Civic Intelligence

Main Line Health System

EIN 23-2814503 • 501(c)3 • Radnor, PA

Profile

Primary exempt purpose is to provide, through its controlled affiliates, inpatient, outpatient, emergency and other health services to residents of southeastern pa. Mlhs' current activity relates to system tax-exempt bond holdings.

240 N Radnor Chester Roadste 170Radnor, PA 19087

www.mainlinehealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

91st percentile

1.00x

Higher debt load relative to assets than 91% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

99th percentile

30.99x

Higher debt load relative to revenue than 99% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

42nd percentile

2.0%

Higher net margin than 42% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

89th percentile

$3,006,096

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 15.7% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Asset Growth

14th percentile

-3.1%

Faster asset growth than 14% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

20th percentile

-1.0%

Faster revenue growth than 20% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets91st percentile

Assets

Down

$593,197,327

Down $18,799,848 (-3.1%) from 2023

Liabilities

Down

$592,331,850

Down $19,187,425 (-3.1%) from 2023

Net Assets

Up

$865,477

Up $387,577 (+81%) from 2023

Operations
Liabilities / Revenue99th percentileNet Margin42nd percentile

Revenue

Down

$19,112,168

Down $199,742 (-1.0%) from 2023

Expenses

Down

$18,724,590

Down $465,293 (-2.4%) from 2023

Net Income

Up

$387,578

Up $265,551 (+218%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth14th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$800M$600M$400M$200M$0-$200MAssets 2010: $371,425,562Liabilities 2010: $353,069,175Net Assets 2010: $18,356,3872010Assets 2011: $398,838,450Liabilities 2011: $379,566,106Net Assets 2011: $19,272,3442011Assets 2012: $577,242,426Liabilities 2012: $557,670,897Net Assets 2012: $19,571,5292012Assets 2013: $587,385,650Liabilities 2013: $567,235,815Net Assets 2013: $20,149,8352013Assets 2014: $229,406,771Liabilities 2014: $229,406,771Net Assets 2014: $02014Assets 2015: $221,624,510Liabilities 2015: $221,558,184Net Assets 2015: $66,3262015Assets 2016: $248,333,718Liabilities 2016: $248,337,664Net Assets 2016: -$3,9462016Assets 2017: $372,676,076Liabilities 2017: $372,648,181Net Assets 2017: $27,8952017Assets 2018: $329,325,308Liabilities 2018: $329,390,908Net Assets 2018: -$65,6002018Assets 2019: $333,788,406Liabilities 2019: $333,567,295Net Assets 2019: $221,1112019Assets 2020: $549,802,639Liabilities 2020: $549,608,840Net Assets 2020: $193,7992020Assets 2021: $716,989,438Liabilities 2021: $716,712,122Net Assets 2021: $277,3162021Assets 2022: $624,910,451Liabilities 2022: $624,554,578Net Assets 2022: $355,8732022Assets 2023: $611,997,175Liabilities 2023: $611,519,275Net Assets 2023: $477,9002023Assets 2024: $593,197,327Liabilities 2024: $592,331,850Net Assets 2024: $865,4772024

Highlighted filing

2024

Assets$593,197,327
Liabilities$592,331,850
Net Assets$865,477
Open 2024 Filing

Operations Trend

Revenue Growth20th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $39,042,0602010Revenue 2011: $47,701,770Expenses 2011: $47,695,852Net Income 2011: $5,9182011Expenses 2012: $37,646,6212012Expenses 2013: $38,926,4382013Revenue 2014: $40,379,517Expenses 2014: $45,050,250Net Income 2014: -$4,670,7332014Revenue 2015: $10,074,858Expenses 2015: $10,008,532Net Income 2015: $66,3262015Revenue 2016: $9,127,887Expenses 2016: $9,198,159Net Income 2016: -$70,2722016Revenue 2017: $18,096,667Expenses 2017: $18,064,826Net Income 2017: $31,8412017Revenue 2018: $10,230,480Expenses 2018: $10,323,975Net Income 2018: -$93,4952018Revenue 2019: $11,557,999Expenses 2019: $11,271,288Net Income 2019: $286,7112019Revenue 2020: $11,447,093Expenses 2020: $11,474,405Net Income 2020: -$27,3122020Revenue 2021: $16,528,062Expenses 2021: $16,444,545Net Income 2021: $83,5172021Revenue 2022: $18,608,034Expenses 2022: $18,529,477Net Income 2022: $78,5572022Revenue 2023: $19,311,910Expenses 2023: $19,189,883Net Income 2023: $122,0272023Revenue 2024: $19,112,168Expenses 2024: $18,724,590Net Income 2024: $387,5782024

Highlighted filing

2024

Revenue$19,112,168
Expenses$18,724,590
Net Income$387,578
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$593,197,327
Liabilities
$592,331,850
Net assets
$865,477
Revenue
$19,112,168
Expenses
$18,724,590
Net income
$387,578
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$593$592$0.87$19.1$18.7$0.39
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$612$612$0.48$19.3$19.2$0.12
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$625$625$0.36$18.6$18.5$0.08
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$717$717$0.28$16.5$16.4$0.08
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$550$550$0.19$11.4$11.5$0.03
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$334$334$0.22$11.6$11.3$0.29
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$329$329$0.07$10.2$10.3$0.09
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$373$373$0.03$18.1$18.1$0.03
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$248$248$0.00$9.13$9.20$0.07
2015Detailed filing. Detailed filing data is available for this year.$222$222$0.07$10.1$10.0$0.07
2014Summary only. Only limited summary data is available for this year.$229$229$0.00$40.4$45.1$4.67
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$587$567$20.1$38.9
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$577$558$19.6$37.6
2011Summary only. Only limited summary data is available for this year.$399$380$19.3$47.7$47.7$0.01
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$371$353$18.4$39.0
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 12, 2025
Return Version
2023v6.0
Gross Receipts
$19,112,168
Mission and Program Overview

Mission

Main line health system is the corporate holding company for main line health and subsidiaries and one of the members of the obligated group of certain bond indebtedness for the health system. Main line health system does not provide medical services.

Corporate holding company for main line health and subsidiaries and one of the members of the obligated group of certain indebtedness for the health system.

Balance Sheet Detail
LineBeginningEndChange
Assets
Other Notes and Loans Receivable, Net$606,537,322$592,331,249▼ $14,206,073
Cash and Non-Interest-Bearing Accounts$5,413,277$826,085▼ $4,587,192
Prepaid Expenses and Deferred Charges$46,576$39,993▼ $6,583
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$611,997,175$593,197,327▼ $18,799,848
Other Assets Total$0$0→ $0
Liabilities
Tax Exempt Bond Liabilities$606,537,324$592,331,249▼ $14,206,075
Other Liabilities$313,975$0▼ $313,975
Accounts Payable and Accrued Expenses$4,667,976$601▼ $4,667,375
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$611,519,275$592,331,850▼ $19,187,425
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$477,900$865,477▲ $387,577
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$477,900$865,477▲ $387,577
Total Liabilities and Net Assets / Fund Balance$611,997,175$593,197,327▼ $18,799,848
Compensation and Service Providers
Top Officer Pay89th percentile

Employees

NameTitleOtherTotal
Leigh EhrlichEVP/CFO/TREAS (Start Dec 2023)$66,905$66,905
Jennifer Gilbert DoTrustee$48,583$48,583
Cheryl Koch MDTrustee$9,000$9,000

Board Members and Trustees

NameTitle
Steven HigginsChairman & Trustee
John J Lynch IiiPresident, CEO & Trustee
Alexandre CostabileTrustee
Andrea AnaniaTrustee
Barbara GasperTrustee
Bradford KolesTrustee
Chris BrunerTrustee
Dalila Wilson-ScottTrustee
Darrell GilesTrustee
Deebeanne TavaniTrustee
Donna HavensTrustee
Elizabeth J BalderstonTrustee
Ellen RinaldiTrustee
Ernest Gillan MdTrustee
Laura Bessen-nichtberger MdTrustee
Mary Beth KingstonTrustee
Michelle Hong EsqTrustee
Peter HavensTrustee
Robert Frederick MdTrustee
William StulginskyTrustee
Eileen CarrAssistant Secretary
Michael J BuongiornoEVP/CFO/TREAS (until Dec 2023)
Brian T Corbett EsqSVP, Gen Counsel & Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$18,949,561
Other Revenue
$162,607
Change in Net Assets
$387,578
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,724,590
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest$18,738,641--$18,738,641
Depreciation Depletion$210,920--$210,920
Fees for Services Other$80,551--$80,551
Occupancy$840--$840
Other Expenses$14--$14
Insurance$-308,000--$-308,000
Total Functional Expenses$18,724,590$0$0$18,724,590
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Bond Issues

BondIssuerIssuedIssue PricePurpose
AChester County Health & Education Facilities Auth2020-02-12$151,074,7652020A-HOSPITAL EXPANSION
BChester County Health & Education Facilities Auth2017-06-29$122,477,2342017a hospital expansion & refund
AChester County Health & Education Facilities Auth2015-05-01$50,000,0002015 hospital expansion & refund
CChester County Health & Education Facilities Auth2017-06-29$32,860,0002017b hospital refunding for 2010a
DChester County Health & Education Facilities Auth2019-05-13$30,000,0002019b-hospital real estate acquisi
CChester County Health & Education Facilities Auth2019-05-13$29,695,0002019a-hospital partial defeasance
BChester County Health & Education Facilities Auth2020-11-01$27,709,9372020B-HOSPITAL EXPANSION

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$151,074,765$0$3,549,860$1,588,834
B$122,477,234$61,178,880$6,121,962$1,295,350
A$50,000,000$16,380,000$2,155,000$265,000
C$32,860,000$32,652,336$14,255,000$207,664
D$30,000,000$0$3,555,000$181,095
C$29,695,000$29,510,021$2,862,000$184,979
B$27,709,937$0$13,176,269$120,930

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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 by 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.”

Filing and Contact Details

Filer

Filer Name
Main Line Health System
EIN
23-2814503
In Care Of
% CURT WHITESIDE
Phone
4843371864
Address
240 N RADNOR CHESTER ROADSTE 170, RADNOR, PA 19087

Signing Officer

Name
Leigh Ehrlich
Title
Evp, CFO & Treasurer
Phone
4843371864
Signed
2025-05-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Leigh Ehrlich
Formed
1995
Legal Domicile
Pa
Voting Board Members
22
Independent Board Members
18
Employees
0
Volunteers
18

Preparer

Firm
PwC US Tax LLP
Address
2001 MARKET ST SUITE 1800, PHILADELPHIA, PA 19103
Preparer
Erica R Mcreynolds
Phone
2673303000
Supplemental Narrative

Additional Explanations

Part IX, Line 11G

“Other professional services recorded on part ix, line 11g represent annual bond monitoring fees paid to standard & poors and fitch.”

Raw XML AppendixShowing 400 of 1,686 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt1RIDDLE MEMORIAL HOSPITAL
AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt2MIRMONT ALCOHOL REHABILITATI
AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt3MAIN LINE HEALTH INC
AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt4MAIN LINE SERVICES
AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt5MAIN LINE HEALTHCARE
AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt6LANKENAU INSTITUTE FOR MEDIC
AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt7MAIN LINE AFFILIATES
AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt8MAIN LINE HEALTH HOMECARE AN
AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt9MAIN LINE REALTY CORPORATION
AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt10RIDDLE HEALTH CARE SERVICES
AffiliatedGroupSchedule/AffiliatedScheduleGrp/BusinessName/BusinessNameLine1Txt11MLH INTEGRATIVE AND FUNCTION
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