TY 2012 Form 990 Schedule O

efile Public Visual Render ObjectId: 201441299349301704 - Submission: 2014-05-09 TIN: 22-2440273

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

Main Line Realty Corporation

Employer identification number

22-2440273

Identifier	Return Reference	Explanation
Part VI, Section A, Lines 6, 7a and 7b		AS PER THE ARTICLES OF INCORPORATION, THE SOLE MEMBER OF MAIN LINE REALTY CORPORATION IS MAIN LINE HEALTH, INC., A PA NONPROFIT CORPORATION. AS SOLE MEMBER, MAIN LINE HEALTH, INC. HOLDS CERTAIN POWERS OF ELECTION AND APPROVAL IN CONNECTION WITH THE GOVERNING BODY OF MAIN LINE HEALTH. 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 11A		THE FORM 990 IS PREPARED IN CONJUNCTION WITH PRICEWATERHOUSECOOPERS 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, KEY EMPLOYEES AND OTHER INTERESTED PERSONS. ANY CONFLICT ARISING ARE REFERRED TO THE LEGAL DEPARTMENT FOR RESOLUTION. IF DEEMED NECESSARY OR ADVISABLE, CASES MAY BE REFERRED TO THE FULL BOARD FOR RESOLUTION.
PART VI, SECTION B, LINE 15		THE COMPENSATION PAID TO BOARD MEMBERS IS PAID BY AFFILIATES OF THE ORGANIZATION. THE PROCESS FOR DETERMINING COMPENSATION FOR BOARD MEMBERS IS AS FOLLOWS: USING THE SERVICES OF AN INDEPENDENT CONSULTING FIRM, JHS UTILIZED NO FEWER THAN THREE EXECUTIVE COMPENSATION SURVEYS IN DETERMINING THE COMPENSATION OF THE MLH CEO. JHS USED MARKET DATA REPRESENTING FUNCTIONALLY COMPARABLE JOBS WITHIN SIMILARLY SITUATED ORGANIZATIONS IN MAKING THESE COMPENSATION DETERMINATIONS. AFTER THE REVIEW AND DELIBERATION OF THE EXECUTIVE COMMITTEE OF THE JHS BOARD, WHICH HAS THE RESPONSIBILITIES OF A COMPENSATION COMMITTEE, COMPENSATION RECOMMENDATIONS WERE REVIEWED AND APPROVED BY THE FULL JHS BOARD. THE MLH CEO REPORTS TO THE JHS CEO AND IS APPOINTED BY THE JHS BOARD. THE MLH CEO ALSO REPORTS TO THE MLH BOARD. FURTHER, THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE MAIN LINE HEALTH BOARD, USING THE SERVICES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM, IS RESPONSIBLE FOR EVALUATING AND DETERMINING THE TOTAL SENIOR EXECUTIVE BENEFITS AND COMPENSATION FOR THE EVP & CHIEF FINANCIAL OFFICER, HOSPITAL PRESIDENTS AND OTHER SENIOR EXECUTIVES USING BOTH NATIONAL AND REGIONAL HEALTHCARE DELIVERY MARKET COMPARABLE COMPENSATION DATA. AFTER REVIEW AND DELIBERATION, THE COMMITTEE DOCUMENTS ITS COMPENSATION DECISIONS AND REPORTS TO THE FULL MLH BOARD OF GOVERNORS WHO REVIEW AND APPROVE THE COMPENSATION DECISIONS. REVIEW AND APPROVE THE COMPENSATION DECISIONS. REVIEW AND APPROVE THE COMPENSATION DECISIONS.
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, INC. AS SUCH, THE TOTAL HOURS WORKED BY THE OFFICERS, ACROSS ALL OF THE ORGANIZATIONS, CUMULATIVELY REPRESENT THEIR FULL-TIME EMPLOYMENT STATUS.
PART X, LINE 20		CERTAIN BOND PROCEEDS HAVE BEEN ALLOCATED TO MAIN LINE REALTY CORPORATION FROM JEFFERSON HEALTH SYSTEM, A RELATED ORGANIZATION. THE LIABILITIES FOR THE SERIES ARE REPORTED ON SCHEDULE K FOR JEFFERSON HEALTH SYSTEM.

Identifier

Return Reference

Explanation

Part VI, Section A, Lines 6, 7a and 7b

AS PER THE ARTICLES OF INCORPORATION, THE SOLE MEMBER OF MAIN LINE REALTY CORPORATION IS MAIN LINE HEALTH, INC., A PA NONPROFIT CORPORATION. AS SOLE MEMBER, MAIN LINE HEALTH, INC. HOLDS CERTAIN POWERS OF ELECTION AND APPROVAL IN CONNECTION WITH THE GOVERNING BODY OF MAIN LINE HEALTH. 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 11A

THE FORM 990 IS PREPARED IN CONJUNCTION WITH PRICEWATERHOUSECOOPERS 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, KEY EMPLOYEES AND OTHER INTERESTED PERSONS. ANY CONFLICT ARISING ARE REFERRED TO THE LEGAL DEPARTMENT FOR RESOLUTION. IF DEEMED NECESSARY OR ADVISABLE, CASES MAY BE REFERRED TO THE FULL BOARD FOR RESOLUTION.

PART VI, SECTION B, LINE 15

THE COMPENSATION PAID TO BOARD MEMBERS IS PAID BY AFFILIATES OF THE ORGANIZATION. THE PROCESS FOR DETERMINING COMPENSATION FOR BOARD MEMBERS IS AS FOLLOWS: USING THE SERVICES OF AN INDEPENDENT CONSULTING FIRM, JHS UTILIZED NO FEWER THAN THREE EXECUTIVE COMPENSATION SURVEYS IN DETERMINING THE COMPENSATION OF THE MLH CEO. JHS USED MARKET DATA REPRESENTING FUNCTIONALLY COMPARABLE JOBS WITHIN SIMILARLY SITUATED ORGANIZATIONS IN MAKING THESE COMPENSATION DETERMINATIONS. AFTER THE REVIEW AND DELIBERATION OF THE EXECUTIVE COMMITTEE OF THE JHS BOARD, WHICH HAS THE RESPONSIBILITIES OF A COMPENSATION COMMITTEE, COMPENSATION RECOMMENDATIONS WERE REVIEWED AND APPROVED BY THE FULL JHS BOARD. THE MLH CEO REPORTS TO THE JHS CEO AND IS APPOINTED BY THE JHS BOARD. THE MLH CEO ALSO REPORTS TO THE MLH BOARD. FURTHER, THE HUMAN RESOURCES & COMPENSATION COMMITTEE OF THE MAIN LINE HEALTH BOARD, USING THE SERVICES OF AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM, IS RESPONSIBLE FOR EVALUATING AND DETERMINING THE TOTAL SENIOR EXECUTIVE BENEFITS AND COMPENSATION FOR THE EVP & CHIEF FINANCIAL OFFICER, HOSPITAL PRESIDENTS AND OTHER SENIOR EXECUTIVES USING BOTH NATIONAL AND REGIONAL HEALTHCARE DELIVERY MARKET COMPARABLE COMPENSATION DATA. AFTER REVIEW AND DELIBERATION, THE COMMITTEE DOCUMENTS ITS COMPENSATION DECISIONS AND REPORTS TO THE FULL MLH BOARD OF GOVERNORS WHO REVIEW AND APPROVE THE COMPENSATION DECISIONS. REVIEW AND APPROVE THE COMPENSATION DECISIONS. REVIEW AND APPROVE THE COMPENSATION DECISIONS.

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, INC. AS SUCH, THE TOTAL HOURS WORKED BY THE OFFICERS, ACROSS ALL OF THE ORGANIZATIONS, CUMULATIVELY REPRESENT THEIR FULL-TIME EMPLOYMENT STATUS.

PART X, LINE 20

CERTAIN BOND PROCEEDS HAVE BEEN ALLOCATED TO MAIN LINE REALTY CORPORATION FROM JEFFERSON HEALTH SYSTEM, A RELATED ORGANIZATION. THE LIABILITIES FOR THE SERIES ARE REPORTED ON SCHEDULE K FOR JEFFERSON HEALTH SYSTEM.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

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