2023-05-12T08:14:33-05:00 2022-06-30 410746749 CLIFTONLARSONALLEN LLP 150 S WARNER ROAD SUITE 310 KING OF PRUSSIA PA 19406 990 2021-07-01 231534300 HOLY REDEEMER HEALTH SYSTEM HOLY 2158561114 667 WELSH RD HUNTINGDON VALLEY PA 19006 MICHAEL KEEN TREASURER/CFO 2158561114 2023-05-11 1 MICHAEL KEEN 999009999 FRANK GIARDINI P00532355 2156433900 2023-05-10 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z REDEEMER HEALTH MICHAEL B LAIGN 667 WELSH RD HUNTINGDON VALLEY PA 19006 323921138 0 X WWW.HOLYREDEEMER.COM X 1956 PA TO PROVIDE HOLISTIC HEALTHCARE THROUGH HOSPITAL, LONG-TERM CARE AND HOMECARE SERVICES 15 14 3435 135 4137320 0 35675937 9936254 294098370 295164761 20496160 18525572 187653 145422 350458120 323772009 710217 426646 0 0 162905573 162666578 0 0 1305693 161082981 166371207 324698771 329464431 25759349 -5692422 707024246 697200629 445765246 440728629 261259000 256472000 X AS A CATHOLIC HEALTH SYSTEM, ROOTED IN THE TRADITION OF THE SISTERS OF THE HOLY REDEEMER, WE CARE, COMFORT AND HEAL, FOLLOWING THE EXAMPLE OF JESUS, PROCLAIMING THE HOPE GOD OFFERS IN THE MIDST OF HUMAN STRUGGLE. 0 0 162415235 426646 200500899 HEALTHCARE -- HOLY REDEEMER HOSPITAL IS A 239-BED HOSPITAL WITH A STAFF OF MORE THAN 500 PHYSICIANS. WE ALSO PROVIDE COMPREHENSIVE OUTPATIENT COMMUNITY-BASED DIAGNOSTICS, HOME HEALTH SERVICES, AND REHABILITATION PROGRAMS THAT BRING COMPASSION AND CARING DIRECTLY INTO THE COMMUNITY. OUR PHYSICIANS AND SURGEONS ARE WELL KNOWN FOR THEIR EXPERTISE AND HAVE EARNED THE HOSPITAL AN OUTSTANDING REPUTATION FOR MEDICAL EXCELLENCE. WE PROVIDE AN EXCELLENT SERVICE IN CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, OBSTETRICS, PEDIATRICS, DIAGNOSTICS AND REHABILITATION SERVICES, AND EMERGENCY CARE FROM PEDIATRIC TO GERIATRIC. THE HOSPITAL'S PATIENT ADMISSIONS OR CASES FOR THE YEAR WERE APPROXIMATELY 10,016, FOR A TOTAL PATIENT SERVICE DAYS OF APPROXIMATELY 53,275. THERE WERE APPROXIMATELY 5,262 SURGICAL CASES PERFORMED, BOTH INPATIENT AND OUTPATIENT. APPROXIMATELY 146,246 DIAGNOSTIC AND REHABILITATIVE OUTPATIENT SERVICE CASES WERE PERFORMED. 65986617 0 56813479 LIFECARE -- OUR LONG TERM CARE FACILITIES, HOLY REDEEMER LAFAYETTE AND HOLY REDEEMER SAINT JOSEPH MANOR, PROVIDES SERVICES TO OLDER ADULTS AT DIFFERENT LEVELS OF CARE. THE LAFAYETTE IS A WONDERFUL OPTION FOR ADULTS WHO DESIRE TO MAINTAIN AN INDEPENDENT LIFESTYLE WITH THE ADDED ASSURANCE THAT MEDICAL, SOCIAL AND RELIGIOUS SERVICES ARE AVAILABLE. THE FACILITY OFFERS 226 LOVELY PRIVATE RENTAL APARTMENTS SET ON A BEAUTIFUL CAMPUS ADJACENT TO THE WOODS OF PENNYPACK PARK. 54 PERSONAL CARE UNITS ARE ALSO AVAILABLE, AND THE LAFAYETTE'S 120-BED LONG TERM CARE FACILITY PROVIDES A SEAMLESS TRANSITION IF THE NEED FOR SKILLED NURSING CARE ARISES. THE LAFAYETTE IS ALSO A SITE FOR HOLY REDEEMER'S OUTPATIENT REHABILITATION CENTER, WHICH OFFERS SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY.SAINT JOSEPH MANOR HAS BEEN PROVIDING COMPASSIONATE NURSING AND ASSISTED LIVING CARE TO OLDER ADULTS SINCE 1937. THE MANOR OFFERS 63 PERSONAL CARE UNITS, AND 296 LONG TERM CARE SKILLED NURSING SERVICES INCLUDING A DEMENTIA UNIT. ADJACENT TO HOLY REDEEMER HOSPITAL AND MEDICAL CENTER, RESIDENTS HAVE CONVENIENT ACCESS TO PHYSICIANS, DIAGNOSTIC AND EMERGENCY SERVICES. BOTH THE MANOR AND LAFAYETTE ARE MEDICARE AND MEDICAID CERTIFIED. TOTAL OCCUPANCY IN BOTH FACILITIES EQUATE TO 53.89% IN NURSING, 70.24% IN PERSONAL CARE, AND 63.72% IN INDEPENDENT. 36402728 0 33731544 HOMECARE -- THE FOLLOWING SERVICES ARE PROVIDED: (1) SPECIALIZED NURSING CARE, (2) THERAPY, (3) LIFEASSESS PROGRAM, (4) HEARTASSESS PROGRAM, (5) BREATHE EASY PROGRAM, AND (6) TELEMONITORING.(1) SPECIALIZED NURSING CARE DELIVERED BY OUR HIGHLY-TRAINED NURSING STAFF WITH A COMPASSIONATE APPROACH.(2) THERAPY SERVICES BY OUR SPECIALIZED REHABILITATION THERAPISTS WHO OFFER A VARIETY OF THERAPIES TO MEET THE UNIQUE NEEDS OF EACH PATIENT.(3) LIFEASSESS PROGRAM, A COMPREHENSIVE ASSESSMENT, EDUCATION, SUPPORT AND REHABILITATION PROGRAM THAT IDENTIFIES AND TREATS OLDER ADULTS WHO ARE AT RISK FOR FOUR OF THE MOST COMMON GERIATRIC SYNDROMES - DEPRESSION, DEMENTIA, FALLS RISK AND INCONTINENCE - ALLOWING THEM TO LIVE SAFELY AT HOME.(4) HEARTASSESS PROGRAM, DESIGNED TO IMPROVE QUALITY OF LIFE FOR HEART FAILURE PATIENTS BY HELPING THEM FOCUS ON THE MOST IMPORTANT ASPECTS OF MANAGING THEIR HEART FAILURE AT HOME. PATIENTS ARE TAUGHT SYMPTOM AND MEDICATION MANAGEMENT AND ARE ASSIGNED HOME HEALTH CARE NURSES TO HELP WITH MEDICATIONS, DIET, DISEASE MANAGEMENT AND ASSISTING WITH LIFESTYLE CHANGES.(5) BREATHE EASY PROGRAM, ALLOWS PATIENTS WHO SUFFER FROM CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) TO BETTER MANAGE THEIR CONDITION AT HOME, IMPROVING THEIR OVERALL QUALITY OF LIFE.(6) TELEMONITORING, AN ADVANCED SYSTEM AVAILABLE TO REMOTELY MONITOR VITAL INFORMATION, SUCH AS BLOOD PRESSURE, HEART RATE, WEIGHT AND BLOOD OXYGEN LEVELS FOR CARDIAC PATIENTS OR ANY PATIENTS WHO NEED ADDITIONAL SUPERVISION. RESULTS ARE AUTOMATICALLY TRANSMITTED TO A HOMECARE NURSE WHO WILL PERFORM TRIAGE TO DETERMINE AN APPROPRIATE PLAN OF ACTION.THE HOSPICE DIVISION PROVIDES PAIN RELIEF AND SYMPTOM CONTROL APPROPRIATE TO CLINICAL GOALS. PSYCHOLOGICAL AND SPIRITUAL PAINS ARE AS SIGNIFICANT AS PHYSICAL PAIN. ADDRESSING ALL THREE REQUIRES THE SKILLS OF AN INTERDISCIPLINARY TEAM. THE HOLY REDEEMER HOSPICE TEAM IS GUIDED BY THE NEEDS AND WISHES OF THE PATIENT AND FAMILY AND INCLUDES THEM AS IMPORTANT MEMBERS OF THE CARE TEAM. THE INTEGRATED, MULTI-DISCIPLINARY GROUP INCLUDES: PATIENT AND FAMILY, PATIENT'S PERSONAL PHYSICIAN, HOSPICE MEDICAL DIRECTOR, SPECIALLY TRAINED NURSES, MEDICAL SOCIAL WORKERS, PASTORAL COUNSELORS, HOME HEALTH AIDES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, COMPLEMENTARY THERAPISTS, VOLUNTEERS, AND BEREAVEMENT COUNSELORS AVAILABLE TO ASSIST WITH THE GRIEVING PROCESS. A COMPLEMENTARY (OR ALTERNATIVE) THERAPY PROGRAM OFFERS HOLISTIC SOLUTIONS FOR PATIENTS AND FAMILIES. HOLY REDEEMER ALSO OFFERS PALLIATIVE CARE SERVICES WHICH AIM TO PROVIDE COMFORT AND IMPROVE QUALITY OF LIFE AT ANY TIME DURING THE COURSE OF A SERIOUS ADVANCED ILLNESS, OFTEN AT THE SAME TIME AS A CURATIVE OR LIFE PROLONGING TREATMENTS. THE SUPPORT AND EDUCATION PROVIDED BY THE PALLIATIVE CARE TEAM ALSO PROVIDES MUCH NEEDED BENEFITS FOR FAMILY MEMBERS AND CAREGIVERS AND ASSISTS THE PATIENT AND FAMILY TO BETTER UNDERSTAND AND COPE WITH THE ILLNESS, AND IN MAKING CHOICES FOR CARE.THE SUPPORT AT HOME SERVICE PROVIDES PRACTICAL SUPPORT, PEACE OF MIND AND A SAFE AND SOUND ENVIRONMENT. SERVICES INCLUDE PERSONAL CARE, MEAL PREPARATION, LAUNDRY/LIGHT HOUSEKEEPING, ERRANDS AND LOCAL TRANSPORTATION, MOBILITY AND EXERCISE MANAGEMENT, COMPANIONSHIP AND SOCIALIZATION, MEDICATION MANAGEMENT, WELLNESS, AND HEALTH MAINTENANCE. HOMECARE NURSING ADMISSIONS FOR THE FISCAL YEAR WERE 4,486 AND PERFORMED A TOTAL OF 88,293 SERVICE/VISITS IN PATIENTS' HOMES. THERE WERE 754 HOSPICE ADMISSIONS AND 40,851 HOSPICE DAYS IN FISCAL YEAR 2022. 264804580 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 438 0 3435 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 0 0 X 15 14 0 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NJ PA X HOLY REDEEMER CORPORATE FINANCE 2158561114 12265 TOWNSEND RD STE 100 PHILADELPHIA PA 19154 MICHAEL B LAIGN BOARD MEMBER, PRESIDENT/CEO 23.40 25.61 X X 456187 339535 20425 WILLIAM SASSO ESQ CHAIRMAN 0.50 2.50 X X 0 0 0 MARC CRESPI BOARD MEMBER 0.50 3.00 X 0 0 0 CHARLOTTE MCKINES BOARD MEMBER 0.50 0.50 X 0 0 0 K KULTAR SINGH BOARD MEMBER 0.50 1.00 X 0 0 0 RONALD BROOKS MD BOARD MEMBER 0.50 0.00 X 0 0 0 ANTHONY COLETTA MD BOARD MEMBER 0.50 0.00 X 0 0 0 BETH DUPREE MD BOARD MEMBER 0.50 2.00 X 0 0 0 ELLYN ITO BOARD MEMBER 0.50 0.00 X 0 0 0 S NICHOLAS LEZZI BOARD MEMBER 0.50 2.00 X 0 0 0 JAMES LYNCH BOARD MEMBER 0.50 0.00 X 0 0 0 GUY MCELWAIN JR MD BOARD MEMBER 0.50 0.00 X 0 0 0 JOSEPH RAGG BOARD MEMBER 0.50 0.50 X 0 0 0 JAMES ROGERS BOARD MEMBER 0.50 0.00 X 0 0 0 ROBYN WALSH BOARD MEMBER 0.50 2.00 X 0 0 0 DONALD F FRIEL ASST TREASURER 22.90 21.15 X 241232 179545 94137 MICHAEL KEEN TREASURER/CFO 0.01 0.12 X 204403 152137 40893 CRISTINA PEOPLES CORPORATE SECRETARY 0.01 40.15 X 0 67376 2997 CATHERINE EGAN SENIOR VP, CAO 40.00 0.50 X 471688 0 10097 MARIAN THALLNER VP/CAO HRPAS 16.00 24.50 X 126444 189666 80580 DONALD W FOX SENIOR VP 22.90 18.10 X 174550 129914 69681 ANNE CATINO VP HOSPITAL 40.00 0.00 X 239374 0 29047 NANCY MANDES VP FINANCE LIFE CARE 40.00 0.06 X 179921 0 39979 WILLIAM SCARLETT PHYSICIAN 6.40 33.60 X 85563 449204 66293 THOMAS HARRIS SENIOR VP, GENERAL COUNSEL 22.90 17.11 X 260603 193962 111161 CARL ROSENBAUM MD SR. VP & MEDICAL DIRECTOR 26.00 17.50 X 329600 177477 26992 STACY KRISHER-VENTICINQUE PHYSICIAN 6.00 34.00 X 67127 380385 54788 HENRY UNGER MD PHYSICIAN 36.00 4.00 X 410835 45649 45701 3247527 2304850 692771 134 0 1 0 HEALTH NETWORK LABORATORIES LP 794 ROBLE ROAD ALLENTOWN PA 181099110 LABORATORY SERVICES 9203826 ELIOR INC PO BOX 743676 ATLANTA GA 303748474 FOOD SERVICES 4757670 RADIOLOGY AFFILIATES OF CENTRAL NJ PC PO BOX 787437 PHILADELPHIA PA 191787437 RADIOLOGY IMAGING SERVICES 2448767 HSC BUILDERS CONSTRUCTION MANAGERS 304 NEW MILL LANE EXTON PA 19341 CONSTRUCTION 2008384 COOPER UNIVERSITY HOSPITAL ATTN JOHN SCIANNI VP CAMDEN NJ 08130 PHYSICIAN SERVICES 1920691 72 262695 5622347 4051212 301153 9936254 PATIENT REVENUE HOSPITAL 621400 758825238 758825238 REVENUE - SNF & RESIDENTIAL 623000 56813479 56813479 ALL OTHER OPERATING REVENUE 541900 36605370 35833604 771766 HOME CARE REVENUE 621610 33731544 33731544 MANAGEMENT FEES 713940 3697483 350410 3347073 -594508353 -594508353 295164761 9160348 18481 9141867 9365224 0 9365224 9365224 9365224 278870 262695 149129 129741 129741 MEDICAL RECORDS 900099 15681 15681 15681 323772009 291045922 4137320 18652513 X 336646 336646 90000 90000 2388344 482218 1835850 70276 3646 3646 139202358 121206844 17767219 228295 10804374 9780220 990555 33599 10267856 9169195 1065804 32857 3443517 2876026 546486 21005 -492477 -411317 -78156 -3004 204762 171017 32496 1249 40373777 32205689 7882991 285097 1047432 874816 166227 6389 5866252 3030178 2752849 83225 6588857 6307993 261398 19466 4532721 2188401 2275544 68776 1588949 924423 644466 20060 707810 335502 361408 10900 4281041 3423549 857492 13047859 10737932 2226226 83701 18021016 7507554 10508055 5407 6166528 4031058 2133619 1851 MEDICAL SUPPLIES 19387818 18205493 1147356 34969 DRUGS/PHARMACEUTICALS 13186692 12519446 647467 19779 MAINTENANCE/HOUSEHOLD 5509629 3401771 2046104 61754 DIETARY SUPPLIES 5269229 5002605 258720 7904 17639795 10407321 7020336 212138 329464431 264804580 63354158 1305693 2105701 108057 19705961 2444878 508361 1096785 26029217 29788627 3529384 4111055 5083196 5491736 405530498 277845226 131853915 127685272 172194079 132352682 16283377 15696457 329731055 378425080 707024246 697200629 54333024 54444011 400000 333333 113293807 108165135 24977167 6411350 252761248 271374800 445765246 440728629 X 247372031 246442211 13886969 10029789 261259000 256472000 707024246 697200629 X -5692422 -18922944 19828366 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1710 1710 0 PART II-B, LINE 1: THE AMOUNT REPORTED ON SCHEDULE C, PART II-B, LINE 1I IS ALL RELATED TO THE MEMBERSHIP HRHS HOLDS IN THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP). A PORTION OF THE DUES HRHS PAYS TO HAP IS USED FOR LOBBYING PURPOSES; TO PROMOTE THE HEALTH OF THE INDUSTRY AND ADVOCATE FOR THE MEMBERSHIP, WHICH INCLUDES HRHS. HRHS DOES NOT DIRECTLY PARTICIPATE IN ANY POLITICAL OR LOBBYING ACTIVITIES. 6791683 -1188765 5602918 5249660 1542023 6791683 4104511 1204624 59475 5249660 3298111 893533 87133 4104511 3753069 -454958 3298111 0.00000 1.00000 0.00000 0 0 3207884 3207884 280742202 192158528 88583674 2808281 1785269 1023012 108255320 83901429 24353891 10516811 10516811 127685272 DUE FROM AFFILIATES 372583575 RESIDENT ESCROW FUND 1159021 DEFERRED FINANCING COSTS 1012356 INSURANCE RECOVERABLE 925098 CASH SURRENDER VALUE DEFERRED COMPENSATION 2334422 CASH SURRENDER VALUE LIFE INSURANCE 410608 378425080 DUE TO AFFILIATES 219007038 PENSION FUND PAYABLE 26338433 SELF-INSURANCE LIABILITY 13328266 CAPITAL LEASES 7805935 RESIDENT ESCROW FUND 1357152 DEFERRED AND REFUNDABLE ENTRY FEES, NET 515830 DEFERRED COMPENSATION LIABILITY 2334422 REFUNDABLE ADVANCES 349943 DEFERRED RENT 337781 271374800 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO: 1. PROVIDE EDUCATIONAL SCHOLARSHIPS FOR HEALTH SYSTEM EMPLOYEES AND VOLUNTEERS IN HEALTH RELATED STUDIES 2. PROVIDE FOR OUTSTANDING CARE AND SUPPORT SERVICES TO PATIENTS AT THE CANCER CENTER AT HOLY REDEEMER 3. PROVIDE SUPPORT FOR CARDIOPULMONARY PREVENTION HEALTH AND FITNESS PROGRAMS OF HOLY REDEEMER 4. PROVIDE CAREGIVER SUPPORT FOR HOME HOSPICE CARE 5. PROVIDE SUPPORT FOR THE COST OF THE MAINTENANCE OF CHAPELS THROUGHOUT THE HOLY REDEEMER HEALTH SYSTEM 6. PROVIDE SUPPORT FOR SURGICAL PROGRAMS PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES MALPRACTICE AND OTHER INSURANCE 65970270 0 0 0 0 0 0 65970270 0 65970270 0 0 1 0 0 0 PART III ACCOUNTING METHOD: GOLF CLASSICS 215500 43635 171865 29531 26279 12969 WINE AUCTION 268405 161400 107005 11617 22525 27362 1 57660 57660 17022 1824 541565 262695 278870 28639 29531 22525 26279 42155 149129 129741 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 3906925 2554777 1352148 0.00640 34627971 23324733 11303238 0.05360 38534896 25879510 12655386 0.06000 976000 606300 369700 0.00180 1765925 1108374 657551 0.00310 2741925 1714674 1027251 0.00490 41276821 27594184 13682637 0.06490 1 3787744 47728345 59960285 -12231940 X 1 1 1 1 HOLY REDEEMER HOSPITAL 1648 HUNTINGDON PIKE MEADOWBROOK PA 19046 WWW.HOLYREDEEMER.COM 083901 X X X X X HOLY REDEEMER HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 400.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X 1 X 0 X X X 1 X 0 0 HOLY REDEEMER HOSPITAL PART V, SECTION B, LINE 5: RECOGNIZING THAT HOSPITALS AND HEALTH SYSTEMS OFTEN MUTUALLY SERVE THE SAME COMMUNITIES, A GROUP OF LOCAL HOSPITALS AND HEALTH SYSTEMS CONVENED TO DEVELOP THE SECOND SOUTHEASTERN PA (SEPA) REGIONAL CHNA, FOCUSING ON ALL FIVE SOUTHEASTERN PA COUNTIES (BUCKS, CHESTER, DELAWARE, MONTGOMERY, AND PHILADELPHIA.) HOLY REDEEMER HOSPITAL IS ONE OF THE THIRTY-SEVEN PARTNERING HOSPITALS. IN ORDER TO GATHER COMMUNITY/STAKEHOLDER INPUT, COMMUNITY MEETINGS WERE COORDINATED BY THE HEALTH CARE IMPROVEMENT FOUNDATION (HCIF) AND PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS (PACDC) 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 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 CHNA: - CANCER - DISABILITY - IMMIGRANT, REFUGEE, AND HERITAGE COMMUNITIES - YOUTH VOICEFINALLY, 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.HCIF (HEALTH CARE IMPROVEMENT FOUNDATION), PACDC (PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS), COMMUNITY PARTNERS IN THE FIVE-COUNTY REGION, AND QUALITATIVE HOSPITALS/HEALTH SYSTEMS AND SUPPORTING PARTNERS COLLABORATIVELY DEVELOPED THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND REPORT TO IDENTIFY REGIONAL HEALTH PRIORITIES AND ISSUES SPECIFIC TO EACH PARTICIPATING INSTITUTION'S SERVICE AREA. HOLY REDEEMER HOSPITAL PART V, SECTION B, LINE 6A: IN ADDITION TO HOLY REDEEMER HOSPITAL, THE SEPA REGIONAL CHNA WAS CONDUCTED WITH THE FOLLOWING PARTNERING HEALTH SYSTEMS AND HOSPITALS:-CHILDREN'S HOSPITAL OF PHILADELPHIA - MIDDLEMAN FAMILY PAVILION AT CHOP, KING OF PRUSSIA - DOYLESTOWN HOSPITAL - GRAND VIEW HOSPITAL - 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 MOSSREHAB - ROTHMAN ORTHOPEDIC SPECIALTY HOSPITAL - THOMAS JEFFERSON UNIVERSITY HOSPITAL - 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 - PENNSYLVANIA HOSPITAL - FOX CHASE CANCER CENTER - TEMPLE UNIVERSITY HOSPITAL - TEMPLE UNIVERSITY HOSPITAL - EPISCOPAL CAMPUS - TEMPLE UNIVERSITY HOSPITAL - JEANES CAMPUS - TEMPLE UNIVERSITY HOSPITAL - NORTHEASTERN CAMPUS - MERCY CATHOLIC MEDICAL CENTER, MERCY FITZGERALD HOSPITAL CAMPUS - NAZARETH HOSPITAL - ST. MARY MEDICAL CENTER - ST. MARY REHABILITATION HOSPITAL HOLY REDEEMER HOSPITAL PART V, SECTION B, LINE 6B: IN ADDITION TO THE PARTICIPATING HOSPITALS AND HEALTH SYSTEMS, THE NON-HOSPITAL ORGANIZATIONS BELOW PROVIDED SUPPORT TO THE CHNA PROCESS:- CHESTER COUNTY HEALTH DEPARTMENT (CCHD)- DELAWARE COUNTY HEALTH DEPARTMENT (DCHD)- HEALTH CARE IMPROVEMENT FOUNDATION (HCIF)- MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH (OPH)- PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS (PACDC)- PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH (PDPH) HOLY REDEEMER HOSPITAL PART V, SECTION B, LINE 11: SIMILAR TO ITS PRIORITIZATION PROCESS WITH ALL PREVIOUS CHNAS, HOLY REDEEMER HOSPITAL'S CHNA STEERING COMMITTEE MET AND DISCUSSED EACH IDENTIFIED NEED FROM THE COLLABORATIVE CHNA, INCLUDING THE IMPACT OF THIS NEED ON THE COMMUNITY, WHAT IT WILL TAKE TO MAKE AN IMPACT ON THE NEED, THE ABILITY OF HOLY REDEEMER HOSPITAL TO MAKE AN IMPACT, AND WHAT RESOURCES AND COLLABORATIVES ARE ALREADY AVAILABLE IN THE COMMUNITY. COMMITTEE MEMBERS AGAIN CHOSE THREE CRITERIA ON WHICH TO BASE PRIORITIZATION OF THE IDENTIFIED NEEDS. THESE CRITERIA INCLUDED: 1) MAGNITUDE OF THE PROBLEM, 2) ALIGNMENT WITH HOLY REDEEMER'S STRATEGIC PLAN, AND 3) AVAILABILITY OF HOLY REDEEMER HOSPITAL RESOURCES TO MAKE AN IMPACT. THE PRIORITIZATION PROCESS RESULTED IN THE IDENTIFICATION OF THE FOLLOWING NEEDS WHICH WILL BE ADDRESSED IN HOLY REDEEMER HOSPITAL'S IMPLEMENTATION PLAN FOR 2022-2025:- MENTAL HEALTH CONDITIONS - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. TRAINING ALL STAFF IN TRAUMA INFORMED PRACTICES BEGINNING WITH THE STAFF IN THE OBSTETRIC PRACTICES AND ON THE LDR/OB/NICU UNITS. CONTINUE TRAINING IN ALL OTHER AREAS OF THE HOSPITAL. 2. CONTINUE COLLABORATION WITH THE COACH COLLABORATIVE, IMPLEMENTING THE TRAUMA INFORMED APPROACH THROUGHOUT THE HEALTH SYSTEM. 3. PROVIDE DE-ESCALATION TRAINING THROUGHOUT THE HEALTH SYSTEM UTILIZING A TRAIN THE TRAINER APPROACH. 4. CONTINUE TO ADD THERAPISTS TO CURRENT PHYSICIAN OFFICES WITH CO-LOCATED BEHAVIORAL HEALTH SPECIALISTS. EXPAND TO NEW PHYSICIAN OFFICE LOCATIONS AND ADD ADDITIONAL APPOINTMENT HOURS AS ABLE. 5. EVALUATE PROGRAM DECISION ELEMENTS FOR AN IMBEDDED BEHAVIORAL HEALTH SPECIALISTS MODEL IN THE PHYSICIAN PRACTICES AND IMPLEMENT. 6. INVESTIGATE THE FUTURE OPTIONS OF TELEHEALTH AND/OR TELETHERAPY OPTIONS. 7. LECTURE OR LECTURE SERIES FOR THE COMMUNITY ON POTENTIAL BEHAVIORAL HEALTH TOPICS. (FOR EXAMPLE, DEPRESSION, ANXIETY, SUICIDE). MAKE AVAILABLE FOR FUTURE VIEWINGS. 8. INVESTIGATE ADDING BEHAVIORAL HEALTH INFORMATION TO EMPLOYEE FACING NEWSLETTERS AND EMPLOYEE PORTAL APP. 9. DEVELOP AND IMPLEMENT AN EMPLOYEE WELLNESS AT WORK INITIATIVE. 10. UTILIZE REDEEMER HEALTH PUBLIC RELATIONS PUBLICATIONS AND SOCIAL MEDIA OUTLETS TO EDUCATE COMMUNITY MEMBERS ABOUT THE OFFERINGS AVAILABLE. - SUBSTANCE USE & RELATED DISORDERS - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. SUBSTANCE USE DISORDER (SUD) PROGRAM FOR PREGNANT THROUGH POST-PARTUM PATIENTS AND THEIR BABIES. PROGRAM TO INCLUDE A SUB OB NAVIGATOR AND BEHAVIORAL HEALTH COUNSELOR. ASSESSMENT BEGINNING IN THE OB OFFICE, WITH SCREENING TOOL, RESOURCES, SUBOXONE PRESCRIPTION AND REFERRAL PROCESS THROUGH POST-PARTUM FOLLOW UP. DOCUMENTS PROVIDED IN SEVEN DIFFERENT LANGUAGES. 2. TRAINING OF ALL STAFF IN THE OBSTETRIC PRACTICES AND ON THE LDR/OB/NICU UNIT IN TRAUMA INFORMED PRACTICES. CONTINUE TRAINING IN ALL OTHER AREAS OF THE HOSPITAL. 3. PROVIDE NARCAN TO ALL IDENTIFIED MOMS IN THE SUD PROGRAM UPON DISCHARGE. 4. INVESTIGATE ADDING A CERTIFIED ADDICTION COUNSELOR AT OB VISITS IN ALL PRACTICES FOR THOSE PATIENTS WHO SCREEN POSITIVE. 5. CONTINUE TO INSTITUTE A WARM HANDOFF PROGRAM IN THE EMERGENCY DEPARTMENT, USING A CARE MANAGER TO PROVIDE A CONNECTION FOR PEOPLE WITH ADDICTIONS TO TREATMENT. 6. CONTINUE TO HAVE EMERGENCY DEPARTMENT STAFF GO OUT TO HEALTH FAIRS, ETC. TO EDUCATE THE COMMUNITY ABOUT SUBSTANCE USE ISSUES. 7. INVESTIGATE HOLDING A TAKE BACK PRESCRIPTION DRUG EVENT. EDUCATE COMMUNITY ABOUT THE CURRENT LOCATION OF DROP OFF BOXES. 8. UTILIZE REDEEMER HEALTH PUBLIC RELATIONS PUBLICATIONS AND SOCIAL MEDIA OUTLETS TO EDUCATE COMMUNITY MEMBERS ABOUT THE OFFERINGS AVAILABLE.- FOOD ACCESS - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. CONTINUE PARTNERSHIP WITH THE COACH COLLABORATIVE TO ADDRESS FOOD ACCESS IN VULNERABLE POPULATIONS WHICH INCLUDES FOOD INSECURITY SCREENING, REFERRAL PROCESS DEVELOPMENT AND A MENU OF OTHER INTERVENTIONS. ADVOCATE FOR LEGISLATION THAT SUPPORTS ACCESS TO FOOD AND SUPPORTS. 2. INVESTIGATE THE IMPLEMENTATION OF FOOD INSECURITY SCREENING AND REFERRAL IN VARIOUS AREAS OF HRH INCLUDING THE EMERGENCY DEPARTMENT, PHYSICIAN PRACTICES AND CANCER CENTER. 3. INVESTIGATE PROVIDING MORE SELF-CHOICE OPTIONS AT THE FOOD PANTRIES. 4. INVESTIGATE IMPLEMENTING AN ELECTRONIC INTAKE SYSTEM AT THE TOWNSEND RD. FOOD PANTRY FOR BETTER TRACKING OF DEMOGRAPHICS AND NEEDS OF CLIENTS. 5. INVESTIGATE ADDING WRAP AROUND HEALTH SERVICES AT THE PANTRIES SUCH AS FLU SHOTS, ETC. 6. INVESTIGATE THE ADDITION OF A MICRO PANTRY AT THE HOSPITAL WITH FOOD FOR PATIENTS NEEDING IMMEDIATE ASSISTANCE. 7. INVESTIGATE ADDITIONAL DELIVERY OR TRANSPORTATION OPTIONS FOR CLIENTS WHO CANNOT GET TO THE TOWNSEND RD. FOOD PANTRY.- ACCESS TO CARE (PRIMARY & SPECIALTY) - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. WITH THE CHESTNUT HILL HOSPITAL ALLIANCE, PROVIDE WOMEN'S HEALTH, HOME CARE AND OTHER SERVICES AS COLLABORATIVE EFFORTS MAY DETERMINE, TO THE SERVICE AREA WHICH INCLUDE WEST AND NORTH WEST PHILADELPHIA. ALLIANCE WILL ALSO ENSURE EMERGENCY ROOM SERVICES. 2. INVESTIGATE EXPANDING PARTNERSHIP WITH MEDICAID INSURERS. SCREEN PATIENTS FOR MEDICAID ELIGIBILITY, ASSISTING THEM WITH ENROLLING, PARTICULARLY OBSTETRICS PATIENTS. 3. PROVIDE SCREENINGS, PROGRAMS OR HEALTH FAIR AT THE NORTHEAST PHILADELPHIA AND/OR CARDONE LOCATIONS. COULD INCLUDE MAMMOGRAMS, BLOOD PRESSURE SCREENINGS, DIABETES SCREENINGS, ETC. 4. PROVIDE EDUCATIONAL PROGRAMS FOR CHURCH AND OTHER ORGANIZATIONS ON TOPICS RELEVANT TO PRIMARY, SPECIALTY AND PALLIATIVE CARE. INVESTIGATE RECORDING THE SESSIONS FOR INCREASED ACCESS TO INFORMATION. 5. EXPAND THE HOUSE CALLS PROGRAM, A PROGRAM PROVIDING PHYSICIAN VISITS IN THE HOME. 6. FORMALIZE RESOURCE REFERRAL LISTS AND PROCESS FOR SDOH SCREENINGS IN THE PHYSICIAN PRACTICES. 7. EXPLORE DEVELOPING A FORMAL MEDICATION REVIEW PROGRAM IN THE PRIMARY CARE OFFICES. 8. CONTINUE TO PROMOTE AND INCREASE EASE OF TELEHEALTH VISITS ESPECIALLY FOR PATIENTS WHO HAVE ACCESS ISSUES. 9. CONTINUE TO TRANSLATE DOCUMENTS AND FORMS FOR PREVALENT LANGUAGES IN THE SERVICE AREA. 10. EXPLORE DEVELOPING A MOBILE MEDICAL CLINIC PROGRAM. 11. EXPLORE OPENING A FEDERALLY QUALIFIED HEALTHCARE CENTER. 12. UTILIZE REDEEMER HEALTH PUBLIC RELATIONS PUBLICATIONS AND SOCIAL MEDIA OUTLETS TO EDUCATE COMMUNITY MEMBERS ABOUT THE OFFERINGS AVAILABLE.- CHRONIC CONDITIONS (PREVENTION & MANAGEMENT) - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. NUTRITION & DIABETES EDUCATION TO OUTPATIENTS (BOTH GROUP AND ONE-ON-ONE) AND EMPLOYEES. NUTRITION CARE TO INPATIENTS AND ST. JOSEPH'S MANOR RESIDENTS. ATTENDANCE AT HEALTH FAIRS. 2. INVESTIGATE RESTARTING THE TRIM-A-WEIGH OR SIMILAR PROGRAM AS A ZOOM CLASS WHICH WILL COMBINE FITNESS AND FOOD COUNSELING FOR PEOPLE WHO WANT TO LOSE WEIGHT. 3. CONTINUE TO PROVIDE PROGRAMS WHICH BENEFIT EMPLOYEES AND COMMUNITY MEMBERS TO EAT BETTER, EXERCISE AND IMPROVE MENTAL WELL-BEING. 4. SMOKING CESSATION - TRAIN NEW STAFF MEMBERS TO BE CERTIFIED IN SMOKING CESSATION CLASSES. IMPLEMENT FREE SMOKING CESSATION CLASSES 2 TO 4 TIMES A YEAR. PARTICIPATE IN THE GREAT AMERICAN SMOKE OUT. CONTINUE WITH LUNG SCREENING PROGRAM FOR AT RISK COMMUNITY MEMBERS. 5. HEALTH SCREENINGS - PROVIDE SCREENINGS FOR AT RISK POPULATIONS, COLLABORATING WITH ORGANIZATIONS AND COMMUNITY GROUPS. GOING OUT INTO THE COMMUNITY WITH SCREENINGS AS OFTEN AS FEASIBLE. UNINSURED BREAST CANCER SCREENINGS FOR ELIGIBLE WOMEN WITHOUT INSURANCE. 6. COMMUNITY EVENTS AND WALKS - HOLD EVENTS AND WALKS WITH A FOCUS ON EDUCATION ABOUT HEALTHY LIVING INCLUDING OBTAINING SCREENINGS AND PREVENTION OF DISEASES, TARGETED TO AT RISK POPULATIONS AND CONDITIONS. 7. HOLD DISEASE SPECIFIC ZOOM WEBINARS THROUGHOUT THE YEAR TO EDUCATE THE COMMUNITY ON DISEASE CONDITIONS, SCREENING TOOLS AND/OR PREVENTION MECHANISMS. 8. UTILIZE REDEEMER HEALTH PUBLIC RELATIONS PUBLICATIONS AND SOCIAL MEDIA OUTLETS TO EDUCATE COMMUNITY MEMBERS ABOUT THE OFFERINGS AVAILABLE.- RACISM AND DISCRIMINATION IN THE HEALTHCARE SETTING - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. FORMALIZE THE STRATEGIC DIRECTION OF THE DEI PROGRAM IN CONJUNCTION WITH THE NEWLY HIRED CHIEF DIVERSITY & INCLUSION OFFICER. 2. DEVELOP A DATA COLLECTION AND DISSEMINATION STRATEGY FOR THE DEI PROGRAM. 3. CONTINUE WITH THE 5-PART DIVERSITY, EQUITY AND INCLUSION EDUCATIONAL SESSIONS FOR LEADERSHIP AND STAFF. INTEGRATE EDUCATIONAL OPPORTUNITIES INTO VARIOUS PLATFORMS. 4. FORMULATE A PROCESS FOR ESTABLISHING A MENTORING PROGRAM. 5. UTILIZE INTERNAL AND EXTERNAL COMMUNICATION MECHANISMS TO ACKNOWLEDGE, EDUCATE AND CELEBRATE CULTURAL EVENTS AND HOLIDAYS. ESTABLISH A DIVERSITY AWARENESS WEEK TO EDUCATE AND CELEBRATE THE IMPORTANCE OF DIVERSITY. 6. CONTINUE TO ACT AS A WORK STUDY LOCATION FOR THE CRISTO REY HIGH SCHOOL STUDENTS INTERESTED IN THE MEDICAL FIELD THROUGHOUT THE SYSTEM. 7. INVENTORY CURRENT COMMUNITY PARTNERSHIPS, IDENTIFY GAPS IN COMMUNITIES WE SERVE, AND ESTABLISH ADDITIONAL PARTNERSHIPS FOCUSED ON DEI EFFORTS. HOLY REDEEMER HOSPITAL PART V, SECTION B, LINE 13B: A PATIENT'S MEDICAL INDIGENCY IS DETERMINED BY HOLY REDEEMER HOSPITAL WITHOUT GIVING EXCLUSIVE CONSIDERATION TO A PATIENT'S INCOME LEVEL WHEN A PATIENT HAS SIGNIFICANT AND/OR CATASTROPHIC MEDICAL BILLS. MEDICALLY INDIGENT PATIENTS DO NOT HAVE APPROPRIATE INSURANCE COVERAGE THAT APPLIES TO SERVICES RELATED TO THEIR SIGNIFICANT OR CATASTROPHIC HEALTH CARE REQUIREMENTS (E.G. NEONATAL CARE, CANCER, BURN CARE, LONG TERM AND/OR INTENSIVE CARE, ETC.) SUCH PATIENTS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS AND PAYMENT OF THEIR MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THEIR BASIC FINANCIAL WELL-BEING AND SURVIVAL.HOLY REDEEMER HOSPITAL SHALL GRANT A CHARITY CARE DISCOUNT EITHER THROUGH THE USE OF THE SLIDING SCALE APPROACH OR UP TO 100% IF THE PATIENT HAS THE FOLLOWING: 1) NO MATERIAL APPLICABLE INSURANCE. 2) NO MATERIAL USABLE LIQUID ASSETS. 3) SIGNIFICANT AND/OR CATASTROPHIC MEDICAL BILLS. HOLY REDEEMER HOSPITAL: PART V, SECTION B, LINE 7A AND 10A: THE CHNA REPORT AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY ARE POSTED ON THE HOLY REDEEMER HOSPITAL WEBSITE AT:HTTPS://WWW.HOLYREDEEMER.COM/MAIN/COMMUNITYHEALTHNEEDSASSESSMENT.ASPX HOLY REDEEMER HOSPITAL: PART V, SECTION B, LINES 16A, 16B AND 16C: THE MOST CURRENT FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY ARE POSTED ON THE HOLY REDEEMER HOSPITAL WEBSITE AT:HTTPS://WWW.HOLYREDEEMER.COM/MAIN/CHARITYCAREPOLICY.ASPX PART V, SECTION B, LINE 11 (CONTINUED): - HOUSING - MAIN ACTIVITIES TO BE IMPLEMENTED: 1. IMPROVE AND MODIFY THE ON CAMPUS TRANSITIONAL HOUSING UNITS TO MAKE THEM EASILY CONVERTIBLE TO PERMANENT SUPPORTIVE HOUSING WHEN/IF NEEDED. 2. CONTINUE TO PROVIDE RENTAL ASSISTANCE THROUGH INTERNAL RENT SUBSIDIES TO APPROVED DRAPP RECIPIENTS. 3. INVESTIGATE THE POTENTIAL FOR AND IMPACT OF DEVELOPING ADDITIONAL UNITS OF PERMANENT SUPPORTIVE AND/OR AFFORDABLE HOUSING ON FUTURE OPERATIONS. 4. INVESTIGATE AND CONTINUE TO ENGAGE IN PARTNERSHIPS FOR THE BENEFITS OF RESIDENTS AND CLIENTS, PROVIDING OPPORTUNITIES FOR COMMUNITY BUILDING, HOUSING, EDUCATION, PROGRAMMING AND ANY OTHER RELEVANT ACTIVITY, INCLUDING PROGRAMS THAT FOCUS ON SKILLS TO DECREASE HOMELESSNESS. 5. FOCUS ADVOCACY EFFORTS FOR RELEVANT TOPICS INCLUDING ADDITIONAL AFFORDABLE HOUSING AND INCREASE IN INCOME/WAGES.THERE WERE NEEDS IDENTIFIED IN THE COLLABORATIVE CHNA DOCUMENT THAT HOLY REDEEMER HOSPITAL IS CHOOSING NOT TO ADDRESS AS PRIORITIES BASED UPON THE PRIORITIZATION PROCESS NOTED ABOVE. WHILE IMPORTANT TO THE COMMUNITY AND THE HOSPITAL, THEY WERE NOT CHOSEN BASED ON HRH'S PRIORITIZATION PROCESS WHICH INCLUDED THE LIMITED AVAILABILITY OF RESOURCES. THESE IDENTIFIED NEEDS INCLUDE THE FOLLOWING:- HEALTHCARE & HEALTH RESOURCES NAVIGATION - LINGUISTICALLY & CULTURALLY APPROPRIATE SERVICES - COMMUNITY VIOLENCE - SOCIOECONOMIC DISADVANTAGE - NEIGHBORHOOD CONDITIONS REDEEMER HEALTH AND HOLY REDEEMER HOSPITAL DO STILL PERFORM MANY ACTIVITIES THAT MEET THE IDENTIFIED NEEDS OF THE COMMUNITY WHICH WERE NOT CHOSEN AS PRIORITIES DURING THIS CHNA PROCESS. SOME OF THOSE ACTIVITIES INCLUDE ADDING NURSE NAVIGATORS TO COMPLEX AREAS, INCREASING TRANSPORTATION ACCESSIBILITY, PARTNERING WITH A LOCAL SCHOOL DISTRICT TO PROVIDE WORK STUDY HOURS AND INFORMATION ON HEALTH CARE CAREERS, HAVING A LANGUAGE LINE AND TRANSLATED SURVEYS FOR PATIENTS WHO DO NOT SPEAK ENGLISH, AS WELL AS OTHER INITIATIVES. IN ADDITION, SOME OF THESE NEEDS ARE ALREADY PROVIDED BY OTHER COMMUNITY ORGANIZATIONS WHO HAVE THE EXPERTISE TO PROVIDE THESE SERVICES. REDEEMER HEALTH WILL PARTNER WITH THOSE ORGANIZATIONS AND CONTINUE TO PROVIDE APPROPRIATE SERVICES AS ABLE. 5 2 - HOLY REDEEMER ST JOSEPH MANOR 1616 HUNTINGDON PIKE MEADOWBROOK PA 19046 SKILLED NURSING FACILITY 3 - HOLY REDEEMER LAFAYETTE 8580 VEREE ROAD PHILADELPHIA PA 19111 SKILLED NURSING FACILITY 4 - HOLY REDEEMER HOMECARE (VNA-PA) 12265 TOWNSEND ROAD PHILADELPHIA PA 19154 HOME CARE NURSING 5 - HOLY REDEEMER HOSPICE 12265 TOWNSEND ROAD PHILADELPHIA PA 19154 HOSPICE CARE 6 - HOLY REDEEMER SUPPORT AT HOME 12265 TOWNSEND ROAD PHILADELPHIA PA 19154 HOME CARE SUPPORT SERVICES PART I, LINE 3C: A PATIENT'S MEDICAL INDIGENCY IS DETERMINED BY HRHS WITHOUT GIVING EXCLUSIVE CONSIDERATION TO A PATIENT'S INCOME LEVEL WHEN A PATIENT HAS SIGNIFICANT AND/OR CATASTROPHIC MEDICAL BILLS. MEDICALLY INDIGENT PATIENTS DO NOT HAVE APPROPRIATE INSURANCE COVERAGE THAT APPLIES TO SERVICES RELATED TO THEIR SIGNIFICANT OR CATASTROPHIC HEALTH CARE REQUIREMENTS (E.G. NEONATAL CARE, CANCER, BURN CARE, LONG TERM AND/OR INTENSIVE CARE, ETC.) SUCH PATIENTS MAY HAVE A REASONABLE LEVEL OF INCOME, BUT A LOW LEVEL OF LIQUID ASSETS AND PAYMENT OF THEIR MEDICAL BILLS WOULD BE SERIOUSLY DETRIMENTAL TO THEIR BASIC FINANCIAL WELL-BEING AND SURVIVAL. AS SUCH THE FINANCIAL ASSISTANCE DETERMINATION CHECKLIST INCLUDES A SECTION ON IDENTIFICATION OF LIQUID ASSETS AS A PERTINENT CONSIDERATION IN THE DETERMINATION PROCESS.HOLY REDEEMER HOSPITAL SHALL GRANT A CHARITY CARE DISCOUNT EITHER THROUGH THE USE OF THE SLIDING SCALE APPROACH OR UP TO 100% IF THE PATIENT HAS THE FOLLOWING: 1) NO MATERIAL APPLICABLE INSURANCE. 2) NO MATERIAL USABLE LIQUID ASSETS. 3) SIGNIFICANT AND/OR CATASTROPHIC MEDICAL BILLS. PART I, LINE 7: AS REPORTED IN THE INCOME STATEMENT AND REFLECTED IN FOOTNOTE #3 OF THE CHARITY CARE AND COMMUNITY SERVICE SECTION OF THE AUDITOR'S REPORT:HRHS PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF THE CHARITY SERVICE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES AND PROVIDES PROGRAMS FOR THE COMMUNITY. CRITERIA FOR CHARITY CARE CONFORM TO THE PROVISIONS OF THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES, SOCIAL ACCOUNTABILITY BUDGET, A PROCESS FOR PLANNING AND REPORTING COMMUNITY SERVICE IN A TIME OF FISCAL CONSTRAINT. HRHS MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE, BASED ON ESTABLISHED RATES, FOR SERVICES AND SUPPLIES FURNISHED UNDER CHARITY CARE AND COMMUNITY SERVICES POLICIES, THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES, AND STATISTICS QUANTIFYING THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE. HRHS ESTIMATES ITS DIRECT AND INDIRECT COSTS OF PROVIDING CHARITY CARE FOR EACH ENTITY BY EITHER CALCULATING A COST PER CHARGEABLE UNIT AND APPLYING TO CHARGES FORGONE, A COST-TO-CHARGE RATIO BY COMPARING THE PER DIEM RATE FROM THE MOST RECENTLY FILED COST REPORT TO THE GROSS BILL RATE, OR DIRECT EXPENSES RECORDED UNDER SPECIFIC COST CENTERS. BENEFITS FOR THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE BROADER COMMUNITY INCLUDE SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT THAT NEED SPECIAL SERVICES AND SUPPORT. EXAMPLES INCLUDE MATERNITY ASSISTANCE PROGRAMS, HEALTH EVALUATIONS, AND SOCIAL SERVICES. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES WERE FOR EMPLOYEE PROGRAMS; NEGATIVE MARGINS EXISTED FOR PEDIATRIC REHABILITATION SERVICES, COUNSELING SERVICES AND UNDER-FUNDED PROGRAMS (GRANT SUPPORTED) FOR COMMUNITY HEALTH SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: REDEEMER HEALTH IS AN ACTIVE PARTICIPANT IN THE HEALTH AND WELLBEING OF OUR COMMUNITY. FROM REGIONAL HEALTH AND SAFETY TASK FORCE PARTICIPATION, YOUTH EDUCATION AND SCREENINGS TO INTERACTIVE EVENTS THAT PROMOTE HEALTH, REDEEMER HEALTH BRINGS OUR MISSION TO CARE, COMFORT, AND HEAL TO OUR COMMUNITY. SINCE 1924 WHEN THE SISTERS OF THE HOLY REDEEMER (SPONSOR OF REDEEMER HEALTH) SETTLED IN HUNTINGDON VALLEY, PA, REDEEMER HEALTH HAS BEEN COMMITTED TO HELPING WOMEN AND THEIR CHILDREN AND THE ELDERLY, AND TO FULFILL THAT COMMITMENT HAS DEVELOPED A TRANSITIONAL HOUSING PROGRAM FOR HOMELESS FAMILIES AND THEIR CHILDREN, EDUCATION PROGRAMS FOR EXPECTANT PARENTS, HEALTH SERVICES DELIVERED IN THE HOME FOR HOMEBOUND SENIORS, AND EVEN A PARTICIPATORY COMMUNITY GARDENING PROGRAM THAT PROMOTES NUTRITION AND ECOLOGY. REDEEMER HEALTH STAFF, VOLUNTEERS, PHYSICIANS AND NURSES EDUCATE COMMUNITY MEMBERS, PATIENTS, AND RESIDENTS ABOUT HOW TO CARE FOR THEMSELVES AND PROVIDE PREVENTATIVE HEALTH INFORMATION TO SENIORS, WOMEN, CHILDREN AND TEENS, ENCOURAGING BEHAVIORS THAT MAY LEAD TO MAJOR IMPROVEMENTS IN PHYSICAL AND EMOTIONAL HEALTH. WE CONDUCT HEALTH FAIRS AND SCREENINGS IN THE COMMUNITY. COMMUNITY SERVICE PROGRAMS AND ACTIVITIES ARE AIMED AT IMPROVING THE GENERAL HEALTH AND WELLBEING OF THE COMMUNITY AS A WHOLE. REDEEMER HEALTH LEADERS VOLUNTEER HUNDREDS OF HOURS ON LOCAL NON-PROFIT ORGANIZATION BOARDS CONTRIBUTING TO COMMUNITY DEVELOPMENT AND ENHANCEMENT ACTIVITIES, AS WELL AS WORK FORCE AND HEALTH IMPROVEMENT INITIATIVES. REDEEMER HEALTH PRODUCES AND SENDS AN E-NEWSLETTER AND CALENDAR TO 100,000 EMAIL ADDRESSES THROUGHOUT THE PRIMARY AND SECONDARY SERVICE AREA, EDUCATING READERS ON HEALTHY LIVING AND DISEASE MANAGEMENT, OFFERING HEALTH RELATED LECTURES AND EVENTS, AND INFORMATION ON NEW SERVICES AND PROVIDERS AT REDEEMER HEALTH. PART III, LINE 2: THE AMOUNT REPORTED WAS THE ACTUAL BAD DEBT WRITTEN-OFF FROM SELF-PAY CLASS OF ACCOUNTS IN IN-PATIENT, OUT-PATIENT AND EMERGENCY SERVICES MULTIPLIED BY THE "COST-TO-CHARGE RATIO" TO ARRIVE AT CALCULATED COST OF SERVICES THAT WERE FOREGONE. PART III, LINE 4: IN GENERAL HRHS FOLLOWS ASU 2014-09. HRHS AUDITED FINANCIAL STATEMENT FOOTNOTE #3 'PATIENT SERVICE REVENUE' INCLUDES EXPLANATIONS FOR THE BAD DEBT EXPENSE:GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. HRHS ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. HRHS ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. ADDITIONAL REVENUE RECOGNIZED DUE TO CHANGES IN ITS ESTIMATES OF IMPLICIT PRICE CONCESSIONS, DISCOUNTS, AND CONTRACTUAL ADJUSTMENTS WERE NOT CONSIDERED MATERIAL FOR THE YEAR ENDED JUNE 30, 2022. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. CONSISTENT WITH HRHS'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, HRHS HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS HRHS EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS.PATIENTS WHO MEET THE HRHS'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. PART III, LINE 8: MEDICARE REVENUE AND COST WERE DETERMINED FROM THE ACCOUNTING SYSTEM FOR ALL DIVISIONS OF THIS BUSINESS UNIT - HRHS. THE SHORTFALL OR LOSS FROM THE TREATMENTS AND SERVICES RENDERED TO MEDICARE RECIPIENTS SHOULD BE TREATED AS COMMUNITY BENEFIT. PART III, LINE 9B: THE FORMAL WRITTEN FINANCIAL ASSISTANCE POLICY CONTAINS SPECIFIC CRITERIA THAT MUST BE MET IN ORDER TO BE DEEMED ELIGIBLE. THE PATIENT IS RESPONSIBLE FOR PROVIDING HRHS WITH ALL NECESSARY INFORMATION IN ORDER TO MAKE AN INFORMED DECISION AS TO THE AMOUNT OF FINANCIAL ASSISTANCE THAT MAY BE OFFERED. PART III, LINES 2, 5 AND 6: THE AMOUNTS REPORTED IN THIS SECTION OF SCHEDULE H PERTAIN ONLY TO THE BUSINESS OF THE REPORTING FACILITY, HOLY REDEEMER HOSPITAL. PART VI, LINE 2: IN ADDITION TO THE CHNA REPORT, HRHS HAS CONTINUALLY ASSESSED THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES USING THE PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) COMMUNITY HEALTH DATA BASE, TRACKING THE COMMUNITY'S HEALTH STATUS, AS WELL AS OTHER PERTINENT STATISTICS. PART VI, LINE 3: IN ADDITION TO THE FINANCIAL ASSISTANCE POLICY PROCEDURES DESCRIBED ON SCHEDULE H, PART V, HRHS ENGAGES AN EXTERNAL CONSULTANT TO ASSIST PATIENTS WITH OBTAINING MEDICAL ASSISTANCE FROM THE STATE OF PENNSYLVANIA. THIS FUNCTION BEGINS IN THE EMERGENCY DEPARTMENT AND CONTINUES IF THE PATIENT IS ADMITTED. IF THE PATIENT IS DISCHARGED FROM THE EMERGENCY DEPARTMENT, EVERY EFFORT IS MADE TO ASSIST THE PATIENT ONCE THEY RETURN HOME. WHILE AN INPATIENT, THE PATIENT WILL RECEIVE A VISIT(S) FROM THE FINANCIAL COUNSELOR TO ASSIST IN THE COMPLETION OF THE APPLICATION NECESSARY FOR MEDICAID. A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE EVEN IF THEY ARE NOT ELIGIBLE FOR MEDICAL ASSISTANCE. THE PATIENT WOULD BE MADE AWARE OF THIS PROCESS ONCE A DETERMINATION HAS BEEN MADE AT THE STATE LEVEL. A PATIENT MAY CONTACT OUR CUSTOMER SERVICE CENTER ANYTIME TO REQUEST ASSISTANCE WITH PAYING THEIR PATIENT LIABILITIES. PART VI, LINE 4: THE REDEEMER HEALTH PENNSYLVANIA SERVICE AREA INCLUDES BUCKS, MONTGOMERY, DELAWARE, AND PHILADELPHIA COUNTIES IN SOUTHEASTERN PENNSYLVANIA. THE SOUTHEASTERN PENNSYLVANIA MARKET (PRIMARY AND SECONDARY) INCLUDES AREAS SERVED BY HOLY REDEEMER HOSPITAL, SAINT JOSEPH MANOR, LAFAYETTE, LITTLE FLOWER MANOR, REDEEMER HEALTH HOME CARE AND HOSPICE SERVICES, AND MULTIPLE OUTPATIENT AND PHYSICIAN PRACTICE LOCATIONS. THE PRIMARY SERVICE AREA FOR ACUTE CARE SERVICES IS COMPRISED OF THREE ZIP CODES IN MONTGOMERY COUNTY, FOUR ZIP CODES IN BUCKS COUNTY AND EIGHT ZIP CODES IN PHILADELPHIA COUNTY. THESE ZIP CODES REPRESENT 75% OF RH'S INPATIENT ADMISSIONS. REDEEMER HEALTH HOME CARE AND HOSPICE IN NEW JERSEY ALSO SERVES TWELVE COUNTIES IN NEW JERSEY INCLUDING CAPE MAY, ATLANTIC, OCEAN, CAMDEN, GLOUCESTER, SALEM, CUMBERLAND, MERCER, MONMOUTH, MIDDLESEX, SOMERSET AND UNION COUNTIES. THE SYSTEM PROVIDES SERVICES FOR OVER 8.5 MILLION PEOPLE THROUGHOUT THE PRIMARY, SECONDARY AND NEW JERSEY SERVICE AREAS. THE FOLLOWING POPULATION DEMOGRAPHICS, INCLUDING THE NOTED POVERTY LEVELS ARE FROM THE 2022 CHNA REPORT SITING THE AMERICAN COMMUNITY SURVEY, CENSUS BUREAU. RH'S PA TARGETED SERVICE AREA FOR COMMUNITY HEALTH IMPROVEMENT DEMOGRAPHICS: ESTIMATED POPULATION OF 534,106, 12% OF THE POPULATION IS IN POVERTY, 16% OF THE CHILDREN UNDER 18 YEARS ARE IN POVERTY, ADULTS AGES 20-44 COMPRISE THE LARGEST PORTION OF THE POPULATION AT 32.8%, MAJOR RACE CATEGORIES INCLUDE WHITE NON-HISPANIC 65%, BLACK 11.7%, HISPANIC/LATINO 11.2%, AND ASIAN 9.3%. PART VI, LINE 5: HRHS PROVIDES THE FOLLOWING SERVICES TO OUR COMMUNITY:ALL ACTIVITIES ARE FREE UNLESS OTHERWISE NOTED.SUPPORT GROUPS:- BUCKS COUNTY BREAST FRIENDS SUPPORT GROUPS FOR ALL STAGES- NEW MEMBERS, GENERAL MEMBERS, AND YOUNG MEMBERS- META FRIENDS FOR MEN AND WOMEN WITH STAGE IV BREAST CANCER- UNITE, INC. GRIEF SUPPORT FOLLOWING THE LOSS OF A BABY - INFANT MEMORIAL ANNUAL INTERFAITH SERVICE FOR THOSE WHO HAVE EXPERIENCED MISCARRIAGE, STILLBIRTH OR DEATH OF AN INFANT.- HEALING COMPANIONS BEREAVEMENT SUPPORT GROUP FOR ADULTS GRIEVING THE LOSS OF A LOVED ONE IN A SAFE, SUPPORTIVE ATMOSPHERE.- TREE OF LIGHTS BEREAVEMENT AND MEMORIAL SERVICES FOR HOSPICE FAMILIES. MULTIPLE LOCATIONS IN PA AND NEW JERSEY.EDUCATIONAL EVENTS:- DIABETES SELF-MANAGEMENT CLASSES, OFFERED SEVERAL TIMES PER YEAR. (COST GENERALLY COVERED BY HEALTH INSURANCE.)- HEART HEALTHY EXPO EDUCATES ABOUT HEART DISEASE AND WOMEN, HELD ANNUALLY AT NESHAMINY MALL.- LOOK GOOD...FEEL BETTER TEACHES BEAUTY TECHNIQUES TO WOMEN WHO ARE ACTIVELY UNDERGOING CANCER TREATMENT- AARP DRIVER SAFETY PROGRAM- CHILDBIRTH EDUCATION CLASSES - FAMILY & FRIENDS CPR PROVIDED EVERY MONTH - ($25 PER PERSON)- FITNESS CENTER OFFERING WEIGHT MANAGEMENT AND EXERCISE PROGRAMS- SMOKING CESSATION PROGRAMSCOMMUNITY INTERACTION AND EDUCATIONAL OUTREACH:- AMERICAN DIABETES ASSOCIATION'S TOUR DE CURE- AMERICAN HEART ASSOCIATION HEART WALK- HEART HEALTHY EXPO- LADIES OF PORT RICHMOND FREE FOLLOW UP SCREENING- SHINE A LIGHT ON LUNG CANCER EVENT- VARIOUS CORPORATE AND COMMUNITY HEALTH FAIRSSCREENINGS:- BLOOD PRESSURE SCREENINGS AT EVENTS THROUGHOUT THE REGION- BODY MASS INDEX MEASUREMENT AND INFORMATION PROVIDED AT EVENTS IN THE COMMUNITY- DEPRESSION AND ANXIETY SCREENINGS- MAMMOGRAMS OFFERED FREE TO UNINSURED WOMEN FOUR TIMES PER YEARPUBLICATION:- LIFELINKS, OUR COMMUNITY MAGAZINE, IS PUBLISHED BI-ANNUALLY, DISTRIBUTED TO 33,000 HOUSEHOLDS WITH EACH ISSUANCE, AND FOCUSES ON HEALTH AND WELLNESS INFORMATION AND THE NUMEROUS EVENTS ASSOCIATED WITH HOLY REDEEMER HOSPITAL. TOPICS COVERED INCLUDE PREGNANCY, CARDIOVASCULAR HEALTH, BREAST CANCER, LUNG CANCER, HOLISTIC HEALTH, DIABETES, AND SENIOR HEALTH.DIGITAL RESOURCES (UPDATED THREE TIMES A WEEK):- HEALTHLINK: BEGINNING IN OCTOBER 2014, HOLY REDEEMER BEGAN PUBLISHING A HEALTH NEWS SITE WITH NEARLY DAILY UPDATES. THE SITE PROVIDES CONSUMER HEALTH AND WELLNESS INFORMATION ON DIVERSE TOPICS SUCH AS ORTHOPEDICS, SENIOR LIVING, HOSPICE CARE, WOMEN'S HEALTH, DIABETES AND MORE. THIS SITE ALSO INCORPORATES THE FORMER CARING WITH CONFIDENCE: SUPPORT FOR END OF LIFE CAREGIVERS' SITE AND THE AGING WELL, A BLOG SITE FOCUSING ON SENIOR HEALTH AND LIVING. THIS CONTENT-RICH ONLINE COMMUNITY INCLUDES INFORMATIONAL POSTS, FACT SHEETS, WEB RESOURCES, AND A FORUM OUR COMMUNITY. - HEALTH LIBRARY ON WWW.HOLYREDEEMER.COM- WWW.FACEBOOK.COM/HOLYREDEEMERHEALTH POSTS HEALTH INFORMATION, CURRENT EVENTS RELATED TO HEALTHCARE, AND COMMUNITY EDUCATIONAL EVENTS.CHARITABLE ACTIVITIES:- DRUEDING CENTER-HOLY REDEEMER SPONSORS DRUEDING CENTER, A TRANSITIONAL HOUSING PROGRAM AND COMPREHENSIVE TREATMENT PROGRAM FOR HOMELESS WOMEN AND THEIR CHILDREN. A COMPLETE REPORT IS AVAILABLE ON DRUEDING CENTER'S WEBSITE, WWW.DRUEDINGCENTER.ORG. - FOOD PANTRIES-HOLY REDEEMER HEALTH SYSTEM SPONSORS THREE FOOD PANTRIES: GREEN LIGHT FOOD PANTRY AT DRUEDING CENTER, PHILADELPHIA; FOOD PANTRY OF PA IN NORTHEAST PHILADELPHIA, AND HOLY REDEEMER'S FOOD PANTRY OF NJ IN SWAINTON, NJ. PART VI, LINE 6: HRHS IS INVOLVED WITH SEVERAL COMMUNITY PARTNERS:1. ABINGTON COMMUNITY TASKFORCE-ORGANIZATIONS SUPPORTING A CARING COMMUNITY - THIS ORGANIZATION IS A COALITION OF PARENTS AND STUDENTS, AS WELL AS ABINGTON- AND ROCKLEDGE- BASED REPRESENTATIVES FROM EDUCATIONAL, RELIGIOUS, SOCIAL SERVICES, RECREATIONAL, CIVIC AND LAW ENFORCEMENT ORGANIZATIONS WITH A MISSION TO CREATE A RESPONSIBLE, CARING AND SAFE COMMUNITY. THE FOCUS OF ACT HAS BEEN TO PROMOTE HEALTHY YOUTH ACTIVITIES, TO INCREASE AWARENESS AMONG CITIZENS ABOUT THESE ACTIVITIES IN THE COMMUNITY AND GIVE RECOGNITION TO OUTSTANDING PARTNERSHIPS IN ABINGTON. HOLY REDEEMER HAS BEEN INVOLVED WITH ACT ON SEVERAL INITIATIVES SUCH AS THE ANNUAL TEEN FORUM, IN-SERVICES, TEAM BUILDING AND COMMUNITY ACTIVITIES.2. HRHS AND ST. HILARY OF POITIERS COMMUNITY GARDEN PROJECT - THE SECOND GRADE CLASS OF A LOCAL GRADE SCHOOL, ST HILARY OF POITIERS, THEIR PRINCIPAL, AND TEACHER PARTICIPATE IN A SCHOOL GARDEN PROGRAM. THE PROGRAM INCLUDES CLASSROOM EDUCATION WITH A HOLY REDEEMER DIETITIAN, GARDEN VISITS AND PLANTING IN THE SISTERS OF THE HOLY REDEEMER'S GARDEN. PLANTING INCLUDES SUMMER FRUIT VARIETIES AND GARDEN VEGETABLES, HERBS AND FLOWERS. THE CURRICULUM INCLUDES CARE OF ENVIRONMENT, HEALTHY EATING, AND SHARING THE GARDEN PRODUCE WITH THOSE WHO DON'T HAVE ACCESS TO HEALTHY FOODS.3. HEALING CONSCIOUSNESS FOUNDATION - A NON-PROFIT ORGANIZATION WAS FOUNDED BY BREAST CANCER SURGEON, DR. BETH BAUGHMAN DUPREE. DR. DUPREE IS ALSO MEDICAL DIRECTOR OF HOLY REDEEMER'S BREAST HEALTH PROGRAM, WORKING TOGETHER TO PROVIDE A HOLISTIC APPROACH TO HEALING.4. AARP - HRHS WORKS WITH AARP TO PROVIDE SAFE DRIVING CLASSES FOR SENIORS EVERY MONTH. PART VI, LINE 7, REPORTS FILED WITH STATES NJ,PA 1 THE PHILADELPHIA FOOD TRUST 1617 JKF BLVD STE 900 PHILADELPHIA PA 19103 232678383 501(C)(3) 103500 0 SUPPORT FOR OPERATION AND FOOD INVENTORY FOR FEEDING THE NEEDY IN THE COMMUNITY SERVED 1 0 SCHOLARSHIP/EDUCATIONAL TUITION ASSISTANCE 12 90000 PART I, LINE 2: THE ORGANIZATION HAS A POLICY AND SETS QUALIFYING CRITERIA FOR AWARDING GRANTS TO APPLICANTS. GRANT AWARDS ARE MONITORED BY THE ORGANIZATION BY MAINTAINING RECORDS OF AWARD RECIPIENTS, AMOUNT OF THE GRANT AND DISBURSEMENT OF THE AWARD. DISBURSEMENT ARE MADE ONLY AFTER REVIEW OF THE RECIPIENTS SCHOOL ENROLLMENT, TUITION INVOICES AND COMPLETION OF THEIR RESPECTIVE COURSES. X X X X X X 0 0 0 0 0 0 0 0 0 MICHAEL B LAIGN BOARD MEMBER, PRESIDENT/CEO 406830 302799 44666 33244 4691 3492 4988 3712 6722 5003 467897 348250 1715 1277 WILLIAM SCARLETT PHYSICIAN 73555 386164 8760 45990 3248 17050 5604 29421 5003 26265 96170 504890 3120 16380 THOMAS HARRIS SENIOR VP, GENERAL COUNSEL 222502 165605 36921 27479 1180 878 36061 26839 27668 20593 324332 241394 0 0 CARL ROSENBAUM MD SR. VP & MEDICAL DIRECTOR 292007 157235 35929 19346 1664 896 1885 1015 15660 8432 347145 186924 0 0 DONALD F FRIEL ASST TREASURER 205735 153126 33189 24702 2308 1717 35946 26754 18023 13414 295201 219713 1465 1090 STACY KRISHER-VENTICINQUE PHYSICIAN 64078 363106 0 0 3049 17279 3210 18190 5008 28380 75345 426955 2955 16743 HENRY UNGER MD PHYSICIAN 334067 37119 55113 6124 21655 2406 31031 3448 10100 1122 451966 50219 19160 2129 CATHERINE EGAN SENIOR VP, CAO 398162 0 70000 0 3526 0 8700 0 1397 0 481785 0 2558 0 MICHAEL KEEN TREASURER/CFO 167406 124599 35590 26490 1407 1048 1663 1237 21781 16212 227847 169586 0 0 MARIAN THALLNER VP/CAO HRPAS 106131 159197 18975 28462 1338 2007 21382 32074 10850 16274 158676 238014 641 962 DONALD W FOX SENIOR VP 154471 114970 19005 14145 1074 799 21530 16025 18418 13708 214498 159647 445 331 ANNE CATINO VP HOSPITAL 225479 0 11781 0 2114 0 4955 0 24092 0 268421 0 934 0 NANCY MANDES VP FINANCE LIFE CARE 163629 0 14305 0 1987 0 5737 0 34242 0 219900 0 1264 0 A MONTGOMERY COUNTY HIGHER EDUC & HEALTH AUTHORITY 232447147 613603TK5 2014-10-30 51687825 SEE EXPLANATION ON PART VI 0 0 0 B MONTGOMERY COUNTY HIGHER EDUC & HEALTH AUTHORITY 232447147 613603WC9 2016-10-26 79718091 SEE EXPLANATION ON PART VI 0 0 0 A 15750000 51687825 4376 852088 50831361 2014 1 0 1 1 B 100000 79718091 8605 1058236 503125 50000000 28148125 2020 1 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 0 B 0 PART I, LINE A, COLUMN F: THE SERIES 2014A BONDS WERE ISSUED TO FINANCE THE COSTS OF THE CURRENT REFUNDING OF ALL OF THE AUTHORITY'S OUTSTANDING HEALTH CARE REVENUE BONDS, THE 1997 SERIES A (HOLY REDEEMER HEALTH SYSTEM) BONDS WHICH WERE ORIGINALLY ISSUED BY THE AUTHORITY TO FINANCE AND REFINANCE THE COSTS OF VARIOUS CAPITAL PROJECTS FOR THE BENEFIT OF TWO PENNSYLVANIA NON-PROFIT CORPORATIONS - HOLY REDEEMER HEALTH SYSTEM, TAX ID#23-1534300 ("HRHS"), THIS FILING ORGANIZATION, AND HR PHYSICIAN SERVICES, TAX ID#23-2696460 ("HRPS")- WHICH ARE PART OF AN INTEGRATED HEALTH AND SOCIAL SERVICE DELIVERY SYSTEM. THE PROCEEDS FROM THE SALE OF THE SERIES 2014A BONDS, TOGETHER WITH OTHER AVAILABLE FUNDS OF THE HRHS AND HRPS, WILL BE USED TO: (1) CURRENTLY REFUND ALL OF THE OUTSTANDING SERIES 1997 BONDS; (2) FUND A DEPOSIT TO THE DEBT SERVICE RESERVE FUND ESTABLISHED UNDER THE BOND INDENTURE IN AN AMOUNT SUFFICIENT TO SATISFY THE RESERVE FUND REQUIREMENT THEREUNDER UPON ISSUANCE OF THE SERIES 2014A BONDS; AND (3) PAY CERTAIN COSTS RELATED TO THE ISSUANCE OF THE SERIES 2014A BONDS. PART I, LINE B, COLUMN F: THE SERIES 2016A BONDS, TOGETHER WITH OTHER AVAILABLE FUNDS OF THE BORROWERS, WERE ISSUED TO: (1) FINANCE THE COSTS OF THE CURRENT REFUNDING OF ALL OF THE AUTHORITY'S OUTSTANDING MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY REVENUE BONDS, (HOLY REDEEMER HEALTH SYSTEM) SERIES 2006A (THE "CALLABLE SERIES 2006 BONDS"), WHICH BONDS WERE ORIGINALLY ISSUED BY THE AUTHORITY TO FINANCE AND REIMBURSE THE COSTS OF VARIOUS CAPITAL PROJECTS FOR THE BENEFIT OF TWO PENNSYLVANIA NON-PROFIT CORPORATIONS - HOLY REDEEMER HEALTH SYSTEM, TAX ID#23-1534300 ("HRHS") AND HR PHYSICIAN SERVICES, TAX ID#23-2696460, NOW DOING BUSINESS AS HOLY REDEEMER PHYSICIAN AND AMBULATORY SERVICES ("HRPAS") AND, TOGETHER WITH HRHS, REFERRED TO HEREIN AS THE "BORROWERS", WHICH ARE PART OF AN INTEGRATED HEALTH AND SOCIAL SERVICE DELIVERY SYSTEM; (2) FINANCE THE COST OF CERTAIN CAPITAL IMPROVEMENTS TO FACILITIES FOR THE BENEFIT OF THE BORROWERS AS FURTHER DESCRIBED HEREIN; AND (3) PAY CERTAIN COST AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE AND SALE OF THE SERIES 2016A BONDS. PART V: THE ORGANIZATION IS CURRENTLY EVALUATING A FORMAL POLICY FOR ADOPTION IN A FUTURE YEAR. X 1 301153 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): THE NUMBER IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART I, ITEM C DBA: HOLY REDEEMER HOMECARE DBA: HOLY REDEEMER HOSPICE DBA: HOLY REDEEMER LAFAYETTE DBA: HOLY REDEEMER MEDICAL MESSAGING DBA: HOLY REDEEMER MULTICARE SERVICES DBA: HOLY REDEEMER ST. JOSEPH MANOR DBA: HOLY REDEEMER SUPPORT AT HOME DBA: HOLY REDEEMER THRIFT STORE DBA: MULTICARE FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING BYLAWS CHANGES WERE MADE: (1) PREVIOUSLY, THE ENTITY'S PURPOSE WAS TO BE CARRIED OUT IN ACCORDANCE WITH THE PUBLIC CHARITABLE SERVICE OF THE SISTERS OF HOLY REDEEMER. CURRENTLY, THE ENTITY'S PURPOSE IS TO BE CARRIED OUT IN ACCORDANCE WITH THE PUBLIC CHARITABLE SERVICE OF THE SISTERS OF THE REDEEMER AMERICAN PROVINCE ("FOUNDER"). (2) THE ENTITY ADDED THE FOLLOWING TO ITS PURPOSE: (A) TO BE OPERATED, SUPERVISED OR CONTROLLED BY OR IN CONNECTION WITH THOSE NONPROFIT SECTION 501(C)(3) TAX EXEMPT CORPORATIONS OF WHICH IT IS THE SOLE OR MAJORITY MEMBER (ALONG WITH THE CORPORATION, COLLECTIVELY THE "SYSTEM"), AND WITH THE SYSTEM PARENT, THE CORPORATION'S CURRENT SOLE MEMBER. (B) TO SERVE GOD BY SERVICE TO HUMANITY IN THE SPIRIT OF THE FOUNDERS, INCLUDING DEDICATION TO THE PHYSICAL, PSYCHOLOGICAL, AND SPIRITUAL WELL-BEING OF EACH OF THE PATIENTS AND CLIENTS OF THE FACILITIES AND PROGRAMS OF THE AFFILIATE ORGANIZATIONS OF THE SYSTEM REGARDLESS OF THE RACE, CREED, OR COLOR OF THE INDIVIDUAL, TO THE ACHIEVEMENT OF EXCELLENCE IN THE CARE OF INDIVIDUALS, AND TO THE PRESERVATION OF LIFE IN BEING, WHICH IS HEREIN DEFINED TO COMMERCE FORM THE MOMENT OF CONCEPTION. (C) TO OPERATE, MAINTAIN, AND MANAGE CERTAIN REAL ESTATE INVESTMENTS OF THE SYSTEM. (3) THE ENTITY REMOVED THE FOLLOWING FROM ITS PURPOSE: (A) TO ENSURE THAT MEDICAL OFFICE BUILDINGS ARE OPERATED AND MAINTAINED IN PROXIMITY TO HOLY REDEEMER HOSPITAL AND MEDICAL CENTER (THE "HOSPITAL") IN ORDER THAT SUCH MEDICAL AND PARAMEDICAL PERSONNEL AS ARE ON THE STAFF OF OR OTHERWISE ASSOCIATED WITH THE HOSPITAL IN ITS OPERATION OF THE HOSPITAL FACILITY MAY MAINTAIN PRIVATE PRACTICES THEREBY IMPROVING THE HOSPITAL'S OVERALL QUALITY OF MEDICAL-CARE. (4) THE PRINCIPAL OFFICE OF THE CORPORATION WAS UPDATED FROM MEADOWBROOK TO HUNTINGDON VALLEY. (5) THE SOLE MEMBER OF THE CORPORATION CHANGED FROM HOLY REDEEMER MINISTRIES TO REDEEMER HEALTH. (6) THE ENTITY CHANGED THE RESPONSIBILITIES TO MEMBER FROM ANY SUBSIDIARY TO ANY CORPORATION OF WHICH THE CORPORATION IS THE MEMBER WITH RESERVED POWERS OR IS THE CONTROLLING SHAREHOLDER, FOR THE FOLLOWING SECTIONS: (A) TO APPROVE ANY CHANGE IN THE PHILOSOPHY AND MISSION (B) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS. (C) TO APPROVE THE ACQUISITION, LEASE, SALE OR ENCUMBRANCE (D)TO APPROVE THE CREATION OF ANY JOINT VENTURE, PARTNERSHIP, OR JOINT OWNERSHIP OF ASSETS. (E) TO APPROVE CAPITAL INDEBTEDNESS, AND ALL CAPITAL TRANSACTIONS (7) PREVIOUSLY, THE ENTITY COULD APPROVE THE MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION, OR THE MERGER CONSOLIDATION OR DISSOLUTION OF ANY SUBSIDIARY. CURRENTLY, THE ENTITY APPROVES THE MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION, OR THE MERGER CONSOLIDATION OR DISSOLUTION OF ANY CORPORATION, JOINT VENTURE, PARTNERSHIP OR TRUST OF WHICH THE CORPORATION IS THE SOLE OR MAJORITY MEMBER OR THE CONTROLLING SHAREHOLDER. (8) THE FOLLOWING WAS ADDED TO THE RESPONSIBILITY TO MEMBER: (A) TO PLAN, UNDERTAKE AND ARRANGE ALL FUNDRAISING ACTIVITIES OF THE CORPORATION; ON BEHALF OF THE CORPORATION, OR TO DELEGATE THE SAME TO AN AFFILIATE OF THE CORPORATION. (9) THE FOLLOWING RESPONSIBILITIES TO THE MEMBER WERE REMOVED: (A) TO APPROVE ANY AGREEMENT OF AFFILIATION BETWEEN THIS CORPORATION AND ANY UNRELATED ENTITY OR PARTY, OR ANY AGREEMENT OF AFFILIATION BETWEEN ANY SUBSIDIARY AND ANY UNRELATED THIRD PARTY ENTITY OR INDIVIDUAL. FOR PURPOSED OF THE SECTION, THE TERM "AGREEMENT OF AFFILIATION" SHALL MEAN: (I) ANY AGREEMENT OR ANY OTHER ARRANGEMENT, HOWEVER DESCRIBED OR STYLIZED THAT HAS THE EFFECT OF SIGNIFICANTLY (I.E. GREATER THAN 10% OF THE IMMEDIATELY PROCEEDING YEAR'S ACTIVITY) INCREASING OR SHRINKING ANY PROGRAM OR SERVICE UNDER THE DIRECT AND UNILATERAL CONTROL OF THE CORPORATION, HOLY REDEEMER HEATH CARE CORPORATION AND FOUNDATION (HRHCCF) OR ONE OF THE AFFILIATES; OR (II) ANY SUCH AGREEMENT OR ANY OTHER SUCH ARRANGEMENT, THAT THE PRESIDENT REFERS TO THE MEMBER FOR ITS APPROVAL; OR (III) ANY SUCH AGREEMENT OR ANY OTHER SUCH ARRANGEMENT, OVER WHICH THE MEMBER ELECTS IN ITS DISCRETION TO EXERCISE ITS RESERVED POWERS. (B) TO PERFORM ALL PERFORMANCE REVIEWS OF PHYSICIAN EMPLOYEES AND PHYSICIAN INDEPENDENT CONTRACTORS UNDER INCENTIVE COMPENSATION OR ENHANCED CAPITATION CONTRACTS. (C) TO ADMINISTER THE RETIREMENT PLAN FOR EMPLOYEES OF HOLY REDEEMER HEALTH SYSTEM AND ALL OTHER RETIREMENT, HEALTH, AND WELFARE PLANS MAINTAINED OR SPONSORED BY THE CORPORATION OR THE SYSTEM FOR THE BENEFIT OF ITS EMPLOYEES OR THE EMPLOYEES OF ANY OF CORPORATION'S AFFILIATES. (D) THE MEMBER MAY DELEGATE TO THE SYSTEM PARENT THE DISCHARGE OF THOSE RESERVED POWERS NOT ALREADY AND FURTHER RESERVED TO THE SPONSOR PURSUANT TO THE MEMBER'S BYLAWS. (10) THE NUMBER OF DIRECTORS CHANGED FROM NO LESS THAN FIVE TO THREE NOR MORE THAN THEN ELEVEN TO NINE. (11) REMOVED THAT THE PRESIDENT/CEO OF THE SYSTEM PARENT AND THE PRESIDENT OF THE CORPORATION SHALL BE VOTING MEMBERS EX OFFICIO. (12) THE ENTITY ADDED THAT IN THE ABSENCE OF A VICE CHAIR, THE PRESIDENT SHALL ACT AS CHAIR. (13) APPOINTMENT OF THE PRESIDENT AND ALL OFFICERS CHANGED FROM BIANNUAL TO EACH YEAR. ADDITIONALLY, THE OFFICER HOLDING OFFICE CHANGED FROM SECOND SUCCEEDING ORGANIZATIONAL MEETING TO NEXT ANNUAL MEETING. (14) THE FOLLOWING WERE ADDED TO THE PRESIDENT'S DUTIES: (A) REDUCE COSTS AND IMPROVE THE QUALITY OF PATIENT CARE SERVICE WITH ALL THE VARIOUS ENTITIES COMPRISING THE SYSTEM. (B) COOPERATE WITH MEMBERS OF THE MEDICAL PROFESSION IN PROVIDING QUALITY CARE TO PATIENTS (C) STRATEGIC PLANNING TO ASSURE THE CORPORATION CONTINUES TO ASSESS COMMUNITY NEEDS FOR SERVICES, TECHNOLOGY, EXPANSIONS, AND FINANCIAL VIABILITY OF THE HEALTH CARE AND SERVICES PROVIDED BY THE CORPORATION. (D) ACT AS A COMMUNICATION CHANNEL BETWEEN THE BOARD, COMMITTEES, HEALTHCARE PROFESSIONALS AND MANAGEMENT. (15) THERE ARE NO LONGER COMMITTEES REPORTED IN THE BYLAWS. THIS INCLUDES FINANCE COMMITTEE, GOVERNANCE COMMITTEE, AND SERVICE EFFECTIVENESS COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER SHALL BE REDEEMER HEALTH, A RELATED PENNSYLVANIA CORPORATION DESIGNATED AS A 501(C)(3) PUBLIC CHARITY BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION A, LINE 7A REDEEMER HEALTH HAS THE RESERVED POWER TO APPOINT ALL VOTING DIRECTORS TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B REDEEMER HEALTH SHALL HAVE ADDITIONAL RESERVED POWERS AS OUTLINED IN THE FILING ORGANIZATION'S BYLAWS, INCLUDING BUT NOT LIMITED TO THE AUTHORITY TO: AMEND OR REPEAL THE GOVERNING DOCUMENTS, RATIFY AND/OR REMOVE THE OFFICERS OF THE BOARD OF DIRECTORS WITH OR WITHOUT CAUSE, APPOINT AND/OR REMOVE THE PRESIDENT OF THE ORGANIZATION, AND APPROVE ALL BOARD-APPROVED ANNUAL CONSOLIDATED OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND ALL ACCOMPANYING SCHEDULES (HEREIN FORM 990) IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN A PDF IS PROVIDED TO MANAGEMENT FOR REVIEW. THE PDF IS PUBLISHED ON A SECURE INTERNAL WEBSITE. MEMBERS AND OFFICERS OF THE GOVERNING BODY ARE NOTIFIED BY EMAIL, AND EACH ARE ISSUED AN INDIVIDUAL ACCESS CODE TO RETRIEVE THE FORM 990. THEY ARE GIVEN TWO WEEKS TO REVIEW, QUESTION, AND COMMENT ON THE FORM 990 AND THEN THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE SUBJECT TO THE TERMS OF THE CONFLICT OF INTEREST (COI) POLICY. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS, AND ENFORCES COMPLIANCE TO THE COI POLICY BY REQUIRING THAT ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ANNUALLY REVIEW, ACKNOWLEDGE AND SIGN A COI POLICY STATEMENT. THE POLICY STATEMENT REQUIRES DISCLOSURE TO THE BOARD OF DIRECTORS ANY INTERESTS THAT COULD GIVE RISE TO A CONFLICT. THE INDEPENDENT BOARD MEMBERS ARE RESPONSIBLE FOR DETERMINING IF A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT. IF AN ACTUAL CONFLICT IS IDENTIFIED THE INDIVIDUAL(S) IN CONFLICT SHALL RECUSE THEMSELVES FROM BOTH THE DELIBERATION AND VOTE ON ANY CONFLICTED MATTER, EXCEPT FOR THEIR ABILITY TO PRESENT FACTUAL EVIDENCE TO THE BOARD AS DEEMED NECESSARY FOR THE DELIBERATION. FORM 990, PART VI, SECTION B, LINE 15 THE HRHS BOARD OF TRUSTEES, THROUGH THE COMMITTEE THAT OVERSEES EXECUTIVE AND PHYSICIAN COMPENSATION, PERIODICALLY ENGAGES THE SERVICES OF GALLAGHER, A CONSULTING FIRM WITH EXPERTISE IN HEALTH CARE EXECUTIVE COMPENSATION, TO REVIEW THE EXTERNAL MARKET DATA. THE MARKET DATA PROVIDES COMPARABLE COMPENSATION LEVELS BASED ON GEOGRAPHY, REVENUE SIZE AND OTHER FACTORS TO DETERMINE A MARKET RANGE FOR EACH EXECUTIVE. THE RESULT OF THEIR FINDINGS ARE SHARED DIRECTLY WITH THE GOVERNANCE AND LEADERSHIP COMMITTEE OF THE HRHS BOARD OF TRUSTEES. THE DELIBERATION AND FINAL DECISION ARE TIMELY DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES. THIS PROCESS LAST TOOK PLACE IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUESTS. INDIVIDUALS MAKING A REQUEST IN PERSON SHALL RECEIVE A COPY IMMEDIATELY UPON COMPLETING A FORMAL REQUEST FORM; THE FORM ONLY ASKS THE INDIVIDUAL TO IDENTIFY THEMSELVES, PROVIDE THEIR ADDRESSES AND SIGN THE FORM. ALL WRITTEN REQUESTS (MAIL OR EMAIL) FROM INDIVIDUALS, FOUNDATIONS OR GOVERNING AGENCIES ARE HONORED WITHIN 30 DAYS OF RECEIPT. IN ADDITION, THE HRHS CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE ON DAC BONDS QUARTERLY REPORT. NOTICE OF THE ANNUAL PUBLIC MEETING OF THE ORGANIZATION IS ADVERTISED IN LOCAL NEWSPAPERS. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 32,205,689. MANAGEMENT AND GENERAL EXPENSES 7,882,991. FUNDRAISING EXPENSES 285,097. TOTAL EXPENSES 40,373,777. FORM 990, PART XI, LINE 9: CHANGE IN PENSION LIABILITY 19,828,366. 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