MOUNT NITTANY MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: MOUNT NITTANY MEDICAL CENTER (EIN 24-0795682)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-14
IRS object ID: 202521349349301522
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-14T07:22:28-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY ADVISORY GROUP LP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1570 FRUITVILLE PIKE SUITE 400	AddressLine1Txt
City	LANCASTER	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17601	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	240795682	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT NITTANY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MOUN	BusinessNameControlTxt
Phone	8142317000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 WELLNESS WAY	AddressLine1Txt
City	STATE COLLEGE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16803	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BRYAN ROACH	PersonNm
Person Title	SR. EXECUTIVE VP & CFO	PersonTitleTxt
Phone	8142317000	PhoneNum
Signature	2025-05-10	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	KERRI N BOGDA CPA	PreparerPersonNm
PTIN	P00760402	PTIN
Phone	7177404863	PhoneNum
Preparation	2025-05-10	PreparationDt

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	KATHLEEN RHINE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 WELLNESS WAY	AddressLine1Txt
City	STATE COLLEGE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16803	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$780,471,639	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MOUNTNITTANY.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1905	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	INPATIENT, OUTPATIENT & EMERGENCY CARE SERVICES TO CENTRE COUNTY AND THE SURROUNDING AREAS.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	2167	TotalEmployeeCnt
Total Volunteers	45	TotalVolunteersCnt
Total Gross UBI	$2,462,043	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$802,843	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,861,679	PYContributionsGrantsAmt
CY Contributions Grants	$3,528,386	CYContributionsGrantsAmt
PY Program Service Revenue	$458,777,195	PYProgramServiceRevenueAmt
CY Program Service Revenue	$500,156,254	CYProgramServiceRevenueAmt
PY Investment Income	$823,955	PYInvestmentIncomeAmt
CY Investment Income	$17,285,749	CYInvestmentIncomeAmt
PY Other Revenue	$16,652,484	PYOtherRevenueAmt
CY Other Revenue	$18,863,549	CYOtherRevenueAmt
PY Total Revenue	$482,115,313	PYTotalRevenueAmt
CY Total Revenue	$539,833,938	CYTotalRevenueAmt
PY Grants And Similar Paid	$37,804,941	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$48,119,503	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$204,375,777	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$217,646,265	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$199,614,377	PYOtherExpensesAmt
CY Other Expenses	$212,844,333	CYOtherExpensesAmt
PY Total Expenses	$441,795,095	PYTotalExpensesAmt
CY Total Expenses	$478,610,101	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,320,218	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$61,223,837	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,177,993,229	TotalAssetsBOYAmt
Total Assets EOY	$1,353,777,578	TotalAssetsEOYAmt
Total Liabilities BOY	$546,528,654	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$562,820,688	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$631,464,575	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$790,956,890	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MOUNT NITTANY'S MISSION: WE ARE HERE TO MAKE PEOPLE HEALTHIER.MOUNT NITTANY MEDICAL CENTER WILL PROVIDE EVERY PATIENT WITH THE FINEST, PATIENT-CENTERED CARE IN A SAFE AND COMFORTABLE ENVIRONMENT. CONTINUED ON SCHEDULE O.CARE WILL BE PROVIDED WHILE CONTINUALLY IMPROVING ACCESS TO CARE, AND STRIVING TO ENHANCE THE QUALITY OF HUMAN LIFE FOR EVERYONE WE SERVE. MOUNT NITTANY MEDICAL CENTER WILL ENHANCE ITS POSITION AS THE PREFERRED REGIONAL HEALTHCARE DESTINATION FOR BOTH PATIENTS AND MEDICAL PROFESSIONALS - PROVIDING VITAL CLINICAL CENTERS OF EXCELLENCE AND SUPERIOR ACCESS TO CARE - SUPPORTED BY A COMMITMENT TO MEDICAL EDUCATION AND BACKED BY A CULTURE OF ADVANCEMENT AND ACCOUNTABILITY - MOVING LIFE FORWARD.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$365,721,053	ExpenseAmt
Grant	$48,119,503	GrantAmt
Revenue	$500,156,254	RevenueAmt
Desc	MOUNT NITTANY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL AND IS AN MOUNT NITTANY MEDICAL CENTER, MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES, CENTRE COUNTY CHILDREN'S ADVOCACY CENTER, AND THE FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER.CONTINUED ON SCHEDULE O.MOUNT NITTANY MEDICAL CENTER IS COMMITTED TO PROVIDING QUALITY MEDICAL CARE IN AN ATMOSPHERE THAT REFLECTS HIGH STANDARDS OF SOCIAL, ETHICAL, AND FINANCIAL RESPONSIBILITY AND WILL ASSURE THAT THOSE SAME STANDARDS ARTHE BOARD OF TRUSTEES HAS ESTABLISHED THIS STATEMENT OF ORGANIZATIONAL VALUES TO ASSURE THAT MEMBERS OF THE BOARD, THE MEDICAL CENTER STAFF, AND THE MEDICAL STAFF HONOR THE FOLLOWING PRINCIPLES THROUGH OUR BEHAVIORS:1) ALLIANCES WITH PATIENTS:- WE WILL TREAT ALL PATIENTS WITH DIGNITY AND RESPECT, AND WILL ACCOMMODATE INDIVIDUAL RESPONSES TO THE STRESS OF ILLNESS.- WE FULLY SUPPORT THE PRINCIPLES OUTLINED IN THE STATEMENT OF PATIENT'S RIGHTS AND RESPONSIBILITIES DOCUMENT.- WE COMMIT TO A SERVICE EXCELLENCE PHILOSOPHY THAT STRIVES TO MEET OR EXCEED PATIENT EXPECTATIONS.- ALL PATIENTS RECEIVE A UNIFORM STANDARD OF CARE THROUGHOUT THE FACILITY, REGARDLESS OF SOCIAL, CULTURAL, FINANCIAL, RELIGIOUS, RACIAL, GENDER, OR SEXUAL ORIENTATION FACTORS.- THE MEDICAL CENTER AND MEDICAL STAFF WORK JOINTLY TO ASSURE THAT ONLY APPROPRIATE AND EFFECTIVE TESTS, PROCEDURES, AND TREATMENTS ARE PROVIDED TO PATIENTS.2) COMMUNITY RELATIONS:- WE WILL FAIRLY AND ACCURATELY REPRESENT OURSELVES AND OUR CAPABILITIES TO THE PUBLIC.- WE ARE COMMITTED TO CONSTANT PREPARATION FOR THE LONG-TERM FINANCIAL VIABILITY OF THE MEDICAL CENTER THROUGH RESPONSIBLE UTILIZATION OF RESOURCES AND IN SUPPORT OF OUR COMMITMENT TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY.- MEDICAL CENTER LEADERSHIP (EXECUTIVES, BOARD OF TRUSTEES, MEDICAL STAFF) WILL DISCLOSE AND AVOID POTENTIAL CONFLICTS OF INTEREST. ALL OTHER HOSPITAL STAFF WILL AVOID SIMILAR CONFLICTS OF INTEREST.- WE WILL MAINTAIN AN OPEN ADMISSIONS POLICY: NO PATIENT WILL BE REFUSED EVALUATION AND SERVICE BASED UPON SEX, AGE, RACE, CREED, NATIONAL ORIGIN, SEXUAL ORIENTATION, INFECTION STATUS, OR THE ABILITY TO PAY. TRANSFERS TO OTHER FACILITIES WILL OCCUR ONLY WHEN WE ARE UNABLE TO PROVIDE NEEDED SERVICES AND ONLY TO FACILITIES THAT PROVIDE AN APPROPRIATE LEVEL OF CARE, BASED ON OUR ASSESSMENT OF THE PATIENTS' NEEDS. PATIENTS MAY ALSO REQUEST ELECTIVE TRANSFER AND AN INFORMEDCONSENT PROCESS WILL BE FOLLOWED.GENERAL PROGRAM SERVICE INFORMATION:-1) OPERATIONS & PATIENTS:MOUNT NITTANY MEDICAL CENTER, LOCATED IN STATE COLLEGE, PENNSYLVANIA, IS A 260-BED ACUTE-CARE, NOT-FOR-PROFIT FACILITY OFFERING GENERAL MEDICAL AND SURGICAL SERVICES THAT ARE FOCUSED ON HELPING PATIENTS REACH THEIR HEALTH POTENTIAL. FOR THE FISCAL YEAR ENDED JUNE 30, 2024,MOUNT NITTANY MEDICAL CENTER PROVIDED CARE TO THE FOLLOWING NUMBER OF PATIENTS:TOTAL NUMBER OF: INPATIENTS 12,920, OUTPATIENTS 316,708 AND ER VISITS 57,592TOTAL MEDICARE AND MEDICARE ADVANTAGE: INPATIENTS 6,214, OUTPATIENTS 98,940 AND ER VISITS 16,584TOTAL MEDICAID AND MEDICAID HMO: INPATIENTS 1,324, OUTPATIENTS 18,118 AND ER VISITS 10,272TOTAL SELF PAY: INPATIENTS 224, OUTPATIENTS 13,260 AND ER VISITS 1,584.MOUNT NITTANY MEDICAL CENTER DID NOT DENY MEDICAL SERVICES TO ANY INDIVIDUALS INCLUDING THOSE THAT HAD PRIVATE INSURANCE, MEDICARE, MEDICAID, PUBLIC HEALTH INSURANCE, OR NO INSURANCE.2) EMERGENCY DEPARTMENT:MOUNT NITTANY MEDICAL CENTER OPERATES AN EMERGENCY ROOM 24 HOURS A DAY, 365 DAYS A YEAR PROVIDING SERVICES TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY AND DENIED ZERO PATIENTS REQUESTING SUCH SERVICES. THE EMERGENCY ROOM DOES NOT HAVE A TRAUMA CENTER CERTIFICATION.3) MEDICAL STAFF PRIVILEGES:ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE ELIGIBLE FOR MEDICAL STAFF PRIVILEGES AT MOUNT NITTANY MEDICAL CENTER AND ALL QUALIFIED PHYSICIAN APPLICATIONS HAVE BEEN ACCEPTED FOR MEDICAL STAFF PRIVILEGES. MORE THAN 300 PHYSICIANS IN 42 SPECIALTIES AND SUBSPECIALTIES ARE CREDENTIALED AT MOUNT NITTANY MEDICAL CENTER.4) PROFESSIONAL MEDICAL EDUCATION AND TRAINING:MOUNT NITTANY MEDICAL CENTER CONDUCTS PROFESSIONAL MEDICAL EDUCATION AND TRAINING PROGRAMS FOR THE BENEFIT OF THE COMMUNITY WITH A RESULTING FINANCIAL LOSS TO THE MEDICAL CENTER MET IN ALL CONTRACTUAL RELATIONSHIPS.	Desc
Total Program Service Expenses	$365,721,053	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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	Yes (1)	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	0	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	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
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	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	29	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2167	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	9	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BRYAN ROACH SR EXECUTIVE VP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8142346148	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 WELLNESS WAY	AddressLine1Txt
City	STATE COLLEGE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16803	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
THOMAS QUIGLEY
CHAIR	2.00	Yes (X)	Yes (X)	$0	$0	$0
KRISTIE KAUFMAN MD
SECRETARY/TREASURER	2.00	Yes (X)	Yes (X)	$0	$365,330	$35,370	38.00
KATHLEEN RHINE
CEO/TRUSTEE	32.00	Yes (X)	Yes (X)	$2,332,581	$0	$296,030	8.00
DUSTIN CASE DO
TRUSTEE	2.00	Yes (X)		$0	$802,149	$36,804	38.00
GAIL HURLEY
TRUSTEE	2.00	Yes (X)		$0	$0	$0
JEFFREY PRO MD
TRUSTEE	2.00	Yes (X)		$0	$426,843	$34,865	38.00
NANCY L SILVIS
TRUSTEE	2.00	Yes (X)		$0	$0	$0
BARRY R STEIN DMD
TRUSTEE	2.00	Yes (X)		$0	$100,000	$0	10.00
FAOUD ISHMAEL MD
TRUSTEE	2.00	Yes (X)		$0	$454,190	$34,893	38.00
BRYAN ROACH
EXECUTIVE VP & CFO	32.00		Yes (X)	$690,811	$0	$77,045	8.00
NIRMAL JOSHI MD
SYSTEM CHIEF MEDICAL OFFICER (UNTIL 12/23)	40.00			$264,299	$0	$28,237	0.00	Yes (X)
UPENDRA THACKER MD
CHIEF MEDICAL OFFICER	40.00			$513,154	$0	$68,878	0.00	Yes (X)
THOMAS CHARLES
EXEC VP SYSTEM DVLMT (UNTIL 1/24)	40.00			$233,519	$0	$61,336	0.00	Yes (X)
TIFFANY CABIBBO
EVP PATIENT CARE SVCS/CNO	40.00			$402,214	$0	$54,415	0.00	Yes (X)
AMY TRITHART
CHIEF HUMAN RESOURCE OFFICER	40.00			$344,874	$0	$79,731	0.00	Yes (X)
KURT KISSINGER
VP SYSTEM DEVELOPMENT	40.00			$342,446	$0	$52,683	0.00	Yes (X)
ERIC MATAVA
CHIEF LEGAL OFFICER	40.00			$306,526	$0	$45,686		Yes (X)
ROBERT DONAHUE
CHIEF FACILITY MGMT OFFICER	40.00			$278,713	$0	$35,599		Yes (X)
JENNIFER GILBERT
PHYSICIAN	40.00			$665,995	$0	$25,903			Yes (X)
BRIAN PETER YUSKEVICH
PHYSICIAN	40.00			$581,981	$0	$34,622			Yes (X)
PETER JONATHAN GAMBINO
PHYSICIAN	40.00			$537,576	$0	$29,349			Yes (X)
ANDREW T LEE
PHYSICIAN	40.00			$535,992	$0	$13,961			Yes (X)
WILLIAM HOWARD JUSTICE
PHYSICIAN	40.00			$529,973	$0	$34,655			Yes (X)
LANCE ROSE
FORMER CEO/OFFICER/DIRECTOR	0.00			$14,721	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,575,375	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,148,512	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,080,062	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	245	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
ALEXANDER BUIDLING CONSTRUCTION LLC
315 VAUGHN STREET	HARRISBURG	PA	17110	CONSTRUCTION SERVICES	$47,645,723
WHITING TURNER CONTRACTING
PO BOX 17596	BALTIMORE	MD	21297	CONSTRUCTION SERVICES	$45,571,399
MEDEFIS CONSOLIDATED
PO BOX 5068	NEW YORK	NY	10087	STAFFING SERVICES	$15,603,712
STANTEC INTERNATIONAL
13980 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	CONSTRUCTION SERVICES	$4,700,954
JJP RECRUITING LLC
PO BOX 1708	WATKINSVILLE	GA	30677	LOCUM PHYSICIAN SERVICES	$2,751,289

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	87	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,526,731	RelatedOrganizationsAmt
Government Grants	$1,655	GovernmentGrantsAmt
Total Contributions	$3,528,386	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE RE	621110	$497,980,897	$497,980,897
OTHER OPERATING REVENU	900099	$2,175,357	$2,175,357

Field	Value	IRS element (for citing)
Total Program Service Revenue	$500,156,254	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,601,680	TotalRevenueColumnAmt
Exclusion	$16,601,680	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$338,475	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$402,998	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$64,523	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$64,523	TotalRevenueColumnAmt
Exclusion	-$64,523	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$240,683,188	SecuritiesAmt
Other	$235,584	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$240,147,621	SecuritiesAmt
Other	$87,082	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$535,567	SecuritiesAmt
Other	$148,502	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$684,069	TotalRevenueColumnAmt
Exclusion	$684,069	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$85,433	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$85,433	TotalRevenueColumnAmt
Exclusion	$85,433	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
SERVICES SOLD TO RELAT	621110	$13,856,731	$13,856,731
OUTPATIENT LAB SERVICE	621500	$2,462,043		$2,462,043
CAFETERIA SALES	722514	$1,266,363	$1,266,363

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,257,502	TotalRevenueColumnAmt
Exclusion	$1,257,502	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,842,639	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$539,833,938	TotalRevenueColumnAmt
Related Or Exempt Func Income	$500,156,254	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,462,043	UnrelatedBusinessRevenueAmt
Exclusion	$33,687,255	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$48,119,503	TotalAmt
Program Services	$48,119,503	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,620,826	TotalAmt
Program Services	$2,192,122	ProgramServicesAmt
Management And General	$3,428,704	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$160,447,148	TotalAmt
Program Services	$130,825,396	ProgramServicesAmt
Management And General	$29,621,752	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,469,616	TotalAmt
Program Services	$10,138,764	ProgramServicesAmt
Management And General	$2,330,852	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,484,060	TotalAmt
Program Services	$18,782,543	ProgramServicesAmt
Management And General	$8,701,517	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,624,615	TotalAmt
Program Services	$9,134,161	ProgramServicesAmt
Management And General	$2,490,454	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,027,798	TotalAmt
Management And General	$1,027,798	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$165,118	TotalAmt
Management And General	$165,118	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$41,471	TotalAmt
Management And General	$41,471	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,264,805	TotalAmt
Management And General	$3,264,805	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,087,043	TotalAmt
Program Services	$20,136,844	ProgramServicesAmt
Management And General	$7,950,199	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,615,526	TotalAmt
Program Services	$3,320	ProgramServicesAmt
Management And General	$1,612,206	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,697,455	TotalAmt
Program Services	$1,292,157	ProgramServicesAmt
Management And General	$3,405,298	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,112,789	TotalAmt
Program Services	$3,116,772	ProgramServicesAmt
Management And General	$9,996,017	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,241,880	TotalAmt
Program Services	$5,464,835	ProgramServicesAmt
Management And General	$777,045	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$139,065	TotalAmt
Program Services	$115,932	ProgramServicesAmt
Management And General	$23,133	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$86,121	TotalAmt
Program Services	$18,630	ProgramServicesAmt
Management And General	$67,491	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,956,960	TotalAmt
Program Services	$12,956,960	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,981,656	TotalAmt
Program Services	$2,196	ProgramServicesAmt
Management And General	$20,979,460	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,024,136	TotalAmt
Management And General	$3,024,136	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$73,962,954	$73,566,848	$396,106
BAD DEBT EXPENSE	$17,378,833	$17,378,833
NEEDS HEALTH ASSESSMENT	$9,952,757		$9,952,757
PATHOLOGY LAB	$3,472,385	$3,472,385

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,635,581	TotalAmt
Program Services	$9,002,852	ProgramServicesAmt
Management And General	$3,632,729	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$478,610,101	TotalAmt
Program Services	$365,721,053	ProgramServicesAmt
Management And General	$112,889,048	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,786	BOYAmt
EOY	$3,786	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$33,035,300	BOYAmt
EOY	$33,917,377	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$40,519,916	BOYAmt
EOY	$53,128,709	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,363,254	BOYAmt
EOY	$8,182,107	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,833,253	BOYAmt
EOY	$13,737,996	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$741,536,455	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$353,630,335	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$244,063,753	BOYAmt
EOY	$387,906,120	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$142,762,541	BOYAmt
EOY	$79,374,354	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$647,311,746	BOYAmt
EOY	$728,466,814	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$51,099,680	BOYAmt
EOY	$49,060,315	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,177,993,229	BOYAmt
EOY	$1,353,777,578	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$48,253,625	BOYAmt
EOY	$71,968,905	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$443,912	BOYAmt
EOY	$554,182	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$182,290,773	BOYAmt
EOY	$474,727,175	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$298,033,613	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,506,731	BOYAmt
EOY	$15,570,426	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$546,528,654	BOYAmt
EOY	$562,820,688	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	$623,260,527	BOYAmt
EOY	$781,908,909	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,204,048	BOYAmt
EOY	$9,047,981	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$631,464,575	BOYAmt
EOY	$790,956,890	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,177,993,229	BOYAmt
EOY	$1,353,777,578	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$61,223,837	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$72,800,006	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$25,468,472	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	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$41,471	OtherActivitiesAmt
Total Lobbying Expenditures	$41,471	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF THE DUES PAID TO THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ($32,876) AND THE AMERICAN HOSPITAL ASSOCIATION ($8,595) WAS DETERMINED TO BE FOR LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,966,063	BeginningYearBalanceAmt
Investment Earnings Or Losses	$537,537	InvestmentEarningsOrLossesAmt
End Year Balance	$4,503,600	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,497,404	BeginningYearBalanceAmt
Contributions	$20,830	ContributionsAmt
Investment Earnings Or Losses	$447,829	InvestmentEarningsOrLossesAmt
End Year Balance	$3,966,063	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,158,932	BeginningYearBalanceAmt
Contributions	$30,000	ContributionsAmt
Investment Earnings Or Losses	-$691,528	InvestmentEarningsOrLossesAmt
End Year Balance	$3,497,404	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,414,155	BeginningYearBalanceAmt
Contributions	$10,250	ContributionsAmt
Investment Earnings Or Losses	$734,527	InvestmentEarningsOrLossesAmt
End Year Balance	$4,158,932	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,422,460	BeginningYearBalanceAmt
Contributions	$10,000	ContributionsAmt
Investment Earnings Or Losses	-$18,305	InvestmentEarningsOrLossesAmt
End Year Balance	$3,414,155	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.36620	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.62830	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00550	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,135,349	OtherCostOrOtherBasisAmt
Book Value	$13,135,349	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$277,875,384	OtherCostOrOtherBasisAmt
Depreciation	$148,333,380	DepreciationAmt
Book Value	$129,542,004	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,051,223	OtherCostOrOtherBasisAmt
Depreciation	$14,710,951	DepreciationAmt
Book Value	$2,340,272	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$225,638,207	OtherCostOrOtherBasisAmt
Depreciation	$184,593,901	DepreciationAmt
Book Value	$41,044,306	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$207,836,292	OtherCostOrOtherBasisAmt
Depreciation	$5,992,103	DepreciationAmt
Book Value	$201,844,189	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$387,906,120	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN PARTNERSHIP - EQUITY METHOD	$1,283,046	C
ALTERNATIVE INVESTMENT	$727,183,768	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$728,466,814	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
CAPITAL LEASE OBLIGATIONS	$863,601
ACCRUED INTEREST	$2,633,598
OPERATING LEASE OBLIGATIONS	$11,980,442
DUE TO AFFILIATES	$92,785

Field	Value	IRS element (for citing)
Total Liability	$15,570,426	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$614,503,045	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$72,800,006	NetUnrealizedGainsInvstAmt
Other Revenue	$4,824,834	OtherRevenueAmt
Revenue Not Reported	$77,624,840	RevenueNotReportedAmt
Revenue Subtotal	$536,878,205	RevenueSubtotalAmt
Other Revenues Not Included	$2,955,733	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$2,955,733	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$539,833,938	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$455,010,730	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$2,955,733	OtherExpensesIncludedAmt
Expenses Not Reported	-$2,955,733	ExpensesNotReportedAmt
Expenses Subtotal	$457,966,463	ExpensesSubtotalAmt
Other Expenses Not Included	$20,643,638	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$20,643,638	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$478,610,101	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	PERMANENT ENDOWMENT FUNDS ARE HELD BY THE FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER, INC. AND EARNINGS ARE DESIGNATED TO FUND FUTURE EXPENDITURES AND CAPITAL ACQUISITIONS FOR MOUNT NITTANY MEDICAL CENTER.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS -17,378,833. CHANGE IN INTEREST IN FOUNDATION 3,425,676. CHANGE IN INTEREST IN PARTNERSHIP -1,318,922. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS -3,264,805. PENSION LIABILITY ADJUSTMENT 19,690,945. CHANGE IN FAIR VALUE OF DERIVATIVE 1,950,207. NET PERIODIC PENSION COST 1,720,566.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -402,998. RELATED PARTY CONTRIBUTIONS NETTED AGAINST GRANTS ON FINANCIALS 3,358,731.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 402,998. RELATED PARTY CONTRIBUTIONS NETTED AGAINST GRANTS ON FINANCIALS -3,358,731.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS 17,378,833. INVESTMENT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS 3,264,805.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,030,152	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,030,152	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,037,054	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,011,838	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,025,216	NetCommunityBenefitExpnsAmt
Total Expense	0.04780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,067,206	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,011,838	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,055,368	NetCommunityBenefitExpnsAmt
Total Expense	0.05000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$566,425	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$566,425	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$331,359	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,300	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$325,059	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,729,823	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,436,638	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,293,185	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$156,641	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$156,641	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$562,508	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$562,508	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,346,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,442,938	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,903,818	NetCommunityBenefitExpnsAmt
Total Expense	0.01270	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$44,413,962	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,454,776	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,959,186	NetCommunityBenefitExpnsAmt
Total Expense	0.06270	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,498	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,498	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,498	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,498	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$17,378,833	BadDebtExpenseAmt
Reimbursed By Medicare	$62,361,322	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$63,374,332	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,013,010	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT NITTANY MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	155 WELLNESS WAY	AddressLine1Txt
City	STATE COLLEGE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16803	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MOUNTNITTANY.ORG	WebsiteAddressTxt
State License	550301	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MOUNT NITTANY MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	MOUNTNITTANY.ORG/COMMUNITY-ENGAGEMENT/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEE	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	MOUNTNITTANY.ORG/COMMUNITY-ENGAGEMENT/COMMUNITY-HEALTH/COMMUNITY-HEALTH-NEE	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	MOUNTNITTANY.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	MOUNTNITTANY.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	MOUNTNITTANY.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MOUNT NITTANY MEDICAL CENTER	PART V, SECTION B, LINE 5: THE FOLLOWING RESEARCH METHODS WERE USED TO DETERMINE COMMUNITY HEALTH NEEDS:1) ELECTRONIC SURVEY OF KEY STAKEHOLDERS, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. A LIST OF KEY INFORMANTS AND THEIR RESPECTIVE ORGANIZATION IS INCLUDED IN APPENDIX B OF THE 2022 CHNA. 2) ELECTRONIC MNH PROVIDER ENGAGEMENT SURVEY TO BETTER UNDERSTAND AND RESPOND TO THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH ON PATIENT HEALTH OUTCOMES AND ASSESS SYSTEMWIDE DIVERSITY, EQUITY, AND INCLUSION INITIATIVES 3) A PARTNER FORUM WITH COMMUNITY AGENCY REPRESENTATIVES TO GARNER INSIGHT ON EXISTING HEALTH IMPROVEMENT EFFORTS AND OPPORTUNITIES FOR PARTNERSHIP. A LIST OF PARTNERS IS INCLUDED IN APPENDIX C OF THE 2023 CHNA.
MOUNT NITTANY MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE 2023 CHNA WAS CONDUCTED IN PARTNERSHIP WITH CENTRE FOUNDATION, CENTRE COUNTY UNITED WAY, CENTRE COUNTY GOVERNMENT AND MORE THAN 80 HUMAN SERVICES PROVIDERS.
MOUNT NITTANY MEDICAL CENTER	PART V, SECTION B, LINE 11: THE 2022 CHNA CONSISTENTLY IDENTIFIED BEHAVIORAL HEALTH AND CHRONIC DISEASE AS THE MOST SIGNIFICANT HEALTH NEEDS FOR CENTRE COUNTY RESIDENTS. UNDERLYING THESE NEEDS WERE THE CROSS-CUTTING ISSUES OF SOCIAL DETERMINANTS OF HEALTH AND RURAL DISPARITIES IN ACCESS TO CARE AND OVERALL HEALTH AND WELLNESS. IN DEVELOPING THE 2022-2025 IMPLEMENTATION PLAN, MNH SOUGHT TO PRIORITIZE STRATEGIES THAT ADDRESS THESE UNDERLYING ISSUES TO PROMOTE AN UPSTREAM, PREVENTIVE APPROACH TO COMMUNITY HEALTH IMPROVEMENT.THE IMPLEMENTATION STRATEGY ADDRESSES EACH OF THESE THREE PRIORITY AREAS, WITH KEY OBJECTIVES, AREAS OF FOCUS, MNH RESOURCES AND POTENTIAL COLLABORATION PARTNERS. SPECIFIC INITIATIVES AND PROGRAMS ARE INTEGRATED INTO MNH'S OVERALL SYSTEM STRATEGIC PLAN, WHICH IS UPDATED ANNUALLY.
MOUNT NITTANY MEDICAL CENTER	PART V, SECTION B, LINE 13B: INCOME GUIDELINES FOR ELIGIBILITY ARE BASED ON THE SIZE OF A FAMILY: ONE MEMBER: $33,975, TWO MEMBERS: $45,775, FOR FAMILY UNITS WITH MORE THAN TWO MEMBERS, ADD $11,800 FOR EACH ADDITIONAL MEMBER.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	IN ADDITION TO THE FINANCIAL ASSISTANCE (FREE CARE POLICY) BASED ON FPG, THE HOSPITAL ALSO OFFERS A DISCOUNT OF 55% OFF OF CHARGES TO UNINSURED PATIENTS ON HOSPITAL ACCOUNT BALANCES (THIS DISCOUNT IS FOR PATIENTS WHO DO NOT QUALIFY UNDER OUR 250% FPG FINANCIAL ASSISTANCE POLICY.) THE FOLLOWING ARE EXAMPLES THAT QUALIFY PATIENTS AS UNINSURED: TERMINATED COVERAGE EITHER DUE TO JOB TERMINATION OR UNINSURED PERIODS DURING TRANSITION, EMPLOYED PATIENTS WHO MAY BE IN A "WAITING/GRACE" PERIOD FOR INSURANCE, OR INSURED PATIENTS WHERE COVERAGE HAS EXHAUSTED.
PART I, LINE 7:	COST TO CHARGE RATIO WAS COMPUTED USING WORKSHEET 2 AS DESCRIBED IN THE IRS INSTRUCTIONS TO FORM 990 FOR LINES 7A, 7B, AND 7G. COST ACCOUNTING SYSTEM WAS USED FOR SUBSIDIZED HEALTH SERVICES. FOR ALL OTHERS, COSTS INCLUDED THE VALUE OF STAFF DONATED HOURS (WITH ESTIMATED BENEFITS), MONETARY CONTRIBUTIONS, ESTIMATED VALUE OF MATERIALS USED IN DELIVERING PROGRAMS, AND ESTIMATED SPACE COSTS. THE INDIRECT COST ALLOCATION APPLIES THE INDIRECT-TO-DIRECT COST RATIO FROM THE MEDICAL CENTER'S MOST RECENT MEDICARE COST REPORT.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 24B AMOUNTS TO $17,378,833 FOR THE YEAR ENDED JUNE 30, 2024.
PART II, COMMUNITY BUILDING ACTIVITIES:	OUR ENTRIES FOR WORKFORCE DEVELOPMENT INCLUDE STAFF TIME TO PROVIDE EDUCATION TO LOCAL HIGH SCHOOL STUDENTS REGARDING STROKE CARE AT MNMC, INCLUDING PREVENTION, IN-HOSPITAL CARE, & POST-HOSPITAL CARE & THE PRESENTATION OF ROLES & RESPONSIBILITIES OF THE CLINICAL TRIALS OFFICE AT MNMC.
PART III, LINE 2:	BAD DEBT (AT COST) IS CALCULATED BY APPLYING THE PATIENT CARE COST-TO-CHARGE RATIO FROM WORKSHEET 2 TO THE MEDICAL CENTER'S PROVISION FOR DOUBTFUL COLLECTIONS AS OF JUNE 30, 2024. THE MEDICAL CENTER'S ACCOUNTING DEPARTMENT RECORDS PAYMENTS, WHILE THE PATIENT ACCOUNTING STAFF MAKES THE APPROPRIATE ADJUSTMENT TO THE PATIENT ACCOUNTS FOR BAD DEBT, DISCOUNTS, OR FREE CARE WRITE-OFFS.
PART III, LINE 3:	THE MEDICAL CENTER IS UNABLE TO ESTIMATE THE AMOUNT OF BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. PATIENTS DO NOT PROVIDE INCOME INFORMATION PRIOR TO RECEIVING CARE. THE REGISTRATION DEPARTMENT GIVES EVERY PATIENT A COPY OF OUR FINANCIAL ASSISTANCE PROGRAM TO ENSURE EVERY PATIENT HAS THE OPPORTUNITY AS APPROPRIATE TO QUALIFY FOR OUR ASSISTANCE PROGRAM. THE MEDICAL CENTER OFFERS DETAILED INFORMATION ABOUT THE CHARITY CARE PROGRAM WHEN PATIENTS OFFER INFORMATION THAT IS NEEDED TO DETERMINE ELIGIBILITY. SEE RESPONSE TO PART VI, LINE 3.MOUNT NITTANY MEDICAL CENTER PROVIDES SERVICES TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY AS PART OF THE HOSPITAL'S MISSION. A PORTION OF THE MOUNT NITTANY MEDICAL CENTER'S BAD DEBT WOULD RELATE TO PATIENTS THAT COULD QUALIFY FOR CHARITY CARE BUT WERE UNWILLING OR UNABLE TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION. AS SUCH A PORTION OF THE HOSPITAL'S BAD DEBT SHOULD BE CONSIDERED COMMUNITY BENEFIT.
PART III, LINE 4:	ACCOUNTS RECEIVABLE PATIENTS, ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENTS' ASSESSMENT OF INDIVIDUAL ACCOUNTS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED ON A PERIODIC REVIEW OF THE ACCOUNTS RECEIVABLE AGING, PAYOR CLASSIFICATIONS, AND APPLICATION OF HISTORICAL WRITE-OFF PERCENTAGES. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND INSURED PATIENTS WITH DEDUCTIBLE AND CO-PAYMENT BALANCES, THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBT IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	THE MEDICAL CENTER CONTINUES TO PROVIDE CARE TO ALL PRESENTING AND ADMITTED PATIENTS, REGARDLESS OF ABILITY TO PAY. THROUGH DILIGENT COST CONTROL PROCESSES, THE MEDICAL CENTER SEEKS WAYS TO KEEP COSTS OF PROVIDING CARE TO A MINIMUM, WHILE STILL PROVIDING THE SAFETY MEASURES, TECHNOLOGICAL CAPABILITIES, AND APPROPRIATE STAFFING LEVELS TO ENSURE THE BEST POSSIBLE OUTCOMES. NOTWITHSTANDING THE COSTS TO PROVIDE CARE, RECEIVING "LESS" THEN WHAT IT COSTS TO PROVIDE ADEQUATE CARE TO MEDICARE COVERED LIVES DOES THE MEDICAL CENTER A DISSERVICE. THIS SHORTFALL SHOULD COUNT AS A COMMUNITY BENEFIT AS THE MEDICAL CENTER STRIVES TO PROVIDE THE BEST CARE POSSIBLE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.THE MEDICAL CENTER USES A STEP-DOWN COST ALLOCATION METHOD AND THEN APPLIES A COST-TO-CHARGE RATIO.
PART III, LINE 9B:	IF PATIENTS ARE FOUND TO QUALIFY FOR FINANCIAL ASSISTANCE, THE MEDICAL CENTER IMMEDIATELY CEASES COLLECTIONS AND ADJUSTS CHARGES OFF AS CHARITY CARE.
PART VI, LINE 2:	THE 2022 CHNA WAS CONDUCTED FROM AUGUST 2021 TO MAY 2022. QUANTITATIVE AND QUALITATIVE METHODS, REPRESENTING BOTH PRIMARY AND SECONDARY RESEARCH, WERE USED TO ILLUSTRATE AND COMPARE HEALTH AND SOCIAL TRENDS AND DISPARITIES ACROSS CENTRE COUNTY. SPECIFIC CHNA STUDY METHODS INCLUDED:- ELECTRONIC SURVEY OF KEY STAKEHOLDERS, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS;- REVIEW OF MOUNT NITTANY MEDICAL CENTER UTILIZATION DATA TO ANALYZE HOW CONSUMERS ARE ACCESSING CARE AND WHERE GAPS IN SERVICE EXIST - ELECTRONIC MNH PROVIDER ENGAGEMENT SURVEY TO BETTER UNDERSTAND AND RESPOND TO THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH ON PATIENT HEALTH OUTCOMES AND ASSESS SYSTEMWIDE DIVERSITY, EQUITY, AND INCLUSION INITIATIVES - A PARTNER FORUM WITH COMMUNITY AGENCY REPRESENTATIVES TO GARNER INSIGHT ON EXISTING HEALTH IMPROVEMENT EFFORTS AND OPPORTUNITIES FOR PARTNERSHIP THE 2021 CHNA BUILT UPON MNH'S PREVIOUS CHNAS AND SUBSEQUENT IMPLEMENTATION PLANS. THE CHNA WAS CONDUCTED IN A TIMELINE TO COMPLY WITH IRS TAX CODE 501(R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS AS SET FORTH BY THE AFFORDABLE CARE ACT (ACA). THE FINDINGS WILL BE USED TO GUIDE COMMUNITY BENEFIT INITIATIVES FOR THE HOSPITALS AND ENGAGE LOCAL PARTNERS TO COLLECTIVELY ADDRESS IDENTIFIED HEALTH NEEDS.
PART VI, LINE 3:	THE 2022 CHNA CONSISTENTLY IDENTIFIED CHRONIC DISEASE AND BEHAVIORAL HEALTH AS THE MOST SIGNIFICANT HEALTH NEEDS FOR CENTRE COUNTY RESIDENTS. THESE HEALTH NEEDS WERE CONFIRMED BY QUANTITATIVE AND QUALITATIVE RESEARCH, AS WELL AS COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. COMMUNITY STAKEHOLDERS BROUGHT WIDE PERSPECTIVES ON RESIDENT HEALTH NEEDS, EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND GAPS IN THE SERVICE DELIVERY SYSTEM. THE PRIORITIZED HEALTH NEEDS ARE CONSISTENT WITH THE HEALTH NEEDS IDENTIFIED AS PART OF THE 2019 CHNA. MOUNT NITTANY HEALTH, IN PARTNERSHIP WITH COMMUNITY AGENCIES, HAS MADE SIGNIFICANT PROGRESS IN ADDRESSING THESE NEEDS, BOTH FROM A COMMUNITY AND POPULATION HEALTH MANAGEMENT PERSPECTIVE. IMPROVED ACCESS TO CARE WILL CONTINUE TO BE A CROSS-CUTTING STRATEGY FOR ALL PRIORITY NEEDS. THROUGH THE FINANCIAL ASSISTANCE PROGRAM, MOUNT NITTANY MEDICAL CENTER PROVIDES MEDICAL CARE REGARDLESS OF A PATIENT'S ABILITY TO PAY, INSUFFICIENT HEALTH INSURANCE OR WHETHER A GOVERNMENT-SPONSORED PROGRAM COVERS THE FULL COST OF SERVICES. AS THE COUNTRY'S ECONOMIC FUTURE REMAINS UNCERTAIN, MNMC WILL PROVIDE SERVICES AT NO CHARGE OR REDUCED CHARGES TO THOSE WHO ARE FINANCIALLY UNABLE TO PAY FOR THOSE SERVICES. MNMC WILL NOT ARBITRARILY RESTRICT THE PROVISIONS OF HEALTH SERVICES TO CERTAIN INDIVIDUALS OR GROUPS.MNMC'S REGISTRATION DEPARTMENT REPRESENTATIVES WILL GIVE A COPY OF OUR FINANCIAL ASSISTANCE PROGRAM TO EVERY PATIENT ALONG WITH OTHER IMPORTANT BILLING INFORMATION. OUR FINANCIAL COUNSELOR WILL DISCUSS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS TO ASSIST THE PATIENT WITH QUALIFICATIONS FOR THESE PROGRAMS. THE FINANCIAL COUNSELOR WILL ALSO ASSIST THE PATIENT IN COMPLETING THE PROPER PAPERWORK FOR ASSISTANCE. IN ADDITION, OUR VENDOR DEBIASE & LEVINE REPRESENTATIVE, WHO IS WORKING ON BEHALF OF MNMC, WILL ALSO ASSIST PATIENTS WITH THE MEDICAL ASSISTANCE PROCESS. OUR VENDOR WORKS ON BEHALF OF THE ORGANIZATION TO FOLLOW THE HOSPITAL'S POLICIES REGARDING PATIENT NOTIFICATION AND THE AVAILABILITY OF FINANCIAL ASSISTANCE. MNMC'S FINANCIAL ASSISTANCE POLICY IS POSTED ON OUR WEBSITE ALONG WITH AN APPLICATION FOR PATIENTS TO COMPLETE FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELORS AND CASE MANAGEMENT STAFF WILL ALSO WORK CLOSELY TO IDENTIFY AND ASSIST ELIGIBLE PATIENTS.A NOTICE OF AVAILABILITY OF MNMC'S FINANCIAL ASSISTANCE PROGRAM WILL BE GIVEN TO EACH PATIENT OR THEIR REPRESENTATIVE PRIOR TO SERVICES BEING RENDERED, WITH THE EXCEPTION OF EMERGENCY SERVICES WHEREBY THE PATIENT IS TRIAGED PRIOR TO COMPLETING THE REGISTRATION PROCESS. THESE PATIENTS WOULD RECEIVE THE NOTICE REGARDING THE FINANCIAL ASSISTANCE PROGRAM AT SOME POINT DURING THAT VISIT. THESE NOTICES ARE DISPLAYED AND MADE AVAILABLE IN ALL REGISTRATION AREAS OF THE HOSPITAL AND INCLUDES THE MOST CURRENT AVAILABLE "HOUSEHOLD INCOME GUIDELINES" AS PUBLISHED IN THE FEDERAL REGISTER. MNMC'S CURRENT FINANCIAL ASSISTANCE PROGRAM ELIGIBILITY IS BASED ON 2.5 TIMES THE "HOUSEHOLD INCOME GUIDELINES". THE PATIENT ACCOUNTS DIRECTOR OR HIS/HER DESIGNEE SHALL REVIEW ALL APPLICATIONS FOR THE MNMC FINANCIAL ASSISTANCE PROGRAM. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE PROOF OF INCOME.
PART VI, LINE 4:	THE MEDICAL CENTER'S PRIMARY SERVICE AREA INCLUDES CENTRE COUNTY AND PARTS OF THE SURROUNDING COUNTIES. CENTRE COUNTY'S POPULATION IS APPROXIMATELY 162,000. THE POPULATION INCREASED 5.2% FROM THE 2010 CENSUS. SEVERAL COMMUNITIES SERVED BY MOUNT NITTANY MEDICAL CENTER ARE DESIGNATED MEDICALLY UNDERSERVED AREAS, DETERMINED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION AS HAVING TOO FEW PRIMARY CARE PROVIDERS, HIGH INFANT MORTALITY, HIGH POVERTY, OR A HIGH ELDERLY POPULATION. IN ADDITION, THE FOLLOWING GEOGRAPHIES/POPULATIONS ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS (HPSA) FOR EITHER PRIMARY CARE OR DENTAL CARE:- LOW-INCOME RESIDENTS IN PHILIPSBURG (PRIMARY CARE)- SNOW SHOE (PRIMARY CARE)- LOW-INCOME RESIDENTS ACROSS CENTRE COUNTY (DENTAL CARE). THE CENTRE COUNTY POPULATION IS PRIMARILY WHITE WITH LESS THAN 14% OF RESIDENTS IDENTIFYING AS ANOTHER RACE AND 3.1% OF RESIDENTS IDENTIFYING AS HISPANIC OR LATINO. THE MEDIAN AGE OF CENTRE COUNTY (29.8) IS LOWER THAN THE STATE AND NATIONAL MEDIANS (40.4 AND 37.4 YEARS RESPECTIVELY) AS REPORTED ON THE 2016 CHNA, BUT INCREASED FROM THE 2013 CHNA (28.7). CENTRE COUNTY REPRESENTS A DIVERSE SOCIOECONOMIC ENVIRONMENT. THE OVERALL POVERTY LEVEL IN CENTRE COUNTY DECREASED TO 19.1% FROM THE 2016 CHNA OF 20.9%. THE UNEMPLOYMENT RATE ALSO DECREASED FROM 6.7% TO 4.3% FROM 2016 TO 2019. INDIVIDUALS WITH LESS THAN A HIGH SCHOOL DIPLOMA DECREASED FROM 7.4% OF CENTRE COUNTY'S POPULATION TO 6.0%. POVERTY RATES IN CENTRE COUNTY MAY BE INFLUENCED BY STUDENTS ATTENDING THE PENNSYLVANIA STATE UNIVERSITY. POVERTY AND EDUCATION RATES MAY BE INFLUENCED BY AMISH POPULATIONS RESIDING IN CERTAIN ZIP CODES WITHIN CENTRE COUNTY.
PART VI, LINE 5:	THE MEDICAL CENTER'S BOARD OF TRUSTEES AND ITS VARIOUS COMMITTEES INCLUDE COMMUNITY MEMBERS AS WELL AS MEDICAL STAFF. THE COMMUNITY MEMBERS ARE NOT DIRECTLY INVOLVED IN THE MEDICAL CENTER'S OPERATIONS. THE MEDICAL CENTER'S MEDICAL STAFF EXCEEDS 300 PHYSICIANS. THE MEDICAL CENTER CONTINUES TO INVEST IN STRONG AND BENEFICIAL RELATIONSHIPS WITH ALL PHYSICIANS WHO HAVE AN INTEREST IN WORKING WITH THE MEDICAL CENTER. ALL REVENUES IN EXCESS OF EXPENSES ARE RE-INVESTED IN THE COMMUNITY, INCLUDING SIGNIFICANT DONATIONS TO THE COUNTY'S ONLY FREE MEDICAL AND DENTAL CLINIC, AS WELL AS FUNDING INTERNAL IMPROVEMENTS TO TECHNOLOGY SO THAT THE PEOPLE AND COMMUNITIES WE SERVE HAVE THE IMMEDIATE ACCESS TO HE BEST AND MOST APPROPRIATE DIAGNOSTIC AND TREATMENT OPTIONS AVAILABLE.
PART VI, LINE 6:	MOUNT NITTANY HEALTH SYSTEMS HAS TWO CONTROLLED CORPORATIONS, WHICH ARE THE MOUNT NITTANY MEDICAL CENTER (INPATIENT AND OUTPATIENT SERVICES) AND MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES, INC. (A PHYSICIAN PRACTICE D/B/A MOUNT NITTANY PHYSICIAN GROUP). THE FOUNDATION FOR THE MNMC (FUNDRAISING) IS CONTROLLED BY THE MOUNT NITTANY MEDICAL CENTER.COMMUNITY BENEFIT SERVICES OFFERED BY MOUNT NITTANY MEDICAL CENTER ARE AFFORDED TO THE BROAD COMMUNITY WITH THE INTENT OF IMPROVING COMMUNITY HEALTH. PROGRAMS AND SERVICES ARE DESIGNED TO RESPOND TO IDENTIFIED COMMUNITY NEEDS. COMMUNITY BENEFIT ACTIVITIES FALL INTO THESE MAJOR CATEGORIES: COMMUNITY HEALTH IMPROVEMENT SERVICES - INCLUDES ACTIVITIES THAT ARE CARRIED OUT TO IMPROVE COMMUNITY HEALTH. MOUNT NITTANY MEDICAL CENTER PROVIDES COMMUNITY HEALTH EDUCATION, HEALTH SCREENINGS, SUPPORT GROUPS, AND TRANSPORTATION ASSISTANCE. THIS PAST YEAR MNMC OFFERED NUMEROUS SCREENING AND EDUCATION EVENTS FOR MEMBERS OF OUR COMMUNITY. HEALTH PROFESSIONS EDUCATION - MOUNT NITTANY MEDICAL CENTER IS ADVANCING HEALTHCARE BY ADVANCING ACCESS TO EDUCATION AND TRAINING. MOUNT NITTANY AWARDED CONTINUING EDUCATION CREDITS FOR NURSES AND PHYSICIANS AS WELL AS TRAININGS IN THE AMERICAN HEART ASSOCIATION TRAINING CENTER. CASH AND IN-KIND DONATIONS - MOUNT NITTANY MEDICAL CENTER REPORTED ITS SUPPORT OF MORE THE FORTY LOCAL ORGANIZATIONS THROUGH IN-KIND AND CASH DONATIONS. THE LEAD BENEFICIARY OF MOUNT NITTANY'S SUPPORT IS CENTRE VOLUNTEERS IN MEDICINE. OTHER NON-PROFIT GROUPS INCLUDE AMERICAN HEART ASSOCIATION, PEOPLE CENTRE'D ON DIABETES, YMCA OF CENTRE COUNTY AND MORE. COMMUNITY-BUILDING ACTIVITIES - MOUNT NITTANY IS A LEAD FACILITATOR IN LOCAL AND REGIONAL PREPAREDNESS ACTIVITIES, ENSURING THAT CENTRE COUNTY IS PREPARED SHOULD A DISASTER STRIKE. IN ADDITION, MOUNT NITTANY PROVIDES ACCESS TO CARE IN RURAL AREAS TO ENSURE THAT EVERY COMMUNITY HAS ACCESS TO CARE, SUCH AS PROVIDING DIABETES EDUCATION AT RURAL DOCTOR'S OFFICES. SUBSIDIZED HEALTH SERVICES - MOUNT NITTANY MEDICAL CENTER PROVIDES THE COMMUNITY MENTAL HEALTH SERVICES AT ITS INPATIENT UNIT, ONCOLOGY PATIENT NAVIGATOR PROGRAM, TRANSPORTATION SERVICES FOR THE PATIENTS WITH CANCER, PEDIATRIC MEDICAL HOME PROGRAM FOR AT-RISK CHILDREN AND SEVERAL FREE SUPPORT GROUPS.THE MOUNT NITTANY PHYSICIAN GROUP OFFERS A COMMUNITY BENEFIT BY SEEING CENTRE VOLUNTEERS IN MEDICINE (CVIM) PATIENTS FOR SPECIALTY SERVICES AT NO COST TO THE PATIENT OR TO CVIM. THIS GROUP ALSO PROVIDES VARIOUS INTERNSHIPS, PRESENTATIONS, AND NEWSLETTERS TO THE COMMUNITY INCLUDING TOPICS LIKE HEART HEALTH AND PEDIATRICS.
PART VI, LINE 7, REPORTS FILED WITH STATES	PA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
155 WELLNESS WAY	STATE COLLEGE	PA	16803	510426500	501(C)(3)	$47,279,720	$0	CASH	N/A	PROVIDE FINANCIAL SUPPORT TO AFFILIATE
MOUNT NITTANY HEALTH SYSTEM INC
155 WELLNESS WAY	STATE COLLEGE	PA	16803	800663092	501(C)(3)	$751,537	$0	CASH	N/A	PROVIDE FINANCIAL SUPPORT TO AFFILIATE
CENTRE COUNTY CHILDREN'S ADVOCACY CENTER
155 WELLNESS WAY	STATE COLLEGE	PA	16803	460871813	501(C)(3)	$88,246	$0	CASH	N/A	PROVIDE FINANCIAL SUPPORT TO AFFILIATE

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ASSISTANCE IS PROVIDED TO RELATED ENTITIES FOR FINANCIAL SUPPORT. MANAGEMENT OF THE ORGANIZATION OVERSEES THE USE OF FUNDS AT THE AFFILIATED ENTITIES.	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
KATHLEEN RHINE
CEO/TRUSTEE	$885,294	$0	$805,522	$0	$641,765	$0	$282,688	$0	$13,342	$0	$2,628,611	$0	$320,352	$0
DUSTIN CASE DO
TRUSTEE	$0	$752,520	$0	$24,825	$0	$24,804	$0	$1,707	$0	$35,097	$0	$838,953	$0	$0
BRYAN ROACH
EXECUTIVE VP & CFO	$533,676	$0	$153,706	$0	$3,429	$0	$20,304	$0	$56,741	$0	$767,856	$0	$0	$0
JENNIFER GILBERT
PHYSICIAN	$590,486	$0	$72,512	$0	$2,997	$0	$420	$0	$25,483	$0	$691,898	$0	$0	$0
BRIAN PETER YUSKEVICH
PHYSICIAN	$524,235	$0	$49,600	$0	$8,146	$0	$371	$0	$34,251	$0	$616,603	$0	$0	$0
UPENDRA THACKER MD
CHIEF MEDICAL OFFICER	$461,011	$0	$46,588	$0	$5,555	$0	$20,283	$0	$48,595	$0	$582,032	$0	$0	$0
PETER JONATHAN GAMBINO
PHYSICIAN	$502,071	$0	$32,800	$0	$2,705	$0	$404	$0	$28,945	$0	$566,925	$0	$0	$0
WILLIAM HOWARD JUSTICE
PHYSICIAN	$495,396	$0	$31,200	$0	$3,377	$0	$404	$0	$34,251	$0	$564,628	$0	$0	$0
ANDREW T LEE
PHYSICIAN	$499,687	$0	$33,600	$0	$2,705	$0	$554	$0	$13,407	$0	$549,953	$0	$0	$0
FAOUD ISHMAEL MD
TRUSTEE	$0	$425,077	$0	$5,250	$0	$23,863	$0	$207	$0	$34,686	$0	$489,083	$0	$0
JEFFREY PRO MD
TRUSTEE	$0	$392,131	$0	$10,000	$0	$24,712	$0	$207	$0	$34,658	$0	$461,708	$0	$0
TIFFANY CABIBBO
EVP PATIENT CARE SVCS/CNO	$329,231	$0	$70,397	$0	$2,586	$0	$20,164	$0	$34,251	$0	$456,629	$0	$0	$0
AMY TRITHART
CHIEF HUMAN RESOURCE OFFICER	$269,770	$0	$72,843	$0	$2,261	$0	$20,130	$0	$59,601	$0	$424,605	$0	$0	$0
KRISTIE KAUFMAN MD
SECRETARY/TREASURER	$0	$314,091	$0	$29,860	$0	$21,379	$0	$0	$0	$35,370	$0	$400,700	$0	$0
KURT KISSINGER
VP SYSTEM DEVELOPMENT	$287,218	$0	$52,084	$0	$3,144	$0	$20,145	$0	$32,538	$0	$395,129	$0	$0	$0
ERIC MATAVA
CHIEF LEGAL OFFICER	$281,208	$0	$23,515	$0	$1,803	$0	$19,884	$0	$25,802	$0	$352,212	$0	$0	$0
ROBERT DONAHUE
CHIEF FACILITY MGMT OFFICER	$232,393	$0	$43,813	$0	$2,507	$0	$11,832	$0	$23,767	$0	$314,312	$0	$0	$0
THOMAS CHARLES
EXEC VP SYSTEM DVLMT (UNTIL 1/24)	$232,505	$0	$0	$0	$1,014	$0	$13,092	$0	$48,244	$0	$294,855	$0	$0	$0
NIRMAL JOSHI MD
SYSTEM CHIEF MEDICAL OFFICER (UNTIL	$180,930	$0	$82,278	$0	$1,091	$0	$9,328	$0	$18,909	$0	$292,536	$0	$0	$0
LANCE ROSE
FORMER CEO/OFFICER/DIRECTOR	$0	$0	$0	$0	$14,721	$0	$0	$0	$0	$0	$14,721	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

THE FORMER CEO, LANCE ROSE, RECEIVED A NONQUALIFIED RETIREMENT PLAN PAYMENT OF $14,721 DURING THE CALENDAR YEAR. THE CHIEF EXECUTIVE OFFICER, KATHLEEN RHINE, PARTICIPATES IN 457(F) NON-QUALIFIED RETIREMENT PLAN. CONTRIBUTIONS MADE DURING THE CALENDAR YEAR WERE $262,806.

PART I, LINE 7

THE EXECUTIVE TEAM MEMBERS OF MOUNT NITTANY MEDICAL CENTER AND THE MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES' (D/B/A MOUNT NITTANY PHYSICIAN GROUP) EXECUTIVE DIRECTOR RECEIVED A PORTION OF THEIR ANNUAL VARIABLE-PAY BASED UPON THE CONSOLIDATED OPERATING MARGIN, MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES' (D/B/A MOUNT NITTANY PHYSICIAN GROUP) OPERATING MARGIN, CONTRIBUTIONS, AND OTHER CORPORATE GOALS. THE CORPORATE GOALS FOCUSED ON (1) PROVIDING LOCALIZED CARE, INTEGRATED CARE, EFFICIENT CARE, AND ALIGNED CARE; (2) FINANCE; (3) QUALITY/PATIENT SAFETY; AND (4) THE WORK ENVIRONMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2016A)
A	203197497	156273FF6	2016-04-15	$80,895,596	SEE PART VI	0	0	0
CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2016B)
B	203197497	156273GE8	2016-04-15	$20,208,892	SEE PART VI	0	0	0
CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2018 A & B)
C	203197497	156273HC1	2018-03-21	$52,073,401	SEE PART VI	0	0	0
CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2020B)
D	203197497		2020-03-04	$22,255,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$4,615,000	$80,895,596	$18,878,230	$764,512	$61,240,000	2016	Yes (1)	Yes (1)	Yes (1)
B	$2,220,000	$20,208,892		$199,179		2017	0	0	Yes (1)	$20,009,713
C	$14,470,000	$52,073,401		$350,023		2021	0	0	Yes (1)	$51,723,378
D	$360,000	$22,255,000		$110,000	$22,145,000	2020	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)
B	0	Yes (1)	Yes (1)
C	0	Yes (1)	Yes (1)
D	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2016A) DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2021 ISSUER NAME: CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2016B) DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2021 ISSUER NAME: CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2018 A & B) DATE THE REBATE COMPUTATION WAS PERFORMED: 03/01/2021
SCHEDULE K, PART I, BOND ISSUES:	(A) ISSUER NAME: CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2016 A) (F) DESCRIPTION OF PURPOSE: ADVANCE PARTIAL REFUNDING OF THE 2011 BONDS AND PAY 2016A BOND ISSUANCE COSTS A) ISSUER NAME: CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2016 B) (F) DESCRIPTION OF PURPOSE: TO FUND 2016 CAPITAL PROJECTS AND PAY ISSUANCE COSTS FOR BOND SERIES 2016B (A) ISSUER NAME: CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2018 A & B) (F) DESCRIPTION OF PURPOSE: REFUNDING OF CALLABLE BONDS, FINANCING CAPITAL PROJECTS, AND COSTS OF ISSUANCE (A) ISSUER NAME: CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2020 B) (F) DESCRIPTION OF PURPOSE: CURRENT REFUNDING OF 2012 BONDS (A) ISSUER NAME: CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2022 A) (F) DESCRIPTION OF PURPOSE: REFUNDING OF 2012 BONDS
SCHEDULE K, PART III, LINE 3:	THERE ARE NO MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENTS THAT RESULT IN PRIVATE BUSINESS USE RELATING TO THE FINANCED PROPERTIES FOR THE BONDS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRE COUNTY HOSPITAL AUTHORITY (SERIES 2022A)	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	203197497	BondIssuerEIN
Bond Issued	2022-08-17	BondIssuedDt
Issue Price	$45,770,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$930,000	RetiredAmt
Total Proceeds	$45,770,000	TotalProceedsAmt
Other Spent Proceeds	$45,770,000	OtherSpentProceedsAmt
Substantial Completion	2020	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7A	AS THE PARENT ENTITY, MOUNT NITTANY HEALTH SYSTEM (MNHS) HAS THE POWER TO APPOINT AND REMOVE, OR APPROVE THE REMOVAL OF, ANY AND ALL TRUSTEES OF THE CORPORATION, WITH THE EXCEPTION OF EX-OFFICIO TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	MNHS HAS THE FOLLOWING POWERS: (A) TO APPOINT AND REMOVE, OR APPROVE THE REMOVAL OF, ANY AND ALL TRUSTEES OF THE CORPORATION, WITH THE EXCEPTION OF EX-OFFICIO TRUSTEES; (B) TO APPROVE THE ELECTION OF AND TO REMOVE ANY AND ALL OFFICERS OF THE CORPORATION; (C) TO DEVELOP AND APPROVE ALL ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION (INCLUDING ALL AMENDMENTS THERETO); (D) TO APPROVE THE INCURRENCE, RE-FINANCING, OR PREPAYMENT OF ANY INDEBTEDNESS OF THE CORPORATION; (E) TO APPROVE THE SECURING OF ANY MORTGAGE, DEED OF TRUST, PLEDGE, SECURITY INTEREST, OR OTHER ENCUMBRANCE OF THE CORPORATION; (F) EXCEPT AS MAY BE INVOLVED THEREAFTER IN ORDINARY REPAIRS, MAINTENANCE, AND REPLACEMENT, AND EXCEPT AS MAY HAVE ALREADY BEEN APPROVED AS PART OF THE CAPITAL BUDGET, TO APPROVE THE MAKING OF ANY CAPITAL EXPENDITURE OR CAPITAL ADDITION OR IMPROVEMENT; (G) TO APPROVE ALL UNBUDGETED EXPENDITURES IN EXCESS OF 1% OF EACH SUCH BUDGET; (H) TO APPROVE THE MOVEMENT OF FUNDS TO AND FROM THIS CORPORATION TO THE PARENT OR OTHER ENTITIES RELATED TO THE PARENT; (I) TO APPROVE ALL STRATEGIC PLANS OF THE CORPORATION; (J) TO SELECT THE INDEPENDENT AUDITORS AND LEGAL COUNSEL OF THE CORPORATION; (K) TO AMEND OR TO APPROVE AMENDMENTS, ALTERATIONS AND MODIFICATIONS TO OR REPEALS OF THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IN ACCORDANCE WITH SECTION 12.1; (L) TO ENTER INTO, AMEND, OR TERMINATE ANY AGREEMENT WITH A MATERIAL THIRD PARTY PAYOR OF THE CORPORATION, AS DETERMINED BY THE PARENT IN ITS SOLE DISCRETION; (M) TO APPROVE ALL AMENDMENTS TO ARTICLES OF INCORPORATION, MERGERS, CONSOLIDATIONS, DIVISIONS, SALES OF SUBSTANTIALLY ALL ASSETS, LIQUIDATION OR DISSOLUTION OF THE CORPORATION, AND ALL OTHER FUNDAMENTAL CHANGE TRANSACTIONS, AS WELL AS ALL TRANSACTIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS; (N) TO ESTABLISH, TERMINATE, OR WITHDRAW FROM ANY SUBSIDIARY, JOINT VENTURE, OR OTHER PARTNERSHIP OR SHARED GOVERNANCE AGREEMENT; TO ENTER INTO, AMEND, OR TERMINATE ANY AGREEMENT BETWEEN THE CORPORATION AND THE PARENT; (P) TO ENTER INTO, AMEND, OR TERMINATE AN AFFILIATION AGREEMENT WITH ANY HOSPITAL, PROVIDER, PAYOR, OR HEALTH CARE SYSTEM; (Q) TO APPROVE ANY MATERIAL CHANGE IN MISSION OR STRATEGIC DIRECTION OF THE CORPORATION; AND (R) TO TAKE ANY OTHER ACTION THAT IS RESERVED TO THE PARENT FROM TIME TO TIME BY THE CORPORATION'S BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 WAS PROVIDED TO THE BOARD OF DIRECTORS AND TO THE MOUNT NITTANY HEALTH SYSTEM AUDIT COMMITTEE BEFORE BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO KEY MEMBERS OF THE ORGANIZATION INCLUDING BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. EACH PERSON MUST REPORT ANY POTENTIAL CONFLICTS OF INTEREST. REPORTED CONFLICTS ARE THEN REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND THE HEALTH SYSTEM'S AUDIT COMMITTEE. THE CONFLICT OF INTEREST REPORT IS THEN SUBMITTED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF DIRECTORS' EXECUTIVE & PHYSICIAN COMPENSATION COMMITTEE REVIEWS COMPENSATION PAID TO EXECUTIVE MANAGEMENT TEAM IN CONJUNCTION WITH AN INDEPENDENT THIRD PARTY CONSULTING FIRM TO ENSURE COMPENSATION IS REASONABLE AND APPROPRIATE FOR DUTIES AND RESPONSIBILITIES ASSIGNED. THE PROCESS IS DESIGNED TO ENABLE THE HEALTH SYSTEM TO ATTRACT, MOTIVATE AND RETAIN THE HIGHLY SKILLED EXECUTIVE TALENT NEEDED TO CARRY OUT ITS MISSION AND STRATEGIC OBJECTIVES THROUGH THE ESTABLISHMENT OF SALARIES, BENEFITS, AND VARIABLE PAY OPPORTUNITIES THAT ARE REASONABLE, COMPARABLE WITH THOSE FOR SIMILAR POSITIONS IN SIMILARLY SITUATED NOT-FOR-PROFIT ORGANIZATIONS, AND REWARD ACHIEVEMENT OF ORGANIZATIONAL AND INDIVIDUAL OBJECTIVES. THE EXECUTIVE & PHYSICIAN COMPENSATION COMMITTEE ENSURES THAT THE BOARD FULLY UNDERSTANDS THE PROCESS BY WHICH THE ORGANIZATION'S OFFICERS/KEY EMPLOYEE COMPENSATION DECISIONS ARE MADE. THE COMMITTEE REVIEWS AND APPROVES EXECUTIVE COMPENSATION IN A MANNER THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE IRS INTERMEDIATE SANCTIONS RULES. THE COMMITTEE REPORTS ITS ACTIVITIES TO THE BOARD, INCLUDING THE SPECIFIC DETAILS OF COMPENSATION ACTIONS. THE BOARD HAS DELEGATED TO THE COMMITTEE THE AUTHORITY TO MAKE COMPENSATION DECISIONS. THE BOARD BEARS THE ULTIMATE RESPONSIBILITY FOR ENSURING SOUND DECISION-MAKING IN THIS AREA. REVIEW AND APPROVAL OF COMPENSATION IS DOCUMENTED VIA MINUTES OF COMMITTEE MEETINGS.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN PARTNERSHIP -1,318,922. CHANGE IN INTEREST IN THE FOUNDATION FOR MNMC 3,425,676. PENSION LIABILITY ADJUSTMENT 19,690,945. NET PERIODIC PENSION COST 1,720,566. CHANGE IN FAIR VALUE OF DERIVATIVE 1,950,207.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 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
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
155 WELLNESS WAY	STATE COLLEGE	PA	168036796	510426500	PROFESSIONAL SERVICES TO SUPPORT MNMC	PA	501(C)(3)	LINE 10	MOUNT NITTANY HEALTH SYSTEM	0
THE FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER INC
155 WELLNESS WAY	STATE COLLEGE	PA	168036796	571138956	FUNDRAISING AND SUPPORT FOR MOUNT NITTANY MEDICAL CENTER	PA	501(C)(3)	LINE 12A, I	MOUNT NITTANY MEDICAL CENTER	Yes (1)
MOUNT NITTANY MEDICAL CENTER WORKMEN'S COMPENSATION SELF INSURANCE TRUST
155 WELLNESS WAY	STATE COLLEGE	PA	168036796	256440788	PROVIDE WORKMAN'S COMPENSATION BENEFITS TO EMPLOYEES OF MNMC	PA	501(C)(3)	LINE 12A, I	MOUNT NITTANY MEDICAL CENTER	Yes (1)
CENTRE COUNTY CHILDREN'S ADVOCACY CENTER
155 WELLNESS WAY	STATE COLLEGE	PA	168036796	460871813	CHILD-FOCUSED APPROACH TO CHILD ABUSE CASES	PA	501(C)(3)	LINE 7	MOUNT NITTANY MEDICAL CENTER	Yes (1)
MOUNT NITTANY HEALTH SYSTEM
155 WELLNESS WAY	STATE COLLEGE	PA	168036796	800663092	PROVIDE MANAGEMENT AND ADMINISTRATIVE SUPPORT TO MNMC & SUBSIDIARIES	PA	501(C)(3)	LINE 12A, I		0	N/A
MOUNT NITTANY VENTURES
155 WELLNESS WAY	STATE COLLEGE	PA	168036796	922882921	AMBULATORY SURGICAL AND MEDICAL SERVICES	PA	501(C)(3)	LINE 12B, II	MOUNT NITTANY HEALTH SYSTEM	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	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	0	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	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	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 (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CENTRE COUNTY CHILDREN'S ADVOCACY CENTER
B	$88,246	CASH
FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER
C	$3,526,731	CASH
FOUNDATION FOR MOUNT NITTANY MEDICAL CENTER
O	$210,222	COST OF SHARING PAID EMPLOYEES
CENTRE COUNTY CHILDREN'S ADVOCACY CENTER
O	$50,000	COST OF SHARING PAID EMPLOYEES