2022-05-16T09:21:51-05:00 2021-06-30 WithumSmithBrown PC 1835 MARKET STREET SUITE 1710 PHILADELPHIA PA 191032945 990 2020-07-01 263359979 LANSDALE HOSPITAL CORPORATION % RONALD C KELLER CPA LANS 2154812851 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 PETER L DEANGELIS JR EVP CFO/CAO 2159554773 2022-05-13 true PETER L DEANGELIS JR 000000000 Scott J Mariani P00642486 2155462140 2 2020 2022-09-23 18:48:47Z ABINGTON-LANSDALE HOSPITAL-JEFFERSON ALISON L FERREN 1101 MARKET ST STE 2004 PHILADELPHIA PA 19107 101956117 false X WWW.ABINGTONHEALTH.ORG X 2008 PA THE MISSION OF LANSDALE HOSPITAL CORPORATION D/B/A ABINGTON-LANSDALE HOSPITAL - JEFFERSON HEALTH IS TO IMPROVE LIVES. 47 38 659 102 0 0 2662993 10700000 80616942 89802701 90555 7329 1411878 1446087 84782368 101956117 0 0 0 0 46398278 47240251 0 0 0 43972588 39295932 90370866 86536183 -5588498 15419934 104891047 118782956 68718092 67029327 36172955 51753629 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. 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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, 2021 IS $7,142. 8884649 8884649 58771341 24547859 34223482 34803109 29307050 5496059 2248555 757520 1491035 50095225 DUE FROM AFFILIATES 50197011 INSURANCE RECEIVABLE 3620445 53817456 0 ACCRUED WORKERS COMPENSATION CLAIMS 648573 TJU OBLIGATED GROUP LIABILITY 38798848 ACCRUED PROF. LIABILITY CLAIMS 3991175 ACCELERATED MEDICARE PAYMENTS LIAB. 13591984 OTHER LIABILITIES 618050 57648630 true Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 1 1 1 1 false false false 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 $831,089; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true true X true X true X 500. true true false false 883890 54242 829648 0.00960 7900830 5133320 2767510 0.03200 8784720 5187562 3597158 0.04160 659038 1700 657338 0.00760 63333 63333 0.00070 3642154 480575 3161579 0.03650 215622 215622 0.00250 4580147 482275 4097872 0.04730 13364867 5669837 7695030 0.08890 true 1746420 400668 22586676 18093681 4492995 X true true 1 1 LANSDALE HOSPITAL CORPORATION 100 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 WWW.ABINGTONHEALTH.ORG 660101 X X X LANSDALE HOSPITAL CORPORATION 1 false false true X X X X X X X X X 18 true true true true X WWW.ABINGTONHEALTH.ORG X true 18 true WWW.ABINGTONHEALTH.ORG false true X 200. 500. X X X X X true true X X X true X WWW.ABINGTONHEALTH.ORG X WWW.ABINGTONHEALTH.ORG X WWW.ABINGTONHEALTH.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 2019 COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"), THE DEPARTMENT OF TREASURY AND THE INTERNAL REVENUE SERVICE ("IRS") ENCOURAGED CROSS INSTITUTION COLLABORATION. TO THAT END LANSDALE HOSPITAL ("LH") 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 CONVENED TO DEVELOP THIS FIRST-EVER SOUTHEASTERN PENNSYLVANIA (SEPA) REGIONAL CHNA, WITH SPECIFIC FOCUS ON BUCKS, CHESTER, MONTGOMERY, AND PHILADELPHIA COUNTIES. IN FY21, LH IS IN MID-CYCLE FOR THE CHNA. COMMUNITY/STAKEHOLDER INPUT: COMMUNITY MEETINGS WERE COORDINATED BY HEALTH CARE IMPROVEMENT FOUNDATION (HCIF) AND PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS (PACDC) AND FACILITATED BY QUALITATIVE EXPERTS FROM PARTICIPATING HOSPITALS/HEALTH SYSTEMS. STAKEHOLDER FOCUS GROUPS WERE CONDUCTED BY HCIF. HCIF COORDINATED THE QUALITATIVE COMPONENTS OF THE ASSESSMENT WHICH INCLUDED: 19 COMMUNITY MEETINGS WERE ORGANIZED BY THE PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS (PACDC) AND FACILITATED BY THE QUALITATIVE TEAM, MADE UP OF EXPERTS FROM CHILDREN'S HOSPITAL OF PHILADELPHIA (CHOP), JEFFERSON HEALTH (INCLUDING LH), PENN MEDICINE, HOLY REDEEMER HEALTH SYSTEM, GRAND VIEW HEALTH, AND CHESTER COUNTY HOSPITAL. ANALYSIS OF FINDINGS FROM THESE MEETINGS WAS CONDUCTED BY EXPERTS FROM CHOP, JEFFERSON HEALTH, AND PENN MEDICINE. NINE (9) KEY STAKEHOLDER FOCUS GROUPS ADDRESSED POPULATIONS OF SPECIAL INTEREST, INCLUDING AFRICAN AMERICAN AND HISPANIC/LATINO COMMUNITIES; INDIVIDUALS EXPERIENCING HOMELESSNESS; INDIVIDUALS EXPERIENCING HOUSING SECURITY; PRENATAL AND POSTPARTUM WOMEN; AND INDIVIDUALS WITH BEHAVIORAL/MENTAL HEALTH CONDITIONS. REPRESENTATIVES INCLUDED MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH AND EPIDEMIOLOGY AND PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH LEADERSHIP. TWELVE (12) KEY INFORMANT INTERVIEWS WITH LEADERSHIP AND STAFF AT FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), CONDUCTED BY HEALTH FEDERATION OF PHILADELPHIA. ADDITIONAL KEY INFORMANT INTERVIEWS WITH HOSPITAL PATIENT ADVISORY GROUPS, EMPLOYEES, AND OTHER STAKEHOLDERS WERE CONDUCTED BY HOSPITALS AND HEALTH SYSTEMS. IN PARTICULAR FOR LH, COMMUNITY HEALTH AND COMMUNITY BENEFIT LEADERS CONDUCTED IN PERSON INTERVIEWS WITH THE LEADERSHIP OF THE VNA FOUNDATION OF GREATER NORTH PENN, MANNA ON MAIN STREET, BUCKS-MONT COLLABORATIVE, AND ACTS RETIREMENT COMMUNITIES. ADDITIONALLY, INTERNAL INTERVIEWS WITH LH SENIOR TEAM, MARKETING, GERIATRIC SERVICES, CARE COORDINATION, POST-ACUTE HOME CARE AND LH CLINIC STAFF. THESE INDIVIDUALS AND THE LH COMMUNITY LEADERS SAW SIGNIFICANT OVERLAP IN THE DISCUSSION OF UNMET NEEDS AND HEALTH STATUS AND PROVIDED A FOCUS FOR BOTH HOSPITALS. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B LH PARTICIPATED IN PARTNERSHIP WITH THE STEERING COMMITTEE OF REPRESENTATIVES FROM PARTNERING HOSPITALS AND HEALTH SYSTEMS, THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH (PDPH) 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 LH 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. - ABINGTON MEMORIAL HOSPITAL, NOW ABINGTON HOSPITAL-JEFFERSON HEALTH; - LANSDALE HOSPITAL, NOW ABINGTON-LANSDALE HOSPITAL-JEFFERSON HEALTH; - ARIA HEALTH, NOW JEFFERSON NORTHEAST; - CHESTER COUNTY HOSPITAL; - THE CHILDREN'S HOSPITAL OF PHILADELPHIA; - EINSTEIN MEDICAL CENTER PHILADELPHIA; - EINSTEIN MEDICAL CENTER ELKINS PARK; - EINSTEIN MEDICAL CENTER MONTGOMERY; - GRAND VIEW HOSPITAL; - HEALTH CARE IMPROVEMENT FOUNDATION - HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PA; - HOLY REDEEMER HEALTH SYSTEM; - MONTGOMERY COUNTY HEALTH DEPARTMENT; - UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM; - PENNSYLVANIA HOSPITAL; - PENN PRESBYTERIAN MEDICAL CENTER; AND - PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH. ABINGTON HEALTH, INCLUDING AMH AND LH, COLLABORATED WITH THE ABOVE LISTED HOSPITALS AND HEALTH SYSTEMS, WORKING WITH JEFFERSON HEALTH COLLEAGUES TO COMPLETE THE, JUNE 30, 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. AH, INCLUDING AMH AND LH, COLLABORATED WITH AND RECEIVED SUPPORT DURING THE CHNA PROCESS FROM: - CHESTER 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 AH. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN AH'S WEBSITE: HTTPS://WWW.ABINGTONHEALTH.ORG/APP/FILES/PUBLIC/B07BE055-EEF1-458B-9813-E1 64EB021349/CHNA2019POSTING.PDF IN ADDITION, ONSITE AT LH, COPIES OF THE CHNA ARE AVAILABLE IF REQUESTED AT NO CHARGE FOR PUBLIC INSPECTION, WITHIN THE DEPARTMENT OF COMMUNITY HEALTH, SECOND FLOOR FOUNDER'S BUILDING. SCHEDULE H, PART V, SECTION B, QUESTION 8 AH, INCLUDING AMH AND LH, PLACED THE FINAL 2019 CHNA ON THE HEALTH SYSTEM'S WEBSITE TO PROVIDE ACCESS AND MAKE WIDELY AVAILABLE. THE CHNA FROM 2016 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 AH LEADERS. IN FY21, THIS PROCESS REMAINED IN EFFECT. ALL 2019 CHNA AND IMPLEMENTATION PLANS WERE SHARED WITH ALL KEY COMMUNITY STAKEHOLDERS AND PARTICIPANTS IN INTERVIEWS AND MEETINGS. TEAMS WERE FORMED AT AH TO COINCIDE WITH THE MAJOR TOPIC AREAS IN SUMMER 2019. ACTION PLANS OR IMPLEMENTATION PLANS WERE WRITTEN, ADOPTED AND APPROVED BY THE COMMUNITY BENEFIT COMMITTEE OF THE ABINGTON HEALTH FOUNDATION ("AHF") BOARD BY JUNE 30, 2019 [NOW KNOWN AS THE REV. DR. MARTIN LUTHER KING JR. COMMUNITY BENEFIT AND DIVERSITY COMMITTEE] WITH SUBSEQUENT RATIFICATION BY ABINGTON'S BOARD OF TRUSTEES ON, JUNE 25, 2019. THE COMMUNITY HEALTH DEPARTMENT CONTINUES RESPONSIBILITY FOR THE CHNA 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 2019 THROUGH 2021. 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 2019 CHNA. THEMES EMERGED FROM THE CHNA 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 TOPIC OR DOMAIN AREAS. OVERALL, THE HEALTH OF THE POPULATIONS SERVED IN THE LH SERVICE AREA IS GOOD, RANKING HIGHER THAN THE MONTGOMERY COUNTY AND PENNSYLVANIA STATE POPULATIONS AS A WHOLE. AH'S ACCESS TO CARE IP/ACTION PLAN WAS REVIEWED IMMEDIATELY WITH SEVERAL ENHANCEMENTS INTRODUCED. AH INCLUDING LH 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. SERVICES ONSITE AT LH INCLUDE A FINANCIAL COUNSELOR AND/OR ELECTRONIC SUBMISSION DURING THE PANDEMIC TO HELP DETERMINE ELIGIBILITY FOR GOVERNMENT-SPONSORED PROGRAMS, AND OFFER ASSISTANCE WITH THE HEALTH INSURANCE EXCHANGE AND OTHER INSURANCE COVERAGE. A PRINTED PLAIN LANGUAGE SUMMARY [PLS] WAS CREATED AND DISTRIBUTED AT AH ACCESS POINTS, INCLUDING CLINICS, OUTPATIENT AREAS, EMERGENCY DEPARTMENT AT LH AND PRIMARY CARE OFFICES. OVERVIEW OF IMPLEMENTATION STRATEGY INCLUDES: PRIORITIZATION WAS PLACED INTO THE CHNA TO MAXIMIZE THE RESOURCES AVAILABLE TO THE HOSPITAL USING DOMAINS. THE STRATEGY FOCUSES ON THE PRIORITY HEALTH NEEDS THAT ARE MOST IMPORTANT IN THE DOMAIN OF COMMUNITY HEALTH PRIORITIES: SUBSTANCE/OPIOID USE AND ABUSE, BEHAVIORAL HEALTH DIAGNOSIS AND TREATMENT, ACCESS TO AFFORDABLE PRIMARY/PREVENTIVE CARE, HEALTHCARE AND HEALTH RESOURCES NAVIGATION, ACCESS TO AFFORDABLE SPECIALTY CARE, CHRONIC DISEASE PREVENTION, FOOD ACCESS AND AFFORDABILITY WERE THE TOP SEVEN PRIORITIES REVIEWED AND APPROVED BY SENIOR MANAGEMENT. LH 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 JEFFERSON/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 AH. THE IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN AH'S WEBSITE: HTTPS://WWW.ABINGTONHEALTH.ORG/APP/FILES/PUBLIC/D442792B-E048-4B8E-B681-7B 53D16B53FE/AJH-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-COMMUNICATION-PLAN-2019.P DF SCHEDULE H, PART V, SECTION B, QUESTION 11 THE MOST RECENT, REQUIRED CHNA WAS COMPLETED IN JUNE 2019. TO ADDRESS THE NEEDS IDENTIFIED IN THE 2016 CHNA PROCESS, THE HEALTH SYSTEM CONVENED SEVEN (7) COMMUNITY BENEFIT ACTION TEAMS CONSISTING OF KEY COMMUNITY STAKEHOLDERS AND AH ADMINISTRATIVE AND CLINICAL LEADERS TO DEVELOP AND IMPLEMENT GOALS AND ACTION PLANS OR IMPLEMENTATION PLANS. LEADERS OF THESE TEAMS WILL REPORT ON PROGRESS QUARTERLY THROUGH REPORTS SHARED WITH THE COMMUNITY BENEFIT COMMITTEE [CHANGED IN THE LAST THREE YEAR CYCLE TO REV. DR. MARTIN LUTHER KING JR., COMMUNITY BENEFIT AND DIVERSITY COMMITTEE] OF THE AHF BOARD. THE HEALTH SYSTEM WILL NOT DIRECTLY FOCUS ON YOUTH HEALTH BEHAVIORS, MEDICATION ACCESS, COMMUNITY SAFETY, TRANSPORTATION, OR THE BUILT AND NATURAL ENVIRONMENT NEEDS IDENTIFIED AS "IMPORTANT OR LESS IMPORTANT" IN THE 2016 and 2019 CHNA. THOSE PRIORITIES ARE BEYOND THE SCOPE OF AH AND ARE BEING ADDRESSED BY OTHER COMMUNITY BASED AND GOVERNMENT ORGANIZATIONS. AH WILL COLLABORATE WITH GROUPS OF EXPERTS IN THESE AREAS TO FOSTER APPROPRIATE AND SAFE REFERRALS AND IDENTIFY OPPORTUNITIES FOR PARTNERSHIP AND INCLUSION IN COMMUNITY BENEFIT INITIATIVES. HOSPITALS ARE NOT REQUIRED TO, NOR CAN THEY MEET ALL UNMET NEEDS IN THE COMMUNITY. ANY UNMET NEEDS NOT ADDRESSED BY THE APPROVED IMPLEMENTATION PLANS ARE ALREADY BEING ADDRESSED IN THE SERVICE AREA BY THE HOSPITAL, OTHER HEALTHCARE PROVIDERS, GOVERNMENT, AND LOCAL NON-PROFIT ORGANIZATIONS. IN FY20, THE AUNT BERTHA PLATFORM, A NETWORK OF SOCIAL SERVICE INFORMATION, WAS ADOPTED BY LH [JEFFERSON HEALTH AND ABINGTON HEALTH SYSTEMS] AND POSTED TO OUR WEBSITES. This platform was named jefferson community resources and placed on the ah website; communicated to workforce and key community stakeholders and planned inclusion in epic [new electronic medical record] module for fy22. OUR PRIORITY UNMET NEEDS IN THE IMPLEMENTATION PLANS ARE INTEGRAL TO OUR COMMUNITY BENEFIT STRATEGY. AH LEADERS CONTINUE TO MONITOR NEW PROGRAM DEVELOPMENT AND SERVICES WITH COLLABORATIVE PARTNERS, INCLUDING COACH AND LOCAL AND REGIONAL COLLABORATIVES SUCH AS INDIAN VALLEY COALITION, BUCKS-MONT COLLABORATIVE, MONTGOMERY COUNTY HEALTH ALLIANCE AND THE REGIONAL OVERDOSE PREVENTION COLLABORATIVE. 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 AH. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN AH'S WEBSITE: HTTPS://WWW.ABINGTONHEALTH.ORG/PATIENTS-GUESTS/PAYMENT-INFORMATION/FINANCI AL-ASSISTANCE-PROGRAM/ 2 MEDICAL ARTS BUILDING 125 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 OUTPATIENT SERVICES NPCHA ADULT DAY SERVICES LANSDALE 51 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 OUTPATIENT SERVICES SCHEDULE H, PART I, LINE 3C LH 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") LH 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). LH 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 WORKSHEET 2 WAS 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. 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 9 & 10) 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 FINANCIAL INFORMATION LISTED ON SCHEDULE H PART III LINES 5, 6 & 7 WERE DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM AND NOT THE 2020 FILED MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION BELIEVES 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, NATIONAL ORIGIN, GENDER, GENDER IDENTITY OR EXPRESSION, SEXUAL ORIENTATION, AGE, STATUS AS AN INDIVIDUAL WITH A HANDICAP/DISABILITY OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE 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 "THE TERM CHARITABLE IS USED IN SECTION 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") BELIEVES 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) 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. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO 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 40% 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 CO SCHEDULE H, PART III, SECTION C; QUESTION 9B LH 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, LH 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. LH 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, LH 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, (120 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 PAYMENTS 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 TRANSFERRED TO A PROFESSIONAL COLLECTION 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, LHC 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 LH'S FINANCIAL ASSISTANCE POLICY IN RELATION TO ITS COLLECTION EFFORTS. NO EXTERNAL COLLECTION AGENCY IS PERMITTED TO ENGAGE IN ECAS UNLESS AUTHORIZED BY LH. AFTER THE ABOVE-DESCRIBED STEPS HAVE BEEN TAKEN, LH MAY USE ECAS WITH THE RESPECT TO THE PATIENT ACCOUNT OF AN UNINSURED OR UNDER-INSURED AND MAY FURTHER CONSIDER CREDIT BUREAU REPORTING AND/OR LEGAL ACTION AS APPROPRIATE. LH'S GENERAL COUNSEL IS REQUIRED TO APPROVE ALL LAWSUITS PRIOR TO THE ECA COMMENCING. FINAL AUTHORITY FOR DETERMINING THAT LH 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 DIRECTOR 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 FALL 2018. RECOGNIZING THAT HOSPITALS AND HEALTH SYSTEMS OFTEN MUTUALLY SERVE THE SAME COMMUNITIES, A GROUP OF LOCAL HOSPITALS AND HEALTH SYSTEMS CONVENED TO DEVELOP THIS FIRST-EVER SOUTHEASTERN PA (SEPA) REGIONAL CHNA, WITH SPECIFIC FOCUS ON BUCKS, CHESTER, MONTGOMERY AND PHILADELPHIA COUNTIES. THIS COLLABORATIVE CHNA 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 CHNA 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 CHNA 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 OCTOBER 2018 TO JUNE 2019, 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 QUALITATIVE EXPERTS FROM PARTICIPATING HOSPITALS/HEALTH SYSTEMS. STAKEHOLDER FOCUS GROUPS WERE CONDUCTED BY HCIF. IN ADDITION, COMMUNITY HEALTH LEADERS FROM LH, CONDUCTED INTERNAL AND EXTERNAL INTERVIEWS. IN PARTNERSHIP WITH THE STEERING COMMITTEE OF REPRESENTATIVES FROM PARTNERING HOSPITALS AND HEALTH SYSTEMS, THE PDPH AND 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. SEPA REGIONAL CHNA STEERING COMMITTEE: CONSENSUS-DRIVEN GOVERNANCE TO PROVIDE OVERSIGHT AND DIRECTION; MET ONCE OR TWICE MONTHLY TO REVIEW FINDINGS AND SET PRIORITIES. PDPH LED THE COLLECTION OF QUANTITATIVE INDICATORS OF HEALTH FOR THE REGION WITH THE SUPPORT FROM CHESTER COUNTY HEALTH DEPARTMENT AND MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH. DATA WAS ACQUIRED FROM LOCAL, STATE AND FEDERAL SOURCES AND FOCUSED ON INDICATORS THAT WERE UNIFORMLY AVAILABLE AT THE ZIP CODE LEVEL ACROSS THE REGION. PDPH PARTNERED WITH HEALTHSHARE EXCHANGE, THE LOCAL HEALTH INFORMATION EXCHANGE, TO ANALYZE KEY HOSPITAL-BASED INDICATORS OF HEALTH. HCIF COORDINATED THE QUALITATIVE COMPONENTS OF THE ASSESSMENT WHICH INCLUDED: 19 COMMUNITY MEETINGS, 9 KEY STAKEHOLDER FOCUS GROUPS, 12 KEY INFORMANT INTERVIEWS AND ADDITIONAL KEY INFORMANT INTERVIEWS. ALL DATA WERE SYNTHESIZED BY PDPH STAFF AND A LIST OF 16 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 COMMUNITY MEETINGS, STAKEHOLDER FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS, WERE ALSO INCLUDED. THE COMMUNITY HEALTH DEPARTMENT, WORKING UNDER THE GUIDANCE OF THE ABINGTON HEALTH FOUNDATION COMMUNITY BENEFIT COMMITTEE [NOW KNOWN AS THE 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. LH CONTINUES TO ATTEND LOCAL AND REGIONAL COMMUNITY ORGANIZATION MEETINGS AND COUNTY COLLABORATIVES FOR THE GREATER LANSDALE 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. LH WORKED WITH AREA HOSPITALS AND NONPROFITS 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 CHNA, TRAUMA INFORMED CARE AND MENTAL HEALTH. COMMUNITY HEALTH AND BEHAVIORAL HEALTH LEADERS IN FY21 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 LH AND AMH LEADERS OBTAINED INFORMATION AND SHARED WITH WORKFORCE AND COMMUNITY. CHRONIC CARE PATIENTS WERE OFFERED THIS INFORMATION. THESE SAME LEADERS CONTINUED TO WORK DURING THIS CHNA CYCLE WITH THE REGIONAL OVERDOSE PREVENTION COUNCIL; JEFFERSON'S OPIOID TASK FORCE AND CREATED THE ABINGTON 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. SCHEDULE H, PART VI; QUESTION 3 LH 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. LH 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 A CLINIC BOOKLET WITH CONTACT INFORMATION TRANSLATED INTO SEVERAL LANGUAGES, POSTED TO THE WEBSITE AND SHARED WITH KEY COMMUITY 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 LH WEBSITE AT HTTPS://WWW.ABINGTONHEALTH.ORG/PATIENTS-GUESTS/PAYMENT-INFORMATION/FINANCI AL-ASSISTANCE-PROGRAM/ 2) BY MAIL WHEN A PATIENT CALLS OR CONTACTS LH'S FINANCIAL SERVICES UNIT AT (833)-958-2198 3) IN PERSON, WITHOUT APPOINTMENT, AT THE FOLLOWING HOSPITAL LOCATIONS: LH'S FINANCIAL SERVICES UNIT 100 MEDICAL CAMPUS DRIVE LANSDALE, PA 19446 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 --------------------- LH 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, LH 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 OF NEIGHBORHOODS, POCKETS OF NEED TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN HATFIELD TOWNSHIP IN MONTGOMERY COUNTY, PENNSYLVANIA. MONTGOMERY COUNTY IS THE SECOND MOST POPULOUS COUNTY IN THE STATE WITH 62 MUNICIPALITIES. LH IS LOCATED JUST OUTSIDE OF LANSDALE, PENNSYLVANIA, APPROXIMATELY 24 MILES NORTHWEST OF PHILADELPHIA. NESTLED IN THE HEART OF MONTGOMERY COUNTY, LANSDALE IS ONE OF THE SIX BOROUGHS THAT MAKE UP THE AREA KNOWN AS NORTH PENN, ONE OF THE REGION'S MOST PROSPEROUS AND DESIRABLE LOCATIONS. ACCORDING TO RECENT DEMOGRAPHIC INFORMATION, LANSDALE IS HOME TO AN ESTIMATED 51,000 RESIDENTS. HOWEVER, LH SERVES ALL OF THE NORTH PENN COMMUNITIES, AS WELL AS PARTS OF NEIGHBORING BUCKS COUNTY, FOR A TOTAL PATIENT BASE NEARING 200,000. FROM SMALL LOCAL ENTERPRISES TO LARGE MULTI-NATIONAL CORPORATIONS, BUSINESS IS BOOMING IN THE NORTH PENN AREA. MONTGOMERY COUNTY HAS THE HIGHEST PER CAPITA INCOME IN THE STATE OF PENNSYLVANIA, AND THE SECOND HIGHEST MEDIAN INCOME. LH DEFINES ITS TARGETED SERVICE AREA AS THE FOLLOWING ZIP CODES IN BUCKS AND MONTGOMERY COUNTIES. THESE AREAS REPRESENT AREAS PROXIMATE TO THE HOSPITAL WHERE 70% OF INPATIENTS RESIDE AND A TOTAL POPULATION OF 198,290. MONTGOMERY COUNTY ZIPS: 18951, 18936, 19422, 19438, 19446, 19454, 18964, 19440 AND BUCKS COUNTY 18914, 18932. THE DEMOGRAPHICS INCLUDE THE AGE DISTRIBUTION OF 22% FOR 0-17 YEARS OF AGE; 31% OF 18-44 AGES; 30% FOR 45-64 AND 17% FOR 65+. INCOME DISTRIBUTION INCLUDES 43% WITH $100,000+, 14% OF $75,000-99,999, 16% WITH $50,000-$74,999, 16% WITH $25,000-$49,999 AND 11% WITH LESS THAN $25,000. THE RACIAL COMPOSITION INCLUDES 78.0% WHITE, 11.8% ASIAN, 4.5% BLACK, 4.0% HISPANIC/LATINO AND 1.9% OTHER. LH GEOGRAPHICALLY DEFINED ITS COMMUNITY BENEFIT AREA BY REGION IN THE FOLLOWING WAY: NORTH PENN, INDIAN VALLEY, COUNTY LINE AND BLUE BELL WITH ZIP CODES DOCUMENTED IN THE CHNA. 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 AND SUMMARY OF ALL ENTITIES WHICH COMPRISE THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. DURING FY21, 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. ONE YEAR LATER: A LOOK BACK AT LANSDALE'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. IN NOVEMBER - DECEMBER 2020, ABINGTON AND LANSDALE SAW THE SECOND COVID-19 SURGE; MONOCLONAL ANTIBODY INFUSIONS BEGAN AT AMH; EMPLOYEE VACCINATIONS BEGAN AT AMH AND LH. AS JANUARY 2021 BEGAN, A "REAL TALK" PROGRAM WAS IMPLEMENTED TO KEEP STAFF INFORMED ABOUT THE COVID-19 VACCINE; PATIENT VACCINATION BEGAN AT LH AND AMH WARMINSTER CAMPUS IN FEBRUARY 2021. A 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 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 RAMPING UP OR DOWN 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; FINANCIAL AND COMPLIANCE EXPERTS TO MAXIMIZE CARES RELIEF FUNDING; NO STAFF FURLOUGHS OR REDUCTIONS IN EMPLOYEE SALARIES; IN THE SPAN OF TWO MONTHS, NEARLY 5,400 DONORS FROM 44 STATES HELPED RAISE $7.6 MILLION THAT DIRECTLY HELPED 3,700 EMPLOYEES AND NEARLY 300 STUDENTS THROUGH THE HARDSHIPS THAT THE PANDEMIC CREATED IN THEIR LIVES; THE RECRUITMENT OF NEW PHYSICIANS TO JOIN OUR TALENTED TEAM OF CLINICIANS. WHEN THE VACCINE BECAME AVAILABLE IN DECEMBER 2020, AMH AND LH WERE FORTUNATE TO PLAY AN IMPORTANT ROLE IN OUR COMMUNITY TO VACCINATE ALL OF THE EMPLOYEES AND COMMUNITY MEMBERS WHO WANTED TO RECEIVE THE VACCINE. 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. 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, kennedy health system and magee rehabilitation hospital 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: not-for-profit entities ======================= 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 hospital 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 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. 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 the system's teaching hospitals and is an integral part of these institutions. methodist associates in healthcare of new jersey, p.c. ------------------------------------------------------ methodist associates in healthcare of new jersey, p.c. ("mahcnj") 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 fo 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 X X false false false false false false false true false KATHLEEN M FARRELL CHIEF ADMINISTRATIVE OFFICER 0 233829 0 23731 0 440 0 111333 0 16726 0 386059 0 0 CHRISTOPHER NOTTE MD TRUSTEE - CHIEF MED OFFICER 0 296589 0 29681 0 13978 0 9550 0 1630 0 351428 0 0 LIEM NGUYEN PHARMD PHARMACIST 136999 0 0 0 2406 0 8242 0 18985 0 166632 0 0 0 PHILIP DEANGELIS PHARMD PHARMACIST 134080 0 0 0 2593 0 8046 0 17981 0 162700 0 0 0 ZONARA QURESHI PHARMD PHARMACIST 126532 0 0 0 1744 0 7691 0 24924 0 160891 0 0 0 CORE FORM, PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2020 FORMS W-2. SCHEDULE J, PART I, QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2020 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2020 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. CORE FORM, PART I CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR AMOUNTS PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION. THE RESTATEMENT HAD NO EFFECT ON THE ORGANIZATION'S NET ASSETS. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS LANSDALE HOSPITAL ("LH") IS A NON-PROFIT, 140-BED COMMUNITY HOSPITAL, LOCATED IN HATFIELD TOWNSHIP, WHICH PROVIDES A COMPREHENSIVE RANGE OF MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. LH 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, LH 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. LH OPERATES CONSISTENTLY WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. LH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. LH OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. LH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF LH RESTS WITH JEFFERSON HEALTH'S BOARD OF TRUSTEES; WHICH INCLUDES A NUMBER OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY WHO ALL VOLUNTEER THEIR TIME AND TALENTS. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. ABINGTON MEMORIAL HOSPITAL ("AMH") PURCHASED THE ASSETS OF THE FORMER CENTRAL MONTGOMERY MEDICAL CENTER FROM UNIVERSAL HEALTH SERVICES, INC. ON OCTOBER 31, 2008. THE HOSPITAL WAS RE-NAMED LANSDALE HOSPITAL (LH) AND BECAME A PART OF ABINGTON HEALTH ("AH") AND AFFILIATES, BRINGING ALL THE ABINGTON ENTITIES UNDER A NEW UMBRELLA: ABINGTON HEALTH. EFFECTIVE APRIL 30, 2015, AT 11:59 P.M., 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 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, 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"). THE ABINGTON NAME IS MAINTAINED IN THE SUBURBAN ABINGTON REGION AND NOW INCLUDES A JEFFERSON HEALTH ENDORSEMENT. FOR EXAMPLE, AMH IS NOW KNOWN AS ABINGTON HOSPITAL-JEFFERSON HEALTH AND LH KNOWN AS ABINGTON-LANSDALE HOSPITAL-JEFFERSON HEALTH FOR FY21. THE SYSTEM INCLUDES FOURTEEN 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 34,500+ EMPLOYEES, 6,600 PHYSICIANS AND PRACTITIONERS, 7,200 NURSES, 2,700 FACULTY AND 2,100 VOLUNTEERS AND IS THE SECOND LARGEST EMPLOYER IN PHILADELPHIA. DURING FY21, 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. ONE YEAR 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. IN NOVEMBER - DECEMBER 2020, ABINGTON SAW THE SECOND COVID-19 SURGE; MONOCLONAL ANTIBODY INFUSIONS BEGAN AT AMH; EMPLOYEE VACCINATIONS BEGAN AT AMH AND LH. AS JANUARY 2021 BEGAN A "REAL TALK" PROGRAM WAS IMPLEMENTED TO KEEP STAFF INFORMED ABOUT THE COVID-19 VACCINE; FEBRUARY PATIENT VACCINATION BEGAN AT LH AND AMH WARMINSTER CAMPUS. 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. IN FY21, JEFFERSON HEALTH CONTINUED IN ITS COMMITMENT TO PURSUE ITS DEFINITIVE AGREEMENT WITH EINSTEIN HEALTHCARE NETWORK ("EHN") OF PHILADELPHIA AND MONTGOMERY COUNTY, PENNSYLVANIA. THE PROPOSED MERGER TO CREATE AN 18-HOSPITAL HEALTH SYSTEM IS DESIGNED TO SERVE THE REGION'S HEALTH NEEDS INCLUDING THOSE THAT HAVE TRADITIONALLY BEEN UNDERSERVED, AND EVEN MORE SERVICES TO PATIENTS WHERE THEY LIVE AND WORK. A 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 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 RAMPING UP OR DOWN 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; FINANCIAL AND COMPLIANCE EXPERTS TO MAXIMIZE CARES RELIEF FUNDING; NO STAFF FURLOUGHS OR REDUCTIONS IN EMPLOYEE SALARIES; IN THE SPAN OF TWO MONTHS, NEARLY 5,400 DONORS FROM 44 STATES HELPED RAISE $7.6 MILLION THAT DIRECTLY HELPED 3,700 EMPLOYEES AND NEARLY 300 STUDENTS THROUGH THE HARDSHIPS THAT THE PANDEMIC CREATED IN THEIR LIVES; THE RECRUITMENT OF NEW PHYSICIANS TO JOIN OUR TALENTED TEAM OF CLINICIANS. WHEN THE VACCINE BECAME AVAILABLE IN DECEMBER 2020, AMH AND LH WERE FORTUNATE TO PLAY AN IMPORTANT ROLE IN OUR COMMUNITY TO VACCINATE ALL OF THE EMPLOYEES AND COMMUNITY MEMBERS WHO WANTED TO TAKE THE VACCINE. 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. IN KEEPING WITH LH'S COMMITMENT TO ITS COMMUNITY MEMBERS, THE FOLLOWING SERVICES WERE PROVIDED TO THE COMMUNITY, PARTICULARLY TO LOW INCOME MEMBERS WITHIN ITS SERVICE AREA, DURING THE YEAR: - EMERGENCY DEPARTMENT (OPERATES 24 HOURS A DAY/365 DAYS A YEAR) OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. 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 WHICH INCLUDES THE SIDNEY KIMMEL CANCER CENTER, ASPLUNDH CANCER PAVILION, AND ABINGTON HEALTH CENTER-HORSHAM. THERE IS ONE URGENT CARE CENTER IN FLOURTOWN, PENNSYLVANIA. PHYSICIANS EMPLOYED PRACTICES ARE 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 FY21 DOCUMENTS. LH IS A 140-BED, ACUTE CARE GENERAL HOSPITAL PROVIDING A COMPREHENSIVE RANGE OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. THE FACILITY INCLUDES A 24-HOUR EMERGENCY DEPARTMENT, AN 18 BED ORTHOPAEDIC AND SPINE INSTITUTE, A SLEEP CENTER, PAIN CENTER AND WOUND CARE CENTER. HOME TO OVER 539 EMPLOYEES, LH HAS A STAFF OF MORE THAN 250 ACTIVE PHYSICIANS AND 471 ON THE FULL MEDICAL STAFF. PHYSICIANS ARE SUPPORTED BY A DEDICATED TEAM OF PROFESSIONAL NURSES WHO DRAW FROM YEARS OF CLINICAL EXPERIENCE AND TRAINING. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS LH OFFERS A SOPHISTICATED ARRAY OF CLINICAL PROGRAMS, INCLUDING: INTERVENTIONAL RADIOLOGY, ORTHOPAEDICS, PHYSICAL REHABILITATION, OUTPATIENT SURGERY, CARDIOLOGY, OPHTHALMOLOGY, PODIATRY, ORAL SURGERY AND 24-HOUR EMERGENCY SERVICES. AS A TRUSTED HEALTHCARE PROVIDER, LH CARED FOR OVER 5,600 INPATIENT ADMISSIONS IN FY21 WHILE OUTPATIENT VISITS NUMBERED ALMOST 67,000. IN ADDITION, ALMOST 24,000 VISITS WERE MADE IN THE HOSPITAL'S EMERGENCY DEPARTMENT DURING FY21. LH IS LOCATED JUST OUTSIDE OF LANSDALE, PENNSYLVANIA, APPROXIMATELY 24 MILES NORTHWEST OF PHILADELPHIA. NESTLED IN THE HEART OF MONTGOMERY COUNTY, LANSDALE IS ONE OF THE SIX BOROUGHS THAT MAKE UP THE AREA KNOWN AS NORTH PENN, ONE OF THE REGION'S MOST PROSPEROUS AND DESIRABLE LOCATIONS. ACCORDING TO RECENT DEMOGRAPHIC INFORMATION, LANSDALE IS HOME TO AN ESTIMATED 51,000 RESIDENTS. HOWEVER, LH SERVES ALL OF THE NORTH PENN COMMUNITIES, AS WELL AS PARTS OF NEIGHBORING BUCKS COUNTY, FOR A TOTAL PATIENT BASE NEARING 200,000. FROM SMALL LOCAL ENTERPRISES TO LARGE MULTI-NATIONAL CORPORATIONS, BUSINESS IS BOOMING IN THE NORTH PENN AREA. MONTGOMERY COUNTY HAS THE HIGHEST PER CAPITA INCOME IN THE STATE OF PENNSYLVANIA, AND THE SECOND HIGHEST MEDIAN INCOME. LANSDALE IS SERVED BY THE NORTH PENN SCHOOL DISTRICT, WITH THIRTEEN ELEMENTARY SCHOOLS, THREE MIDDLE SCHOOLS AND ONE HIGH SCHOOL. THE AREA IS ALSO HOME TO NUMEROUS PRIVATE AND PAROCHIAL SCHOOLS, TECHNICAL CAREER CENTERS, FOUR-YEAR COLLEGES AND TWO-YEAR COLLEGES. THE LANSDALE/NORTH PENN AREA OFFERS AN EXCEPTIONAL QUALITY OF LIFE, WITH QUAINT SUBURBAN TOWNS, QUALITY SCHOOLS, A HEALTHY ECONOMY, GOOD JOBS, ABUNDANT RECREATION AND CONVENIENT ACCESS TO PHILADELPHIA, NEW YORK, THE POCONOS AND THE NEW JERSEY SHORE. LH IS GUIDED BY THE BELIEF THAT IT IS DEDICATED TO THE HEALTHCARE NEEDS OF THE COMMUNITIES THAT IT SERVES. THAT LEVEL OF DETERMINATION AND COMMITMENT IS THE CORNERSTONE OF LH. MOREOVER, LH, UNDER ITS FINANCIAL ASSISTANCE POLICY, PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO COMPENSATE LH FOR THEIR TREATMENTS 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, LH PROVIDES SERVICES AND SUPPLIES AT BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. COORDINATION CONTINUED IN FY21 CENTRALIZING ITS FINANCIAL COUNSELORS FROM WITHIN THE SYSTEM INTO THE FINANCIAL COUNSELING PROGRAM AND EXPANDED STAFF TO LH. IN ADDITION, A SOCIAL WORKER SUPPORTS THE CHILDREN'S CLINIC AND DENTAL ACCESS 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 JEFFERSON HEALTH AND AH FINANCIAL ASSISTANCE APPLICATION. COMMUNITY RESOURCES ARE SHARED WITH LH STAFF TO SUPPORT PATIENTS AND FAMILIES AS WELL AS INCLUDING COUNTY AND AREA NON-PROFIT PROVIDERS ON HOSPITAL PROGRAMS AND SERVICES. LH HAS BOLSTERED ITS MEDICAL STAFF, ADDING TOP SPECIALISTS IN AREAS THAT INCLUDE EMERGENCY MEDICINE, NEUROSURGERY, ORTHOPAEDICS, SPINE SURGERY, RADIOLOGY, ANESTHESIA, PATHOLOGY, SURGICAL AND IN 2019 INCLUDED THE ADDITION OF ENDOCRINOLOGY, UROLOGY, NEUROLOGY AND FULL TIME PULMONARY AND INTENSIVE CARE SPECIALIST COVERAGE. LH HAS ALSO EXPANDED ITS PRIMARY CARE PRACTICES. THE JAISOHN MEDICAL CENTER OPENED ON THE LANSDALE CAMPUS IN FY20 AND THE RELATIONSHIP CONTINUED WITH LH. THE CENTER IS LOCATED IN THE COMMUNITY HEALTH CENTER BUILDING, ON THE CAMPUS OF LH, WHICH IS HOME TO THE JAISOHN MEDICAL CENTER PROVIDING MEDICAL, SOCIAL AND EDUCATIONAL SERVICES FOR KOREAN AMERICANS AND OTHERS. THE CENTER WAS NAMED AFTER DR. PHILIP JAISOHN, THE FIRST KOREAN TO OBTAIN A MEDICAL DEGREE IN THE UNITED STATES. 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 ---------- LH SERVES ITS COMMUNITY BY PROVIDING THE HIGHEST QUALITY AND MOST COST-EFFECTIVE HEALTHCARE TO ALL. LH IS COMMITTED TO PROVIDING COMPREHENSIVE, QUALITY HEALTHCARE SERVICES WHICH IMPROVE AND SUSTAIN THE HEALTH STATUS OF THE RESIDENTS PRIMARILY IN THE GREATER NORTH PENN REGION, EASTERN MONTGOMERY, AND PORTIONS OF BUCKS COUNTY, PENNSYLVANIA. LH ASSURES ACCESSIBLE, COMPASSIONATE HEALTHCARE SERVICES THAT HONOR THE DIGNITY OF EVERY PERSON. LH IS A LEADER IN DEFINING ITS COMMUNITY'S HEALTHCARE NEEDS, IN PROVIDING APPROPRIATE SOLUTIONS, AND DEVELOPING A COMPREHENSIVE CONTINUUM OF CARE INCLUDING EDUCATION. PENN HOSPITAL WAS ESTABLISHED IN 1939 IN LANSDALE, PENNSYLVANIA AS A NON-PROFIT, COMMUNITY HOSPITAL, TO PROVIDE ACCESSIBLE HEALTH SERVICES TO RESIDENTS OF THE GREATER NORTH PENN COMMUNITY. ORIGINALLY NAMED ELM TERRACE HOSPITAL, IT FIRST CARED FOR PATIENTS IN A BUILDING AT SEVENTH AND BROAD STREETS OWNED BY A LOCAL PHYSICIAN, FRANK E. BOSTON. DR. BOSTON ALSO WAS INSTRUMENTAL IN THE FOUNDING OF A COMMUNITY AMBULANCE COMPANY KNOWN AS THE VOLUNTEER MEDICAL SERVICE CORPS. IN FY21, THE REV. DR. MARTIN LUTHER KING, JR. COMMUNITY BENEFIT AND DIVERSITY COMMITTEE FORMED A SUBCOMMITTEE OF STAFF, LEADERSHIP AND COMMITTEE VOLUNTEERS TO WORK ON A PROJECT HONORING THE FOUNDER OF LANSDALE HOSPITAL, DR. FRANK BOSTON. DR. BOSTON, AN AFRICAN AMERICAN PHYSICIAN AND VETERAN OF WORLD WAR I, ESTABLISHED ELM TERRACE HOSPITAL IN LANSDALE IN 1934. ELM TERRACE HOSPITAL BECAME NORTH PENN HOSPITAL NOW KNOWN AS LANSDALE HOSPITAL. THE PROJECT INVOLVED THE COMMISSIONING OF A PORTRAIT OF DR. BOSTON WHICH WILL BE HUNG IN THE MAIN LOBBY OF THE HOSPITAL. A COMMUNITY EVENT IS PLANNED FOR MAY 2022, WHICH WILL RENAME AND DEDICATE THE LANSDALE HOSPITAL LOBBY AND PROVIDE A PORTRAIT UNVEILING OF DR. BOSTON. AS THE NORTH PENN POPULATION GREW, THE HOSPITAL ADDED TO ITS ORIGINAL BUILDING. IN THE 1970'S, THE HOSPITAL WAS LICENSED FOR 150 ACUTE CARE BEDS INCLUDING OBSTETRICAL BEDS AND A TWENTY BED INTENSIVE CORONARY CARE UNIT. SAME DAY SURGERY AND TELEMETRY BEDS ALSO WERE ADDED. IN THE LATE 1970'S, THE HOSPITAL'S BOARD OF DIRECTORS ACQUIRED A 72 ACRE TRACT OF LAND LOCATED IN THE HATFIELD TOWNSHIP TO ERECT A NEW HOSPITAL BUILDING AS THE HOSPITAL'S EXPANDING NEEDS HAD OUTGROWN THE SPACE AT THE CURRENT LOCATION. ON APRIL 19, 1980, THE HOSPITAL, WITH THE HELP OF A FLEET OF LOCAL AMBULANCES, MOVED OPERATIONS TO THE NEW BUILDING LOCATED AT 100 MEDICAL CAMPUS DRIVE. THE MOVE WAS ACCOMPLISHED IN LESS THAN 4 HOURS WITH NO INTERRUPTION TO PATIENT CARE OR SERVICE. DURING THE 1980'S THE HOSPITAL CONTINUED TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY BY ESTABLISHING ALLIANCES WITH URBAN HOSPITALS TO PROVIDE SPECIALIZED CARE. AMONG THESE WERE HAHNEMANN HOSPITAL, TEMPLE UNIVERSITY AND FOX CHASE CANCER CENTER. IN OCTOBER 2001, THE HOSPITAL BOARD NEGOTIATED THE SALE OF NORTH PENN HOSPITAL TO UNIVERSAL HEALTH SERVICES OF KING OF PRUSSIA, PENNSYLVANIA. THE TRANSACTION PROVIDED FINANCIAL RESOURCES TO IMPROVE CAPITAL EQUIPMENT AND EXPAND SERVICES ON THE HOSPITAL'S CAMPUS. AS AN IMPORTANT PART OF THE CONSIDERATION FOR THE PURCHASE OF THE HOSPITAL, THE PARTIES AGREED TO PRESERVE THE CHARITABLE ASSETS THAT HAD BEEN ACCUMULATED BY THE HOSPITAL OVER FOUR DECADES BY ESTABLISHING THE NORTH PENN COMMUNITY HEALTH FOUNDATION [NOW KNOWN AS HEALTHSPARK] WHOSE MISSION IS TO IDENTIFY, SELECT AND INVEST IN PROGRAMS AND AGENCIES THAT WILL IMPROVE THE HEALTH, WELFARE AND QUALITY OF LIFE OF ITS COMMUNITY. SINCE THE ACQUISITION OF LH UNDER THE AH UMBRELLA IN NOVEMBER 2008, ADMINISTRATORS, MEDICAL STAFF MEMBERS AND BOARD MEMBERS HAVE WORKED TO STRENGTHEN RELATIONSHIPS WITH OTHER AGENCIES AND PROVIDERS INCLUDING THE HEALTHSPARK FOUNDATION (FORMER NORTH PENN COMMUNITY HEALTH FOUNDATION), THE BUCKS-MONT COLLABORATIVE, THE NORTH PENN SCHOOL DISTRICT, LOCAL EMS SQUADS, AND OTHER COMMUNITY BASED ORGANIZATIONS. REGIONALLY, LH BEGAN A COLLABORATION WITH OTHER HOSPITALS AND HEALTH SYSTEMS TO FORM COACH: "COLLABORATIVE OPPORTUNITIES TO ADVANCE COMMUNITY HEALTH" IN 2016 AND CONTINUED WORKING IN FY21 WITH THE HEALTH CARE IMPROVEMENT FOUNDATION AND THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA. PUBLIC HEALTH EXPERTS AND HOSPITAL LEADERS COLLABORATED ON REGIONAL AND LOCAL COMMUNITY NEEDS AND BEGAN A NEW DIALOGUE TO FOCUS ON HEALTH IMPROVEMENT. INITIATIVES INCLUDED A FOCUS OF FOOD INSECURITY, THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, AND RENEWED EFFORTS OF CENTRALIZING AND COMMUNICATING COMMUNITY RESOURCES. NEW IN FY21 INCLUDED WORK ON TRAUMA INFORMED CARE AND PRACTICES. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS IN FY21 LH CONTINUED TO INCREASE COMMUNITY ENGAGEMENT ACTIVITIES BY FULFILLING REQUESTS AND INVITATIONS FROM COLLABORATIVE PARTNERS AND PROVIDED OUTREACH CALLS DURING THE COVID-19 PANDEMIC SHUTDOWN. COMPILATION OF COMMUNITY RESOURCES INCREASED AND WERE POSTED AND SHARED WITH COLLABORATIVE PARTNERS, COMMUNITY GROUPS, STAKEHOLDERS AND FAITH COMMUNITY. FOR THE EIGHTH YEAR, LH WAS A PARTNER IN THE INTERNATIONAL SPRING FESTIVAL PLANNING; HOWEVER, THIS EVENT WAS SUSPENDED DURING THE PANDEMIC SHUTDOWN AS WELL AS IN FY21. THIS WELL-ESTABLISHED COMMUNITY EVENT HAS A FOCUS ON THE CELEBRATION OF CULTURAL DIVERSITY IN THE COMMUNITY, WHICH HONORS TRADITIONS OF THE PAST AS WELL AS EDUCATING THE PUBLIC TO PROMOTE UNITY. THE PLAN IS FOR A RETURN IN FY22. IN FY21, LH LEADERS CONTINUED IN THE PARTICIPATION AND LEADERSHIP OF THE BUCKS-MONT COLLABORATIVE AND INVITED COMMUNITY HEALTH STAFF TO PARTICIPATE. THIS COLLABORATIVE INCLUDES THE MISSION TO FOSTER INFORMATION SHARING, DIALOGUE, AND COLLABORATIVE ACTION AROUND HEALTH AND WELLNESS ISSUES IN MONTGOMERY AND BUCKS COUNTIES TO STRENGTHEN NON-PROFIT ORGANIZATIONS THROUGH MONTHLY MEMBERSHIP MEETINGS THAT PROVIDE TIMELY INFORMATION AND UPDATES INCLUDING PANDEMIC, ECONOMIC AND SAFETY NET INITIATIVES, NETWORKING WITH AGENCY, BUSINESS, EDUCATION, FAITH, AND GOVERNMENT LEADERS; AND PROVIDES LEADERSHIP TRAINING AND DEVELOPMENT. SINCE ITS FOUNDING, THE BUCKS-MONT COLLABORATIVE FOR HEALTH AND HUMAN SERVICES HAS WORKED THROUGH ITS BOARD OF DIRECTORS TO UPHOLD AND PROMOTE THE PROVISION OF HIGH-QUALITY SERVICES TO ALL CONSTITUENCIES. AH LEADERS SERVE ACTIVELY ON THE BOARD AND CONTINUE TO LINK AND CONNECT LH TO THE LOCAL NON-PROFIT ORGANIZATIONS AND KEY COMMUNITY STAKEHOLDERS. HOSPITAL LEADERS ALSO FOCUS EFFORTS WITH THE MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH, DRUG AND ALCOHOL, PUBLIC SAFETY AND OTHER DEPARTMENTS. AS A MEMBER OF AH, LH, ALSO A 501(C)(3) TAX-EXEMPT ORGANIZATION, OFFERS A GENEROUS FINANCIAL ASSISTANCE POLICY TO ENSURE FREE OR LOW-COST SERVICES TO PATIENTS WHO DO NOT HAVE INSURANCE. ACCOMPLISHMENTS IN FY21: LH'S PATIENT SAFETY AND QUALITY EXCELLENCE CORE VALUE AND ACCOMPLISHMENTS IN FY21 JOURNEY TO HIGH RELIABILITY (J2HRO) ARE ALIGNED WITH AMH'S. THE PLANS INCLUDE THE CENTER FOR PATIENT SAFETY AND HEALTHCARE QUALITY TO REBOOT AND REFOCUS ON CREATE A RELIABLE DAY, GREAT CATCH, WELLNESS AND INTER-PROFESSIONAL COUNCILS. FY21 SUCCESSES FROM QUALITY AND SAFETY INCLUDE: EPIC: IN LATE FEBRUARY 2021, AMH AND LH TRANSITIONED ITS ELECTRONIC MEDICAL RECORD TO THE EPIC SYSTEM. LEARNING THE NEW SYSTEM WAS A HUGE UNDERTAKING, ESPECIALLY FOR CLINICIANS. ONPOINT PROGRAM AND FY21 SAFETY IMPROVEMENTS: THE ONPOINT PROGRAM IS JEFFERSON HEALTH'S QUALITY, SAFETY AND EXPERIENCE PROGRAM. AMH AND LH DEPLOYED MULTIPLE ASPECTS OF THE PROGRAM DURING FY21 WITH PRIORITY FOCUS ON THE ONPOINT SAFETY MANAGEMENT SYSTEM: WENT LIVE OCTOBER 2020; IN FY21 AMH AND LH HAD A GOAL TO UTILIZE THIS SYSTEM TO CAPTURE 924 GREAT CATCH EVENTS, AND THIS WAS EXCEEDED WITH 2,991 REPORTED GREAT CATCHES. THIS ACKNOWLEDGES HOW MUCH THE CULTURE OF REPORTING IS EMBEDDED IN AMH AND LH; IMPROVED THE EVALUATION OF SERIOUS SAFETY EVENTS AND IMPROVED ACTION PLANNING RESULTING IN 43 PERCENT STRONG ACTION ITEMS, DESIGNING OUT HARM AND CREATING PROCESSES THAT DO NOT RELY ON HUMAN VIGILANCE; CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND SEPSIS READMISSION WERE EACH REDUCED BY FIVE PERCENT; POST-OP RESPIRATORY FAILURE SUCCESS AS 13 CASES WERE EXPECTED AND BY FISCAL YEAR END THERE WERE 3 CASES. THERE WERE ZERO IN AN 8 MONTH PERIOD; COVID-19 MORTALITY RATE - DECREASED MORTALITY TO 5.8 PERCENT FROM 11.43 PERCENT (BASELINE). MORE OF AMH AND LH PATIENTS SURVIVED THEIR COVID-19 RELATED HOSPITALIZATIONS DUE TO CLINICAL TEAMS IMPROVING CARE OF NON-ICU COVID-19 PATIENTS AND KEEPING UP WITH EVER-CHANGING PROTOCOLS; CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS - DURING THE PANDEMIC, AMH AND LH HAD NO CLABSIS FOR SEVERAL CONSECUTIVE MONTHS; REDUCING OPIOID USE IN VASCULAR SURGERY PATIENTS: THE PROGRAM PROVIDED POST-OPERATIVE, PATIENT-CENTERED CARE PATHWAYS, WHICH PROMOTE EARLY ACTIVITY, EARLY NUTRITION, DEEP BREATHING EXERCISES AND MULTI-MODAL PAIN CONTROL. IN FY21, AMH OBTAINED A SPECIAL ISOLETTE FOR AIR OR GROUND TRANSPORTATION FOR BABIES BORN AT 23 WEEKS GESTATION TO THREE MONTHS OF AGE. UP TO THIS POINT, BABIES WOULD OFTEN BE TRANSFERRED OUT OF MONTGOMERY OR BUCKS COUNTIES TO PHILADELPHIA HOSPITALS. THIS NEW EQUIPMENT HELPS AMH TO IMPROVE LIVES BY TRANSFERRING THESE BABIES SAFELY AND KEEPING OUR SMALLEST PATIENTS IN OUR COMMUNITY CLOSE TO FAMILY AND FRIENDS. IN FY21, A NURSE-DRIVEN HEPARIN PROTOCOL (NDHP) WAS IMPLEMENTED AT AMH AS AN ALTERNATIVE TO PROVIDER-MANAGED HEPARIN TREATMENT. SINCE THEN, 10 PERCENT MORE OF OUR PATIENTS WITH THE NDHP ORDERED HAVE REACHED A THERAPEUTIC PTT WITHIN 24 HOURS COMPARED TO THE TWO MONTHS PRIOR TO GO-LIVE. THE SAME OPTIMIZED NDHP REPLACED THE NDHP IN USE AT LH. THIS ENTERPRISE-WIDE EFFORT WAS SPEARHEADED BY AN INTERDISCIPLINARY TEAM AND HAS SUCCESSFULLY STREAMLINED NURSING, PHARMACY, AND PROVIDER WORKFLOWS. IT HAS REDUCED THE POTENTIAL FOR ERRORS RELATED TO THIS HIGH-ALERT MEDICATION. FROM A PATIENT AND FAMILY ENGAGEMENT PERSPECTIVE IN FY21, NEW LEADERSHIP IN NURSING WAS ANNOUNCED WITH A NEW CHIEF NURSING OFFICER WELCOMED. OTHER ACCOMPLISHMENTS INCLUDE: MY.JEFFERSONHEALTH.ORG - WITH THE IMPLEMENTATION OF EPIC, PATIENTS NOW HAVE ACCESS TO MY.JEFFERSONHEALTH.ORG, A SINGLE INTEGRATED MEDICAL RECORD WITH INPATIENT AND OUTPATIENT RECORDS IN ONE PLACE. THE PATIENT PORTAL CAN MAKE THE HEALTHCARE EXPERIENCE FEEL CONVENIENT AND WELL ORGANIZED. PATIENT EXPERIENCE RESULTS: THIS HAS BEEN A YEAR OF EXTRAORDINARY CHALLENGE AND CHANGE FOR PATIENT EXPERIENCE AT AMH AND LH. LIKE MANY HOSPITALS IN THE COUNTRY AND REGION, AMH AND LH WAS NOT IMMUNE TO THE CHANGE IN CONSUMER EXPECTATIONS OF HEALTH CARE. AS SUCH, WE ARE CONFIDENT THAT OUR RE-DESIGNED APPROACH FOCUSED ON PATIENT AND FAMILY CENTERED CARE (PFCC) WILL SUPPORT PATIENTS AND FAMILIES TO SAY THEY WOULD DEFINITELY RECOMMEND AMH OR LH TO OTHERS. TO DELIVER ON THIS GOAL, NEW LEADERSHIP AT THE ENTERPRISE AND DIVISION LEVELS WERE HIRED; WE ARE UTILIZING THE ONPOINT PFCC MANAGEMENT SYSTEM, THAT ITERATES STRATEGY, OPERATIONS, AND TACTICS THAT WILL GUIDE OUR DATA DRIVEN, FOCUSED APPROACH TO IMPLEMENTATION, EXECUTION AND MEASUREMENT, TO ACHIEVE OUR TARGETS. OUR KEY STRATEGY IS TO DELIVER A HEALTHCARE EXPERIENCE THAT IS RESPECTFUL, MEANINGFUL, EXCELLENT, CULTURALLY SENSITIVE, AND DONE "WITH" OUR PATIENTS AND NOT "TO" OUR PATIENTS, RECOGNIZING THE VALUE OF HOW PATIENT'S EXPERIENCE THEIR STAY IN ALL ASPECTS OF CARE. WITH A NEW TEAM, AMH AND LH WILL PIVOT AND REBRANDING OUR WORK AS PATIENT AND FAMILY CENTERED CARE IN RECOGNITION OF OUR EXPANDED FOCUS AND TO ALIGN WITH THIS WORK AT THE ENTERPRISE LEVEL. SEAMLESS ACCESS IMPROVEMENTS IN FY21 INCLUDED THE REDUCTION IN THE ABANDONMENT RATE FOR CENTRAL SCHEDULING; IN RADIOLOGY AND OUTPATIENT SCHEDULING THERE WAS AN ELEVEN PERCENT IMPROVEMENT FROM MARCH TO JUNE 2021 WITH A NEW SYSTEM AND ENHANCED TACTICS BY STAFF. THE PATIENT FLOW CENTER FOR AMH AND LH ALSO COMBINED WITH JEFFERSON HEALTH NORTHEAST HOSPITALS TO FORM THE PATIENT FLOW MANAGEMENT CENTER - NORTH. THE TIMING WAS SYNCED WITH THE EPIC GO-LIVE AND THE INTENTION WAS TO OPERATE MORE EFFICIENTLY AND TO HAVE REAL TIME ACCESS TO AVAILABLE BEDS AND TREATMENTS IN THE NORTH. THE GOALS OF THE COMBINING INCLUDE: IMPROVE PATIENT THROUGHPUT, IDENTIFY BED AVAILABILITY REAL TIME, ADMIT ER PATIENTS SOONER, IMPROVE ER WAIT TIMES, AND PROVIDE A BETTER PATIENT EXPERIENCE. AMH AND LH UPGRADED THE VIDEO REMOTE INTERPRETATION (VRI) MACHINES. THIS TECHNOLOGY ALLOWS FOR COMMUNICATION TO OUR DEAF AND LIMITED ENGLISH PROFICIENT PATIENTS USING A CERTIFIED INTERPRETER. FOR AMH AND LH WORKFORCE, IN FY21, THE FOCI INCLUDED AN EMPLOYEE SURVEY WHERE ENGAGEMENT INCREASED BY TWO PERCENT. THERE WERE ALSO STAFFING CHALLENGES WHICH ARE NOT UNIQUE TO AMH OR LH. IN FY21, AMH AND LH EXPERIENCED A LABOR SHORTAGE. THERE ARE A VARIETY OF REASONS INCLUDING EARLY RETIREMENTS, ISSUES WITH SCHOOL-AGED CHILDREN AND THEIR CHANGING SCHOOL SCHEDULES, AND HEALTHCARE WORKER BURNOUT. AN ENTERPRISE-WIDE TASK FORCE WAS ESTABLISHED TO ADDRESS THIS ISSUE. HUMAN RESOURCES HAVE IMPLEMENTED THE 3R ACTION PLAN FOR RECRUITMENT, RETENTIONS AND RESILIENCE. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS DIVERSITY, EQUITY AND INCLUSION COUNCIL: IN RESPONSE TO THE MURDER OF GEORGE FLOYD AND OTHER RACIAL INJUSTICES IN OUR SOCIETY, AMH AND LH HELD A SERIES OF CONVERSATIONS ABOUT RACE DESIGNED TO PROVIDE A DEDICATED, SUPPORTIVE ENVIRONMENT FOR STAFF TO TALK ABOUT THE CURRENT EVENTS WE EXPERIENCED AS A COMMUNITY. ALL EMPLOYEES WERE REQUIRED TO COMPLETE ONLINE DIVERSITY TRAINING MODULES THAT ADDRESSED TOPICS LIKE UNCOVERING UNCONSCIOUS BIAS, INCLUSION IN ACTION, AND ANYONE CAN BE AN ALLY. THE DIVERSITY, EQUITY AND INCLUSION COUNCIL HOSTED TWO CAFETERIA TABLING EVENTS IN FY21 TO BRING AWARENESS TO JUNETEENTH AND PRIDE MONTH. THIS COUNCIL MEETS MONTHLY. LHC CONTINUED WITH THE DENTAL ACCESS PROGRAM TO SERVE THOSE IN NEED IN THE GREATER NORTH PENN REGION. THE CHILDREN'S CLINIC AND THE ADULT DAY CARE CENTER WERE OPEN FOLLOWING ALL COVID-19 PROTOCOLS. IN ADDITION, LH PROVIDES: - PRIMARY CARE ACCESS AND SPECIALTY SERVICES THROUGH THE AH CLINICS, INCLUDING THE OB/GYN CENTER, HARTNETT HEALTH SERVICES (FORMERLY ABINGTON'S AMBULATORY CARE SERVICES UNIT), CORINNE SANTERIAN NEWBORN CENTER, CHILDREN'S CLINIC LOCATED ON THE CAMPUS OF LH, AND ABINGTON FAMILY MEDICINE. CONTINUING INTO FY21 AH TRANSLATED A BROCHURE INTO KOREAN, PORTUGUESE AND SPANISH LANGUAGES WHICH WAS COMMUNICATED TO THE COMMUNITY, AND TO NON-PROFIT SOCIAL SERVICE AGENCIES, HOSPITAL INTRANET AND HEALTH SYSTEM WEBSITES AND EXTERNAL KEY COMMUNITY STAKEHOLDERS. LH PROVIDES INTENSIVE, GENERAL/SURGICAL CARE; 24 HOUR COVERAGE BY IN-HOUSE HOSPITALISTS. MANY SPECIALISTS ARE AVAILABLE INCLUDING NEUROSURGEONS, VASCULAR SURGEONS, ORTHOPAEDISTS, AND GYNECOLOGISTS. TELEMEDICINE FOR NEUROLOGY, ESPECIALLY IN STROKE CARE AND PSYCHIATRY ARE PROVIDED WITH AMH. LH RENOVATIONS FOR FY21 INCLUDED A MAJOR MAMMOGRAPHY SUITE UPGRADE TO BETTER SERVE WOMEN'S HEALTH CARE NEEDS. TOWARDS THE END OF 2014, A DENTAL CARE ACCESS PROGRAM, A NEW AND INNOVATIVE MODEL, WAS INITIATED WITH COMMUNITY FUNDERS TO REPLACE THE DENTAL CLINIC WORKING WITH AREA DENTISTS AND A CASE MANAGER TO ENSURE A SMOOTH TRANSITION FOR THOSE IN NEED. THE PROGRAM IS DESIGNED TO PROVIDE DENTAL SERVICES TO UNINSURED PATIENTS AND THOSE WHO ARE UNDERINSURED. THROUGH THE PROGRAM, DENTAL CARE IS PROVIDED IN THE OFFICES OF 59 PARTICIPATING DENTISTS AT 34 LOCATIONS IN THE NORTH PENN REGION OF MONTGOMERY COUNTY FROM THE MONTGOMERY BUCKS DENTAL SOCIETY. THESE DENTISTS PROVIDE A FULL RANGE OF DENTAL SERVICES, WHICH ARE SUBSIDIZED BY AMH AND LH THROUGH THE VNA FOUNDATION OF GREATER NORTH PENN AND DELTA DENTAL COMMUNITY CARE FOUNDATION GRANT DOLLARS. SERVICES PROVIDED INCLUDE CLEANINGS, ROOT CANALS, SCALING, EXTRACTIONS, CROWNS, FILLINGS, PARTIALS, ANESTHESIA, X-RAYS AND SEALANTS. IN FY21, 92 CHILDREN AND 172 ADULTS WERE SERVED THROUGH THIS PROGRAM, ACCESSING $97,505 WORTH OF SERVICES. THE CHILDREN'S CLINIC IS UNDER THE LICENSE OF LH AND PROVIDES LOW-COST OR FREE CARE TO CHILDREN WHO DO NOT HAVE HEALTH INSURANCE OR ARE UNDERINSURED. THE CLINIC IS CREDENTIALED AND USES A NURSING CENTER STAFFING MODEL AND IS STAFFED BY A PEDIATRIC NURSE PRACTITIONER MANAGER, PEDIATRIC NURSE PRACTITIONER, A REGISTERED NURSE, A SOCIAL WORKER AND RECEPTIONIST. THERE IS A COLLABORATIVE PRACTICE AGREEMENT WITH AN LH PEDIATRICIAN. THE CLINIC FUNCTIONS AS A PATIENT-CENTERED MEDICAL HOME. CHILDREN CAN RECEIVE COMPREHENSIVE PHYSICAL EXAMS, TREATMENT FOR MINOR ILLNESS AND IMMUNIZATIONS AS WELL AS 24 HOUR ON-CALL ACCESS TO A HEALTH PROVIDER FOR URGENT ISSUES TO NAME A FEW OF ITS SERVICES. IN FY21, APPROXIMATELY 1,250 PATIENTS WERE SEEN IN 2,600 OFFICE VISITS. THE CLINIC IS UNIQUE AS IT SERVES AS A REFERRAL CENTER FOR THESE FAMILIES PROVIDING DONATED CLOTHING, FOOD, TOYS, SUPPLIES, AND REFERRALS TO OTHER NON-PROFIT ORGANIZATIONS. APPROXIMATELY 60% OF THE CLINIC PATIENTS ARE CHILDREN BORN TO RECENTLY IMMIGRATED PARENTS. A CHRONIC CARE MANAGEMENT (CCM) PROGRAM IDENTIFIES, ENGAGES, AND COACHES OLDER ADULTS WITH CHRONIC ILLNESS TO DEVELOP AND IMPLEMENT INDIVIDUALIZED STRATEGIES FOR BETTER SELF-MANAGEMENT OF THEIR DISEASE; REDUCING THE RISK OF HOSPITALIZATIONS, AND ASSISTING THE INDIVIDUAL TO REMAIN AN ACTIVE HEALTHY MEMBER OF THE COMMUNITY. DURING THE COVID-19 PANDEMIC, CCM STAFF PROVIDED OUTREACH FOLLOW UP TELEPHONE CALLS, FACTS SHEETS MAILED TO HOMES, SCREENINGS VIA TELEPHONE SENDING BLOOD PRESSURE CUFFS TO THOSE IN NEED. IN FY21 A TOTAL OF 2,151 CLIENTS WERE REACHED WITH WELLNESS CALLS. WARM HAND-OFF PROGRAM CONTINUED IN FY21: ALL PATIENTS PRESENTING WITH OPIOID USE DISORDER OR ANY SUBSTANCE USE DISORDER CAN ACCESS THE WARM HAND-OFF PROGRAM AT ANY AMH OR LH 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. 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. 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 FOURTH EDITION DISTRIBUTED IN FY21. THIS NEWSLETTER STRIVES TO PROVIDE EDUCATION AND RESOURCES TO OUR COMMUNITY, EMPLOYEES, PHYSICIANS, AND VOLUNTEERS ABOUT SUBSTANCE USE DISORDERS. LH HOSTS AND IS A SITE FOR AMERICAN RED CROSS BLOOD DRIVES FOR BOTH EMPLOYEE AND COMMUNITY DONATIONS THROUGHOUT THE YEAR. STROKE EDUCATION IS A MAJOR INITIATIVE FOR LH AND MEMBERS OF THE STROKE COMMITTEE AND NURSING LEADERSHIP PROVIDED HEALTH EDUCATION VIDEOS. FAITH COMMUNITY NETWORK PROGRAM INCLUDED AN EDUCATIONAL SUMMER CAMP CONDUCTED VIRTUALLY IN FY21. A MATTER OF BALANCE SERIES RETURNED WITH COVID-19 PROTOCOLS IN PLACE. DURING THE COVID-19 PANDEMIC SHUTDOWN, OUTREACH PIVOTED TOWARDS OUTREACH CALLS, INFORMATION AND REFERRAL AND SUPPORT. AWARDS AND ACCREDITATIONS: ========================== IN FY21, LH EARNED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS WITH HONOR ROLL FOR EXCELLENCE IN PROVIDING QUALITY STROKE CARE. 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. THE GIFT OF LIFE DONOR PROGRAM AND HOSPITAL ASSOCIATION OF PENNSYLVANIA [HAP] HONORED AMH AND LH. IN FY20, THE CAMPAIGN WAS STARTED, HOWEVER, WITH THE COVID-19 PANDEMIC, IT WAS SUSPENDED MARCH 2020. THE GOAL OF THE CHALLENGE WAS FOR HOSPITALS TO WORK ON THIS INITIATIVE AT THE SAME TIME WITH THE GIFT OF LIFE PROGRAM TO INCREASE ORGAN AND TISSUE DONOR AWARENESS AND DESIGNATIONS AMONG EMPLOYEES, PHYSICIANS, PATIENTS, AND COMMUNITY. AMH AND LH HOSTED EVENTS AND COMMUNICATED AND EDUCATED THE MEDICAL AND GENERAL COMMUNITY ON THE IMPORTANCE OF ORGAN DONATION USING NEWSLETTERS, EMAIL, SOCIAL MEDIA PLATFORMS AND CAMPAIGNS TO INCREASE DONOR AWARENESS. THE EFFORTS WERE CAPTURED IN A SCORECARD AND SUBMITTED TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA, THE COMMUNITY HEALTH TEAM AND LH EMERGENCY DEPARTMENT NURSES COORDINATED THESE EFFORTS FOR THE GREATER NORTH PENN REGION. THE HEALTH SYSTEM RE-ENGAGED WITH THE CAMPAIGN IN FY21. AMH AND LH BOTH EARNED THE TITANIUM AWARD AS PART OF THE 2020 DONATE LIFE HOSPITAL CHALLENGE FROM THE GIFT OF LIFE AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA PRESENTED TO SENIOR LEADERSHIP IN FY21. OTHER PROGRAMS: SAFE HARBOR PROGRAM, FOR GRIEVING CHILDREN, TEENS AND THEIR FAMILIES, WAS SELECTED AS ONE OF SIX CHILDHOOD BEREAVEMENT CHANGEMAKERS (CBC) IN FY20 AND THIS INITIATIVE CONTINUED IN FY21. CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE --------------------------------------------- LH HAS AN OUTPATIENT CENTER DEDICATED TO THE MANAGEMENT OF CHRONIC WOUNDS. THE STAFF UTILIZE ADVANCED MEDICAL TECHNOLOGY AND TECHNIQUES TO TAKE CARE OF NON-HEALING WOUNDS. A MULTIDISCIPLINARY MEDICAL TEAM INCLUDES PHYSICIANS, CERTIFIED WOUND CARE NURSES, CLINICAL HYPERBARIC MANAGERS, TECHNICIANS AND SUPPORT STAFF. COMPREHENSIVE PAIN MANAGEMENT CENTER ------------------------------------ THIS SERVICE, NEW IN 2013 WAS EXPANDED IN 2015 TO THE MEDICAL ARTS BUILDING AT LH. THIS CENTER PROVIDES A PATIENT CENTERED MODEL FOR THE TREATMENT AND MANAGEMENT OF PAIN RELATED DIAGNOSIS. THIS MULTI-DISCIPLINARY MODEL HAS A DESIGNATED NAVIGATOR TO COORDINATE AND SCHEDULE ALL PAIN RELATED APPOINTMENTS FOR EACH PATIENT. SERVICES INCLUDE A CUSTOMIZED PAIN MANAGEMENT OR TREATMENT PROGRAM AND FOLLOW UP CARE. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS EXPANSION OF OB/GYN PRACTITIONERS LOCATED IN LH'S MEDICAL ARTS BUILDING WERE PROVIDED TO ENSURE THAT WOMEN RESIDING IN THE LANSDALE COMMUNITY HAVE ACCESS TO PRENATAL CARE IN THEIR NEIGHBORHOOD IN PREPARATION FOR DELIVERIES OCCURRING AT AMH. THESE PHYSICIANS ALSO PROVIDE GYNECOLOGY SERVICES. HEALTH INFORMATION RESOURCE --------------------------- IN FY21, THE HEALTH SYSTEM CONTINUED WITH AN E-NEWSLETTER COMMUNICATING HEALTHY LIFESTYLE AND HOSPITAL INFORMATION TO MEMBERS OF OUR COMMUNITY VIA THEIR VOLUNTARY EMAIL. THIS NEWSLETTER PROVIDES HEALTH EDUCATION, INFORMATION ON HEALTH SCREENINGS AND COMMUNITY OFFERINGS, SERVICES OF INTEREST AND HEALTHY RECIPES. AS A RESULT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RESULTANT ACTION OR IMPLEMENTATION PLANS, LH INITIATED AN INTERNAL MULTICULTURAL DATABASE OF HEALTH EDUCATION WEBSITES WITH DOWNLOADABLE INTERPRETATION OF EDUCATION IN VARIOUS LANGUAGES. THESE MATERIALS COMPILED ARE FOR HEALTH PROFESSIONALS TO CONTINUE TO ENGAGE CULTURAL COMPETENCE IN IMPROVING HEALTH STATUS THROUGH EDUCATION, SCREENING, INFORMATION AND REFERRAL. MEDICAL SCREENINGS ------------------ PLEASE NOTE THAT THE AFOREMENTIONED LIST IS NOT ALL-INCLUSIVE. LH PROVIDES NUMEROUS MEDICAL SCREENINGS FOR THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING THE FOLLOWING: - IN FY21, PIVOT TO BLOOD PRESSURE AND WELLNESS CALLS - INTERNATIONAL SPRING FESTIVAL IN THE GREATER NORTH PENN AREA - A CELEBRATION OF COMMUNITY DIVERSITY EACH YEAR INCLUDING A HEALTH COMPONENT SERVING OVER RESIDENTS EACH YEAR. LH, AS A PARTNER, COORDINATES THE HEALTH FAIR ACTIVITY INCLUDING SCREENINGS AND INFORMATION ON ACCESS, CLINICS AND COMMUNITY SERVICES. PLANNING BY THE COMMUNITY STAKEHOLDER GROUP CONTINUED IN FY21 THOUGH THE FESTIVAL WAS CANCELLED IN FY21. PLANS ARE UNDERWAY FOR FY22. IN FISCAL YEAR 21, LH PROVIDED CASH OR IN-KIND DONATIONS TO NON-PROFIT ORGANIZATIONS. LHC PROVIDES IN-KIND SPACE FOR THE WOMEN'S CENTER OF MONTGOMERY COUNTY. FOR FY21, 87 PERSONS RECEIVED SERVICES AT LH ONCE THEY RETURNED ONSITE. IN ADDITION, THE ROLE WAS EXPANDED TO FULL TIME AT LH IN FY21. COMMUNITY SUPPORT, ACTIVITIES AND PROGRAMS ========================================== OUTLINED BELOW ARE A NUMBER OF LH COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW LH BENEFITS THE SURROUNDING COMMUNITY IN FURTHERING ITS CHARITABLE TAX-EXEMPT PURPOSES. - SPONSORSHIP OF COMMUNITY ORGANIZATIONS SERVING THE HEALTH AND SOCIAL SERVICE NEEDS OF THE LH COMMUNITY. - LH WALKING TRAIL - AN ONSITE WALKING TRAIL HISTORICALLY USED BY LOCAL NEIGHBORS. LH CONTINUES TO MAINTAIN THIS WALKING TRAIL EACH YEAR FOR OUR LOCAL COMMUNITY. - VOLUNTEERS: IN FY21 LH PLANNED WITH JEFFERSON HEALTH TO RETURN VOLUNTEERS AND STUDENTS. THIS WAS AN UNDERTAKING LED BY THE VOLUNTEER SERVICES DEPARTMENT. LH RETURNED 102 MEMBERS OF THE COMMUNITY TO VOLUNTEER AND THEY CONTRIBUTED OVER 10,883 HOURS TO SERVE THE HEALTHCARE NEEDS OF THEIR NEIGHBORS. THE VALUE OF THIS CONTRIBUTION IS APPROXIMATELY $212,219, WHICH IS RETURNED TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND WELLNESS PROGRAMS. CONTINUOUS COMMUNICATION WITH VOLUNTEERS INCLUDING NEWSLETTERS AND EMAILS WERE INCLUDED IN FY21. LH, IN ADDITION TO THOSE OUTLINED ABOVE, OFFERS NUMEROUS OTHER COMMUNITY PROGRAMS AND ACTIVITIES INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: - HOSPITAL HOLIDAY PROGRAM FOR LOW INCOME FAMILIES WHICH WAS REIMAGINED IN FY21 TO A SPECIAL GIFT CARD HOLIDAY PROGRAM COORDINATED BY LEADERS, WITH EMPLOYEE AND WOMEN'S BOARD CONTRIBUTIONS. THE DISTRIBUTION AT LH INCLUDED THE CHILDREN'S CLINIC FAMILIES AS RECIPIENTS. - INFORMATION AND REFERRAL TO VIRTUAL SUPPORT GROUPS - AMERICAN RED CROSS BLOOD DRIVES - CPR TRAINING CENTER (AMERICAN HEART ASSOCIATION CPR TRAINING CENTER) - FLU IMMUNIZATION PROGRAM - FAITH COMMUNITY NETWORK - DURING COVID-19 PANDEMIC OUTREACH EFFORTS INCLUDING FOLLOW UP CALLS FOR HYPERTENSION AND CHRONIC CARE WERE OFFERED TO OUR COMMUNITY. COMMUNITY HEALTH SERVICES ------------------------- 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, AH PROVIDES CLINICS TO SERVE THOSE IN NEED INCLUDING PRIMARY CARE AND SPECIALTY CLINICS GEOGRAPHICALLY LOCATED WITHIN THE SERVICE AREA; SPACE FOR OVER 40 SUPPORT AND SELF-HELP GROUPS, THOUGH SUSPENDED IN FY21 DUE TO THE PANDEMIC, A PROCESS WAS CREATED FOR FUTURE RE-ENGAGEMENT AND ONBOARDING. DURING THE PANDEMIC, AMH AND LH OUTREACH PROVIDED A PIVOT TO FOLLOW UP CALLS, CREATING EDUCATIONAL FACT SHEETS FOR COMMUNITY SERVICES, VIDEOS, SOCIAL MEDIA EDUCATION AND MENTAL HEALTH AND SUBSTANCE USE DISORDER RESOURCES. FY21 COVID-19 PANDEMIC PROGRAM IMPACT AND ADJUSTMENTS LH AND AMH: IN JULY 2020, COMMUNITY HEALTH STARTED MAKING WELLNESS CALLS TO ALL BLOOD PRESSURE SCREENING CLIENTS TO CHECK ON THEIR MENTAL HEALTH WELL-BEING, SCREEN FOR FOOD INSECURITY, CHECK TO SEE IF THEY HAD RETURNED TO THEIR PRIMARY CARE PHYSICIAN AND IF THEY WERE HAVING THEIR BLOOD PRESSURE MONITORED. IN AUGUST 2020, COMMUNITY HEALTH ASKED OF INTEREST IN PARTICIPATING IN A TELEPHONE BLOOD PRESSURE SCREENING PROGRAM. IF INTERESTED AND THEY HAD A BLOOD PRESSURE CUFF THEY ENROLLED, IF THEY COULD NOT AFFORD ONE, A CUFF WAS MAILED TO THEM WITH THE AMERICAN HEART ASSOCIATION (AHA) PICTORIAL BLOOD PRESSURE MONITORING INSTRUCTIONS. IN SEPTEMBER/OCTOBER 2020, COMMUNITY HEALTH CALLED ALL CLIENTS AND EDUCATED THEM ON USING THE AHA INSTRUCTIONS AND BEGAN TELEPHONE BLOOD PRESSURE SCREENING ON A MONTHLY BASIS. IN AN EFFORT TO CONTINUE TO PROVIDE OUTREACH, HEALTH EDUCATION VIDEOS BEGAN. IN SEPTEMBER 2020, COMMUNITY HEALTH TRIALED A "HELP YOURSELF TO HEALTHY LIVING" (HYTHL) SUPPORT GROUP OVER ZOOM. EXPANSION OF VIRTUAL OUTREACH INCLUDED AN ADDITIONAL FIVE LOCATIONS, ADDING TWO NEW LOCATIONS IN SUBSEQUENT MONTHS. IN FY21, WELLNESS CALLS WERE MADE 2,151 CLIENTS WERE REACHED; PROVIDING 402 TELEPHONE BLOOD PRESSURE SCREENINGS; 72 IN PERSON BLOOD PRESSURE SCREENINGS OCCURRED AT 10 EVENTS; 27 ZOOM HYTHL PRESENTATIONS WITH A TOTAL OF 287 PARTICIPANTS; HEALTH VIDEO DATA INCLUDED "HANDS ONLY CPR" 470 VIEWS THROUGH FACEBOOK; "STROKE BE FAST" INCLUDED RISK FACTORS FOR STROKE ARTICLE IN JUNE 2021 E-NEWSLETTER WITH 663 CLICKS; BLOOD PRESSURE MONITORING INCLUDED IN ARTICLE IN FEBRUARY 2021 E-NEWSLETTER WITH 1,839 CLICKS; SMOKING/VAPING/LUNG CANCER EDUCATION 312 VIEWS ON FACEBOOK; EARLY HEART ATTACK CARE AND EDUCATION 123 VIEWS THROUGH FACEBOOK; KOREAN HEART ATTACK AND STROKE EDUCATION WITH 87 VIEWS. IN FY21, PARTICIPATION IN ONE "IN PERSON" SENIOR WELLNESS EXPO PROVIDED 116 TOTAL HEALTH EDUCATION ENCOUNTERS. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS IN FY19, THE 2016-2019 CHNA IMPLEMENTATION REPORT WAS COMPLETED WITH THE FULL REPORT LOCATED ON THE HEALTH SYSTEM'S WEBSITE WHERE IT REMAINED FOR FY21. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HISTORY: AH HAS WORKED SINCE 2013 THROUGH 2016 WITH THE IMPLEMENTATION OR ACTION PLANS OF THE 2013 AND 2016 CHNA RESPECTIVELY FOR AMH AND LH: PLANS INCLUDED WORK ON ACCESS TO CARE, BEHAVIORAL HEALTH/MENTAL HEALTH, OBESITY, SMOKING, CANCER SCREENINGS AND EDUCATION, OLDER ADULTS AND ACTIVITIES OF DAILY LIVING, AND CULTURAL AND LINGUISTICALLY APPROPRIATE EDUCATION. IN FY20, AH PERSONNEL CONTINUED TO UPDATE THE IMPLEMENTATION PLANS ON A QUARTERLY BASIS, WHICH IS THEN REVIEWED BY AH'S COMMUNITY BENEFIT COMMITTEE. THIS SAME TEAM, WORKING WITH COLLEAGUES FROM JEFFERSON HEALTH, COMPLETED THE 2016 CHNA WHICH IS POSTED TO THE WEBSITE WITH IMPLEMENTATION PLANS UPDATED QUARTERLY INCLUDING THE NEW PRIORITIES OF SUBSTANCE USE DISORDERS AND MENTAL HEALTH ISSUES AND CHRONIC DISEASES ALONG WITH THE ABOVE LISTED. AHF APPOINTED A COMMUNITY BENEFIT COMMITTEE IN 2011 WHOSE REVISED CHARTER IS TO BE RESPONSIBLE FOR RECOMMENDING TO THE ORGANIZATION FOR APPROVAL OF A COMMUNITY BENEFIT PLAN AND POLICIES AND PROGRAMS DESIGNED TO CARRY OUT THE CHARITABLE MISSION OF THE ORGANIZATION AND TO ENHANCE THE HEALTH STATUS OF COMMUNITIES SERVED BY ABINGTON HEALTH AND OVERSEEING IMPLEMENTATION OF SUCH PLAN, POLICIES AND PROGRAMS. THE COMMITTEE IS RESPONSIBLE FOR (A) ADMINISTERING THE REV. DR. MARTIN LUTHER KING, JR. MEMORIAL FUND TO PROMOTE EFFECTIVE RELATIONSHIPS BETWEEN AND AMONG THE AFRICAN AMERICAN AND OTHER COMMUNITIES OF COLOR, RACE AND ETHNICITY WITHIN THE GEOGRAPHIC AREAS SERVED BY THE AHF AND THE ORGANIZATION; (B) PROMOTING INCLUSIVENESS; AND (C) ADDRESSING ISSUES RELATED TO HEALTH CARE DISPARITIES. THIS COMMITTEE CONTINUED TO PROVIDE OVERSIGHT IN FY21. UPDATES ON JEFFERSON ENTERPRISE DIVERSITY INITIATIVES INCLUDING DISCUSSION ON HEALTH EQUITY, COMMUNITY BENEFIT, NEEDS ASSESSMENT PRIORITIES, FINANCIAL ASSISTANCE PROGRAMS AND HEALTH SYSTEM CLINICS CONTINUED TO BE RELEVANT AGENDA ITEMS DURING FY21. MEMBERS OF THE COMMITTEE ADVISED ADMINISTRATION AND STAFF ON TWO COVID-19 VACCINE SITES IN OUR COMMUNITY TO SUPPORT UNDERREPRESENTED MINORITY GROUPS. CURRENTLY IN FY21, LH COMMUNITY HEALTH LEADERS ARE IN MID-CYCLE OF THE 2019-2022 COMMUNITY HEALTH NEEDS ASSESSMENT. IN FY21 AMH AND LH COMMUNITY HEALTH LEADERS PARTICIPATED IN A REGIONAL PROCESS FOR THE 2019-2021 CYCLE OF CHNA. 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 THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE SOUTHEASTERN PENNSYLVANIA (SEPA) REGION, WITH SPECIFIC FOCUS ON BUCKS, CHESTER, MONTGOMERY AND PHILADELPHIA COUNTIES. WHILE SOME LOCAL HOSPITALS/HEALTH SYSTEMS HAVE WORKED COLLABORATIVELY ON SOME COMPONENTS OF PREVIOUS CHNA IMPLEMENTATION PLANS, THEY PREVIOUSLY PRODUCED INDEPENDENT CHNAS. BASED ON SERVICE AREA DEFINITIONS FROM PREVIOUS CHNAS, MANY HOSPITAL/HEALTH SYSTEMS MUTUALLY SERVE RESIDENTS OF COMMUNITIES WITHIN THE SEPA REGION. IN CONTRAST TO HEALTH SYSTEMS CONDUCTING INDEPENDENT CHNAS, A COLLABORATIVE CHNA 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 CHNA REPORT DEVELOPMENT; OPPORTUNITIES FOR SHARED LEARNING; ESTABLISHMENT OF STRONG FOUNDATION FOR COORDINATED EFFORTS TO ADDRESS HIGHEST PRIORITY COMMUNITY NEEDS. THE CHNA PROCESS INCLUDED A STEERING COMMITTEE COMPRISED OF FIVE LEADING ORGANIZATIONS/AGENCIES TO PROVIDE OVERSIGHT AND DIRECTION HAVING MET ONCE OR TWICE MONTHLY TO REVIEW FINDINGS AND SET PRIORITIES. THE HOSPITALS WORKED IN TANDEM WITH THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, THE HEALTH CARE IMPROVEMENT FOUNDATION, PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS, A QUALITATIVE TEAM AND THE CHESTER COUNTY HEALTH DEPARTMENT AND MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH. DATA WAS ACQUIRED FROM LOCAL, STATE AND FEDERAL SOURCES AND FOCUSED ON INDICATORS THAT WERE UNIFORMLY AVAILABLE AT THE ZIP CODE LEVEL ACROSS THE REGION. PDPH PARTNERED WITH THE HEALTHSHARE EXCHANGE, THE LOCAL INFORMATION EXCHANGE, TO ANALYZE KEY HOSPITAL-BASED INDICATORS OF HEALTH. HCIF COORDINATED THE QUALITATIVE COMPONENT OF THE ASSESSMENT WHICH INCLUDED: 19 COMMUNITY MEETINGS; 9 KEY STAKEHOLDER FOCUS GROUPS; 12 KEY INFORMANT INTERVIEWS; ADDITIONAL KEY INFORMANT INTERVIEWS. ALL DATA WERE SYNTHESIZED BY PDPH STAFF AND A LIST OF 16 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, AND CAPACITY OF HOSPITALS/HEALTH SYSTEMS TO ADDRESS, ALIGNMENT WITH MISSION AND STRATEGIC DIRECTION AND AVAILABILITY OF EXISTING COLLABORATIVE EFFORTS. THE LIST OF PRIORITIES INCLUDE: SUBSTANCE/OPIOID USE AND ABUSE; BEHAVIORAL HEALTH DIAGNOSIS AND TREATMENT; ACCESS TO AFFORDABLE PRIMARY/PREVENTIVE CARE; HEALTHCARE AND HEALTH RESOURCES NAVIGATION; ACCESS TO AFFORDABLE SPECIALTY CARE; CHRONIC DISEASE PREVENTION; FOOD ACCESS AND AFFORDABILITY; AFFORDABLE AND HEALTHY HOUSING; SEXUAL AND REPRODUCTIVE HEALTH; LINGUISTICALLY AND CULTURALLY APPROPRIATE HEALTHCARE; MATERNAL MORBIDITY AND MORTALITY; SOCIOECONOMIC DISADVANTAGE [INCOME, EDUCATION AND EMPLOYMENT]; COMMUNITY VIOLENCE, RACISM AND DISCRIMINATION IN HEALTHCARE SETTINGS; NEIGHBORHOOD CONDITIONS; HOMELESSNESS. IN FY21, AMH AND LH'S CHNA IMPLEMENTATION PLANS CONTINUED. A FY21 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 BEFORE THE NEXT CHNA IN 2022. LEADERS COLLABORATIVELY REPORTED ON SUBSTANCE USE DISORDER AND THE OPIOID EPIDEMIC. WHILE SOME PLANS WERE SUSPENDED, AMH AND LH 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 BEGAN IN FY21 WITH PHILANTHROPY, BEHAVIORAL HEALTH AND COMMUNITY HEALTH LEADERS. 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. CHNA REPORTS ALSO INCLUDED THE IMPORTANCE OF ACCESS TO AFFORDABLE PRIMARY/PREVENTIVE CARE. DUE TO COVID-19 ACCESS TO CARE WAS DECREASED INCLUDING THOSE WHO HAVE USED THE DENTAL CARE ACCESS PROGRAM AND DENTAL CLINIC. PATIENTS ARE REPORTEDLY COMING BACK AT A HIGH RATE. FORECASTED ARE RESOURCES NEEDED FOR MENTAL HEALTH, FOOD INSECURITY AND OTHER SOCIAL DETERMINANTS OF HEALTH. CHRONIC DISEASE PREVENTION: PRIOR TO COVID-19, PROGRAMMING HAD BEEN ROBUST. DUE TO COVID-19, ALL COMMUNITY HEALTH EDUCATION EVENTS AND SCREENINGS WERE CANCELED AND REMAIN ON HOLD UNTIL FURTHER NOTICE. 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. THE FAITH COMMUNITY NURSE COUNCIL PROVIDED VIRTUAL YEARLY EDUCATION FOR COMMUNITY BASED NURSES AND INCLUDED: "STAGES OF CHANGE; "COACHING SKILLS", "CHANGING THE CONTEXT OF HEALTH WITH MILLION HEARTS", "MENTAL HEALTH - OUR WORK: LOVE MADE VISIBLE", "TRAUMA 101: BECOMING TRAUMA AWARE"YOU DON'T HAVE TO GET DIABETES". FOR OLDER ADULTS THE MEMORY FITNESS CENTER CONTINUED AS WELL AS THE ADULT DAY CARE SERVICES. "HELP YOURSELF TO HEALTHY LIVING" WAS PROVIDED VIRTUALLY IN TWO AREA SENIOR CENTERS AND TWO LOW INCOME SENIOR LIVING FACILITIES, AND ONE PROGRAM WAS HELD FOR DEVELOPMENTALLY DISABLED ADULTS. FOOD INSECURITY SCREENINGS CONTINUED IN FY21 FROM THE CHILDREN'S CLINIC AND DIABETES CENTER. IN THE LH CHILDREN'S CLINIC, THROUGH A COLLABORATION WITH THE MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH, THE "NOURISH MONTCO PROGRAM" PROVIDED FRESH FRUITS AND VEGETABLES ALONG WITH FOUR EDUCATIONAL PROGRAMS PROVIDED AT TIME OF FOOD PICK UP. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS THE 2019 CHNA WAS REVIEWED AND APPROVED ON JUNE 30, 2019, BY JEFFERSON HEALTH'S BOARD OF TRUSTEES AND ALSO AT AMH AND LH. IN ADDITION, THE 2019 CHNA WAS APPROVED BY THE REV. MARTIN LUTHER KING, JR. COMMUNITY BENEFIT AND DIVERSITY COMMITTEE, A BOARD OVERSIGHT COMMITTEE, WHICH APPROVED THE CHNA WITH RATIFICATION BY THE AH 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 2016 CHNA ON THE HOSPITAL'S WEBSITE. COMMUNITY HEALTH LEADERSHIP WORKED WITH KEY AMH AND LH DEPARTMENTS IN FORMULATING CHNA IMPLEMENTATION PLANS FOR THE 2019-2021 DUE NOVEMBER 15, 2019. THESE PLANS WERE COMPLETED AND POSTED. EACH OF LH'S SERVICES HAS ONE GOAL IN MIND - TO IMPROVE THE HEALTH OF THE COMMUNITY BY HELPING COMMUNITY MEMBERS LIVE HEALTHIER LIVES. LH RECOGNIZES THAT A HEALTHY DIET AND ACTIVE LIFESTYLE CAN HELP REDUCE THE RISK OF DISEASE, PREVENT COMPLICATIONS ASSOCIATED WITH PRE-EXISTING CONDITIONS, AND INCREASE ENERGY - AS WELL AS ENHANCE SELF-IMAGE AND GENERAL SENSE OF WELL-BEING. TOWARDS THE END OF FY21, COMMUNITY HEALTH STAFF BECAME ACTIVELY ENGAGED IN THE REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (RCHNA) FOR 2022-2024 WITH HCIF, JEFFERSON HEALTH LEADERSHIP AND AREA HOSPITALS AND HEALTH SYSTEMS. OF NOTE IS THAT ADDITIONAL HEALTH SYSTEMS HAVE JOINED THE REGIONAL RCHNA. 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 OF THE FORM 990 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 THEN PRESENTED TO THOMAS JEFFERSON UNIVERSITY'S FINANCE, ASSURANCE & COMPLIANCE COMMITTEE AND PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. 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 BOARD OF TRUSTEES. CORE FORM, PART VII AND SCHEDULE J GERARD M. CLEARY, D.O., BRETT FISSEL, M.D., WARREN MATTHEWS, M.D., STEVEN E. SPENCER, M.D. AND KEITH W. SWEIGARD, M.D. ARE VOTING MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES; AN UNCOMPENSATED POSITION. THESE PHYSICIANS ARE EMPLOYED BY AND RECEIVE A FEDERAL FORM W-2 FROM ABINGTON MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THEIR COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ABINGTON MEMORIAL HOSPITAL. 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 ABINGTON MEMORIAL HOSPITAL (EIN: 23-1352152) FEDERAL FORM 990. PLEASE REFER TO THE ABINGTON MEMORIAL HOSPITAL FEDERAL FORM 990 FOR THIS INFORMATION. ALISON L. FERREN, MBA IS THE PRESIDENT AND CHIEF OPERATING OFFICER OF ABINGTON-JEFFERSON HEALTH. AS SUCH, SHE SERVES AS A VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, AS WELL AS, AN OFFICER OF THE ORGANIZATION. MS. FERREN RECEIVES A FEDERAL FORM W-2 FROM ABINGTON MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH ABINGTON MEMORIAL HOSPITAL. ACCORDINGLY, HER REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ABINGTON MEMORIAL HOSPITAL (EIN: 23-1352152) FEDERAL FORM 990. PLEASE REFER TO THE ABINGTON MEMORIAL HOSPITAL FEDERAL FORM 990 FOR THIS INFORMATION. PETER L. DEANGELIS, JR. AND CRISTINA G. CAVALIERI, ESQ. 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 2020 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO EACH INDIVIDUAL'S COMPENSATION IN EXCESS OF $1M. 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, 2021. PLEASE REFER TO THE THOMAS JEFFERSON UNIVERSITY FEDERAL FORM 990 FOR THIS INFORMATION. LAURENCE M. MERLIS, A FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN THE SYSTEM AS THE EXECUTIVE VICE PRESIDENT, JEFFERSON STRATEGIC VENTURES OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. MR. MERLIS RECEIVES A FEDERAL FORM W-2 FROM ABINGTON MEMORIAL HOSPITAL. THE COMPENSATION RECEIVED FROM ABINGTON MEMORIAL HOSPITAL IS AS A RESULT OF HIS CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. MOREOVER, MR. MERLIS 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. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH THOMAS JEFFERSON UNIVERSITY (EIN: 23-1352651). THOMAS JEFFERSON UNIVERSITY FILED A 2020 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO HIS COMPENSATION IN EXCESS OF $1M. HIS COMPENSATION INCLUDED ON THE 2020 FEDERAL FORM 4720 INCLUDES BOTH, HIS COMPENSATION FROM ABINGTON MEMORIAL HOSPITAL, AS WELL AS, HIS COMPENSATION FROM THOMAS JEFFERSON UNIVERSITY. 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. MEGHAN O. PATTON, A FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN THE SYSTEM AS THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES AND ASSOCIATE CHIEF HUMAN RESOURCES OFFICER OF THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH. HER REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ABINGTON MEMORIAL HOSPITAL (EIN: 23-1352152) FEDERAL FORM 990. PLEASE REFER TO THE ABINGTON MEMORIAL HOSPITAL FEDERAL FORM 990 FOR THIS INFORMATION. DEBORAH DATTE, ESQ., A FORMER OFFICER OF THIS ORGANIZATION, IS STILL EMPLOYED WITHIN THE SYSTEM AS THE SENIOR VICE PRESIDENT & GENERAL COUNSEL OF ABINGTON-JEFFERSON HEALTH. HER REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ABINGTON MEMORIAL HOSPITAL (EIN: 23-1352152) FEDERAL FORM 990. PLEASE REFER TO THE ABINGTON MEMORIAL HOSPITAL FEDERAL FORM 990 FOR THIS INFORMATION. MARGARET M. MCGOLDRICK AND JOHN J. KELLY ARE FORMER OFFICERS OF THIS ORGANIZATION. THEIR RESPECTIVE REPORTABLE COMPENSATION, RETIREMENT/OTHER DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED WITHIN CORE FORM, PART VII AND SCHEDULE J OF THE ABINGTON MEMORIAL HOSPITAL (EIN: 23-1352152) FEDERAL FORM 990. PLEASE REFER TO THE ABINGTON MEMORIAL HOSPITAL 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"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. 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 2012; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2012A; - 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 2018C; - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2018D; AND - MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY SERIES 2019A. 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 REFLECTS A TJU OBLIGATED GROUP LIABILITY. ACCORDINGLY, THIS TJU OBLIGATED GROUP LIABILITY IS REFLECTED ON THE BALANCE SHEET OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: - THOMAS JEFFERSON UNIVERSITY HOSPITALS, EIN: 23-2829095 - TJUH SYSTEM, EIN: 26-3026795 - 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: 23-1252294 - KENNEDY UNIVERSITY HOSPITAL, INC., EIN: 22-1773439 - MAGEE REHABILITATION HOSPITAL, EIN: 23-1476328 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, 2021. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM RESTRICTION - $160,740. 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, 2021 AND JUNE 30, 2020; 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. FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:3460937 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:882184 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY/TEMP FEES TOTAL FEES:1466376 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN CONTRACTED SERVICES TOTAL FEES:2081346 FORM 990 PART IX LINE 11G DESCRIPTION:SERVICE CONTRACT TOTAL FEES:257891 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:806182 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING & COLLECTION FEES TOTAL FEES:284055 THOMAS JEFFERSON UNIVERSITY 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 231352651 EDUCATION PA 501(C)(3) 509(A)(1) NA false TJUH SYSTEM 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 263026795 HEALTH SVCS. PA 501(c)(3) 509(A)(3) TJU false THOMAS JEFFERSON UNIVERSITY HOSPITALS 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232829095 HEALTH SVCS. PA 501(C)(3) HOSPITAL TJUH SYSTEM false JEFFERSON UNIVERSITY PHYSICIANS 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232809585 HEALTH SVCS. PA 501(C)(3) 509(A)(3) TJUH SYSTEM false JEFFERSON UNIVERSITY PHYSICIANS OF NJ PC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 464855345 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) JUP false JEFFERSON PHYSICIAN SERVICES 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 233026939 HEALTH SVCS. PA 501(c)(3) 509(A)(3) TJUH SYSTEM false JEFFERSON MEDICAL CARE 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232858320 HEALTH SVCS. PA 501(c)(3) 509(A)(3) JPS false METHODIST ASSOCIATES IN HEALTHCARE INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232678055 HEALTH SVCS. PA 501(c)(3) 509(A)(3) TJUH SYSTEM false METHODIST ASSOC IN HEALTHCARE OF NJ PC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 233537847 HEALTH SVCS. NJ 501(c)(3) 509(A)(2) MAHC false JEFFEX INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232622009 HEALTH SVCS. PA 501(c)(3) 509(A)(3) TJUH SYSTEM false EMERGENCY TRANSPORT ASSOCIATES INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232622004 HEALTH SVCS. PA 501(c)(3) 509(A)(2) JEFFEX INC false WALNUT HOME THERAPEUTICS INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232622006 HEALTH SVCS. PA 501(c)(3) 509(A)(2) 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) 509(A)(3) TJU false ABINGTON MEMORIAL HOSPITAL 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 231352152 HEALTH SVCS. PA 501(c)(3) HOSPITAL AH false ABINGTON HEALTH FOUNDATION 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232188052 FUNDRAISING PA 501(C)(3) 509(A)(1) AH false JEFFERSON HEALTH - NORTHEAST SYSTEM 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232239131 HEALTH SVCS. PA 501(C)(3) 509(A)(3) TJU false JEFFERSON HEALTH - NORTHEAST 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 230596940 HEALTH SVCS. PA 501(C)(3) HOSPITAL JHNES false ARIA HEALTH PHYSICIAN SERVICES 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232691968 HEALTH SVCS. PA 501(C)(3) 170B1AIII JHNES false ARIA HEALTH ORTHOPAEDICS 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 460779942 HEALTH SVCS. PA 501(C)(3) 509(A)(2) JHNES false JEFFERSON HEALTH - NORTHEAST FOUNDATION 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 237318683 FUNDRAISING PA 501(C)(3) 509(A)(3) JHNE false PHILADELPHIA UNIVERSITY 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 231352294 EDUCATION PA 501(C)(3) 509(A)(1) TJU false KENNEDY HEALTH SYSTEM INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 222442036 HEALTH SVCS. NJ 501(C)(3) 509(A)(1) TJU false KENNEDY UNIVERSITY HOSPITAL INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 221773439 HEALTH SVCS. NJ 501(C)(3) HOSPITAL KHS false KENNEDY HEALTH CARE FOUNDATION INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 800550282 FUNDRAISING NJ 501(C)(3) 509(A)(1) KHS false KENNEDY PROPERTY CORPORATION 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 222442034 REAL ESTATE NJ 501(C)(3) 509(A)(3) KHS false STAT MEDICAL TRANSPORT INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 222443981 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) KHS false KENNEDY HEALTH FACILITIES INC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 222442032 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) KHS false KENNEDY MEDICAL GROUP PRACTICE PC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 461420853 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) KHS false MAGEE REHABILITATION HOSPITAL 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 231476328 HEALTH SVCS. PA 501(C)(3) HOSPITAL TJU 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 MED IMAGING ASSOC 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 232491498 HEALTH SVCS. PA NA KENNEDY CH SURG 11221 ROE AVE LEAWOOD KS 66211 472462625 SURGERY CENTER NJ 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 COLLECTION SVCS. 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 false false false false false false false false false true false 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.