2024-05-14T16:18:54-05:00 2023-06-30 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-07-01 232215243 MIRMONT ALCOHOL REHABILITATION CENTER % CURT WHITESIDE MIRM 4843371864 3803 WEST CHESTER PIKE SUITE 250 NEWTOWN SQUARE PA 19073 LEIGH EHRLICH TRUSTEE 4843371864 2024-05-09 true LEIGH EHRLICH 999009999 ERICA R MCREYNOLDS P00977806 2673303000 2024-04-22 2 2022 2023-04-26 12:10:37Z JOHN SCHWARZ 3803 W CHESTER PIKE 250 NEWTOWN SQUARE PA 19073 18102699 false X WWW.MAINLINEHEALTH.ORG/MIRMONT X 1982 PA MIRMONT IS DEDICATED TO PROVIDING COMPASSIONATE, QUALITY TREATMENT TO ALL THOSE AFFECTED BY ALCOHOLISM, DRUG DEPENDENCY, AND OTHER MENTAL HEALTH ISSUES. 4 0 284 0 0 0 58764 39594 21716681 17646829 98454 362610 1051651 53666 22925550 18102699 0 0 0 0 14439555 15076722 0 0 0 9655732 11079474 24095287 26156196 -1169737 -8053497 24567908 21794753 4035406 4049576 20532502 17745177 X MIRMONT IS DEDICATED TO PROVIDING COMPASSIONATE, QUALITY TREATMENT TO ALL THOSE AFFECTED BY ALCOHOLISM, DRUG DEPENDENCY, AND OTHER MENTAL HEALTH ISSUES. false false 7748246 0 8721331 INPATIENT MEDICALLY MONITORED DETOXIFICATION AND REHABILITATION DETOXIFICATION FROM ALCOHOL AND OTHER DRUGS IS OFTEN THE FIRST STEP ON THE ROAD TO RECOVERY. TYPICALLY, DETOX LASTS 3 TO 5 DAYS DURING WHICH TIME THE PATIENT FOLLOWS A MEDICAL PROTOCOL, WHICH SIGNIFICANTLY REDUCES WITHDRAWAL SYMPTOMS UNTIL THE DETOX IS COMPLETE. AFTER A SUCCESSFUL DETOX, THE PATIENT ENTERS THE NEXT LEVEL OF CARE EITHER AS AN INPATIENT OR OUTPATIENT. THE REHAB PROGRAM ADDRESSES THE PHYSICAL, MENTAL, EMOTIONAL, AND SPIRITUAL ASPECTS OF THE DISEASE OF ADDICTION. THROUGH PARTICIPATING IN DAILY GROUPS, INDIVIDUAL, AND FAMILY COUNSELING AND EDUCATIONAL/EXPERIENTIAL SESSIONS, THE PATIENTS DEVELOP AN UNDERSTANDING OF THEMSELVES AND THEIR DISEASE WHICH IS THE GROUNDWORK FOR RECOVERY AND HEALING. THE LENGTH OF STAY FOR REHAB IS BASED ON THE INDIVIDUAL NEEDS OF THE PATIENT. 11907211 0 8979164 INTENSIVE OUTPATIENT AND INDIVIDUAL THERAPY THE INTENSIVE OUTPATIENT PROGRAM ALLOWS PARTICIPANTS TO RESIDE AT HOME AND CONDUCT THEIR LIVES WHILE BENEFITING FROM A STRUCTURED AND SUPPORTIVE LEVEL OF CARE THAT MEETS THREE TIMES A WEEK. THE THREE-HOUR SESSIONS CONSIST OF EDUCATIONAL AND GROUP THERAPY COMPONENTS AND ARE CONDUCTED MORNINGS AND EVENINGS IN ORDER TO ACCOMMODATE PARTICIPANTS' VARIED WORK SCHEDULES. THE INTENSIVE OUTPATIENT PROGRAM CAN EITHER BE THE INITIAL TREATMENT EXPERIENCE FOR THE PATIENT OR THE NEXT LEVEL OF CARE AFTER COMPLETING AN INPATIENT PROGRAM. INDIVIDUAL THERAPY INVOLVES MEETING ONCE A WEEK TO DISCUSS AND EXPLORE ISSUES OF EARLY RECOVERY. THEMES THAT MAY EMERGE ARE RELATIONSHIPS, STRESS, ANXIETY, DEPRESSION, PHYSICAL AND EMOTIONAL TRAUMA, SPIRITUALITY, AND OTHER LIFE ISSUES. MIRMONT ALSO PROVIDES OUTPATIENT SERVICES TO INDIVIDUALS WITH PSYCHIATRIC AND EMOTIONAL DISORDERS AT LOCATIONS IN BROOMALL AND EXTON, PA. 0 0 0 19655457 true true false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 14 0 true 284 true false false false false false false false false false false false false X 4 0 false false false false true true true true true false false true true true true true true true true false PA X CURT WHITESIDE 4843371864 3803 W CHESTER PIKE STE 250 NEWTOWN SQUARE PA 19073 X John J Lynch III CHAIRMAN & Trustee 1.0 39.0 X X 0 2005175 597253 Michael J Buongiorno TREASURER & Trustee 1.0 39.0 X X 0 949105 161630 BRIAN T CORBETT ESQ SECRETARY/TRUSTEE 1.0 39.0 X X 0 720653 150998 JOHN SCHWARZ PRESIDENT & TRUSTEE 1.0 39.0 X X 0 500551 160994 VALERIE SCHINA Exec Director 40.0 0.0 X 190122 0 37769 JOHN MULVENNA DIRECTOR, BUSINESS DEVELOPMENT 40.0 0.0 X 115509 0 33326 Sarah Roberts MANAGER, QUALITY 40.0 0.0 X 108314 0 25498 VALERIE CANNON Director 40.0 0.0 X 106836 0 23271 KAREN GIACOMUCCI NURSE MANAGER 40.0 0.0 X 115928 0 12884 LISA DEANTONIO MANAGER, BH ADMISSIONS 40.0 0.0 X 112079 0 13843 748788 4175484 1217466 7 false true false 0 39594 39594 INPATIENT REVENUE (NET OF BAD DEBT) 900099 8561382 8561382 OUTPATIENT REVENUE (NET OF BAD DEBT) 621400 8814486 8814486 SUPPORT SERVICES 900004 270961 270961 17646829 358924 358924 0 0 0 0 0 -419 4105 0 0 -419 4105 3686 3686 0 0 0 0 0 0 0 0 0 COMMUNITY CARE BEHAVIORAL HEALTH 900099 52592 52592 NET ASSETS RELEASED FROM RESTRICTION 900099 769 769 PURCHASE DISCOUNTS 900099 305 305 53666 18102699 17700495 0 362610 0 0 0 0 249281 0 249281 0 0 11378775 10228571 1150204 0 102784 90030 12754 0 2479312 1879252 600060 0 866570 751731 114839 0 3855208 3427554 427654 0 16873 0 16873 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 906551 787998 118553 0 0 0 0 0 930000 870891 59109 0 954891 3021 951870 0 0 0 0 0 1143442 778386 365056 0 45762 40159 5603 0 0 0 0 0 8284 5874 2410 0 0 0 0 0 1961705 0 1961705 0 790941 673639 117302 0 50053 50053 0 0 MAINTENANCE CONTRACTS 168853 5886 162967 0 BANK FEES 65608 0 65608 0 GENERAL REPAIRS 64210 24221 39989 0 PUBLICATIONS & SUBSCRIPTIONS 24175 2869 21306 0 92918 35322 57596 26156196 19655457 6500739 0 X 700788 355026 0 0 0 0 5990860 3236573 0 0 0 0 0 0 23916 23916 367335 387057 16179358 10673424 5114752 5505934 10899184 10344803 0 0 0 0 0 0 1471073 1941444 24567908 21794753 2405584 1383006 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1629822 2666570 4035406 4049576 X 20522451 17706361 10051 38816 20532502 17745177 24567908 21794753 X -8053497 58409 5207763 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 273405 273405 11348531 8230862 3117669 35839 35839 4169383 2406723 1762660 352200 352200 5505934 DUE FROM AFFILIATES - BMHF 232 DUE FROM AFFILIATES - PH 202 MANAGEMENT SERVICE DEPOSIT 21763 OPERATING LEASE ASSETS 1691243 QUALIFIED PENSION ASSETS 133669 SECURITY DEPOSITS - LONG TERM 19570 TOTAL OTHER RECEIVABLES 74765 1941444 0 DUE TO AFFILIATES 743308 OPERATING LEASE LIABILITIES 1734094 PROFESSIONAL LIABILITY RESERVE 189168 2666570 X X X X X false true false false false false true false Michael J Buongiorno TREASURER & Trustee 0 712890 0 160531 0 75684 0 118545 0 43085 0 1110735 0 44307 John J Lynch III CHAIRMAN & Trustee 0 1267318 0 384384 0 353473 0 554414 0 42839 0 2602428 0 275946 JOHN SCHWARZ PRESIDENT & TRUSTEE 0 425943 0 74608 0 0 0 111419 0 49575 0 661545 0 14276 BRIAN T CORBETT ESQ SECRETARY/TRUSTEE 0 535335 0 102332 0 82986 0 112875 0 38123 0 871651 0 55383 VALERIE SCHINA Exec Director 174120 0 16002 0 0 0 0 0 37769 0 227891 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 4B NONQUALIFIED RETIREMENT PLAN: THE CEO AND EVP/CFO OF MAIN LINE HEALTH ("PARTICIPANTS") PARTICIPATE IN A NONQUALIFIED RETIREMENT PLAN. MAIN LINE HOSPITALS, INC. PROVIDES SUPPLEMENTAL RETIREMENT BENEFITS THROUGH A FUNDING ARRANGEMENT KNOWN AS A COLLATERAL ASSIGNMENT SPLIT DOLLAR POLICY. THE PLAN PROVIDES THAT THE SYSTEM WILL PAY PREMIUM PAYMENTS ON A LIFE INSURANCE POLICY FOR EACH OF THE PARTICIPANTS. DURING THE PARTICIPANTS' LIFE, TO THE EXTENT SERVICE AND VESTING REQUIREMENTS ARE FULFILLED, THE PARTICIPANT CAN BORROW AGAINST VALUES IN THE POLICY TO SUPPLEMENT RETIREMENT INCOME. IT IS REASONABLE TO BELIEVE THAT THE LOAN IS PAID IN FULL UPON THE DEATH OF THE PARTICIPANT. FORGIVEN INTEREST INCLUDED IN PARTICIPANTS' EARNINGS ARE: CEO $41,370 EVP/CFO $12,369 SERP DISCLOSURE: Main Line Health, Inc. ("MLH") and its Affiliates provided supplemental retirement benefits through established Supplemental Executive Retirement Plans ("SERP") to select members of Senior Leadership in FY23. SERP benefits funded by MLH are subject to vesting and employment date requirements and are paid out at the conclusion of a predetermined performance period. A performance period is a timeframe of at least twelve months that may cover varying lengths of time for each individual employee. Benefits for participants vested in a plan were reported in Schedule J, Part II, Column (B) (III) and benefits for participants not yet vested in a plan were reported in Schedule J, Part II, Column (C). FORM 990, SCHEDULE J, PART I, LINE 7 THE COMPENSATION OF THE CEO, EVP & CHIEF FINANCIAL OFFICER, HOSPITAL PRESIDENTS, AND OTHER SENIOR EXECUTIVES DID INCLUDE A NON-FIXED COMPONENT PAYMENT OF COMPENSATION BASED UPON PRE-ESTABLISHED QUALITY, PATIENT SAFETY, AND FINANCIAL TARGETS ESTABLISHED AT THE BEGINNING OF THE FISCAL YEAR. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE MAIN LINE HEALTH BOARD IS RESPONSIBLE FOR EVALUATING AND DETERMINING THE APPROPRIATENESS OF THE TARGETS. AFTER REVIEW AND DELIBERATION, THE COMMITTEE DOCUMENTS ITS DECISIONS AND REPORTS TO THE FULL BOARD OF GOVERNORS WHO REVIEW THE COMPENSATION DECISIONS. PAYMENTS ARE MADE TO THE APPROPRIATE INDIVIDUALS BY THE ORGANIZATION WITHIN WHICH THOSE INDIVIDUALS RESIDE FOR PAYROLL REPORTING PURPOSES. PART VI, SECTION A, LINES 6, 7A AND 7B AS PER THE ARTICLES OF INCORPORATION, THE SOLE MEMBER OF MIRMONT ALCOHOL REHABILITATION CENTER IS RIDDLE MEMORIAL HOSPITAL, A PA NONPROFIT CORPORATION. AS SOLE MEMBER, RIDDLE MEMORIAL HOSPITAL HOLDS CERTAIN POWERS OF ELECTION AND APPROVAL IN CONNECTION WITH THE GOVERNING BODY OF MIRMONT ALCOHOL REHABILITATION CENTER. THESE POWERS ARE PRESENTED IN DETAIL IN THE COMPANY'S GOVERNING DOCUMENTS WHICH THE COMPANY MAKES AVAILABLE TO THE PUBLIC UPON REQUEST. PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED IN CONJUNCTION WITH PWC US TAX LLP AND REVIEWED INTERNALLY BY MANAGEMENT. IT IS THEN SENT TO THE BOARD OF TRUSTEES FOR THEIR REVIEW. THE FORM 990 IS REVIEWED AT A MEETING OF THE BOARD OF TRUSTEES PRIOR TO FILING. PART VI, SECTION B, LINE 12C ANNUAL CONFLICTS OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED BY ALL TRUSTEES, OFFICERS, DIRECTORS, AND OTHER INTERESTED PERSONS. ANY CONFLICT ARISING ARE REFERRED TO THE LEGAL DEPARTMENT FOR RESOLUTION. IF DEEMED NECESSARY OR ADVISABLE, CONFLICTS MAY BE REFERRED TO THE FULL BOARD FOR RESOLUTION. PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION PAID TO THE CEO, TOP MANAGEMENT OFFICIALS AND KEY PERSONNEL OF THE ORGANIZATION IS AS FOLLOWS: THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE MAIN LINE HEALTH BOARD, USING THE SERVICES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM AND BOTH NATIONAL AND REGIONAL HEALTHCARE DELIVERY MARKET COMPARABLE COMPENSATION DATA, IS RESPONSIBLE FOR THE EVALUATION AND DETERMINATION OF SENIOR EXECUTIVE BENEFITS AND COMPENSATION FOR THE CEO, EVP AND CHIEF FINANCIAL OFFICER, HOSPITAL PRESIDENTS, AND SENIOR VICE PRESIDENTS. AFTER REVIEW AND DELIBERATION, THE COMMITTEE DOCUMENTS ITS COMPENSATION DECISIONS AND REPORTS TO THE FULL MAIN LINE HEALTH BOARD OF GOVERNORS. THE COMPENSATION PAID TO KEY PERSONNEL OF MAIN LINE HEALTH SYSTEM AND AFFILIATES IS SIMILARLY DETERMINED USING MARKET SURVEY DATA REPRESENTING COMPARABLE POSITIONS IN SIMILAR ORGANIZATIONS AS PROVIDED BY INDEPENDENT CONSULTING FIRMS. COMPENSATION RECOMMENDATIONS AT THIS LEVEL ARE REVIEWED AND RECOMMENDED BY MLH COMPENSATION FUNCTION TO MEMBERS OF SENIOR MANAGEMENT. PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. PART VII, SECTION A, COLUMN B THE OFFICERS DEVOTE THEIR TIME TO ALL OF THE ORGANIZATIONS WITHIN MAIN LINE HEALTH SYSTEM AND, AS SUCH, THE TOTAL HOURS WORKED BY THE OFFICERS, ACROSS ALL OF THE ORGANIZATIONS, CUMULATIVELY REPRESENT THEIR FULL-TIME EMPLOYMENT STATUS. PART XI, LINE 9 OTHER CHANGES IN NET ASSETS INCLUDE THE FOLLOWING: TEMPORARILY RESTRICTED CONTRIBUTIONS REPORTED AS REVENUE ON PART VIII, LINE 1 FOR TAX REPORTING PURPOSES (29,423) DECREASE IN THE PENSION PROJECTED BENEFIT OBLIGATION* 208,421 TRANSFERS FROM BMRH 5,000,000 T/R CONTRIBUTIONS 29,573 T/R ASSETS RELEASED FROM RESTRICTIONS (808) ----------- 5,207,763 =========== *IN ACCORDANCE WITH STATEMENT OF FINANCIAL ACCOUNTING STANDARDS NO. 158, "EMPLOYERS' ACCOUNTING FOR DEFINED BENEFIT PENSION AND OTHER POSTRETIREMENT PLANS." 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