2022-05-19T16:12:37-05:00 2021-06-30 WithumSmithBrown PC 1835 MARKET STREET SUITE 1710 PHILADELPHIA PA 191032945 990 2020-07-01 230596940 ARIA HEALTH % RONALD C KELLER CPA ARIA 2156124000 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 PETER L DEANGELIS JR EVP CFO/CAO 2156124101 2022-05-13 true PETER L DEANGELIS JR 000000000 Scott J Mariani P00642486 2155462140 2 2020 2022-09-23 18:48:47Z RICHARD J GALUPMBAMSOTRL 10800 KNIGHTS ROAD PHILADELPHIA PA 19114 601046594 false X NORTHEAST.JEFFERSONHEALTH.ORG X 1903 PA THE MISSION OF JEFFERSON HEALTH - NORTHEAST IS TO IMPROVE LIVES. 24 17 3680 86 0 0 54812992 43393803 477829130 542769954 20825078 12680054 2583070 2143316 556050270 600987127 15409 0 0 0 281577938 286164348 0 0 182921 238675381 249014264 520268728 535178612 35781542 65808515 1140289326 1249841912 412827024 375400631 727462302 874441281 X TO PROVIDE EXCEPTIONAL PATIENT CARE AND CUSTOMER SERVICE TO MEMBERS OF THE COMMUNITIES SERVED BY THE HOSPITALS, AND TO RECOGNIZE A PATIENT'S RIGHT TO CONSIDERATE AND RESPECTFUL CARE, REGARDLESS OF ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 427510035 0 542769954 EXPENSES INCURRED IN PROVIDING EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 427510035 true true false true false false false false false true true false true true true false false true false false true false false false true false true true false false true false false false false false false false false false false false false true true true false false false true 109 0 true 3680 true false false false false false true true false false false false false false X 24 17 true true false false true true true true true false false true true true true true true true true true true PA X RONALD C KELLER CPA 2155038344 1101 MARKET STREET STE 2004 PHILADELPHIA PA 19107 X ROBERT E BOOTH MD TRUSTEE 55.0 0.0 X 1414972 0 34797 SALIL SHAH MD TRUSTEE 55.0 0.0 X 0 688123 28741 RICHARD GALUP MBA MS OTRL PRESIDENT & COO 55.0 0.0 X 609394 0 79597 RONALD KUMOR SVP/CAO 55.0 0.0 X 538887 0 97098 STEVEN LITTLESON FORMER OFFICER 0.0 0.0 X 0 593680 0 MICHELLE CONLEY RN TRUSTEE - CNO 55.0 0.0 X 478977 0 72018 GERALD WYDRO MD TRUSTEE 55.0 0.0 X 0 462815 41892 GARY W WELCH DO CHIEF MEDICAL OFFICER 55.0 0.0 X 457146 0 42433 WILLIAM DEGNAN VP FINANCE 55.0 0.0 X 307401 0 83451 EDWARD A TURZANSKI CHAIRMAN - TRUSTEE 55.0 0.0 X X 0 332047 55010 ELI F DWECK MD TRUSTEE 55.0 0.0 X 0 353961 26046 HARRY MCCLOSKEY DBA FACHE VP HOSPITAL ADMINISTRATOR 55.0 0.0 X 251838 0 29465 SUSAN GLENNON MD FACP PHYSICIAN ADVISOR 55.0 0.0 X 238232 0 33097 DARRYL BEARD SECURITY DIRECTOR 55.0 0.0 X 218836 0 15405 DAVID FILTRANTI PA-C PHYSICIAN ASSISTANT 55.0 0.0 X 212177 0 20977 THOMAS A CORCORAN MD TRUSTEE 5.0 0.0 X 650 0 4134 SEAN MCMENAMIN VICE CHAIRMAN - TRUSTEE 5.0 0.0 X X 0 0 0 GARY A AARONSON DO TRUSTEE 5.0 0.0 X 0 0 0 JAY W BLUMENTHAL TRUSTEE 5.0 0.0 X 0 0 0 HELEN BOSLEY TRUSTEE 5.0 0.0 X 0 0 0 MELVIN CHERRY TRUSTEE 5.0 0.0 X 0 0 0 PETER CIARROCCHI JR TRUSTEE 5.0 0.0 X 0 0 0 CLIFTON R HALL MD TRUSTEE 55.0 0.0 X 0 0 0 TIMOTHY MAHONEY TRUSTEE 5.0 0.0 X 0 0 0 EDWARD F MCKENNA III TRUSTEE 5.0 0.0 X 0 0 0 AUSTIN A MEEHAN III TRUSTEE 5.0 0.0 X 0 0 0 FRANK M PORRAZZA TRUSTEE 5.0 0.0 X 0 0 0 JOSEPH A SMITH TRUSTEE 5.0 0.0 X 0 0 0 JOSEPHINE SMITH TRUSTEE 5.0 0.0 X 0 0 0 ALLEN E LORD TERZIAN MD TRUSTEE 5.0 0.0 X 0 0 0 THOMAS TYLER TRUSTEE 5.0 0.0 X 0 0 0 TRISTA WALKER TRUSTEE 5.0 0.0 X 0 0 0 CRAIG WHITE TRUSTEE 5.0 0.0 X 0 0 0 PETER L DEANGELIS JR TREASURER 60.0 0.0 X 0 0 0 CRISTINA G CAVALIERI ESQ SECRETARY 60.0 0.0 X 0 0 0 4728510 2430626 664161 333 true true false THOMAS JEFFERSON UNIVERSITY 1101 MARKET STREET SUITE 2004 PHILADELPHIA PA 19107 CORPORATE SERVICES 107668577 ERNEST BOCK SONS INC 2800 SOUTHAMPTON ROAD PHILADELPHIA PA 19154 CONSTRUCTION 7728440 SODEXO INC PO BOX 360170 PITTSBURGH PA 15251 FOOD/CATERING 5245292 MEDICAL IMAGING ASSOCIATES LP 2451 GRANT AVENUE 101 PHILADELPHIA PA 19114 MEDICAL 2590000 UNION ROOFING CONTRACTORS 12260 TOWNSEND ROAD PHILADELPHIA PA 19154 CONSTRUCTION 2415422 82 143213 41835389 1415201 7650 43393803 NET PATIENT SERVICE REVENUE 622110 534292382 534292382 OTHER HEALTHCARE RELATED REVENUE 622110 8477572 8477572 542769954 7114817 7114817 0 0 669305 669305 0 669305 669305 5565692 455 5565692 -455 5565237 5565237 59012 143213 59012 2700 0 2700 2700 0 0 0 CAFETERIA/VENDING REVENUE 722514 1471311 1471311 1471311 600987127 542769954 14823370 X 0 0 0 0 3825319 3825319 0 241133992 195138756 45847747 147489 5642427 4183845 1458582 22305921 16736883 5569038 13256689 9961718 3294971 2472002 2472002 1607152 1607152 333526 41650 291876 28399 28399 0 0 53609538 28098796 25505594 5148 2458743 19393 2439307 43 7192327 4332495 2849489 10343 13318876 4373801 8938695 6380 0 8633618 6091383 2535539 6696 60286 8424 51408 454 0 211464 138094 73321 49 2364017 2293803 70214 0 35231166 35202825 28341 15756249 15754038 2211 MEDICAL SUPPLIES 74529936 74506981 22913 42 MA TAX ASSESS/MODERNIZATION 18985503 18985503 0 0 REPAIRS & MAINTENANCE 4154106 750996 3402872 238 FOOD & RELATED PRODUCTS 2562134 2540179 21955 0 5505222 2024752 3474431 6039 535178612 427510035 107485656 182921 X 48939 0 13756266 9880977 0 530306 34463798 51502200 0 0 0 0 0 0 11509962 12051154 1630806 1723354 403415718 149744783 251722568 253670935 0 0 0 0 152471326 157114622 0 0 674685661 763368364 1140289326 1249841912 59193210 68317001 0 0 210191 210191 0 0 0 0 0 0 0 0 0 0 353423623 306873439 412827024 375400631 X 723746716 869643896 3715586 4797385 727462302 874441281 1140289326 1249841912 X 65808515 16410830 64759634 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 28399 28399 false SCHEDULE C, PART II-B; LINES 1F, 1G & 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) PAYMENTS TO OUTSIDE INDEPENDENT FIRMS 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 $28,399. 0 41671 4079 45750 1.00000 false false 22778398 22778398 188530681 42276617 146254064 11631269 10161635 1469634 171669314 97222255 74447059 8806056 84276 8721780 253670935 ASSETS LIMITED AS TO USE 1223409 F SHORT-TERM INVESTMENTS 117607108 F LONG-TERM INVESTMENTS 38284105 F 157114622 DUE FROM AFFILIATES 699145059 OTHER RECEIVABLES 64223305 763368364 0 DUE TO AFFILIATES 109730879 ACCRUED PROFESSIONAL LIABILITY 88616851 ACCRUED WORKER'S COMPENSATION 8705978 ACCRUED PENSION LIABILITY 44320357 ADVANCED MEDICARE PAYMENT LIABILITY 54134110 OTHER LIABILITIES 1365264 306873439 FORM 990, SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. THE ORGANIZATION IS AN AFFILIATE WITHIN THOMAS JEFFERSON UNIVERSITY/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE YEARS ENDED JUNE 30, 2021 AND JUNE 30, 2020; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT ADDRESSES THE SYSTEM'S ENDOWMENT FUNDS: THOMAS JEFFERSON UNIVERSITY'S ("TJU'S") ENDOWMENTS CONSIST OF 1,060 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. NET ASSETS ASSOCIATED WITH EACH OF THESE GROUPS OF FUNDS ARE CLASSIFIED AND REPORTED BASED UPON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. FROM TIME TO TIME, THE FAIR VALUE OF ASSETS ASSOCIATED WITH INDIVIDUAL DONOR-RESTRICTED ENDOWMENT FUNDS MAY FALL BELOW THE LEVEL THAT THE DONOR REQUIRES TJU TO RETAIN AS A FUND OF PERPETUAL DURATION. SHORTFALLS OF THIS NATURE, WHICH ARE REPORTED IN UNRESTRICTED NET ASSETS, WERE $0.6 MILLION AND $2.1 MILLION AS OF JUNE 30, 2021 AND 2020, RESPECTIVELY. THESE SHORTFALLS RESULTED FROM UNFAVORABLE MARKET FLUCTUATIONS THAT OCCURRED SHORTLY AFTER THE INVESTMENT OF NEW PERMANENTLY RESTRICTED CONTRIBUTIONS AND CONTINUED APPROPRIATION FOR CERTAIN PROGRAMS THAT WAS DEEMED PRUDENT BY TJU. THE COMMONWEALTH OF PENNSYLVANIA HAS NOT ADOPTED THE UNIFORM MANAGEMENT OF INSTITUTIONAL FUNDS ACT (UMIFA) OR THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT (UPMIFA). RATHER, THE PENNSYLVANIA ACT GOVERNS THE INVESTMENT, USE AND MANAGEMENT OF TJU'S ENDOWMENT FUNDS. THE PENNSYLVANIA ACT ALLOWS A NONPROFIT TO ELECT TO APPROPRIATE FOR EXPENDITURE AN INVESTMENT POLICY THAT SEEKS THE LONG-TERM PRESERVATION OF THE REAL VALUE OF THE INVESTMENTS. IN ACCORDANCE WITH THE PENNSYLVANIA ACT, THE OBJECTIVES OF TJU'S INVESTMENT POLICY IS TO PROVIDE A LEVEL OF SPENDABLE INCOME WHICH IS SUFFICIENT TO MEET THE CURRENT AND FUTURE BUDGETARY REQUIREMENTS OF TJU AND WHICH IS CONSISTENT WITH THE GOAL OF PROTECTING THE PURCHASING POWER OF THE INVESTMENTS. THE CALCULATION OF THE SPENDABLE INCOME FOR ENDOWMENT FUNDS OF TJU IS BASED ON 75% OF THE PRIOR YEAR SPENDABLE INCOME AND 25% OF THE CALCULATED TWO YEAR AVERAGE OF THE ENDOWMENT MARKET VALUE MULTIPLIED BY 4.75%; THE SUM OF WHICH IS ADJUSTED BY AN INFLATION FACTOR. THE CALCULATION OF THE SPENDABLE INCOME FOR ENDOWMENT FUNDS OF ABINGTON IS BASED ON 5% OF THE CALCULATED THREE YEAR AVERAGE OF THE ENDOWMENT MARKET VALUE. Central America and the Caribbean 0 0 Program Services FINANCIAL VEHICLE 0 0 0 0 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 $14,979,966; ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. GOLF CLASSIC 202225 143213 59012 51037 475 7500 0 202225 143213 59012 51037 475 7500 59012 true true X true X true X 500. true true false false 6886529 57131 6829398 0.01280 115745149 102098993 13646156 0.02550 122631678 102156124 20475554 0.03830 5076 5076 0.00000 14289228 6451227 7838001 0.01460 27674180 27674180 0.05170 41968484 6451227 35517257 0.06630 164600162 108607351 55992811 0.10460 true 13614428 3209961 112599573 121670895 -9071322 X true true 3 1 JEFFERSON FRANKFORD HOSPITAL 4900 FRANKFORD AVENUE PHILADELPHIA PA 19124 NORTHEAST.JEFFERSONHEALTH.ORG 061801 X X X X 1 2 JEFFERSON BUCKS HOSPITAL 380 NORTH OXFORD VALLEY ROAD LANGHORNE PA 19047 NORTHEAST.JEFFERSONHEALTH.ORG 061801 X X X X 1 3 JEFFERSON TORRESDALE HOSPITAL 10800 KNIGHTS ROAD PHILADELPHIA PA 19114 NORTHEAST.JEFFERSONHEALTH.ORG 061801 X X X X 1 JEFFERSON HEALTH - NORTHEAST 13 false false true X X X X X X X X X 18 true true false true X NORTHEAST.JEFFERSONHEALTH.ORG X true 18 true NORTHEAST.JEFFERSONHEALTH.ORG false true X 200. 500. X X X X X true true X X X true X NORTHEAST.JEFFERSONHEALTH.ORG X NORTHEAST.JEFFERSONHEALTH.ORG X SEE ABOVE 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 FY19 COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"), THE DEPARTMENT OF TREASURY AND THE INTERNAL REVENUE SERVICE ("IRS") ENCOURAGED CROSS INSTITUTION COLLABORATION. TO THAT END, JEFFERSON HEALTH - NORTHEAST 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. 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 THAT WERE ORGANIZED BY 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, 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. 9 KEY STAKEHOLDER FOCUS GROUPS ABOUT STEERING COMMITTEE-SELECTED 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. 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 CONDUCTED BY HOSPITALS AND HEALTH SYSTEMS WERE CONDUCTED. SCHEDULE H, PART V, SECTION B; LINES 6A & 6B THIS ORGANIZATION PARTICIPATED IN 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 SYSTEM TO DEVELOP IMPLEMENTATION PLANS OUTLINING HOW THEY WILL ADDRESS THESE NEEDS INDIVIDUALLY AND IN COLLABORATION WITH OTHER PARTNERS. COACH COLLABORATIVE PARTICIPATING HOSPITALS INCLUDED: - ABINGTON MEMORIAL HOSPITAL, NOW ABINGTON HOSPITAL-JEFFERSON HEALTH - LANSDALE HOSPITAL CORPORATION, NOW ABINGTON-LANSDALE HOSPITAL-JEFFERSON HEALTH - 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 - PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH JEFFERSON HEALTH - NORTHEAST COLLABORATED WITH THE ABOVE LISTED HOSPITALS AND HEALTH SYSTEMS, WORKING WITH JEFFERSON HEALTH COLLEAGUES TO COMPLETE THE JUNE 30, 2019 COMMUNITY HEALTH NEEDS ASSESSMENT. SCHEDULE H, PART V, SECTION B, QUESTION 7A 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. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://NORTHEAST.JEFFERSONHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH.HTML SCHEDULE H, PART V, SECTION B, QUESTION 10A 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. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://NORTHEAST.JEFFERSONHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH.HTML SCHEDULE H, PART V, SECTION B, QUESTION 11 IN AN EFFORT TO ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA, JEFFERSON HEALTH - NORTHEAST WILL FULFILL ITS COMMITMENT TO COMMUNITY BENEFIT PROGRAMS AND SERVICES THROUGH THE STRATEGIC HEALTH PRIORITIES SET FORTH BELOW THAT FOCUS PRIMARILY ON FOUR HIGH-PRIORITY HEALTH NEED DOMAINS. THE STRATEGY IS ORGANIZED ACCORDING TO THE FOLLOWING DOMAINS: - CHRONIC DISEASE MANAGEMENT - HEALTHY LIFESTYLE BEHAVIORS AND COMMUNITY ENVIRONMENT - ACCESS TO CARE - HEALTH SCREENING, MENTAL HEALTH ASSESSMENT, AND EARLY DETECTION BY IMPLEMENTING EVIDENCED-BASED STRATEGIES TO ADDRESS THESE FOUR DOMAINS OF COMMUNITY HEALTH NEED, JEFFERSON HEALTH - NORTHEAST ANTICIPATES THE FOLLOWING POSITIVE IMPACT AND IMPROVEMENTS IN COMMUNITY HEALTH: - POSITIVE IMPACT ON DISEASE MANAGEMENT AND DISEASE PREVALENCE, INCLUDING ALCOHOL AND SUBSTANCE ABUSE AND CHRONIC DISEASES; - MORE APPROPRIATE USE OF HEALTH RESOURCES, INCLUDING THE SOCIAL AND HEALTH CARE NEEDS AMONG OLDER ADULTS, HEALTH EDUCATION, SOCIAL SERVICES, AND A REGULAR SOURCE OF CARE; - IMPROVEMENT IN COMMUNITY HEALTH STATUS, INCLUDING REDUCTION IN SMOKING, IMPROVED ACCESS TO HEALTHY AFFORDABLE FOOD, GREATER FOOD SECURITY, AND RELEVANT NUTRITION EDUCATION; AND - INCREASED UTILIZATION OF SCREENINGS FOR WOMEN'S CANCERS THESE IMPROVEMENTS WILL BE EVALUATED THROUGH REVIEW AND MONITORING OF EXISTING DATA SOURCES, WHICH MAY INCLUDE BUT ARE NOT LIMITED TO: 1) INTERNAL JEFFERSON HEALTH - NORTHEAST DATA, INCLUDING REFERRAL AND INPATIENT AND OUTPATIENT SERVICE DATA 2) PUBLIC HEALTH MANAGEMENT CORPORATION'S HOUSEHOLD HEALTH SURVEY DATA 3) SURVEYS AND KEY INFORMANT INTERVIEWS WITH PROVIDERS AND CLIENTS 4) REPORTS FROM GOVERNMENT AGENCIES, WHICH MAY INCLUDE THE BUCKS AND PHILADELPHIA COUNTY HEALTH DEPARTMENTS, THE BUCKS COUNTY AREA AGENCY ON AGING, THE BUCKS COUNTY DRUG AND ALCOHOL COMMISSION, THE PHILADELPHIA CORPORATION ON AGING, AND THE PHILADELPHIA OFFICE OF ADDICTION SERVICES 5) EXTERNAL COMMUNITY DATA SOURCES 6) JEFFERSON HEALTH COMMUNITY HEALTH RESOURCES JEFFERSON HEALTH - NORTHEAST WILL CONTINUE COLLABORATION REGIONALLY WITH OTHER HOSPITALS AND HEALTH SYSTEMS WITHIN BUCKS AND PHILADELPHIA COUNTIES THROUGH PARTNERSHIPS, COOPERATION, AND COORDINATION ON PUBLIC HEALTH ISSUES. NEEDS BEYOND THE HOSPITAL'S MISSION OR COMMUNITY BENEFIT PROGRAM: ADDRESSING ALL THE HEALTH NEEDS PRESENT IN A LARGE COMMUNITY REQUIRES RESOURCES BEYOND WHAT ANY SINGLE HOSPITAL OR SOCIAL SERVICE AGENCY CAN BRING TO BEAR. THE HOSPITAL IS COMMITTED TO FULFILLING ITS MISSION AS WELL AS REMAINING FINANCIALLY VIABLE SO THAT IT CAN CONTINUE ITS COMMITMENT TO EXCELLENCE IN QUALITY CARE AND PROVIDE A WIDE RANGE OF COMMUNITY BENEFITS. BETWEEN 2019 AND 2022, THE HOSPITAL WILL FOCUS ITS EFFORTS IN ORDER TO MAKE A TRUE AND MEASURABLE IMPACT, AND THUS PLANS TO IMPLEMENT ACTIONS THAT WILL ADDRESS THOSE NEEDS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AS "MOST IMPORTANT". THE HOSPITAL WILL CONTINUE TO EVALUATE OPPORTUNITIES FOR FUNDING OR RESOURCES TO COMMIT TO ADDRESSING THE REMAINING NEEDS. JEFFERSON HEALTH - NORTHEAST WILL NOT DIRECTLY FOCUS ON COMMUNITY SAFETY, TRANSPORTATION, MEDICATION ACCESS, OR THE BUILT ENVIRONMENT NEEDS IDENTIFIED AS "IMPORTANT OR LESS IMPORTANT" IN THE 2018 CHNA. THOSE PRIORITIES ARE BEYOND THE SCOPE OF THE ORGANIZATION AND ARE BEING ADDRESSED BY OTHER COMMUNITY BASED AND GOVERNMENT ORGANIZATIONS. JEFFERSON HEALTH - NORTHEAST 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. PLEASE REFER TO THE ORGANIZATION'S IMPLEMENTATION STRATEGY FOR ADDITIONAL INFORMATION. SCHEDULE H, PART V, SECTION B; QUESTION 16 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. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://NORTHEAST.JEFFERSONHEALTH.ORG/PATIENTS-AND-GUESTS/FINANCIAL-ASSIST ANCE-PROGRAM.HTML 1 WAKELING BUILDINGS 5000 FRANKFORD AVENUE PHILADELPHIA PA 19124 OUTPATIENT SERVICES - WOUND CARE SCHEDULE H, PART I, LINE 3C JHNE 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") JHNE 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). JHNE 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, LINE 6A NOT APPLICABLE. SCHEDULE H, PART I, LINE 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. SUBSIDIZED HEALTH SERVICES INCLUDED WITHIN SCHEDULE H, PART I, LINE 7 FOR THE ORGANIZATION INCLUDES EMERGENCY DEPARTMENT, FAMILY MEDICINE/PRIMARY CARE AND CERTAIN HOSPITAL BASED CLINICS. THESE HEALTHCARE SERVICES ARE PROVIDED TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY AND HELP THE ORGANIZATION TO MEET IDENTIFIED NEEDS WITHIN THE COMMUNITY. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIO-ECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH NUMEROUS ACTIVITIES WHICH ARE NOT A PART OF PART I FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. THESE ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS EDUCATION, POVERTY, UNEMPLOYMENT, ACCESS TO CARE, HEALTH ADVOCACY AND ECONOMIC DEVELOPMENT. JHNE PROMOTES NUMEROUS COMMUNITY BASED & HEALTH PROFESSIONAL PROGRAMS AND SERVICES THROUGHOUT THE YEAR, INCLUDING COMMUNITY HEALTH FAIRS AND SCREENINGS AND COMMUNITY SERVICE ACTIVITIES, HIGH SCHOOL SPORTS PHYSICALS, HEALTH PROFESSIONAL EDUCATION PROGRAMS, INCLUDING BUT NOT LIMITED TO, THE SCHOOL OF NURSING, AND EDUCATION RESPIRATORY PROGRAMS. SCHEDULE H, PART III, 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, LINE 8 MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT FILED BY THE ORGANIZATION. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE INTERNAL REVENUE SERVICE ("IRS"). THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE", A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE: IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3) 1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007, WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THERE ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 10% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS SCHEDULE H, PART III, SECTION C; LINE 9B JHNE 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, JHNE 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. JHNE 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, JHNE 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 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, JHNE 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 JHNE'S FINANCIAL ASSISTANCE POLICY IN RELATION TO ITS COLLECTION EFFORTS. NO EXTERNAL COLLECTION AGENCY ARE PERMITTED TO ENGAGE IN ECAS UNLESS AUTHORIZED BY JHNE. AFTER THE ABOVE-DESCRIBED STEPS HAVE BEEN TAKEN, JHNE 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. THE SYSTEM'S GENERAL COUNSEL IS REQUIRED TO APPROVE ALL LAWSUITS PRIOR TO THE ECA COMMENCING. FINAL AUTHORITY FOR DETERMINING THAT JHNE 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, JEFFERSON HEALTH - NORTHEAST ("JHNE") HAS A STRONG MISSION OF COMMUNITY SERVICE AND OUTREACH. THE COLLABORATIVE PROCESS FOR JHNE 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 JHNE, 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 MONTOGMERY COUNTY OFFICE OF PUBLIC HEALTH. DATA WERE ACQUIRED FROM LOCAL, STATE AND FEDERAL SOURCES AND FOCUSED ON INDICATORS THAT WERE UNIFORMLY AVAILABLE AT THE ZIP CODE LEVEL ACROSS THE REGION. 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. JEFFERSON HEALTH - NORTHEAST IS COMMITTED TO ENGAGE ITS COMMUNITY IN IDENTIFYING HEALTH ISSUES AND IMPLEMENTING STRATEGIES TO ADDRESS NEEDS. THE MISSION OF THE COMMUNITY BENEFIT COMMITTEE AT JEFFERSON HEALTH - NORTHEAST IS TO DEVELOP TARGETED HEALTH OUTREACH PROGRAMS AND SCREENINGS IN RESPONSE TO THE IDENTIFIED NEEDS OF ITS COMMUNITY IN CONCERT WITH THE MISSION OF JEFFERSON HEALTH: WE IMPROVE LIVES. EFFECTIVE COMMUNITY PROGRAMS ARE AN INTEGRAL PART OF OUR MISSION AND VISION. TO UNDERTAKE THIS MANDATE, JEFFERSON HEALTH - NORTHEAST FORMED A COMMUNITY BENEFIT COMMITTEE. THE COMMITTEE IS RESPONSIBLE FOR OVERSEEING AND RECOMMENDING POLICIES AND PROGRAMS DESIGNED TO CARRY OUT THE CHARITABLE MISSION OF THE ORGANIZATION, PROTECT ITS NON-PROFIT STATUS, AND TO ENHANCE THE HEALTH STATUS OF COMMUNITIES SERVED BY JEFFERSON HEALTH - NORTHEAST BASED ON THE RESULTS OF A COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY BENEFIT COMMITTEE HAS INCLUDED ADMINISTRATIVE STAFF, NURSES, AND OTHER CLINICIANS. THE COMMITTEE MAY ALSO INVITE, AS GUESTS, VARIOUS REPRESENTATIVES OF THE COMMUNITIES SERVED BY JEFFERSON HEALTH - NORTHEAST. COMMITTEE LEADERS ARE ACTIVELY EVALUATING CURRENT MEMBERS AND EXPLORING OPPORTUNITIES TO OPTIMALLY MATCH TALENTS AND RESOURCES TO MEET THE IDENTIFIED NEEDS. NORTHEAST. COMMITTEE LEADERS ARE ACTIVELY EVALUATING CURRENT MEMBERS AND EXPLORING OPPORTUNITIES TO OPTIMALLY MATCH TALENTS AND RESOURCES TO MEET THE IDENTIFIED NEEDS. SCHEDULE H, PART VI; QUESTION 3 JHNE 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. JHNE PROVIDES TRAINING TO APPROPRIATE ADMINISTRATIVE AND CLINICAL STAFF THAT INTERACTS WITH PATIENTS ABOUT FINANCIAL ASSISTANCE AVAILABILITY, HOW TO COMMUNICATE THAT AVAILABILITY TO PATIENTS, AND HOW TO DIRECT PATIENTS TO APPROPRIATE FINANCIAL ASSISTANCE STAFF. 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. THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORMS, AND PLAIN LANGUAGE SUMMARY ARE ALSO MADE AVAILABLE, FREE OF CHARGE AS FOLLOWS: 1) ON THE JHNE WEBSITE AT HTTPS://NORTHEAST.JEFFERSONHEALTH.ORG/PATIENTS-AND-GUESTS/FINANCIAL-ASSIST ANCE-PROGRAM.HTML 2) BY MAIL WHEN A PATIENT CALLS OR CONTACTS ANY JHNE HOSPITAL FACILITY AT THE FOLLOWING TELEPHONE NUMBERS: JEFFERSON BUCKS HOSPITAL (215) 949 5117; JEFFERSON FRANKFORD HOSPITAL (215) 831-2036; AND JEFFERSON TORRESDALE HOSPITAL (215) 612-3393. 3) IN PERSON, WITHOUT APPOINTMENT, AT THE FOLLOWING HOSPITAL LOCATIONS: JEFFERSON BUCKS HOSPITAL 380 NORTH OXFORD VALLEY ROAD LANGHORNE, PA 19047 JEFFERSON FRANKFORD HOSPITAL 4900 FRANKFORD AVENUE PHILADELPHIA, PA 19124 JEFFERSON TORRESDALE HOSPITAL 10800 KNIGHTS ROAD PHILADELPHIA, PA 19114 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 --------------------- JHNE USES REASONABLE EFFORTS TO NOTIFY PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY. THE FOLLOWING 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, JHNE PROVIDES FINANCIAL COUNSELING SERVICES TO GO OVER PATIENT BILLS AND ANSWER ANY QUESTIONS A PATIENT MAY HAVE. SCHEDULE H, PART VI; QUESTION 4 JEFFERSON HEALTH - NORTHEAST DEFINES ITS TARGETED SERVICE AREA AS THE FOLLOWING ZIP CODES IN BUCKS AND PHILADELPHIA COUNTIES. THESE AREAS REPRESENT 70% OF INPATIENT ADMISSIONS AND A TOTAL POPULATION OF 1,042,189. BUCKS COUNTY: 18940, 18954, 18966, 18974, 19007, 19020, 19021, 19030, 19047, 19053, 19054, 19055, 19056, 19057, 19067 PHILADELPHIA COUNTY: 19111, 19114, 19115, 19116, 19120, 19124, 19125, 19134, 19135, 19136, 19137, 19140, 19149, 19152, 19154 THE DEMOGRAPHICS INCLUDE THE AGE DISTRIBUTION OF 24% FOR 10-17 YEARS OF AGE; 36% OF 18-44 YEARS OF AGE, 26% FOR 45-64 YEARS OF AGE AND 14% FOR 65+. INCOME DISTRIBUTION INCLUDES 24% WITH $100,000+; 11% WITH $75,000-$99,999; 17% WITH $50,000-$74,000; 23% WITH $25,000-$49,999; AND 25% WITH $25,000 OR LESS. THE RACIAL COMPOSITION INCLUDES 57% WHITE, 7% ASIAN, 17% BLACK, 17% HISPANIC/LATINO AND 2% OTHER. ADDITIONAL DEMOGRAPHIC INFORMATION IS INCLUDED ON JHNE'S WEBSITE. THE WEBSITE INCLUDES A COMMUNITY DASHBOARD. WITHIN THE COMMUNITY DASHBOARD THERE IS A FEATURE "FIND DEMOGRAPHIC DATA" WHICH PROVIDES DEMOGRAPHIC INFORMATION OF YOUR COMMUNITY. EXAMPLES OF DEMOGRAPHIC INFORMATION INCLUDE POPULATION SIZE, AGE STRUCTURE, RACIAL AND ETHNIC COMPOSITION, POPULATION GROWTH, AND DENSITY. SCHEDULE H, PART VI; QUESTION 5 JHNE AIMS TO PROVIDE EXCEPTIONAL PATIENT CARE AND CUSTOMER SERVICE TO MEMBERS OF THE COMMUNITIES SERVED BY THE HOSPITALS AND TO RECOGNIZE A PATIENT'S RIGHT TO CONSIDERATE AND RESPECTFUL CARE, REGARDLESS OF ABILITY TO PAY. JHNE IS THE LARGEST HEALTHCARE PROVIDER IN NORTHEAST PHILADELPHIA AND LOWER BUCKS COUNTY. EACH OF THE ORGANIZATION'S THREE COMMUNITY HOSPITALS DEDICATE RESOURCES TO COMMUNITY BENEFIT ACTIVITIES INCLUDING EDUCATIONAL SEMINARS ON PERTINENT TOPICS AS IDENTIFIED IN THE CHNA, FREE HEALTH SCREENINGS, AND A VARIETY OF SUPPORT GROUPS TO ASSIST PATIENTS AND THEIR FAMILY MEMBERS MANAGE ILLNESS. THE COMMUNITY HEALTH SECTION OF JEFFERSON HEALTH NORTHEAST'S WEBSITE ALSO CONTAINS RESOURCES FOR COMMUNITY MEMBERS INCLUDING INFORMATION AND RISK ASSESSMENT TOOLS FOR COMMON HEALTHCARE RISKS. THE WEBSITE CONTAINS A "LOCATE PROMISING PRACTICES LINKS" WHICH CONTAINS BEST PRACTICES RELATED TO HEALTH OR QUALITY OF LIFE THAT HAVE BEEN FOUND TO BE USEFUL IN IMPROVING THE HEALTH OF A COMMUNITY IN SOME WAY. IN BUCKS COUNTY, JHNE IS A PARTNER IN THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP), WHICH OFFERS HEALTHCARE TO UNINSURED RESIDENTS OF BUCKS COUNTY. 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. 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 true true false false false false false true false ROBERT E BOOTH MD TRUSTEE 1397075 0 6773 0 11124 0 17100 0 17697 0 1449769 0 0 0 SALIL SHAH MD TRUSTEE 0 555578 0 132545 0 0 0 4275 0 24466 0 716864 0 0 RICHARD GALUP MBA MS OTRL PRESIDENT & COO 482138 0 60941 0 66315 0 54557 0 25040 0 688991 0 48827 0 RONALD KUMOR SVP/CAO 423260 0 53581 0 62046 0 72157 0 24941 0 635985 0 51487 0 STEVEN LITTLESON FORMER OFFICER 0 0 0 0 0 593680 0 0 0 0 0 593680 0 0 MICHELLE CONLEY RN TRUSTEE - CNO 328718 0 73750 0 76509 0 56436 0 15582 0 550995 0 34184 0 GERALD WYDRO MD TRUSTEE 0 442522 0 11075 0 9218 0 14250 0 27642 0 504707 0 0 GARY W WELCH DO CHIEF MEDICAL OFFICER 346342 0 74537 0 36267 0 25650 0 16783 0 499579 0 0 0 WILLIAM DEGNAN VP FINANCE 145452 0 23670 0 138279 0 58006 0 25445 0 390852 0 0 0 EDWARD A TURZANSKI CHAIRMAN - TRUSTEE 0 294277 0 30000 0 7770 0 37050 0 17960 0 387057 0 0 ELI F DWECK MD TRUSTEE 0 318722 0 17045 0 18194 0 21885 0 4161 0 380007 0 0 HARRY MCCLOSKEY DBA FACHE VP HOSPITAL ADMINISTRATOR 226027 0 23000 0 2811 0 6900 0 22565 0 281303 0 0 0 SUSAN GLENNON MD FACP PHYSICIAN ADVISOR 237051 0 0 0 1181 0 9039 0 24058 0 271329 0 0 0 DARRYL BEARD SECURITY DIRECTOR 193978 0 20034 0 4824 0 12020 0 3385 0 234241 0 0 0 DAVID FILTRANTI PA-C PHYSICIAN ASSISTANT 179702 0 32342 0 133 0 8748 0 12229 0 233154 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 1 THE ORGANIZATION MAINTAINS A FLEXIBLE BENEFIT PROGRAM ("PERQUISITE PROGRAM") FOR CERTAIN MEMBERS OF ITS SENIOR LEADERSHIP TEAM. THIS PROGRAM PROVIDES A FIXED DOLLAR AMOUNT, AND ENABLES PARTICIPATING EMPLOYEES TO ALLOCATE THE AMOUNT AMONG CERTAIN TAXABLE BENEFIT OPTIONS (I.E., ADDITIONAL LIFE INSURANCE COVERAGES, LONG-TERM CARE INSURANCE AND FINANCIAL OR TAX PLANNING ASSISTANCE) OR TO NON-QUALIFIED DEFERRED COMPENSATION OPTIONS. THE ELECTIONS ARE MADE BEFORE THE YEAR IN WHICH THE BENEFIT PROGRAM AMOUNT IS PROVIDED. THE AMOUNTS ALLOCATED TO TAXABLE BENEFIT OPTIONS ARE INCLUDED WITHIN THE EMPLOYEE'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES FOR THE YEAR IN WHICH THE ALLOCATIONS ARE EFFECTIVE. THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE ORGANIZATION'S PERQUISITE PROGRAM: RICHARD GALUP, MBA, MS, OTR/L. SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2020 WHICH WERE INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: STEVEN LITTLESON, $586,922 AND WILLIAM DEGNAN, $80,640. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD GALUP, MBA, MS, OTR/L, $48,827; RONALD KUMOR, $51,487 AND MICHELLE CONLEY, R.N., $34,184. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD GALUP, MBA, MS, OTR/L, $43,157; RONALD KUMOR, $42,861 AND MICHELLE CONLEY, R.N., $35,000. 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. SCHEDULE J, PART II; COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE HAVE BEEN TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== JEFFERSON HEALTH - NORTHEAST ("JHNE") IS THE LARGEST HEALTHCARE PROVIDER IN NORTHEAST PHILADELPHIA AND LOWER BUCKS COUNTY. WITH THREE LEADING-EDGE COMMUNITY HOSPITALS AND A STRONG NETWORK OF OUTPATIENT CENTERS AND PRIMARY CARE PHYSICIANS, JHNE UPHOLDS A LONGSTANDING TRADITION OF BRINGING ADVANCED MEDICINE AND PERSONAL CARE TO THE MANY COMMUNITIES IT SERVES. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, JHNE PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, JHNE OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING FINANCIAL ASSISTANCE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) OPERATES 3 ACTIVE EMERGENCY DEPARTMENTS FOR ALL PERSONS; WHICH ARE OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR, INCLUDING A LEVEL 2 TRAUMA CENTER AT THE TORRESDALE CAMPUS; 3) MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF JHNE RESTS WITH ITS LOCAL BOARD OF TRUSTEES AND THE PARENT BOARD OF TRUSTEES OF JEFFERSON HEALTH. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5) SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF JHNE AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF THE ORGANIZATION IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. MISSION STATEMENT ================= WE IMPROVE LIVES. VISION ====== REIMAGINING HEALTH, EDUCATION AND DISCOVERY TO CREATE UNPARALLELED VALUE. PRINCIPLES & VALUES =================== PUT PEOPLE FIRST SERVICE-MINDED, RESPECTFUL & EMBRACES DIVERSITY BE BOLD & THINK DIFFERENTLY INNOVATIVE, COURAGEOUS & SOLUTION-ORIENTED DO THE RIGHT THING SAFETY-FOCUSED, INTEGRITY & ACCOUNTABILITY HISTORY ======= THE STORY OF JEFFERSON HEALTH - NORTHEAST BEGAN IN 1902, WHEN A RESIDENT OF THE FRANKFORD SECTION OF PHILADELPHIA CONTRACTED TYPHOID FEVER. THE PATIENT'S PHYSICIAN, DR. JOSEPH BALL, COULDN'T FIND A SINGLE HOSPITAL IN THE CITY TO ADMIT HIS SERIOUSLY ILL PATIENT. NOT ONE OF THE DOWNTOWN HOSPITALS HAD AN AVAILABLE BED. WHEN DR. BALL LEARNED OTHER NORTHEAST PHYSICIANS WERE ALSO HAVING THEIR PATIENTS TURNED AWAY, HE BEGAN AN EFFORT TO ESTABLISH A COMMUNITY HOSPITAL THAT WOULD PROVIDE CONVENIENT, HIGH-QUALITY MEDICAL CARE TO HIS NEIGHBORS. NAMED AFTER THE NEIGHBORHOOD IT WOULD FIRST SERVE, FRANKFORD HOSPITAL - FRANKFORD (NOW JEFFERSON FRANKFORD HOSPITAL) OPENED ITS DOORS ON THE FOURTH OF JULY, 1903. DURING THE DECADES THAT FOLLOWED, FRANKFORD EXPANDED UPON DR. BALL'S FOUNDING VISION. FOR OVER A CENTURY, THE HOSPITAL INTRODUCED MANY NEW SERVICES TO BETTER MEET THE HEALTH NEEDS OF ITS GROWING COMMUNITIES. FOR EXAMPLE, AS THE HOSPITAL'S SERVICE AREA GREW AND FLOURISHED, FRANKFORD RESPONDED BY OPENING A SECOND SITE IN 1977. ALMOST IMMEDIATELY, FRANKFORD HOSPITAL - TORRESDALE (NOW JEFFERSON TORRESDALE HOSPITAL) WAS OPERATING AT FULL CAPACITY, MEETING THE HEALTHCARE NEEDS OF FAMILIES FROM THE FAR NORTHEAST AND LOWER BUCKS COUNTY. WHEN MANY FAMILIES FRANKFORD HOSPITAL HAD BEEN SERVING FOR GENERATIONS BEGAN RELOCATING TO BUCKS COUNTY IN THE 1980S AND 1990S, THE HOSPITAL AGAIN SOUGHT BETTER WAYS TO SERVE THEM. IN MARCH 1999, FRANKFORD ACQUIRED DELAWARE VALLEY MEDICAL CENTER AND TURNED IT INTO ITS THIRD INPATIENT SITE - FRANKFORD HOSPITAL - BUCKS COUNTY (NOW JEFFERSON BUCKS HOSPITAL). TO REFLECT AN EXPANDED, REGIONAL VISION FOR HEALTH CARE SERVICE DELIVERY IN NORTHEAST PHILADELPHIA AND BUCKS COUNTY, FRANKFORD HOSPITAL CHANGED ITS NAME TO ARIA HEALTH IN MAY 2009. IN JULY 2016, ARIA HEALTH MERGED WITH JEFFERSON HEALTH. SINCE THAT TIME, JEFFERSON HEALTH - NORTHEAST HAS OFFICIALLY ADOPTED THE JEFFERSON BRAND. CAMPUS LOCATIONS AND OUTPATIENT SITES ===================================== JHNE HAS THREE HOSPITAL CAMPUSES, TWO OUTPATIENT CENTERS, AND A GROWING NETWORK OF PHYSICIANS THAT SERVE THE NORTHEAST PHILADELPHIA AND BUCKS COUNTY COMMUNITIES. FRANKFORD ========= JEFFERSON FRANKFORD HOSPITAL DELIVERS A WIDE RANGE OF EMERGENCY, PRIMARY AND SPECIALTY CARE IN A WARM, FRIENDLY, SERVICE-ORIENTED ENVIRONMENT. WE ALSO COLLABORATE WITH A VARIETY OF HEALTH CARE PARTNERS LIKE MOSS REHAB AND VITAS HOSPICE IN ORDER TO PROVIDE PATIENTS WITH A BROAD RANGE OF CARE AND SERVICES. HIGHLIGHTS OF THE CAMPUS INCLUDE: - EMERGENCY SERVICES; - PRIMARY CARE; - SPECIALTY CARE; - OUTPATIENT SERVICES; AND - PREVENTATIVE HEALTH AND WELLNESS SERVICES. TORRESDALE ========== JEFFERSON TORRESDALE HOSPITAL DELIVERS A WIDE RANGE OF SPECIALTY, EMERGENCY AND PRIMARY CARE IN A WARM, FRIENDLY, SERVICE-ORIENTED ENVIRONMENT. OUR PATIENTS AND COMMUNITY MEMBERS ALSO HAVE ACCESS TO A VARIETY OF SUPPORT GROUPS, HEALTH LECTURES, SCREENINGS AND A FULL-SERVICE WELLNESS CENTER. HIGHLIGHTS OF THE CAMPUS INCLUDE: - MINIMALLY INVASIVE SURGICAL SERVICES; - HEART CENTER; - SIDNEY KIMMEL CANCER CENTER; - VICKIE & JACK FARBER INSTITUTE FOR NEUROSCIENCE - NEUROLOGY & NEUROSURGERY SERVICES; - CENTER FOR GYNECOLOGY AND WOMEN'S HEALTH; - TRAUMA AND EMERGENCY CARE; AND - OUTPATIENT SERVICES. BUCKS COUNTY ============ JEFFERSON BUCKS HOSPITAL DELIVERS A WIDE RANGE OF EMERGENCY, SPECIALTY AND PRIMARY CARE IN A WARM, FRIENDLY, SERVICE-ORIENTED ENVIRONMENT. OUR PATIENTS AND COMMUNITY MEMBERS ALSO HAVE ACCESS TO A VARIETY OF SUPPORT GROUPS, HEALTH LECTURES, SCREENINGS AND A FULL-SERVICE FITNESS CENTER. HIGHLIGHTS OF THE CAMPUS INCLUDE: - EMERGENCY CARE; - ORTHOPEDIC CARE; - CARDIOVASCULAR SERVICES; - GENERAL SURGERY; - WOMEN'S HEALTH SERVICES; AND - OUTPATIENT SERVICES. WELLNESS PROGRAMS ================= JHNE HAS A LONG TRADITION OF MAKING DISEASE PREVENTION AND HEALTH PROMOTION ACCESSIBLE AND APPEALING TO ITS PATIENTS, FAMILIES AND COMMUNITY BY PROVIDING A VARIETY OF DEDICATED PROGRAMS IN FITNESS AND GROUP EXERCISES, NUTRITION COUNSELING AND WEIGHT LOSS, AND DISEASE MANAGEMENT. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS NUTRITION --------- (1) INDIVIDUAL NUTRITIONAL COUNSELING - NUTRITIONAL ASSESSMENT AND COUNSELING PROVIDED BY REGISTERED DIETITIANS FOR GENERAL NUTRITION AND A VARIETY OF MEDICAL CONCERNS REQUIRING NUTRITIONAL INTERVENTION. (2) HEALTHY LIFESTYLE PROGRAM - THE HEALTHY LIFESTYLE PROGRAM IS A NUTRITION EDUCATION PROGRAM THAT FOCUSES ON HELPING YOU TO BUILD HEALTHY HABITS TO AID IN WEIGHT MANAGEMENT AND TO TREAT AND PREVENT DISEASE. (3) PCOS (POLYCYSTIC OVARY SYNDROME) NUTRITION EDUCATION SERIES - FEEL COMFORTABLE IN THIS GROUP WITH OTHERS THAT SHARE THIS COMMON ENDOCRINE PROBLEM. THE BI-MONTHLY MEETINGS WILL INCLUDE EDUCATIONAL TOPICS ON CARBOHYDRATE COUNTING, HEALTHY FOOD CHOICES TO HELP MANAGE CHOLESTEROL AND BLOOD PRESSURES, WEIGHT MANAGEMENT, BENEFITS OF EXERCISE, AND RECIPE TIPS. SUPPORT WILL BE PROVIDED BY STAFF MEMBERS AND GROUP MEMBERS. (4) MEDGEM INDIRECT CALORIMETER TESTING - THIS SERVICE REQUIRES A SIMPLE BREATH TEST TO ACCURATELY MEASURE YOUR INDIVIDUAL ENERGY REQUIREMENTS. KNOWING THIS NUMBER WILL HELP YOU WITH YOUR WEIGHT MANAGEMENT GOALS. (5) NUTRITION COUNSELING FOR BARIATRIC SURGERY - THIS SERVICE IS PROVIDED FOR PATIENTS THINKING ABOUT THE LAP BANDING WEIGHT LOSS PROCEDURE THAT IS NOW OFFERED AT THE OXFORD VALLEY MEDICAL PLAZA IN LANGHORNE, PA. (6) HEART HEALTHY & DIABETES SUPERMARKET TOURS - THESE TOURS WILL EMPHASIZE LABEL READING FOR FATS: SATURATED AND UNSATURATED, FIBER, SOY PROTEIN, CARBOHYDRATE, AND OTHER KEY INGREDIENTS TO HELP YOU MANAGE YOUR BLOOD SUGARS, CHOLESTEROL, AND TRIGLYCERIDE LEVELS. FITNESS ======= AS QUALIFIED HEALTH AND FITNESS PROFESSIONALS, OUR TEAM WILL WORK DIRECTLY WITH YOU TO SET REALISTIC WELLNESS GOALS AND DEVELOP A CUSTOMIZED EXERCISE PROGRAM. WITH PROVEN SCIENTIFIC METHODS THAT FOCUS ON CARDIOVASCULAR CONDITIONING, STRENGTH, POWER, ENDURANCE, BALANCE AND FLEXIBILITY, NUTRITION, AND MORE, WE'LL SUPPORT YOUR EFFORTS TO ACHIEVE A HEALTHIER YOU! THE SERVICES WE OFFER INCLUDE: - FITNESS ASSESSMENTS AND REASSESSMENTS; - TAILORED EXERCISE PROGRAMS; - PERSONAL TRAINING WITH A FITNESS SPECIALIST; - NUTRITION AND WEIGHT-LOSS COUNSELING; - EDUCATIONAL SEMINARS AND WORKSHOPS; - FUN AND MOTIVATIONAL FITNESS CAMPAIGNS; AND - MONTHLY NEWSLETTER WITH HELPFUL HEALTH AND FITNESS INFORMATION. PROGRAMS & SUPPORT GROUPS ========================= (1) JHNE'S DIABETES SELF-MANAGEMENT PROGRAM HAS BEEN RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION FOR QUALITY SELF-MANAGEMENT EDUCATION. THIS MULTI-SESSION, 10-HOUR PROGRAM TEACHES YOU THE IMPORTANCE OF PROPER NUTRITION, EXERCISE, AND CONTROLLING YOUR BLOOD SUGAR TO MINIMIZE DIABETIC COMPLICATIONS. (2) JHNE'S CARDIAC REHABILITATION PROGRAM IS A MEDICALLY MONITORED EXERCISE PROGRAM FOR PERSONS WITH HEART DISEASE. SCHEDULED CLASSES MEET THREE TIMES PER WEEK ON MONDAY, WEDNESDAY, AND FRIDAY. (3) THE PULMONARY REHABILITATION PROGRAM IS A MEDICALLY SUPERVISED PROGRAM FOR PATIENTS WITH CHRONIC RESPIRATORY DISEASE. THE PROGRAM CONSISTS OF EXERCISE AND EDUCATION AND IS DESIGNED TO HELP PATIENTS TO BETTER COPE WITH THEIR BREATHING PROBLEMS. SCHEDULED CLASSES MEET TWO TIMES PER WEEK ON TUESDAY AND THURSDAY. (4) DEAR FRIENDS: LED BY A SOCIAL WORKER, IS A GENERAL SUPPORT GROUP FOR PATIENTS COPING WITH CANCER, ALONG WITH THEIR FRIENDS AND FAMILY MEMBERS. (5) SMOKING CESSATION PROGRAM: THIS FREE PROGRAM IS OFFERED IN CONJUNCTION WITH THE UNIVERSITY OF PENNSYLVANIA. (6) SMOKING CESSATION AND LUNG SCREENING PROGRAM: JHNE IS DEDICATED TO CONTINUALLY IMPROVING THE HEALTH OF OUR COMMUNITY. OUR INNOVATIVE COMPREHENSIVE SMOKING CESSATION PROGRAM OFFERS THE NECESSARY TOOLS TO HELP YOU QUIT, WHILE OUR UNIQUE, LOW-DOSE CT SCAN REGIMEN CAN KEEP CLOSE WATCH ON THE HEALTH OF YOUR LUNGS. THESE SCANS ARE SAFE AND ARE MORE EFFECTIVE AT DETECTING EARLY ONSET OF LUNG CANCER THAN TRADITIONAL X-RAYS. (7) LOOK GOOD...FEEL BETTER: SPONSORED BY THE AMERICAN CANCER SOCIETY, THIS IS A FREE PROGRAM FOR WOMEN ACTIVELY UNDERGOING CANCER TREATMENT TO DEAL WITH THE CHANGES TO THEIR SKIN AND HAIR. (8) STROKE SUPPORT GROUP: THE ARIA INSTITUTE FOR NEUROSCIENCES IS PROUD TO ANNOUNCE A MONTHLY MEETING FOR STROKE SURVIVORS, FAMILY MEMBERS, AND FRIENDS. THE FOCUS OF THIS GROUP WILL BE ENCOURAGEMENT, EDUCATION, AND SUPPORT, AND IS LED BY A MASTERS LEVEL SOCIAL WORKER. FINANCIAL ASSISTANCE ==================== JHNE IS COMMITTED TO PROVIDING HIGH QUALITY AND AFFORDABLE CARE TO ALL INDIVIDUALS WHO SEEK SERVICES, INCLUDING THOSE UNINSURED INDIVIDUALS WHO LACK THE MEANS TO PAY FOR SUCH SERVICES. OUR FINANCIAL ASSISTANCE POLICY SETS FORTH THE GUIDELINES AND PROCESSES BY WHICH PATIENTS ARE PROVIDED FINANCIAL ASSISTANCE THROUGH INDIVIDUAL FINANCIAL COUNSELING, HELP IN SEEKING FEDERAL AND STATE CARE COVERAGE, BASED UPON ELIGIBILITY PROVIDING A DISCOUNT FROM ESTABLISHED MEDICAL CARE CHARGES AND APPLYING FOR CHARITY CARE. IF PATIENTS DO NOT HAVE HEALTH INSURANCE OR THEY ARE UNABLE TO PAY THEIR HOSPITAL BILL, PATIENTS MAY QUALIFY FOR MEDICAL ASSISTANCE, MEDICARE OR FINANCIAL ASSISTANCE. TO APPLY FOR FINANCIAL ASSISTANCE PATIENTS MUST ASSIST HOSPITAL STAFF BY FURNISHING INFORMATION REQUIRED FOR THE APPLICATION. ACCREDITATION ============= JHNE IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS AND APPROVED BY THE COMMONWEALTH OF PENNSYLVANIA DEPARTMENTS OF HEALTH. THE AMERICAN MEDICAL ASSOCIATION COUNCIL ON MEDICAL EDUCATION AND HOSPITALS HAS ALSO GRANTED APPROVAL FOR THE TRAINING OF INTERNS AND RESIDENTS. THROUGH AUTHORIZATION BY THE COMMONWEALTH OF PENNSYLVANIA, JHNE PROVIDES A PROGRAM OF CONTINUING EDUCATION FOR AREA PHYSICIANS. JHNE IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE HOSPITAL ASSOCIATION OF PENNSYLVANIA, THE DELAWARE VALLEY HOSPITAL COUNCIL AND THE ASSOCIATED HOSPITAL SERVICE OF PHILADELPHIA. GRADUATE MEDICAL EDUCATION/RESIDENCY PROGRAM ============================================ CHOOSING A RESIDENCY PROGRAM IS A MILESTONE IN A MEDICAL EDUCATION. JHNE RESIDENCY PROGRAMS ARE COMMITTED TO PROVIDING THE VERY BEST EDUCATIONAL EXPERIENCE IN A FRIENDLY COMMUNITY ENVIRONMENT. INDIVIDUALIZED INSTRUCTION, UNDER THE TUTELAGE OF OUR DEDICATED CLINICAL AND TEACHING FACULTY, ENSURES THAT EACH INDIVIDUAL'S NEEDS ARE MET. STUDENTS SEEKING AN ACADEMIC PROGRAM IN A CARING, COMMUNITY SETTING SHOULD LOOK FIRST AT JHNE. THE BEST WAY TO FIND OUT ABOUT OUR MEDICAL EDUCATION PROGRAM IS TO SCHEDULE A ROTATION DURING THE THIRD OR FOURTH YEARS OF MEDICAL SCHOOL. WE BELIEVE THAT THIS EXPERIENCE WILL CONVINCE STUDENTS TO CONTINUE THEIR MEDICAL EDUCATION AT JHNE. IF STUDENTS ARE UNABLE TO ARRANGE A ROTATION, WE INVITE THEM TO GET TO KNOW US THROUGH A PERSONAL VISIT AND A TOUR OF OUR FACILITIES. RICH IN EDUCATIONAL OPPORTUNITIES, THE ORGANIZATION ALSO HOSTS RESIDENTS FROM PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE, ALBERT EINSTEIN MEDICAL CENTER, DREXEL HAHNEMANN UNIVERSITY AND DEBORAH HEART AND LUNG CENTER. ARIA'S DEPARTMENT OF MEDICAL EDUCATION HAS AN OSTEOPATHIC RESIDENCY PROGRAMS IN FAMILY PRACTICE, INTERNAL MEDICINE AND EMERGENCY MEDICINE, AS WELL AS COMBINED PROGRAMS IN FAMILY PRACTICE/EMERGENCY MEDICINE AND INTERNAL MEDICINE/EMERGENCY MEDICINE. OUR INSTITUTION ALSO HAS A 3 YEAR PMSR/RRA RESIDENCY PROGRAM. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS JEFFERSON HEALTH ================ JEFFERSON HEALTH OFFERS EXCELLENT CLINICAL AND COMPASSIONATE CARE FOR OUR PATIENTS IN THE PHILADELPHIA REGION, EDUCATING THE HEALTH PROFESSIONALS OF TOMORROW IN A VARIETY OF DISCIPLINES AND DISCOVERING NEW KNOWLEDGE THAT WILL DEFINE THE FUTURE OF CLINICAL CARE. THE SYSTEM INCLUDES FOURTEEN HOSPITALS, SEVEN URGENT CARE CENTERS, AND 25 TESTING AND IMAGING 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. TOGETHER, JEFFERSON HEALTH HAS 32,000+ EMPLOYEES, 6,300 PHYSICIANS AND PRACTITIONERS, 7,900 NURSES, 2,600 FACULTY AND 2,100 VOLUNTEERS AND IS THE SECOND LARGEST EMPLOYER IN PHILADELPHIA. A DIFFERENT YEAR ---------------- COMING TOGETHER: OUR COVID RESPONSE INCLUDED PLANNING AND PREPARATION - EVEN BEFORE THE FIRST POSITIVE CASES OF COVID-19 SURFACED IN MONTGOMERY COUNTY, ABINGTON HOSPITAL WAS ALREADY EXECUTING A DETAILED PLAN FOR COVID TESTING, PATIENT SERVICES, AND EQUIPMENT MANAGEMENT. THE PLAN WAS DEVELOPED BY JEFFERSON, WITH RECOMMENDATIONS FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION AND THE DEPARTMENT OF HEALTH. AS OUR NUMBER OF CASES GREW, A STRATEGIC ADVISORY TEAM OF TOP LEADERS AT THE HOSPITAL LAUNCHED NUMEROUS STRATEGIES TO ADDRESS THE NEEDS OF OUR COMMUNITY, INCLUDING: ESTABLISHING THE FIRST COVID TESTING SITE IN THE DELAWARE VALLEY; POSTPONING ALL ELECTIVE PROCEDURES, REPURPOSING BEDS FOR ADDITIONAL ICU CAPACITY, SETTING PROTOCOLS FOR ISOLATING DIFFERENT PATIENT POPULATIONS, CREATING TRANSITION PLANS FOR NON-COVID PATIENTS AND SHIFTING NON-COVID APPOINTMENTS TO TELEHEALTH TECHNOLOGY WHEN POSSIBLE; SETTING UP A TRIAGE PHONE LINE FOR PATIENTS AND STAFF, AND CREATING STANDARD GUIDELINES FOR STAFF WHO ARE TRIAGING PATIENTS; SOURCING PERSONAL PROTECTIVE EQUIPMENT (PPE) DONATIONS, SUPPLIES AND OTHER EQUIPMENT, INCLUDING VENTILATORS AND ALTERNATIVES; PROVIDING REAL-TIME EDUCATION ABOUT CHANGING CDC GUIDELINES; REDEPLOYING STAFF TO THE MOST CRITICAL UNITS; PROVIDING TRAINING TO UPSKILL REGISTERED NURSES (RNS) TO WORK IN THE ICU; ORGANIZING CHILDCARE FOR STAFF AND DEVELOPING PLANS TO FEED AND HOUSE STAFF AS NEEDED. IT WAS ANNOUNCED IN FY20 THAT JEFFERSON HEALTH HAD CARED FOR MORE COVID-19 PATIENTS THAN ANY OTHER SYSTEM IN THE PHILADELPHIA AREA. DURING THESE UNPRECEDENTED TIMES, OUR COMMUNITY DONATED GENEROUS FUNDS AND MATERIALS: OUR COMMUNITY STEPPED UP WITH CHARITABLE SUPPORT, AND SHOWED GREAT GENEROSITY IN DONATING MEDICAL EQUIPMENT AND PPE. THESE INCLUDED MASKS, GOGGLES, HAND SANITIZER, AND OTHER MEDICAL SUPPLIES. TO ENSURE THE SAFETY AND EFFICACY OF THESE MATERIALS, OUR SUPPLY-CHAIN MANAGEMENT TEAM SET UP A DONATION DROP-OFF SITE TO COORDINATE THE RECEIPT AND EVALUATION OF THESE GENEROUS DONATIONS. CORE FORM, PART VI, SECTION A; QUESTION 2 EDWARD F. MCKENNA, JR. & AUSTIN A. MEEHAN, III - FAMILY 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 JEFFERSON HEALTH - NORTHEAST SYSTEM ("JHNES") IS THE SOLE MEMBER OF THIS ORGANIZATION. THOMAS JEFFERSON UNIVERSITY ("TJU") IS THE SOLE MEMBER OF JHNES. 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 Clifton R. Hall, M.D. is a voting member of this organization's Board of Trustees; an uncompensated position. Dr. Hall is an employed physician and receives a Federal Form W-2 from Aria Health Physician Services; a related Internal Revenue Code Section 501(c)(3) tax-exempt organization. Accordingly, his reportable compensation, retirement/other deferred compensation and non-taxable benefits are reported within Core Form, Part VII and Schedule J of the Aria Health Physician Services (EIN: 23-2691968) Federal Form 990. Please refer to the Aria Health Physician Services 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. 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. 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. Kathleen Kinslow, CRNA, MBA is a former officer of this organization. Her reportable compensation, retirement/other deferred compensation and non-taxable benefits are reported within Core Form, Part VII and Schedule J of the Thomas Jefferson University (EIN: 23-1352651) Federal Form 990. Please refer to the Thomas Jefferson University Federal Form 990 for this information. CORE FORM, PART VII AND SCHEDULE J Robert E. Booth, M.D. is a member of the organization's Board of Trustees; an uncompensated position. Dr. Booth provides licensed medical services, as well as non-clinical services and is employed by this organization. During 2020, this organization was not required to file a Federal Form 4720 for any remittance of excise tax related to Dr. Booth because the portion of his compensation attributable to non-clinical services was not in excess of $1M and thus exempt from excise tax as provided for under Internal Revenue Code Section 4960. 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 INCLUDE: - CHANGE IN PENSION LIABILITY - $40,329,067; - NET ASSETS RELEASED FROM RESTRICTION - $454,021; - NET ASSETS RELEASED FROM RESTRICTION (DONOR RESTRICTED) - ($717,163); - NET ASSETS RELEASED FOR PROPERTY AND EQUIPMENT - $263,142; - TRANSFER FROM JEFFERSON HEALTH - NORTHEAST FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $3,500,000; - EQUITY TRANSFERS FROM RELATED ORGANIZATIONS - $20,618,834; AND - OTHER CHANGES IN NET ASSETS (DONOR RESTRICTED) - $311,733. 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. TJU'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:24802383 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:9434353 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:7317900 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN CONTRACTED SERVICES TOTAL FEES:3990699 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:3575039 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING & COLLECTION FEES TOTAL FEES:2359630 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:2100537 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:28997 ARIA IPE LLC 10800 KNIGHTS ROAD PHILADELPHIA PA 19114 460550807 HEALTH SVCS. 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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.