2023-05-15T17:38:33-05:00 2022-06-30 WithumSmithBrown PC 1835 MARKET STREET SUITE 1710 PHILADELPHIA PA 191032945 990 2021-07-01 231352152 ABINGTON MEMORIAL HOSPITAL % RONALD C KELLER CPA ABIN 2154812851 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 JOHN P MORDACH EVP/CFO 2159554773 2023-05-15 true JOHN P MORDACH 000000000 Scott J Mariani P00642486 2155462140 2 2021 2023-04-26 12:10:37Z ABINGTON HOSPITAL - JEFFERSON HEALTH ALISON L FERREN MBA 1101 MARKET ST STE 2004 PHILADELPHIA PA 19107 854727773 false X WWW.JEFFERSONHEALTH.ORG X 1913 PA THE MISSION OF ABINGTON MEMORIAL HOSPITAL D/B/A ABINGTON HOSPITAL - JEFFERSON HEALTH IS TO IMPROVE LIVES. 44 39 7085 240 1811 0 26109681 15793287 813245060 826624205 9850756 6415859 9199044 5894422 858404541 854727773 0 0 0 0 540563635 555722682 0 0 2578140 375955398 364437713 916519033 920160395 -58114492 -65432622 948017930 826283314 823904019 710392225 124113911 115891089 THE ORGANIZATION IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR ALL BY FOSTERING HEALING, EASING SUFFERING, AND PROMOTING WELLNESS IN A CULTURE OF SAFETY, LEARNING AND RESPECT. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 786191182 0 826624205 EXPENSES INCURRED IN PROVIDING EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 786191182 true true false true false false false false false true true false true true true false false true false false true false false false false false true true false false true false false false false false false true true false false false false false true false false false true X 260 0 true 7085 true true true false false false false false false false false false false false X 44 39 true true false false true true true true true false false true true true true true true true true true true PA X RONALD C KELLER CPA 2155038344 1101 MARKET STREET STE 2004 PHILADELPHIA PA 19107 X ALISON L FERREN MBA PRESIDENT/COO - TRUSTEE 55.0 0.0 X X 751168 0 150329 ORLANDO C KIRTON MD CHAIR, DEPT OF SURGERY 55.0 0.0 X 833455 0 35560 DEBORAH A DATTE ESQ FORMER OFFICER 0.0 0.0 X 787874 0 59871 DOUGLAS LASKE MD NEUROSURGEON 55.0 0.0 X 754935 0 32222 MEGHAN O PATTON FORMER OFFICER 55.0 0.0 X 625136 0 128751 MICHAEL YOON MD NEUROSURGEON 55.0 0.0 X 700225 0 52238 JONAS J GOPEZ MD NEUROSURGEON 55.0 0.0 X 702580 0 45743 WALTER SCOTT MD FACS THORACIC SURGEON 55.0 0.0 X 680804 0 23610 GERARD M CLEARY DO TRUSTEE - CMO 55.0 0.0 X X 576280 0 45407 MARGARET M MCGOLDRICK FORMER OFFICER 0.0 0.0 X 600596 0 0 EILEEN P JAMESON FORMER KEY EMPLOYEE 0.0 0.0 X 173291 0 63751 STACEY-ANN OKOTH DNP SVP PAT CARE SVS/CNO(EFF 7/21) 55.0 0.0 X 217618 0 3018 WARREN B MATTHEWS MD TRUSTEE 55.0 0.0 X 126464 0 11462 JEAN FITZPATRICK PHD CHAIR - TRUSTEE 5.0 0.0 X X 0 0 0 JOHN A BOWN JR VICE CHAIR - TRUSTEE 5.0 0.0 X X 0 0 0 HELEN R BOSLEY TRUSTEE 5.0 0.0 X 0 0 0 DOUGLAS S CALLANTINE TRUSTEE 5.0 0.0 X 0 0 0 GEORGE JS CHOE TRUSTEE 5.0 0.0 X 0 0 0 REV LUIS CORTES JR TRUSTEE 5.0 0.0 X 0 0 0 EDITH R DIXON TRUSTEE 5.0 0.0 X 0 0 0 MARK L DOOLEY TRUSTEE 5.0 0.0 X 0 0 0 BRUCE K ENTWISLE TRUSTEE; EX-OFFICIO 5.0 0.0 X 0 0 0 MARK R ESKIN TRUSTEE 5.0 0.0 X 0 0 0 DAVID J ESKIN MD TRUSTEE 5.0 0.0 X 0 0 0 WILLIAM W FONNER TRUSTEE 5.0 0.0 X 0 0 0 JENNIFER V FRABIZZIO MD TRUSTEE; EX-OFFICIO 5.0 0.0 X 0 0 0 BRUCE GOODMAN TRUSTEE 5.0 0.0 X 0 0 0 DAVID L HARRAR TRUSTEE 5.0 0.0 X 0 0 0 MARILYN D HARRIS TRUSTEE 5.0 0.0 X 0 0 0 THOMAS HILL TRUSTEE 5.0 0.0 X 0 0 0 LEA DANIELS KNIGHT TRUSTEE 5.0 0.0 X 0 0 0 MARVIN MASHNER TRUSTEE 5.0 0.0 X 0 0 0 REEVES MILLER TRUSTEE 5.0 0.0 X 0 0 0 SETH NEWMAN MD TRUSTEE; EX-OFFICIO 5.0 0.0 X 0 0 0 NEAL PEARLSTINE ESQ TRUSTEE 5.0 0.0 X 0 0 0 FREDERICK PENNEKAMP TRUSTEE 5.0 0.0 X 0 0 0 REV DR BRUCE W PETTY SR TRUSTEE 5.0 0.0 X 0 0 0 DUNCAN PITCAIRN TRUSTEE 5.0 0.0 X 0 0 0 DONALD PIZER TRUSTEE 5.0 0.0 X 0 0 0 LORRAINE C PRUITT TRUSTEE 5.0 0.0 X 0 0 0 REV CHARLES QUANN TRUSTEE 5.0 0.0 X 0 0 0 ROBERT J RIETHMILLER JR TRUSTEE 5.0 0.0 X 0 0 0 JEREMY A ROSENAU TRUSTEE 5.0 0.0 X 0 0 0 ANDREW D RUBIN TRUSTEE 5.0 0.0 X 0 0 0 HERBERT L SACHS TRUSTEE 5.0 0.0 X 0 0 0 PHILIP SASSO MD TRUSTEE 5.0 0.0 X 0 0 0 FREDDA L SEGAL TRUSTEE 5.0 0.0 X 0 0 0 STANLEY A SINGER TRUSTEE 5.0 0.0 X 0 0 0 JOSEPHINE B SMITH TRUSTEE 5.0 0.0 X 0 0 0 ELLIOT W STONE TRUSTEE 5.0 0.0 X 0 0 0 BRUCE E TOLL TRUSTEE 5.0 0.0 X 0 0 0 ROBERT P VOGEL ESQ TRUSTEE 5.0 0.0 X 0 0 0 JOHN D WALP TRUSTEE 5.0 0.0 X 0 0 0 CRISTINA G CAVALIERI ESQ SECRETARY 60.0 0.0 X 0 0 0 PETER L DEANGELIS JR TREASURER 60.0 0.0 X 0 0 0 7530426 0 651962 946 true true false THOMAS JEFFERSON UNIVERSITY 1101 MARKET STREET SUTIE 2004 PHILADELPHIA PA 19107 CORPORATE SERVICES 133969213 GENERAL HEALTHCARE RESOURCES INC 2250 HICKORY ROAD PLYMONTH MEETING PA 19462 STAFFING 8437234 LF DRISCOLL COMPANY LLC 401 CITY AVE BALA CYNWYD PA 19004 CONSTRUCTION 6856108 UNITED ANESTHESIA SERVICE PC 937 EASH HAVERFORD ROAD SUITE 100 BRYN MAWR PA 19010 MEDICAL 6428321 RADIOLOGY GROUP OF ABINGTON PC PO BOX 1511 MEDIA PA 19063 MEDICAL 5397784 112 14450174 1343113 15793287 NET PATIENT SERVICE REVENUE 622110 796767672 796767672 OTHER HEALTHCARE RELATED REVENUE 622110 29856533 29856533 826624205 6073770 1811 6071959 0 0 2537297 2537297 0 2537297 2537297 342089 342089 342089 342089 0 0 0 0 0 0 0 0 0 CAFETERIA 722514 2313755 2313755 PARKING/GARAGE 812930 1043370 1043370 3357125 854727773 826624205 1811 12308470 0 0 0 0 1881746 1881746 0 440149213 381456515 56558314 2134384 18647303 16274248 2373055 60777261 53099909 7677352 34267159 29942429 4324730 0 2214344 83124 2131220 391087 391087 64847 64847 0 0 91407521 62117502 29201633 88386 3543030 28080 3514950 12457667 8850991 3466474 140202 13517699 270439 13139559 107701 0 15957354 12881330 3075493 531 940400 796888 114556 28956 0 309737 197388 110691 1658 9573162 9569347 3815 0 48076960 47979681 97279 8573811 8563040 10771 MEDICAL SUPPLIES 120179075 119831495 347494 86 MA MODERNIZATION 14538670 14538670 REPAIRS & MAINTENANCE 9078266 4232935 4843638 1693 FOOD & RELATED PRODUCTS 3509235 3500168 8962 105 10104848 10030410 74438 920160395 786191182 131391073 2578140 56031976 44589840 0 0 201275 247433 60930404 93092417 0 0 0 0 280696 66989 9840073 10269065 1676575 1742290 1240459426 815453460 432542334 425005966 0 0 0 0 124082696 134391639 0 0 262431901 116877675 948017930 826283314 103492569 97159180 0 0 1038517 957616 0 0 0 0 0 0 0 0 0 0 719372933 612275429 823904019 710392225 X 66573778 68314206 57540133 47576883 124113911 115891089 948017930 826283314 X -65432622 -6175154 63384954 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 64847 64847 false SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THOMAS JEFFERSON UNIVERSITY PAYS ALL LOBBYING EXPENDITURES ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM AND ALLOCATES A PERCENTAGE OF THESE EXPENDITURES TO VARIOUS AFFILIATES. THESE LOBBYING EXPENDITURES INCLUDE (1) PAYMENT TO AN OUTSIDE INDEPENDENT FIRM AND (2) AN ALLOCATED PORTION OF THE DUES PAID TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION. THE AMOUNT ALLOCATED TO THIS ORGANIZATION ATTRIBUTABLE TO LOBBYING ACTIVITY FOR THE YEAR ENDED JUNE 30, 2022 IS $64,847. 57353998 -9789312 47564686 47336492 10381462 363956 57353998 49728916 -2392424 47336492 48769031 959885 49728916 47515691 1253340 48769031 1.00000 false false 20393393 20393393 625570760 390196887 235373873 36586 6098 30488 579180813 414897160 164283653 15277874 10353315 4924559 425005966 SHORT-TERM INVESTMENTS 57374919 F LONG-TERM INVESTMENTS 76628698 F ASSETS WHOSE USE IS LIMITED 388022 F 134391639 DUE FROM AFFILIATES 36207653 INSURANCE RECEIVABLE 58316034 RIGHT OF USE ASSET 22353988 116877675 0 ACCRUED PENSION LIABILITY 102692717 TJU OBLIGATED GROUP LIABILITY 360380817 ACCRUED PROF. LIABILITY CLAIMS 29648123 ACCRUED WORKERS COMP CLAIMS 4459007 ACCELERATED MEDICARE PAYMENTS 38192822 OTHER LIABILITIES 53382299 RIGHT OF USE LIABILITY 23519644 612275429 SCHEDULE D, PART V; LINE 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FUTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE ORGANIZATION AND ITS CONTROLLED AFFILIATES FOR THE YEARS ENDED JUNE 30, 2022, AND JUNE 30, 2021; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT ADDRESSES THE SYSTEM'S ENDOWMENT FUNDS: TJU'S ENDOWMENTS CONSIST OF 1,680 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. NET ASSETS ASSOCIATED WITH EACH OF THESE GROUPS OF FUNDS ARE CLASSIFIED AND REPORTED BASED UPON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. THE UNIVERSITY REPORTS ALL ENDOWMENT INVESTMENTS AT FAIR VALUE. CASH EQUIVALENTS IN ENDOWMENTS ARE TREATED AS INVESTMENTS. FROM TIME TO TIME, THE FAIR VALUE OF ASSETS ASSOCIATED WITH INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUNDS MAY FALL BELOW THE LEVEL THAT THE DONOR REQUIRES TJU TO RETAIN AS A FUND OF PERPETUAL DURATION. SHORTFALLS OF THIS NATURE ARE CLASSIFIED AS A REDUCTION OF DONOR-RESTRICTED NET ASSETS AND WERE $5.4 MILLION AND $0.6 MILLION AS OF JUNE 30, 2022, AND 2021, RESPECTIVELY. THESE SHORTFALLS RESULTED FROM UNFAVORABLE MARKET FLUCTUATIONS THAT OCCURRED SHORTLY AFTER THE INVESTMENT OF NEW PERMANENTLY RESTRICTED CONTRIBUTIONS AND CONTINUED APPROPRIATION FOR CERTAIN PROGRAMS THAT WAS DEEMED PRUDENT BY TJU. THE COMMONWEALTH OF PENNSYLVANIA HAS NOT ADOPTED THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT (UMIFA) OR THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT (UPMIFA). RATHER, THE PENNSYLVANIA ACT GOVERNS THE INVESTMENT, USE AND MANAGEMENT OF TJU'S ENDOWMENT FUNDS. THE PENNSYLVANIA ACT ALLOWS A NONPROFIT TO ELECT TO APPROPRIATE FOR EXPENDITURE AN INVESTMENT POLICY THAT SEEKS THE LONG-TERM PRESERVATION OF THE REAL VALUE OF THE INVESTMENTS. IN ACCORDANCE WITH THE PENNSYLVANIA ACT, THE OBJECTIVES OF TJU'S INVESTMENT POLICY IS TO PROVIDE A LEVEL OF SPENDABLE INCOME WHICH IS SUFFICIENT TO MEET THE CURRENT AND FUTURE BUDGETARY REQUIREMENTS OF TJU AND WHICH IS CONSISTENT WITH THE GOAL OF PROTECTING THE PURCHASING POWER OF THE INVESTMENTS. AS A RESULT OF THE NEGATIVE FINANCIAL IMPACT TO NONPROFIT ORGANIZATIONS FROM COVID-19, THE PENNSYLVANIA ACT WAS AMENDED TO PERMIT NONPROFIT ORGANIZATIONS TO INCREASE THE CALCULATION OF SPENDABLE INCOME FROM ENDOWMENT FUNDS UP TO 10% OF THE CALCULATED THREE-YEAR AVERAGE OF THE ENDOWMENT MARKET VALUE FOR FISCAL YEARS ENDING WITHIN 2020, 2021 AND 2022. FOR 2022 AND 2021, TJU'S CALCULATION OF SPENDABLE INCOME FOR ENDOWMENT FUNDS WAS BASED ON 10% OF A CALCULATED THREE-YEAR AVERAGE. Central America and the Caribbean 0 0 Investments 68669524 Central America and the Caribbean 0 0 Program Services FINANCIAL VEHICLE 0 0 0 0 68669524 68669524 false false true false false false SCHEDULE F, PART I THOMAS JEFFERSON UNIVERSITY, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, ACCRUED FOR ACCOUNTING PURPOSES PAYMENTS TO CASSATT INSURANCE COMPANY, LTD., A FINANCIAL VEHICLE, IN THE AMOUNT OF $6,885,723; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true true X true X true X 500. true true false false 11858502 60038 11798464 0.01280 117810622 69405993 48404629 0.05260 129669124 69466031 60203093 0.06540 2377430 32393 2345037 0.00260 32564480 11102255 21462225 0.02330 50318115 33914806 16403309 0.01780 206578 199053 7525 86002 86002 0.00010 85552605 45248507 40304098 0.04380 215221729 114714538 100507191 0.10920 true 13653275 3891297 184465267 213219390 -28754123 X true true MCA MED IM LLC MEDICAL SERVICES 0.5 0.5 AB SURG SVCS LP MEDICAL SERVICES 0.39245 0.61755 PAIN MGT CTR AM LLC MEDICAL SERVICES 0.25 0.75 NEW BRITAIN SURG LLC MEDICAL SERVICES 0.2634 0.7366 AB SURG SVCS GP LLC MEDICAL SERVICES 0.5 0.5 1 1 ABINGTON MEMORIAL HOSPITAL 1200 OLD YORK ROAD ABINGTON PA 19001 WWW.JEFFERSONHEALTH.ORG 270501 X X X X 1 ABINGTON MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 21 true true true true X WWW.JEFFERSONHEALTH.ORG X true 21 true WWW.JEFFERSONHEALTH.ORG false true X 200. 500. X X X X X true true X X X true X WWW.JEFFERSONHEALTH.ORG X WWW.JEFFERSONHEALTH.ORG X WWW.JEFFERSONHEALTH.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 5 FOR THE 2022 REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT ("RCHNA"), THE DEPARTMENT OF TREASURY AND THE INTERNAL REVENUE SERVICE ("IRS") ENCOURAGED CROSS INSTITUTION COLLABORATION. TO THAT END ABINGTON MEMORIAL HOSPITAL ("AMH") PARTICIPATED IN A REGIONAL COLLABORATIVE EFFORT FOR THIS CHNA CYCLE. RECOGNIZING THAT HOSPITALS AND HEALTH SYSTEMS OFTEN MUTUALLY SERVE THE SAME COMMUNITIES, A GROUP OF LOCAL HOSPITALS AND HEALTH SYSTEMS HAVE AGAIN COLLABORATED ON A SOUTHEASTERN PENNSYLVANIA (SEPA) REGIONAL CHNA (RCHNA), WITH SPECIFIC FOCUS ON BUCKS, CHESTER, DELAWARE MONTGOMERY, AND PHILADELPHIA COUNTIES. THIS CONTINUED COLLABORATION ENABLES CONTINUITY OF APPROACH, WHILE ALSO PROVIDING OPPORTUNITIES TO EXPAND AND IMPROVE UPON THE LAST ASSESSMENT PROCESS. PARTICIPANTS RECOGNIZE THAT THE CHNA IS AN IMPORTANT PART OF HOW HEALTH SYSTEMS, MULTI-SECTOR PARTNERS, AND COMMUNITIES WORK TOGETHER TO ACHIEVE MEANINGFUL AND POSITIVE COMMUNITY CHANGE. IN ADDITION TO THE SHARED LEARNING, INCREASED EFFICIENCIES AND REDUCED COMMUNITY BURDEN OFFERED BY THE COLLABORATIVE APPROACH, PARTICIPANTS HAVE DERIVED PARTICULAR BENEFIT FROM MUTUAL SUPPORT IN THE FACE OF THE COVID-19 PANDEMIC AND ITS CASCADING IMPACTS. IN RESPONSE TO THE CRISES OF THE PAST SEVERAL YEARS, THE 2022 RCHNA IS EXPLICITLY GROUNDED IN AN APPROACH THAT SEEKS TO ADVANCE HEALTH EQUITY AND AUTHENTIC COMMUNITY ENGAGEMENT. COMMUNITY/STAKEHOLDER INPUT: COMMUNITY MEETINGS WERE COORDINATED BY HEALTH CARE IMPROVEMENT FOUNDATION (HCIF) AND PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS (PACDC) AND FACILITATED BY TWO EXPERTS IN QUALITATIVE DATA COLLECTION AND ANALYSIS ENGAGED AS QUALITATIVE LEAD CONSULTANTS. FOR ALL DISCUSSIONS HCIF, GUIDED BY A QUALITATIVE TEAM COMPOSED OF A SUBSET OF STEERING COMMITTEE REPRESENTATIVES, COORDINATED THE QUALITATIVE COMPONENTS OF THE ASSESSMENT WHICH INCLUDED: 26 VIRTUAL FOCUS GROUP-STYLE "COMMUNITY CONVERSATIONS" HELD TO GATHER INPUT FROM RESIDENTS OF GEOGRAPHIC COMMUNITIES ACROSS ALL 5 COUNTIES. 21 VIRTUAL FOCUS GROUP DISCUSSIONS CENTERED ON "SPOTLIGHT" TOPICS CONDUCTED WITH COMMUNITY ORGANIZATIONS AND LOCAL GOVERNMENT AGENCY REPRESENTATIVES. TOPICS COVERED INCLUDED BEHAVIORAL HEALTH, CHRONIC DISEASE, FOOD INSECURITY, HOUSING AND HOMELESSNESS, OLDER ADULTS AND CARE, RACISM AND DISCRIMINATION IN HEALTH CARE, SUBSTANCE USE, AND VIOLENCE. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B AMH PARTICIPATED IN PARTNERSHIP WITH THE STEERING COMMITTEE OF REPRESENTATIVES FROM PARTNERING HOSPITALS AND HEALTH SYSTEMS, THE PROJECT TEAM, COMPOSED OF STAFF FROM THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH (PDPH), PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS (PACDC) AND HEALTH CARE IMPROVEMENT FOUNDATION (HCIF) DEVELOPED A COLLABORATIVE, COMMUNITY-ENGAGED APPROACH THAT INVOLVED COLLECTING AND ANALYZING QUANTITATIVE AND QUALITATIVE DATA AND AGGREGATING DATA FROM A VARIETY OF SECONDARY SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. THE ASSESSMENT RESULTED IN A LIST OF PRIORITY HEALTH NEEDS THAT WILL BE USED BY THE PARTICIPATING HOSPITALS AND HEALTH SYSTEMS TO DEVELOP IMPLEMENTATION PLANS OUTLINING HOW THEY WILL ADDRESS THESE NEEDS INDIVIDUALLY AND IN COLLABORATION WITH OTHER PARTNERS. AS PART OF INTEGRATION, THE COMMUNITY HEALTH AND COMMUNITY BENEFIT LEADERS OF AMH WORKED COLLABORATIVELY WITH COLLEAGUES AND REPRESENTATIVES OF OTHER HOSPITALS AND HEALTH SYSTEMS IN THE REGION. COACH, A REGIONAL COLLABORATIVE: (COLLABORATIVE OPPORTUNITIES TO ADVANCE COMMUNITY HEALTH, SOUTHEASTERN PA). PARTICIPATING HOSPITALS INCLUDED: AN INITIATIVE SPONSORED BY THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA [HAP] TO BRING TOGETHER HOSPITALS, PUBLIC HEALTH, AND COMMUNITY PARTNERS TO ADDRESS COMMUNITY HEALTH ISSUES IN SOUTHEASTERN, PENNSYLVANIA. PARTNERING HEALTH SYSTEMS AND HOSPITALS: - CHILDREN'S HOSPITAL OF PHILADELPHIA AND MIDDLEMAN FAMILY PAVILION AT CHOP, KING OF PRUSSIA, PA - DOYLESTOWN HEALTH: DOYLESTOWN HOSPITAL - GRAND VIEW HEALTH: GRAND VIEW HOSPITAL - JEFFERSON HEALTH: EINSTEIN MEDICAL CENTER ELKINS PARK; EINSTEIN MEDICAL CENTER MONTGOMERY; EINSTEIN MEDICAL CENTER PHILADELPHIA; JEFFERSON ABINGTON HOSPITAL; - JEFFERSON BUCKS HOSPITAL; JEFFERSON FRANKFORD HOSPITAL, JEFFERSON HOSPITAL FOR NEUROSCIENCE; JEFFERSON LANSDALE HOSPITAL; JEFFERSON METHODIST HOSPITAL; JEFFERSON TORRESDALE HOSPITAL; MAGEE REHABILITATION HOSPITAL; MOSS REHAB; ROTHMAN ORTHOPEDIC SPECIALTY HOSPITAL AND THOMAS JEFFERSON UNIVERSITY HOSPITAL - MAIN LINE HEALTH: BRYN MAWR HOSPITAL; BRYN MAWR REHABILITATION HOSPITAL; LANKENAU MEDICAL CENTER; PAOLI HOSPITAL; RIDDLE HOSPITAL - PENN MEDICINE: CHESTER COUNTY HOSPITAL; HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA; HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - CEDAR AVENUE; PENN PRESBYTERIAN MEDICAL CENTER AND PENNSYLVANIA HOSPITAL - REDEEMER HEALTH: HOLY REDEEMER HOSPITAL - TEMPLE UNIVERSITY HEALTH SYSTEM: FOX CHASE CANCER CENTER; TEMPLE UNIVERSITY HOSPITAL; TEMPLE UNIVERSITY HOSPITAL - EPISCOPAL CAMPUS; TEMPLE UNIVERSITY HOSPITAL - JEANES CAMPUS AND TEMPLE UNIVERSITY HOSPITAL - NORTHEASTERN CAMPUS - TRINITY HEALTH MID-ATLANTIC: MERCY CATHOLIC MEDICAL CENTER; MERCY FITZGERALD HOSPITAL CAMPUS; NAZARETH HOSPITAL; ST. MARY MEDICAL CENTER AND ST. MARY REHABILITATION HOSPITAL AMH COLLABORATED WITH THE ABOVE LISTED HOSPITALS AND HEALTH SYSTEMS, WORKING WITH JEFFERSON HEALTH COLLEAGUES TO COMPLETE THE JUNE 30, 2022 REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT [RCHNA]. ABINGTON HEALTH, INCLUDING AMH AND LH, COLLABORATED WITH AND RECEIVED SUPPORT DURING THE CHNA PROCESS FROM: - CHESTER COUNTY HEALTH DEPARTMENT; - DELAWARE COUNTY HEALTH DEPARTMENT; - HEALTH CARE IMPROVEMENT FOUNDATION; - MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH; - PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS; AND - PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH. SCHEDULE H, PART V, SECTION B, QUESTION 7A THE ORGANIZATION IS AN AFFILIATE WITHIN ABINGTON HEALTH ("AH"); A MEMBER WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE 2022 RCHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: https://www.jeffersonhealth.org/locations/abington-hospital/about-us IN ADDITION, ONSITE AT AMH COPIES OF THE RCHNA ARE AVAILABLE IF REQUESTED AT NO CHARGE FOR PUBLIC INSPECTION WITHIN THE DEPARTMENT OF PUBLIC RELATIONS AND MARKETING, DIXON BUILDING. SCHEDULE H, PART V, SECTION B, QUESTION 8 AH, INCLUDING AMH AND LH, PLACED THE FINAL 2022 RCHNA ON THE HEALTH SYSTEM'S WEBSITE TO PROVIDE ACCESS AND MAKE WIDELY AVAILABLE. THE RCHNA FROM 2019 CONTINUES TO BE POSTED. SEVERAL REQUESTS FROM LOCAL NON-PROFIT ORGANIZATIONS SEEKING A COPY OF THE DOCUMENT WERE GIVEN ACCESS VIA THE DOWNLOADABLE DOCUMENT ON THE WEBSITE OR EMAILED BY LH LEADERS. IN FY22, THIS PROCESS REMAINED IN EFFECT. ALL 2019 RCHNA AND IMPLEMENTATION PLANS WERE SHARED WITH ALL KEY COMMUNITY STAKEHOLDERS AND PARTICIPANTS IN INTERVIEWS AND MEETINGS. TEAMS WERE FORMED AT AMH TO COINCIDE WITH THE MAJOR TOPIC AREAS IN THE SUMMER 2022. ACTION PLANS OR IMPLEMENTATION PLANS WERE WRITTEN, ADOPTED AND APPROVED BY ABINGTON HEALTH FOUNDATION ("AHF") BOARD OF TRUSTEES ON JUNE 28, 2022 WITH SUBSEQUENT RATIFICATION BY ABINGTON'S REV. DR. MARTIN LUTHER KING, JR., COMMUNITY BENEFIT AND DIVERSITY COMMITTEE. THE COMMUNITY HEALTH DEPARTMENT CONTINUES RESPONSIBILITY FOR THE RCHNA AND RESULTANT IMPLEMENTATION PLANS TO MEET COMMUNITY BENEFIT REQUIREMENTS. THE STRATEGY OF THE IMPLEMENTATION PLANS IDENTIFIES THE MEANS THROUGH WHICH THE HOSPITAL PLANS TO ADDRESS NEEDS THAT ARE CONSISTENT WITH THE HOSPITAL'S CHARITABLE MISSION AS PART OF ITS COMMUNITY BENEFIT PROGRAMS FROM 2022 THROUGH 2025. BEYOND PROGRAMS DISCUSSED IN THE STRATEGY, THE HOSPITAL IS ADDRESSING MANY OF THESE NEEDS SIMPLY BY PROVIDING CARE TO ALL, REGARDLESS OF ABILITY TO PAY. THE HOSPITAL ANTICIPATES HEALTH NEEDS AND RESOURCES MAY CHANGE, AND THUS A FLEXIBLE APPROACH WAS ADOPTED IN THE DEVELOPMENT OF ITS STRATEGY TO ADDRESS NEEDS IDENTIFIED IN THE 2022 RCHNA. THEMES EMERGED FROM THE RCHNA MEETINGS AND WERE ANALYZED AND CODED WITH ALL QUANTITATIVE DATA. RECOGNITION OF THEMES WERE DISCUSSED AND THE RESULTING ANALYSIS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS ORGANIZED INTO MAJOR TOPICS. OVERALL, THE HEALTH OF THE POPULATIONS SERVED IN THE AMH SERVICE AREA IS GOOD, RANKING HIGHER THAN THE MONTGOMERY COUNTY AND PENNSYLVANIA STATE POPULATIONS AS A WHOLE. AMH'S ACCESS TO CARE IP/ACTION PLAN WAS REVIEWED IMMEDIATELY WITH SEVERAL ENHANCEMENTS INTRODUCED. AH INCLUDING AMH CONTINUES TO WORK COLLABORATIVELY WITH PROVIDERS ON SUBSTANCE USE DISORDERS. A THOROUGH REVIEW OF THE POLICY AND PROCEDURES FOR FINANCIAL ASSISTANCE TOOK PLACE IN ACCORDANCE WITH INTERNAL REVENUE CODE 501(R) WITH A NEW ENTERPRISE FINANCIAL ASSISTANCE POLICY ADOPTED IN FY20. OVERVIEW OF IMPLEMENTATION STRATEGY INCLUDES: PRIORITIZATION WAS PLACED INTO THE RCHNA TO MAXIMIZE THE RESOURCES AVAILABLE TO THE HOSPITAL . THE STRATEGY FOCUSES ON THE PRIORITY HEALTH NEEDS THAT ARE MOST IMPORTANT OF COMMUNITY HEALTH PRIORITIES: MENTAL HEALTH CONDITIONS, SUBSTANCE USE AND RELATED DISORDERS, CHRONIC DISEASE PREVENTION AND MANAGEMENT, ACCESS TO AFFORDABLE PRIMARY AND SPECIALTY CARE, HEALTHCARE AND HEALTH RESOURCES NAVIGATION, AND FOOD ACCESS. THE TOP SIX PRIORITIES WERE REVIEWED AND APPROVED BY SENIOR MANAGEMENT. AMH CONTINUES COLLABORATION REGIONALLY WITH OTHER HOSPITALS AND HEALTH SYSTEMS WITHIN BUCKS AND MONTGOMERY COUNTIES THROUGH PARTNERSHIPS, COOPERATION, AND COORDINATION ON PUBLIC HEALTH ISSUES. SCHEDULE H, PART V, SECTION B, QUESTION 10 THE ORGANIZATION IS AN AFFILIATE WITHIN ABINGTON HEALTH ("AH"); A MEMBER WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: https://www.jeffersonhealth.org/locations/abington-hospital/about-us SCHEDULE H, PART V, SECTION B, QUESTION 11 THE ORGANIZATION'S MOST RECENT REQUIRED CHNA WAS COMPLETED IN JUNE 2022. IN AN EFFORT TO ADDRESS THE NEEDS IDENTIFIED IN THE FY22 REGIONAL CHNA ("RCHNA"), JEFFERSON HEALTH CONVENED ACTION TEAMS CONSISTING OF KEY COMMUNITY STAKEHOLDERS AND ENTERPRISE ADMINISTRATIVE AND CLINICAL LEADERS TO DEVELOP AND IMPLEMENT GOALS AND ACTION PLANS OR IMPLEMENTATION PLANS. LEADERS OF THESE TEAMS WILL REPORT ON PROGRESS ON A QUARTERLY BASIS. AFTER THE COMPLETION OF THE RCHNA, A LIST OF 12 COMMUNITY HEALTH PRIORITIES WAS PRESENTED TO THE STEERING COMMITTEE. USING A MODIFIED HANLON RANKING METHOD, EACH PARTICIPATING HOSPITAL AND HEALTH SYSTEM RATED THE PRIORITIES. AN AVERAGE RATING WAS CALCULATED, AND THE COMMUNITY HEALTH PRIORITIES WERE ORGANIZED IN PRIORITY ORDER BASED ON: - SIZE OF HEALTH PROBLEM - IMPORTANCE TO COMMUNITY - CAPACITY OF HOSPITALS/HEALTH SYSTEMS TO ADDRESS - ALIGNMENT WITH MISSION AND STRATEGIC DIRECTION - AVAILABILITY OF EXISTING COLLABORATIVE EFFORTS THE COMMUNITY HEALTH PRIORITIES FOR THE REGION ARE PRESENTED BELOW IN RANKED ORDER: 1) MENTAL HEALTH CONDITIONS 2) ACCESS TO CARE (PRIMARY & SPECIALTY) 3) CHRONIC DISEASE PREVENTION & MANAGEMENT 4) SUBSTANCE ABUSE AND RELATED DISORDERS 5) HEALTHCARE & HEALTH RESOURCES NAVIGATION 6) RACISM & DISCRIMINATION IN HEALTHCARE 7) FOOD ACCESS 8) CULTURALLY & LINGUISTICALLY APPROPRIATE SERVICES 9) COMMUNITY VIOLENCE 10) HOUSING 11) SOCIOECONOMIC DISADVANTAGE 12) NEIGHBORHOOD CONDITIONS BASED ON ITS PRIMARY SERVICE AREAS, THE ENTERPRISE CREATED FIVE COMMUNITY HEALTH IMPLEMENTATION PLANS ("CHIP") WHICH INCLUDE ALL OF THE ENTERPRISE'S HOSPITAL FACILITIES: - CENTER CITY CHIP (THOMAS JEFFERSON UNIVERSITY HOSPITAL, MAGEE REHABILITATION HOSPITAL, JEFFERSON METHODIST HOSPITAL); - ABINGTON CHIP (JEFFERSON ABINGTON HOSPITAL, JEFFERSON LANSDALE HOSPITAL); - NORTHEAST CHIP (JEFFERSON BUCKS HOSPITAL, JEFFERSON FRANKFORD HOSPITAL, JEFFERSON TORRESDALE HOSPITAL, ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL); - NEW JERSEY CHIP (JEFFERSON CHERRY HILL HOSPITAL, JEFFERSON STRATFORD HOSPITAL AND JEFFERSON WASHINGTON TOWNSHIP HOSPITAL); AND - EINSTEIN CHIP (EINSTEIN MEDICAL CENTER PHILADELPHIA AND EINSTEIN MEDICAL CENTER ELKINS PARK). THE ENTERPRISE CHIP'S WERE DEVELOPED IN COLLABORATION WITH KEY COMMUNITY STAKEHOLDERS, ADMINISTRATIVE AND CLINICAL LEADERS. EACH PLAN IS REVIEWED ANNUALLY AND REVISED BASED ON CHANGING COMMUNITY NEEDS, BEST PRACTICES AND SHORT-TERM/INTERMEDIATE OUTCOMES. JEFFERSON HEALTH PLANS TO ADDRESS THE FOLLOWING NEEDS IDENTIFIED WITHIN THE RCHNA: 1) MENTAL HEALTH CONDITIONS; 2) ACCESS TO CARE; 3) CHRONIC DISEASE PREVENTION & MANAGEMENT; 4) SUBSTANCE ABUSE AND RELATED DISORDERS; AND 5) HEALTHCARE AND HEALTH RESOURCES NAVIGATION. USING A LOGIC MODEL FOR EACH PRIORITY HEALTH NEED, EACH CHIP PROVIDES AN OVERVIEW OF THE OBJECTIVES, PROPOSED STRATEGIES/ACTIVITIES, OUTPUTS/IMPACT MEASURES, AND POTENTIAL PARTNERS. PROPOSED STRATEGIES/ACTIVITIES WERE CONSIDERED BASED ON THEIR ALIGNMENT WITH NATIONAL, STATE, AND COUNTY HEALTH IMPROVEMENT PLANS, AND NATIONAL BEST PRACTICES CITED BY ORGANIZATIONS SUCH AS THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES, AGENCY FOR HEALTH RESEARCH AND QUALITY, HEALTHY PEOPLE 2020, THE AMERICAN MEDICAL ASSOCIATION, NATIONAL COUNCIL ON AGING, THE JOINT COMMISSION, THE AMERICAN HEART ASSOCIATION, THE NATIONAL PREVENTION STRATEGY, THE GUIDE TO COMMUNITY PREVENTIVE SERVICES, AND THE GUIDE TO CLINICAL PREVENTIVE SERVICES. IN ADDITION, THE FOLLOWING TWO IDENTIFIED PRIORITIES ARE ADDRESSED WITHIN NORMAL HOSPITAL OPERATIONS: LINGUISTICALLY AND CULTURALLY APPROPRIATE SERVICES AND RACISM AND DISCRIMINATION IN HEALTHCARE SETTINGS. THE FOLLOWING FOUR PRIORITIES WILL NOT BE ADDRESSED SPECIFICALLY BY EACH HOSPITAL BUT ARE ADDRESSED THROUGH WORK WITH LOCAL AND REGIONAL COLLABORATIVES AND REFERRALS TO COMMUNITY OR GOVERNMENT RESOURCES: COMMUNITY VIOLENCE; HOUSING; SOCIOECONOMIC DISADVANTAGE (E.G. POVERTY, UNEMPLOYMENT); NEIGHBORHOOD CONDITIONS (E.G. BLIGHT, GREENSPACE, AIR/WATER QUALITY, ETC.). IN ADDITION, THE ORGANIZATION'S HEALTH PROFESSIONALS COLLABORATE WITH JEFFERSON COLLEAGUES TO IMPROVE HEALTH STATUS IN CONJUNCTION WITH THE HOSPITAL'S PARTNERSHIPS. BEST AND PROMISING PRACTICES ARE SHARED WITH THE AIM OF ENHANCING INFRASTRUCTURE, STRETCHING RESOURCES, AND INCORPORATING KNOWLEDGE ABOUT SOCIAL DETERMINANTS OF HEALTH AND HEALTH LITERACY TO BETTER THE POPULATION'S HEALTH AND WELL-BEING. COMMUNITY BENEFIT LEADERS WILL CONTINUE TO MONITOR THE CHANGING LANDSCAPE AND REQUIREMENTS INITIATED THROUGH FUTURE HEALTH REFORM AND THE IRS INCLUDING FINANCIAL ASSISTANCE REQUIREMENTS. THE JEFFERSON HEALTH CHIP'S ARE POSTED ON THE ENTERPRISE'S WEBSITE AND AVAILABLE FREE OF CHARGE. PLEASE REFER TO THE FOLLOWING URL FOR ADDITIONAL INFORMATION: HTTPS://WWW.JEFFERSONHEALTH.ORG/ABOUT-US/COMMUNITY/COMMUNITY-HEALTH-NEEDS- ASSESSMENT SCHEDULE H, PART V, SECTION B, QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN ABINGTON HEALTH ("AH"); A MEMBER WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTIONS 16A, 16B AND 16C, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: https://www.jeffersonhealth.org/pay-my-bill 28 ABINGTON HEALTH CENTER-SCHILLING CAMPUS 2500 MARYLAND ROAD WILLOW GROVE PA 19090 OUTPATIENT SERVICES/ PHYSICIAN SERVICES ABINGTON HEALTH CENTER-WARMINSTER CAMPUS 225 NEWTON ROAD WARMINSTER PA 18974 OUTPATIENT SERVICES/ PHYSICIAN SERVICES LEVY MEDICAL PLAZA 1235 OLD YORK ROAD - LEVY MEDICAL P ABINGTON PA 19001 PHYSICIAN SERVICES ARBORCREST CAMPUS 721 ARBOR WAY BLUE BELL PA 19422 OUTPATIENT SERVICES/ PHYSICIAN SERVICES ABINGTON PHYSICIANS 118 Welsh Road Horsham PA 19044 PHYSICIAN SERVICES ABINGTON PHYSICIANS 500 Old York Road Jenkintown PA 19046 PHYSICIAN SERVICES MEDICAL ARTS BUILDING 125 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 PHYSICIAN SERVICES ABINGTON PHYSICIANS 1380 EASTON ROAD WARRINGTON ROAD PA 18976 PHYSICIAN SERVICES ABINGTON PHYSICIANS 605 N Bethlehem Pike Lower Gwynedd PA 19002 PHYSICIAN SERVICES LAWNDALE INTERNAL MED HV 400 C HUNTINGDON PIKE ROCKLEDGE PA 19046 PHYSICIAN SERVICES ABINGTON PHYSICIANS 8250 Old York 2nd Floor Elkins Park PA 19027 PHYSICIAN SERVICES ABINGTON PHYSICIANS 1010 Horsham Road North Wales PA 19454 PHYSICIAN SERVICES ABINGTON PHYSICIANS 1200 Old York Road Abington PA 19001 PHYSICIAN SERVICES FEASTERVILLE FAMILY HEALTH 1665 BUSTLETON PIKE FEASTERVILLE PA 19053 PHYSICIAN SERVICES BUXMONT PRIMARY CARE 501 STREET ROAD SUITE 101 SOUTHAMPTON PA 18966 PHYSICIAN SERVICES UROLOGY 711 Lawn Ave Bldg 2 Sellersville PA 18960 PHYSICIAN SERVICES FLOURTOWN PHYSICIAN OFFICES 1811 Bethlehem Pike Flourtown PA 19031 PHYSICIAN SERVICES ABINGTON PHYSICIANS 2301 Huntingdon Pike Huntingdon Valley PA 19006 PHYSICIAN SERVICES GWYNEDD FAMILY MEDICINE 1600 HORIZON DRIVE SUITE 117 Chalfton PA 18914 PHYSICIAN SERVICES ABINGTON PHYSICIANS 1245 Highland Avenue Abington PA 19001 PHYSICIAN SERVICES ABINGTON PRIMARY CARE 1400 OLD YORK ROAD SUITE A ABINGTON PA 19001 PHYSICIAN SERVICES FAMILY CARE MEDICAL CENTER 1700 HORIZON DRIVE SUITE 203 CHALFONT PA 18914 PHYSICIAN SERVICES ABINGTON PHYSICIANS 7848 OLD YORK ROAD Elkins Park PA 19027 PHYSICIAN SERVICES HORSHAM FAMILY PRACTICE 1116 HORSHAM ROAD SUITE 10 AMBLER PA 19002 PHYSICIAN SERVICES WOMEN HEALTH CARE GROUP 1045 BUSTLETON PIKE FEASTERVILLE PA 19053 PHYSICIAN SERVICES WOMEN HEALTH CARE GROUP 7996 OXFORD AVE PHILADELPHIA PA 19111 PHYSICIAN SERVICES AMH PHYSICAL THERAPYREHABILITATION SVCS 250 North Bethlehem Pike Ambler PA 19002 OUTPATIENT SERVICES ABINGTON PRIMARY WOMEN HEALTH 11 Friends Lane Newtown PA 18940 PHYSICIAN SERVICES SCHEDULE H, PART I, LINE 3C AMH IS COMMITTED TO PROVIDING MEDICAL CARE IN A CARING AND COMPASSIONATE MANNER REGARDLESS OF THE PATIENT'S FINANCIAL CIRCUMSTANCES, IN COMPLIANCE WITH THE DEPARTMENT OF TREASURY INTERNAL REVENUE SERVICE SECTION 501(R). THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ("FAP") EXISTS TO OFFER FINANCIAL ASSISTANCE FOR MEDICALLY NECESSARY CARE TO BOTH UNINSURED AND UNDER-INSURED INDIVIDUALS BASED UPON THEIR ABILITY TO PAY. THE GRANTING OF FINANCIAL ASSISTANCE WILL NOT TAKE INTO ACCOUNT AGE, GENDER, RACE, SOCIAL STATUS, SEXUAL ORIENTATION OR RELIGIOUS AFFILIATION. PATIENTS SEEKING EMERGENCY CARE SHALL BE TREATED WITHOUT REGARD TO ABILITY TO PAY FOR SUCH CARE. AS REFLECTED IN SCHEDULE H, PART V, SECTION B, QUESTION 13, IN ADDITION TO FEDERAL POVERTY GUIDELINES ("FPG") AMH USES THE FOLLOWING CRITERIA WHEN DETERMINING A PATIENT'S ELIGIBILITY FOR FREE OR DISCOUNTED FINANCIAL ASSISTANCE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. IN ACCORDANCE WITH THE ORGANIZATION'S FAP, A PATIENT MAY QUALIFY FOR DISCOUNTS ON MEDICAL CARE IF THERE IS NO HEALTH INSURANCE AVAILABLE, OR HAS HEALTH INSURANCE, BUT THAT INSURANCE DOES NOT FULLY COVER THE MEDICAL CARE NEEDED, SUCH AS EXHAUSTED BENEFITS, AND ALL OF THE FOLLOWING APPLY: - THE PATIENT IS NOT ELIGIBLE FOR STATE MEDICAL ASSISTANCE OR OTHER AVAILABLE ASSISTANCE PROGRAMS; - THE PATIENT MEETS THE CRITERIA FOR FINANCIAL ASSISTANCE DESCRIBED IN THIS POLICY; AND - THE PATIENT PROVIDES THE NECESSARY DOCUMENTS AND COMPLETES NECESSARY PAPERWORK. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON FINANCIAL NEED. PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF FEDERAL POVERTY LEVEL ("FPL") ARE ELIGIBLE FOR 100% COMPASSIONATE CARE (FREE CARE). PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% BUT LESS THAN OR EQUAL TO 500% OF FEDERAL POVERTY LEVEL ("FPL") ARE ELIGIBLE FOR PARTIAL COMPASSIONATE CARE (DISCOUNTED CARE). ELIGIBILITY FOR FINANCIAL ASSISTANCE IS ALSO DETERMINED BY THE PATIENT'S OR GUARANTOR'S ABILITY TO PAY AFTER ALL INSURANCE HAS BEEN UTILIZED OR LIQUID RESOURCES EXHAUSTED (EXCLUDING RETIREMENT FUNDS). AMH WILL NOT CONSIDER THE PATIENT'S HOUSE, CAR, RETIREMENT ACCOUNTS, AND OTHER "NON-LIQUID" ASSETS. HOWEVER, IT IS RECOGNIZED THAT THERE IS A SMALL PERCENT OF THE UNINSURED PATIENT POPULATION THAT HAS SUBSTANTIAL ASSETS AND COULD EASILY AFFORD TO PAY FOR HEALTHCARE SERVICES, BUT WHOM, BECAUSE OF HAVING TAX-EXEMPT INCOME, WILL NOT HAVE INCOME REFLECTED ON A TAX RETURN. SUCH INDIVIDUALS MAY NOT QUALIFY FOR FINANCIAL ASSISTANCE. FOR UNINSURED PATIENTS, THERE IS AN AUTOMATIC INITIAL DISCOUNT WHICH SHALL EQUATE TO AN AMOUNT NO GREATER THAN 115% OF THE MEDICARE FEE SCHEDULE. A PATIENT UNABLE TO PAY THE UNINSURED RATE IS ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I, QUESTION 7 WORKSHEETS 2 AND 3 WERE USED TO CALCULATE THE COST TO CHARGE RATIO FOR FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID. ALL OTHER COSTS WERE EITHER OBTAINED FROM THE HOSPITAL'S COST ACCOUNTING, COST REPORTING OR GENERAL LEDGER SYSTEMS. The organization has included within subsidized health services various services because it meets an identified community need. A service meets an identified community need because it was identified in one of its most recent CHNA's or identified through other means and the organization reasonably feels that if the organization no longer offered the service: (1) the service would be unavailable in the community; (2) the community's capacity to provide the service would be below the community's need; or (3) the service would become the responsibility of government or another tax-exempt organization. Subsidized health services include funding to support certain professional physician services and various other hospital and healthcare system programs in accordance with the above criteria. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. SCHEDULE H, PART III, SECTION A; LINES 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS INTERNAL FINANCIAL STATEMENTS. THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. PLEASE REFER TO THE NET PATIENT SERVICE REVENUE SECTION WITHIN FOOTNOTE 1 (PAGES 10 & 11) OF THE SYSTEM'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION ON THIS TOPIC AND THE REPORTING OF THE NETWORK'S REVENUE RECOGNITION. SCHEDULE H, PART III, SECTION B; LINE 8 MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT FILED BY THE ORGANIZATION. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE INTERNAL REVENUE SERVICE ("IRS"). THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE", A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE: IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3) 1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007, WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THERE ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 10% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS SCHEDULE H, PART III, SECTION C; QUESTION 9B AMH PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES WITHOUT REGARD TO A PATIENT'S ABILITY TO PAY. TO FULFILL ITS MISSION OF PROVIDING COMPASSIONATE, HIGH-QUALITY CARE TO ALL PATIENTS IT SERVES, AMH MUST ALSO ENSURE ITS OWN FINANCIAL VIABILITY. IN ORDER TO SECURE REIMBURSEMENT OF COSTS FOR SERVICES PROVIDED, EVERY EFFORT IS MADE TO ASSIST PATIENTS IN OBTAINING INSURANCE COVERAGE THROUGH MEDICAL ASSISTANCE (MA), CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) OR OTHER FEDERAL, STATE, OR CITY CARE COVERAGE SOURCES. AMH PROVIDES FINANCIAL ASSISTANCE TO THOSE PATIENTS WHO ARE UNABLE TO PAY BASED UPON THE ELIGIBILITY CRITERIA INCLUDED IN THEIR FINANCIAL ASSISTANCE POLICY. BILLING & COLLECTION EFFORTS ---------------------------- WHILE QUALIFICATION FOR FINANCIAL ASSISTANCE IS IDEALLY DETERMINED PRIOR TO, OR AT THE TIME OF SERVICE, AMH CONTINUES TO REVIEW SUCH DETERMINATIONS AS OTHER FINANCIAL RESOURCES ARE DISCOVERED DURING THE BILLING AND COLLECTION PROCESS. AFTER AN UNINSURED OR UNDER-INSURED PATIENT'S ACCOUNT IS REDUCED TO THE UNINSURED DISCOUNT OR THE FINANCIAL ASSISTANCE DISCOUNT RATE, WHICHEVER IS APPLICABLE, THE PATIENT IS RESPONSIBLE FOR THE REMAINDER OF ANY OUTSTANDING PATIENT BALANCES. PATIENTS WILL RECEIVE AN INITIAL STATEMENT INDICATING THEIR BALANCE DUE ALONG WITH INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND WHO TO CONTACT. SELF-PAY BALANCES GO THROUGH A PRE-COLLECTION AGENCY PLACEMENT PROCESS THAT MAY ENTAIL THE MAILING OF STATEMENTS OR LETTERS AND/OR PHONE CALLS IN ORDER TO COLLECT PAYMENT ON OPEN BALANCES. ONCE OPEN BALANCE ACCOUNTS COMPLETE THE PRE-COLLECTION DUNNING CYCLE, (90 DAYS OR MORE) WITH NO PAYMENT OR PROOF OF ELIGIBILITY FOR FINANCIAL ASSISTANCE OR OTHER PROGRAMS, THE ACCOUNTS ARE TRANSFERRED TO A LONG-TERM, INTEREST-FREE AGENCY PARTNER WHO WILL ALLOW PATIENTS TO EXTEND THEIR PAYMENT AND CONSIDER A MONTHLY RATE THAT MAY BETTER MEET THEIR FINANCIAL NEEDS. UPON THE PATIENT EITHER FAILING TO ENGAGE WITH THE VENDOR OR DEFAULTING ON ANY ARRANGEMENT, THE ACCOUNT WILL BE RETURNED. WHEN THE ACCOUNT IS RETURNED WITH AN UNPAID BALANCE, THE ACCOUNTS THEN GO THROUGH A PRESUMPTIVE CHARITY DETERMINATION. ANY ACCOUNTS MEETING PRESUMPTIVE CHARITY CRITERIA ARE ADJUSTED WITH A "PRESUMPTIVE CHARITY" TRANSACTION CODE. REMAINING DEBIT BALANCE ACCOUNTS ARE TRANSFERRED TO A PROFESSIONAL COLLECTION AGENCY IF THE BALANCE IS UNDER $5,000.00. IF $5,000.00 OR HIGHER, THE ACCOUNTS ARE REFERRED TO A LAW AGENCY.IF A FINANCIAL ASSISTANCE APPLICATION AND APPROPRIATE SUPPORTING DOCUMENTS HAVE BEEN SUBMITTED AND A DECISION IS PENDING, THE ACCOUNT WILL BE HELD FROM AGENCY PLACEMENT. IN SOME CASES, A PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE MAY NOT HAVE BEEN IDENTIFIED PRIOR TO SENDING THE ACCOUNT TO AN EXTERNAL COLLECTION AGENCY. EACH AGENCY WILL BE MADE AWARE OF THE FINANCIAL ASSISTANCE POLICY AND WILL WORK WITH THE PROVIDER TO ASCERTAIN PATIENT ELIGIBILITY. EXTRAORDINARY COLLECTION ACTIONS ("ECAS") WILL NOT BE UNDERTAKEN DURING THE INITIAL NOTIFICATION PERIOD OF THE 120 DAYS FROM THE FIRST POST-DISCHARGE BILLING STATEMENT AND UNTIL SUCH TIME AS A 30 DAY INITIATION OF ECA NOTICE HAS BEEN SENT TO THE INDIVIDUAL. THE 30 DAY ECA INITIATION NOTICE WILL CONTAIN THE ECA ACTION THAT THE PROVIDER INTENDS TO UNDERTAKE AND THE DATE AT WHICH TIME THIS WOULD OCCUR. A COPY OF THE ORGANIZATION'S PLAIN LANGUAGE SUMMARY WILL ACCOMPANY THE 30-DAY ECA INITIATION NOTICE. IF THE PATIENT SUBMITS A FINANCIAL ASSISTANCE APPLICATION, AMH WILL SUSPEND ANY ECAS UNTIL THE PATIENT'S FINANCIAL ASSISTANCE ELIGIBILITY IS DETERMINED AND THE PATIENT IS INFORMED OF THEIR ELIGIBILITY. IF A PATIENT ACCOUNT IS REFERRED TO AN OUTSIDE AGENCY, THAT AGENCY MUST FIRST AGREE TO ABIDE BY AMH'S FINANCIAL ASSISTANCE POLICY IN RELATION TO ITS COLLECTION EFFORTS. NO EXTERNAL COLLECTION AGENCY IS PERMITTED TO ENGAGE IN ECAS UNLESS AUTHORIZED BY AMH. AFTER THE ABOVE-DESCRIBED STEPS HAVE BEEN TAKEN, AMH MAY USE ECAS WITH THE RESPECT TO THE PATIENT ACCOUNT OF AN UNINSURED OR UNDER-INSURED AND MAY FURTHER CONSIDER LEGAL ACTION AS APPROPRIATE. THE SYSTEM'S GENERAL COUNSEL IS REQUIRED TO APPROVE ALL LAWSUITS PRIOR TO THE ECA COMMENCING. FINAL AUTHORITY FOR DETERMINING THAT AMH HAS MADE ADEQUATE ATTEMPTS TO INFORM A PATIENT OF THE FINANCIAL ASSISTANCE POLICY, AND THUS MAY INITIATE THE USE ECAS, RESTS WITH THE ORGANIZATION'S VICE PRESIDENT OF REVENUE CYCLE OPERATIONS. SCHEDULE H, PART VI; QUESTION 2 AS A NON-PROFIT INTERNAL REVENUE CODE 501(C)(3) ORGANIZATION, ABINGTON HEALTH ("AH") HAS A STRONG MISSION OF COMMUNITY SERVICE AND OUTREACH. THE COLLABORATIVE PROCESS FOR AH INCLUDING ABINGTON MEMORIAL HOSPITAL AND LANSDALE HOSPITAL BEGAN IN THE SUMMER 2021. RECOGNIZING THAT HOSPITALS AND HEALTH SYSTEMS OFTEN MUTUALLY SERVE THE SAME COMMUNITIES, A GROUP OF LOCAL HOSPITALS AND HEALTH SYSTEMS HAVE AGAIN COLLABORATED ON A SOUTHEASTERN PA (SEPA) REGIONAL CHNA (RCHNA), WITH SPECIFIC FOCUS ON BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA COUNTIES. THIS COLLABORATIVE RCHNA OFFERED: INCREASED COLLABORATION AMONG LOCAL HOSPITALS/HEALTH SYSTEMS SERVING THIS REGION; REDUCED DUPLICATION OF ACTIVITIES AND COMMUNITY BURDEN FROM PARTICIPATION IN MULTIPLE COMMUNITY MEETINGS; REDUCED HOSPITAL/HEALTH SYSTEM COSTS IN RCHNA REPORT DEVELOPMENT; OPPORTUNITIES FOR SHARED LEARNING; ESTABLISHMENT OF A STRONG FOUNDATION FOR COORDINATED EFFORTS TO ADDRESS HIGHEST PRIORITY COMMUNITY NEEDS. THE COLLABORATIVE APPROACH: HOSPITALS AND HEALTH SYSTEMS AND SUPPORTING PARTNERS COLLABORATIVELY DEVELOPED THE RCHNA THAT OUTLINES HEALTH PRIORITIES FOR THE REGION. THE HOSPITALS AND HEALTH SYSTEMS WILL PRODUCE IMPLEMENTATION PLANS THAT MAY INVOLVE FURTHER COLLABORATION TO ADDRESS SHARED PRIORITIES. FROM JULY 2021 TO JUNE 2022, THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH (PDPH) LED COLLECTION OF A VARIETY OF QUANTITATIVE INDICATORS OF HEALTH OUTCOMES AND FACTORS INFLUENCING HEALTH FROM A VARIETY OF DATA SOURCES. DATA COLLECTION INCLUDED PDPH SYNTHESIZED FINDINGS OF HIGH PRIORITY AREAS; PRIORITIES WERE RANKED USING A MODIFIED HANLON METHOD. AT THE SAME TIME, COMMUNITY STAKEHOLDER INPUT PROCESS EVOLVED: COMMUNITY MEETINGS WERE COORDINATED BY HEALTH CARE IMPROVEMENT FOUNDATION (HCIF) AND PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS (PACDC) AND FACILITATED BY TWO IN QUALITATIVE DATA ANALYSIS AND COLLECTION. STAKEHOLDER FOCUS GROUPS WERE CONDUCTED BY HCIF. IN PARTNERSHIP WITH THE STEERING COMMITTEE OF REPRESENTATIVES FROM PARTNERING HOSPITALS AND HEALTH SYSTEMS, THE PROJECT TEAM, COMPOSED OF STAFF FROM THE PDPH AND HCIF AND PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS (PACDC) DEVELOPED A COLLABORATIVE, COMMUNITY-ENGAGED APPROACH THAT INVOLVED COLLECTING AND ANALYZING QUANTITATIVE AND QUALITATIVE DATA AND AGGREGATING DATA FROM A VARIETY OF SECONDARY SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. THE ASSESSMENT RESULTED IN A LIST OF PRIORITY HEALTH NEEDS THAT WILL BE USED BY THE PARTICIPATING HOSPITALS AND HEALTH SYSTEMS TO DEVELOP IMPLEMENTATION PLANS OUTLINING HOW THEY WILL ADDRESS THESE NEEDS INDIVIDUALLY AND IN COLLABORATION WITH OTHER PARTNERS. QUANTITATIVE DATA WERE ACQUIRED FROM LOCAL, STATE AND FEDERAL SOURCES AND FOCUSED ON INDICATORS THAT WERE UNIFORMLY AVAILABLE AT THE ZIP CODE LEVEL ACROSS THE REGION. THE PDPH TEAM, WHICH INCLUDED EXPERTS IN EPIDEMIOLOGICAL AND GEOSPATIAL ANALYSES, COMPILED, ANALYZED, AND AGGREGATED OVER 60 HEALTH INDICATORS ENCOMPASSING DATA ON COMMUNITY DEMOGRAPHIC CHARACTERISTICS, COVID-19, CHRONIC DISEASE AND HEALTH BEHAVIORS, INFANT AND CHILD HEALTH, BEHAVIORAL HEALTH, INJURIES, ACCESS TO CARE AND SOCIAL AND ECONOMIC CONDITIONS. HCIF, GUIDED BY A QUALITATIVE TEAM COMPOSED OF A SUBSET OF STEERING COMMITTEE REPRESENTATIVES OF THE HEALTH SYSTEMS, COORDINATED THE QUALITATIVE COMPONENTS OF THE ASSESSMENT, WHICH INCLUDED:26 VIRTUAL FOCUS GROUP-STYLE "COMMUNITY CONVERSATIONS" HELD TO GATHER INPUT FROM RESIDENTS OF GEOGRAPHIC COMMUNITIES ACROSS ALL FIVE COUNTIES; 21 VIRTUAL FOCUS GROUP DISCUSSIONS CENTERED ON "SPOTLIGHT" TOPICS CONDUCTED WITH COMMUNITY ORGANIZATIONS AND LOCAL GOVERNMENT AGENCY REPRESENTATIVES. TOPICS COVERED INCLUDED BEHAVIORAL HEALTH, CHRONIC DISEASE, FOOD INSECURITY, HOUSING AND HOMELESSNESS, OLDER ADULTS AND CARE, RACISM AND DISCRIMINATION IN HEALTH CARE, SUBSTANCE USE, AND VIOLENCE. TWO EXPERTS IN QUALITATIVE DATA COLLECTION AND ANALYSIS ENGAGED AS QUALITATIVE LEAD CONSULTANTS FACILITATED ALL OF THESE DISCUSSIONS, ANALYZED THE QUALITATIVE DATA, AND SUMMARIZED KEY FINDINGS. IN ADDITION, THE PROJECT TEAM EITHER UNDERTOOK DIRECTLY OR SUPPORTED PARTNERS WITH TARGETED PRIMARY DATA COLLECTION TO BETTER UNDERSTAND THE NEEDS OF PARTICULAR COMMUNITIES OR POPULATIONS. THESE FOCUS AREAS AND COMMUNITIES WERE EITHER SPECIFIC TO DIFFERENT TYPE OF FACILITIES WITHIN PARTICIPATING HEALTH SYSTEMS (I.E., CANCER CENTERS, REHABILITATION FACILITIES OR REFLECTED GAPS IN THE 2019 RCHNA: CANCER; DISABILITY; IMMIGRANT, REFUGEE, AND HERITAGE COMMUNITIES; AND YOUTH VOICE. FINALLY, SECONDARY DATA IN THE FORM OF REPORTS AND SUMMARIES FROM OTHER COMMUNITY ENGAGEMENT EFFORTS WERE ALSO INCORPORATED INTO THE REPORT. ALL DATA WERE SYNTHESIZED BY HCIF STAFF AND A LIST OF 12 COMMUNITY HEALTH PRIORITIES WAS PRESENTED TO THE STEERING COMMITTEE. USING A MODIFIED HANLON RANKING METHOD, EACH PARTICIPATING HOSPITAL AND HEALTH SYSTEM RATED THE PRIORITIES. AN AVERAGE RATING WAS CALCULATED AND THE COMMUNITY HEALTH PRIORITIES WERE ORGANIZED IN PRIORITY ORDER BASED ON: SIZE OF HEALTH PROBLEM, IMPORTANCE TO THE COMMUNITY, CAPACITY OF HOSPITALS/HEALTH SYSTEMS TO ADDRESS, ALIGNMENT WITH MISSION AND STRATEGIC DIRECTION AND AVAILABILITY OF EXISTING COLLABORATIVE EFFORTS. POTENTIAL SOLUTIONS FOR EACH OF THE COMMUNITY HEALTH PRIORITIES, BASED ON FINDINGS FROM THE QUALITATIVE DATA COLLECTION WERE ALSO INCLUDED. THE COMMUNITY HEALTH DEPARTMENT, WORKING UNDER THE GUIDANCE OF THE ABINGTON HEALTH FOUNDATION'S REV. DR. MARTIN LUTHER KING JR. COMMUNITY BENEFIT AND DIVERSITY COMMITTEE IS RESPONSIBLE FOR DEVELOPING IMPLEMENTATION PLANS FOCUSING ON PRIORITY ISSUES AND MOST IMPORTANT HEALTH NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. AMH CONTINUES TO ATTEND LOCAL AND REGIONAL COMMUNITY ORGANIZATION MEETINGS AND COUNTY COLLABORATIVES FOR THE GREATER ABINGTON AREA. REGIONAL COUNTY COLLABORATIVES INCLUDE THE HEALTHCARE SYSTEM WITH REPRESENTATION FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, EMERGENCY HEALTH PROVIDERS AND OTHER COMMUNITY HEALTH LEADERS. AMH WORKED WITH AREA HOSPITALS AND NON-PROFITS TO FORM THE MONTGOMERY COUNTY HEALTH ALLIANCE WHICH RECEIVED PA STATE DESIGNATION OF SHIP STATUS (STATE HEALTH IMPROVEMENT PLAN). IN ADDITION, DURING THE CHNA PROCESS, ABINGTON HEALTH CONTINUED TO PARTICIPATE IN COACH WHICH FOCUSED ON FOOD INSECURITY, FUTURE RCHNA, AND TRAUMA INFORMED CARE AND MENTAL HEALTH. COMMUNITY HEALTH AND BEHAVIORAL HEALTH LEADERS IN FY22 CONNECTED WITH LOCAL CHAPTERS OF NAMI (NATIONAL ALLIANCE ON MENTAL ILLNESS) TO COLLABORATE AND ENGAGE REFERRALS. DURING COVID-19, MANY SUPPORT GROUPS WENT VIRTUAL AND AMH LEADERS OBTAINED INFORMATION AND SHARED WITH WORKFORCE AND THE COMMUNITY. CHRONIC CARE PATIENTS WERE OFFERED THIS INFORMATION. THESE SAME LEADERS CONTINUED TO WORK DURING THIS RCHNA CYCLE WITH THE REGIONAL OVERDOSE PREVENTION COUNCIL; JEFFERSON'S OPIOID TASK FORCE AND CONTINUED WITH THE WORK ON THE JEFFERSON HEALTH OPIOID COUNCIL WHICH INCLUDES HOSPITAL LEADERSHIP AND KEY COMMUNITY STAKEHOLDERS AND PUBLIC SAFETY, PUBLIC HEALTH PROFESSIONALS WITH MONTGOMERY COUNTY AND COUNTY AND LOCAL PUBLIC OFFICIALS. A NEWSLETTER WAS DEVELOPED DURING THE 2019-22 RCHNA CYCLE WITH 6 EDITIONS. SCHEDULE H, PART VI; QUESTION 3 AMH IS COMMITTED TO PROVIDING MEDICAL CARE IN A CARING AND COMPASSIONATE MANNER REGARDLESS OF THE PATIENT'S FINANCIAL CIRCUMSTANCES. ADDITIONALLY, THE ORGANIZATION WIDELY PUBLICIZES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ORDER TO ENCOURAGE ITS PATIENTS TO APPLY, IF THEY ARE ELIGIBLE. THE FOLLOWING MEASURES ARE USED TO PUBLICIZE THIS POLICY TO THE COMMUNITY AND PATIENTS. COMMUNICATION IS WRITTEN IN CONSUMER-FRIENDLY TERMINOLOGY AND IN LANGUAGES THAT PATIENTS CAN UNDERSTAND. AMH PROVIDES TRAINING TO APPROPRIATE ADMINISTRATIVE AND CLINICAL STAFF THAT INTERACT WITH PATIENTS ABOUT FINANCIAL ASSISTANCE AVAILABILITY, HOW TO COMMUNICATE THAT AVAILABILITY TO PATIENTS, AND HOW TO DIRECT PATIENTS TO APPROPRIATE FINANCIAL ASSISTANCE STAFF. IN ADDITION, THE HOSPITAL PROVIDES AN UPDATED CLINIC BOOKLET AND FACT SHEET ON CONTACT INFORMATION TRANSLATED INTO SEVERAL LANGUAGES, POSTED TO THE WEBSITE AND SHARED WITH KEY COMMUNITY STAKEHOLDERS. COMMUNITY NOTIFICATION ---------------------- THIS ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, APPLICATION FORMS AND A PLAIN LANGUAGE SUMMARY ARE MADE AVAILABLE TO THE COMMUNITY IN ENGLISH AS WELL AS ANY PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH THAT CONSTITUTE THE LESSER OF 5% OR 1,000 INDIVIDUALS, WHICHEVER IS LESS, OF THE PRIMARY COMMUNITIES SERVED AND POSTED TO THE HEALTH SYSTEM'S WEBSITE. THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORMS, AND PLAIN LANGUAGE SUMMARY ARE ALSO MADE AVAILABLE, FREE OF CHARGE AS FOLLOWS: 1) ON THE AMH WEBSITE AT HTTPS://WWW.JEFFERSONHEALTH.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE 2) BY MAIL WHEN A PATIENT CALLS OR CONTACTS AMH'S FINANCIAL SERVICES UNIT AT (833)-958-2198 3) IN PERSON, WITHOUT APPOINTMENT, AT THE FOLLOWING HOSPITAL LOCATIONS: AMH'S FINANCIAL SERVICES UNIT WIDENER BUILDING, 1ST FLOOR 1200 OLD YORK ROAD ABINGTON, PA 19001 4) AS PART OF THE INTAKE OR DISCHARGE PROCESS, PAPER COPIES OF THE PLAIN LANGUAGE SUMMARY ARE OFFERED TO INDIVIDUALS WHO ARE PROVIDED CARE BY THE FACILITY. PERSONAL NOTIFICATION --------------------- AMH USES REASONABLE EFFORTS TO NOTIFY PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY. THE FOLLOWING ARE METHODS TO NOTIFY PATIENTS: 1) AT THE TIME OF SCHEDULING, PRE-REGISTRATION, OR REGISTRATION OF ELECTIVE SERVICES, THE PATIENT WILL BE ASKED FOR INSURANCE COVERAGE. IF THE PATIENT IS AN UNINSURED PATIENT, THE PATIENT WILL BE INFORMED OF THE FINANCIAL ASSISTANCE POLICY AND, IF REQUESTED, WILL BE PROVIDED A PLAIN LANGUAGE SUMMARY OF THE POLICY UNLESS THE TREATING PHYSICIAN ADVISES THE FINANCIAL COUNSELOR OR REGISTRATION REPRESENTATIVE THAT SUCH TREATMENT IS MEDICALLY NECESSARY, PATIENTS REQUESTING NON-EMERGENT ADMISSIONS OR OUTPATIENT SERVICES WILL NOT BE SCHEDULED FOR SERVICES UNTIL THE PATIENT HAS COMPLIED WITH MEETING THEIR FINANCIAL OBLIGATIONS. 2) IN THE CASE OF EMERGENCY OR URGENT SERVICES THAT ARE NOT SCHEDULED, A FINANCIAL COUNSELOR OR PATIENT REPRESENTATIVE WILL VISIT AS NECESSARY, WITH PATIENTS, IN PERSON, AT SERVICE SITES. 3) ALL BILLING STATEMENTS INCLUDE A REFERENCE TO THE FINANCIAL ASSISTANCE POLICY AND A CONTACT NUMBER AND EMAIL ADDRESS AS WELL AS REFERENCE TO A WEB SITE FOR ACCESS TO MORE INFORMATION. 4) STAFF WILL DISCUSS THE FINANCIAL ASSISTANCE POLICY, WHEN APPROPRIATE, DURING BILLING AND CUSTOMER SERVICE PHONE CONTACTS WITH PATIENTS. ADDITIONALLY, AMH PROVIDES FINANCIAL COUNSELING SERVICES TO GO OVER PATIENT BILLS AND ANSWER ANY QUESTIONS A PATIENT MAY HAVE. SCHEDULE H, PART VI; QUESTION 4 THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN PHILADELPHIA TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN ABINGTON TOWNSHIP, IN MONTGOMERY COUNTY, PENNSYLVANIA. MONTGOMERY COUNTY IS THE SECOND MOST POPULOUS COUNTY IN THE STATE WITH 62 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. AMH DEFINES ITS TARGETED SERVICE AREAS FOR COMMUNITY HEALTH IMPROVEMENT BY ZIP CODES IN BUCKS AND MONTGOMERY COUNTIES. THESE AREAS REPRESENT AREAS PROXIMATE TO THE HOSPITAL WHERE 75% OF ADMISSIONS RESIDE AND A TOTAL POPULATION OF 545,264. BUCKS COUNTY ZIPS: 18914, 18929, 18932, 18966, 18974, 18976. MONTGOMERY COUNTY ZIPS: 18915, 18936, 19001, 19002, 19009, 19012, 19025, 19027, 19031, 19034, 19038, 19040, 19044, 19046, 19075, 19090, 19095, 19422, 19436, 19437, 19438, 19446, 19454, 19477, 18964, 18969, 19006, 19440. THE DEMOGRAPHICS INCLUDE THE AGE DISTRIBUTION OF 23.4% FOR 0-19 YEARS OF AGE; 28.4%of 20-44 YEARS OF AGE, 29.2% FOR 45-64 YEARS OF AGE AND 19% FOR 65+. INCOME DISTRIBUTION INCLUDES THE MEDIAN HOUSEHOLD INCOME AT $99,067. THE RACIAL COMPOSITION INCLUDES 79% WHITE, 7.8% ASIAN, 6.9% BLACK, 4.4% HISPANIC/LATINO AND 2% OTHER. AMH GEOGRAPHICALLY DEFINED ITS COMMUNITY BENEFIT AREA BY REGION IN THE FOLLOWING WAY: NORTH PENN, INDIAN VALLEY, WILLIAM TENNENT, CENTRAL BUCKS, LOWER EASTERN, ABINGTON, UPPER DUBLIN WITH ALL ZIP CODES DOCUMENTED IN THE RCHNA. SCHEDULE H, PART VI; QUESTION 5 ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS WHERE OPENINGS EXIST. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. FY22 COVID-19 PANDEMIC PROGRAM IMPACT AND ADJUSTMENTS AMH: COMMUNITY HEALTH CONTINUED TO PROVIDE SOME VIRTUAL PROGRAMMING AND SLOWLY RE-EMERGED INTO THE COMMUNITY PROVIDING MORE AND MORE IN-PERSON BLOOD PRESSURE SCREENINGS, HEALTH FAIRS AND COMMUNITY EVENTS. IN FY22, 142 WELLNESS CALLS; 1,325 TOTAL BLOOD PRESSURE, 578 TELEPHONIC BLOOD PRESSURE SCREENINGS, 747 IN PERSON BLOOD PRESSURE SCREENINGS. IN ADDITION, 91 CPR CLASSES WITH 305 PARTICIPANTS; 22 HEART/STROKE EDUCATION EVENTS WITH 1,360 PARTICIPANTS. HOSPITAL WEBSITE PROVIDED 10 PAGES OF ARTICLES RELATED TO CARDIOVASCULAR DISORDERS, RESULTING IN 11,761 UNIQUE VIEWS OF THESE PAGES BY THE COMMUNITY. FOR STROKE:STROKE EDUCATION SPIN WHEEL PRESENTED TO A TOTAL OF 801 COMMUNITY MEMBERS AT 15 EVENTS; STROKE PREVENTION/EDUCATION PRESENTED TO A TOTAL OF 168 COMMUNITY MEMBERS IN A VARIETY OF SETTINGS; SENIOR CENTERS, LOW INCOME SENIOR LIVING FACILITIES, FAITH COMMUNITIES AND KOREAN SENIOR PROGRAMS. HOSPITAL WEBSITE PROVIDED 3 PAGES OF ARTICLES RELATED TO STROKE EDUCATION, RESULTING IN 7,835 UNIQUE VIEWS OF THESE PAGES BY THE COMMUNITY. 11 CPR AND FIRST AID CLASSES HELD WITH 57 PARTICIPANTS AND 82 INDIVIDUALS ATTENDED ASTHMA EDUCATION RELATED TOPIC IN 8 VIRTUAL PRESENTATIONS IN FY22. THE FAITH COMMUNITY NURSE COUNCIL PROVIDED "RESILIENCE, HOPE AND FAITH CONNECTION FOR 36 PARTICIPANTS; "TRAUMA 102 TRAINING" FOR 38 PARTICIPANTS; "DIVERSITY, EQUITY AND INCLUSION IN FAITH COMMUNITIES" FOR 29 PARTICIPANTS; "LGBTQ+" FOR 30 PARTICIPANTS. 70 INDIVIDUALS ATTENDED 6 VIRTUAL COMMUNITY PRESENTATIONS ON "EXPLORING NUTRITION. LEADERS COLLABORATIVELY REPORTED ON SUBSTANCE USE DISORDERs AND THE OPIOID EPIDEMIC. WHILE SOME PLANS WERE SUSPENDED, AMH CONTINUED WITH THE WARM HAND OFF AND OUR COMMUNITY PARTNER, COMMUNITY EDUCATION AS WELL AS PROMOTION ON DRUG TAKE BACK CONTINUED. A PROJECT FOR DISTRIBUTION OF NARCAN KITS IN HOSPITAL EMERGENCY ROOMS/TRAUMA CENTER CONTINUED IN FY22 WITH PHILANTHROPY, BEHAVIORAL HEALTH AND COMMUNITY HEALTH LEADERS. THE SUBSTANCE USE DISORDER COMMITTEE FOCUSED ON IDENTIFICATION AND SCREENING FOR ALCOHOL FOR INPATIENTS AND REFERRALS TO RESOURCES. DURING COVID-19, COMMUNITY HEALTH, WORKING WITH KEY COMMUNITY STAKEHOLDERS, COMPILED RESOURCES THAT WENT VIRTUAL AND COMMUNICATED EFFECTIVELY TO INTERNAL AND EXTERNAL AUDIENCES. A NEW COMMUNITY RESOURCE LISTING WAS CREATED FOR CLERGY AND A VIRTUAL CLERGY EDUCATIONAL FORUM WAS HELD.A PROCESS AND PLAN BEGAN TO RETURN SUPPORT AND SELF- HELP GROUPS TO AMH IN FY23. A PARTNERSHIP WAS FORMED WITH THE COUNCIL OF SOUTHEASTERN PA, INC. FOR EDUCATIONAL WEBINARS ON SUBSTANCES WITH 5 CONDUCTED IN FY22. CREATED A PARTNERSHIP WITH "TEND TO HOPE", A LOCAL, NONPROFIT ORGANIZATION WHOSE MISSION IS TO PROVIDE SELF-CARE ITEMS AD HOPE-BUILDING RESOURCES TO INDIVIDUALS IN MENTAL HEALTH IN AMH'S BEHAVIORAL HEALTH INPATIENT UNIT, 80-100 PACKAGES WERE DISTRIBUTED FROM JANUARY - JUNE 2022.IN ADDITION, FOR BEHAVIORAL HEALTH, AMH SUPPORTED THE BUCKS MONT COLLABORATIVE'S VIRTUAL COMMUNITY SUMMIT "OUR EVOLVING JOURNEY: ADVERSE TO HEALING COMMUNITY ENVIRONMENTS" WITH OVER 186 PARTICIPANTS AND LEADERSHIP FROM AMH ACTIVELY INVOLVED WITH THE PLANNING AND COORDINATION. THIS LED TO FURTHER ENGAGEMENT AND THE CREATION OF THE BUCKS MONT TRAUMA COALITION. AMH'S WEBSITE PROVIDED 3 PAGES OF ARTICLES OF ISSUES RELATIVE TO BEHAVIORAL HEALTH, RESULTING IN 65,652 UNIQUE VIEWS OF THESE PAGES BY THE COMMUNITY. SAFE HARBOR, FREE GRIEF PROGRAM FOR CHILDREN, TEEN AND THEIR FAMILIES RETURNED TO IN PERSON IN OCTOBER 2021, SERVING A TOTAL OF 183; 59 PARENTS/CAREGIVERS; 91 CHILDREN/TEENS/YOUNG ADULTS. IN SCHOOL PROGRAMMING WAS PROVIDED TO 33 SCHOOLCHILDREN. CAMP CHARLIE WAS HELD IN PERSON FOR A TOTAL OF 33 CHILDREN, WITH 14 BUDDIES AND 14 VOLUNTEERS. PASTORAL CARE PROVIDED VIRTUAL ADULT GRIEF GROUPS WITH 12 GROUPS HELD WITH 47 ATTENDEES. BEHAVIORAL HEALTH RESOURCE COORDINATOR RECEIVED 946 CALLS SEPTEMBER-JUNE IN FY22. CHRONIC DISEASE PREVENTION: PRIOR TO COVID-19, PROGRAMMING HAD BEEN ROBUST. DUE TO COVID-19, SOME COMMUNITY HEALTH EDUCATION EVENTS AND SCREENINGS WERE CANCELED, HOWEVER, REQUESTS CAME IN FROM THE COMMUNITY IN THE FALL AND SPRING SEASONS OF FY22 WHICH WERE ABLE TO BE MET.THROUGH SOCIAL MEDIA AND THE HOSPITAL'S NEWSLETTERS AND WEBSITE, EFFORTS WERE MADE TO INCREASE AWARENESS OF WEARING MASKS AND SOCIAL DISTANCING. IN ADDITION, COMMUNITY HEALTH NURSES CALLED CHRONIC CARE MANAGEMENT PATIENTS, AS WELL AS CLIENTS FROM SENIOR CENTERS OR THOSE WHO VISITED MONTHLY BLOOD PRESSURE SCREENINGS TO CHECK IN, ASK ABOUT FOOD SECURITY, CURRENT MENTAL HEALTH STATUS AND PROVIDE HEALTH EDUCATION. THESE OUTREACH CALLS WERE WELL RECEIVED FROM FEEDBACK SHARED AND WORKED TO DECREASE SOCIAL ISOLATION. FOR OLDER ADULTS THE MEMORY FITNESS CENTER CONTINUED. "HELP YOURSELF TO HEALTHY LIVING" WAS PROVIDED VIRTUALLY AND IN PERSON DURING FY22 IN TWO AREA SENIOR CENTERS AND TWO LOW INCOME SENIOR LIVING FACILITIES, AND PROGRAMS WERE HELD FOR DEVELOPMENTALLY DISABLED ADULTS. "FIND HELP"/FORMERLY AUNT BERTHA PLATFORM AVAILABLE IN MULTIPLE LANGUAGES PROVIDED VIA AMH COMMUNITY RESOURCES SEARCHABLE WEBSITE AS WELL AS IN EPIC. IN MAY -JUNE 2022, AMH NUTRITION SERVICES BEGAN A PARTNERSHIP WITH MEANS DATABASE AND THEIR PROCESS TO REDUCE FOOD WASTE AND RE-ROUTE THAT FOOD TO THOSE IN NEED. 450 LBS. OF FOOD WHERE DONATED TO TWO DIFFERENT NONPROFIT ORGANIZATIONS TO FEED THE HUNGRY. SCHEDULE H, PART VI; QUESTION 6 The organization is an affiliate within Thomas Jefferson University/Jefferson Health; a comprehensive professional university and tax-exempt integrated healthcare delivery system ("system"), with a tripartite mission of education, research and patient care. TJUH System, Abington Health, Jefferson Health - Northeast System, Kennedy Health System, Magee Rehabilitation Hospital and Albert Einstein Healthcare Network are integrated healthcare organizations that provide inpatient, outpatient and emergency care services through acute care, ambulatory care, physician and other primary care services for the residents of southern New Jersey and the greater Philadelphia region. TJU is the sole corporate member of these organizations. Outlined below is a summary of the entities which comprise the system: Thomas Jefferson University --------------------------- Thomas Jefferson University ("TJU") is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(1). TJU is the parent company that financially and corporately integrates Thomas Jefferson University among its subsidiary entities. TJU is an innovative health sciences University that conducts research and offers undergraduate and graduate instruction through the Sidney Kimmel Medical College at Thomas Jefferson University ("SKMC") as well as the Jefferson colleges of nursing, pharmacy, health professions, population health, rehabilitation sciences and life sciences. TJU's educational programs are fully accredited and it educates over 4,000 students annually. TJUH System ----------- TJUH System ("TJUHS") is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). TJUHS is the holding company to provide overall planning, management and support services for various other hospitals and other organizations. Thomas Jefferson University Hospitals, Inc. ------------------------------------------- Thomas Jefferson University Hospitals, Inc. includes Thomas Jefferson University Hospital, Jefferson Hospital for Neuroscience and Methodist Hospital (collectively referred to as TJUH). TJUH promotes the health of the communities it serves in southeastern Pennsylvania, southern New Jersey, and Delaware primarily by providing hospital, sub-acute, outpatient, and physician services and by providing facilities in which students, physicians, nurses, and other healthcare professionals are trained in a clinical setting. TJUH is recognized by the Internal Revenue Service as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, TJUH provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, national origin, gender, gender identity or expression, sexual orientation, age, status as an individual with a handicap/disability or ability to pay. Moreover, no individuals are denied necessary medical care, treatment or services. TJUH operates consistently with the criteria outlined in IRS revenue ruling 69-545. Emergency Transport Associates, Inc. ------------------------------------ Emergency Transport Associates, Inc. ("ETA") is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(2). ETA seeks to provide high quality air and ground medical transportation services to patients who are admitted to or discharged from Jefferson facilities. Jeffex, Inc. ------------ Jeffex, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). Jeffex, Inc. is a supporting organization of the system whose activities include operating a pharmacy for patients and employees. Jefferson Physician Services ---------------------------- Jefferson Physician Services ("JPS") is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization supports the charitable purposes, programs and services of the system; primarily its tax-exempt acute care hospitals, which provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, by practicing medicine, engaging in medical education and working to improve the welfare of individuals, the organization comprises a component of the clinical service physician practice plans of the system's teaching hospitals and is an integral part of these institutions. Jefferson Medical Care ---------------------- Jefferson Medical Care ("JMC") is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization supports the charitable purposes, programs and services of the system; primarily its tax-exempt acute care hospitals, which provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, by practicing medicine, engaging in medical education and working to improve the welfare of individuals, the organization comprises a component of the clinical service physician practice plans of the system's teaching hospitals and is an integral part of these institutions. The Jefferson Club (a/k/a Jefferson Faculty Club) ------------------------------------------------- The Jefferson Club a/k/a Jefferson Faculty Club ("JC") is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization is currently inactive. Jefferson University Physicians ------------------------------- Jefferson University Physicians ("JUP") is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization supports the charitable purposes, programs and services of the system; primarily its tax-exempt acute care hospitals, which provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, by practicing medicine, engaging in medical education and working to improve the welfare of individuals, the organization comprises a component of the clinical service physician practice plans of the system's teaching hospitals and is an integral part of these institutions. Jefferson University Physicians of New Jersey, P.C. --------------------------------------------------- Jefferson University Physicians of NJ, P.C. ("JUPNJ") is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization supports the charitable purposes, programs and services of the system; primarily its tax-exempt acute care hospitals, which provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, by practicing medicine, engaging in medical education and working to improve the welfare of individuals, the organization comprises a component of the clinical service physician practice plans of the system's teaching hospitals and is an integral part of these institutions. Methodist Associates in Healthcare, Inc. ---------------------------------------- Methodist Associates in Healthcare, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization supports the charitable purposes, programs and services of the system; primarily its tax-exempt acute care hospitals, which provide medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. In addition, by practicing medicine, engaging in medical education and working to improve the welfare of individuals, the organization comprises a component of the clinical service physician practice plans of th SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA AND NEW JERSEY. NO COMMUNITY BENEFIT REPORT IS REQUIRED TO BE FILED WITH EITHER PENNSYLVANIA OR NEW JERSEY. X X true true X X X X true true false false false false false true false ALISON L FERREN MBA PRESIDENT/COO - TRUSTEE 464320 0 151747 0 135101 0 133223 0 17106 0 901497 0 101554 0 ORLANDO C KIRTON MD CHAIR, DEPT OF SURGERY 701173 0 86250 0 46032 0 12039 0 23521 0 869015 0 0 0 DEBORAH A DATTE ESQ FORMER OFFICER 373706 0 110021 0 304147 0 51056 0 8815 0 847745 0 138481 0 DOUGLAS LASKE MD NEUROSURGEON 744544 0 0 0 10391 0 8550 0 23672 0 787157 0 0 0 MEGHAN O PATTON FORMER OFFICER 357585 0 164480 0 103071 0 113014 0 15737 0 753887 0 48112 0 MICHAEL YOON MD NEUROSURGEON 693539 0 0 0 6686 0 27234 0 25004 0 752463 0 0 0 JONAS J GOPEZ MD NEUROSURGEON 695580 0 0 0 7000 0 22071 0 23672 0 748323 0 0 0 WALTER SCOTT MD FACS THORACIC SURGEON 621209 0 42000 0 17595 0 5700 0 17910 0 704414 0 0 0 GERARD M CLEARY DO TRUSTEE - CMO 437748 0 137524 0 1008 0 22464 0 22943 0 621687 0 0 0 MARGARET M MCGOLDRICK FORMER OFFICER 0 0 0 0 600596 0 0 0 0 0 600596 0 0 0 EILEEN P JAMESON FORMER KEY EMPLOYEE 0 0 0 0 173291 0 58816 0 4935 0 237042 0 0 0 STACEY-ANN OKOTH DNP SVP PAT CARE SVS/CNO(EFF 7/21) 153185 0 30000 0 34433 0 0 0 3018 0 220636 0 0 0 CORE FORM, PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2021 FORMS W-2. SCHEDULE J, PART I; QUESTION 1 THE ORGANIZATION'S SENIOR VICE PRESIDENT, PATIENT CARE SERVICES AND CHIEF NURSING OFFICER RELOCATED TO THE COMMONWEALTH OF PENNSYLVANIA FROM ANOTHER PART OF THE UNITED STATES. IN ORDER TO FACILITATE THE RELOCATION OF HER PRIMARY RESIDENCE, THE ORGANIZATION PROVIDED A RELOCATION ALLOWANCE TO THIS INDIVIDUAL. THIS AMOUNT WAS INCLUDED IN HER 2021 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES AND IN SCHEDULE J, PART II, COLUMN B(III) HEREIN. THE ORGANIZATION MAINTAINS A FLEXIBLE BENEFIT PROGRAM ("EXECUFLEX BENEFIT PROGRAM") FOR CERTAIN OF ITS EXECUTIVE EMPLOYEES. THIS PROGRAM PROVIDES A FIXED DOLLAR AMOUNT, AND ENABLES PARTICIPATING EMPLOYEES TO ALLOCATE THE AMOUNT AMONG CERTAIN TAXABLE BENEFIT OPTIONS (I.E., ADDITIONAL LIFE INSURANCE COVERAGES, LONG-TERM CARE INSURANCE AND FINANCIAL OR TAX PLANNING ASSISTANCE) OR TO NONQUALIFIED DEFERRED COMPENSATION OPTIONS. THE ELECTIONS ARE MADE BEFORE THE YEAR IN WHICH THE BENFIT PROGRAM AMOUNT IS PROVIDED. THE AMOUNTS ALLOCATED TO TAXABLE BENEFIT OPTIONS ARE INCLUDED ON EMPLOYEES' FORMS W-2 AS TAXABLE INCOME FOR THE YEAR IN WHICH THE ALLOCATIONS ARE EFFECTIVE, AND THE NONQUALIFIED DEFERRED COMPENSATION AMOUNTS ARE DISCLOSED ON FORM 990 IN THE YEAR OF DEFERRAL AND AGAIN IN THE YEAR IN WHICH THE SUBSTANTIAL RISK OF FORFEITURE LAPSES AND THE AMOUNTS ARE TREATED AS TAXABLE INCOME. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S EXECUFLEX BENEFIT PROGRAM: ALISON L. FERREN, MBA; DEBORAH A. DATTE, ESQ. AND MEGHAN O. PATTON. SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2021 WHICH WERE INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARGARET M. MCGOLDRICK, $600,000 AND EILEEN P. JAMESON, $173,113. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ALISON L. FERREN, MBA, $54,766; DEBORAH A. DATTE, ESQ., $271,173 AND MEGHAN O. PATTON, $52,565. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: ALISON L. FERREN, MBA, $54,883; DEBORAH A. DATTE, ESQ., $10,587 AND MEGHAN O. PATTON, $42,137. SCHEDULE J, PART I, QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2021 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. EMPLOYEE BONUSES ARE BASED UPON THE ATTAINMENT OF QUALITY GOALS, STRATEGIC OPERATIONAL INITIATIVES AND FINANCIAL PERFORMANCE. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II, COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. RYDAL SQUARE LP TRUSTEE - TOLL 597885 RENT false GOODROCK REALTY PARTNERS TRUSTEE - GOODMAN 364566 RENT false SAMSON DEVELOPMENT CORP TRUSTEE - GOODMAN 402544 RENT false MARY CLEARY FAMILY MEMBER OF TRUSTEE 27959 EMPLOYEE false SCHEDULE L, PART IV BRUCE E. TOLL IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION PAID RENT TO RYDAL SQUARE, LP DURING THE FISCAL YEAR ENDED JUNE 30, 2022. TOTAL RENT PAID TO RYDAL SQUARE, LP WAS $597,885. RENT CHARGED WAS AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. BRUCE GOODMAN IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION PAID RENT TO GOODROCK REALTY PARTNERS DURING THE FISCAL YEAR ENDED JUNE 30, 2022. TOTAL RENT PAID TO GOODROCK REALTY PARTNERS WAS $364,566. RENT CHARGED WAS AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. BRUCE GOODMAN IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION PAID RENT TO SAMSON DEVELOPMENT CORP DURING THE FISCAL YEAR ENDED JUNE 30, 2022. TOTAL RENT PAID TO SAMSON DEVELOPMENT CORP WAS $402,544. RENT CHARGED WAS AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS ABINGTON MEMORIAL HOSPITAL ("AMH") IS A NON-PROFIT, REGIONAL ACUTE CARE HOSPITAL. AMH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, GENDER, GENDER IDENTITY OR EXPRESSION, SEXUAL ORIENTATION, RELIGION, AGE, STATUS AS AN INDIVIDUAL WITH A HANDICAP/DISABILITY OR ABILITY TO PAY. MOREOVER, NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. AMH OPERATES CONSISTENTLY WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS. 2. AMH OPERATES AN ACTIVE EMERGENCY TRAUMA CENTER FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR. 3. AMH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. 4. CONTROL OF AMH RESTS WITH WITH ITS LOCAL BOARD OF TRUSTEES AND THE PARENT BOARD OF TRUSTEES OF JEFFERSON HEALTH. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. EFFECTIVE APRIL 30, 2015, AT 11:59 PM, THOMAS JEFFERSON UNIVERSITY ("TJU"), A PENNSYLVANIA NON-PROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, BECAME THE SOLE CORPORATE MEMBER OF ABINGTON HEALTH ("AH"). THIS TRANSACTION WAS ACHIEVED BY THE FILING OF THE AMENDED AND RESTATED ARTICLES OF INCORPORATION. AS A RESULT OF THIS TRANSACTION, AH AND ITS SUBSIDIARIES, AMH, LANSDALE HOSPITAL ("LH"), AND ABINGTON HEALTH FOUNDATION ("AHF") (COLLECTIVELY, THE "SUBSIDIARIES"), BECAME SUBSIDIARIES OF TJU, CREATING A UNIVERSITY HEALTH SYSTEM, KNOWN AS JEFFERSON, THAT ENCOMPASSES THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH ("SYSTEM"). PART OF JEFFERSON HEALTH SINCE 2015, THE SYSTEM INCLUDES EIGHTEEN HOSPITALS AND OVER 50 OUTPATIENT AND URGENT CARE CENTERS LOCATED THROUGHOUT PHILADELPHIA, BUCKS AND MONTGOMERY COUNTIES IN PENNSYLVANIA AND CAMDEN AND GLOUCESTER COUNTIES IN NEW JERSEY. OUTPATIENT AND COMMUNITY-BASED SERVICES ARE DELIVERED THROUGH A NETWORK OF OWNED AND AFFILIATED PHYSICIAN PRACTICES, SATELLITE MEDICAL AND SURGICAL CENTERS, OUTPATIENT LABORATORIES AND RADIOLOGY CENTERS. PLANS ARE UNDERWAY FOR JEFFERSON'S SPECIALTY CARE PAVILION IN PHILADELPHIA, PENNSYLVANIA. TOGETHER, JEFFERSON HEALTH HAS 42,700 EMPLOYEES, 3,500 PHYSICIANS AND PRACTITIONERS [EMPLOYED], 9,600 NURSES, 1,900 FACULTY AND 2,100 VOLUNTEERS AND IS THE SECOND LARGEST EMPLOYER IN PHILADELPHIA. DURING FY22, MANY STRATEGIC ADMINISTRATIVE, MERGER/ACQUISITIONS AND CHANGES WERE GREATLY AFFECTED BY THE COVID-19 PANDEMIC. THE SUDDEN APPEARANCE OF A NOVEL CORONAVIRUS WAS A CALL TO ACTION, A SUMMONS TO DO WHAT WE WERE BORN FOR: TO HELP, TO HEAL, TO CARE FOR OUR COMMUNITY. WE CONTINUE IN OUR MISSION OF "WE IMPROVE LIVES". TWO YEARS LATER: A LOOK BACK AT ABINGTON'S COVID-19 RESPONSE WAS MET WITH THE MONUMENTAL TASK FOR RESPONDING TO THE PANDEMIC. THROUGH IT ALL, THE HOSPITAL CONTINUED PROVIDING THE SAFE HIGH-QUALITY CARE THAT OUR PATIENTS AND COMMUNITY HAVE COME TO KNOW AND RELY ON - ALL THANKS TO THE CONTINUED HARD WORK, STRENGTH AND RESILIENCY OF STAFF. FY22 WAS UNDOUBTEDLY ONE OF THE MOST TRYING YEARS FOR THE HEALTHCARE INDUSTRY. THE COVID-19 OMICRON SURGE BROUGHT ABOUT STAFFING CHALLENGES THAT OUR COUNTRY HAS NEVER EXPERIENCED, WHICH LED TO INCREASED STRESS TO MEET THE HEALTH CARE NEEDS OF OUR COMMUNITY. WE ALSO EXPERIENCED GLOBAL SHORTAGES OF MANY PRODUCTS INCLUDING CONTRAST MEDIA, A DIMINISHED NATIONAL BLOOD BANK SUPPLY AND MANY OTHER CRITICAL ITEMS. THE AMH TEAM DEMONSTRATED INCREDIBLE INTERDISCIPLINARY COLLABORATION AND RESILIENCY WITH THE GOAL OF ENSURING SAFE AND HIGH-QUALITY CARE. OUR STAFF CONTINUED TO SHOW AN UNWAVERING COMMITMENT TO OUR MISSION TO IMPROVE LIVES. THE PARTNERSHIP STRENGTHENS THE ENTERPRISE'S ABILITY TO CARE FOR THE COMMUNITIES WE SERVE. IN ADDITION, JEFFERSON'S UNIQUE GOVERNANCE STRUCTURE CONTINUES AS A COMBINED BOARD WITH EQUAL REPRESENTATION FROM JEFFERSON, ABINGTON, JEFFERSON HEALTH - NORTHEAST AND THE FORMER KENNEDY HEALTH SYSTEM [JEFFERSON NEW JERSEY]. DURING FY22, JEFFERSON HEALTH AND EINSTEIN HEALTHCARE NETWORK MERGED IN OCTOBER 2021. BY BRINGING TOGETHER TWO PRESTIGIOUS ACADEMIC MEDICAL CENTERS, THE EXPANSION OF JEFFERSON HEALTH CREATES AN INTEGRATED 18-HOSPITAL HEALTH SYSTEM FOCUSED ON PROVIDING GREATER ACCESS TO HIGH-QUALITY PATIENT CARE IN OUR COMMUNITIES AND DELIVERING OUTSTANDING HEALTH SCIENCES EDUCATION TO TOMORROW'S HEALTH CARE PROFESSIONALS. THE CULMINATION OF THE MULTIYEAR PROCESS OF BRINGING TWO ORGANIZATIONS WITH MORE THAN 300 COMBINED YEARS OF SERVICES, CLINICAL EXCELLENCE AND ACADEMIC EXPERTISE IS AN OPPORTUNITY FOR THE PHILADELPHIA REGION TO REIMAGINE HEALTHCARE, EDUCATION, DISCOVERY, EQUITY AND INNOVATION. WITH THE ADDITION OF EINSTEIN, JEFFERSON WILL HOST THE LARGEST NUMBER OF RESIDENTS AND FELLOWS IN THE GREATER PHILADELPHIA REGION. OTHER NOTABLE BENEFITS OF THE EINSTEIN AND JEFFERSON MERGER INCLUDE: SEVEN SPECIALTIES THAT ARE NATIONALLY RANKED BY U.S. NEWS AND WORLD REPORT; TWO LEVEL ONE AND ONE LEVEL TWO TRAUMA CENTERS; ACCESS TO THE LARGEST MIDWIFERY AND TRANSPLANT PROGRAMS IN THE REGION, RESULTING IN ENHANCED CARE OPTIONS FOR MOTHERS, BABIES, TRANSPLANT PATIENTS AND THEIR FAMILIES. TEN HOSPITALS HAVE ACHIEVED MAGNET STATUS - A HIGHLY COMPETITIVE AND NATIONAL DESIGNATION THAT RECOGNIZES NURSING EXCELLENCE. THE MERGER ALSO BRINGS TOGETHER MOSS REHABILITATION HOSPITAL AND MAGEE REHABILITATION HOSPITAL, COMBINING THEIR RESPECTIVE STRENGTHS WITH NATIONALLY RECOGNIZED BRAIN-TRAUMA AND SPINAL-CORD INJURY PROGRAMS. ANOTHER DIFFERENT YEAR ---------------------- COMING TOGETHER: OUR COVID-19 RESPONSE CONTINUED WITH PLANNING AND PREPARATION TO SERVE THE NEEDS OF OUR COMMUNITY. THIS PAST YEAR, WE WERE FLEXIBLE AND ACCOMMODATING TO WHAT WAS HAPPENING WITH THE COVID-19 VIRUS AND OMICRON VARIANTS BY RAPIDLY SHIFTING TO MEET THE NEEDS OF OUR COMMUNITY AND KEEPING OUR STAFF MEMBERS SAFE. OUR TEAM OFTEN HAD TO PIVOT, CHANGING VISITATION GUIDELINES, UPDATING COVID-19 TREATMENT PROTOCOLS, AND PROVIDING COVID-19 TESTING AND VACCINATION CLINICS. WE REMAIN STEADFAST IN OUR COMMITMENT TO IMPROVE LIVES. THE PANDEMIC HIGHLIGHTED THE VALUE OF BEING PART OF JEFFERSON. DELIVERY TO OUR SHARED MISSION TO IMPROVE LIVES AND OUR VALUES GUIDED DECISION MAKING. THE UNPRECEDENTED TEAMWORK AND COLLABORATION WAS REMARKABLE. HERE ARE SOME EXAMPLES: HAVING A TALENTED TEAM WITH BRILLIANT MINDS AT OUR ENTERPRISE AND DIVISION INCIDENT COMMAND CENTERS; SUBJECT MATTER EXPERTS IN INFECTION CONTROL ALWAYS KEEPING ABREAST OF THE LATEST DEVELOPMENTS AND TREATMENT OPTIONS FOR DEALING WITH THIS UNKNOWN VIRUS; PURCHASING POWER TO ACQUIRE HIGH QUALITY, PERSONAL PROTECTIVE EQUIPMENT FOR STAFF; A TELEMEDICINE INFRASTRUCTURE TO QUICKLY CONVERT PATIENT VISITS ON-LINE; NO STAFF FURLOUGHS OR REDUCTIONS IN EMPLOYEE SALARIES. OVER THE COURSE OF THE LAST TWO YEARS, HEALTHCARE SYSTEMS HAVE BEEN TESTED AND WE ARE NO EXCEPTION. THE INSTABILITY AND TURMOIL OF AN ONGOING PANDEMIC CHALLENGED US TO THINK AND OPERATE IN NEW WAYS, REACTING TO DEVELOPING CRISES IN REAL-TIME BUT IN THAT SAME TIME, WE HAVE GROWN, WE HAVE INNOVATED AND EVOLVED TO MEET THE NEEDS OF OUR COMMUNITY, ALL WITHOUT SACRIFICING OUR COMMITMENT TO PROVIDE HIGH QUALITY, COMPASSIONATE CARE TO ALL THOSE WE SERVE. WHILE OUR PHYSICIANS, NURSES AND CARETAKERS REMAIN ON THE FRONT LINES, OUR DONORS ARE FUELING OUR PROGRESS BY SUPPORTING OUR HOSPITAL IN WAYS THAT ALLOW US TO EXPAND OUR REACH AND HAVE AN EVEN GREATER IMPACT. WHEN THE VACCINE BECAME AVAILABLE IN DECEMBER 2020, AMH WAS FORTUNATE TO PLAY AN IMPORTANT ROLE IN OUR COMMUNITY TO VACCINATE ALL OF THE EMPLOYEES AND COMMUNITY MEMBERS WHO WANTED TO RECEIVE THE VACCINE. IN FY22, COVID-19 BOOSTERS WERE AVAILABLE TO ALL STAFF. THE HOSPITALS WELCOMED BACK MANY PATIENTS WHO PUT OFF THEIR SCREENINGS AND REGULAR HEALTH CARE, SOME CAME MUCH SICKER AND WITH MORE SEVERE SYMPTOMS OR ADVANCED DISEASE, OFTEN RESULTING IN SURGERIES OR HOSPITALIZATIONS. THE PANDEMIC REINFORCED THE IMPORTANCE OF HEALTH CARE AND HEALTHCARE PROVIDERS. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS AH IS THE UMBRELLA ORGANIZATION THAT ENCOMPASSES ITS FLAGSHIP HOSPITAL, AMH, IN ABINGTON AND LH IN HATFIELD TOWNSHIP. TOGETHER, AMH AND LH HAVE 800 LICENSED BEDS, SEVEN OUTPATIENT CAMPUSES: ABINGTON HEALTH-BLUE BELL, ABINGTON HEALTH-ELKINS PARK, ABINGTON HEALTH-LOWER GWYNEDD, ABINGTON HEALTH-MONTGOMERYVILLE, ABINGTON HEALTH-WARMINSTER AND ABINGTON HEALTH-WILLOW GROVE AND, ABINGTON HEALTH-HORSHAM. IN ADDITION, ONE URGENT CARE CENTER IN FLOURTOWN, PENNSYLVANIA WAS OPEN AND AVAILABLE FOR THE COMMUNITY IN FY22. IN ADDITION, REFERRAL TO OTHER ENTERPRISE SITES AS WELL AS PHYSICIANS-EMPLOYED PRACTICES GEOGRAPHICALLY LOCATED IN BUCKS, MONTGOMERY AND PHILADELPHIA COUNTIES WITH 74 LOCATIONS. THE ABOVE BRANDED, FICTITIOUS NAMES ARE USED FOR MERGER ANNOUNCEMENT PURPOSES. LEGAL NAMES OF AMH, AH, AHF AND LH WILL BE USED IN FY22 DOCUMENTS. AMH IS GUIDED BY ITS MISSION AND IS DEDICATED TO THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THIS LEVEL OF DETERMINATION AND COMMITMENT IS THE VERY HEART OF AMH. AMH MAINTAINS A GENEROUS FINANCIAL ASSISTANCE POLICY, PROVIDING A SIGNIFICANT AMOUNT OF SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO PAY FOR CARE EITHER THROUGH THIRD PARTY COVERAGE OR THEIR OWN RESOURCES. SINCE CHARITY CARE AMOUNTS ARE NOT EXPECTED TO BE PAID, THEY ARE NOT REPORTED AS REVENUE. IN ADDITION, AMH PROVIDES SERVICES AND SUPPLIES AT BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. AMH CENTRALIZED ITS FINANCIAL COUNSELING PROGRAM. A FINANCIAL COUNSELOR HELPS DETERMINE ELIGIBILITY FOR GOVERNMENT-SPONSORED PROGRAMS AND OFFERS ASSISTANCE WITH THE HEALTH INSURANCE EXCHANGE AND OTHER INSURANCE COVERAGE. IF AN INDIVIDUAL DOES NOT QUALIFY FOR OTHER COVERAGE, THEY ASSIST INDIVIDUALS AND FAMILIES IN THE COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION. IN KEEPING WITH AMH'S COMMITMENT TO ALL MEMBERS OF ITS COMMUNITY, THE FOLLOWING SERVICES WERE PROVIDED DURING THE YEAR WITH A PARTICULAR FOCUS ON LOW INCOME MEMBERS WITHIN ITS SERVICE AREAS: - FREE CARE AND/OR SUBSIDIZED CARE TO INPATIENTS AND OUTPATIENTS. - OPERATION OF BOTH PRIMARY AND SPECIALTY CLINICS, OB/GYN CENTER, A BEHAVIORAL HEALTH EMBEDDED PRIMARY CARE MODEL, A DENTAL CLINIC, AND A HEALTH CENTER FOR NEWBORNS. UPDATED YEARLY, A CLINIC BROCHURE INCLUDES INFORMATION ON AMH'S OFFERINGS AND AREA CLINIC PARTNERS. THE BROCHURE WAS CREATED, PRINTED, AND POSTED TO HOSPITAL WEBSITES AND INTRANET FOR USE BY THE COMMUNITY. IN ADDITION, THIS BROCHURE WAS TRANSLATED INTO LANGUAGES BETTER SERVING OUR COMMUNITY. ALL CLINIC SITES AT AMH RECEIVED THE NEW FACT SHEETS TO EDUCATE THE UNINSURED AND UNDERINSURED. - FAMILY PRACTICE CENTER, WHICH ALSO PROVIDES AN EDUCATIONAL SETTING FOR THE TEACHING OF PRIMARY CARE PHYSICIANS. - EMERGENCY/TRAUMA CENTER (OPERATES 24 HOURS A DAY, 365 DAYS A YEAR) WAS THE FIRST ACCREDITED TRAUMA CENTER IN MONTGOMERY COUNTY, OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. - AMH ATTRACTS THE FINEST PHYSICIANS TO SERVE OUR PATIENTS. OVER 1,679 ACTIVE AND FULL MEDICAL STAFF PHYSICIANS CARE FOR PATIENTS THROUGHOUT THE HEALTH SYSTEM'S WIDE RANGE OF SERVICES. ABINGTON HEALTH PHYSICIANS IS A NETWORK OF PRIMARY CARE PHYSICIANS AND SPECIALISTS EMPLOYED BY AMH. AS A RESULT OF THE JEFFERSON MERGER, THIS ENTITY IS NOW KNOWN AS JEFFERSON MEDICAL GROUP [LEGAL NAME ABINGTON HEALTH PHYSICIANS]. AMH IS A MAJOR CLINICAL CAMPUS FOR SEVERAL REGIONAL MEDICAL SCHOOLS. THE COMMITMENT TO OUTSTANDING MEDICAL CARE HAS EARNED AMH NUMEROUS AWARDS FOR QUALITY AND SAFETY, AND THE ROBUST CULTURE OF CONTINUING EDUCATION CREATES AN ATMOSPHERE OF INQUIRY AND SCHOLARSHIP. MANY OF OUR PHYSICIANS ARE PRIMARY INVESTIGATORS FOR NATIONAL CLINICAL TRIALS, WHICH GIVES OUR PATIENTS ACCESS TO ADVANCED TREATMENTS NOT COMMONLY AVAILABLE ELSEWHERE. OUR MISSION ----------- WE IMPROVE LIVES. OUR VISION ---------- REIMAGINING HEALTH, EDUCATION, AND DISCOVERY TO CREATE UNPARALLELED VALUE. OUR VALUES ---------- PUT PEOPLE FIRST/BE BOLD AND THINK DIFFERENTLY/DO THE RIGHT THING. BACKGROUND ---------- FOUNDED IN 1914, AMH IS A FULLY ACCREDITED, NOT-FOR-PROFIT, REGIONAL TEACHING HOSPITAL WITH 665 LICENSED BEDS IN ABINGTON, PENNSYLVANIA. LOCATED AT 1200 OLD YORK ROAD (ROUTE 611) IN ABINGTON, PENNSYLVANIA, AMH HAS BEEN PROVIDING COMPREHENSIVE, HIGH-QUALITY SERVICES FOR PEOPLE IN MONTGOMERY, BUCKS AND PHILADELPHIA COUNTIES. WITH ALMOST 28,861 INPATIENT ADMISSIONS AND OVER 465,000 OUTPATIENT VISITS IN FY22, AMH IS A MAJOR REGIONAL REFERRAL CENTER FOR CANCER CARE, NEUROSCIENCES, MUSCULOSKELETAL AND SPINE TREATMENT, CARDIAC CARE, AND MANY OTHER MEDICAL AND SURGICAL SPECIALTY PROGRAMS AND HAS A LEVEL II TRAUMA CENTER TO SERVE OUR COMMUNITY. AMH HAS A LONG TRADITION OF PERSONAL, HIGH-QUALITY MATERNITY CARE SERVING AS ONE OF THE BUSIEST OB/GYN CENTERS IN THE REGION AND IS A LEADER IN SENIOR HEALTH SERVICES. BACK IN THE EARLY 1900S THE RURAL TOWN OF ABINGTON FACED A PRESSING NEED FOR AN EXCELLENT HOSPITAL LOCATED IN THE COMMUNITY. PHILANTHROPIC VISIONARY GEORGE W. ELKINS, SR. STEPPED FORWARD WITH AN EXTRAORDINARY GIFT OF LAND AND FUNDS FOR A NEW HOSPITAL. MR. ELKINS WAS JOINED BY LEADERS FROM THROUGHOUT THE COMMUNITY, INCLUDING MEMBERS OF THE NEWLY FORMED WOMEN'S ASSOCIATION OF NOBLE, PRECURSOR TO TODAY'S AHF WOMEN'S BOARD. THEIR AMBITIOUS VISION WAS REALIZED ON MAY 15, 1914, WHEN THE NEW 48-BED AMH OPENED ITS DOORS. AMH IS NOW THE FLAGSHIP HOSPITAL OF AH KNOWN AS JEFFERSON HEALTH ABINGTON AS OF FY22, WHICH ALSO ENCOMPASSES LH PART OF THE ENTERPRISE OF JEFFERSON HEALTH. AMH'S ACCOMPLISHMENTS IN FY22 ============================= AMH MARKED ITS SEVENTH FULL YEAR AS BEING PART OF JEFFERSON. THE "BETTER TOGETHER" SLOGAN CONTINUES TO REINFORCE ITSELF AS OTHER ORGANIZATIONS JOIN OUR ENTERPRISE TO ACHIEVE "ONE JEFFERSON". THE GOALS FOR INTEGRATION ARE TO ADOPT BEST PRACTICES, REALIZE CONTRACT SAVINGS, ENHANCE PATIENT SATISFACTION AND IMPROVE EMPLOYEE ENGAGEMENT ACROSS THE ORGANIZATION. AMH'S FY22 STRATEGY WAS TO ATTRACT HIGH ACUITY INPATIENT CASES AND IMPLEMENT ECMO [EXTRACORPOREAL MEMBRANE OXYGENATION] FOR CARDIOGENIC SHOCK, AS WELL AS GROW UROLOGY CASES. IN FY22, AMH CELEBRATED THE FIRST ANNIVERSARY OF OUR ECMO PROGRAM WHICH OFFICIALLY OPENED IN SEPTEMBER 2021. IN THAT SHORT TIME, THE PROGRAM ACHIEVED THE SILVER LEVEL CENTER OF EXCELLENCE DESIGNATION FROM ELSO [EXTRACORPOREAL LIFE SUPPORT ORGANIZATION], WHICH IS AN INTERNATIONAL CONSORTIUM OF HEALTH CARE INSTITUTIONS, RESEARCHERS AND INDUSTRY PARTNERS. HIGHLIGHTS ABOUT PATIENTS TREATED INCLUDE: FIRST ECPR PATIENT ON ECMO; FIRST TRAUMA ECMO FROM THE SURGICAL ICU [SICU]; FIRST JEHOVAH WITNESS PATIENT ON BLOODLESS ECMO. FOUR ECMO PATIENTS WENT TO REHAB AND THEN TRANSITIONED TO HOME AND THREE ECMO PATIENTS WENT ON TO RECEIVE LUNG TRANSPLANTS. ELECTRIC AMBULANCE FIRST PATIENT TRANSPORT: THE FIRST TRANSPORT OF A PATIENT IN AN ALL-ELECTRIC, ZERO EMISSIONS AMBULANCE IN THE UNITED STATES OCCURRED WHEN AN AMH PATIENT WAS TRANSPORTED UPON DISCHARGE VIA AMBULNZ'S NEWEST ENVIRONMENTALLY-FRIENDLY VEHICLE. DUE TO SUPPLY ISSUES, ELECTRIC AMBULANCES ARE NOT BEING USED REGULARLY AT THIS TIME BUT ARE EXPECTED TO BE USED IN THE FUTURE AS THE FLEET EXPANDS TO INCLUDE MORE ELECTRIC VEHICLES. ABINGTON'S PATIENT SAFETY AND QUALITY EXCELLENCE CORE VALUE AND ACCOMPLISHMENTS IN FY22 JOURNEY TO HIGH RELIABILITY: (J2HRO) THE PLANS INCLUDE THE CENTER FOR PATIENT SAFETY AND HEALTHCARE QUALITY TO INCLUDE PATIENT EXPERIENCE. FY22 SUCCESSES FROM QUALITY, SAFETY, AND EXPERIENCE INCLUDE: REMARKABLE ACHIEVEMENTS ESPECIALLY CONSIDERING THE CHALLENGES WITH STAFFING AND STAFF FATIGUE. THE IMPLEMENTATION OF THE ONPOINT SAFETY MANAGEMENT SYSTEM IN OCTOBER 2020 ALLOWED US TO CAREFULLY TRACK OUR WORK. AH HAD A GOAL TO UTILIZE THIS SYSTEM TO CAPTURE 3,780 GREAT CATCH EVENTS, AND WE EXCEEDED THAT GOAL WITH 3,921 REPORTED GREAT CATCHES. THIS SHOWS HOW MUCH THE CULTURE OF REPORTING IS EMBEDDED IN OUR ORGANIZATION. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS A NEW PATIENT EXPERIENCE TEAM HAS BEEN IN PLACE SINCE LATE JULY 2021 AND THE DEPARTMENT HAS BEEN REDESIGNED TO BEST SUPPORT STAFF AND TO PROVIDE "IN THE MOMENT" SERVICE RECOVERY AS MUCH AS POSSIBLE FOR PATIENTS AND FAMILIES. AS THE TEAM RESPONDS TO PATIENTS, FAMILIES AND COLLEAGUES IN REAL TIME, THEY HAVE REBRANDED THEIR WORK AS PATIENT AND FAMILY CENTERED CARE IN RECOGNITION OF THE EXPANDED FOCUS. EXAMPLES OF THE WORK THAT WAS ACCOMPLISHED BY THE TEAM IN FY22: PRESENTED 25 MISSION MOMENTS TO STAFF SINCE INAUGURAL SOFT LAUNCH IN OCTOBER 2021; ROUNDED ON MORE THAN 5,000 PATIENTS IN "REAL TIME", INCLUDING 2,385 IN THE ABINGTON EMERGENCY TRAUMA CENTER AND 600+ AT LH'S EMERGENCY DEPARTMENT AND INPATIENT UNITS, INCREASING THE RATE OF SERVICE RECOVERY IN REAL TIME, WHILE DECREASING THE NUMBER OF GRIEVANCES IN FY22; IMPLEMENTED INSPECTION TOOL IN EPIC TO DOCUMENT A MINIMUM 200 CLEANING OBSERVATIONS AND TERMINAL CLEANING INSPECTIONS EACH MONTH; AS OF AUGUST 2022, 331 AH EMPLOYEES HAVE PARTICIPATED IN "IT STARTS WITH ME" TRAINING; HOSTED PATIENT EXPERIENCE WEEK. PUBLIC SAFETY: OUR TWO-WAY COMMUNICATION WITH STAFF REVEALED GROWING CONCERNS ABOUT SAFETY AND SECURITY IN THE WORKPLACE, ESPECIALLY FOR THOSE WHO WORK IN OUR TWO HOSPITALS INTERACTING WITH PATIENTS AND VISITORS EXPERIENCING ALL TYPES OF ILLNESSES BOTH PHYSICAL AND MENTAL. IN RESPONSE TO STAFF NEEDS AND INCREASING VIOLENCE IN HOSPITALS AND COMMUNITIES NATIONWIDE, AH ENGAGED IN THE FOLLOWING INITIATIVES: BEHAVIORAL HEALTH AND WORKPLACE SAFETY ASSESSMENT: CONDUCTED BY CASSATT PATIENT SAFETY ORGANIZATION, THIS ASSESSMENT COVERED AMH'S INPATIENT UNITS, EMERGENCY TRAUMA CENTER AND THE INPATIENT BEHAVIORAL HEALTH UNIT. RECOMMENDATIONS FOR IMPROVEMENTS WERE MADE AND AN IMPLEMENTATION PLAN IS UNDERWAY. DE-ESCALATION TRAINING WAS ROLLED OUT IN FY22 TO TRAIN STAFF ON HOW TO BEST MANAGE DIFFICULT PATIENT AND VISITORS. A DISRUPTIVE VISITOR POLICY IS BEING IMPLEMENTED. ACTIVE SHOOTER DRILLS: AH HOSTED DRILLS AT AMH AND LH IN FEBRUARY AND MARCH 2022 RESPECTIVELY. THE WARMINSTER CAMPUS PARTICIPATED IN THE ABINGTON DRILL. OPERATOR'S WORK ROOM ENHANCEMENTS: PHYSICAL PLANT REINFORCEMENTS WERE MADE TO THE OPERATORS' WORK SPACE AT AMH SO THAT THEY COULD REMAIN IN PLACE DURING AN EMERGENCY AND SO THAT OVERHEAD AND OTHER COMMUNICATIONS COULD CONTINUE WITHOUT INTERRUPTIONS. THESE OPERATORS COVER THE LH CAMPUS AS WELL. SECURITY ASSESSMENT: AN ASSESSMENT OF ALL BUILDING ENTRANCES WAS PERFORMED AT BOTH HOSPITALS. AT AMH AND LH, WE UPGRADED SECURITY CAMERAS [BY ADDING NEW CAMERAS] AND UPDATED ELECTRONIC ACCESS. SECURITY HAS INCREASED ROUNDING IN ALL AREAS OF THE HOSPITAL, INCLUDING ALL LOBBIES. STRONGLINE SAFETY ALERT SYSTEM: THE PHASE I IMPLEMENTATION OF THE STRONGLINE SAFETY ALERT SYSTEM HAS BEEN COMPLETED. PHASE II IS BEING IMPLEMENTED IN THE FIRST QUARTER OF FY23. GARAGE IMPROVEMENTS: LIGHTING, CAMERAS AND EMERGENCY CALL BOXES WERE UPGRADED. PARTNERING WITH THE POLICE: THE HOSPITALS' RELATIONSHIP WITH LOCAL POLICE DEPARTMENTS ARE IMPORTANT. LOCAL POLICE AND HOSPITAL STAFF MEMBERS, ESPECIALLY THE ETC/ER STAFF MEMBERS, PARTNER TO HELP EACH OTHER IN MANAGING PATIENTS AND CARING FOR THE COMMUNITY. HERE ARE SOME WAYS WE ARE EXPERIENCING SUPPORT: ABINGTON TOWNSHIP POLICE ARE ROUNDING, AS STAFFING PERMITS AT AMH; AMH PUBLIC SAFETY HAS ENHANCED THE SECURITY RADIO COMMUNICATIONS INFRASTRUCTURE TO PROVIDE GREATER OPERATIONAL COVERAGE AND FACILITATE MUTUAL-AID EMERGENCY COMMUNICATIONS WITH THE ABINGTON TOWNSHIP POLICE WHO WERE ALSO PROVIDED WITH ID BADGES FOR ACCESS TO AMH ENTRANCES IN CASE OF AN EMERGENCY. DIVERSITY, EQUITY AND INCLUSION COUNCIL: IN FY22, REPUTED TO BE THE MOST ACTIVE COUNCIL WITHIN JEFFERSON HEALTH, AMH AND LH'S DIVISION'S DIVERSITY, EQUITY AND INCLUSION COUNCIL HOSTED EIGHT EDUCATIONAL INITIATIVES AND TWO COMMUNITY EVENTS. THE COUNCIL ORGANIZED A COMMUNITY COAT DRIVE, COLLECTING OVER 300 COATS THAT WERE DONATED TO SEVEN DIFFERENT COMMUNITY PROGRAMS. IT ALSO HOSTED A FOOD DRIVE AND PROVIDED DONATIONS TO THREE COMMUNITY FOOD CUPBOARDS. THE COUNCIL CREATED FOUR EDUCATIONAL VIDEOS THAT WERE SHOWN DURING TOWN HALL MEETINGS TO SHARE THE HERITAGE OF OUR EMPLOYEES AND TEACH OTHERS ABOUT THEIR CULTURES. EVERY MEMBER ON THE HOSPITAL AND PRACTICE SIDES HAVE COMPLETED A NEW SET OF POWERFUL MANDATORY TRAINING MODULES: CONFRONTING OUR UNCONSCIOUS BIAS; UNDERSTANDING STEREOTYPES AND WHY PEOPLE DON'T SPEAK UP; HOW TO HAVE A VOICE; CREATING A RESPECTFUL WORKPLACE THAT IS INCLUSIVE; INCLUSION IN ACTION. DONATIONS FOR UKRAINE: THE MEDICAL STAFFS OF AMH AND LH HOSPITALS HOSTED A HUMANITARIAN AID COLLECTION TO SUPPORT INDIVIDUALS AND FAMILIES IN THE UKRAINE. HUNDREDS OF ITEMS WERE COLLECTED INCLUDING MEDICINE, MEDICAL SUPPLIES, TOILETRIES, CLOTHING, BLANKETS, NON-PERISHABLE FOOD AND BABY ITEMS. MORE THAN 100 BOXES OF MEDICAL SUPPLIES AND AID WERE SHIPPED OVERSEAS TO UKRAINE. IN FY22, FOR OUR PATIENTS, EMPLOYEES AND COMMUNITY, AMH INVESTED IN THE FOLLOWING CONSTRUCTION AND RENOVATION PROJECTS: AMH PROJECTS INCLUDE THE HARTNETT HEALTH SERVICES EXPANSION. THIS PRIMARY CARE AND MULTI-SPECIALTY OFFICE PROVIDES HEALTH CARE SERVICES FOR THE UNINSURED AND UNDERINSURED MEMBERS OF OUR COMMUNITY AND SERVES AS AN EDUCATIONAL EXPERIENCE FOR FIVE RESIDENCY PROGRAMS. A MUCH-NEEDED EXPANSION WAS MADE POSSIBLE BY THE GENEROSITY OF DONORS AND SUPPORT FROM SENIOR LEADERSHIP. THE EXPANDED SPACE PROVIDES FOR: INCREASED NUMBER OF EXAM ROOMS FROM 9 TO 21; IMPROVED WORKSPACES FOR STAFF AND PROVIDERS; ADDED 2 MEDICINE CLINIC SESSIONS PER WEEK; OVERALL GOAL IS IMPROVING EFFICIENCY AND FLOW. WOODLAND GARAGE /WUNDERLEE LOBBY SAW COSMETIC MODIFICATIONS MADE TO GARAGE LOBBIES WITH FLOORING, PAINT AND FURNITURE, AS WELL AS ADJUSTMENTS TO CONTROL TEMPERATURE AND HUMIDITY. THE FAULKNER GARAGE RENOVATION WORK PLANNED FOR FY22 IS COMPLETE. FY23 WORK INCLUDES NEW ELEVATORS AND ADDITIONAL REPAIRS AND RENOVATIONS WITH MINOR CLOSURES EXPECTED. EMERGENCY TRAUMA CENTER SAFE CENTER CREATION FOR VICTIMS OF ABUSE WAS INITIATED WITH PLANS TO OPEN IN FY23. WIDENER BUILDING ROOF HAS BEEN REPLACED AS PART OF EXPECTED BUILDING MAINTENANCE. THE CARDIAC CATH LAB ON 5 TOLL HAS UNDERGONE COSMETIC RENOVATION TO ALIGN WITH NEW COMPLIANCE REQUIREMENTS. THE RENOVATION OF CARDIAC CATH LAB 4 IS SCHEDULED FOR FY23. THE PNEUMATIC TUBE SYSTEM AT AMH WAS UPGRADED. REFRESH PROJECTS: VARIOUS REFRESH PROJECTS WERE UNDERTAKEN TO UPDATE FLOORING, LIGHTING AND PAINT FINISHES IN RESTROOMS, NURSING UNITS, ELEVATOR LOBBIES, STAFF OFFICES, CONFERENCE ROOMS AND CORRIDORS. ELEVATORS: MODERNIZATION WORK IN THE WIDENER AND BUERGER BUILDINGS WAS COMPLETED IN FY22 WITH IMPROVEMENTS IN THE LENFEST PAVILION AND THE TOLL PAVILION UNDERWAY FROM AN OPERATIONS/MAINTENANCE PERSPECTIVE. LENFEST PAVILION ENTRANCE REVISIONS FOR SECURITY: MODIFICATIONS WERE MADE TO LENFEST LOBBY, INCLUSIVE OF NEW TURNSTILES, INFORMATION/SECURITY DESK, AND NEW ENTRANCE DOORS. THIS PROJECT WILL BE PHASED TO ALLOW ACCESS THROUGHOUT THE DURATION. AMH HAS A STRONG EDUCATIONAL MISSION AND SPONSORS FIVE RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY, GENERAL SURGERY AND DENTISTRY, AND TWO FELLOWSHIP PROGRAMS IN BARIATRIC SURGERY AND GERIATRIC MEDICINE. AMH IS ALSO HOST TO MULTIPLE RESIDENTS AND FELLOWS ROTATING IN FROM OTHER UNIVERSITY CENTERS, WHICH ADDS TO OUR RICH EDUCATIONAL ENVIRONMENT. IN ADDITION, AMH PROVIDES POSTGRADUATE MEDICAL EDUCATION IN AFFILIATION WITH SEVERAL AREA MEDICAL SCHOOLS. AMH CONTINUES IN ITS RELATIONSHIP WITH PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE AND THE SIDNEY KIMMEL MEDICAL COLLEGE AT THOMAS JEFFERSON UNIVERSITY, PHILADELPHIA, PA. ALL TRAINING PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME). MORE THAN 2,500 RESIDENTS HAVE TRAINED AT AMH AND MANY HAVE REMAINED ON STAFF FOLLOWING THEIR RESIDENCY OR TAKEN SUBSPECIALTY TRAINING. ABINGTON SUPPORTS PLACEMENT OPPORTUNITIES IN ALL PROGRAMS AND HAS ENABLED RESIDENTS TO OBTAIN ADVANCED GRADUATE TRAINING. AMH HAS A TEACHING ASSOCIATION WITH THOMAS JEFFERSON UNIVERSITY. MANY OF AMH'S PHYSICIANS SERVE ON THE FACULTIES OF THE PHILADELPHIA MEDICAL SCHOOLS AND ARE INVOLVED IN CONDUCTING RESEARCH AND PUBLISHING REGULARLY. AWARDS AND RECOGNITIONS ======================= AMH HAS BEEN RECOGNIZED IN FY22 BY MANY ORGANIZATIONS FOR THE QUALITY OF ITS SERVICES: THE LEAPFROG HOSPITAL SAFETY GRADE USES 27 MEASURES OF PUBLICLY AVAILABLE HOSPITAL SAFETY DATA TO ASSIGN A, B, C, D, AND F GRADES TO MORE THAN 2,600 U.S. HOSPITALS TWICE PER YEAR. AMH EARNED AN "A" GRADE FOR PATIENT SAFETY IN THE 2022 LEAPFROG HOSPITAL SAFETY GRADE. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS THE JOINT COMMISSION VISITED OUR TWO HOSPITALS, ANCILLARY SERVICES, OUTPATIENT CAMPUSES, PHYSICIAN OFFICES AND HOME CARE/HOSPICE DEPARTMENT. THE SURVEYORS WERE DELIGHTED TO FIND A WORKFORCE THAT HAS A CULTURE OF OPENNESS AND TRANSPARENCY ABOUT THEIR WORK, A TEAM APPROACH TO SOLVING PROBLEMS AND COLLEGIAL INTERACTIONS BETWEEN STAFF AND LEADERS. BOTH HOSPITALS EARNED JOINT COMMISSION ACCREDITATION. IN ADDITION, JOINT COMMISSION HEART FAILURE CERTIFICATION ACHIEVED AND VAD PROGRAM CERTIFICATION ACHIEVED. U.S. NEWS AND WORLD REPORT: AMH WAS HIGH PERFORMING FOR MATERNITY CARE, 2021-2022; RANKED 10TH IN THE PHILADELPHIA METRO AREA, 2022; 17TH IN PENNSYLVANIA IN "BEST REGIONAL HOSPITALS RANKING HIGH PERFORMING IN THE FOLLOWING CONDITIONS: CONGESTIVE HEART FAILURE, COLON CANCER SURGERY, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, DIABETES, HEART ATTACK, HIP REPLACEMENT, KNEE REPLACEMENT, KIDNEY FAILURE AND STROKE. HIGH PERFORMING IN ONE SPECIALTY: DIABETES AND ENDOCRINOLOGY. IN FY22, AMH EARNED THE MISSION: LIFELINE-STEMI RECEIVING CENTER - GOLD PLUS 2022 CENTER FROM THE AMERICAN HEART ASSOCIATION. AMH WAS GRANTED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINE'S STROKE GOLD PLUS WITH TARGET: STROKE ELITE HONOR ROLL AND TARGET: DIABETES HONOR ROLL DESIGNATIONS FOR ITS EXCELLENCE IN STROKE CARE AND ITS EXCEPTIONAL CLINICAL CARE PROVIDED TO PEOPLE WITH TYPE 2 DIABETES WHO SUFFER A STROKE OR HEART FAILURE. AMH'S EMERGENCY TRAUMA CENTER ACCREDITED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION AS A LEVEL II TRAUMA CENTER. IN ADDITION, INTERNATIONAL ACCREDITATION COMMISSION - ECHOCARDIOGRAPHY - ACCREDITED FACILITY. ADDITIONALLY, AMH ACHIEVED THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS; ELSO NATIONAL SILVER AWARD CENTER OF EXCELLENCE; THE WOMEN'S CENTER OF MONTGOMERY COUNTY PRESENTED THE TRANSFORMER AWARD TO THE FORENSIC NURSE EXAMINER PROGRAM FOR ITS INTERNATIONAL WOMEN'S DAY IN MARCH 2022. PHILADELPHIA MAGAZINE; SEVERAL OF OUR PHYSICIANS HAVE BEEN NAMED AMONG THE REGION'S BEST BY CASTLE CONNOLLY AND ARE FEATURED IN PHILADEPHIA MAGAZINE'S TOP DOCTORS 2022 ISSUE. AMH EARNED THE TITANIUM AWARD AS PART OF THE 2021 DONATE LIFE HOSPITAL CHALLENGE FROM THE GIFT OF LIFE AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA PRESENTED TO SENIOR LEADERSHIP IN FY22. PHILADELPHIA MAGAZINE; SEVERAL OF OUR PHYSICIANS HAVE BEEN NAMED AMONG THE REGION'S BEST BY CASTLE CONNOLLY AND ARE FEATURED IN PHILADEPHIA MAGAZINE'S TOP DOCTORS 2021 ISSUE. CENTERS OF EXCELLENCE ===================== 1. HEART AND VASCULAR INSTITUTE HEART PATIENTS CAN ACCESS A FULL RANGE OF SERVICES FOR HIGH-LEVEL DIAGNOSIS AND TREATMENT, INCLUDING OPEN HEART SURGERY, WITHOUT SACRIFICING THE CONVENIENCE OF A SUBURBAN HOSPITAL. THE HEART AND VASCULAR CENTER AT AMH OFFERS STATE-OF-THE-ART TECHNOLOGY, COMPREHENSIVE SERVICES AND UNIQUELY SKILLED CARDIAC SURGEONS, CARDIOLOGISTS, CARDIAC ANESTHESIOLOGISTS AND SPECIALLY TRAINED NURSES. IN FY22, ABINGTON HOSPITAL LAUNCHED A PROGRAM THAT OFFERS EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) TO ADULTS. AS A TREATMENT FOR CHRONICALLY ILL PEOPLE, ECMO TEMPORARILY TAKES OVER FOR THE HEART, LUNGS OR BOTH, WHILE A PERSON HEALS. ECMO CAN BE AN OPTION FOR THOSE WHO NEED MORE CRITICAL CARE SUPPORT THAN VENTILATION AND MEDICATIONS. WHILE ECMO MAY BE AVAILABLE AT OTHER HOSPITALS EMERGENTLY, ABINGTON HOSPITAL OFFERS THE ONLY PROGRAM IN FOUR COUNTIES OF SUBURBAN PHILADELPHIA. WITHIN ONE YEAR OF OPENING, THE ECMO PROGRAM EARNED THE INTERNATIONAL ELSO SILVER AWARD. AMH HAS THE INNOVATIVE SERVICES AND OUTSTANDING EXPERTS TO GIVE THE COMMUNITY THE BEST CARE FOR CARDIAC AND VASCULAR NEEDS. THE HEART AND VASCULAR INSTITUTE OF AMH HELPS PATIENTS IN THE PHILADELPHIA AREA AND BEYOND WITH A DEDICATED FOCUS ON EXCEPTIONAL CARDIOVASCULAR TREATMENT INCLUDING: DIAGNOSIS AND TREATMENT IN THE BLANK VASCULAR CENTER, CARDIOLOGY AND CARDIOTHORACIC SURGERY; CENTER FOR BLOODLESS MEDICINE AND SURGERY; CHEST PAIN PROGRAM; COMPREHENSIVE HEART FAILURE PROGRAM ("CHF"); CONSULTS AND SECOND OPINIONS, HEART EMERGENCY AND TRAUMA; HEART HOME CARE; HEART RHYTHM CENTER; INPATIENT CARE; INTERVENTIONAL CARDIOLOGY; NUCLEAR CARDIOLOGY; PORTER INSTITUTE FOR VALVULAR HEART DISEASE INCLUDING VALVE TREATMENT AND TRANSCATHETER AORTIC VALVE REPLACEMENT ("TAVR"); PREVENTIVE SERVICES, COMMUNITY BLOOD PRESSURE SCREENINGS, CPR TRAINING CENTER AND HEART HEALTH EDUCATION PROGRAMS AT THE HOSPITAL AND IN THE COMMUNITY. THE HOSPITAL'S HEART FAILURE AND VAD PROGRAMS ACHIEVED JOINT COMMISSION ACCREDITATION IN FY22. EIGHT YEARS AGO, THE HEART AND VASCULAR INSTITUTE IMPLANTED ITS FIRST VENTRICULAR ASSISTED DEVICE OR ("VAD") FOR HEART FAILURE PATIENTS AND BECAME ONE OF ONLY A FEW HOSPITALS IN THE DELAWARE VALLEY TO OFFER VAD THERAPY. THE HEART AND VASCULAR CENTER IS A FIRST RATE, COMPREHENSIVE FACILITY AT THE FOREFRONT OF CARDIAC CARE AND RESEARCH. CARDIAC SURGEONS ARE UNIQUELY SKILLED IN ADVANCED PROCEDURES AND TECHNOLOGIES. A HEART RHYTHM CENTER OFFERS A TEAM OF SPECIALISTS SKILLED IN ELECTROPHYSIOLOGY, CARDIOLOGY AND CARDIAC SURGERY TO PROVIDE INNOVATIVE TREATMENTS FOR ABNORMAL HEART RHYTHM CONDITIONS. 2. PORTER INSTITUTE FOR VALVULAR HEART DISEASE AS THE ONLY HEART VALVE SPECIALTY CENTER IN A PHILADELPHIA AREA HOSPITAL, AMH'S PORTER INSTITUTE FOR VALVULAR HEART DISEASE HAS A DEDICATED FOCUS ON THE DIAGNOSIS AND TREATMENT OF HEART VALVE DISORDERS. TRANSCATHETER AORTIC VALVE REPLACEMENT ("TAVR") IS AN INNOVATIVE VALVE REPLACEMENT TREATMENT FOR AORTIC STENOSIS. IT DELIVERS A NEW VALVE IN A MINIMALLY INVASIVE WAY, WITHOUT REMOVING THE FAULTY VALVE. THE PORTER INSTITUTE OF VALVULAR HEART DISEASE IS ONE OF ONLY A FEW CENTERS IN THE PHILADELPHIA AREA WITH THE EXPERTISE TO PERFORM TAVR. IN ADDITION, THE AMERICAN HEART ASSOCIATION AWARDED AMH THE AHA'S MISSION LIFELINE STEMI RECEIVING GOLD PLUS CENTER DESIGNATION. 3. WOMEN'S AND CHILDREN'S HEALTH AMH HAS BEEN COMMITTED TO WOMEN'S AND CHILDREN'S HEALTH FOR OVER 100 YEARS. THE CARE OF WOMEN AND CHILDREN GOES HAND-IN-HAND AT AMH. MANY WOMEN HAVE THEIR FIRST HOSPITAL EXPERIENCE WHEN THEY GIVE BIRTH AT AMH. AMH IS A LEADER IN MATERNITY CARE IN THE STATE OF PENNSYLVANIA PROVIDING A 36-BED, LEVEL III NEONATAL INTENSIVE CARE UNIT, HIGH RISK PRENATAL CARE, AND INFERTILITY SERVICES. WOMEN WHO DELIVER THEIR BABIES AT AMH TEND TO CHOOSE AMH FOR THE CARE OF THEIR ENTIRE FAMILIES, SETTING THE STAGE FOR A LIFETIME OF CARE. WE OPERATE AN OB/GYN CENTER (CLINIC) IN ABINGTON SERVING A DIVERSE, LOW-INCOME POPULATION. MATERNITY AND PEDIATRIC CARE FOR OUR YOUNGEST PATIENTS RECEIVES UNSURPASSED COMPASSIONATE CARE. AMH DELIVERED ALMOST 4,500 BABIES IN FY22 AND OFFERS A WIDE RANGE OF MATERNITY EDUCATION PROGRAMS, INCLUDING CHILDBIRTH PREPARATION WHICH IN FY22 WAS VIRTUAL WITH SOME LIMITED IN-PERSON OFFERINGS OF PRENATAL PROGRAMS AND BREASTFEEDING CLASSES. THE DEPARTMENT INCLUDES A COMPREHENSIVE OBSTETRICS PROGRAM THAT INCLUDES GENETIC COUNSELING AND PRENATAL TESTING, FETAL DIAGNOSIS AND SURGERY, NEONATAL INTENSIVE CARE, AN INPATIENT UNIT FOR PREGNANT PATIENTS AT HIGH RISK AND HOME CARE SERVICES FOR HIGH RISK MOMS BEFORE DELIVERY AND MATERNAL/BABY AFTER LEAVING THE HOSPITAL. CONTINUING IN FY22, AMH PROVIDES THE MIDWIFE PROGRAM AND CERTIFIED NURSE MIDWIVES WITH EIGHT MIDWIVES CARING FOR PATIENTS. DURING FY22, AH AND NEMOURS DUPONT PEDIATRICS CONTINUED IN THEIR PARTNERSHIP TO PROVIDE PEDIATRIC SERVICES TO THE INFANTS, CHILDREN AND ADOLESCENTS OF BUCKS AND MONTGOMERY COUNTIES. NEMOURS PEDIATRICIANS SERVE AS HOSPITALISTS FOR ABINGTON'S INPATIENT PEDIATRIC UNIT. SPECIFICALLY, THE NEMOURS PEDIATRIC HOSPITALISTS PROVIDE ADVANCED HOSPITAL CARE, WHICH INCLUDES: MEDICAL CARE FOR CHILDREN STAYING IN AMH'S 15-BED PEDIATRIC UNIT; PEDIATRIC CONSULTATIONS IN THE ETC AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK; AND CONSULTATIONS WITH SPECIALISTS AT NEMOURS/ALFRED I. DUPONT HOSPITAL FOR CHILDREN IN THE CARE OF PEDIATRIC PATIENTS. 4. MUSCULOSKELETAL AND SPINE SERVICES AMH'S MUSCULOSKELETAL AND SPINE SERVICES (NOW KNOWN AS ROTHMAN INSTITUTE) COMBINES THE MOST ADVANCED MEDICAL TECHNOLOGY WITH A DEDICATED TEAM OF ORTHOPEDIC SURGEONS, NEUROSURGEONS, REHABILITATION MEDICINE SPECIALISTS AND SKILLED AND DEDICATED MEDICAL PROFESSIONALS SERVING THE COMMUNITY. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS PHYSICIANS TREAT A WIDE VARIETY OF DISORDERS AFFECTING THE MUSCULOSKELETAL SYSTEM, INCLUDING THE CARE OF FRACTURES AND INJURIES TO TENDONS, LIGAMENTS, JOINTS, BONES AND MUSCLES. SPECIALISTS IN JOINT REPLACEMENT, SPINE SURGERY, SPORTS MEDICINE, ORTHOPEDIC HAND SURGERY, RHEUMATOLOGY AND REHABILITATION MEDICINE ARE ON STAFF AT AMH. ORTHOPEDIC SURGEONS ARE EXPERIENCED IN TREATING PATIENTS REQUIRING HIP OR KNEE REPLACEMENTS AND HOSPITAL NEUROSURGEONS PROVIDE SPINE SURGERY. AMH'S COMPREHENSIVE PROGRAM INCLUDES EVALUATION, CENTRALIZED PREADMISSION, HIGH-TECH OPERATING SUITE WITH LAMINAR AIR FLOW, INPATIENT AND OUTPATIENT REHABILITATION, AND HOME CARE TO ENSURE SUCCESSFUL RESULTS. STATE-OF-THE-ART MINIMAL-INCISION PROCEDURES AND COMPUTER-ASSISTED SURGERY ARE AVAILABLE FOR SOME JOINT REPLACEMENT SURGERIES. AMH EARNED "HIGH PERFORMING" STATUS FOR HIP AND KNEE REPLACEMENTS FROM U.S. NEWS AND WORLD REPORT. AS ONE OF THE REGION'S BUSIEST CENTERS FOR ANTERIOR HIP REPLACEMENT AND OTHER INNOVATIVE TREATMENTS, THE MUSCULOSKELETAL AND SPINE SERVICES SPECIALIZES IN THE NEWEST APPROACHES. AMH'S PARTICIPATION IN CLINICAL TRIALS GIVES PATIENTS ACCESS TO INNOVATIONS BEFORE THOSE DEVELOPMENTS ARE WIDELY AVAILABLE. AMH IS ALSO USING THE ROBOTIC ARM TECHNOLOGY FOR PARTIAL KNEE REPLACEMENT. CARE IS DELIVERED AT TWO EXCEPTIONAL LOCATIONS: AMH AND LH. 5. VICKIE AND JACK FARBER INSTITUTE FOR NEUROSCIENCE AT AH BRINGING TOGETHER THE EXPERTISE OF JEFFERSON AND AMH PHYSICIANS, CLINICIANS AND RESEARCHERS SPECIALIZING IN BRAIN AND SPINE DISORDERS COLLABORATE AS NEVER BEFORE. THE MOST ADVANCED TREATMENT TECHNOLOGIES, WORLD-CLASS SPECIALISTS, AND LEADING-EDGE RESEARCH COMES TOGETHER TAKING ANOTHER STEP CLOSER TO TREATING AND CURING DISORDERS LIKE ALZHEIMER'S, ALS, STROKE, MIGRAINES, PARKINSON'S, MS, EPILEPSY, ANEURYSMS AND BRAIN TUMORS. AMH'S DIAMOND STROKE PROGRAM WAS REACCREDITED AS A COMPREHENSIVE STROKE CENTER FOR THE THIRD TIME. THE FIRST STATE STROKE CENTER TO BE AWARDED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION AS A PRIMARY STROKE CENTER, AMH ALSO RECEIVED THE AHA/ASA GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD FOR STROKE QUALITY-OF-CARE. AMH HAS ALSO QUALIFIED FOR RECOGNITION AS TARGET: STROKE HONOR ROLL ELITE FOR COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF STROKE CARE. AMH'S NEUROSCIENCE CAPABILITIES AND EXPERTISE PROVIDE PATIENTS WITH A WIDE RANGE OF EXCEPTIONAL PROGRAMS AND SPECIALTIES INCLUDING: BALANCE CENTER, HEADACHE CENTER, MOVEMENT DISORDERS CENTER, MULTIPLE SCLEROSIS ("MS") CENTER, NEUROLOGY, NEUROSURGERY, NEUROVASCULAR CARE, SLEEP CENTERS AND STROKE CENTER. SPECIALISTS IN THE FIELD OF NEUROSURGERY EMPLOY STATE-OF-THE-ART SURGICAL AND MICROSURGICAL TECHNIQUES TO DIAGNOSE, TREAT AND ALLEVIATE PAIN AND DISABILITY CAUSED BY NEUROLOGICAL PROBLEMS. AMH'S NEUROSURGEONS HAVE SPECIAL EXPERTISE IN THE TREATMENT OF BRAIN, SPINAL CORD AND PERIPHERAL NERVE DISORDERS. THE ADVANCED DIAGNOSTIC TECHNOLOGY AND SUPPORT AT AMH FURTHER ENHANCES THE ABILITY OF OUR NEUROSURGEONS TO PROVIDE OUTSTANDING, COMPREHENSIVE CARE. THE BREADTH OF SERVICES IS FURTHER ENHANCED BY SOPHISTICATED ADVANCED CARE BY FOUR NEUROINTERVENTIONAL SPECIALISTS. INTERVENTIONAL RADIOLOGISTS, ALONG WITH A NEUROINTENSIVIST, PERFORM CAROTID STENTING AND COILING OF CEREBRAL ANEURYSMS, INTRA-ARTERIAL RTPA, AND OTHER ADVANCED INTERVENTIONAL PROCEDURES. 6. DIAMOND STROKE PROGRAM THE DIAMOND STROKE PROGRAM, A PROGRAM WITHIN THE VICKIE AND JACK FARBER INSTITUTE OF NEUROSCIENCE AND NAMED IN MAY 2012, WAS DEDICATED IN HONOR OF A FORMER CHIEF OF THE NEUROSCIENCES INSTITUTE AND STROKE PROGRAM. THE DIAMOND STROKE PROGRAM AT AMH EARNED ADVANCED CERTIFICATION AS A COMPREHENSIVE STROKE CENTER FROM THE JOINT COMMISSION AND AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION NEUROSCIENCE EXPERTS ARE AVAILABLE 24/7 IN AMH'S REGIONAL TRAUMA CENTER, PROVIDING SWIFT TREATMENT FOR STROKES, SPINAL CORD INJURIES, BRAIN BLEEDS AND OTHER NEUROCRITICAL CONDITIONS. THE STROKE CENTER CONSISTENTLY SETS GOALS TO IMPROVE PATIENT OUTCOMES. A FULLY INTEGRATED AND MULTIDISCIPLINARY NEUROSCIENCES TEAM WORKS TOGETHER TO ACCOMPLISH THESE GOALS. TEAM MEMBERS INCLUDE: NEUROLOGISTS, NEUROSURGEONS, NURSES, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, SPEECH THERAPISTS, CASE MANAGERS, SOCIAL WORKERS, NUTRITION SERVICES, PASTORAL CARE SERVICES, GERIATRIC CLINICAL NURSE SPECIALIST, PHARMACIST, AND A STROKE PROGRAM COORDINATOR. 7. MULLER INSTITUTE FOR SENIOR HEALTH AMH'S MULLER INSTITUTE FOR SENIOR HEALTH HELPS PEOPLE ENJOY HEALTHY, PRODUCTIVE LIVES AS THEY AGE. THE PROGRAMS AND SERVICES AVAILABLE THROUGH AMH'S MULLER INSTITUTE, AND THROUGHOUT THE ORGANIZATION, ARE AS DIVERSE AS THE SENIORS WE SERVE. AMH OFFERS COMPREHENSIVE CARE AND SUPPORT FOR SENIORS AND THEIR FAMILIES, IN THE HOSPITAL, IN THE COMMUNITY, AND IN THE HOME. THE HOSPITAL ELDER LIFE PROGRAM OR (HELP) PROVIDED 2,111 PATIENTS IN FY22. PROGRAM WAS SUSPENDED DURING COVID-19 PANDEMIC SHUTDOWN AS VOLUNTEERS MEET WITH PATIENTS. THIS PROGRAM INCREASES A PATIENT'S KNOWLEDGE OF THE ACCESS TO CARE FOR NEWLY DETECTED ILLNESS AND TO INCREASE PATIENT FUNCTIONALITY AFTER HOSPITAL DISCHARGE. - OUTPATIENT GERIATRIC ASSESSMENT CENTER OFFERING PHYSICIAN-LED PHYSICAL, PSYCHOLOGICAL AND NEEDS-BASED EVALUATIONS FOR SENIORS INCLUDING A COMPREHENSIVE CARE PLAN REVIEWED WITH A LICENSED SOCIAL WORKER. - SUPPORTIVE MEMORY FITNESS CENTER AT WARMINSTER AND LH OFFERS A HALF-DAY ACTIVITY PROGRAM FOR THOSE SHOWING SIGNS OF MEMORY LOSS WITH FULL-DAY PROGRAMMING AVAILABLE THROUGH ADULT DAY SERVICES IN LH. THERE WERE 968 VISITS RECORDED IN THE MEMORY FITNESS CENTERS. - ELDERMED PROGRAMMING AND COMMUNITY OUTREACH COMPLEMENT THE WIDE ARRAY OF CLINICAL AND EDUCATIONAL OFFERINGS FOR SENIORS TO ASSIST IN MEETING THEIR NEEDS AND IN COMPLIANCE WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLANS. WHILE LIMITED DURING THE PANDEMIC, PROGRAMS RETURNED IN FY22 FOR RE-ENGAGEMENT. 8. THE ROBOTIC SURGERY PROGRAM AT AMH SINCE SEPTEMBER 2006, SURGEONS AT AMH ARE MAKING REMARKABLE ADVANCEMENTS USING ROBOTIC SURGERY. AS THIS SURGERY-ENHANCING TECHNOLOGY CONTINUES TO EVOLVE, AMH REMAINS AT THE FOREFRONT OF ITS USE IN MINIMALLY INVASIVE PROCEDURES. THIS TECHNOLOGY GIVES THE SURGEON A THREE-DIMENSIONAL VIEW, SIMILAR TO TRADITIONAL SURGERY BUT WITH GREATER DEPTH PERCEPTION. THE ROBOTIC INSTRUMENTS OFFER A LAPAROSCOPIC APPROACH WITH MAGNIFICATION THAT IS 10 TIMES GREATER THAN THE HUMAN EYE. SURGEONS SPECIALLY TRAINED IN ROBOTICS INCLUDE GYNECOLOGIC ONCOLOGISTS, OB/GYNS, BARIATRIC SURGEONS, A CARDIOTHORACIC SURGEON, GENERAL SURGEONS AND UROLOGISTS. 9. COMPREHENSIVE WOUND HEALING CENTER THE COMPREHENSIVE WOUND HEALING CENTER AT THE AMH CENTER - WARMINSTER AND LH, PROVIDES TREATMENT FOR NON-HEALING AND PROBLEM WOUNDS. THE CENTER'S STAFF PROVIDES STATE-OF-THE-ART TOPICAL TREATMENT OPTIONS, ADJUNCTIVE THERAPIES, NON-INVASIVE DIAGNOSTIC STUDIES, WOUND DEBRIDEMENT, NUTRITIONAL SUPPORT, RELIEF DEVICES FOR PRESSURE WOUNDS, COMPRESSION THERAPY, HYPERBARIC OXYGEN THERAPY AND PHYSICAL THERAPY. 10. INTEGRATIVE MEDICINE INTEGRATIVE MEDICINE IS COMMITTED TO HELPING OUR PATIENTS ACHIEVE OPTIMUM HEALTH AND WELLNESS. SERVICES ARE GEARED TOWARD REVITALIZING THE MIND, BODY AND SPIRIT. INTEGRATIVE MEDICINE INTEGRATES EASTERN MODALITIES WITH TRADITIONAL WESTERN MEDICINE. IN FY22, GIVEN THE ONGOING PANDEMIC, ARTICLES IN COMMUNITY ELECTRONIC NEWSLETTERS AND SOCIAL MEDIA POSTINGS WERE DESIGNED TO HELP REDUCE STRESS, MANAGE PAIN, IMPROVE SLEEP, DEVELOP BETTER EATING HABITS AND COPE WITH THE MANY CHALLENGES THAT PREVENT OPTIMAL HEALTH. ONSITE SERVICES INCLUDE: YOGA. PROGRAMMING CONTINUED IN FY22 INCLUDING THE COMMUNICATION OF JEFFERSON'S MINDFULNESS-BASED STRESS REDUCTION ("MBSR") SESSIONS. A SIGNIFICANT AMOUNT OF BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES WERE UPDATED AND COMMUNICATED WITH AMH'S COMMUNITY AND WORKFORCE. 11. THE DIABETES CENTER AND NUTRITION COUNSELING CENTER AMH'S DIABETES/NUTRITION CENTERS SERVED OVER 1,196 NEW CLIENTS WITH OVER 2,642 OUTPATIENT VISITS IN FY22. THE NUTRITION CENTER CONTINUED TO OFFER MEDICAL NUTRITION THERAPY FOR A WIDE RANGE OF CONDITIONS INCLUDING ADULT WEIGHT MANAGEMENT, RENAL DISEASE, AND GASTROINTESTINAL DISORDERS, AS WELL AS DIABETES. DIABETES SUPPORT GROUPS AND COMMUNITY EDUCATION ON HOLD IN FY22 DUE TO COVID-19 PANDEMIC. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 12. INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY AT AMH'S INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY, PATIENTS RECEIVE THE LATEST MEDICAL AND SURGICAL TREATMENTS WITH LIFETIME FOLLOW-UP. AMH OFFERS ITS PATIENTS A COMPREHENSIVE APPROACH TO WEIGHT LOSS THAT FEATURES A FULL RANGE OF SERVICES, INCLUDING ONGOING SUPPORT, COUNSELING, AN EXERCISE PROGRAM AND A NUTRITION PLAN. PROCEDURES OFFERED INCLUDE VERTICAL SLEEVE GASTRECTOMY, ROUX-EN-Y GASTRIC BYPASS AND BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH, SINGLE ANASTOMOSIS DUODENO-ILEAL BYPASS (SADI), AND MINIMALLY INVASIVE REVISION SURGERY. A PATIENT UNDERGOES AN EXTENSIVE SERIES OF INTERVIEWS, CONSULTATIONS AND EVALUATIONS TO ENSURE CANDIDACY AND PREPARATION FOR BARIATRIC SURGERY. THE CENTER PROVIDES SURGICAL INFORMATION SESSIONS AND A SUPPORT GROUP. THE PROGRAM STAFF INCLUDES FOUR BARIATRIC SURGEONS, THREE NURSE PRACTITIONERS, DIETITIANS, A PSYCHOLOGIST/BEHAVIOR SPECIALIST, AND A BARIATRIC FELLOW. THE PROGRAM WAS DESIGNATED A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE SURGICAL REVIEW CORPORATION, WHICH IS RECOGNIZED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. 13. AMH PROVIDES INPATIENT AND EMBEDDED BEHAVIORAL HEALTHCARE SERVICES TO SERVE THE COMMUNITY. THERE ARE FEW FACILITIES IN THE DELAWARE VALLEY, WHICH ACCOMMODATE PATIENTS WITH BEHAVIORAL HEALTH AND MENTAL HEALTH NEEDS. THE INPATIENT UNIT AT AMH INCLUDES 21 BEDS, PRIVATE AND SEMI-PRIVATE ROOMS, ACTIVITY ROOM AND GROUP DINING. A MODEL OF OUTPATIENT CARE IS BEING PROVIDED IN CONJUNCTION WITH TARGETED ABINGTON HEALTH PHYSICIANS ("AHP") PRACTICES NAMED IN 2019 JEFFERSON MEDICAL GROUP, ENABLING PHYSICIANS TO HAVE CLOSER COORDINATION WITH THEIR PATIENTS' MENTAL HEALTH PROVIDERS. BEHAVIORAL HEALTH SERVICES IS EMBEDDING THERAPISTS IN PRIMARY CARE OR PATIENT CENTERED MEDICAL HOMES OF AMH OR BEHAVIORAL HEALTH CONSULTANTS (BHC). THE PRIMARY CARE SETTING IS AN IMPORTANT VENUE FOR THE IDENTIFICATION AND MANAGEMENT OF MENTAL HEALTH CONDITIONS. INDIVIDUALS SUFFERING FROM MENTAL HEALTH DISORDERS MAY BE MORE LIKELY TO ACCESS MENTAL HEALTH SERVICES IN THE PRIMARY CARE SETTING THAN SPECIALTY CARE FOR MENTAL HEALTH OR SUBSTANCE ABUSE ISSUES. AMH CONTINUED TO WORK COLLABORATIVELY WITH COUNTY SERVICES AND OTHER NON-PROFIT ORGANIZATIONS THROUGHOUT THE YEAR. WITHIN THE THREE YEAR CHNA CYCLE, AMH INCREASED BEHAVIORAL HEALTH CONSULTANTS INTO PRACTICES AND ENSURED THAT AH OWNED PRIMARY CARE PRACTICES ARE CURRENTLY STAFF WITH A BHC INCLUDING THE AMH OB/GYN CLINIC AND NEW BHC FOR BARIATRICS. AMH CONTINUED ITS COLLABORATION WITH MONTGOMERY COUNTY DRUG AND ALCOHOL AND PROVIDERS TO IMPLEMENT WARM HAND-OFF PROJECTS IN THE EMERGENCY TRAUMA CENTER AND ALL ACCESS POINTS INCLUDING THE COMMUNICATION TO AH WORKFORCE. WARM HAND-OFF PROJECTS WORK TO HELP OVERDOSE SURVIVORS IN HOSPITAL EMERGENCY DEPARTMENTS OR TRAUMA CENTERS GET IMMEDIATELY CONNECTED TO A TREATMENT PROGRAM. COLLABORATION WITH PROVIDER AND COUNTY IS INCLUDED. AMH HAS A TEAM OF CRISIS CLINICIANS WHO ARE AVAILABLE TO SEE PATIENTS TWENTY-FOUR HOURS A DAY, SEVEN DAYS A WEEK. THIS TEAM OF CRISIS CLINICIANS IS COMPRISED OF MENTAL HEALTH PROFESSIONALS WHO, ALONG WITH THE PSYCHIATRIST OR MEDICAL ATTENDING, ARE AVAILABLE TO COMPLETE MENTAL HEALTH AND SUBSTANCE USE ASSESSMENTS FOR PATIENTS IN THE EMERGENCY TRAUMA CENTER AND THROUGHOUT THE HOSPITAL. CRISIS CLINICIANS WILL MEET WITH THE PATIENT TO COMPLETE THE ASSESSMENT AND DETERMINE WITH THE PATIENT THE APPROPRIATE NEXT LEVEL OF TREATMENT. THIS NEXT LEVEL OF TREATMENT MAY BE TO AN INPATIENT TREATMENT FACILITY, AN OUTPATIENT PARTIAL HOSPITALIZATION PROGRAM, AN INTENSIVE OUTPATIENT TREATMENT PROGRAM, OR BASIC OUTPATIENT TREATMENT. CRISIS TEAM MEMBERS FACILITATE ADMISSION AND WORK WITH INSURANCE AND FACILITIES TO MEET THE PATIENT'S NEEDS. 14. PRIMARY CARE PRIMARY CARE PHYSICIANS DIAGNOSE, TREAT AND MANAGE HEALTHCARE FOR ALL MEMBERS OF THE FAMILY FROM PREVENTION TO COMPLEX ILLNESSES. PRIMARY CARE PHYSICIANS ARE TRAINED AND EXPERIENCED IN MEETING THE HEALTHCARE NEEDS OF ALL MEMBERS OF THE FAMILY FROM NEWBORNS TO GERIATRICS. PATIENT CENTERED MEDICAL HOME - MANY PRIMARY CARE PHYSICIANS FOLLOW THE MODEL OF CARE WHICH PUTS THE PATIENT AT THE CENTER OF THE HEALTHCARE TEAM, TO ENSURE THAT THEY ALWAYS MEET EXPECTATIONS FOR HIGH QUALITY MEDICAL CARE. THE TEAM, LED BY A PRIMARY CARE PHYSICIAN, COORDINATES ALL ASPECTS OF HEALTHCARE, USING THE LATEST MEDICAL AND INFORMATION TECHNOLOGIES. THERE IS AN ENHANCED FOCUS ON PREVENTION TO IMPROVE HEALTH, AND IF THERE IS DEVELOPMENT OF A CHRONIC DISEASE, BEGIN EARLY, EFFECTIVE TREATMENT INTERVENTIONS. 15. CENTER FOR BLOODLESS MEDICINE AND SURGERY THE CENTER AT AMH WAS ESTABLISHED TO MEET THE NEEDS OF PATIENTS AND FAMILIES WHO DESIRE EXCELLENCE IN MEDICAL/SURGICAL CARE WHILE AVOIDING EXPOSURE TO DONATED BLOOD OR PRIMARY BLOOD COMPONENTS. BLOODLESS MEDICAL CARE COMBINES ADVANCED MEDICAL TECHNOLOGY WITH AN EXPERIENCED TEAM OF HEALTHCARE PROFESSIONALS TO CREATE AN ATMOSPHERE OF MUTUAL UNDERSTANDING, TRUST, AND RESPECT THAT PROMOTES THE DELIVERY OF HIGH-QUALITY CARE. THE PHYSICIANS AND STAFF ARE COMMITTED TO EMPLOYING EVERY MEANS POSSIBLE TO AVOID THE USE OF BLOOD. BLOOD LOSS OFTEN OCCURS DURING SURGERY. THE GOAL OF BLOODLESS MEDICAL CARE IS TO MINIMIZE BLOOD LOSS THROUGH THE USE OF SPECIAL BLOOD - CONSERVATION METHODS SUCH AS BLOOD CONSERVATION DEVICES, PHARMACEUTICALS AND METICULOUS SURGICAL TECHNIQUES. 16. AMH PROVIDES COMMUNITY BENEFIT SERVICES FOR THE UNDERSERVED/UNINSURED/UNDERINSURED WITH A FOCUS ON PRIMARY AND SPECIALTY CARE, WOMEN'S AND CHILDREN'S SERVICES, AND DENTAL. OB/GYN CENTER FOR PRENATAL CARE AND DELIVERY SERVING THE UNDERSERVED AND MULTI-LINGUAL PATIENTS AND FAMILIES: KOREAN, SPANISH, PORTUGUESE SERVED 15,336 IN FY22. THE DENTAL CLINIC AT AMH IS A RESIDENCY PROGRAM PROVIDING LOW OR NO COST DENTAL SERVICES FOR ALL AGES PROVIDING OVER 3,713 VISITS IN FY22. SANTERIAN NEWBORN CENTER, A NURSE MANAGED CENTER, SERVING NEWBORNS FROM BIRTH TO 3 MONTHS FOR WELL-BABY VISITS, SAW 1,743 VISITS IN FY22. THE AMH AMBULATORY SERVICES UNIT WAS RENAMED HARTNETT HEALTH SERVICES IN 2017, A NURSE MANAGED CENTER OF PRIMARY AND SPECIALTY CARE LOCATION AT AMH NEAR ACCESSIBLE BUS ROUTES PROVIDED 9,255 VISITS IN FY22. COMMUNITY SUPPORT, ACTIVITIES AND PROGRAMS ========================================== OUTLINED BELOW ARE A NUMBER OF AMH COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW AMH BENEFITS THE SURROUNDING COMMUNITY IN FURTHERING ITS CHARITABLE TAX-EXEMPT PURPOSES. WARM HAND-OFF PROGRAM CONTINUED IN FY22: ALL PATIENTS PRESENTING WITH OPIOID USE DISORDER OR ANY SUBSTANCE USE DISORDER CAN ACCESS THE WARM HAND-OFF PROGRAM AT ANY AMH LOCATION. THROUGH THIS PROGRAM, PATIENTS ARE CONNECTED TO A CERTIFIED RECOVERY SPECIALIST AND REFERRED TO A CARE PROVIDER AT PENN FOUNDATION, A NON-PROFIT ORGANIZATION THAT ADDRESSES SUBSTANCE USE AND MENTAL HEALTH NEEDS. IN ADDITION, AMH PROVIDES A CRISIS TEAM 24/7/365 DAYS A YEAR WHICH ALSO PROVIDES REFERRALS AND PLACEMENT FOR THOSE PRESENTING WITH A SUBSTANCE USE DISORDER. THE HOSPITAL CONTINUES TO PROVIDE COMMUNICATION EACH FALL AND SPRING FOR THE NATIONAL DRUG TAKE BACK DAY TO EDUCATE CONSUMERS TO CLEAN OUT THEIR BATHROOM OR KITCHEN CABINETS FROM OLD PRESCRIPTION MEDICATIONS AND TO DISPOSE OF THEM AT A SAFE DROP OFF BOX LOCATION NEAREST THEIR HOME. MANY SITES ARE LOCATED AT PHARMACIES, TOWNSHIP OR POLICE STATIONS. AMH'S ALLIANCE PHARMACY ALSO HAS A DROP BOX LOCATED ONSITE FOR USE BY THE COMMUNITY AND WORKFORCE. PARTICIPATION IN THE STATE'S PRESCRIPTION DRUG MONITORING PROGRAM: PROVIDERS GET A COMPLETE PICTURE OF THEIR PATIENT'S CONTROLLED SUBSTANCE PRESCRIPTION HISTORIES. "OPIOID MATTERS" E-NEWSLETTER: THE "OPIOID MATTERS" E-NEWSLETTER LAUNCHED IN DECEMBER 2018 WITH A SIXTH EDITION DISTRIBUTED IN FY22. THIS NEWSLETTER STRIVES TO PROVIDE EDUCATION AND RESOURCES TO OUR COMMUNITY, EMPLOYEES, PHYSICIANS, AND VOLUNTEERS ABOUT SUBSTANCE USE DISORDERS. - SPONSORSHIP OF MEETINGS AND FREE SPACE TO COMMUNITY GROUPS WAS SUSPENDED IN FY22 DUE TO THE PANDEMIC. PLANS FOR RE-ENGAGEMENT BEGAN IN FY22 FOR FUTURE ONBOARDING. - ELDERMED: FREE SENIOR MEMBERSHIP PROGRAM FOR PEOPLE OVER AGE 60; PROVIDES INSURANCE CLAIMS ASSISTANCE/COUNSELING, EDUCATION, SCREENINGS, AND HEALTH EDUCATION PROGRAMS, AND A COMMUNITY RESOURCES CENTER. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS THROUGH CHARITABLE SUPPORT AND THE HOSPITAL'S ONGOING EFFORTS, THE SAFE HARBOR PROGRAM HELPS PROVIDE A SAFE, SUPPORTIVE PLACE FOR CHILDREN, TEENS AND YOUNG ADULTS GRIEVING FROM THE LOSS OF A PARENT OR SIBLING. IN 2021, SAFE HARBOR CELEBRATED ITS 20TH ANNIVERSARY YEAR AND WAS MARKED BY ACKNOWLEDGEMENTS FROM THE HOSPITAL AND PHILANTHROPY. FOLLOWING ALL SAFETY AND COVID-19 PROTOCOLS, DURING FY22, SAFE HARBOR WAS ABLE TO RETURN TO IN-PERSON OFFERINGS INCLUDING ONSITE - LOCATED AT AMH CENTER WILLOW GROVE AND SCHOOL OUTREACH. THE PROGRAM PROVIDES A CARING ENVIRONMENT OF GRIEF SUPPORT SERVICES INCLUDING SUPPORT GROUPS FOR CHILDREN, TEENS AND YOUNG ADULTS AND CAREGIVERS TO HELP THEM THROUGH THE NATURAL PROCESS OF GRIEVING, AND CAMP CHARLIE, A DAY CAMP FOR BEREAVED CHILDREN. THE PROGRAM SERVED 59 PARENT/CAREGIVER AND 91 CHILDREN AND 33 SCHOOL CHILDREN FOR A TOTAL OF 183 PERSONS SERVED IN FY22. SINCE THE INCEPTION OF THE PROGRAM, SAFE HARBOR SERVED 2,007 CHILDREN, TEENS, YOUNG ADULTS AND 1,234 FAMILIES. CAMP CHARLIE, SCHOOL OUTREACH PROGRAMS AND MOVING ON GROUPS ROUNDED OUT ANOTHER SUCCESSFUL YEAR WHICH WAS REMARKABLE AS THE PROGRAM RETURNED TO IN-PERSON FOR FY22. ALL OF THESE SERVICES WITH SAFE HARBOR ARE MADE POSSIBLE BY MANY DONORS, EMPLOYEE DONORS, TRUSTEE PHILANTHROPISTS AND DONOR ORGANIZATIONS INCLUDING CHURCH GROUPS, SCHOOLS, BUSINESSES AND AHF WOMEN'S BOARD. AMH PROVIDES MISSION AND SERVICE LEAVE AS A BENEFIT FOR EMPLOYEES AND SEVERAL HAVE USED SAFE HARBOR'S CAMP CHARLIE AS THEIR SERVICE SITE. VARIOUS MATERNITY CLASSES INCLUDING BABY CARE BASICS, BREASTFEEDING, CHILDBIRTH PREPARATION, CARING FOR BABY AND OTHERS WENT TO A VIRTUAL PLATFORM BUT ALSO RETURNED IN FY22 TO LIMITED IN-PERSON CLASSES. AMH, IN ADDITION TO THOSE OUTLINED ABOVE, OFFERS NUMEROUS OTHER COMMUNITY PROGRAMS AND ACTIVITIES INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: - MATERNITY EDUCATION CLASSES AND SUPPORT - BEREAVEMENT SUMMER CAMP - CAMP CHARLIE - HOSPITAL HOLIDAY PROGRAM WITH NEW GIFT CARD PROGRAM FY22 - SEXUAL ASSAULT NURSE EXAMINER PROGRAM - PRE-MED VOLUNTEER PROGRAM AMH EDUCATIONAL PROGRAMS ======================== AMH WAS FOUNDED AS A TEACHING HOSPITAL AND BELIEVES THAT EDUCATING THE PUBLIC AS WELL AS FUTURE GENERATIONS OF MEDICAL PROFESSIONALS IS AN IMPORTANT PART OF ITS MISSION TO SERVE ITS COMMUNITY'S COMPLETE HEALTHCARE NEEDS. RESIDENT TRAINING PROGRAMS -------------------------- SINCE AMH FIRST OPENED ITS DOORS IN 1914, IT HAS BUILT AND MAINTAINED AN OUTSTANDING REPUTATION AS ONE OF THE LEADING TEACHING HOSPITALS IN THE PHILADELPHIA AREA - A UNIQUE COMBINATION OF AN ACADEMIC MEDICAL CENTER IN A COMMUNITY HOSPITAL SETTING. A COMMITMENT TO PROVIDING EXCEPTIONAL PATIENT CARE HAS EARNED AMH RECOGNITION AS A MAJOR REGIONAL TEACHING FACILITY THAT OFFERS A FULL SPECTRUM OF CLINICAL EXPERIENCES AND A RIGOROUS ACADEMIC PROGRAM. AMH HAS IN ITS PROGRAM EACH YEAR RESIDENTS IN FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, SURGERY AND DENTISTRY. AMH HAS FELLOWS IN BARIATRIC SURGERY AND GERIATRIC MEDICINE. RESIDENTS AND FELLOWS ROTATING FROM UNIVERSITY CENTERS IN CARDIOLOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, INTERNAL MEDICINE, NEUROINTERVENTIONAL/ENDOVASCULAR, NEONATAL/PERINATAL, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, ONCOLOGY, ORTHOPEDIC SURGERY, OTOLARYNGOLOGY, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC SURGERY, PODIATRY, PSYCHIATRY (ADULT) PULMONARY/CRITICAL CARE, RADIATION ONCOLOGY, AND UROLOGY ADD TO THE ACADEMIC ENVIRONMENT. ALL TRAINING PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. GRADUATE PROGRAM FACULTY ------------------------ AMH SUPPORTS PLACEMENT OPPORTUNITIES IN ALL PROGRAMS AND HAS ENABLED RESIDENTS TO OBTAIN ADVANCED GRADUATE TRAINING. AMH HAS A TEACHING ASSOCIATION WITH PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE AND THE SIDNEY KIMMEL MEDICAL COLLEGE AT THOMAS JEFFERSON UNIVERSITY, PHILADELPHIA, PA. MANY OF AMH'S PHYSICIANS SERVE ON THE FACULTIES OF THE PHILADELPHIA MEDICAL SCHOOLS AND ARE INVOLVED IN CONDUCTING RESEARCH AND PUBLISHING REGULARLY. AN ACTIVE PROGRAM OF CONTINUING MEDICAL EDUCATION OFFERS OPPORTUNITIES FOR PHYSICIANS AND OTHER MEDICAL STAFF TO GAIN THE MOST CURRENT KNOWLEDGE IN THEIR SPECIALTIES. AMERICAN HEART ASSOCIATION CPR TRAINING CENTER ---------------------------------------------- AMH IS PART OF THE JEFFERSON LANSDALE HOSPITAL TRAINING CENTER, AN AMERICAN HEART ASSOCIATION BLS TRAINING CENTER ("TC"). TC'S ARE RESPONSIBLE FOR THE PROPER ADMINISTRATION AND QUALITY OF THE EMERGENCY CARDIOVASCULAR CARE COURSES THAT THEY, THEIR ALIGNED INSTRUCTORS, AND TRAINING SITES PROVIDE. WITH OVER 134 ALIGNED INSTRUCTORS, AMH TRAINING CENTER OFFERS BOTH COMMUNITY AND PROFESSIONAL LEVEL CPR AND FIRST AID CLASSES ONSITE AND IN THE COMMUNITY. FAITH COMMUNITY NETWORK ----------------------- FAITH COMMUNITY NURSING ("FCN"), ALSO KNOWN AS PARISH NURSING, IS AN EXTENSION OF COMMUNITY HEALTH NURSING WHICH REACHES OUT TO PEOPLE IN THEIR FAITH COMMUNITIES. THE GOAL IS FOR FCN TO PROMOTE WELLNESS, BY HOLISTICALLY ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF THE FAITH COMMUNITY'S MEMBERS. FULFILLING THE ROLES OF PERSONAL HEALTH COUNSELOR, HEALTH EDUCATOR, MENTOR/VOLUNTEER COORDINATOR, LIAISON/REFERRAL SOURCE AND PASTORAL PARTNER, FCN IS A UNIQUE LINKAGE FROM AMH TO OUR LOCAL FAITH COMMUNITIES. MANY PROGRAMS ARE COORDINATED THROUGHOUT THE YEAR. OVER 300 FAITH COMMUNITIES ARE COMMUNICATED WITH ON A REGULAR BASIS. FCN JOINED THE MONTGOMERY COUNTY MULTIFAITH COALITION TO BETTER ALIGN PROGRAMMING AND EDUCATION. THIS ALSO INCLUDED A FOCUS ON MENTAL HEALTH AND WELLNESS. VOLUNTEERS ---------- MEMBERS OF OUR COMMUNITY RETURNED TO VOLUNTEER AND CONTRIBUTED OVER 36,726 HOURS TO SERVE THE HEALTHCARE NEEDS OF THEIR NEIGHBORS. AH HAS DEDICATED ITSELF TO THE COMMUNITY BY PROVIDING A DEPARTMENT RESPONSIBLE FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS, IMPLEMENTATION PLANS, COMMUNITY BENEFIT INITIATIVES, HEALTH EDUCATION, SCREENINGS, FAITH COMMUNITY NETWORK, CPR TRAINING CENTER, AND A CHRONIC DISEASE MANAGEMENT PROGRAM. IN ADDITION, AMH PROVIDES CLINICS TO SERVE THOSE IN NEED INCLUDING PRIMARY CARE AND SPECIALTY CLINICS GEOGRAPHICALLY LOCATED WITHIN THE SERVICE AREA; SPACE FOR SUPPORT AND SELF-HELP GROUPS, THOUGH SUSPENDED IN FY22 DUE TO THE PANDEMIC, A PROCESS WAS CREATED FOR FUTURE RE-ENGAGEMENT AND ONBOARDING. DURING THE ONGOING COVID-19 PANDEMIC IN FY22, OUTREACH PROVIDED A PIVOT TO FOLLOW UP CALLS, CREATING EDUCATIONAL FACT SHEETS FOR COMMUNITY SERVICES, SOCIAL MEDIA EDUCATION AND MENTAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES. FY22 COVID-19 PANDEMIC PROGRAM IMPACT AND ADJUSTMENTS AMH: COMMUNITY HEALTH CONTINUED TO PROVIDE SOME VIRTUAL PROGRAMMING AND SLOWLY RE-EMERGED INTO THE COMMUNITY PROVIDING MORE AND MORE IN-PERSON BLOOD PRESSURE SCREENINGS, HEALTH FAIRS AND COMMUNITY EVENTS. IN FY22, 142 WELLNESS CALLS; 1,325 TOTAL BLOOD PRESSURE, 578 TELEPHONIC BLOOD PRESSURE SCREENINGS, 747 IN PERSON BLOOD PRESSURE SCREENINGS. IN ADDITION, 91 CPR CLASSES WITH 305 PARTICIPANTS; 22 HEART/STROKE EDUCATION EVENTS WITH 1,360 PARTICIPANTS. THE HOSPITAL WEBSITE PROVIDED 10 PAGES OF ARTICLES RELATED TO CARDIOVASCULAR DISORDERS, RESULTING IN 11,761 UNIQUE VIEWS OF THESE PAGES BY THE COMMUNITY. FOR STROKE: STROKE EDUCATION SPIN WHEEL PRESENTED TO A TOTAL OF 801 COMMUNITY MEMBERS AT 15 EVENTS; STROKE PREVENTION/EDUCATION PRESENTED TO A TOTAL OF 168 COMMUNITY MEMBERS IN A VARIETY OF SETTINGS; SENIOR CENTERS, LOW INCOME SENIOR LIVING FACILITIES, FAITH COMMUNITIES AND KOREAN SENIOR PROGRAMS. THE HOSPITAL WEBSITE PROVIDED 3 PAGES OF ARTICLES RELATED TO STROKE EDUCATION, RESULTING IN 7,835 UNIQUE VIEWS OF THESE PAGES BY THE COMMUNITY. 11 HEARTSAVER AND FIRST AID CLASSES HELD WITH 57 PARTICIPANTS AND 82 INDIVIDUALS ATTENDED ASTHMA EDUCATION RELATED TOPIC IN 8 VIRTUAL PRESENTATIONS IN FY22. THE FAITH COMMUNITY NURSE COUNCIL PROVIDED "RESILIENCE, HOPE AND FAITH CONNECTION FOR 36 PARTICIPANTS; "TRAUMA 102 TRAINING" FOR 38 PARTICIPANTS; "DIVERSITY, EQUITY AND INCLUSION IN FAITH COMMUNITIES" FOR 29 PARTICIPANTS; "LGBTQ+" FOR 30 PARTICIPANTS. 35 DIABETES CONSULTS AT LH WERE COMPLETED. THE SIDNEY KIMMEL MOBILE CANCER SCREENING VAN PROVIDED HEAD AND NECK CANCER SCREENING TO 35 INDIVIDUALS AND CANCER EDUCATION TO 450 INDIVIDUALS AT THE INTERNATIONAL SPRING FESTIVAL HELD APRIL 2022 WITH LEADERSHIP AND COORDINATION BY LH FOR THE FAMILY HEALTH AND WELLNESS FAIR. THREE "A MATTER OF BALANCE" CLASSES WITH OVER 250 PARTICIPANTS SERVED IN FY22. 70 INDIVIDUALS ATTENDED 6 VIRTUAL COMMUNITY PRESENTATIONS ON "EXPLORING NUTRITION COLLABORATION WITH MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH IN NOURISH MONTCO PROGRAM PROVIDING FRESH FRUITS AND VEGETABLES TO 28 FAMILIES/124 FOOD INSECURE INDIVIDUALS IN LH'S CHILDREN'S CLINIC. FOUR EDUCATIONAL PROGRAMS AT TIME OF FOOD PICK UP. TOBACCO/VAPING CESSATION CALLS TO PATIENTS DISCHARGED FROM LH 461 CALLS ATTEMPTED; 171 PATIENTS SUCCESSFULLY CONTACTED, 28 INTERESTED IN CLASS, 36 QUIT TOBACCO. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HISTORY: AH HAS WORKED SINCE 2016 THROUGH 2019 WITH THE IMPLEMENTATION OR ACTION PLANS OF THE 2016 AND 201-96 CHNA RESPECTIVELY FOR AMH AND LHC: PLANS INCLUDED WORK ON ACCESS TO CARE, BEHAVIORAL HEALTH/MENTAL HEALTH, AND CHRONIC DISEASES. AT THE REQUEST OF LOCAL NON-PROFIT HOSPITALS AND HEALTH SYSTEMS, THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH (PDPH) AND THE HEALTH CARE IMPROVEMENT FOUNDATION (HCIF) CONVENED AN EFFORT TO COLLABORATIVELY DEVELOP A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT [RCHNA]. IN FY22, RECOGNIZING THAT HOSPITALS AND HEALTH SYSTEMS OFTEN MUTUALLY SERVE THE SAME COMMUNITIES, A GROUP OF LOCAL HOSPITALS AND HEALTH SYSTEMS HAVE AGAIN COLLABORATED ON A SOUTHEASTERN PENNSYLVANIA [SEPA] REGIONAL CHNA [RCHNA], WITH SPECIFIC FOCUS ON BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA COUNTIES. THIS CONTINUED COLLABORATION ENABLES CONTINUITY OF APPROACH, WHILE ALSO PROVIDING OPPORTUNITIES TO EXPAND AND IMPROVE UPON THE LAST ASSESSMENT PROCESS. PARTICIPANTS RECOGNIZE THAT THE RCHNA IS AN IMPORTANT PART OF HOW HEALTH SYSTEMS, MULTI-SECTOR PARTNERS, AND COMMUNITIES WORK TOGETHER TO ACHIEVE MEANINGFUL AND POSITIVE COMMUNITY CHANGE. IN ADDITION TO THE SHARED LEARNING, INCREASED EFFICIENCIES, AND REDUCED COMMUNITY BURDEN OFFERED BY THE COLLABORATIVE APPROACH, PARTICIPANTS HAVE DERIVED PARTICULAR BENEFIT FROM MUTUAL SUPPORT IN THE FACE OF THE COVID-19 PANDEMIC AND ITS CASCADING IMPACTS. IN RESPONSE TO THE CRISES OF THE PAST SEVERAL YEARS, THE 2022 RCHNA IS EXPLICITLY GROUNDED IN AN APPROACH THAT SEEKS TO ADVANCE HEALTH EQUITY AND AUTHENTIC COMMUNITY ENGAGEMENT. IN PARTNERSHIP WITH THE STEERING COMMITTEE OF REPRESENTATIVES FROM THE PARTNERING HOSPITALS AND HEALTH SYSTEMS, THE PROJECT TEAM --- COMPOSED OF STAFF FROM HEALTH CARE IMPROVEMENT FOUNDATION [HCIF], PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH [PDPH], AND PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS [PACDC]--- DEVELOPED A COLLABORATIVE, COMMUNITY-ENGAGED APPROACH THAT INVOLVED COLLECTING AND ANALYZING QUANTITATIVE AND QUALITATIVE DATA AND AGGREGATING DATA FROM A VARIETY OF SECONDARY SOURCES TO COMPREHENSIVELY ASSESS THE HEALTH STATUS OF THE REGION. THE ASSESSMENT RESULTS IN A LIST OF PRIORITY HEALTH NEEDS THAT WILL BE USED BY THE PARTICIPATING HOSPITALS AND HEALTH SYSTEMS TO DEVELOP IMPLEMENTATION PLANS OUTLINING HOW THEY WILL ADDRESS THESE NEEDS INDIVIDUALLY AND IN COLLABORATION WITH OTHER PARTNERS. QUANTITATIVE DATA WERE ACQUIRED FROM LOCAL, STATE, AND FEDERAL SOURCES AND FOCUSED ON INDICATORS THAT WERE UNIFORMLY AVAILABLE AT THE ZIP CODE LEVEL ACROSS THE REGION. THE PDPH TEAM, WHICH INCLUDED EXPERTS IN EPIDEMIOLOGICAL AND GEOSPATIAL ANALYSIS, COMPILED, ANALYZED, AND AGGREGATED OVER 60 HEALTH INDICATORS ENCOMPASSING DATA ON COMMUNITY DEMOGRAPHIC CHARACTERISTICS, COVID-19, CHRONIC DISEASE AND HEALTH BEHAVIORS, INFANT AND CHILD HEALTH, BEHAVIORAL HEALTH, INJURIES, ACCESS TO CARE, AND SOCIAL AND ECONOMIC CONDITIONS. HCIF, GUIDED BY A QUALITATIVE TEAM COMPOSED OF A SUBSET OF STEERING COMMITTEE REPRESENTATIVES, COORDINATED THE QUALITATIVE COMPONENTS OF THE ASSESSMENT, WHICH INCLUDED: 26 VIRTUAL FOCUS GROUP-STYLE "COMMUNITY CONVERSATIONS" HELD TO GATHER INPUT FROM RESIDENTS OF GEOGRAPHIC COMMUNITIES ACROSS ALL FIVE COUNTIES; 21 VIRTUAL FOCUS GROUP DISCUSSIONS CENTERED ON "SPOTLIGHT" TOPICS CONDUCTED WITH COMMUNITY AND ORGANIZATION AND LOCAL GOVERNMENT AGENCY REPRESENTATIVES. TOPICS COVERED INCLUDED BEHAVIORAL HEALTH, CHRONIC DISEASE, FOOD INSECURITY, HOUSING AND HOMELESSNESS, OLDER ADULTS AND CARE, RACISM AND DISCRIMINATION IN HEALTH CARE, SUBSTANCE USE, AND VIOLENCE. TWO EXPERTS IN QUALITATIVE DATA COLLECTION AND ANALYSIS ENGAGED AS QUALITATIVE LEAD CONSULTANTS FACILITATED ALL OF THESE DISCUSSIONS, ANALYZED THE QUALITATIVE DATA, AND SUMMARIZED KEY FINDINGS. IN ADDITION, THE PROJECT TEAM EITHER UNDERTOOK DIRECTLY OR SUPPORTED PARTNERS WITH TARGETED PRIMARY DATA COLLECTION TO BETTER UNDERSTAND THE NEEDS OF PARTICULAR COMMUNITIES OR POPULATIONS. THESE FOCUS AREAS AND COMMUNITIES WERE EITHER SPECIFIC TO DIFFERENT TYPE OF FACILITIES WITHIN PARTICIPATING HEALTH SYSTEMS [I.E, CANCER CENTERS, REHABILITATION FACILITIES] OR REFLECTED GAPS IN THE 2019 RCHNA: CANCER, DISABILITY, IMMIGRANT, REFUGEES AND HERITAGE COMMUNITIES AND YOUTH VOICE. FINALLY, SECONDARY DATA IN THE FORM OF REPORTS AND SUMMARIES FROM OTHER COMMUNITY ENGAGEMENT EFFORTS WERE ALSO INCORPORATED INTO THE REPORT. ALL DATA WERE SYNTHESIZED BY HCIF STAFF AND A LIST OF 12 COMMUNITY HEALTH PRIORITIES WAS PRESENTED TO THE STEERING COMMITTEE. USING A MODIFIED HANLON METHOD, EACH PARTICIPATING HOSPITAL AND HEALTH SYSTEM RATED THE PRIORITIES. AN AVERAGE RATING WAS CALCULATED, AND THE COMMUNITY HEALTH PRIORITIES WERE ORGANIZED IN PRIORITY ORDER BASED ON: SIZE OF HEALTH PROBLEM, IMPORTANCE TO COMMUNITY; CAPACITY OF HOSPITALS/HEALTH SYSTEMS TO ADDRESS; ALIGNMENT WITH MISSION AND STRATEGIC DIRECTION; AVAILABILITY OF EXISTING COLLABORATIVE EFFORTS. POTENTIAL SOLUTIONS FOR EACH OF THE COMMUNITY HEALTH PRIORITIES, BASED ON FINDINGS FROM THE QUALITATIVE DATA COLLECTION, WERE ALSO INCLUDED. IN ORDER TO MAXIMIZE THE RESOURCES AVAILABLE, THE SENIOR LEADERSHIP OF AMH AND LH HAS CHOSEN TO ADDRESS THE FOLLOWING PRIORITIES LISTED IN THE 2022 RCHNA. THE TOP 6 PRIORITY HEALTH NEEDS FOR AMH AND LH INCLUDE: MENTAL HEALTH CONDITIONS, SUBSTANCE USE AND RELATED DISORDERS, CHRONIC DISEASE PREVENTION AND MANAGEMENT, ACCESS TO CARE (PRIMARY AND SPECIALTY), HEALTHCARE AND HEALTH RESOURCES NAVIGATION AND FOOD ACCESS. IN FY22, AMH'S CHNA IMPLEMENTATION PLANS CONTINUED. A FY22 YEAR-END REPORT AND SCORECARD WAS SHARED WITH OUR OVERSIGHT COMMITTEE. COVID-19 AFFECTED SOME OBJECTIVES AND PLANS WERE SUSPENDED; HOWEVER, NEW AND INNOVATIVE IDEAS HAVE BEEN CREATED TO CONTINUE TO WORK TOWARDS ACHIEVING GOALS. LEADERS COLLABORATIVELY REPORTED ON SUBSTANCE USE DISORDER AND THE OPIOID EPIDEMIC. WHILE SOME PLANS WERE SUSPENDED, AMH CONTINUED WITH THE WARM HAND OFF AND OUR COMMUNITY PARTNER, EDUCATION AS WELL AS PROMOTION ON DRUG TAKE BACK CONTINUED. A PROJECT FOR DISTRIBUTION OF NARCAN KITS IN HOSPITAL EMERGENCY ROOMS/TRAUMA CENTER CONTINUED IN FY22 WITH PHILANTHROPY, BEHAVIORAL HEALTH AND COMMUNITY HEALTH LEADERS AND WAS EXPANDED TO INCLUDE JEFFERSON MEDICAL GROUP PRACTICES. CLINICALLY, WOMEN AND CHILDREN'S SERVICES FOCUSED ON REDUCTION OF PAIN MEDICATION IN C-SECTIONS, SURGERIES WHERE APPROPRIATE AND THE SUBSTANCE USE DISORDER COMMITTEE ALSO FOCUSED ON IDENTIFICATION AND SCREENING FOR ALCOHOL FOR INPATIENTS AND REFERRALS TO RESOURCES. DURING COVID-19, COMMUNITY HEALTH, WORKING WITH KEY COMMUNITY STAKEHOLDERS, COMPILED RESOURCES THAT WENT VIRTUAL AND COMMUNICATED EFFECTIVELY TO INTERNAL AND EXTERNAL AUDIENCES. A NEW COMMUNITY RESOURCE LISTING WAS CREATED FOR CLERGY AND A VIRTUAL CLERGY EDUCATIONAL FORUM WAS HELD. IN ADDITION, FOR BEHAVIORAL HEALTH, AMH SUPPORTED THE BUCKS MONT COLLABORATIVE'S VIRTUAL COMMUNITY SUMMIT "OUR EVOLVING JOURNEY: ADVERSE TO HEALING COMMUNITY ENVIRONMENTS" WITH OVER 186 PARTICIPANTS AND LEADERSHIP FROM AMH ACTIVELY INVOLVED WITH THE PLANNING AND COORDINATION. THIS LED TO FURTHER ENGAGEMENT AND THE CREATION OF THE BUCKS MONT TRAUMA COALITION. CHRONIC DISEASE PREVENTION: PRIOR TO COVID-19, PROGRAMMING HAD BEEN ROBUST. DUE TO COVID-19, SOME COMMUNITY HEALTH EDUCATION EVENTS AND SCREENINGS WERE CANCELED, HOWEVER, REQUESTS CAME IN FROM THE COMMUITY IN THE FALL AND SPRING SEASONS OF FY22 WHICH WERE ABLE TO BE MET. THROUGH SOCIAL MEDIA AND THE HOSPITAL'S NEWSLETTERS AND WEBSITE, EFFORTS WERE MADE TO INCREASE AWARENESS OF WEARING MASKS AND SOCIAL DISTANCING. IN ADDITION, COMMUNITY HEALTH NURSES CALLED CHRONIC CARE MANAGEMENT PATIENTS, AS WELL AS CLIENTS FROM SENIOR CENTERS OR THOSE WHO VISITED MONTHLY BLOOD PRESSURE SCREENINGS TO CHECK IN, ASK ABOUT FOOD SECURITY, CURRENT MENTAL HEALTH STATUS AND PROVIDE HEALTH EDUCATION. THESE OUTREACH CALLS WERE WELL RECEIVED FROM FEEDBACK SHARED AND WORKED TO DECREASE SOCIAL ISOLATION. FOOD INSECURITY SCREENINGS CONTINUED IN FY22 FROM THE CHILDREN'S CLINIC AND DIABETES CENTER. THE 2022 RCHNA WAS REVIEWED AND APPROVED BY JUNE 28, 2022, BY JEFFERSON HEALTH'S ABINGTON'S BOARD OF TRUSTEES IN ADDITION, THE REV. MARTIN LUTHER KING, JR. COMMUNITY BENEFIT AND DIVERSITY COMMITTEE, A BOARD OVERSIGHT COMMITTEE, APPROVED THE RCHNA WITH RATIFICATION BY THE ABINGTON BOARD OF TRUSTEES AND POSTED TO THE HOSPITAL'S WEBSITE PER REQUIREMENTS. COMMUNITY HEALTH, COMMUNITY BENEFIT, AND OTHER AH LEADERS AND STAFF ARE DEDICATED TO THE IMPLEMENTATION PLANS OF THE CHNA WHICH INCLUDES THE POSTING OF THE COMMUNITY HEALTH IMPLEMENTATION PLAN REPORT FROM THE 2019 CHNA ON THE HOSPITAL'S WEBSITE. COMMUNITY HEALTH LEADERSHIP WORKED WITH KEY AMH DEPARTMENTS IN FORMULATING CHNA IMPLEMENTATION PLANS FOR THE 2022-2025 DUE NOVEMBER 15, 2022, WHICH WERE COMPLETED AND POSTED. CORE FORM, PART V, SECTION A; QUESTION 15 CRISTINA G. CAVALIERI, ESQ. AND PETER L. DEANGELIS, JR. ARE OFFICERS OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. THESE INDIVIDUALS ARE EMPLOYED BY AND RECEIVE A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, THOMAS JEFFERSON UNIVERSITY FILED A 2021 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO EACH INDIVIDUAL'S COMPENSATION IN EXCESS OF $1M. MICHAEL B. WALSH, A FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED AS THE SENIOR VICE PRESIDENT, FINANCE OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, THOMAS JEFFERSON UNIVERSITY FILED A 2021 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO HIS COMPENSATION IN EXCESS OF $1M. LAURENCE M. MERLIS, A FORMER OFFICER OF THIS ORGANIZATION, RECEIVES A FEDERAL FORM W-2 FROM THIS ORGANIZATION AND IS EMPLOYED BY AND RECEIVES A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651). THOMAS JEFFERSON UNIVERSITY FILED A 2021 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO HIS COMPENSATION IN EXCESS OF $1M. HIS COMPENSATION INCLUDED ON THE 2021 FEDERAL FORM 4720 INCLUDES BOTH HIS COMPENSATION FROM THIS ORGANIZATION AS WELL AS HIS COMPENSATION FROM THOMAS JEFFERSON UNIVERSITY. CORE FORM, PART VI, SECTION A; QUESTION 2 DAVID J. ESKIN, M.D. AND MARK R. ESKIN - FAMILY RELATIONSHIP NEAL PEARLSTINE, ESQ. AND BRUCE GOODMAN - BUSINESS RELATIONSHIP CORE FORM, PART VI, SECTION A; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THOMAS JEFFERSON UNIVERSITY ("TJU") IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND SERVES AS THE PARENT ORGANIZATION OF THE SYSTEM. AS THE PARENT ORGANIZATION OF THE SYSTEM TJU PROVIDES VARIOUS CORPORATE RELATED SERVICES FOR THE BENEFIT OF VARIOUS SYSTEM ENTITIES; INCLUDING THIS ORGANIZATION. THESE CORPORATE SERVICES, INCLUDE, BUT ARE NOT LIMITED TO, EXECUTIVE, LEGAL AND RISK MANAGEMENT, COMPLIANCE AND GOVERNANCE, HUMAN RESOURCES AND FINANCE. TJU ALLOCATES A PERCENTAGE OF ITS TOTAL CORPORATE RELATED SERVICES COSTS TO VARIOUS SYSTEM ENTITIES, INCLUDING THIS ORGANIZATION, AS REIMBURSEMENT FOR THESE CORPORATE RELATED SERVICES. THE REIMBURSEMENT TO TJU IS REFLECTED AS AN EXPENSE FOR THESE ORGANIZATIONS. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ABINGTON HEALTH ("AH") IS THE SOLE MEMBER OF THIS ORGANIZATION. THOMAS JEFFERSON UNIVERSITY ("TJU") IS THE SOLE MEMBER OF AH. TJU HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B The organization is an affiliate within Thomas Jefferson University/Jefferson Health; a comprehensive professional university and tax-exempt integrated healthcare delivery system ("System"), with a tripartite mission of education, research and patient care. The organization's federal form 990 was provided to each voting member of the organization's governing body prior to filing with the Internal Revenue Service ("IRS"). As part of the tax return preparation process the organization hired a professional certified public accounting ("CPA") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The CPA firm's tax professionals worked closely with the System's finance personnel and various other system individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The CPA firm prepared a draft federal form 990 and furnished it to the System's internal working group for their review. The internal working group reviewed the draft Federal form 990 and discussed questions and comments with the CPA firm. Revisions were made to the draft Federal form 990 where necessary and a final draft was furnished by the CPA firm to the internal working group for final review. Following this review, the form 990 was provided to the organization's governing body prior to filing with the IRS. In addition, the form 990 was provided to the Thomas Jefferson University's finance, assurance & compliance committee and the CPA firm made a presentation to the committee regarding the System's Forms 990 together with a healthcare industry tax update. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH ALL AFFILIATES REGULARLY MONITOR AND ENFORCE COMPLIANCE. THE CONFLICT-OF-INTEREST POLICY GOVERNS CONFLICT OF INTEREST DISCLOSURE AND MONITORING OF ALL VOTING MEMBERS OF THE SYSTEM'S BOARD OF TRUSTEES. THE CONFLICT-OF-INTEREST POLICY IS DESIGNED TO ASSIST THE ORGANIZATION IN EVALUATING ARRANGEMENTS, CONTRACTS OR TRANSACTIONS THAT MAY BENEFIT THE PRIVATE INTEREST OF A TRUSTEE, THEIR FAMILY MEMBER(S), A MEMBER OF A COMMITTEE OR SUBCOMMITTEE THAT EXERCISES BOARD-DELEGATED POWERS OF THE UNIVERSITY, OR SENIOR MANAGEMENT. THE POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE STATE AND FEDERAL LAWS GOVERNING NONPROFIT CHARITABLE CORPORATIONS. IN ACCORDANCE WITH THE CONFLICT-OF-INTEREST POLICY, EACH VOTING MEMBER OF THE BOARD OF TRUSTEES MUST COMPLETE, AT LEAST ANNUALLY, THE SYSTEM'S CONFLICT OF INTEREST DISCLOSURE PROCESS. THE CONFLICT-OF-INTEREST PROCESS INCLUDES DISTRIBUTION OF AN ELECTRONIC DISCLOSURE TO ALL PERSONS WHO SERVED AS VOTING MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF SENIOR MANAGEMENT AND KEY EMPLOYEES DURING THE PREVIOUS FISCAL YEAR. THE DISCLOSURE FORM ELICITS INFORMATION RELATED TO THE RESPONDENT'S ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES IN WHICH THEY ENGAGED DURING THE REPORTING PERIOD. THE PROCESS ALSO REQUIRES COVERED PERSONS TO DISCLOSE SUCH INFORMATION ABOUT THEIR FAMILY MEMBERS. IN ADDITION TO ATTESTING TO THE VERACITY OF INFORMATION CONTAINED WITHIN THE DISCLOSURE, THE VOTING MEMBER OF THE BOARD OF TRUSTEES MUST CERTIFY THAT THEY WILL ABIDE BY THE SYSTEM'S CONFLICTS OF INTEREST AND OTHER RELEVANT POLICIES AND WILL DISCLOSE ALL INTERESTS AND ACTIVITIES RELATED TO THEIR ONGOING SERVICE ON THE BOARD OF TRUSTEES. MEMBERS OF SENIOR MANAGEMENT AND INDIVIDUALS IDENTIFIED AS KEY EMPLOYEES RECEIVE DISCLOSURE QUESTIONS REQUIRED OF MEMBERS OF THE BOARD OF TRUSTEES. ALL PERSONS COVERED UNDER THE ORGANIZATION'S BOARD OF TRUSTEES AND EMPLOYEE-RELATED CONFLICT OF INTEREST POLICIES MAINTAIN A CONTINUING OBLIGATION TO DISCLOSE ALL CHANGES IN INTERESTS, ACTIVITIES AND RELATIONSHIPS THROUGHOUT THE YEAR. THE SYSTEM MAINTAINS ALL ORIGINAL DISCLOSURE FORMS AND CERTIFICATIONS IN ACCORDANCE WITH ITS RECORD RETENTION POLICY. THE SYSTEM ALSO COMPILES AND ISSUES A COMPREHENSIVE REPORT OF ALL ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES REPORTED DURING THE BOARD OF TRUSTEES CONFLICTS OF INTEREST DISCLOSURE PROCESS TO THE ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THEREAFTER, THE BOARD OF TRUSTEES ITSELF OR THROUGH DELEGATION TO THE FINANCE, ASSURANCE & COMPLIANCE COMMITTEE, EVALUATES ALL ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO DETERMINE WHETHER ACTIVITIES OR ARRANGEMENTS REQUIRE MANAGEMENT, REDUCTION, OR ELIMINATION OF CERTAIN INTERESTS, ACTIVITIES OR RELATIONSHIPS. WHEN MANAGEMENT OF THE IDENTIFIED CONFLICT IS REQUIRED, THE AFFECTED PERSON(S), MEMBERS OF THE BOARD'S EXECUTIVE COMMITTEE, AND CERTAIN MEMBERS OF EXECUTIVE MANAGEMENT, RECEIVE NOTIFICATION OF THE REQUIREMENTS SET FORTH IN THE MANAGEMENT PLAN. AFFECTED PERSONS ARE EXPECTED TO ABIDE BY THE TERMS OF THE MANAGEMENT PLAN, WHICH MAY INCLUDE, BUT MAY NOT BE LIMITED TO, RECUSAL FROM DELIBERATIONS AND VOTING WHEN APPROPRIATE. IN ADDITION TO THE ABOVE-OUTLINED INTERNAL REPORTING AND EVALUATION OF ACTIVITIES, TRANSACTIONS AND RELATIONSHIPS, ALL REQUIRED DISCLOSURES IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE'S REGULATIONS AND INSTRUCTIONS ARE REPORTED ON THE ORGANIZATION'S FEDERAL FORM 990. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE ORGANIZATION IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND BEST PRACTICES IN CORPORATE GOVERNANCE. THOMAS JEFFERSON UNIVERSITY'S BOARD OF TRUSTEES HAS A COMPENSATION AND HUMAN CAPITAL COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE SYSTEM'S EXECUTIVE COMPENSATION, INCLUDING ARRANGEMENTS COVERING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR EXECUTIVES AND OTHER KEY EMPLOYEES (INCLUDING CLINICAL DEPARTMENT CHAIRS AND SELECT FACULTY). THE COMMITTEE MEETS MULTIPLE TIMES DURING THE YEAR AND IS COMPRISED OF INDIVIDUALS WHO ARE INDEPENDENT AND DO NOT HAVE CONFLICTS OF INTEREST WITH REGARD TO THE COMPENSATION ARRANGEMENTS THAT FALL WITHIN ITS PURVIEW. THE COMMITTEE'S PROCESS IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS THAT IS AVAILABLE UNDER THE INTERMEDIATE SANCTIONS LAW AND INCLUDES THE REVIEW OF COMPARABILITY DATA AND THE CONTEMPORANEOUS SUBSTANTIATION OF ITS DELIBERATIONS AND DECISIONS. THE COMMITTEE'S DECISIONS ARE MADE IN ACCORDANCE WITH SYSTEM'S COMPENSATION PHILOSOPHY, WHICH SUPPORTS THE OBJECTIVE OF ATTRACTING, RETAINING AND MOTIVATING TALENTED INDIVIDUALS WHO HAVE THE APPROPRIATE EXPERIENCE AND SKILLS TO ACHIEVE THE INSTITUTION'S OBJECTIVES. ON AN ANNUAL BASIS THE COMMITTEE REVIEWS APPROPRIATE COMPARABILITY DATA FOR SIMILAR INSTITUTIONS THAT REFLECT THE MISSION, SCOPE AND COMPLEXITY OF THE ORGANIZATION AND ITS CONSTITUENT ENTITIES. THE COMMITTEE ENGAGES QUALIFIED, INDEPENDENT CONSULTANTS AS NEEDED TO PROVIDE ADVICE ON COMPENSATION MATTERS AND TO PREPARE THE COMPARABILITY DATA, WHICH ARE REVIEWED BY THE COMMITTEE IN ADVANCE OF MAKING ITS DECISIONS. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND OTHER SENIOR EXECUTIVES BASED ON MARKET PRACTICES, AN ASSESSMENT OF PERFORMANCE AND OTHER BUSINESS JUDGMENT FACTORS. THE EXECUTIVE COMPENSATION INCLUDES INCENTIVE PAY, PURSUANT TO WHICH EXECUTIVES ARE REWARDED BASED ON THE ACHIEVEMENT OF THE SYSTEM, ENTITY AND INDIVIDUAL PERFORMANCE GOALS THAT ARE ESTABLISHED IN ADVANCE OF THE PERFORMANCE PERIOD. THESE GOALS ARE LINKED TO SYSTEM'S MISSION, STRATEGIC AND OPERATING OBJECTIVES, AND HAVE PREDETERMINED WEIGHTS. AT THE END OF THE YEAR, THE COMMITTEE APPROVES THE RESULTING AWARDS BASED ON A REVIEW OF PERFORMANCE ACHIEVEMENTS RELATIVE TO THE GOALS; IN APPROPRIATE CIRCUMSTANCES, OTHER DISCRETIONARY FACTORS MAY BE CONSIDERED WHEN INCENTIVES ARE DETERMINED. THE COMMITTEE MAKES A DETERMINATION OF THE REASONABLENESS OF COMPENSATION AND MAINTAINS MINUTES THAT DOCUMENT ITS DELIBERATIONS AND DECISIONS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S GOVERNING BODY. CORE FORM, PART VII AND SCHEDULE J CRISTINA G. CAVALIERI, ESQ. AND PETER L. DEANGELIS, JR. ARE OFFICERS OF THIS ORGANIZATION'S GOVERNING BODY; AN UNCOMPENSATED POSITION. THESE INDIVIDUALS ARE EMPLOYED BY AND RECEIVE A FEDERAL FORM W-2 FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. ACCORDINGLY, THEIR RESPECTIVE REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651) FEDERAL FORM 990 FOR THE YEAR ENDING JUNE 30, 2022. PLEASE REFER TO THE THOMAS JEFFERSON UNIVERSITY FEDERAL FORM 990 FOR THIS INFORMATION. LAURENCE M. MERLIS IS A FORMER OFFICER OF THIS ORGANIZATION. HE RECEIVES A FEDERAL FORM W-2 FROM BOTH THIS ORGANIZATION AND FROM THOMAS JEFFERSON UNIVERSITY; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651). MR. MERLIS' REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651) FEDERAL FORM 990. PLEASE REFER TO THE THOMAS JEFFERSON UNIVERSITY FEDERAL FORM 990 FOR THIS INFORMATION. MICHAEL B. WALSH, A FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED AS THE SENIOR VICE PRESIDENT, FINANCE OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY. MR. WALSH'S REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651) FEDERAL FORM 990. PLEASE REFER TO THE THOMAS JEFFERSON UNIVERSITY FEDERAL FORM 990 FOR THIS INFORMATION. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY ("TJU"). CERTAIN BOARD OF TRUSTEE MEMBERS, KEY EMPLOYEES AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS, OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART X; LINE 25 THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM HAS A NUMBER OF OUTSTANDING LONG-TERM OBLIGATED GROUP DEBT LIABILITIES, INCLUDING THE FOLLOWING BOND ISSUANCES: - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015A; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015B; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015C-G; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2015H; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2017A; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2017B; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2017C; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2018A; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2018B; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2019A; AND - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2022B. THE BONDS OUTLINED ABOVE AND VARIOUS OTHER LONG-TERM BORROWINGS ARE ALLOCATED BY THOMAS JEFFERSON UNIVERSITY; THE TAX-EXEMPT PARENT OF THE SYSTEM AND SOLE MEMBER OF VARIOUS TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM, TO THE FOLLOWING SYSTEM MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES. THE BALANCE SHEET OF THESE RESPECTIVE MEMBER HOSPITALS AND CERTAIN OTHER AFFILIATES MAY REFLECT A TJU OBLIGATED GROUP LIABILITY. THE MEMBERS OF THE OBLIGATED GROUP CONSIST OF THE FOLLOWING: - THOMAS JEFFERSON UNIVERSITY, EIN: 23-1352651 - THOMAS JEFFERSON UNIVERSITY HOSPITALS, EIN: 23-2829095 - TJUH SYSTEM, EIN: 23-3026795 - JEFFERSON UNIVERSITY PHYSICIANS, EIN: 23-2809585 - ABINGTON HEALTH, EIN: 27-1243803 - ABINGTON HEALTH FOUNDATION, EIN: 23-2188052 - ABINGTON MEMORIAL HOSPITAL, EIN: 23-1352152 - LANSDALE HOSPITAL CORPORATION, EIN: 26-3359979 - JEFFERSON HEALTH - NORTHEAST, EIN: 23-0596940 - JEFFERSON HEALTH - NORTHEAST SYSTEM, EIN: 23-2239131 - PHILADELPHIA UNIVERSITY, EIN: 23-1352294 - KENNEDY UNIVERSITY HOSPITAL, INC., EIN: 22-1773439 - KENNEDY HEALTH SYSTEM, EIN: 22-2442036 - KENNEDY HEALTH FACILITIES, INC., EIN: 22-2442032 - KENNEDY MEDICAL GROUP PRACTICE, P.C., EIN: 46-1420853 - MAGEE REHABILITATION HOSPITAL, EIN: 23-1476328 - ALBERT EINSTEIN HEALTHCARE NETWORK, EIN: 23-2290323 - ALBERT EINSTEIN MEDICAL CENTER, EIN: 23-1396794 - EINSTEIN COMMUNITY HEALTH ASSOCIATES, INC., EIN: 23-2760086 - EINSTEIN MEDICAL CENTER MONTGOMERY, EIN: 20-4193243 - EINSTEIN PRACTICE PLAN, INC., EIN: 23-2664784 - FORNANCE PHYSICIAN SERVICES, EIN: 23-2275991 - MONTGOMERY HOSPITAL, EIN: 23-1352193 - MONTGOMERY HEALTH FOUNDATION, EIN: 22-2456265 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED WITHIN THOMAS JEFFERSON UNIVERSITY'S (EIN: 23-1352651) FEDERAL FORM 990 FOR THE YEAR ENDED JUNE 30, 2022. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION - $8,271,345; - CHANGE IN PENSION LIABILITY - $67,367,107; - CHANGE IN VALUE OF EXTERNAL TRUSTS (DONOR RESTRICTED) - ($9,789,312); - NET ASSETS RELEASED FROM RESTRICTION (DONOR RESTRICTED) - ($2,482,126); AND - CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS (DONOR RESTRICTED) - $17,940. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY ("TJU"). AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE FISCAL YEARS ENDED JUNE 30, 2022 AND JUNE 30, 2021; RESPECTIVELY AND ISSUED A CONSOLIDATED AUDITED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THOMAS JEFFERSON UNIVERSITY'S FINANCE, ASSURANCE & COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. TJU'S AUDIT, RISK AND COMPLIANCE COMMITTEE ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. THOMAS JEFFERSON UNIVERSITY 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 231352651 EDUCATION PA 501(C)(3) 2 NA false TJUH SYSTEM 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 233026795 HEALTH SVCS. PA 501(C)(3) 12B TJU false THOMAS JEFFERSON UNIVERSITY HOSPITALS 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232829095 HEALTH SVCS. PA 501(C)(3) 3 TJUH SYSTEM false JEFFERSON UNIVERSITY PHYSICIANS 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232809585 HEALTH SVCS. PA 501(C)(3) 12A TJUH SYSTEM false JEFFERSON UNIVERSITY PHYSICIANS OF NJ PC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 464855345 HEALTH SVCS. NJ 501(C)(3) 12A JUP false JEFFERSON PHYSICIAN SERVICES 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 233026939 HEALTH SVCS. PA 501(C)(3) 12B TJUH SYSTEM false JEFFERSON CLUB AKA JEFF FACULTY CLUB 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232167488 HEALTH SVCS. PA 501(c)(3) 12A TJU false JEFFERSON MEDICAL CARE 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232858320 HEALTH SVCS. PA 501(C)(3) 12A JPS false METHODIST ASSOCIATES IN HEALTHCARE INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232678055 HEALTH SVCS. PA 501(C)(3) 12A TJUH SYSTEM false METHODIST ASSOC IN HEALTHCARE OF NJ PC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 223537847 HEALTH SVCS. NJ 501(c)(3) 12A MAHC false JEFFEX INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232622009 HEALTH SVCS. PA 501(C)(3) 12A TJUH SYSTEM false EMERGENCY TRANSPORT ASSOCIATES INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232622004 HEALTH SVCS. PA 501(C)(3) 10 JEFFEX INC false WALNUT HOME THERAPEUTICS INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232622006 HEALTH SVCS. PA 501(C)(3) 10 JEFFEX INC false SUTHBREIT PROPERTIES LTD 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232214351 REAL ESTATE PA 501(c)(2) JEFFEX INC false ABINGTON HEALTH 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 271243803 HEALTH SVCS. PA 501(C)(3) 12B TJU false LANSDALE HOSPITAL CORPORATION 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 263359979 HEALTH SVCS. PA 501(c)(3) 3 AH false ABINGTON HEALTH FOUNDATION 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232188052 FUNDRAISING PA 501(C)(3) 7 AH false JEFFERSON HEALTH - NORTHEAST SYSTEM 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232239131 HEALTH SVCS. PA 501(C)(3) 12B TJU false JEFFERSON HEALTH - NORTHEAST 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 230596940 HEALTH SVCS. PA 501(C)(3) 3 JHNES false ARIA HEALTH PHYSICIAN SERVICES 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232691968 HEALTH SVCS. PA 501(C)(3) 3 JHNES false ARIA HEALTH ORTHOPAEDICS 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 460779942 HEALTH SVCS. PA 501(C)(3) 10 JHNES false JEFFERSON HEALTH - NORTHEAST FOUNDATION 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 237318683 FUNDRAISING PA 501(C)(3) 12A JHNE false PHILADELPHIA UNIVERSITY 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 231352294 EDUCATION PA 501(C)(3) 2 TJU false KENNEDY HEALTH SYSTEM INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 222442036 HEALTH SVCS. NJ 501(C)(3) 7 TJU false KENNEDY UNIVERSITY HOSPITAL INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 221773439 HEALTH SVCS. NJ 501(C)(3) 3 KHS false KENNEDY HEALTH CARE FOUNDATION INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 800550282 FUNDRAISING NJ 501(C)(3) 7 KHS false KENNEDY PROPERTY CORPORATION 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 222442034 REAL ESTATE NJ 501(C)(3) 12A KHS false STAT MEDICAL TRANSPORT INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 222443981 HEALTH SVCS. NJ 501(C)(3) 10 KHS false KENNEDY HEALTH FACILITIES INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 222442032 HEALTH SVCS. NJ 501(C)(3) 12A KHS false KENNEDY MEDICAL GROUP PRACTICE PC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 461420853 HEALTH SVCS. NJ 501(C)(3) 10 KHS false MAGEE REHABILITATION HOSPITAL 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 231476328 HEALTH SVCS. PA 501(C)(3) 3 TJU false ALBERT EINSTEIN HEALTHCARE NETWORK 5501 OLD YORK ROAD PHILADELPHIA PA 19141 232290323 MANAGEMENT PA 501(C)(3) 12A TJU false ALBERT EINSTEIN MEDICAL CENTER 5501 OLD YORK ROAD PHILADELPHIA PA 19141 231396794 HEALTH SVCS. PA 501(C)(3) 3 AEHN false BCCT OVER CORP 5501 OLD YORK ROAD PHILADELPHIA PA 19141 231352200 HEALTH SVCS. PA 501(C)(3) 3 AEHN false EINSTEIN COMMUNITY HEALTH ASSOCIATES 5501 OLD YORK ROAD PHILADELPHIA PA 19141 232760086 HEALTH SVCS. PA 501(C)(3) 12A AEHN false EINSTEIN MEDICAL CENTER MONTGOMERY 559 WEST GERMANTOWN PIKE EAST NORRITON PA 19403 204193243 HEALTH SVCS. PA 501(C)(3) 3 AEHN false EINSTEIN PRACTICE PLAN INC 5501 OLD YORK ROAD PHILADELPHIA PA 19141 232664784 HEALTH SVCS. PA 501(C)(3) 12A AEHN false FORNANCE PHYSICIAN SERVICES INC 1330 POWELL STREET NO 509 NORRISTOWN PA 19401 232275991 HEALTH SVCS. PA 501(C)(3) 12A AEHN false GHMC MANAGEMENT INC 101 EAST OLNEY AVENUE PHILADELPHIA PA 19120 232225809 MANAGEMENT PA 501(C)(3) 12A AEMC false MONTGOMERY HEALTH FOUNDATION 5501 OLD YORK ROAD PHILADELPHIA PA 19141 222456265 FUNDRAISING PA 501(C)(3) 12B MHC false MONTGOMERY HOSPITAL 5501 OLD YORK ROAD PHILADELPHIA PA 19141 231352193 HEALTH SVCS. PA 501(C)(3) 3 AEHN false MONTGOMERY HOSPITAL WORKERS COMP TRUST 5501 OLD YORK ROAD PHILADELPHIA PA 19141 232351775 HEALTH SVCS. PA 501(C)(3) 12A MHC false BROADLINE RISK RETENTION GROUP 100 BANK STREET BURLINGTON VT 05401 272583356 INSURANCE VT 501(C)(3) 12A AEHN false HEALTH PARTNERS PLANS INC 901 MARKET STREET SUITE 500 PHILADELPHIA PA 19107 232379751 INSURANCE PA 501(C)(4) JHNE false HEALTH PARTNERS FOUNDATION 901 MARKET STREET SUITE 500 PHILADELPHIA PA 19107 311674587 FUNDRAISING PA 501(C)(3) 12A HPP false 1100 WALNUT ASSOC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232332396 MEDICAL OFFICE PA NA JEFF UNIV RAD ASSOC 840 CRESCENT CTR DR FRANKLIN TN 37067 412043518 HEALTH SVCS. PA NA RIVERVIEW SURG CTR LP 3 CRESCENT DR PHILADELPHIA PA 19112 263910345 HEALTH SVCS. PA NA RIVERVIEW SURG CTR LLC 3 CRESCENT DR PHILADELPHIA PA 19112 263911509 HEALTH SVCS. PA NA ROTHMAN ORTHO SPEC HOSP 11221 ROE AVE LEAWOOD KS 66211 270260289 HEALTH SVCS. PA NA JEFFHEDGE LLC 1301 2ND AVE SEATTLE WA 98101 453214379 INVESTMENTS DE NA JUNIATA MED BLD 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232450132 MEDICAL OFFICE PA NA TMB ENTERPRISE 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232400586 MEDICAL OFFICE PA NA KENNEDY CH SURG 11221 ROE AVE LEAWOOD KS 66211 472462625 SURGERY CENTER NJ NA MLJH LLC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 821445171 MEDICAL SERVICES PA NA TJU INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232146678 REAL ESTATE PA NA C CORP. false WALNUT REALTY CO 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232332416 REAL ESTATE PA NA C CORP. false ATRIUM CORPORATION 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232075587 HEALTH SVCS. PA NA C CORP. false HEALTHMARK INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232259593 HEALTH SVCS. PA NA C CORP. false JEFFCARE INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232830152 HEALTH SVCS. PA NA C CORP. false MID-ATLANTIC MATERNAL FETAL INSTITUTE 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232922471 INACTIVE PA NA C CORP. false MID-ATLANTIC MATERNAL FETAL INSTITUTE PC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 223536371 INACTIVE NJ NA C CORP. false JEFFERSON PHYSICIAN SVCS OF CALIFORNIA 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 371856786 INACTIVE CA NA C CORP. false 925 WALNUT STREET CORP 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 841657497 REAL ESTATE PA NA S CORP. false SYSTEM SERVICE CORPORATION 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232218944 HOLDING CO. DE NA C CORP. false TF DEVELOPMENT LTD 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232197865 REAL ESTATE PA NA C CORP. false HEALTH CARE INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 200214524 HEALTH SVCS. PA NA C CORP. false KENNEDY MANAGEMENT GROUP INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 223347294 MANAGEMENT NJ NA C CORP. false PROFESSIONAL MEDICAL MANAGEMENT INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 222559690 INACTIVE NJ NA C CORP. false KENNEDY ACCESS INCORPORATED 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 472661672 INVESTMENTS NJ NA C CORP. false JEFFERSON HLTH NJ DIRECT PRIMARY CARE PC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 841980055 HEALTH SVCS. NJ NA C CORP. false CMMC INC 1330 POWELL STREET NORRISTOWN PA 19401 232256479 REAL ESTATE PA NA C CORP. false EINSTEIN HEALTHCARE SYSTEMS INC 101 EAST OLNEY AVENUE PHILADELPHIA PA 19120 232314938 INACTIVE PA NA C CORP. false REHAB VENTURES INC 1200 WEST TABOR ROAD PHILADELPHIA PA 19141 232619394 INACTIVE PA NA C CORP. false false false false false false false false false false false true false true true true true false false false SCHEDULE R, PART V THIS ORGANIZATION IS A MEMBER OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.