4A (Expenses $ 621172034 including grants of $ 0) (Revenue $ 978908445)
Inpatient Acute Healthcare Services Main Line Hospitals, Inc. is comprised of three full-service community acute care hospitals and a rehabilitation hospital located in the suburbs of Philadelphia. Bryn Mawr Hospital, established 1893, operates 284 licensed beds, The Lankenau Hospital, established 1860, operates 370 licensed beds, Paoli Hospital operates 231 licensed beds, and Bryn Mawr Rehabilitation hospital operates 148 licensed beds. Main Line Hospitals, Inc. offers specialized services including Neonatal Intensive Care, Reproductive Medicine, Arthritis and Orthopedic services, Cardiovascular Care, Sleep Medicine, Cancer Care, a Kidney Transplant Program, Family Centered Maternity Care, Comprehensive Breast Care, and comprehensive rehabilitation services for brain injury, stroke, etc. to name a few. For the year presented, Main Line Hospitals, Inc. provided inpatient services to 49,481 adult patients, 593 Neonatal Care patients, performed 1,115 open heart cases, attended 7,226 births, and performed 11,249 inpatient surgeries.

4B (Expenses $ 373807103 including grants of $ 26517) (Revenue $ 481290228)
Outpatient Acute Healthcare Services Main Line Hospitals, Inc. offers a full array of outpatient services both within the campus of our four member hospitals (Bryn Mawr Hospital, The Lankenau Hospital, Paoli Hospital, and Bryn Mawr Rehabilitation Hospital), as well as in five separate ambulatory centers located in the communities we serve. Outpatient services offered include Imaging services, Clinical Laboratories, Physical, Occupational and Speech Therapy services, Sleep Disorder centers, Adult Day Services, Cardiology services and a Cardiac Rehabilitation program, Cancer Center, and multiple physicians in the areas of Primary Care, OB/GYN, Pediatric, Internal and Family Medicine and other specialists. For the fiscal period presented, Main Line Hospitals, Inc. attended to 818,151 outpatient visits, performed 18,967 outpatient surgeries, and provided emergent care with 150,073 visits to our hospital based 24 hours/day, 7 days/week emergency rooms.

PART V, SECTION B, LINE 5
"FACILITY REPORTING GROUP A AND GROUP B: MAIN LINE HOSPITALS, INC. CONTRACTED WITH THE PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) TO CONDUCT A JOINT CHNA FOR THE FY20-FY22 CHNA CYCLE, WHICH WAS COMPLETED IN JUNE 2022. THE JOINT CHNA INCLUDED FOUR ACUTE CARE HOSPITALS IN ADDITION TO PHYSICIANS CARE SURGICAL HOSPITAL: A JOINT VENTURE-(""ACUTE CHNA"") AND A CHNA FOR BRYN MAWR REHABILITATION HOSPITAL (""BMRH CHNA""), COMPLETED AND POSTED ONLINE IN JUNE 2019. PHMC HAS CONDUCTED NUMEROUS CHNAS FOR HOSPITALS AND HEALTH SYSTEMS IN SOUTHEASTERN PENNSYLVANIA. PMHC ALSO WORKED CLOSELY WITH THE MAIN LINE HEALTH CENTER FOR POPULATION HEALTH RESEARCH (CPHR) WHEN DEVELOPING THE CHNAS. PHMC AND CPHR STAFF HAVE EXTENSIVE EXPERIENCE IN SURVEY RESEARCH AND PUBLIC HEALTH INITIATIVES. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED IN AN EFFORT TO COVER A BROAD RANGE OF COMMINITY INTERESTS AND BACKGROUNDS. GROUPS SUCH AS PATIENTS, SERVICE AREA RESIDENTS, BUSINESS AND GOVERNMENT STAKEHOLDERS, FAITH-BASED STAKEHOLDERS, REPRESENTATIVES FROM SOCIAL SERVICES ORGANIZATIONS AND MAIN LINE HEALTH PROVIDERS WERE REPRESENTED THROUGH THIS OUTREACH. IN ADDITION TO INFORMATION PROVIDED BY COMMUNITY REPRESENTATIVES, QUANTITATIVE DATA FROM THE US CENSUS, THE DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTHY PEOPLE 2020, PENNSYLVANIA DEPARMENT OF HEALTH AND THE PHMC COMMUNITY HEALTH DATABASE WAS USED IN THE CHNA. THE PHMC COMMUNITY HEALTH DATABASE HAS SURVEY DATA (SEPA HOUSEHOLD HEALTH SURVEY) FROM APPROXIMATELY 7,500 HOUSEHOLDS IN SOUTHEASTERN PENNSYLVANIA INCLUDING APPROXIMATELY 3,000 ADULT RESIDENTS IN THE MLH HOSPITAL SERVICE AREAS."

PART V, SECTION B, LINE 6A
FACILITY REPORTING GROUP A AND GROUP B: A JOINT CHNA WAS COMPLETED FOR THE FOUR ACUTE HOSPITALS IN THE MAIN LINE HEALTH SYSTEM AND PHYSICIANS CARE SURGICAL HOSPITAL (A JOINT VENTURE). THIS JOINT CHNA INCLUDED THE MAIN LINE HOSPITALS, INC.-BRYN MAWR HOSPITAL (BMH), LANKENAU HOSPITAL (LH), AND PAOLI HOSPITAL (PH)-RIDDLE MEMORIAL HOSPITAL (RH) AND PHYSICIANS CARE SURGICAL HOSPITAL (PCSH, A JOINT VENTURE). CONCURRENTLY, A CHNA WAS COMPLETED FOR THE BRYN MAWR REHABILITATION HOSPITAL (BMRH), THE REHABILITATION HOSPITAL WITHIN MAIN LINE HOSPITALS, INC. THE ACUTE HOSPITALS FOCUSED ON THE GENERAL HEALTH NEEDS OF THE POPULATION WHILE BMRH FOCUSED ON COMMUNITY NEEDS THAT IMPACT THE NEED FOR REHAB SERVICES. THE SEPARATE IMPLEMENATION PLANS FOR THE ACUTE HOSPITALS AND BMRH HAS AN OVERLAPPING IDENTIFIED PRIORITY TOPIC FOR DIVERSITY, RESPECT, EQUITY AND INCLUSION.

PART V, SECTION B, LINE 7A
FACILITY REPORTING GROUP A AND GROUP B: https://www.mainlinehealth.org/-/media/files/pdf/basic-content/about/chna/ 2019/chna-main-line-health-acute-care-hospitals-2019.pdf

PART V, SECTION B, LINE 10A
FACILITY REPORTING GROUP A AND GROUP B: https://www.mainlinehealth.org/-/media/files/pdf/basic-content/about/chna/ 2019/chna-main-line-health-acute-care-hospitals-2019.pdf

PART V, SECTION B, LINE 11
FACILITY REPORTING GROUP A AND GROUP B: IMPLEMENTATION PLANS TO ADDRESS THE COMMUNITY NEEDS IDENTIFIED FOR THE ACUTE AND BMRH CHNAS WERE DEVELOPED, AND THE PLAN WAS ADOPTED BY THE MLH BOARD OF DIRECTORS IN JUNE 2019. BETWEEN THE ACUTE AND BMRH CHNA IMPLEMENTATION PLANS, 70 INITIATIVES, ROLLING INTO 11 PRIORITIES (8 FOR ACUTE AND 3 FOR BMRH) WERE DEVELOPED TO ADDRESS 9 TOP AREAS OF NEED IDENTIFIED IN THE CHNAS (6 FOR ACUTE AND 3 FOR BMRH). THE INITIATIVES ADOPTED TO ADDRESS TOP IDENTIFIED AREAS OF NEED ARE DESCRIBED IN THE ACUTE AND BMRH IMPLEMENTATION PLANS. ACCESS TO AFFORDABLE HEALTH CARE AND PRESECRIPTION MEDICATIONS WAS IDENTIFIED AS AN OVERARCHING NEED IN THE MLH ACUTE HOSPITAL CHNA. MLH HOSPITALS INCLUDING BMRH HAVE A CHARITY CARE POLICY (HTTPS://WWW.MAINLINEHEALTH.ORG/ABOUT/POLICIES/CHARITY-CARE) AVAILABLE TO ASSIST INDIVIDUALS AND FAMILIES WHO NEED HELP PAYING FOR THEIR HOSPITAL CARE. MLH WORKS WITH COMMUNITY PARTNERS TO HELP UNDERSERVED COMMUNITIES ACCESS SERVICES THEY NEED. HOWEVER, MLH DOES NOT FEEL THAT AVAILABILITY OF LOW-COST HEALTH INSURANCE OR THE COST OF PRESCRIPTIONS IS WITHIN THE ORGANIZATION'S PURVIEW TO ADDRESS. IT IS THE INTENT OF THE MLH HOSPITALS TO KEEP THEIR COSTS AS LOW AS POSSIBLE WHILE MAINTAINING HIGH QUALITY CARE. SOCIAL ISOLATION AMONG OLDER ADULTS WAS ALSO IDENTIFIED AS A NEED IN THE ACUTE CHNA IN THE SEPA HOUSEHOLD HEALTH SURVEY. SIGNIFICANCE TESTING FOUND THAT THE TOTAL MLH COMMUNITY REPORTED THAT THEY WERE LIKELY TO TALK WITH FRIENDS AND RELATIVES LESS THAN ONCE PER WEEK; THIS IS SIGNIFICANTLY POORER THAN THE REMAINDER OF THE SEPA COHORT. SOCIAL ISOLATION IS DIFFICULT TO IDENTIFY AND ADDRESS. WHILE MLH DID NOT IDENTIFY ANY DIRECT INITIATIVES DURING DEVELOPMENT OF THE FY 2020 to FY 2022 CHNA IMPLEMENTATION PLAN CYCLE TO ADDRESS THIS SOCIAL ISSUE, ACTIVITES ARE IN PLACE AND IN DEVELOPMENT. MLH OPERATES A SENIOR CARE PHONE LINE AND MAY DIRECT CALLERS TO COMMUNITY SENIOR CENTERS AND OTHER ONLINE OR COMMUNITY RESOURCES TO INCREASE CONTACT FOR INDIVIDUALS INDICATING THEY ARE LONELY. MLH DEVELOPED A FRIENDLY VISITOR TELEPHONE PROGRAM TO REACH OUT TO PATIENTS WHO MAY BE EXPERIENCING LONELINESS OR SOCIAL ISOLATION. HOSPITAL VOLUNTEERS WERE RECRUITED TO SERVE AS FRIENDLY CALLERS TO PATIENTS WHO REQUESTED CONTACT FROM THE FRIENDLY VISITOR TELEPHONE PROGRAM. INFORMATION ON THE PROGRAM WAS SHARED WITH PHYSICIAN PRACTICES TO INVITE PATIENTS TO CONSIDER PARTICIPATION. MAIN LINE HEALTH COMMUNITY HEALTH AND EQUITY HAS OFFERED PROGRAMS ONLINE TO ENABLE ACCESS FOR PATIENTS. ACCORDING TO THE BMRH CHNA, COMMUNITY MEMBERS AND LEADERS CITED TRANSPORTATION AS A CHALLENGE IN THE REHAB COMMUNITY. IN THE PRIOR CHNA CYCLE, BMRH PURSUED PUBLIC TRANPORTATION AS A PRIORITY. DESPITE BEST EFFORTS TO PROVIDE REGULAR BUS SERVICE TO THE BMRH CAMPUS BY COORDINATING WITH SEPTA AND CHESTER COUNTY OFFICIALS, PUBLIC TRANSPORTATION SERVICES ARE LIMITED. MLH HAS A PARTNERSHIP WITH LYFT TO PROVIDE TRANSPORTATION OPTIONS TO PATIENTS IN NEED. MLH HAS NO NEW INITIATIVES TO ADDRESS TRANSPORTATION ISSUES.

PART V, SECTION B, LINES 16A, 16B, 16C
FACILITY REPORTING GROUP A: HTTPS://WWW.MAINLINEHEALTH.ORG/ABOUT/POLICIES/CHARITY-CARE FACILITY REPORTING GROUP B: HTTP://WWW.PHYCAREHOSPITAL.COM/FINANCIAL-ASSISTANCE.HTML

PART V, SECTION B, LINE 16G
FACILITY REPORTING GROUP A: THE FINANCIAL ASSISTANCE POLICY AND NOTICE OF CHARITY CARE ARE MADE AVAILABLE TO THE COMMUNITY SERVED BY EACH HOSPITAL FACILITY IN THE FORM OF NOTICES POSTED IN THE EMERGENCY ROOM AND REGISTRATION AREAS, TAKE AWAY BROCHURES AVAILABLE IN THE EMERGENCY ROOM, WAITING ROOMS, REGISTRATION AREAS, ADMISSION AREAS, THE MLH WEBSITE, AND STATEMENTS REGARDING THE FINANCIAL ASSISTANCE POLICIES ON BILLING STATEMENTS.

PART V, SECTION B, LINE 22
FACILITY REPORTING GROUP B: ACCORDING TO THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, PATIENTS WHO ARE UNINSURED OR UNDERINSURED FOR A MEDICALLY NECESSARY SERVICE, OR WHO ARE INELIGIBLE FOR GOVERNMENTAL OR OTHER INSURANCE COVERAGE, AND WHO HAVE FAMILY INCOME LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR 100% CHARITY CARE (FINANCIAL ASSISTANCE). SINCE THE ORGANIZATION PROVIDES FULL FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY, FAP-ELIGIBLE INDIVIDUALS RECEIVE A FULL WRITE-OFF. BECAUSE THE ORGANIZATION ONLY PROVIDES FULL CHARITY CARE, AND DOES NOT BILL PATIENTS ELIGIBLE FOR CHARITY CARE, PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FAP WILL NOT BE CHARGED. THEREFORE, THE ORGANIZATION DOES NOT CALCULATE AMOUNTS GENERALLY BILLED.

PART I, LINE 3B
"ANY PERSON WHO DOES NOT HAVE INSURANCE AND DOES NOT HAVE THE ABILITY TO PAY ALL OR PART OF THEIR FINANCIAL RESPONSIBILITY TO MAIN LINE HOSPITALS, INC. FOR MAIN LINE HOSPITALS, INC. PROVIDED SERVICES (WITH THE EXCEPTION OF ELECTIVE COSMETIC OR PLASTIC SURGERY), IS ELIGIBLE FOR CHARITY CARE AND FINANCIAL ASSISTANCE. FOR FURTHER EXPLANATION OF THE OPTIONS AVAILABLE TO PATIENTS WITHOUT INSURANCE, PLEASE SEE THE INFORMATION PRESENTED IN RESPONSE TO SCHEDULE H, PART VI, LINE 3. PART I, LINE 7 On March 6, 2020 the Governor of Pennsylvania declared a State of Emergency due to the COVID-19 pandemic. Main Line Health mobilized Campus and System Command Centers (24/7) to systematically triage and provide direction to the patient care, employee safety, physician, volunteer, facility and information technology adjustments, patient protection equipment supplies, employee work policies, testing sites, capacity adjustments, frequent internal and external communications to employees and the Board. As a part of the COVID-19 emergency response, Main Line Hospitals, Inc. incurred significant expenses related to emergency medical care, testing, and transportation; rented equipment and modified physical space for testing centers; procured supplies and equipment for multiple clinics and hospitals; and contracted security, janitorial, and other related services within the reported tax period. Additionally, Main Line Hospitals, Inc. incurred significant labor expenses resulting from retaining and paying its entire workforce for non-worked hours including down-staffing employees resulting from the temporary suspension of elective procedures that resulted from the Department of Health suspension of elective procedures on March 21, 2020. Furthermore, Main Line Hospitals, Inc. incurred notable expense for furloughing employees who contracted COVID-19 or had close contact with contracted individuals. These expenses were incurred in the late stages of the fiscal year ending June 30, 2020 and throughout the fiscal years ending June 30, 2021 and June 30, 2022. These COVID-19 emergency response costs described above are in addition to those contained in the table ""Financial Assistance and Certain Other Community Benefits at Cost"" on Schedule H, Part I, Line 7."

PART III, SECTION A, LINE 4
"THE FOLLOWING TEXT HAS BEEN TAKEN FROM THE FOOTNOTE OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MAIN LINE HEALTH SYSTEM AND AFFILIATES DESCRIBING BAD DEBT. THIS CAN BE FOUND ON PAGE 13 OF THE MAIN LINE HEALTH SYSTEM AND AFFILIATES CONSOLIDATED AUDITED FINANCIAL STATEMENTS. ""GENERALLY, PATIENTS WHO ARE INSURED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. MLHS ALSO PROVIDES SERVICES TO UNINSURED PATIENTS. THE TRANSACTION PRICE FOR BOTH UNINSURED PATIENTS AS WELL AS INSURED PATIENTS WITH DEDUCTIBLES AND COINSURANCE IS ESTIMATED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. MLHS ENTERS INTO VERY FEW EXPLICIT CONTRACTS WITH PATIENTS. FOR THESE CONTRACTS, MLHS TYPICALLY RECEIVES PAYMENT PRIOR TO THE SERVICE BEING PERFORMED, AND AS SUCH, HAS NOT RECORDED BAD DEBT EXPENSE IN THE PERIODS PRESENTED."""

PART III, SECTION B, LINE 8
MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A SOPHISTICATED COST ACCOUNTING SOFTWARE SYSTEM. THE MAIN LINE HOSPITALS, INC. COST SHORTFALL FOR CARE TO MEDICARE PATIENTS HAS BEEN ABSORBED BY THE HOSPITALS AS PART OF OUR MISSION TO PROVIDE A COMPREHENSIVE RANGE OF SAFE, HIGH-QUALITY HEALTH SERVICES AND EMERGENCY CARE, COMPLEMENTED BY RELATED EDUCATIONAL AND RESEARCH ACTIVITIES, THAT MEET HEALTH CARE NEEDS AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. FOR THE FISCAL YEAR PRESENTED, THE MEDICARE SHORTFALL WAS $130.0 MILLION AND ACCOUNTED FOR 26.0% OF HOSPITAL NET REVENUES. THE HOSPITAL CONTINUES TO PROVIDE QUALITY HEALTHCARE TO MEDICARE PATIENTS, REGARDLESS OF THIS SHORTFALL, AND IN DOING SO, RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR THIS PATIENT POPULATION.

PART III, SECTION C, LINE 9B
PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE PRIOR TO SERVICE ARE NOT BILLED FOR THE SERVICES RENDERED. FOR OTHER ACCOUNTS, IF A PATIENT INDICATES A FINANCIAL HARDSHIP AT ANY POINT DURING COLLECTION, THE PATIENT IS REFERRED TO THE FINANCIAL COUNSELING AREA FOR ASSISTANCE WITH THE REQUIRED DOCUMENTATION TO DETERMINE ELIGIBILITY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. FURTHER EXPLANATION OF THE ROLE OF FINANCIAL COUNSELORS AND OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICY IS INCLUDED IN RESPONSE TO SCHEDULE H, PART VI, QUESTION 3 ON PATIENT EDUCATION AND ELIGIBILITY FOR ASSISTANCE.

PART VI, LINE 3
MAIN LINE HOSPITALS, INC. IS ONE OF A NUMBER OF HEALTH CARE PROVIDER SUBSIDIARIES OF MAIN LINE HEALTH SYSTEM (MLHS). MLHS' MISSION IS TO PROVIDE A COMPREHENSIVE RANGE OF SAFE, HIGH-QUALITY HEALTH SERVICES, COMPLEMENTED BY EDUCATIONAL AND RESEARCH ACTIVITIES, WHICH MEET HEALTHCARE NEEDS AND IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE. NO PATIENT WILL BE REFUSED EMERGENCY TREATMENT AT MLH BECAUSE OF HIS/HER FINANCIAL STATUS. MLH IS COMMITTED TO TREATING PATIENTS WITH EMERGENCY MEDICAL CONDITIONS REGARDLESS OF ABILITY TO PAY. ONE OF THE WAYS MLH FULFILLS THIS MISSION IS TO PROVIDE FINANCIAL ASSISTANCE TO THOSE MEMBERS OF THE COMMUNITY WHO ARE IN NEED OF HEALTHCARE SERVICES. THERE ARE SEVERAL DIFFERENT PROGRAMS THAT HAVE BEEN ESTABLISHED FOR THIS PURPOSE. EACH OF THE PROGRAMS HAS A SET OF CRITERIA WHICH MUST BE MET FOR THE PATIENT TO QUALIFY FOR HEALTHCARE FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MLH PROVIDES FINANCIAL COUNSELORS AT EACH HOSPITAL (AND VIA A CALL CENTER) TO HELP PATIENTS FIND WAYS TO MEET THEIR FINANCIAL OBLIGATIONS FOR THE HEALTHCARE SERVICES PROVIDED TO THEM. SPECIFICALLY, FINANCIAL COUNSELORS HELP PATIENTS APPLY FOR GOVERNMENT ASSISTANCE PROGRAMS AS WELL AS MLH CHARITY CARE AND FINANCIAL ASSISTANCE. ANY PATIENT MAY REQUEST TO SPEAK TO A FINANCIAL COUNSELOR WHEN BEING SCHEDULED FOR TREATMENT AT MLH. UNINSURED PATIENTS WHO ARE ADMITTED TO THE HOSPITAL WILL AUTOMATICALLY RECEIVE HELP FROM A FINANCIAL COUNSELOR. THERE ARE SEVERAL OPTIONS AVAILABLE TO PATIENTS WITHOUT INSURANCE. THEY ARE: OPTION 1: GOVERNMENT SPONSORED MEDICAL ASSISTANCE THERE ARE A NUMBER OF AVAILABLE PROGRAMS FROM THE FEDERAL, STATE AND LOCAL LEVELS SUCH AS MEDICAL ASSISTANCE WHICH CAN HELP PAY THE MEDICAL BILLS OF PEOPLE WHO HAVE LOW INCOME AND CANNOT AFFORD MEDICAL CARE. OFTEN, PATIENTS ARE UNAWARE OF THESE PROGRAMS OR ARE UNABLE TO ACCESS THEM DUE TO THE CUMBERSOME ENROLLMENT PROCESS REQUIRED TO RECEIVE THESE BENEFITS. FINANCIAL COUNSELORS CAN HELP PATIENTS APPLY FOR MEDICAL ASSISTANCE TO DETERMINE ELIGIBILITY. OUR FINANCIAL COUNSELORS WILL ASSIST IN THE APPLICATION PROCESS AND FOLLOW THROUGH WITH THE GOVERNMENTAL AGENCY TO ASSIST THE PATIENT. OPTION 2: CHARITY CARE MLH OFFERS CHARITY CARE/FINANCIAL ASSISTANCE TO UNINSURED PATIENTS THAT NEED CARE. FOR PATIENTS WITH INCOME LEVELS AT 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES, 100% CHARITY CARE (FREE CARE) IS PROVIDED. FOR PATIENTS WITH INCOME BETWEEN 300% AND 500% OF THE FEDERAL POVERTY GUIDELINES SIGNIFICANT CHARITY DISCOUNTS ARE OFFERED AND PAYMENTS ARE EQUIVALENT TO MEDICARE REIMBURSEMENT RATES. MLH FINANCIAL COUNSELORS ASSIST PATIENTS WITH THE CHARITY CARE/FINANCIAL ASSISTANCE APPLICATION. PRESUMPTIVE CHARITY CARE ELIGIBILITY: THERE ARE INSTANCES WHERE A PATIENT MAY APPEAR ELIGIBLE FOR CHARITY CARE, BUT SUPPORTING DOCUMENTATION IS LACKING OR UNAVAILABLE. IN SUCH EVENT MAIN LINE HEALTH WILL USE OTHER APPROPRIATE 3RD PARTY RESOURCES TO ESTIMATE AN INDIVIDUAL'S INCOME. A PATIENT MEETING THE CRITERIA FOR PRESUMPTIVE FINANCIAL ASSISTANCE WILL HAVE ALL CHARGES WAIVED. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. ENROLLED IN A STATE-FUNDED PRESCRIPTION PROGRAMS; 2. BEING HOMELESS OR RECEIVING CARE FROM A HOMELESS CLINIC; 3. PARTICIPATING IN THE PENNSYLVANIA DEPARTMENT OF WELFARE'S WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); 4. BEING ELIGIBLE FOR FOOD STAMPS; 5. RECEIVING SUBSIDIZED SCHOOL LUNCHES; 6. BEING ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G., MEDICAID SPEND-DOWN); 7. RESIDING IN LOW INCOME/SUBSIDIZED HOUSING, PROVIDING THE ADDRESS SUPPLIED BY THE PATIENT IS A VALID ADDRESS; 8. PATIENT IS DECEASED WITH NO KNOWN ESTATE. OPTION 3: UNINSURED PATIENT DISCOUNT FOR UNINSURED PATIENTS WHOSE INCOME IS IN EXCESS OF 500% OF THE FEDERAL POVERTY GUIDELINES, A SUBSTANTIAL DISCOUNT BASED ON THE FOLLOWING GUIDELINES IS PROVIDED: - FOR ALL INPATIENT NON-ELECTIVE SERVICES A DISCOUNT OF 60% OFF TOTAL CHARGES WILL BE APPLIED. - FOR ALL INPATIENT ELECTIVE SERVICES A DISCOUNT OF 40% OFF TOTAL CHARGES WILL BE APPLIED. - FOR ALL EMERGENCY DEPARTMENT SERVICES, THOSE TREATED AND RELEASED, A DISCOUNT OF 40% OFF TOTAL CHARGES WILL BE APPLIED WITH A MAXIMUM CHARGE OF $1,000 FOR THE EMERGENCY DEPARTMENT VISIT. - FOR ALL OTHER OUTPATIENT SERVICES A DISCOUNT OF 40% OFF TOTAL CHARGES. MLH APPLIES THE UNINSURED PATIENT DISCOUNT ON A CONSISTENT AND NON DISCRIMINATORY BASIS. THE MLH CHARITY CARE & FINANCIAL ASSISTANCE POLICY IS MADE AVAILABLE TO THE PUBLIC ON THE MLH WEBSITE. EXTENDED PAYMENT ARRANGEMENTS TO PATIENTS IF PATIENTS ARE UNABLE TO PAY THE PATIENT RESPONSIBILITY PORTION OF THEIR BILL AT THE TIME OF SERVICE OR AT THE TIME OF DISCHARGE, PAYMENT OPTIONS FOR EXTENDED, INTEREST FREE PAYMENT PERIODS ARE AVAILABLE. CHARGES FOR SERVICES RENDERED TO PATIENTS THAT MEET MLH'S GUIDELINES FOR CHARITY CARE ARE NOT REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. DISCOUNTS OFFERED FOR FINANCIAL ASSISTANCE ARE REFLECTED AS REDUCTIONS OF NET PATIENT REVENUE. MLH MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE PROVIDED. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE FOR SERVICES AND SUPPLIES FURNISHED. SUCH AMOUNTS HAVE BEEN EXCLUDED FROM NET PATIENT SERVICE REVENUE. MANAGEMENT ESTIMATES THAT THE COST ASSOCIATED WITH THESE SERVICES FOR CHARITY CARE PROVIDED BY MAIN LINE HOSPITALS, INC. APPROXIMATED $5,516,775 FOR THE FISCAL YEAR ENDED JUNE 30, 2022. MANAGEMENT ESTIMATES THAT THE COST ASSOCIATED WITH SERVICES FOR CHARITY CARE PROVIDED BY MAIN LINE HEALTH SYSTEM APPROXIMATED $6,024,708 FOR THE FISCAL YEAR ENDED JUNE 30, 2022. COMMUNITY BENEFIT AND SERVICES SERVICES ARE PROVIDED TO INDIVIDUALS THAT QUALIFY FOR MEDICAL ASSISTANCE, WHO PARTICIPATE IN THE PENNSYLVANIA MEDICAL ASSISTANCE PROGRAM. THE COST OF PROVIDING SUCH SERVICES TO ELIGIBLE WELFARE RECIPIENTS WAS $154,581,409 AND EXCEEDED REIMBURSEMENT BY $67,313,144 IN THE FISCAL YEAR ENDED JUNE 30, 2022 FOR MAIN LINE HOSPITALS, INC. THE COST OF PROVIDING SUCH SERVICES TO ELIGIBLE WELFARE RECIPIENTS WAS $176,034,400 AND EXCEEDED REIMBURSEMENT BY $77,484,026 IN THE FISCAL YEAR ENDED 2022 FOR MAIN LINE HEALTH SYSTEM. IN TOTAL, MAIN LINE HOSPITALS, INC. RECEIVED APPROXIMATELY 32.0 PERCENT OF ITS NET REVENUE FROM GOVERNMENT PROGRAMS IN FY 2022. THE LOSS INCURRED IN PROVIDING HEALTHCARE SERVICES TO PATIENTS OF GOVERNMENT PROGRAMS APPROXIMATED $197,599,867 AS DETAILED ON SCHEDULE H, PART I, LINE 7B(E) $67,313,144 (MEDICAID) AND PART III, LINE 7 $130,286,723 (MEDICARE). IN ACCORDANCE WITH THE MLH CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, MLH PROVIDES FINANCIAL ASSISTANCE IN THE FORM OF DISCOUNTS TO UNINSURED PATIENTS WITH INCOME BETWEEN 300% AND 500% OF THE FEDERAL POVERTY GUIDELINES. THE AMOUNT OF FINANCIAL ASSISTANCE PROVIDED BY MAIN LINE HOSPITALS, INC. FOR THE FISCAL YEAR ENDED JUNE 30, 2022 APPROXIMATED $35,777,278. THIS AMOUNT REFLECTED AT COST IS $5,875,782. THE AMOUNT OF FINANCIAL ASSISTANCE PROVIDED BY MAIN LINE HEALTH SYSTEM, FOR THE FISCAL YEAR ENDED JUNE 30, 2022, APPROXIMATED $43,106,300. THIS AMOUNT REFLECTED AT COST IS $7,083,022. IN ADDITION TO PROVIDING DIRECT PATIENT CHARITY CARE AND IN FURTHERANCE OF ITS EXEMPT PURPOSE TO BENEFIT THE COMMUNITY, MLH SYSTEM MEMBERS SUPPORT EDUCATION AND RESEARCH ACTIVITES THROUGH ITS MEMBER AFFILIATE, LANKENAU INSTITUTE FOR MEDICAL RESEARCH, AND PROVIDES SPONSORSHIPS AND VARIOUS COMMUNITY SERVICES SUCH AS EDUCATION, SCREENINGS AND SUPPORT GROUPS FOR CANCER PATIENTS AND THEIR FAMILIES, IMMUNIZATION PROGRAMS, REHABILITATION SUPPORT FOR AMPUTEES, STROKE, AND BRAIN INJURY PATIENTS AND THEIR FAMILIES, HEALTH WELLNESS FESTIVALS, CONTINUUM OF INDEPENDENT LIVING AND SENIOR HEALTH PROGRAMS, HEART DISEASE SCREENINGS, MATERNITY CARE AND CHILDBIRTH PROGRAMS, A PARAMEDIC AMBULANCE PROGRAM AND OTHER RELATED COMMUNITY HEALTH PROGRAMS AND LECTURES. MLH IS ALSO INVOLVED WITH SCHOOL PARTNERSHIPS AND HELPS ORGANIZE EDUCATIONAL PROGRAMS FOR CHILDHOOD AND ADOLESCENT HEALTH ISSUES, INCLUDING UNDERAGE DRINKING AND SMOKING. ASSOCIATED AMOUNTS EXPENDED FOR THE ABOVE COMMUNITY SERVICES APPROXIMATED $35,819,126 FOR MAIN LINE HOSPITALS, INC. AND $38,061,428 FOR MAIN LINE HEALTH SYSTEM IN THE FISCAL YEAR ENDED JUNE 30, 2022. THIS AMOUNT FOR MAIN LINE HOSPITALS, INC. NET OF DIRECT OFF-SETTING REVENUE IS $34,744,066.

PART VI, LINE 6
MAIN LINE HEALTH SYSTEM (MLHS) IS THE PARENT HEALTH SYSTEM FOR MAIN LINE HEALTH. MLHS AND ITS BOARD PROVIDE OVERSIGHT AND GUIDANCE FOR ITS MEMBERS. WHILE COGNIZANT OF EACH OF ITS MEMBERS' COMMUNITY ACTIVITIES AND CHARITABLE MISSIONS, MLHS PROVIDES NO DIRECT COMMUNITY OUTREACH ACTIVITIES. RATHER, THOSE ARE PROVIDED BY ITS MEMBERS WITH FULL SUPPORT AND ENCOURAGEMENT OF MLHS' BOARD OF DIRECTORS. MAIN LINE HEALTH SYSTEM FOUNDED IN 1985, MAIN LINE HEALTH, INC. (MLH) IS A NOT-FOR-PROFIT HEALTH SYSTEM SERVING PORTIONS OF PHILADELPHIA AND ITS WESTERN SUBURBS. AT ITS CORE ARE FOUR OF THE REGION'S RESPECTED ACUTE CARE HOSPITALS - LANKENAU MEDICAL CENTER, BRYN MAWR HOSPITAL, PAOLI HOSPITAL AND RIDDLE MEMORIAL HOSPITAL - AS WELL AS ONE OF THE NATION'S PREMIER FACILITIES FOR REHABILITATIVE MEDICINE, BRYN MAWR REHABILITATION HOSPITAL; MIRMONT TREATMENT CENTER FOR DRUG AND ALCOHOL RECOVERY; AND MAIN LINE HEALTH HOMECARE AND HOSPICE, A HOME HEALTH SERVICE. MAIN LINE HEALTH ALSO CONSISTS OF MAIN LINE HEALTHCARE, ONE OF THE REGION'S LARGEST MULTI-SPECIALTY PHYSICIAN NETWORKS, AND THE LANKENAU INSTITUTE FOR MEDICAL RESEARCH, A NON-PROFIT BIOMEDICAL RESEARCH ORGANIZATION LOCATED ON THE CAMPUS OF LANKENAU MEDICAL CENTER. MAIN LINE HEALTH, WITH MORE THAN 11,500 EMPLOYEES AND 2,100 PHYSICIANS, ARE THE RECIPIENTS OF NUMEROUS AWARDS FOR QUALITY CARE AND SERVICE, INCLUDING RECOGNITION AMONG TRUVEN HEALTH ANALYTICS' LIST OF TOP 100 HOSPITALS AND MAGNET, THE NATION'S HIGHEST HONOR FOR NURSING EXCELLENCE. MAIN LINE HEALTH IS AMONG THE AREA'S LEADERS IN MEDICINE, PROVIDING ADVANCED PATIENT CENTERED CARE, EDUCATION AND RESEARCH TO HELP OUR COMMUNITY STAY HEALTHY. THE DELAWARE VALLEY ACCOUNTABLE CARE ORGANIZATION (DVACO) MAIN LINE HEALTH, INC. IS AN OWNER OF DVACO. DVACO IS A LIMITED LIABILITY COMPANY THAT IS OWNED BY MAIN LINE HEALTH (50%) AND JEFFCARE ALLIANCE, LLC (50%) AS OF JUNE 30, 2022. DVACO'S PURPOSE IS TO ENHANCE THE QUALITY OF HEALTH CARE AND REDUCE THE GROWTH RATE OF HEALTH CARE COSTS BY PROVIDING THE FOUNDATION NEEDED TO ASSIST ITS PARTICIPATING MEMBERS IN TRANSITIONING FROM A FEE FOR SERVICE MODEL TO A MODEL FOCUSED ON POPULATION HEALTH. DVACO OPERATES UNDER THE MEDICARE SHARED SAVINGS PROGRAM (MSSP) THROUGH AN AGREEMENT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). CURRENTLY DVACO IS THE REGION'S LARGEST MEDICARE ACO WITH MORE THAN 2,000 PRIMARY CARE PHYSICIANS AND OVER 90,000 MEDICARE FEE-FOR-SERVICE BENEFICIARIES. ADDITIONALLY, DVACO CURRENTLY HOLDS THREE PERFORMANCE BASED CONTRACTS WITH PRIVATE PAYERS - ENHANCING DVACO'S TOTAL NUMBER OF BENEFICIARIES TO APPROXIMATELY 250,000 - A NUMBER THAT WILL LIKELY INCREASE IN THE FUTURE AS DVACO PARTICIPATES WITH ADDITIONAL INSURANCE PAYERS IN POPULATION HEALTH CONTRACTS. FOR THE FISCAL YEAR PRESENTED, MLH WAS RESPONSIBLE FOR APPROXIMATELY 35,000 OF THE MEDICARE ATTRIBUTED LIVES. MAIN LINE HEALTH HOSPITALS BRYN MAWR HOSPITAL (BMH), BRYN MAWR, PA. Bryn Mawr Hospital, a member of Main Line Health, is a 284-bed, not-for-profit acute care teaching hospital dedicated to helping the community stay well ahead on the path to lifelong health. Bryn Mawr Hospital has received both regional and national recognition for its excellence in providing state-of-the-art, quality care. Bryn Mawr Hospital was named among the top 10 hospitals in the Philadelphia region and the top 20 hospitals in Pennsylvania in U.S. News & World Report's Best Hospitals rankings for 2022-23. Bryn Mawr Hospital has also earned Magnet designation for the third time for its superior nursing staff. The hospital offers a full range of services, including cancer care, orthopaedic care, cardiovascular care, behavioral health, maternity care, inpatient psychiatric care, bariatric surgery, neurovascular and a level III neonatal intensive care unit, all aided by a dedicated team of health care professionals and innovative technologies. Through Bryn Mawr Hospital's collaboration with the Jefferson Hospital for Neuroscience, the university-affiliated neurovascular center is an accredited thrombectomy-capable stroke center that offers rapid access to advanced diagnostics and treatment options for stroke care. Bryn Mawr Hospital is affiliated with the Children's Hospital of Philadelphia (CHOP) to deliver exceptional care for pediatric patients and their families, including 24/7 coverage of the pediatric emergency department, pediatric inpatient unit and level III NICU. FOR MORE INFORMATION ABOUT BRYN MAWR HOSPITAL, VISIT MAINLINEHEALTH.ORG/BRYNMAWR. LANKENAU HOSPITAL (LH), ALSO KNOWN AS LANKENAU MEDICAL CENTER, WYNNEWOOD, PA. Lankenau Medical Center, a member of Main Line Health, has been devoted to the health and well-being of the community since 1860, with a founding mission to serve all those in need. Our continued dedication to service, compassionate patient care and superior clinical programs makes Lankenau a preferred destination for care by people throughout the Philadelphia region and beyond. Lankenau offers primary care, disease prevention and specialized medical and surgical management of all diseases and disorders, as well as access to clinical trials. As a 370-bed teaching and research hospital, Lankenau is committed to maintaining high-level expertise across all clinical areas and is consistently recognized for providing outstanding care. Lankenau is ranked in U.S. News & World Report's Best Hospitals 2022-23 in the top three in the Philadelphia region, top six in Pennsylvania and top 50 in the nation for obstetrics and gynecology. Lankenau is rated as high performing in the following specialties: Cardiology & Heart Surgery, Orthopedics, Pulmonology & Lung Surgery, Urology. Lankenau is rated as high-performing in the following procedures and conditions: Aortic Valve Surgery, Back Surgery (spinal fusion), Chronic Obstructive Pulmonary Disease (COPD), Colon Cancer Surgery, Diabetes, Heart Attack, Heart Bypass Surgery, Heart Failure, Hip Fracture, Hip Replacement, Knee Replacement, Kidney Failure, Lung Cancer Surgery, Pneumonia, Transcatheter Aortic Valve Replacement (TAVR). Lankenau has achieved The Joint Commission's Gold Seal of Approval for stroke care and breast cancer care and is one of the nation's Top Performing Hospitals for heart attack, heart failure, pneumonia and surgical care. Lankenau Medical Center was rated a top performer in the Centers for Medicare & Medicaid Services' (CMS) Overall Hospital Quality Star Rating. Lankenau has also earned the highest distinction for excellence in nursing care, the American Nurses Credentialing Center Magnet designation. FOR MORE INFORMATION ABOUT LANKENAU MEDICAL CENTER, VISIT MAINLINEHEALTH.ORG/LANKENAU. PAOLI MEMORIAL HOSPITAL (PMH), PAOLI, PA. Paoli Memorial Hospital, a member of Main Line Health, is a 231-bed, not-for-profit acute care hospital and Chester County's only trauma center. Paoli Hospital's comprehensive services and programs include maternity, orthopaedics, heart care, stoke care, a full-service cancer center and The Holloway Breast Health Center. Paoli Hospital has received both regional and national recognition for its excellence in providing state-of-the-art, quality care, most notably in the area of patient satisfaction. Paoli Hospital has been recognized among the very best in U.S. News & World Report's Best Hospitals rankings for 2022-23, including being ranked as one of the top 5 hospitals out of nearly 100 in the Philadelphia region and among the top 15 hospitals out of more than 200 in Pennsylvania. FOR MORE INFORMATION ABOUT PAOLI HOSPITAL, VISIT MAINLINEHEALTH.ORG/PAOLI. RIDDLE MEMORIAL HOSPITAL (RMH), MEDIA, PA. Riddle Memorial Hospital, a member of Main Line Health, is a not-for-profit, acute-care hospital with 183 inpatient beds. Riddle has been nationally recognized by The Joint Commission, the Society of Chest Pain Centers and other health care rating organizations for its high-quality patient care. U.S. News & World Report's Best Hospitals 2022-2023 rated Riddle Hospital as High Performing in six commonly occurring conditions and medical procedures: chronic obstructive pulmonary disease (COPD), heart failure, hip replacement, kidney failure, knee replacement and stroke. The hospital offers a full range of services, including women's health, orthopaedic, maternity, heart, cancer and stroke care; emergency medicine; primary care services and outpatient services including imaging, sleep, wound healing, audiology, and more-aided by a dedicated team of health care professionals and advanced technology. The recent renovation of The Birthplace included the upgrade and modernization of private patient rooms and common areas, and redesigning of the core of the unit, in order to improve workflow to better serve mothers and babies. A new Patient Pavilion, slated for completion in 2024, includes a new operating suite, acuity-adaptable medical/surgical units, maternity/labor and delivery rooms, level II NICU and a new welcoming lobby. Health Center 4, a LEED-Certi

PART VI, LINE 2
FOR THE ACUTE AND BMRH CHNAS, HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED BY COMPARING THE HEALTH STATUS, ACCESS TO CARE, HEALTH BEHAVIORS, AND UTILIZATION OF SERVICES FOR RESIDENTS INCLUDING THE QUALITATIVE AND QUANTITATIVE SOURCES DESCRIBED IN THE ACUTE AND BMRH IMPLEMENTATION PLANS AND REFERENCED IN PART V, LINE 5. THE MLH CHNA OVERSIGHT COMMITTEE, COMPRISING MLH SYSTEM LEADERSHIP, PROVIDED OVERSIGHT AND ACTIVE GOVERNANCE OF THE CHNA AND IMPLEMENTATION PLAN DEVELOPMENT. GOAL SELECTION WAS BASED ON PROGRAM AND INITIATIVES WHERE MLH IS IN A POSITION TO MAKE THE MOST IMPACT IN THE HEALTH OF THE COMMUNITY IN ALIGNMENT WITH THE MISSION, VALUES AND CAPABILITIES OF THE ORGANIZATION. IN ADDITION TO CONDUCTING TWO CHNAS, EACH ACUTE HOSPITAL AND BMRH HAS A COMMUNITY HEALTH AND EQUITY (CHE) LEADER THAT CONTINUALLY ASSESSED AND ACTIVELY ENGAGED THE COMMUNITY IN HEALTH PROMOTION AND OUTREACH ACTIVITIES. A PORTION OF THE MLH CHE SITE LEADERS HOLD BOARD POSITIONS ON A NUMBER OF EXTERNAL COMMUNITY ORGANIZATIONS. THIS KEEPS MLH CONTINUALLY INFORMED ABOUT THE HEALTH NEEDS OF THE COMMUNITY. THE MLH CENTER FOR POPULATION HEALTH RESEARCH (CPHR) CONDUCTED FOCUS GROUPS OF VARIOUS SYSTEM AND COMMUNITY STAKEHOLDERS TO CONTINUE TO STUDY COMMUNITY HEALTH NEEDS, OPPORTUNITIES AND BARRIERS. CPHR ASSESSED NEW MEASURES AND APPROACHES TO ENHANCE TRACKING FOR THE NEXT CHNA AND IMPLEMENTATION PLAN CYCLE. HOSPITAL ADMINISTRATORS, MLH PHYSICIAN LEADERS, INPATIENT CASE MANAGERS AND OUTREACH COORDINATORS ALSO COLLABORATE WITH COMMUNITY PHYSICIANS, AMBULANCE SERVICES AND OTHER COMMUNITY SERVICES TO ASSESS AND RESPOND TO SPECIFIC COMMUNITY NEEDS. ADDITIONALLY, MLH HOSPITALS HAVE AN ACTIVE ROLE WITH KEY COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY, AMERICAN CANCER SOCIETY, COUNTY SENIOR SERVICES AND COUNTY AND LOCAL HEALTH DEPARTMENTS, ALL CONTRIBUTING TO THE ASSESSMENT OF COMMUNITY HEALTH NEEDS.

PART VI, LINE 3 CONT'D
MAIN LINE HEALTH HOSPITALS SUBSIDIZE SEVERAL HEALTH PROGRAMS THROUGHOUT THE SYSTEM, INCLUDING LANKENAU CLINICAL CARE CENTER, PRENATAL PROGRAMS, COMMUNITY BLOOD DRAWS, HOSPITAL HOSPICE SERVICES, TRANSITIONAL CARE, HEALTHY WOMEN PROGRAMS, AQUATICS REHABILITATION, AND HEAD INJURY. THE COST FOR THESE SUBSIDIZED PROGRAMS THROUGHOUT THE SYSTEM AMOUNTED TO $1,785,056 IN NET COST. SPECIFICALLY FOR MAIN LINE HOSPITALS, INC, THESE SERVICES AMOUNTED TO $1,273,045 IN NET COST, AS REFLECTED ON SCHEDULE H, PART I, LINE 7G, COLUMN (E). ADDITIONALLY, THE HOSPITALS INVEST IN NUMEROUS PHYSICIAN BASED PATIENT CARE PROGRAMS ADMINISTERED BY AN AFFILIATE, MAIN LINE HEALTHCARE, NOT CAPTURED IN THE ABOVE. PART VI, LINE 4 THE MLH ACUTE CHNA IDENTIFIED 3 SUB-REGIONS SERVED BY THIS ORGANIZATION, INCLUDING EASTERN, CENTRAL, AND NORTHWESTERN. THE EASTERN SUB-REGION INCLUDES MUCH OF THE WESTERN PORTION OF PHILADELPHIA COUNTY AS WELL AS PORTIONS OF EASTERN AND SOUTHERN DELAWARE COUNTY. THIS SUB-REGION IS HOME TO A MAJORITY OF THE RACIAL DIVERSITY IN THE COMMUNITY AS WELL AS THE LOWEST MEDIAN HOUSEHOLD INCOME. THE CENTRAL SUB-REGION COVERS SOUTHERN MONTGOMERY COUNTY, EASTERN CHESTER COUNTY AND MUCH OF DELAWARE COUNTY AND IS GENERALLY AFFLUENT WITH THE HIGHEST MEDIAN INCOME AMONG THE 3 SUB-REGIONS; EACH MLH ACUTE HOSPITAL AND BMRH ARE LOCATED IN THIS SUB-REGION. THE NORTHWESTERN SUB-REGION COVERS MUCH OF CHESTER COUNTY AND SOUTHWESTERN MONTGOMERY COUNTY AND HAS THE HIGHEST PROJECTED 5 YEAR POPULATION GROWTH. COLLECTIVELY, THESE 3 SUB-REGIONS ARE CONTAINED WITHIN PORTIONS OF CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA COUNTIES. LANKENAU HOSPITAL (LH) IS LOCATED ALONG THE EDGE OF MONTGOMERY AND PHILADELPHIA COUNTIES AND SERVES PARTS OF THE CENTRAL AND EASTERN SUB-REGIONS. THE ROBERT WOOD JOHNSON FOUNDATION'S 2022 HEALTH RANKINGS OF PENNSYLVANIA COUNTIES LIST CHESTER AND MONTGOMERY COUNTIES AS AMONG THE TOP FOUR HEALTHIEST COUNTIES IN THE STATE AND PHILADELPHIA COUNTY 67TH (LAST) FOR BOTH HEALTH FACTORS AND HEALTH OUTCOMES; DELAWARE COUNTY RANKS AMONG THE TOP GROUP (13TH) IN HEALTH FACTORS BUT 17th FOR HEALTH OUTCOMES. LANKENAU MEDICAL CENTER PROVIDES CLINIC CARE THAT ATTRACTS PATIENTS FROM PHILADELPHIA AND HAS MULTIPLE OUTREACH INITIATIVES TO ADDRESS NEEDS IN PHILADELPHIA. THE BMRH CHNA'S SERVICE AREA COVERS A POPULATION SIZE APPROXIMATELY 16.3% SMALLER THAN THE TOTAL ACUTE CHNA SERVICE AREA. BMRH'S SERVICE AREA IS LESS RACIALLY DIVERSE AND MORE AFFLUENT THAN THE TOTAL ACUTE SERVICE AREA, INCLUDING A LARGER PORTION OF CHESTER COUNTY AND A SMALLER REACH INTO PHILADELPHIA COUNTY. THE POPULATION IN SOUTHEASTERN PA AND MAIN LINE HEALTH'S CHNA SERVICE AREAS ARE PROJECTED TO CONTINUE AGING OVER THE NEXT 5 YEARS (AGE 65 AND OVER, +12%), WHILE THE POPULATION UNDER AGE 65 IS PROJECTED TO BE FLAT OR SLIGHTLY NEGATIVE IN EACH OF THE INCLUDED CHNA SERVICE AREAS AND SUBREGIONS. THE ACUTE NORTHWESTERN SUB REGION'S TOTAL POPULATION IS PROJECTED TO GROW AT MORE THAN TWICE THE RATE OF THE OTHER ACUTE SUB-REGIONS, DRIVEN BY BOTH SMALLER DECLINES IN THE UNDER 65 AGE COHORTS AND A LARGER INCREASE IN THE AGE 65+ COHORT. THE BMRH CHNA SERVICE AREA AND THE ACUTE CENTRAL AND NORTHWESTERN SUB-REGIONS EACH HAVE HIGHER HOUSEHOLD INCOMES AND A LARGER PROPORTION OF RESIDENTS WITH COLLEGE DEGREES THAN SOUTHEASTERN PA OVERALL. THE ACUTE EASTERN SUB-REGION SIGNIFICANTLY LAGS BEHIND SOUTHEASTERN PA AND THE OTHER CHNA SERVICE AREAS AND SUB-REGIONS. SELECT DEMOGRAPHIC POPULATION CHARACTERISTICS OF THE ACUTE AND BMRH SERVICE AREAS ARE SHOWN BELOW, WITH SOUTHEASTERN PA INCLUDED AS A BENCHMARK. 2022 POPULATION, INCOME AND EDUCATION: POPULATION; 5 YEAR TOTAL POPULATION PROJECTION CHANGE %; 5 YEAR AGE 65+ POPULATION CHANGE %; % OF HOUSEHOLDS WITH INCOME OF AT LEAST $100,000; % OF ADULTS WITH COLLEGE DEGREE ACUTE, CENTRAL SUB-REGION: 456,988; +1.1%; +11.5%; 61.6%; 66.4% ACUTE, EASTERN SUB-REGION: 618,128; -0.6%; +11.2%; 24.6%; 33.0% ACUTE, NORTHWESTERN SUB-REGION: 575,788; +1.7%; +14.7%; 50.7%; 50.1% ACUTE TOTAL: 1,650,904; +0.7%; +12.4%; 43.4%; 48.6% BRYN MAWR REHAB HOSPITAL: 1,436,418; +1.0%; +12.9%; 48.6%; 51.1% SOUTHEASTERN PA: 4,252,000; +0.2%; +12.0%; 40.2%; 42.9% 2022 POPULATION BY RACE/ETHNICITY: % WHITE; % BLACK; % ASIAN; % HISPANIC; % OTHER** ACUTE, CENTRAL SUB-REGION: 79%; 4%; 10%; 4%; 7% ACUTE, EASTERN SUB-REGION: 34%; 52%; 6%; 6%; 8% ACUTE, NORTHWESTERN SUB-REGION: 73%; 9%; 6%; 9%; 11% ACUTE TOTAL: 60%; 24%; 7%; 6%; 9% BRYN MAWR REHAB HOSPITAL: 67%; 17%; 7%; 7%; 9% SOUTHEASTERN PA: 59%; 21%; 7%; 11%; 12% ** %OTHER RACE INCLUDES 'AMERICAN INDIAN', '2 OR MORE RACES', OR 'OTHER' THE MAIN LINE HEALTH CHNAS AND CHNA IMPLEMENATION PLANS ARE LOCATED ON THE MLH WEBSITE, URL: MAINLINEHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT.

PART VI, LINE 5
"WHEN MAIN LINE HEALTH (MLH) WAS FORMED IN 1985, THE LONG TERM OBJECTIVES INCLUDED THE DESIRE OF THE COMMUNITY-BASED BOARDS TO MORE FULLY SERVE THE INDIVIDUAL COMMUNITIES BY PROVIDING GREATER EFFICIENCIES AND BY INCREASING THE BROADER OUTREACH OF THE HOSPITALS. THIS IS BEING ACHIEVED THROUGH THE COMMITMENT OF THE COMMUNITY BOARD AND MEDICAL STAFF. THE MLH MEDICAL STAFF TODAY IS COMPRISED OF APPROXIMATELY 2,100 PHYSICIANS FOR THE 4 ACUTE HOSPITALS AND BMRH. OF THESE PHYSICIANS, 502 ARE EMPLOYED BY AN AFFILIATED NONPROFIT TAX-EXEMPT CORPORATION OF MAIN LINE HEALTH. THE SUCCESS OF THE MAIN LINE HOSPITALS TO A LARGE DEGREE IS DEPENDENT ON SELF-GOVERNED, COMMUNITY-BASED PHYSICIANS. IN ADDITION TO PROVIDING OUTSTANDING MEDICAL CARE, THEY SERVE AS AN OPEN CONDUIT TO INFORMATION ABOUT AND FROM THE COMMUNITY. MEMBERS OF THE MEDICAL STAFF SERVE ON THE BOARDS OF BOTH MAIN LINE HOSPITALS AND EACH HOSPITAL'S FOUNDATION BOARD. THE MEDICAL EXECUTIVE COMMITTEE OF THE MAIN LINE HOSPITALS MEDICAL STAFF IS A FULL PARTICIPANT IN A BOARD, MEDICAL LEADERSHIP, SENIOR STAFF RETREAT THAT TAKES PLACE EVERY 18 MONTHS. THIS 2 DAY RETREAT HAS FOCUSED ON TOPICS AS PATIENT SAFETY AND QUALITY, INVESTMENTS IN NEW TECHNOLOGY AND FACILITIES, COMMUNICATIONS, FINANCIAL IMPLICATIONS OF HEALTHCARE REFORM, ROLES AND RESPONSIBILITIES OF LEADERSHIP. MAIN LINE HEALTH HAS AN ACTIVE AND ENGAGED BOARD OF TRUSTEES THAT REPRESENTS THE COMMUNITY. MEMBERSHIP IN THE GOVERNING BOARD IS MONITORED CLOSELY TO ENSURE REPRESENTATION IN SOCIO-DEMOGRAPHICS AND ACROSS SUBJECT MATTER EXPERT AREAS THAT WOULD BE EXPECTED AND NEEDED TO PROVIDE THE GUIDANCE AND OVERSIGHT OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. MEMBERS INCLUDE EXECUTIVES WITH EXPERTISE IN HEALTH CARE QUALITY, FINANCE, HUMAN RESOURCES, LAW, TECHNOLOGY, MARKETING AND MANUFACTURING AS WELL AS HEALTHCARE. THE BOARD IS FOCUSED ON ITS RESPONSIBILITY TO PROVIDE EXCELLENT CARE TO THE COMMUNITY WHILE GENERATING FUNDS FOR REINVESTMENT IN TECHNOLOGY, EQUIPMENT AND FACILITIES. FOREMOST, THEY ARE ADAMANT THAT QUALITY AND PATIENT SAFETY NOT BE COMPROMISED, PARTICULARLY AS HEALTHCARE PROVIDERS ARE CHALLENGED BY: -FINANCIAL RAMIFICATIONS OF THE ECONOMY -THE IMPACTS OF INFLATION SUBSEQUENT TO THE PANDEMIC -THE IMPACT OF DEMOGRAPHICS -THE UNCERTAINTY RELATING TO FUTURE LEVELS OF REIMBURSEMENT -THE GROWING EXPECTATIONS OF AN AGING POPULATION THAT THE BEST HEALTHCARE WILL BE ""THERE"" FOR THEM. THE MAIN LINE HEALTH BOARD IS FOCUSED ON ACHIEVING A REINVESTMENT SURPLUS IN ORDER TO MEET COMMUNITY EXPECTATIONS FOR STATE OF THE ART FACILITIES AND CARE."

MAIN LINE HEALTH RELATED CENTERS AND PROGRAMS
BEHAVIORAL HEALTH SERVICES BEHAVIORAL HEALTH SERVICES HELPS INDIVIDUALS, COUPLES, CHILDREN AND FAMILIES ADDRESS AND MANAGE THEIR PERSONAL CHALLENGES WITH A FOCUS ON HEALTHY, PRODUCTIVE SOLUTIONS. EXPERIENCED BEHAVIORAL HEALTH SPECIALISTS DEAL WITH MANY FACTORS THAT AFFECT MENTAL AND EMOTIONAL HEALTH AND QUALITY OF LIFE. OUR EXTENSIVE NETWORK OF BEHAVIORAL HEALTH SPECIALISTS AND PROFESSIONALS INCLUDES M.D.S AND PH.D.S WITH EXPERTISE IN A WIDE VARIETY OF DISORDERS AND PROBLEMS, INCLUDING ANXIETY, DEPRESSION, RELATIONSHIP/MARRIAGE ISSUES, CHILD AND ADULT PSYCHOLOGY, ADDICTIONS AND DOMESTIC VIOLENCE. MIRMONT ALCOHOL REHABILITATION CENTER, ALSO KNOWN AS MIRMONT TREATMENT CENTER (MTC), LIMA, PA. FOR MORE THAN 20 YEARS, MIRMONT TREATMENT CENTER HAS HELPED THOSE SUFFERING FROM ADDICTION TO BEGIN THE JOURNEY OF RECOVERY FROM ALCOHOLISM AND DRUG DEPENDENCY. WE OFFER PEOPLE AGED 18 AND OVER AND THEIR FAMILIES A FULL SPECTRUM OF PROGRAMS, INCLUDING: INPATIENT SERVICES, SUCH AS MEDICALLY MONITORED DETOXIFICATION, REHABILITATION AND TREATMENT FOR DUAL-DIAGNOSIS PATIENTS; INTENSIVE OUTPATIENT THERAPY; AND INDIVIDUAL THERAPY. FOR MORE INFORMATION ABOUT MIRMONT TREATMENT CENTER, VISIT MAINLINEHEALTH.ORG/MIRMONT. FIRSTCALL EAP FIRSTCALL IS AN INNOVATIVE EMPLOYEE ASSISTANCE PROGRAM (EAP) THAT PROVIDES THE EXPERTISE AND RESOURCES NEEDED TO ADDRESS AND RESOLVE PERSONAL, FAMILY AND WORK/LIFE ISSUES AFFECTING EMPLOYEE JOB PERFORMANCE. FIRSTCALL OFFERS SERVICES THROUGH IN-PERSON COUNSELING, TELEPHONE COUNSELING, AND PRINT AND ONLINE RESOURCES. MAIN LINE HEALTH HOMECARE & HOSPICE (MLHHH) ALSO KNOWN AS THE HOME CARE NETWORK, PROVIDES SKILLED HOME HEALTHCARE, HOSPICE, HOME INFUSION SERVICES, EXTENDED HOME CARE, AND RESPIRATORY AND HOME MEDICAL EQUIPMENT FOR PATIENTS IN THEIR OWN HOMES. LANKENAU INSTITUTE FOR MEDICAL RESEARCH (LIMR) LOCATED ADJACENT TO LANKENAU MEDICAL CENTER IN WYNNEWOOD, PA., THE LANKENAU INSTITUTE FOR MEDICAL RESEARCH IS AN INDEPENDENT MEDICAL RESEARCH AND EDUCATIONAL FACILITY THAT CONDUCTS ADVANCED INVESTIGATIVE RESEARCH INTO CANCER, CARDIOVASCULAR DISEASE AND OTHER AGE-RELATED DISEASES IN COLLABORATION WITH MAIN LINE HEALTH PHYSICIANS AND HOSPITALS. MAIN LINE HEALTHCARE (MLHC) MAIN LINE HEALTHCARE IS A DYNAMIC NETWORK OF PHYSICIAN PRACTICES ALIGNED WITH MAIN LINE HEALTH AND MAIN LINE HEALTH SYSTEM. OUR NETWORK INCLUDES MANY OF THE REGION'S MOST RESPECTED AND ACCOMPLISHED PHYSICIANS AND SURGEONS, WHO SERVE ON THE MEDICAL STAFF OF OUR HOSPITALS AND SHARE AN UNPARALLELED COMMITMENT TO PROVIDING QUALITY CARE. MAIN LINE HEALTH, DIRECTLY OR INDIRECTLY, OWNS INTERESTS IN OTHER ENTITIES THAT COMPLEMENT ITS HEALTH CARE MISSION. PLEASE REFERENCE FORM 990 SCHEDULE R FOR A COMPLETE LISTING OF ALL RELATED ORGANIZATIONS.