2020-05-12T17:06:12-05:00 2019-06-30 990 2018-07-01 232826045 Jeanes Hospital JEAN 2157283306 3509 N Broad Street No 936 Philadelphia PA 19140 Raymond Lefton CFO & Treasurer 2157283306 2020-05-12 155.247.225.148 2020-05-12 18:05:18 ED P FC8081AA09EFD534CFD554ABA97D8D86E3B916E0 0000AB60FCAC03CCA2BC35A7E9E31CB269375A98 2018 2020-09-23 17:36:50Z Raymond Lefton 3509 N Broad Street No 936 Philadelphia PA 19140 161808998 0 X https://www.templehealth.org/locations/jeanes-cam X 1996 PA To maintain and enhance the quality of life for individuals in the communities we serve. 9 7 1115 144 26263 144 9619306 3135382 155964181 153276528 894132 1375145 18122 23894 166495741 157810949 1056000 918750 0 0 77369011 80332363 0 0 59927 84405509 77350396 162830520 158601509 3665221 -790560 86120792 90323681 90522565 99471035 -4401773 -9147354 X Jeanes Hospital's mission statement, as approved by its board of directors and executives is:In furtherance of the mission of Temple University Health System, the mission of Jeanes Hospital is to maintain and enhance the quality of life for individuals in the communities we serve. We emphasize the Quaker belief that in each person there resides a spirit that creates a common bond among us all. Our health care services include maintenance and enhancement of health, which quickens the spirit and enhances the vitality of our lives. 0 0 11352878 12661356 The Cardiovascular program at Jeanes Hospital provides healthcareservices aimed at preventing, diagnosing, and treating cardiovascular diseases.Cardiovascular diseases are the leading cause of death in the UnitedStates. The services provided by Jeanes Hospital target the full rangeof conditions related to the heart and vascular system, includingcongestive heart failure, hypertension, and narrowing of the arteriesand peripheral disease. The services are provided to both inpatientsand outpatients.Cardiovascular services at Jeanes Hospital span the continuum of heartcare. Included are open heart surgery, diagnostic and interventional cardiac catheterization, electrophysiology studies, stress testing,cardiac and thoracic surgery, echocardiograms, EKGs, holter monitortests and cardiopulmonary rehab. The hospital's vascular servicesprovide both open and closed vascular procedures in surgery, cath laband vascular lab. Jeanes Hospital is the recipient of the AmericanHeart Association's Stroke Gold Plus Quality Achievement Award. 7402499 8360295 Gastroenterology/Digestive Disease. Jeanes Hospital gives patients themost advanced, safest and proven medical and surgical treatmentsprimarily focused on the gastrointestinal tract. The services offeredby Jeanes Hospital under this specialty are: surgical weight loss,colorectal surgery, nutritional counseling, and gastroenterology andhepatology services aimed at treating patients with disorders of theesophagus, liver, gall bladder and stomach. Services are provided toboth inpatients and outpatients. 9906672 10383786 Pulmonary. Jeanes Hospital provides comprehensive pulmonary complexmedical and rehabilitation programs for patients with acute and chronicpulmonary conditions. Services provided range from inpatientventilation management and weaning, to outpatient pulmonaryrehabilitation delivered by an interdisciplinary team of highly trainedand board certified pulmonologists, respiratory therapists and nurses. 117291075 918750 121851026 In concert with cardiovascular, digestive and pulmonary services at Jeanes Hospital, a full continuum of additional services creates a comprehensive medical and surgical center for our community and its physicians. Services range from diagnostic to therapeutic, medical to surgical, and outpatient to critical care. Here is a roster of some of the more prominent services at Jeanes Hospital:General Medicine consists of diagnosis, management and non-surgical treatment of disease processes. Emergency Services are available to the community 24 hours a day for patients who suffer illness or injury.We have a full range of ambulatory diagnostic testing, including laboratory services and radiology. Diagnostic imaging services include general X-ray, digital mammography, ultrasound, MRI, CT, interventional imaging and nuclear medicine. Advanced technology MRI and CT scanning are available at Jeanes Hospital for critical diagnoses.Services, both medical and surgical, are available for disorders of the ears, nose, throat and eyes.Women's health services at Jeanes Hospital include screening digital mammography, ultrasound services, breast surgery, and a compendium of gynecological surgical services.Orthopedics at Jeanes Hospital ranges from conservative treatment to high acuity surgery. Surgery includes hand, foot and ankle and tertiary-level joint replacement procedures.Neurosurgery services at Jeanes Hospital offers a full range of neurosurgical procedures including craniotomy and spinal surgery.General surgery encompasses an array of interventional procedures for our patients, including oncologic, vascular, gastrointestinal, bariatric surgeries, etc. In step with surgical trends, Jeanes Hospital offers more and more minimally-invasive alternatives such as laparoscopic surgery.Dermatology and plastic surgery are offered at Jeanes Hospital.Anesthesiologists on the Jeanes Hospital medical staff offer a formal pain management program for chronic pain patients, including interventional procedures.A hospitalist program was established at Jeanes Hospital, allowing physicians to rely on specially trained inpatient coverage while tending to their practices more efficiently.Additional services include hematology, oncology, urology, nephrology, neurology, infectious disease, psychiatry and psychology, podiatry, rheumatology, and endocrinology.Community Benefit Overview:Jeanes Hospital takes great pride in the broad array of community services that we provide to our surrounding neighborhoods. Founded in 1928 by virtue of a bequest in the Will of Philadelphia Quaker leader Anna T. Jeanes, we continue her vision of serving as the destination for those who need ambulatory, inpatient, surgical, and home care in Northeast Philadelphia by combining the compassionate nature of a Quaker founded community hospital with the advanced capabilities of an academic medical center. Jeanes Hospital is firmly committed to advancing the health of people and quality of life in our communities. Below is a summary of some of the programs and activities operated in our FYE June 30, 2019 of which we are most proud. Engaging with the Community. Jeanes reached more than 16,000 seniors, adults, and children, providing free health education and screenings; support groups; stroke awareness, and other topics, and many other outreach and community building activities.Promoting Wellness: Jeanes is working beyond its hospital walls to address social determinants of health and improve the quality of living in our communities. Through our FARM STAND program, we work with the Jeanes Auxiliary and the Common Market to address the dangers of obesity by bringing a farmer's market to our campus, offering nutritional cooking demonstrations and offering locally grown fruits and vegetable to the community. We've become part of the "Good Food Healthy Hospitals" initiative, which asks hospitals to take the lead in offering healthier food options. We instituted "Wellness Wednesdays" to incorporate healthy produce into recipes for people to try/buy, having recipes and cooking tips available at the farm stand. Jeanes offers a safe, park-like WALKING TRAIL for community members to enjoy healthy outdoor exercise. We also host some of our community education sessions outdoors on this track, where cardiologists and other health professionals explain firsthand the need to stay fit and healthy. Similarly, we work with community organizations to improve the community's access to mental health resources. Food, Book, Clothing, and Toy Drive: Reflecting the compassion of our Quaker heritage, Jeanes employees contributed food, new coats, toys and financial contributions to support low income families living in our communities. We partnered with Salvation Army, Feast of Justice, local food banks, churches and other community organizations on these initiatives.Blood Drives: In partnership with the American Red Cross, Jeanes collected about 100 productive pints of blood.Health & Wellness Education: Our Community Classroom series focused on a number of health topics of interest to our community such as nutrition, sleep apnea, pharmaceutical management, diabetes, heart disease, eye care, hearing loss, orthopedics, stroke awareness and exercise.Investing in Health Professions Education: Jeanes helps provide the education and training necessary to develop a professional healthcare workforce to benefit the broader community.Fostering Volunteerism: A majority of the members of Jeanes Hospital's Board of Directors is comprised of local volunteers who offer expertise and govern the organization without compensation. Similarly, members of Jeanes Hospital's executive staff routinely participate in not-for-profit community health and social service organizations, as members of their boards-of-directors and in partnership with their outreach services.The below expenses and associated revenue relate to the above descriptions of the other program services that Jeanes offers to its patients and the community. 117291075 918750 121851026 145953124 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 59 0 1 1115 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X Ray Lefton 2157073306 3509 N Broad StRm 936 Philadelphia PA 19140 Robert H LeFever Chair 3.00 9.00 X X 0 0 0 Francis Devlin Vice Chair 2.00 1.00 X X 0 0 0 Dr Larry Kaiser Director 2.00 50.00 X 0 2096722 23057 Charles Lockyer Jr Director 2.00 5.00 X 0 0 0 Dr Martin Ogletree Director 2.00 3.00 X 0 0 0 David Kraynik Director 2.00 0.00 X 0 0 0 Lewis Gould Director 2.00 13.50 X 0 0 0 Dr Michael Mittelman Director 2.00 0.00 X 0 0 0 Eleanor Reinhardt Director 2.00 5.00 X 0 0 0 Beth Koob Secretary 2.00 48.00 X 0 527189 83302 Anne Rudloff Asst Secretary 50.00 0.00 X 74494 0 32206 Charna Wright Asst Secretary 2.00 48.00 X 0 77503 19244 Ray Lefton Treasurer 50.00 0.00 X 245433 0 38676 Robert Lux Asst Treasurer 2.00 48.00 X 0 493936 68942 Lisa Corbin Asst Treasurer 2.00 48.00 X 0 207910 54384 Dr Marc Hurowitz President & CEO 30.00 20.00 X 0 531526 39528 Herbert P White Asst Treasurer 2.00 48.00 X 0 368843 47790 Rebecca Armbruster Chief Medical Officer 50.00 0.00 X 338944 0 39578 Denise Frasca AHD - Patient Services 50.00 0.00 X 194411 0 33619 Stephanie Kao Medical Director 50.00 0.00 X 201150 0 21967 Beverly Sherbondy AVP - Human Resources 50.00 0.00 X 193352 0 32654 Mary Fricker Director of Risk Management 50.00 0.00 X 162340 0 23809 Lisa Donnelly Business Development 50.00 0.00 X 171219 0 8071 G Brown Miller Clinical Pharmacy Manager 50.00 0.00 X 152965 0 25471 1734308 4303629 592298 115 0 1 0 Temple University Health System 3509 N Broad Street Room 936 Philadelphia PA 19140 Related organization services 8655292 Temple Physicians Inc 3509 N Broad Street Room 936 Philadelphia PA 19140 Related organization services 7314407 Temple University of the Commonwealth Sy 300 Sullivan Hall 1330 W Berks St Philadelphia PA 19122 Related organization services 3722090 Temple University Hospital 3509 N Broad Street Room 936 Philadelphia PA 19140 Faculty support, lab 3170519 Cerner Health Services Inc PO Box 959167 St Louis MI 63195 Information technology services 1935076 21 3112000 12500 10882 3135382 Net patient svc revenue 622110 145483909 145458790 25119 Rental income 532000 5395261 5395261 Snack shop income 722210 635588 635588 Service revenue 622110 604023 604023 Cafeteria income 722210 269642 269642 888105 888105 153276528 1376246 1376246 22750 0 22750 22750 22750 3996948 3998049 -1101 -1101 -1101 Gain from other invsts 523000 1144 1144 1144 157810949 153251409 26263 1397895 X 918750 918750 1349912 1349912 59582185 56089875 3492310 4089302 3844498 244804 10889706 10123896 765810 4421258 4080374 340884 1015545 759897 195721 59927 59443 59443 21232078 20211421 1020657 368483 22981 345502 26697202 25908364 788838 4026035 3728281 297754 3463140 3214772 248368 62601 43572 19029 7776 6791 985 3205064 3049391 155673 4164719 3994062 170657 3183125 163586 3019539 Tax assessment expense 6569724 6569724 Equipment rental and ma 3230989 2935932 295057 64472 286957 -222485 158601509 145953124 12588458 59927 5338946 3846730 1393801 24458568 28354620 3670628 3085014 1711000 1807966 137406922 117441798 23024096 19965124 3723060 3976657 397929 297338 25288781 26104215 86120792 90323681 32068057 13685731 3833619 3446785 54620889 82338519 90522565 99471035 X -24713786 -30022056 473500 541840 19838513 20332862 -4401773 -9147354 86120792 90323681 X -790560 120594 -4075615 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19840892 1213036 717448 20336482 18957185 1556838 673131 19840892 17495409 2227523 765747 18957185 18260568 -765159 17495409 18304371 93044 136847 18260568 1.00000 1 0 86429528 72291403 14138123 830894 616154 214741 48375006 42912790 5462217 1771494 1621451 150043 19965124 Jeanes Physicians' Office Building Partnership 1153152 Self-Insurance Asset - Professional Liability 3060757 Self-Insurance Asset - Workers' Compensation 768286 Assets Limited As To Use - Other, General 16111 Assets Limited As To Use - Temporarily Restricted Funds 523495 Assets Limited As To Use - Permanently Restricted Funds 75000 Assets Held in Trust - Anna T. Jeanes Trust 17740405 Assets Held in Trust - Maude E.M. Boggs Trust 2256958 Assets Held in Trust - Edith Scot Paschall Trust 234994 Assets Held in Trust - John E. Holcomb Trust 25005 PNC CD - Unemployment Compensation 111358 Welfare Benefits Trust 138694 26104215 Long-term debt, inter-company 47594687 Due to affiliated companies 8806405 Self-Insurance Program Liability 7850951 Other Liabilities 5650049 Short term debt, intercompany 1126370 Pension Plan 11310057 82338519 Part V, line 4 Use of the endowments will vary depending on the nature of the restrictions imposed by the donors. If an endowment is restricted as to purpose, the organization will use the endowment for the permitted purpose. If the endowment is restricted as to time, the organization draws income but accumulates principal. 1 1 X 1 X 1 X 1 1 1 0 0 1887288 1887288 0.01190 42681967 37270605 5411362 0.03410 44569255 37270605 7298650 0.04600 102 16325 333359 22100 311259 0.00200 1796652 726651 1070001 0.00670 102 16325 2130011 748751 1381260 0.00870 102 16325 46699266 38019356 8679910 0.05470 1 545555 34218148 37200233 -2982085 X 1 1 1 1 Jeanes Hospital 7600 Central Avenue Philadelphia PA 191112442 X X X X Home health care Jeanes Hospital 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X https://www.templehealth.org/locations/jeanes-campus-tuh/about/community-he X 1 18 1 https://www.templehealth.org/locations/jeanes-campus-tuh/about/community-he 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X https://www.templehealth.org/locations/jeanes-campus-tuh/patients-family-fr X https://www.templehealth.org/locations/jeanes-campus-tuh/patients-family-fr X https://www.templehealth.org/locations/jeanes-campus-tuh/patients-family-fr X X X X X X 1 X 0 X 1 X 0 0 Jeanes Hospital Part V, Section B, Line 5: In conducting its CHNA, Jeanes Hospital took into account input from representatives of the community served by its facility, including those with special knowledge or expertise in public health. Our processes and the persons Jeanes Hospital consulted are set forth on pages 11 to 14 of our CHNA, which is posted in plain view on the hospital's website at https://www.templehealth.org/locations/jeanes-campus-tuh/about/community-health.As noted in the CHNA, Jeanes Hospital held a community stakeholder focus group at its facility, which included 15 external community leaders. Our CHNA also reflected responses to a survey of 315 community stakeholders. Jeanes Hospital Part V, Section B, Line 11: Jeanes is addressing many of the needs identified in our CHNA. Our approach to addressing unmet needs is provided in our CHNA Implementation strategy, which is posted in plain view on the hospital's website at https://www.templehealth.org/locations/jeanes-campus-tuh/about/community-health. Jeanes Hospital Part V, Section B, Line 20e: Jeanes Hospital did not take any of the actions listed in line 19. Jeanes Hospital: Part V, Section B, Line 9: Implementation strategy was adopted in October 2019. Part I, Line 7: Costing methodologyA ratio of cost to charges derived from Worksheet 2 was used in determining the amounts reported on Part I, lines 7a through 7d. The amounts are reported at cost and include both direct and indirect costs.Direct costs include salaries, employee benefits, supplies, and other costs that are directly attributable to the services. These direct costs would not exist if the service or program did not exist. Indirect costsare expenses not directly attributable to the service or programs but are included in the calculation of costs for total charity care and means-tested government programs. These costs include but are not limited to human resources, finance departments, insurance, support departments and overhead expenses. Part III, Line 2: Effective July, 1, 2018, the Health System adopted a new revenue recognition accounting standard that resulted in significant changes to the methodology for reporting bad debt expense. Under the previous standard, estimates for amounts not expected to be collected based on historical experience were recorded within net patient service revenue and then recognized as bad debt expense. Under the new standard, estimates for unrealizable amounts are recognized as implicit price concessions that are a direct reduction to net patient service revenues. As a result, the amount of bad debt expense reported in the Health System's financial statements has been greatly reduced, despite the fact that overall collection rates have not changed. Bad debt expense reported in the 2018 tax year relates to patient balances recorded prior to July 1, 2018 when the new standard took effect. These expenses represent the difference between the patient balances per contracted rates and the amounts actually collected after all reasonable collection efforts were exhausted. Part III, Line 4: The ratio of cost to charge method is used in determining the amount reported on line 2. The amount on line 2 is reported at cost and includes both direct and indirect costs. Direct costs include salaries, employee benefits, supplies, and other costs that are directly attributable to the service and that would not exist if the service or program did not exist. Indirect costs are costs not attributed to the services or programs that are included in the calculation of costs for community benefit. These costs include but are not limited to human resources, finance departments, insurance, support departments and overhead expenses. Part III, Line 8: As part of its efforts to improve the health and quality of life of people living in the community, Jeanes Hospital provided $2,982,085 in under-reimbursed services to patients enrolled in Medicare programs. Jeanes Hospital believes that the Medicare shortfall of $2,982,085 should be treated as a community benefit since it has a clear mission to serving and improving the health status of the elderly. The $2,982,085 shortfall is not included in the table on page 30 and if included the total financial assistance and community benefits provided at cost would increase from 5.47% to 7.35%. For the twelve months ended June 30, 2019, approximately 59% of all inpatients treated at Jeanes Hospital were over the age of 65. In addition, Jeanes Hospital is designated as a Medicare Disproportionate Share Hospital (DSH). DSH hospitals are "safety net" hospitals because they serve predominantly low-income communities and have a substantial number of Medicare patients that also qualify for Supplemental Security Income (SSI). SSI is is a government means-tested welfare program that provides cash assistance and health care coverage (i.e. Medicaid) to people with low income and limited assets who are either aged 65 or older, blind, or disabled. The most recent data available from CMS shows that 13.5% of inpatients treated Jeanes Hospital during fiscal year 2019 qualified for SSI. The costs associated with providing care to these patients are frequently not covered by government sponsored programs. Part III, Line 9b: Jeanes Hospital's Billing and Collection policy contains provisions on the collection practices to be followed for all patients including patients who qualify for charity care/financial assistance. For uninsured patients Jeanes Hospital systematically discounts the charges to a uninsured fee schedule which is based on Medicare rates. Patients with income up to 400% of Federal Poverty Income Guidelines may qualify for charity care/financial assistance. If an account does not qualify for charity care or financial assistance, the normal billing process of four (4) statements over a span of at least 120 days will occur. If no patient response is received, a write-off request form will be completed by the collection specialist and submitted for proper signature authority for agency referral. The account will be forwarded to a collection agency for additional collection efforts. In addition, Jeanes Hospital offers very patient friendly payment plans to accommodate a patient's situation. Part VI, Line 2: In addition to the formal Community Health Needs Assessment described in Part V Section B, Jeanes Hospital further assesses community health needs using comprehensive sets of internal and external data sources. Externally, we rely largely on health data compiled by federal, state, city and community based health organizations, including the following:*United States Center for Disease Control: https://www.cdc.gov/DataStatistics/Pennsylvania Department of Health -http://www.statistics.health.pa.gov/Pages/default.aspx#.WoIMY1Qo6Un* Pennsylvania and County Health Profiles- http://www.statistics.health.pa.gov/HealthStatistics/VitalStatistics/CountyHealthProfiles/Documents/County_Health_Profiles_2015.pdf*Pennsylvania Health Care Cost Containment Council (PHC4) - http://www.phc4.org/reports/utilization/inpatient/Pennsylvania Crime Reporting Data: http://ucr.psp.state.pa.us*Philadelphia Department of Public Health, including the Philadelphia Vital Statistics Report, the Philadelphia Vital Statistics Report by Census Tract and Zip Code Report; the annual Health Center Service Area Report; the Maternal and Child Family Health Data Watch, the Report on Selected Maternal & Child Health Indicators for the City of Philadelphia, 1995-2005 and the Taking Philadelphia's Temperature report. http://www.phila.gov/health/Commissioner/DataResearch.html*County Health rankings: http://www.countyhealthrankings.org/app/pennsylvania/2019/overview*City Data: http://www.city-data.com/Centers for Medicare and Medicaid Services (CMS) Medpar data. https://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/LimitedDataSets/MEDPARLDSHospitalNational.html*Maternity Care Coalition - http://maternitycarecoalition.org/research/#publications-and-reports* Vizient (University Healthcare Consortium) Clinical Database*Current literature on evolving health care delivery issues and care delivery models.* Participation in the Southeast Pennsylvania Collaborative Opportunities to Advance Community Health (COACH) initiative in partnership with the U.S. Department of Health & Human Services, Philadelphia Department of Health and the Healthcare Improvement Foundation. Internally, we rely on the following sources:*Collaboration of Medical School and Hospital leadership*Consensus discussion with key clinical providers and community service organizations*Performance Improvement, Risk Management and Patient Safety outcomes.*Feedback from community members of our board of directors and routine interaction with neighborhood community organizations.*Historic, service line specific utilization data*Organizational community risk assessments (Infection Control, Environment of Care, Emergency Management, Fire Safety Management, Disaster Response).Feedback from our various Patient and Family Advisory Councils (PFAC), including the separate Temple Physicians, Inc. PFACs connected with six separate practice locations in our community.*In addition to assessing data sources, Jeanes Hospital works closely with the City of Philadelphia Department of Public Health's Health Centers, other local Federally Qualified Health Centers (FQHCs), the City's Police and Fire Departments and other community-based health and social services organizations to address specific needs of vulnerable populations. We also actively participate in local, regional and state level workgroups. These partnerships enable us to coordinate care delivery in both the inpatient and outpatient settings and address social determinants of health affecting health outcomes for the communities we serve. Part VI, Line 3: The Financial Counselors assigned to Jeanes Hospital screen all uninsured and underinsured patients (including those with high deductibles and co-pays) who are hospitalized or require elective outpatient hospital services to determine their eligibility for government funded medical insurance coverage such as Medicaid and CHIP. Patients that meet the qualifications for these programs are assisted by financial counseling staff throughout each step of the application process. Medicaid applications are submitted by Jeanes Hospital on the patients' behalf and tracked until final determination. Patients who do not qualify for government-funded programs are screened for Jeanes Hospital's Emergency Care, Charity Care, and Financial Assistance, and Uninsured Discount Policy to determine their eligibility for free or reduced cost care.Emergency Care, Charity Care, and Financial Assistance, and Uninsured Discount Policy is not restricted to Emergency Department patients, but is available to inpatients and outpatients as well. Patients who contact the Hospital's Business Office concerning bills they have received that they cannot afford to pay are also screened for Charity Care eligibility. The Financial Counseling Staff at Jeanes Hospital also offers assistance in obtaining supplemental coverage as well as prescription drug benefits.Patients are informed of our financial services, and directed on how to access these services, through the following means: Posters in plain view at inpatient, outpatient and emergency registration areas and billing offices; Patient discharge summaries, billing invoices and vendor collection notices; Hospital website. Part VI, Line 4: Jeanes Hospital's primary services area is comprised of 9 zip codes: 19111; 19115; 19116; 19120; 19124; 19134; 19135; 19149; and 19152. These are the zip codes from which about 70% of our patients seen on an inpatient and observation basis reside. These zip codes roughly correspondence to the City of Philadelphia's Lower Northeast, Central Northeast and North Delaware Planning Districts as set forth in the 2017 Community Health Assessment for Philadelphia, PA prepared by the Department of Public Health. The Jeanes' service area demographics range from the affluent to those in chronic poverty. A. Population and Population GrowthThe Jeanes' Service Area population includes about 458,000 residents and expected to grow around 1.4% over the next 5 years, which nearly matches the City of Philadelphia's expected growth rate of 1.5%.B. Age DistributionThe Jeanes' age distribution is slightly more youthful with just over 50% under 35, and is overall as young as the City of Philadelphia whose population under 35 is also just over 50%, which is both more than the Commonwealth of Pennsylvania at 43% and Nation at 45%.C. Education Level Jeanes' population with an education beyond high school of 40.4% is lower than the City of Philadelphia at 49.4%, Commonwealth of Pennsylvania at 53.6% and Nation at 59.4%. D. Unemployment and Household Income UnemploymentUnemployment figures have returned to their prerecession levels; however, Philadelphia's unemployment rate of 5.0% has remained higher than the surrounding suburban counties of Bucks at 3.3%, Chester at 2.8%, and Montgomery at 3.1% and the Commonwealth of Pennsylvania at 4.8% and Nation at 4.1% (Source: Bureau of Labor Statistics, US Department of Labor; Pennsylvania Department of Labor, November 2018)Household Income Jeanes' population with household income over $50k of 43.1% is lower than the City of Philadelphia at 45.7%, Commonwealth of Pennsylvania at 57.7% and Nation at 57.5%. E. Population Below Federal Poverty LevelThe overall percentage of the Jeanes service area's population living below the Federal Poverty Level of 26.5% is nearly the same as the City at 25.8%, and approximately 2-times the Commonwealth of Pennsylvania at 13.10% and Nation at 14.6%. F. Race/Ethnicity Jeanes' service area has no majority racial or ethnic group, but does have a larger percentage of Hispanics at 26.3% compared with the City of Philadelphia at 14.9%, Commonwealth of Pennsylvania at 7.5% and Nation at 14%. The Jeanes area also has a higher percentage of Asian Non-Hispanics at 10.0% compared with the City of Philadelphia at 7.5%. G. Payer MixApproximately 50% of individuals living in the Jeanes' service area are covered by Medicaid or Medicare. This is expected to remain consistent over the next 5 years. The Medicaid Payer Mix for the Jeanes Hospital Service Area of 40.7% is also higher than the City of Philadelphia at 36.8% and the Commonwealth of Pennsylvania at 17.8%. Part VI, Line 5: Jeanes Hospital provides an extensive range of medical, surgical, and emergency services for residents of Northeast Philadelphia and Eastern Montgomery County. We combine the compassionate nature and convenience of a Quaker-founded community hospital with the resources of a downtown academic medical center.In order to meet the physical, emotional, cultural, and spiritual needs of our community, we create a caring, safe, and supportive environment by providing equal access to care without regard to race, creed, religion, color, national origin, sex or sexual orientation. We also maintain a strong commitment to safety and continuous quality improvement, provide free health screenings, vaccinations and health education, a work environment that attracts, retains and develops employees and use evidence-based research to understand and address the health needs of our community.In addition, Jeanes Hospital promotes the health of our community through our "Community Classroom" program, which offers free education seminars focused on health and wellness, our diabetes education programs, on campus farmer's market offering fresh healthy foods and nutrition information, numerous food and clothing drives and support groups.To engage our patients and families, we also established a Patient Family Advisory Council. This group evaluates patient satisfaction and education and provides recommendations to improve our services and policies based on the health and needs of the communities we serve. Additional information on our Patient Family Advisory Council is available on the hospital's website: https://www.templehealth.org/locations/jeanes-campus-tuh/patients-family-friends/patient-family-advisory-councilUnder the leadership of our Chief Medical Officer, Jeanes Hospital also developed and implemented several other comprehensive programs that address the dangers of obesity, engagement in health promotion activities, strengthen practices for culturally competent care, increase access to mental health resources, and improve management of chronic disease. A summary of these programs is included in our CHNA Implementation strategy, which is posted in plain view on the hospital's website at https://www.templehealth.org/locations/jeanes-campus-tuh/about/community-health Part VI, Line 6: The mission of Temple University Health System, Inc. is to provide access to the highest quality healthcare in community and academic settings. In furtherance of our health system's mission, Jeanes Hospital's mission is to maintain and enhance the quality of life for individuals in the communities we serve. We emphasize the Quaker belief that in each person resides a spirit that creates a common bond among us all that translates into the care we provide. The roles of Temple University Health System's other members similarly advance its mission. Temple University Hospital supports Temple University's Health Sciences Center academic programs by providing a clinical environment and research programs that offer high quality education and training for health care professionals. Temple Health's System Transport Team, Inc. provides the highest level of critical care transport services in the mid-Atlantic region. Temple Physicians, Inc. provides high quality clinical care as well as supports the health system's clinical, administrative, and corporate activities. Fox Chase Cancer Center's mission is to prevail over cancer, marshalling heart and mind in bold scientific discovery, pioneering prevention, and compassionate care. 0 Temple University Health System 3509 N Broad Street Room 936 Philadelphia PA 19140 232825881 501(c)(3) 901250 N/A N/A General Support 1 0 Part I, Line 2: The over $5,000 grant was made only for tax-exempt purposes to a related organization under common control. This grant is subject to review by the governing bodies and management of the related organizations. 0 0 0 0 0 0 0 0 0 Dr Larry Kaiser Director 0 2092522 0 0 0 4200 0 0 0 23057 0 2119779 0 0 Beth Koob Secretary 0 497100 0 0 0 30089 0 51252 0 32050 0 610491 0 0 Ray Lefton Treasurer 245433 0 0 0 0 0 14376 0 24300 0 284109 0 0 0 Robert Lux Asst Treasurer 0 327783 0 15835 0 150318 0 52751 0 16191 0 562878 0 0 Lisa Corbin Asst Treasurer 0 207910 0 0 0 0 0 21883 0 32501 0 262294 0 0 Dr Marc Hurowitz President & CEO 0 531526 0 0 0 0 0 27500 0 12028 0 571054 0 0 Herbert P White Asst Treasurer 0 351246 0 0 0 17597 0 12375 0 35415 0 416633 0 0 Rebecca Armbruster Chief Medical Officer 334072 0 0 0 4872 0 15717 0 23861 0 378522 0 0 0 Denise Frasca AHD - Patient Services 194411 0 0 0 0 0 20001 0 13618 0 228030 0 0 0 Stephanie Kao Medical Director 201150 0 0 0 0 0 20133 0 1834 0 223117 0 0 0 Beverly Sherbondy AVP - Human Resources 193352 0 0 0 0 0 9354 0 23300 0 226006 0 0 0 Mary Fricker Director of Risk Management 162340 0 0 0 0 0 0 0 23809 0 186149 0 0 0 Lisa Donnelly Business Development 160587 0 0 0 10632 0 7226 0 845 0 179290 0 0 0 G Brown Miller Clinical Pharmacy Manager 152965 0 0 0 0 0 15544 0 9927 0 178436 0 0 0 Elizabeth LeFever Daughter of Robert LeFever 18356 Part-time employee of Jeanes Hospital 0 Form 990, Part VI, Section A, line 1 Pursuant to the organization's bylaws, the Executive Committee consists of no less than five members of the Board, including the Chair, the Vice Chair, and the chairs of the Standing Committees. The Executive Committee is authorized to act for the Board between its regular meetings. Form 990, Part VI, Section A, line 6 The sole member of the organization is Temple University Health System, Inc. The member has the power to appoint and remove the organization's Board of Directors. The approval of the member is required for any of the following actions by the organization: (a) any dissolution or liquidation; (b) any merger; (c) any amendments to the articles of incorporation; (d) any amendments to the bylaws regarding the member, the number of directors, quorum or voting requirements; (e) the sale, pledge, lease (but only a lease from the organization of substantially all of the organization's real property), or other transfer of the assets of the organization other than transactions occurring in the ordinary course of business; (f) any decision resulting in the organization's ceasing to provide appropriate sites for Temple University School of Medicine for comprehensive acute care services; (g) any decision to merge with, acquire, or enter into an affiliation with a medical school other than Temple University's or a medical school hospital other than Temple University Hospital, Inc.; (h) the deletion of any clinical programs that are needed for the accreditation of Temple University School of Medicine; (i) the adoption of the organization's annual capital and operating budgets; (j) the issuance or assumption of any indebtedness in excess of five hundred thousand ($500,000), and (k) the execution of any contract providing for the management of the organization. Form 990, Part VI, Section A, line 7a Please refer to the response for question 6 Form 990, Part VI, Section A, line 7b Please refer to the response for question 6 Form 990, Part VI, Section B, line 11b After review by management and outside tax counsel, the 990 and 990-T (if any) are posted to the website of the Secretary's Office. Each Board Member is contacted and provided with the web address. A Board Member without internet access is provided a paper copy to review. The website and paper mailing have an overview of the 990 and 990-T preparation process and internal reviews. Each Board Member is asked to review the 990 and 990-T within 2 weeks and contact the Chief Financial Officer about any questions. In addition to the above process, the Audit Committee is provided a copy and the 990 and 990-T are reviewed at a regularly scheduled meeting. Form 990, Part VI, Section B, line 12c The Office of the Secretary provides each director and officer with copies of the conflicts of interest policy and a disclosure statement to be completed on an annual basis. The Office of the Secretary reviews the completed disclosure statements which are then reviewed in summary format by a committee of the Board of Directors and any recommended actions presented to the full Board of Directors. In addition to completing the annual disclosure statement, directors and officers must disclose potential or actual conflicts on an ongoing basis as matters arise. All disclosures are evaluated and a determination of whether a conflict exists is made by the Board or a committee of the Board. All employees are subject to a conflicts of interest policy that is monitored by the Office of the Secretary. Form 990, Part VI, Section B, line 15 There is a compensation committee that reviews and approves all total compensation of executive / key personnel at Temple University Health System through an evaluation performed by an external compensation expert before the compensation is approved. Form 990, Part VI, Section C, line 19 The unaudited internal financial statements of Temple University Health System and certain of its related organizations are distributed and made available to the public at the end of each quarter as per the Health System's Continuing Disclosure Agreement through the Digital Assurance Corp (DAC), the Municipal Services Reporting Board's EMMA disclosure site and the Health System's financial web site. The Annual Audited Financial Statements are also released to the public in the same manner. To the extent required by applicable law, the organization makes its governing documents available to the public upon request. Form 990, Part IX, line 11g Professional Fees: Program service expenses 20,211,421. Management and general expenses 1,020,657. Fundraising expenses 0. Total expenses 21,232,078. Form 990, Part XI, line 9: Adjustment to funded status of pension liability 494,349. Change in value of Beneficial Interest Trusts -4,569,964. Temple University of the Commonwealth System 300 Sullivan Hall 1330 W Berks St Philadelphia PA 19122 231365971 Education PA 501c3 Line 2 N/A 0 Temple University Health System Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232825881 Health Care PA 501c3 Line 12a, I Temple University of the Commonwealth System 0 Temple University Health System Foundation Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232916108 Health Care PA 501c3 Line 12a, I Temple University Hospital Inc 0 Temple University Hospital Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232825878 Health Care PA 501c3 Line 3 Temple University Health System Inc 0 Jeanes Hospital Auxiliary 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 231917776 Health Care PA 501c3 Line 10 Jeanes Hospital 1 Temple Physicians Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232790607 Health Care PA 501c3 Line 10 Temple University Health System Inc 0 Temple Health System Transport Team Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 753084023 Health Care PA 501c3 Line 10 Temple University Health System Inc 0 Episcopal Hospital 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 231365351 Health Care PA 501c3 Line 12a, I Temple University Hospital Inc 0 Anna T Jeanes Foundation 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232203406 Health Care PA 501c3 Line 12d, III-O N/A 0 American Oncologic Hospital 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 231352156 Health Care PA 501c3 Line 3 Temple University Health System Inc 0 Institute for Cancer Research 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 236296135 Health Care DE 501c3 Line 4 American Oncologic Hospital 0 Fox Chase Cancer Center Medical Group 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 454540585 Health Care PA 501c3 Line 3 American Oncologic Hospital 0 Fox Chase Network Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232467337 Health Care PA 501c3 Line 12b, II American Oncologic Hospital 0 Temple Faculty Practice Plan Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 831002191 Health Care PA 501c3 Line 3 Temple University Health System Inc 0 TUHS Insurance Company Ltd 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 981203189 Reinsurance BD Temple University Health System Inc 0 Fox Chase Ltd 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232396731 Health Care PA American Oncologic Hospital C 0 0 1 1 0 1 0 0 1 0 1 0 1 1 1 1 1 1 0 0 Jeanes Hospital Auxiliary C 65000 Cash received