Main Line Health System

Nonprofit profile at a glance

EIN
232814503
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Radnor, PA, USA
Phone
4843371864
Rating
84
Verdict
STRONG
Rating confidence
Moderate
Sector
Community Health Systems

Official website

Reported finances

Revenue
$18,287,291
Expenses
$18,214,252
Assets
$578,888,776
Liabilities
$577,950,260

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

32 people listed

Executive titles in this filing

  • JOHN J LYNCH III (PRES & CEO (UNTIL JUNE 2025))
  • Edward Jimenez (PRES & CEO (START JUNE 2025))

Highest reported compensation

  • JOHN J LYNCH III (PRES & CEO (UNTIL JUNE 2025)): $3,302,622 total reported compensation
  • Barbara Wadsworth (EVP & COO): $1,391,882 total reported compensation
  • LEIGH EHRLICH (EVP, CFO & TREASURER): $1,129,933 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

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.

What it reported doing in 2024

Main line health system is a Pennsylvania nonprofit corporation and is the sole corporate member of main line health, inc. And affiliated health care organizations including: main line hospitals, inc., riddle memorial hospital, mirmont alcohol rehabilitation center, lankenau institute for medical research, main line health homecare and hospice, main line healthcare, and others as noted on form 990 schedule r.

Operating model

Revenue model
Investment-supported. 99% of the money available for current operations came from recurring investment income.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Revenue has declined or grown slowly and some related-organization disclosures are missing.

Rating breakdown

  • Financial Efficiency: 88
  • Transparency & Controls: 82
  • Accountability: 95
  • Sustainability: 50
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 99.5%; rating input score 99
  • Program expense ratio: 99%; rating input score 99
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 90.9%; rating input score 91; 4th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: No; rating input score 0

Accountability

  • Independent voting board: 91.3%; rating input score 91; 24th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 0.4%; rating input score 34; 34th percentile among comparable filings
  • Total-asset coverage ratio: 31.78; rating input score 98; 98th percentile among comparable filings
  • Liabilities to assets ratio: 1; rating input score 6; 6th percentile among comparable filings
  • Officer compensation ratio: 7.3%; rating input score 34; 34th percentile among comparable filings

Growth

  • Program expense growth: 8.7% per year; rating input score 100; 65th percentile among comparable filings
  • Revenue growth: -8% per year; rating input score 0; 1st percentile among comparable filings
  • Asset growth: 3.2% per year; rating input score 100; 24th percentile among comparable filings

Details

  • Where the money goes: 99.5% of revenue deployed · 99% of spending went to programs
  • Governance: 21 of 23 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $18M in reported program spending
  • Leadership: top reported pay $3.3M · 32 people listed · 5 of 6 pay-setting controls reported
  • Consistency: 16 of 17 current checks pass · 1 finding to review
  • Schedules: 7 filed schedules · includes executive pay and related organizations
  • Filing history: 15 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 29 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Growth: Revenue growth scored 0/100.
  • High — Transparency & Controls: Related-party transparency scored 0/100.
  • Moderate — Sustainability: Operating margin scored 34/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • High — Sustainability: Liabilities to assets ratio scored 6/100.
  • Moderate — Sustainability: Officer compensation ratio scored 34/100.