2022-05-16T18:39:37-05:00 2021-06-30 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2020-07-01 473769205 PENN STATE HEALTH PENN 7175318477 500 UNIVERSITY DRIVE MC H162 HERSHEY PA 17033 PAULA TINCH EVP & CFO 7175318477 2022-05-16 1 PAULA TINCH 999009999 RUSSLEE ARMSTRONG P00288383 2155614200 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z STEPHEN MASSINI 500 UNIVERSITY DRIVE MC H162 HERSHEY PA 17033 892817312 0 X WWW.PENNSTATEHEALTH.ORG X 2014 PA TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF PENNSYLVANIA, AND BEYOND. 15 10 5537 7 0 0 31763402 117334127 306689622 386449568 26418138 27515243 60021394 3073976 424892556 534372914 509447 346370 0 0 274894770 329743419 0 0 0 251843194 281992319 527247411 612082108 -102354855 -77709194 2010298637 1838675424 2134356154 2023039228 -124057517 -184363804 X PENN STATE HEALTH'S MISSION IS TO CONTINUALLY IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE OF PENNSYLVANIA, AND BEYOND. THE ORGANIZATION PROVIDES PATIENTS WITH EXCELLENT, COMPASSIONATE AND EQUITABLE CARE; EDUCATES AND TRAINS HEALTHCARE PROFESSIONALS; AND ADVANCES EVIDENCE-BASED MEDICAL INNOVATION THROUGH RESEARCH AND DISCOVERY. 1 0 503127466 346370 389523544 TO PROMOTE, SUPPORT, AND FURTHER THE PENNSYLVANIA STATE UNIVERSITY; TO PROMOTE HEALTH THROUGH THE MANAGEMENT AND/OR SUPPORT OF FACILITIES AND OTHER ASSETS THAT PROVIDE HEALTH CARE SERVICES; TO INTEGRATE COMMUNITY-BASED AND ACADEMIC MEDICAL CENTER HEALTH CARE IN ORDER TO ACHIEVE IMPROVED OUTCOMES AND LIMIT THE COSTS OF CARE VIA IMPROVED EFFICIENCIES; TO SUPPORT FINANCIALLY AND OPERATIONALLY THE PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE; TO SUPPORT THE PENNSYLVANIA STATE UNIVERSITY IN THE PERFORMANCE OF ITS DUTIES AS SUCCESSOR TRUSTEE OF THE MILTON S. HERSHEY MEDICAL CENTER PURSUANT TO THAT CERTAIN DECREE OF THE ORPHANS COURT OF DAUPHIN COUNTY, PENNSYLVANIA DATED DECEMBER 17, 1968 (THE MSHMC TRUST); AND TO DO ALL LAWFUL ACTS INCIDENTAL TO THE ACCOMPLISHMENT OF SAID CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES.PENN STATE HEALTH PLAYS A VITAL ROLE IN SUPPORTING, BOTH OPERATIONALLY AND FINANCIALLY, THE PENNSYLVANIA STATE UNIVERSITY'S COLLEGE OF MEDICINE. THE PURPOSES OF THE TWO ORGANIZATIONS ARE INTEGRALLY INTERTWINED AND MUTUALLY SUPPORTIVE. PENN STATE HEALTH OFFERS THE COLLEGE OF MEDICINE ADDITIONAL PLATFORMS FOR EDUCATION AND RESEARCH AS WELL AS GENERATES SHARED REVENUE, WHEREAS THE COLLEGE OF MEDICINE OFFERS PENN STATE HEALTH ACCESS TO INNOVATIONS, CLINICAL TRIALS, DISCOVERIES AND A PIPELINE OF CLINICIANS AND SCIENTISTS.IN RECENT YEARS, THE PENN STATE HEALTH SYSTEM HAS UNDERGONE SUBSTANTIAL GROWTH AND MADE SIGNIFICANT PROGRESS TOWARDS CREATING A HIGH-QUALITY, LARGE SCALE INTEGRATED HEALTH CARE DELIVERY SYSTEM TO SERVE THE POPULATION OF SOUTHCENTRAL PENNSYLVANIA, BY FOCUSING ON BUILDING AN ACADEMIC HEALTH SYSTEM SUPPORTED BY A COMMUNITY NETWORK, ANCHORED BY THE ACADEMIC TERTIARY/QUATERNARY CARE RESOURCES OF ITS RELATED ORGANIZATION, MILTON S. HERSHEY MEDICAL CENTER.PENN STATE HEALTH HAS THREE, NOT-FOR-PROFIT, ACUTE CARE HOSPITALS. THE MILTON S. HERSHEY MEDICAL CENTER (MSHMC) IS A 639-LICENSED BED ACADEMIC MEDICAL CENTER LOCATED IN HERSHEY, PENNSYLVANIA. ST. JOSEPH REGIONAL HEALTH NETWORK (SJRHN) IS A 204-LICENCED BED HOSPITAL IN THE BERKS COUNTY REGION. HOLY SPIRIT MEDICAL CENTER (HSMC) WAS ACQUIRED ON NOVEMBER 1, 2020 AND IS A 306-LICENSED BED HOSPITAL IN CUMBERLAND COUNTY. ALL ACUTE CARE HOSPITALS PROVIDE INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES.AS OF JUNE 30, 2021, PENN STATE HEALTH HAS TWO ACUTE CARE HOSPITALS THAT ARE UNDER CONSTRUCTION, INCLUDING PENN STATE HEALTH HAMPDEN MEDICAL CENTER WHICH WILL BE A 108-LICENSED BED ACUTE CARE HOSPITAL TO BE LOCATED IN CUMBERLAND COUNTY THAT IS SCHEDULED TO OPEN IN FALL OF 2021 AND PENN STATE HEALTH LANCASTER MEDICAL CENTER WHICH WILL BE A 129-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN LANCASTER. ADDITIONALLY, ON JUNE 23, 2020, PENN STATE HEALTH ESTABLISHED PENN STATE HEALTH LIFE LION, LLC (PHSLL). THE PURPOSE OF PSHLL IS TO PROVIDE EMERGENCY MEDICAL SERVICES INTO A BROADER GEOGRAPHIC REGION. ON DECEMBER 1, 2020 PSHLL BEGAN OPERATIONS.PENN STATE HEALTH AND AFFILIATES (PSH) CORONAVIRUS (COVID-19) PANDEMIC:IN MARCH 2020, THE OUTBREAK OF COVID-19 PANDEMIC BEGAN TO IMPACT PSH'S PATIENTS, COMMUNITIES, AND BUSINESS OPERATIONS. THE SPREAD OF COVID-19 AND THE ENSUING RESPONSE OF FEDERAL, STATE AND LOCAL AUTHORITIES, BEGINNING IN MARCH 2020, RESULTED IN A SIGNIFICANT REDUCTION IN THE NUMBER OF SURGERIES, PHYSICIAN OFFICE VISITS AND EMERGENCY ROOM VOLUMES AT PSH. THIS WAS DUE TO MEASURES MEANT TO SLOW THE SPREAD OF THE VIRUS, INCLUDING QUARANTINES AND STAY-AT-HOME AND SHELTER-IN-PLACE ORDERS, AS WELL AS THE COMMUNITY'S GENERAL CONCERNS RELATED TO THE RISK OF CONTRACTING COVID-19. DUE TO COVID-19, PSH MAY, GOING FORWARD, EXPERIENCE SUPPLY CHAIN DISRUPTIONS, INCLUDING DELAYS AND PRICE INCREASES IN EQUIPMENT, PHARMACEUTICALS AND MEDICAL SUPPLIES DUE TO THE PANDEMIC. STAFFING, EQUIPMENT, AND PHARMACEUTICAL AND MEDICAL SUPPLIES SHORTAGES MAY ALSO INFLUENCE OUR ABILITY TO ADMIT AND TREAT PATIENTS. PSH HAS INCURRED, AND MAY CONTINUE TO INCUR, INCREASED EXPENSES ARISING FROM THE COVID-19 PANDEMIC, INCLUDING ADDITIONAL SUPPLY CHAIN AND OTHER EXPENDITURES.ADDITIONALLY, BROAD ECONOMIC FACTORS RESULTING FROM THE COVID-19 PANDEMIC, INCLUDING HIGH UNEMPLOYMENT AND UNDEREMPLOYMENT LEVELS AND REDUCED CONSUMER SPENDING AND CONFIDENCE, COULD ALSO AFFECT OUR SERVICE MIX, REVENUE MIX, PAYOR MIX AND PATIENT VOLUMES, AS WELL AS OUR ABILITY TO COLLECT OUTSTANDING RECEIVABLES. BUSINESS CLOSURES AND LAYOFFS ACROSS OUR SERVICE AREA MAY, IN FUTURE REPORTING PERIODS, LEAD TO INCREASES IN THE UNINSURED AND UNDERINSURED POPULATIONS AND ADVERSELY AFFECT DEMAND FOR OUR SERVICES, AS WELL AS THE ABILITY OF PATIENTS AND OTHER PAYERS TO PAY FOR SERVICES RENDERED. ANY INCREASE IN THE AMOUNT OR DETERIORATION IN THE COLLECTABILITY OF PATIENTS ACCOUNTS RECEIVABLE COULD ADVERSELY AFFECT PSH'S FINANCIAL RESULTS.FORTUNATELY, THE FEDERAL GOVERNMENT HAS TAKEN SEVERAL ACTIONS TO PROVIDE FINANCIAL ASSISTANCE TO HEALTHCARE PROVIDERS DURING THIS PANDEMIC. PSH HAS RECEIVED, AND MAY CONTINUE TO RECEIVE, PAYMENTS AND ADVANCES UNDER THE CARES ACT OR ANY OTHER GOVERNMENTAL ASSISTANCE PROGRAM, WHICH WILL BE BENEFICIAL IN ADDRESSING THE IMPACT OF THE NOVEL CORONAVIRUS PANDEMIC ON PSH'S RESULTS OF OPERATIONS AND FINANCIAL POSITION. AT THIS TIME, PSH IN UNABLE TO QUANTIFY THE IMPACT THAT THE COVID-19 PANDEMIC WILL HAVE ON THE CONTINUING FINANCIAL RESULTS DURING FISCAL YEAR 2022, AS THE IMPACT OF COVID-10 WILL DEPEND ON FUTURE DEVELOPMENTS, INCLUDING THE DURATION OF THE OUTBREAK AND THE RELATED ADVISORIES AND RESTRICTIONS. HOWEVER, PSH HAS TAKEN, AND WILL CONTINUE TO TAKE, VARIOUS ACTIONS TO INCREASE LIQUIDITY AND MITIGATE THE IMPACT OF REDUCTIONS IN PATIENT VOLUMES AND OPERATING REVENUES FROM THE COVID-19 OUTBREAK. 503127466 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 1 5537 1 0 0 0 0 0 0 0 0 0 0 1 0 X 15 10 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X STEPHEN MASSINI 8002431455 500 UNIVERSITY DRIVE HERSHEY PA 17033 X STEPHEN MASSINI DIRECTOR/PRESIDENT/CEO 44.00 6.00 X X 1317348 0 150412 DR ERIC BARRON DIRECTOR (PSU EMPLOYEE) 1.00 49.00 X 0 1129005 48380 KEVIN P BLACK MD DIRECTOR/INTERIM DEAN (MSHMC) 1.00 49.00 X 0 941479 54306 DAVID GRAY DIRECTOR (PSU EMPLOYEE) (THRU 2/21) 1.00 49.00 X 0 641339 202698 DAVID C HAN MD DIRECTOR/PHYSICIAN (MSHMC EMPLOYEE) 1.00 49.00 X 0 476208 82931 KATHLEEN CASEY DIRECTOR/CHAIR 1.00 0.00 X X 0 0 0 PETER M CARLINO DIRECTOR 1.00 1.00 X 0 0 0 CLIFFORD G BENSON JR DIRECTOR 1.00 0.00 X 0 0 0 TIMOTHY P BROWN DIRECTOR 1.00 0.00 X 0 0 0 MARK DAMBLY DIRECTOR 1.00 0.00 X 0 0 0 KEITH MASSER DIRECTOR 1.00 0.00 X 0 0 0 DEBORAH RICE-JOHNSON DIRECTOR 1.00 0.00 X 0 0 0 PETER G TOMBROS DIRECTOR 1.00 0.00 X 0 0 0 KAREN HANLON DIRECTOR 1.00 0.00 X 0 0 0 DR SARA THORNDIKE DIRECTOR (PSU EMPLOYEE) (BEG 2/21) 1.00 49.00 X 0 0 0 TOM VANKIRK DIRECTOR 1.00 0.00 X 0 0 0 PAULA TINCH EVP & CFO 44.00 6.00 X 606379 0 121832 ERIC STRUCKO CHIEF FINANCIAL OFFICER (MSHMC) 1.00 49.00 X 0 326167 43750 ALAN BRECHBILL CHIEF OPERATING OFFICER 49.00 1.00 X 1520564 0 67436 PETER DILLON MD CHAIR OF DEPARTMENT OF SURGERY 1.00 39.00 X 829140 0 119389 THOMAS STOESSEL EXEC VP & CHIEF STRATEGY OFFICER 40.00 0.00 X 512116 0 86830 CLETIS EARLE SENIOR VP & CIO 40.00 0.00 X 492626 0 59881 KIMBERLY LANSFORD CHIEF COMPLIANCE AND BUSINESS RISK 40.00 0.00 X 444008 0 100994 JUDITH HLAFCSAK CHIEF OF STAFF 38.00 2.00 X 386716 0 41497 JOHN WEAVER MD PHYSICIAN 40.00 0.00 X 767141 0 82460 GREG THOMPSON MD PHYSICIAN 40.00 0.00 X 753162 0 87441 KARTIK SHAH MD PHYSICIAN 40.00 0.00 X 697311 0 69707 LOUIS BORGATTA MD PHYSICIAN 39.00 1.00 X 670703 0 82949 ANAHITA PARSEE MD PHYSICIAN 40.00 0.00 X 705866 0 30423 RODNEY C DYKEHOUSE FORMER OFFICER (THRU 6/2019) 0.00 0.00 X 225532 0 7805 9928612 3514198 1541121 526 1 1 0 GRANT THORNTON LLP 1901 S MEYERS ROAD SUITE 445 OAKBROOK TERRACE IL 60181 ADVISORY SERVICES 12972383 R1 RCM INC 401 N MICHIGAN AVE SUITE 2700 CHICAGO IL 60611 IT SERVICES 7047317 MERCY SPECIALIZED BILLING SVCS 655 MARYVILLE CENTRE SUITE 100 ST LOUIS MO 63141 HEALTHCARE CONSULTING 6127687 HOGAN LOVELLS US LLP 555 13TH ST NW WASHINGTON DC 20004 LEGAL SERVICES 3159532 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 IT SERVICES 3068415 94 87312878 30021249 117334127 MANAGEMENT FEE 561000 195990147 195990147 NET PATIENT SERVICES 621110 118252909 118252909 SERVICES RENDERED CONT 900099 51255703 51255703 PHARMACY RETAIL SALES 621110 20530755 20530755 AMBULANCE SERVICE MEMB 621110 420054 420054 386449568 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2010298637 1838675424 65442462 69208966 324097 513881 446124036 444191458 3181781 69848867 1619283778 1439276056 2134356154 2023039228 X -124057517 -184363804 -124057517 -184363804 2010298637 1838675424 X -77709194 96161440 -78758533 X 0 1 X 1 1 1 X X X 1 THE PENNSYLVANIA STATE UNIVERSITY 246000376 6 1 582524342 0 1 582524342 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 113506433 6609832 106896601 258605586 199040838 59564748 64116867 64116867 230578216 NON-US EQUITY 66880250 F FIXED INCOME 140498067 F GUARANTEED INTEREST FUND 6888765 F EQUITY HEDGE FUNDS 52182434 F EVENT DRIVEN FUNDS 29458391 F MACRO FUNDS 19101107 F MARKET NEUTRAL FUNDS 14709238 F MORTGAGE FUNDS 19397511 F MULTI-STRATEGY FUNDS 35606988 F REAL ESTATE FUNDS 30413904 F PRIVATE EQUITY 6686789 F 421823444 OTHER ASSETS 2988522 HAMPDEN MED CENTER BUILDING PROJECT 27504215 457(B) NONQUALIFIED DEFINED CONTRIBUTION PLAN 95190160 125682897 DUE TO AFFILIATES 1260773131 OTHER LIABILITIES 24472292 RETIREMENT PLAN LIABILITY 95190160 THIRD PARTY SETTLEMENTS -86251300 LINE OF CREDIT 100000000 OTHER ACCRUED PAYABLES 45091773 1439276056 1 CUMBERLAND AREA ECON 53 W SOUTH ST CARLISLE PA 17013 202254486 501(C)(3) 15000 PROGRAM SUPPORT DOWNTOWN HERSHEY ASSOCATION 600 CLEARWATER ROAD HERSHEY PA 17033 464743064 501(C)(3) 7000 PROGRAM SUPPORT FOUNDATION FOR ENHANCING COMMUNITY 200 N 3RD STREET 8TH FLOOR PO BOX 678 HARRISBURG PA 17108 010564355 501(C)(3) 21500 PROGRAM SUPPORT FRIENDS OF DERRY TOWNSHIP PARKS & RECREATION 600 CLEARWATER ROAD HERSHEY PA 17033 251622608 501(C)(3) 20000 PROGRAM SUPPORT HAMPDEN TOWNSHIP VETERANS 4900 CARLISLE PIKE PMB 267 MECHANICSBURG PA 17050 460748011 501(C)(3) 13500 PROGRAM SUPPORT HARRISBURG AREA YMCA 123 FORSTER ST 2ND FLOOR HARRISBURG PA 17102 231665437 501(C)(3) 10000 PROGRAM SUPPORT HARRISBURG REGIONAL CHAMBER 3211 NORTH FRONT ST STE 201 HARRISBURG PA 17110 251750121 501(C)(3) 19150 PROGRAM SUPPORT HERSHEY VOLUNTEER FIRE CO 21 WEST CARACAS AVE HERSHEY PA 17033 231360560 501(C)(3) 10000 PROGRAM SUPPORT LANCASTER CHAMBER OF COMMERCE 115 EAST KING STREET LANCASTER PA 17602 131353776 501(C)(6) 15000 PROGRAM SUPPORT LEBANON VALLEY COLLEGE 101 N COLLEGE AVE ANNVILLE PA 17003 231352354 501(C)(3) 10000 PROGRAM SUPPORT PA COALITION AGAINST RAPE 2101 N FRONT STREET HARRISBURG PA 17110 232067636 501(C)(3) 7500 PROGRAM SUPPORT RONALD MCDONALD HOUSE 745 WEST GOVERNOR ROAD HERSHEY PA 17033 232204761 501(C)(3) 12500 PROGRAM SUPPORT UNITED WAY OF THE CAPITAL REGION ONE UNITED WAY HARRISBURG PA 17110 231352095 501(C)(3) 12500 PROGRAM SUPPORT VICKIES ANGEL FOUNDATION 511 BRIDGE STREET PO BOX 174 CUMBERLAND PA 17070 208755452 501(C)(3) 20000 PROGRAM SUPPORT 13 1 PART I, LINE 2: PROCEDURE FOR MONITORING USE OF GRANT FUNDS INSIDE THE U.S.: GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE AND ACCOUNTING PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION, INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X 1 1 0 0 0 0 0 1 0 ALAN BRECHBILL CHIEF OPERATING OFFICER 622049 0 0 0 898515 0 49631 0 17805 0 1588000 0 306536 0 STEPHEN MASSINI DIRECTOR/PRESIDENT/CEO 1285930 0 0 0 31418 0 129539 0 20873 0 1467760 0 0 0 DR ERIC BARRON DIRECTOR (PSU EMPLOYEE) 0 855228 0 200000 0 73777 0 26477 0 21903 0 1177385 0 0 KEVIN P BLACK MD DIRECTOR/INTERIM DEAN (MSHMC) 0 924599 0 0 0 16880 0 45615 0 8691 0 995785 0 0 PETER DILLON MD CHAIR OF DEPARTMENT OF SURGERY 806961 0 0 0 22179 0 103507 0 15882 0 948529 0 0 0 JOHN WEAVER MD PHYSICIAN 670410 0 80000 0 16731 0 67115 0 15345 0 849601 0 0 0 DAVID GRAY DIRECTOR (PSU EMPLOYEE) (THRU 2/21) 0 537372 0 0 0 103967 0 195818 0 6880 0 844037 0 0 GREG THOMPSON MD PHYSICIAN 657459 0 80000 0 15703 0 67115 0 20326 0 840603 0 0 0 KARTIK SHAH MD PHYSICIAN 627272 0 63195 0 6844 0 60615 0 9092 0 767018 0 0 0 LOUIS BORGATTA MD PHYSICIAN 440959 0 213018 0 16726 0 67115 0 15834 0 753652 0 0 0 ANAHITA PARSEE MD PHYSICIAN 607469 0 92000 0 6397 0 21615 0 8808 0 736289 0 0 0 PAULA TINCH EVP & CFO 593613 0 0 0 12766 0 101118 0 20714 0 728211 0 0 0 THOMAS STOESSEL EXEC VP & CHIEF STRATEGY OFFICER 492264 0 0 0 19852 0 65957 0 20873 0 598946 0 0 0 DAVID C HAN MD DIRECTOR/PHYSICIAN (MSHMC EMPLOYEE) 0 448799 0 12640 0 14769 0 67115 0 15816 0 559139 0 0 CLETIS EARLE SENIOR VP & CIO 452872 0 25000 0 14754 0 38655 0 21226 0 552507 0 0 0 KIMBERLY LANSFORD CHIEF COMPLIANCE AND BUSINESS RISK 426748 0 0 0 17260 0 84951 0 16043 0 545002 0 0 0 JUDITH HLAFCSAK CHIEF OF STAFF 369935 0 0 0 16781 0 32949 0 8548 0 428213 0 0 0 ERIC STRUCKO CHIEF FINANCIAL OFFICER (MSHMC) 0 308405 0 0 0 17762 0 41115 0 2635 0 369917 0 0 RODNEY C DYKEHOUSE FORMER OFFICER (THRU 6/2019) 0 0 0 0 225532 0 0 0 7805 0 233337 0 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2021: - ALAN BRECHBILL - $348,256 - RODNEY C. DYKEHOUSE - $225,532 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2021, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE VESTED; VESTED CONTRIBUTIONS ARE REPORTED AS TAXABLE COMPENSATION ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. - ALAN BRECHBILL - $306,536 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2021, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE NOT YET VESTED; UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. - STEPHEN MASSINI - $81,924 - PETER DILLON - $55,892 - PAULA TINCH - $34,003 - THOMAS STOESSEL - $24,842 - CLETIS EARLE - $20,540 - KIMBERLY LANSFORD - $17,836 - JUDITH HLAFCSAK - $11,334 PART I, LINE 7 BONUSES ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE APPLICABLE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS. PART VII/SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN DIRECTORS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THAT REMUNERATION FOR DIRECTORS BARRON AND GRAY WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED ORGANIZATION, NOT FOR SERVICES RENDERED AS DIRECTORS OF THE FILING ORGANIZATION. A CUMBERLAND COUNTY MUNICIPAL AUTHORITY 236003119 230614PD5 2019-11-07 249998409 CONSTRUCTION AND EQUIPMENT 0 0 0 A 251061294 223567136 27494158 0 0 0 1 A 1 0 0 0 0 0 1 A 0 0 0 1 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CUMBERLAND COUNTY MUNICIPAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/01/2020 SCHEDULE K, PART II, LINE 3: PROCEEDS REPORTED ON PART II, LINE 3 EXCEED PART I, COLUMN (E) AS A RESULT OF INVESTMENT EARNINGS. PART I, LINE 6 ESTIMATED NUMBER OF VOLUNTEERS: 7 PENN STATE HEALTH IS REPORTING THE NON-COMPENSATED COMMUNITY VOLUNTEER MEMBERS OF ITS GOVERNING BODY. FORM 990, PART III, LINE 2 EFFECTIVE NOVEMBER 1, 2020, PSH ACQUIRED HOLY SPIRIT MEDICAL CENTER (HSMC) AND SPIRIT PHYSICIANS SERVICES, INC. (SPSI). THE ACQUISITION IS EXPECTED TO HAVE A POSITIVE IMPACT ON THE QUALITY, ACCESS AND AFFORDABILITY OF THE HEALTHCARE IN THE WEST SHORE PENNSYLVANIA REGION. FORM 990, PART VI, SECTION A, LINE 2 CERTAIN LISTED OFFICERS AND BOARD MEMBERS ALSO SERVE AS OFFICERS AND BOARD MEMBERS OF A TAXABLE ENTITY. FORM 990, PART VI, SECTION A, LINE 4 THE FILING ORGANIZATION AMENDED THE BYLAWS. THE AMENDMENT WAS MADE MAY 8, 2020 AND CAME INTO EFFECT ON JUNE 30, 2021. ARTICLE 2, SECTIONS 2.3(D) WAS REVISED TO PROVIDE HIGHMARK HEALTH WITH THE POWER TO APPROVE CERTAIN ACQUISITIONS BY THE CORPORATION WITHIN SPECIFIED COUNTIES OF PENNSYLVANIA OF ANY EQUITY, MEMBERSHIP OR GOVERNANCE INTEREST IN OR THE RIGHT TO RECEIVE ANY DISTRIBUTIONS/FUNDS FROM ANY HOSPITAL, HEALTH SYSTEM, AMBULATORY CARE FACILITY, SKILLED NURSING FACILITY, HOME HEALTH AGENCY, HOSPICE, PHYSICIAN PRACTICE, OR OTHER HEALTH CARE PROVIDER ENTITY. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE FILING ORGANIZATION'S TWO MEMBERS ARE THE PENNSYLVANIA STATE UNIVERSITY, A PENNSYLVANIA NONPROFIT CORPORATION AND INSTRUMENTALITY OF THE COMMONWEALTH OF PENNSYLVANIA, AND HIGHMARK HEALTH, A PENNSYLVANIA NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ELECTING MEMBERS OF GOVERNING BODY: DIRECTORS SHALL BE ELECTED BY THE CORPORATE MEMBERS. PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS, THE CORPORATE MEMBERS MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: DESCRIBED IN THE BYLAWS DATED MAY 8, 2020 AND OTHER APPLICABLE DOCUMENTS, THE MEMBERS OF PENN STATE HEALTH ARE THE PENNSYLVANIA STATE UNIVERSITY ("PSU") AND HIGHMARK HEALTH ("HH"). SUBJECT TO CERTAIN LIMITATIONS AND CONDITIONS DESCRIBED IN THE BYLAWS AND OTHER APPLICABLE DOCUMENTS, THE MEMBERS HAVE RESERVED POWERS AS FOLLOWS: PSU: - TO DETERMINE THE NUMBER OF DIRECTORS THAT WILL COMPRISE THE BOARD OF DIRECTORS OF THE CORPORATION, AND TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, A SPECIFIED NUMBER OF DIRECTORS OF THE CORPORATION; - TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; - TO APPROVE ALL FUNDAMENTAL CHANGE TRANSACTIONS AND ALL OTHER TRANSACTIONS NOT IN THE ORDINARY COURSE OF BUSINESS, INCLUDING WITHOUT LIMITATION, ALL MERGERS, CONSOLIDATIONS, DIVISIONS, SALES OF SUBSTANTIALLY ALL ASSETS, AND THE LIQUIDATION OR DISSOLUTION OF THE CORPORATION; - TO APPROVE ANY INDEBTEDNESS OF THE CORPORATION OR ITS CONTROLLED AFFILIATES THAT WOULD CAUSE THE DEBT TO CAPITALIZATION RATIO OF THE CORPORATION ON A CONSOLIDATED BASIS TO BE HIGHER THAN A SPECIFIED LEVEL; - TO APPROVE CERTAIN CAPITAL PROJECTS; - TO APPROVE THE SALE, LEASE, TRANSFER OR OTHER DISPOSITION, AND CERTAIN USES, OF THE LAND OR BUILDINGS LOCATED ON THE EAST CAMPUS OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO APPROVE ANY CHANGE IN THE MISSION OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO EXERCISE THE CORPORATION'S POWER TO APPOINT AND REMOVE DIRECTORS OF THE MILTON S. HERSHEY MEDICAL CENTER; - TO APPROVE ANY CHANGE IN THE ACADEMIC AFFILIATION OF THE CORPORATION OR ANY OF ITS CONTROLLED AFFILIATES; AND - SUBJECT TO SECTION 2.2 AND 2.3, THE MEMBER SHALL HAVE THE RIGHT AND POWER TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW. HH: - TO APPROVE: (I) THE CONVERSION OF THE CORPORATION TO A FOR-PROFIT ENTITY OR THE MERGER OF THE CORPORATION UNLESS IT IS THE SURVIVING ENTITY, (II) VOLUNTARY DISSOLUTION OF THE CORPORATION, (III) FILING OF A VOLUNTARY PETITION FOR RELIEF UNDER ANY BANKRUPTCY LAWS OR APPOINTMENT OF A RECEIVER OR LIQUIDATOR FOR ANY PART OF THE CORPORATION'S ASSETS OR PROPERTY OR THE MAKING OF A GENERAL ASSIGNMENT FOR THE BENEFIT OF ITS CREDITORS, OR (IV) ADMISSION OF A NEW MEMBER TO THE CORPORATION; - TO APPROVE ANY CHANGE TO THE NUMBER OF DIRECTORS APPOINTED BY HH IF SUCH CHANGE RESULTS IN A DILUTION OF HH'S BOARD REPRESENTATION; - TO APPROVE CERTAIN AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; - TO APPROVE CERTAIN ACQUISITIONS BY THE CORPORATION WITHIN A SPECIFIED REGION OF ANY AN EQUITY, MEMBERSHIP OR GOVERNANCE INTEREST IN OR THE RIGHT TO RECEIVE ANY DISTRIBUTIONS/FUNDS FROM ANY HOSPITAL, HEALTH SYSTEM, AMBULATORY CARE FACILITY, SKILLED NURSING FACILITY, HOME HEALTH AGENCY, HOSPICE, PHYSICIAN PRACTICE, OR OTHER HEALTHCARE PROVIDER ENTITY; - TO APPROVE CERTAIN CORPORATION BORROWINGS OR GUARANTEES; - TO APPROVE CERTAIN CHANGES TO THE AGREEMENT BETWEEN PSU AND THE CORPORATION RELATED TO THEIR ACADEMIC AFFILIATION; - TO APPROVE CERTAIN CHANGES TO THE STRATEGIC PLAN FOR THE COMMUNITY-BASED CARE DELIVERY NETWORK COMPONENT OF CORPORATION AND RELATED COMMITTEE CHARTER; - TO APPROVE CERTAIN INVESTMENTS IN EXCESS OF SPECIFIED AMOUNTS; - TO APPROVE THE ENTRY INTO CERTAIN NEW ARRANGEMENTS BETWEEN PSU AND THE CORPORATION OR CERTAIN MODIFICATIONS TO EXISTING ARRANGEMENTS BETWEEN PSU AND THE CORPORATION; - WITH CERTAIN EXCEPTIONS, TO APPROVE THE DIVESTITURE OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS OR A CONTROLLING MEMBERSHIP INTEREST IN THE CORPORATION TO AN UNAFFILIATED THIRD PARTY; AND - SUBJECT TO SECTION 2.2 AND 2.3, THE MEMBER SHALL HAVE THE RIGHT AND POWER TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY: THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM; IT IS REVIEWED BY ACCOUNTING/FINANCE DEPARTMENT PERSONNEL AND THE CHIEF FINANCIAL OFFICER, AND THEN DISTRIBUTED TO ALL MEMBERS OF THE BOARD FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE FILING ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST (COI) POLICIES FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). PER THE POLICY, NO COVERED PERSONS MAY ENGAGE IN ANY TRANSACTION OR ARRANGEMENT OR UNDERTAKE POSITIONS WITH OTHER ORGANIZATIONS THAT INVOLVE A CONFLICT OF INTEREST, EXCEPT IN COMPLIANCE WITH THE POLICY. EVERY COVERED PERSON SHALL DISCLOSE ALL ACTUAL AND POTENTIAL CONFLICTS THROUGH AN ANNUAL WRITTEN DISCLOSURE STATEMENT AND AS MATTERS INVOLVING AN ACTUAL OR POTENTIAL CONFLICT ARISE. THE BOARD WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE POTENTIAL CONFLICT TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION OR ARRANGEMENT. A COVERED PERSON WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH THE BOARD OF DIRECTORS OR A COMMITTEE IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE PRESENTATION TO THE BOARD OR COMMITTEE TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. THE FILING ORGANIZATION MAY ENTER INTO A TRANSACTION OR ARRANGEMENT IN WHICH A COVERED PERSON HAS AN ACTUAL CONFLICT OF INTEREST IF A MAJORITY OF DIRECTORS WHO HAVE NO INTEREST IN THE TRANSACTION OR ARRANGEMENT APPROVE THE TRANSACTION OR ARRANGEMENT AT A BOARD OR COMMITTEE MEETING AFTER DETERMINING THAT THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, ANY COVERED PERSON WHO HAS A CONFLICT WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING SUCH TRANSACTION OR ARRANGEMENT (EXCEPT THAT THE COVERED PERSON MAY APPEAR AT A MEETING TO ANSWER QUESTIONS), AND IF THE TRANSACTION OR ARRANGEMENT INVOLVES COMPENSATION OR OTHER FINANCIAL BENEFIT TO THE COVERED PERSON, THE BOARD RELIES ON APPROPRIATE COMPARABILITY DATA TO DETERMINE REASONABLENESS. THE FILING ORGANIZATION WILL DOCUMENT THE FOREGOING IN THE MINUTES OF BOARD AND COMMITTEE MEETINGS, AS APPLICABLE. EACH COVERED PERSON MUST SIGN A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED A COPY OF THE COI POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD OF DIRECTORS OR OTHER POSITION WITH THE FILING ORGANIZATION, AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 PROCESS USED TO ESTABLISH COMPENSATION OF CEO, OFFICERS, AND KEY EMPLOYEES: THE BOARD COMPENSATION COMMITTEE IS DELEGATED RESPONSIBILITY BY THE BOARD TO MAKE AND RECOMMEND TO THE BOARD THE COMPENSATION DECISIONS FOR ITS KEY EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, OTHER OFFICERS AND ALL DISQUALIFIED PERSONS (AS DEFINED BY TREASURY REGULATIONS). THE COMMITTEE HAS STRONG GOVERNANCE PROCESSES IN PLACE TO ENSURE BEST PRACTICES AND THAT COMPENSATION DECISIONS FOR EXECUTIVES ARE REASONABLE AND SUPPORTIVE OF THE ORGANIZATION'S LEADERSHIP TALENT NEEDS. THE COMMITTEE'S COMPENSATION REVIEW PROCESS IS STRUCTURED TO SATISFY AND COMPLY WITH THE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS, UNDER THE INTERMEDIATE SANCTION REGULATIONS (IRC SECTION 4958). 1. THE COMMITTEE OF THE BOARD IS AUTHORIZED BY THE BOARD OF DIRECTORS TO REVIEW AND APPROVE ALL COMPENSATION (INCLUDING EXECUTIVE BENEFITS) ARRANGEMENTS. 2. THE COMMITTEE IS COMPRISED OF DIRECTORS THAT ARE FREE OF MATERIAL FINANCIAL CONFLICT WITH RESPECT TO THE COMPENSATION BEING REVIEWED. 3. ANNUALLY, THE COMPENSATION COMMITTEE, ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A TOTAL COMPENSATION ANALYSIS FOR THE ORGANIZATION'S EXECUTIVES. 4. THE COMMITTEE REVIEWS AND APPROVES THESE COMPENSATION ARRANGEMENTS IN ADVANCE OF IMPLEMENTATION BY REVIEWING MARKET COMPARABILITY DATA PROVIDED BY ITS INDEPENDENT THIRD-PARTY CONSULTANT AND DOCUMENTED IN COMPREHENSIVE REPORTS. 5. THE COMMITTEE DOCUMENTS ITS DECISIONS, AND THE BASIS FOR ITS DECISIONS, IN A TIMELY MANNER WITHIN MEETING MINUTES. 6. THE COMMITTEE ALSO RECEIVES PROFESSIONAL OPINIONS WITH RESPECT TO REASONABLENESS FROM ITS INDEPENDENT COMPENSATION CONSULTANT, AS SUCH TERM IS DEFINED WITHIN INTERMEDIATE SANCTIONS REGULATIONS. 7. THE COMMITTEE REPORTS ITS ACTIONS ON A REGULAR BASIS TO THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE PENNSYLVANIA STATE UNIVERSITY AND ITS SUBSIDIARIES (WHICH INCLUDES PENN STATE HEALTH) ARE AVAILABLE AT WWW.PSU.EDU. FORM 990, PART XI, LINE 9: TRANSFERS TO THE PENN STATE COLLEGE OF MEDICINE -77,456,574. HAMPDEN MEDICAL CENTER LLC NET ASSETS TRANSFERRED TO PSH HAMPDEN MED CTR -1,292,553. LPADC LLC NET ASSETS TRANSFERRED TO PSH LANCASTER MEDICAL CENTER -9,406. CENTRAL PA HEALTH NETWORK LLC 2500 BERNVILLE ROAD READING PA 19605 465750407 CLINICAL NTWK PA 950009 156119 PSH PENN STATE HEALTH COMM MED GRP LLC 500 UNIVERSITY DRIVE HERSHEY PA 17033 300976099 PHYSICIAN PRACTICES PA 187669727 77069050 PSH PENN STATE HEALTH LIFE LION LLC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851607822 LIFE SUPPORT TRANSPORTATION SVCS PA 6576621 4838301 PSH HAMPDEN MEDICAL CENTER LLC (END 123120) 500 UNIVERSITY DRIVE HERSHEY PA 17033 823189759 REAL ESTATE PA 0 0 PSH LPADC LLC (END 5312021) 500 UNIVERSITY DRIVE HERSHEY PA 17033 832746880 REAL ESTATE PA 0 0 PSH ST JOSEPH REGIONAL HEALTH NETWORK 2500 BERNVILLE RD PO BOX 316 READING PA 19605 231352211 HEALTHCARE PA 501(C)(3) LINE 3 PSH 1 ST JOSEPH MEDICAL CENTER FOUNDATION 2500 BERNVILLE RD PO BOX 316 READING PA 19605 232649362 FUNDRAISING PA 501(C)(3) LINE 12A, I SJRHN 1 ST JOSEPH MEDICAL GROUP 2500 BERNVILLE RD PO BOX 316 READING PA 19605 208544021 HEALTHCARE PA 501(C)(3) LINE 10 PSH 1 THE PENNSYLVANIA STATE UNIVERSITY ONE OLD MAIN UNIVERSITY PARK PA 16802 246000376 EDUCATION PA 115 N/A 0 THE MILTON S HERSHEY MEDICAL CENTER 90 HOPE DRIVE HERSHEY PA 17033 251854772 HEALTHCARE PA 115 PSH 1 PENN STATE HEALTH HAMPDEN MEDICAL CENTER 220 GOOD HOPE RD ENOLA PA 17025 851608328 HEALTHCARE PA 501(C)(3) LINE 3 PSH 1 PENN STATE HEALTH LANCASTER MEDICAL CENTER 2160 STATE ROAD LANCASTER PA 17601 851620900 HEALTHCARE PA 501(C)(3) LINE 3 PSH 1 PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 231512747 HEALTHCARE PA 501(C)(3) LINE 3 PSH 1 HOLY SPIRIT CORPORATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232214540 REAL ESTATE PA 501(C)(2) PSHHSMC 1 SPIRIT PHYSICIAN SERVICES INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251766971 PHYSICIAN SERVICES PA 501(C)(3) LINE 10 PSH 1 HOLY SPIRIT HEALTH SYSTEM (END 103120) 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251865142 PHILANTHROPY PA 501(C)(3) LINE 12A, I PSH 1 HERSHEY OUTPATIENT SURGERY CENTER LP 15305 DALLAS PKWY ADDISON TX 75001 HEALTHCARE PA NITTANY HLTH 0 0 CGH REALTY ASSOCIATES 145 N 6TH STREET READING PA 19601 REAL ESTATE PA CGH REALTY CO 0 0 NITTANY HEALTH - VALUEHEALTH JOINT 11221 ROE AVE LEAWOOD KS 66211 851154159 HEALTHCARE PA NITTANY HLTH 0 0 NITTANY HEALTH INC 500 UNIVERSITY DRIVE HERSHEY PA 17033 251769611 HOMECARE INTEGRTN PA PSH C 3960409 31393075 1.00000 1 CGH REALTY CO INC 2500 BERNVILLE ROAD READING PA 19605 232326801 REAL ESTATE PA SJRHN C 0 HOLY SPIRIT VENTURES INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232407709 REAL ESTATE PA PSHHSMC C 1174743 10647621 1.00000 1 0 0 0 1 1 0 0 0 0 1 1 1 1 1 1 1 0 1 1 PENN STATE HEALTH HAMPDEN MEDICAL CENTER R 1292553 NET ASSETS BOOK VALUE PENN STATE HEALTH LANCASTER MEDICAL CENTER R 9406 NET ASSETS BOOK VALUE MILTON S HERSHEY MEDICAL CENTER R 231107322 CASH MILTON S HERSHEY MEDICAL CENTER O 63111455 CASH ST JOSEPH REGIONAL HEALTH NETWORK R 24911617 CASH ST JOSEPH REGIONAL HEALTH NETWORK O 4088193 CASH PENN STATE HEALTH HAMPDEN MEDICAL CENTER S 143700142 CASH PENN STATE HEALTH HAMPDEN MEDICAL CENTER O 49101 CASH PENN STATE HEALTH LANCASTER MEDICAL CENTER S 126166335 CASH PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER S 4361263 CASH PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER O 7393394 CASH SCHEDULE R, PART II: EFFECTIVE NOVEMBER 1, 2020, PENN STATE HEALTH ACQUIRED HOLY SPIRIT HEALTH SYSTEM AND ITS AFFILIATES. SUPPLEMENTAL INFORMATION: SCHEDULE R LISTS ONLY THOSE RELATED ORGANIZATIONS THAT RELATE TO THE HEALTH CARE OPERATIONS UNDER THE COMMON CONTROL OF THE PENNSYLVANIA STATE UNIVERSITY.