2025-05-15T10:40:22-05:00 2024-06-30 991856619 GRANT THORNTON ADVISORS LLC 2001 MARKET STREET SUITE 800 PHILADELPHIA PA 19103 990 2023-07-01 208544021 ST JOSEPH MEDICAL GROUP STJO 6103782300 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 TRACY L MOYER SVP FINANCIAL OPERATIONS 6103782300 2025-05-14 1 1 RUSSLEE ARMSTRONG P00288383 2155614200 2023 2025-03-06 01:10:19Z JOSEPH FRANK 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 80328757 0 X WWW.PENNSTATEHEALTH.ORG/LOCATIONS/ST-JOSEPH X 2007 PA PHYSICIAN HEALTHCARE SERVICES IN AN ACUTE CARE AND PHYSICIAN WOUND CARE CLINIC. 3 1 83 1 0 0 41337162 47512867 32873437 32775522 74 -89065 400282 40368 74610955 80239692 0 0 0 0 60204267 59219733 0 0 0 16317987 19334449 76522254 78554182 -1911299 1685510 18895940 20789130 16855968 17063648 2039972 3725482 X THE MISSION OF THE CORPORATION IS TO SUPPORT ST. JOSEPH REGIONAL HEALTH NETWORK'S (SJHRN) MISSION OF THE PROVISION OF HEALTHCARE. THE MISSION OF THE CORPORATION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. (CONTINUED IN SCHEDULE O) 0 0 72784632 32815890 ST. JOSEPH MEDICAL GROUP (SJMG) PROVIDES QUALITY PROFESSIONAL MEDICAL SERVICES TO ITS COMMUNITY IN CONJUNCTION WITH, AND IN SUPPORT OF, ST. JOSEPH REGIONAL HEALTH NETWORK, IN READING, PENNSYLVANIA, WHICH IS ALSO A 501(C)(3) CHARITABLE, TAX EXEMPT ORGANIZATION. SJMG PROVIDES THESE SERVICES TO THE CITIZENS OF ITS COMMUNITY WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR AGE. IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES AND MEDICAL EDUCATION. THEREFORE, IN KEEPING WITH THE COMMITMENT OF SJMG AND ST. JOSEPH REGIONAL HEALTH NETWORK TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES (CONTINUED IN SCHEDULE O)AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND INDIVIDUAL'S INABILITY TO PAY COEXIST. SJMG PROVIDES THE FOLLOWING PROFESSIONAL MEDICAL SERVICES TO ITS COMMUNITY THROUGH ITS DULY-LICENSED PHYSICIANS, EMPLOYEES AND CONTRACTORS:FAMILY MEDICIAN, OB/GYN, GENERAL SURGICAL SERVICES, NEUROLOGY, NEUROSURGERY, VASCULAR SERVICES, ORTHOPEDICS, AND CONTINUING COMMUNITY, MEDICAL EDUCATION SERVICES, WOUND CARE, ONCOLOGY, ANESTHESIA, HOSPITALIST, INFECTIOUS DISEASE, NEONATOLOGY, AND PALLIATIVE CARE. 72784632 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 83 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 1 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 PA X TRACY L MOYER SVP FINANCIAL OPERA 7177632100 100 CRYSTAL A DR MC CA210 HERSHEY PA 17033 X THOMAS STOESSEL DIR / PSH EVP CSO 1.00 49.00 X 0 741755 68408 MARC ROVITO CHAIR / DIR/ VP MED AFF. SJRHN 1.00 39.00 X X 0 542961 69195 HEIDI B MASANO VICE CHAIR / DIRECTOR 1.00 1.00 X X 0 0 0 PETER OSTASEWSKI SEC / TREAS (AS OF 9/23) 1.00 39.00 X 0 310883 34052 CHRIS SCHENKEL SEC/TREAS /PSH DIR FIN (THRU 9/23) 1.00 39.00 X 0 136057 30985 KIMBERLY WOLF EXEC. DIR. / SJRHN SR. MED DIR. 1.00 49.00 X 0 372285 43575 ANDRE ROBINSON MD PHYSICIAN 40.00 0.00 X 536665 0 67805 ELIZABETH MBURU PHYSICIAN 40.00 0.00 X 502834 0 51029 JORGE ARBOLEDA DO PHYSICIAN 40.00 0.00 X 414968 0 68748 ANUP MALIK MD PHYSICIAN 40.00 0.00 X 398784 0 68343 QAISS MOHAMMED PHYSICIAN 40.00 0.00 X 406638 0 51751 PETER DILLON MD FMR DIR/PSH PHYS LEADER 0.00 50.00 X 0 497180 32393 JIM BENNETT FMR OFFICER (THRU 6/23) 1.00 49.00 X 0 277131 15504 2259889 2878252 601788 53 1 0 0 SBG HEALTHCARE LLC 7665 DAVIE ROAD EXT SUITE 201 HOLLYWOOD CA 33024 PHYSICIAN LOCUMS 2923707 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 PHYSICIAN LOCUMS 1923578 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN LOCUMS 1887365 LOCUMTENENSCOM 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 PHYSICIAN LOCUMS 1566408 PALM CAREERS LLC 1640 W OAKLAND PARK BLVD SUITE 400 OAKLAND PARK GA 33311 CONTRACTED STAFF 468246 5 47512867 47512867 NET PATIENT SERVICE REVENUE 621111 32775522 32775522 32775522 89065 -89065 -89065 -89065 INCENTIVE INCOME 900099 34713 34713 OTHER REVENUE 900099 5655 5655 40368 80239692 32815890 0 -89065 X 57089129 56287810 801319 765401 765401 562134 562134 803069 803069 8879678 8812452 67226 275292 256314 18978 3204579 3204579 28712 28712 17155 16905 250 471109 306847 164262 58083 58083 ALLOC. CORP. SERVICES 4615916 4615916 MEDICAL SUPPLIES 1493015 1493015 LICENSES 146282 132962 13320 USE TAX 86325 86325 58303 56349 1954 78554182 72784632 5769550 0 538106 3331127 3899055 4488823 260412 147189 4162712 1926573 1931836 2236139 12266531 10585852 18895940 20789130 3449847 4632494 13406121 12431154 16855968 17063648 X 2039972 3725482 2039972 3725482 18895940 20789130 1685510 0 X 0 1 X 1 0 X 39675612 36024630 37558271 41337162 47512867 202108542 26502642 28042502 32355457 32873437 32775522 152549560 66178254 64067132 69913728 74210599 80288389 354658102 0 0 0 354658102 3282 1471 1792 74 0 6619 3282 1471 1792 74 6619 394863 616478 841816 400282 40368 2293807 66576399 64685081 70757336 74610955 80328757 356958528 0.99360 0.99230 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2019 AMOUNT: $ 394,863. 2020 AMOUNT: $ 616,478. 2021 AMOUNT: $ 841,816. 2022 AMOUNT: $ 400,282. 2023 AMOUNT: $ 40,368. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2782698 951277 1831421 1364714 975296 389418 15300 15300 2236139 ROU OPERATING LEASE 10585852 10585852 ROU OPERATING LEASE 11837013 PATIENT A/R CREDIT BALANCES 594141 12431154 1 1 0 0 0 0 0 1 0 THOMAS STOESSEL DIR / PSH EVP CSO 0 627730 0 0 0 114025 0 41490 0 26918 0 810163 0 0 MARC ROVITO CHAIR / DIR/ VP MED AFF. SJRHN 0 533942 0 0 0 9019 0 41490 0 27705 0 612156 0 0 ANDRE ROBINSON MD PHYSICIAN 533717 0 0 0 2948 0 41490 0 26315 0 604470 0 0 0 ELIZABETH MBURU PHYSICIAN 500380 0 0 0 2454 0 23418 0 27611 0 553863 0 0 0 PETER DILLON MD FMR DIR/PSH PHYS LEADER 0 260420 0 0 0 236760 0 26908 0 5485 0 529573 0 0 JORGE ARBOLEDA DO PHYSICIAN 360287 0 51701 0 2980 0 41490 0 27258 0 483716 0 0 0 ANUP MALIK MD PHYSICIAN 382167 0 0 0 16617 0 41490 0 26853 0 467127 0 0 0 QAISS MOHAMMED PHYSICIAN 395510 0 8152 0 2976 0 24990 0 26761 0 458389 0 0 0 KIMBERLY WOLF EXEC. DIR. / SJRHN SR. MED DIR. 0 362120 0 0 0 10165 0 41490 0 2085 0 415860 0 0 PETER OSTASEWSKI SEC / TREAS (AS OF 9/23) 0 284102 0 20000 0 6781 0 7846 0 26206 0 344935 0 0 JIM BENNETT FMR OFFICER (THRU 6/23) 0 135071 0 0 0 142060 0 14430 0 1074 0 292635 0 0 CHRIS SCHENKEL SEC/TREAS /PSH DIR FIN (THRU 9/23) 0 97509 0 0 0 38548 0 11543 0 19442 0 167042 0 0 PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR THAT WAS ESTABLISHED AND PAID BY PENN STATE HEALTH USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2024: - JIM BENNETT - $118,067 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2024, A DIRECTOR AND A FORMER DIRECTOR PARTICIPATED IN A RELATED ORGANIZATION'S SUPPLEMENTAL NONQUALIFIED RETIRMENT PLAN. THE BELOW LISTED INDIVIDUALS VESTED IN THE PLAN IN A PRIOR YEAR; THEREFORE, CURRENT YEAR CONTRIBUTIONS ARE TAXABLE AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. - THOMAS STOESSEL - $66,348 - PETER DILLON - $59,178 SCHEDULE J, PART I, LINE 7 BONUSES, PAID BY THE FILING ORGANIZATION OR A RELATED ORGANIZATION THAT EMPLOYS THE INDIVIDUALS, 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, KEY EMPLOYEES AND HIGHEST COMPENSATED. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: (CONTINUED): FIDELITY TO THE GOSPEL URGES THE CORPORATION TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS IT CREATES HEALTHIER COMMUNITIES. THE CORPORATION, CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUES-BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDERSERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION. FORM 990, PART V, LINE 1A: FORMS 1096: FORM 1096 FOR THE FILING ORGANIZATION IS PROCESSED AND REPORTED BY ITS RELATED ORGANIZATION PENN STATE HEALTH (EIN: 47-3769205). FORM 990, PART VI, SECTION A, LINE 2 CERTAIN LISTED OFFICERS AND BOARD MEMBERS ALSO SERVE AS OFFICERS AND BOARD MEMBERS OF A TAXABLE ENTITY. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: THE FILING ORGANIZATION'S SOLE MEMBER IS PENN STATE 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 MEMBER, PENN STATE HEALTH. THE CORPORATE MEMBER 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: PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS THE CORPORATE MEMBERS HAVE RESERVED POWERS. NOTWITHSTANDING ANY OTHER PROVISIONS OF THESE BYLAWS, THE SOLE MEMBER MUST APPROVE THE FOLLOWING ITEMS, AS APPLICABLE, BEFORE THEY MAY BE IMPLEMENTED BY THIS CORPORATION. THE SOLE MEMBER SHALL HAVE THE AUTHORITY: (A) TO DETERMINE THE NUMBER OF AND TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; (B) TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, AND TO DETERMINE THE COMPENSATION OF, THE EXECUTIVE DIRECTOR OF THE CORPORATION; (C) TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIRPERSON AND VICE CHAIRPERSON OF THE CORPORATION; (D) TO UNDERTAKE OR TO APPROVE THE ISSUANCE OF ANY DEBT BY THE CORPORATION; (E) TO REQUIRE THE TRANSFER OF ASSETS FROM THE CORPORATION TO THE CORPORATE MEMBER TO FURTHER THE OBJECTIVES OF THE CORPORATE MEMBER; (F) TO UNDERTAKE OR APPROVE ANY TRANSFER OF ASSETS TO ANY ENTITY OTHER THAN THE CORPORATE MEMBER OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION OR THE CORPORATE MEMBER; (G) TO ESTABLISH OR APPROVE ALL LONG-RANGE AND STRATEGIC PLANS OF THE CORPORATION; (H) TO ESTABLISH OR APPROVE THE ADOPTION OF ALL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS THERETO; (I) TO APPROVE ANY EXPENDITURES FOR NON-BUDGETED ITEMS IN EXCESS OF CERTAIN DOLLAR LIMITS SET BY THE CORPORATE MEMBER, AS WELL AS FOR ANY ITEMS INCLUDED IN THE CORPORATION'S ANNUAL BUDGETS BUT EXCEEDING THE BUDGETED AMOUNT BY MORE THAN CERTAIN DOLLAR LIMITS SET BY THE CORPORATE MEMBER; (J) TO INITIATE OR APPROVE ANY AND ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; (K) TO CHANGE OR TO APPROVE ANY CHANGE IN THE PURPOSES, PHILOSOPHY, OR OBJECTIVES OF THE CORPORATION; (L) TO INITIATE OR 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 LIQUIDATION OR DISSOLUTION OF THE CORPORATION; (M) TO SELECT AND APPOINT AUDITORS FOR, AND TO DESIGNATE THE FISCAL YEAR OF, THE CORPORATION AND ITS SUBSIDIARIES; (N) TO RETAIN COUNSEL ON BEHALF OF AND SETTLE ANY LITIGATION AGAINST THE CORPORATION; (O) TO ESTABLISH AN OBLIGATED GROUP FOR FINANCING PURPOSES; (P) TO ADOPT EMPLOYEE BENEFIT PLANS; AND (Q) TO GIVE SUCH OTHER APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO MEMBERS OF PENNSYLVANIA NONPROFIT CORPORATIONS UNDER THE NPCL. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY: THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM; IT IS REVIEWED BY ACCOUNTING/FINANCE DEPARTMENT PERSONNEL AND THE CHIEF FINANCIAL OFFICER, AND THEN DISTRIBUTED TO ALL MEMBERS OF THE BOARD FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE FILING ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST (COI) POLICIES FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). PER THE POLICY, NO COVERED PERSONS MAY ENGAGE IN ANY TRANSACTION OR ARRANGEMENT OR UNDERTAKE POSITIONS WITH OTHER ORGANIZATIONS THAT INVOLVE A CONFLICT OF INTEREST, EXCEPT IN COMPLIANCE WITH THE POLICY. EVERY COVERED PERSON SHALL DISCLOSE ALL ACTUAL AND POTENTIAL CONFLICTS THROUGH AN ANNUAL ONLINE DISCLOSURE STATEMENT AND AS MATTERS INVOLVING AN ACTUAL OR POTENTIAL CONFLICT ARISE. THE BOARD WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE POTENTIAL CONFLICT TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION OR ARRANGEMENT. A COVERED PERSON WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH THE BOARD OF DIRECTORS OR A COMMITTEE IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE PRESENTATION TO THE BOARD OR COMMITTEE TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. THE FILING ORGANIZATION MAY ENTER INTO A TRANSACTION OR ARRANGEMENT IN WHICH A COVERED PERSON HAS AN ACTUAL CONFLICT OF INTEREST IF A MAJORITY OF DIRECTORS WHO HAVE NO INTEREST IN THE TRANSACTION OR ARRANGEMENT APPROVE THE TRANSACTION OR ARRANGEMENT AT A BOARD OR COMMITTEE MEETING AFTER DETERMINING THAT THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, ANY COVERED PERSON WHO HAS A CONFLICT WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING SUCH TRANSACTION OR ARRANGEMENT (EXCEPT THAT THE COVERED PERSON MAY APPEAR AT A MEETING TO ANSWER QUESTIONS), AND IF THE TRANSACTION OR ARRANGEMENT INVOLVES COMPENSATION OR OTHER FINANCIAL BENEFIT TO THE COVERED PERSON, THE BOARD RELIES ON APPROPRIATE COMPARABILITY DATA TO DETERMINE REASONABLENESS. THE FILING ORGANIZATION WILL DOCUMENT THE FOREGOING IN THE MINUTES OF BOARD AND COMMITTEE MEETINGS, AS APPLICABLE. EACH COVERED PERSON MUST SIGN A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED A COPY OF THE COI POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD OF DIRECTORS OR OTHER POSITION WITH THE FILING ORGANIZATION, AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINES 13 & 14 WHISTLEBLOWER POLICY AND DOCUMENT RETENTION/DESTRUCTION POLICY: THE FILING ORGANIZATION FOLLOWS THE WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY OF A RELATED ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 PROCESS USED TO ESTABLISH COMPENSATION OF CEO, OFFICERS, AND KEY EMPLOYEES: THE FILING ORGANIZATION IS PART OF A MULTI-ENTITY HEALTH SYSTEM AND MAY OR MAY NOT DESIGNATE ONE OR MORE OF ITS EMPLOYEES AS A CEO (OR PRESIDENT), OFFICER, OR KEY EMPLOYEE. IF THE FILING ORGANIZATION DOES NOT DESIGNATE INDIVIDUALS TO THESE ROLES, THE ROLE IS HANDLED BY AN INDIVIDUAL FROM THE PARENT ENTITY, PENN STATE HEALTH, OR AN AFFILITATE. PENN STATE HEALTH HAS ESTABLISHED A SYSTEM-WIDE PROCESS FOR ESTABLISHING COMPENSATION AS FOLLOWS: ANNUALLY, THE COMPENSATION COMMITTEE OF THE PARENT BOARD ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPENSATION ANALYSIS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER (CEO), OFFICERS, AND KEY EMPLOYEES. AS PART OF THE ANALYSIS, THE INDEPENDENT COMPENSATION CONSULTANT IDENTIFIES, GATHERS, AND ANALYZES APPROPRIATE COMPARABILITY DATA UPON WHICH THE COMMITTEE AND THE FULL BOARD WILL RELY TO ASSESS THE REASONABLENESS OF THE TOTAL PROPOSED COMPENSATION (INCLUDING BENEFITS) OF THE CEO, OFFICERS, AND KEY EMPLOYEES. ONCE THE COMPENSATION ANALYSIS IS COMPLETE AND DOCUMENTED IN REPORTS, THE REPORTS ARE PROVIDED TO THE BOARD FOR REVIEW AND CONSIDERATION, TOGETHER WITH WRITTEN OPINIONS FROM THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION ARRANGEMENTS FOR THE CEO, OFFICERS, AND KEY EMPLOYEES ARE REASONABLE WITHIN THE MEANING OF TREASURY REGULATION 53.4958-4(B)(1)(II)(A). WITH INPUT FROM THE COMPENSATION COMMITTEE, THE FULL BOARD MAKES ANNUAL DECISIONS WITH RESPECT TO COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES BASED UPON THE DATA IN THE REPORT AND THE OPINION OF THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION IS REASONABLE. THESE DECISIONS, THE BASIS FOR THESE DECISIONS, THE BOARD MEMBERS' NAMES WHO VOTE ON COMPENSATION, AND THAT NONE OF THE BOARD MEMBERS HAVE A CONFLICT OF INTEREST WITH RESPECT TO THESE COMPENSATION ARRANGEMENTS IS ALL CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE PENNSYLVANIA STATE UNIVERSITY AND ITS SUBSIDIARIES (WHICH INCLUDES PENN STATE HEALTH AND ITS AFFILIATES) ARE AVAILABLE AT WWW.PSU.EDU. FORM 990, PART VII: PART VII AND SCHEDULE J REFLECT CERTAIN DIRECTORS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THAT REMUNERATION FOR DIRECTORS WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED ORGANIZATION, NOT FOR SERVICES RENDERED AS DIRECTORS OF THE FILING ORGANIZATION. FORM 990, PART IX, LINE 11G CONTRACTED PHYSICIANS: PROGRAM SERVICE EXPENSES 7,266,492. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,266,492. CONTRACTED STAFF: PROGRAM SERVICE EXPENSES 1,113,064. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,113,064. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 432,896. MANAGEMENT AND GENERAL EXPENSES 67,226. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 500,122. ST JOSEPH REGIONAL HEALTH NETWORK 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 231352211 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 ST JOSEPH MEDICAL CENTER FOUNDATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232649362 FUNDRAISING PA 501(C)(3) LINE 10 SJRHN 0 PENN STATE HEALTH 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 473769205 MGMT/SUPPORT PA 501(C)(3) LINE 12A, I PSU 0 THE PENNSYLVANIA STATE UNIVERSITY 201 OLD MAIN UNIVERSITY PARK PA 16802 246000376 EDUCATION PA 115 N/A 0 THE MILTON S HERSHEY MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251854772 HEALTHCARE PA 115 PSH 0 PENN STATE HEALTH HAMPDEN MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851608328 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 PENN STATE HEALTH LANCASTER MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851620990 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 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 0 HOLY SPIRIT CORPORATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232214540 HOLDING CO PA 501(C)(2) PSHHSMC 0 PENNSYLVANIA PSYCHIATRIC INSTITUTE 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 261699000 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 822969322 HEALTHCARE PA 501(C)(3) LINE 3 PPI 0 HERSHEY OUTPATIENT SURGERY CENTER LP 15305 DALLAS PKWY ADDISON TX 75001 200469951 HEALTHCARE PA NITTANY HLTH 0 0 NITTANY HEALTH - VALUEHEALTH JOINT 11221 ROE AVE LEAWOOD KS 66211 851154159 HEALTHCARE PA NITTANY HLTH 0 0 SCOL HOLDINGS LLC 5000 COLLEGE BLVD STE 400 OVERLAND PARK KS 66211 871736200 HEALTHCARE KS NITTANY HLTH 0 0 NITTANY HEALTH INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251769611 HEALTHCARE PA N/A C 0 CGH REALTY CO INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232326801 REAL ESTATE PA N/A C 0 HOLY SPIRIT VENTURES INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232407709 MED. SERV. PA N/A C 0 0 0 1 0 0 0 0 0 1 0 1 0 1 0 1 1 0 0 0 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.