesAmt |
| CY Other Expenses | $728,038 | CYOtherExpensesAmt |
| PY Total Expenses | $1,764,811 | PYTotalExpensesAmt |
| CY Total Expenses | $1,563,449 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,426,815 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,226,101 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,846,088 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,176,693 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,818,379 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,325,122 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,027,709 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,851,571 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MLH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES IS DEDICATED TO ADDRESSING THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF PATIENTS; INTRODUCING THE MOST UPDATED INTEGRATIVE AND FUNCTIONAL THERAPIES FOR OPTIMAL WELLNESS. THROUGH EVIDENCE-BASED RESEARCH AND CONTINUING EDUCATION, WE WILL REMAIN AT THE FOREFRONT OF BEST PRACTICES IN PROVIDING OUR PATIENTS COMPLEMENTARY AND ALTERNATIVE CARE SERVICES, BOUND BY THE MLH COMMITMENT TO PROVIDING CARE THAT IS SAFE AND OF HIGH QUALITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,544,905 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $337,348 | RevenueAmt |
| Desc | MLH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES is the employed integrative specialty and functional medicine physician network. MLH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES offers personalized medicine for the 21st century. The goal of integrative and functional medicine is to get to the root cause of health problems and treat the whole person with a combination of approaches. Our integrative medicine service strives to consider the whole body. When evaluating a new patient, our physicians will incorporate the best interventions of conventional medicine, complementary medicine and alternative therapies, and provide patients with knowledge of when to pursue such modalities as western herbalism/supplements, acupuncture, yoga, tai chi, meditation, chiropractic manipulation or massage. Physicians also focus on the nutritional and exercise habits of the patient to curb factors related to obesity and diabetes. The physicians consider poor lifestyle choices as major contributing factors to the root cause of many modern chronic diseases. Our functional medicine service focuses on key things: finding the underlying cause of a patient's health problems, using a laboratory based analysis system to determine what is wrong, using supplements to correct problems-with medications as needed, and focusing in depth on lifestyle changes such as diet, exercise, sleep and meditation. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,544,905 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | 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 | CURT WHITESIDE | PersonNm |
| Phone | 4843371864 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3803 W CHESTER PIKE STE 250 | AddressLine1Txt |
| City | NEWTOWN SQUARE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19073 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 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 |
|---|---|---|---|---|---|---|---|---|
| JOHN J LYNCH III | ||||||||
| CHAIRMAN | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $3,879,228 | $503,806 | |
| MICHAEL J BUONGIORNO | ||||||||
| TREASURER | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $998,977 | $159,257 | |
| BRIAN T CORBETT ESQ | ||||||||
| SECRETARY | 1.0 | 39.0 | Yes (X) | $0 | $675,221 | $143,996 | ||
| JOHN SCHWARZ | ||||||||
| PRESIDENT (START 01/2021) | 1.0 | 39.0 | Yes (X) | Yes (X) | $0 | $452,655 | $122,772 | |
| SARA SLATTERY | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $235,727 | $0 | $12,882 | Yes (X) | ||
| RACHEL SUGARMAN | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $204,751 | $0 | $22,934 | Yes (X) | ||
| EILEEN CARR | ||||||||
| ASSISTANT SECRETARY | 1.0 | 39.0 | Yes (X) | $0 | $126,995 | $26,655 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $440,478 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,133,076 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $992,302 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NONE | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Address | ContractorAddress |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHYSICIAN PRACTICES | 900099 | $337,613 | $337,613 |
| SUPPORT SERVICES | 900099 | -$265 | -$265 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $337,348 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $337,348 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $337,348 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,544 | TotalAmt |
| Program Services | $353,544 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,934 | TotalAmt |
| Program Services | $340,934 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,852 | TotalAmt |
| Program Services | $2,852 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,308 | TotalAmt |
| Program Services | $123,308 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,773 | TotalAmt |
| Program Services | $14,773 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288 | TotalAmt |
| Management And General | $288 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,203 | TotalAmt |
| Program Services | $30,478 | ProgramServicesAmt |
| Management And General | $1,725 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,070 | TotalAmt |
| Program Services | $21,997 | ProgramServicesAmt |
| Management And General | $73 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,860 | TotalAmt |
| Program Services | $466,860 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,326 | TotalAmt |
| Program Services | $1,326 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,242 | TotalAmt |
| Program Services | $165,039 | ProgramServicesAmt |
| Management And General | $14,203 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,559 | TotalAmt |
| Program Services | $16,559 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BANK FEES | $9,285 | $7,030 | $2,255 |
| LATE FEES TO VENDORS | $205 | $205 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,563,449 | TotalAmt |
| Program Services | $1,544,905 | ProgramServicesAmt |
| Management And General | $18,544 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,029 | BOYAmt |
| EOY | $378,982 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,763 | BOYAmt |
| EOY | $5,560 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,324,518 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $272,693 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,071,686 | BOYAmt |
| EOY | $3,051,825 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,316,610 | BOYAmt |
| EOY | $1,740,326 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,846,088 | BOYAmt |
| EOY | $5,176,693 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,731 | BOYAmt |
| EOY | $14,947 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,600 | BOYAmt |
| EOY | $4,300 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,441,048 | BOYAmt |
| EOY | $2,305,875 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,818,379 | BOYAmt |
| EOY | $2,325,122 | 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 | $3,027,709 | BOYAmt |
| EOY | $2,851,571 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,027,709 | BOYAmt |
| EOY | $2,851,571 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,846,088 | BOYAmt |
| EOY | $5,176,693 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,226,101 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $1,049,963 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,629,454 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,192 | DepreciationAmt |
| Book Value | $2,501,262 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $695,064 | OtherCostOrOtherBasisAmt |
| Depreciation | $144,501 | DepreciationAmt |
| Book Value | $550,563 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,051,825 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE ASSETS | Desc |
| Book Value | $1,740,326 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,740,326 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO BRYN MAWR HOSPITAL | $968 |
| DUE TO MAIN LINE SERVICES | $755 |
| DUE TO MAIN LINE HEALTHCARE | $4,644 |
| ESTIMATED SELF-INSURANCE COSTS | $56,221 |
| OPERATING LEASE LIABILITIES | $2,243,287 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,305,875 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN J LYNCH III | ||||||||||||||
| CHAIRMAN | $0 | $1,161,968 | $0 | $614,378 | $0 | $2,102,882 | $0 | $463,146 | $0 | $40,660 | $0 | $4,383,034 | $0 | $1,787,455 |
| MICHAEL J BUONGIORNO | ||||||||||||||
| TREASURER | $0 | $672,072 | $0 | $280,871 | $0 | $46,034 | $0 | $116,224 | $0 | $43,033 | $0 | $1,158,234 | $0 | $166,270 |
| BRIAN T CORBETT ESQ | ||||||||||||||
| SECRETARY | $0 | $508,710 | $0 | $166,404 | $0 | $107 | $0 | $107,277 | $0 | $36,719 | $0 | $819,217 | $0 | $101,049 |
| EILEEN CARR | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $122,802 | $0 | $1,133 | $0 | $3,060 | $0 | $0 | $0 | $26,655 | $0 | $153,650 | $0 | $0 |
| RACHEL SUGARMAN | ||||||||||||||
| PHYSICIAN | $199,501 | $0 | $0 | $0 | $5,250 | $0 | $0 | $0 | $22,934 | $0 | $227,685 | $0 | $0 | $0 |
| JOHN SCHWARZ | ||||||||||||||
| PRESIDENT (START 01/2021) | $0 | $371,852 | $0 | $80,803 | $0 | $0 | $0 | $77,207 | $0 | $45,565 | $0 | $575,427 | $0 | $68,188 |
| SARA SLATTERY | ||||||||||||||
| PHYSICIAN | $232,602 | $0 | $0 | $0 | $3,125 | $0 | $0 | $0 | $12,882 | $0 | $248,609 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE J, PART I, LINE 4B | NONQUALIFIED RETIREMENT PLAN: THE CHAIRMAN AND TREASURER ("PARTICIPANTS") PARTICIPATE IN A NONQUALIFIED RETIREMENT PLAN. MAIN LINE HOSPITALS, INC. PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH A FUNDING ARRANGEMENT KNOWN AS A COLLATERAL ASSIGNMENT SPLIT DOLLAR POLICY. THE PLAN PROVIDES THAT THE SYSTEM WILL PAY PREMIUM PAYMENTS ON A LIFE INSURANCE POLICY FOR EACH OF THE PARTICIPANTS. DURING THE PARTICIPANTS' LIFE, TO THE EXTENT SERVICE AND VESTING REQUIREMENTS ARE FULFILLED, THE PARTICIPANT CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. IT IS REASONABLE TO BELIEVE THAT THE LOAN IS PAID IN FULL UPON THE DEATH OF THE PARTICIPANT. FORGIVEN INTEREST INCLUDED IN PARTICIPANTS' EARNINGS ARE: CHAIRMAN $41,370 TREASURER $12,369 SERP DISCLOSURE: MAIN LINE HEALTH, INC. ("MLH") AND ITS AFFILIATES PROVIDED SUPPLEMENTAL RETIREMENT BENEFITS THROUGH ESTABLISHED SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS ("SERP") TO SELECT MEMBERS OF SENIOR LEADERSHIP IN FY22. SERP BENEFITS FUNDED BY MLH ARE SUBJECT TO VESTING AND EMPLOYMENT DATE REQUIREMENTS AND ARE PAID OUT AT THE CONCLUSION OF A PREDETERMINED PERFORMANCE PERIOD. A PERFORMANCE PERIOD IS A TIMEFRAME OF AT LEAST TWELVE MONTHS THAT MAY COVER VARYING LENGTHS OF TIME FOR EACH INDIVIDUAL EMPLOYEE. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE REPORTED IN SCHEDULE J, PART II, COLUMN (B) (III) AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE REPORTED IN SCHEDULE J, PART II, COLUMN (C). |
| FORM 990, SCHEDULE J, PART I, LINE 7 | THE COMPENSATION OF THE CEO, EVP & CHIEF FINANCIAL OFFICER, HOSPITAL PRESIDENTS, AND OTHER SENIOR EXECUTIVES DID INCLUDE A NON-FIXED COMPONENT PAYMENT OF COMPENSATION BASED UPON PRE-ESTABLISHED QUALITY, PATIENT SAFETY, AND FINANCIAL TARGETS ESTABLISHED AT THE BEGINNING OF THE FISCAL YEAR. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE MAIN LINE HEALTH BOARD IS RESPONSIBLE FOR EVALUATING AND DETERMINING THE APPROPRIATENESS OF THE TARGETS. AFTER REVIEW AND DELIBERATION, THE COMMITTEE DOCUMENTS ITS DECISIONS AND REPORTS TO THE FULL BOARD OF GOVERNORS WHO REVIEW THE COMPENSATION DECISIONS. PAYMENTS ARE MADE TO THE APPROPRIATE INDIVIDUALS BY THE ORGANIZATION WITHIN WHICH THOSE INDIVIDUALS RESIDE FOR PAYROLL REPORTING PURPOSES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, HEADER, BOX B | AMENDED RETURN THIS AMENDED RETURN CORRECTLY REPORTS COMPENSATION FOR JOHN J. LYNCH III. SCHEDULE J, COLUMN (F) HAS BEEN INCREASED TO CORRECTLY REPORT COMPENSATION PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS ON PRIOR FORMS 990. -------------------------------------------- FORM 990, PART VI, SECTION A, LINES 6, 7A AND 7B AS PER THE ARTICLES OF INCORPORATION, THE SOLE MEMBER OF MLH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES IS MAIN LINE HEALTH, INC., A PA NONPROFIT CORPORATION. AS SOLE MEMBER, MAIN LINE HEALTH, INC. HOLDS CERTAIN POWERS OF ELECTION AND APPROVAL IN CONNECTION WITH THE GOVERNING BODY OF MLH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES. THESE POWERS ARE PRESENTED IN DETAIL IN THE COMPANY'S GOVERNING DOCUMENTS WHICH THE COMPANY MAKES AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED IN CONJUNCTION WITH PRICEWATERHOUSECOOPERS LLP AND REVIEWED INTERNALLY BY MANAGEMENT. IT IS THEN SENT TO THE BOARD OF TRUSTEES FOR THEIR REVIEW. THE FORM 990 IS REVIEWED AT A MEETING OF THE BOARD OF TRUSTEES PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUAL CONFLICTS OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED BY ALL TRUSTEES, OFFICERS, DIRECTORS, AND OTHER INTERESTED PERSONS. ANY CONFLICT ARISING ARE REFERRED TO THE LEGAL DEPARTMENT FOR RESOLUTION. IF DEEMED NECESSARY OR ADVISABLE, CONFLICTS MAY BE REFERRED TO THE FULL BOARD FOR RESOLUTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING THE COMPENSATION PAID TO THE CEO, TOP MANAGEMENT OFFICIALS AND KEY PERSONNEL OF THE ORGANIZATION IS AS FOLLOWS: THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE MAIN LINE HEALTH BOARD, USING THE SERVICES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM AND BOTH NATIONAL AND REGIONAL HEALTHCARE DELIVERY MARKET COMPARABLE COMPENSATION DATA, IS RESPONSIBLE FOR THE EVALUATION AND DETERMINATION OF SENIOR EXECUTIVE BENEFITS AND COMPENSATION FOR THE CEO, EVP AND CHIEF FINANCIAL OFFICER, HOSPITAL PRESIDENTS, AND SENIOR VICE PRESIDENTS. AFTER REVIEW AND DELIBERATION, THE COMMITTEE DOCUMENTS ITS COMPENSATION DECISIONS AND REPORTS TO THE FULL MAIN LINE HEALTH BOARD OF GOVERNORS. THE COMPENSATION PAID TO KEY PERSONNEL OF MAIN LINE HEALTH SYSTEM AND AFFILIATES IS SIMILARLY DETERMINED USING MARKET SURVEY DATA REPRESENTING COMPARABLE POSITIONS IN SIMILAR ORGANIZATIONS AS PROVIDED BY INDEPENDENT CONSULTING FIRMS. COMPENSATION RECOMMENDATIONS AT THIS LEVEL FOR MAIN LINE HEALTH INTEGRATIVE AND FUNCTIONAL MEDICINE SERVICES ARE REVIEWED FOR LEGAL COMPLIANCE PURPOSES BY MLH'S LEGAL DEPARTMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, SECTION A, COLUMN B | THE OFFICERS DEVOTE THEIR TIME TO ALL OF THE ORGANIZATIONS WITHIN MAIN LINE HEALTH SYSTEM AND, AS SUCH, THE TOTAL HOURS WORKED BY THE OFFICERS, ACROSS ALL OF THE ORGANIZATIONS, CUMULATIVELY REPRESENT THEIR FULL-TIME EMPLOYMENT STATUS. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS INCLUDE THE FOLLOWING: TRANSFERS FROM AFFILIATES 1,047,716 ANTARIS SOFTWARE 2,247 ----------- 1,049,963 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| MAIN LINE HEALTH SYSTEM | ||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 232814503 | HEALTHCARE | PA | 501(C)(3) | 12, II | NONE | false |
| MAIN LINE HEALTH INC | ||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 232331531 | HEALTHCARE | PA | 501(C)(3) | 12, II | MLHS | false |
| MAIN LINE HOSPITALS INC | ||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 231352160 | HEALTHCARE | PA | 501(C)(3) | 3 | MLH | false |
| LANKENAU INSTITUTE FOR MEDICAL RESEARCH | ||||||||||
| 100 LANCASTER AVE | WYNNEWOOD | PA | 19096 | 232175659 | HEALTHCARE | PA | 501(C)(3) | 4 | ML HOSPITALS | false |
| MAIN LINE HEALTH HOMECARE AND HOSPICE | ||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 232308028 | HEALTHCARE | PA | 501(C)(3) | 10 | MLDS | false |
| RIDDLE MEMORIAL HOSPITAL | ||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 231529076 | HEALTHCARE | PA | 501(C)(3) | 3 | MLH | false |
| RIDDLE HEALTH CARE SERVICES | ||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 222606545 | HEALTHCARE | PA | 501(C)(3) | 12, II | RMH | false |
| RIDDLE HEALTHCARE ASSOCIATES | ||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 232900844 | PHYSICIAN | PA | 501(C)(3) | 10 | MLH | false |
| MIRMONT ALCOHOL REHABILITATION CENTER | ||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 232215243 | HEALTHCARE | PA | 501(C)(3) | 3 | MLDS | false |
| MAIN LINE AFFILIATES | ||||||||||
| 240 RADNOR-CHESTER ROAD | RADNOR | PA | 19087 | 232308668 | HEALTHCARE | PA | 501(C)(3) | 10 | MLDS | false |
| MAIN LINE DIVERSIFIED SERVICES INC | ||||||||||
| 240 RADNOR-CHESTER ROAD | RADNOR | PA | 19087 | 232859148 | HEALTHCARE | PA | 501(C)(3) | 12, I | MLH | false |
| MAIN LINE REALTY CORPORATION | ||||||||||
| 240 RADNOR-CHESTER ROAD | RADNOR | PA | 19087 | 222440273 | REAL ESTATE | PA | 501(C)(3) | 12, I | MLH | false |
| MAIN LINE SERVICES | ||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 232359402 | HEALTHCARE | PA | 501(C)(3) | 12, II | MLDS | false |
| THE BRYN MAWR HOSPITAL FOUNDATION | ||||||||||
| 130 SOUTH BRYN MAWR AVE | BRYN MAWR | PA | 19010 | 232179020 | FUNDRAISING | PA | 501(C)(3) | 7 | NA | false |
| LANKENAU MEDICAL CENTER FOUNDATION | ||||||||||
| 100 LANCASTER AVE | WYNNEWOOD | PA | 19096 | 232176723 | FUNDRAISING | PA | 501(C)(3) | 7 | NA | false |
| PAOLI MEMORIAL HOSPITAL FOUNDATION | ||||||||||
| 255 WEST LANCASTER AVE | PAOLI | PA | 19301 | 232359407 | FUNDRAISING | PA | 501(C)(3) | 7 | NA | false |
| BRYN MAWR REHABILITATION FOUNDATION | ||||||||||
| 414 PAOLI PIKE | MALVERN | PA | 19355 | 232507348 | FUNDRAISING | PA | 501(C)(3) | 7 | NA | false |
| THE RIDDLE HEALTHCARE FOUNDATION | ||||||||||
| 1068 WEST BALTIMORE PIKE | MEDIA | PA | 19063 | 043601189 | FUNDRAISING | PA | 501(C)(3) | 7 | NA | false |
| FIVE POINTE PROFESSIONAL LIABILITY INSUR | ||||||||||
| 1105 N MARKET ST SUITE 1300 | WILMINGTON | DE | 19899 | 204191006 | INSURANCE | DE | 501(C)(3) | 12, I | MLHS | false |
| MAIN LINE HEALTHCARE | ||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 232359401 | PHYSICIAN MGM | PA | 501(C)(3) | 12, I | MLH | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BMHR ASSOCIATES | ||||||||||||
| 240 RADNOR-CHESTER ROAD | RADNOR | PA | 19087 | 232311589 | HEALTHCARE | PA | NA | N/A | $0 | $0 | false | false |
| MAIN LINE HEALTH IMAGING LP | ||||||||||||
| 100 LANCASTER AVE | WYNNEWOOD | PA | 19096 | 232409186 | HEALTHCARE | PA | NA | N/A | $0 | $0 | false | false |
| RIDDLE SURGICAL CENTER LLC | ||||||||||||
| 1118 WEST BALTIMORE PIKE | MEDIA | PA | 19063 | 263899068 | HEALTHCARE | PA | NA | N/A | $0 | $0 | false | false |
| RMH HEALTH CARE CENTER ASSOC | ||||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 232236644 | OFFICE RENTAL | PA | NA | N/A | $0 | $0 | false | false |
| ACCOUNTABLE CARE ORGANIZATION | ||||||||||||
| 259 N RADNOR CHESTER ROAD | RADNOR | PA | 19087 | 274553972 | HEALTHCARE | PA | NA | N/A | $0 | $0 | false | false |
| BRYN MAWR SURGERY CENTER LLC | ||||||||||||
| 130 SOUTH BRYN MAWR AVE | BRYN MAWR | PA | 19010 | 472590785 | HEALTHCARE | PA | NA | N/A | $0 | $0 | false | false |
| 120 VALLEY GREEN LANE LLC | ||||||||||||
| 240 RADNOR-CHESTER ROAD | RADNOR | PA | 19087 | 823428069 | HEALTHCARE | PA | NA | N/A | $0 | $0 | false | false |
| MUVE - WEST CHESTER LLC | ||||||||||||
| 11221 ROE AVE | LEAWOOD | KS | 66211 | 320537159 | HEALTHCARE | KS | NA | N/A | $0 | $0 | false | false |
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 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MAIN LINE CORPORATION | |||||||||||
| 240 RADNOR-CHESTER ROAD | RADNOR | PA | 19087 | 231704075 | INACTIVE | PA | NA | C CORPORATION | $0 | $0 | false |
| MOUNTAIN LAUREL RISK RETENTION GROUP | |||||||||||
| 3803 WEST CHESTER PIKE STE 250 | NEWTOWN SQUARE | PA | 19073 | 141868175 | INSURANCE | VT | NA | C CORPORATION | $0 | $0 | false |
| RIDDLE HEALTH NETWORK LLC | |||||||||||
| 1068 W BALTIMORE PIKE | MEDIA | PA | 19063 | 232975542 | INACTIVE | PA | NA | C CORPORATION | $0 | $0 | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |