2019-05-15T12:29:34-05:00 2018-06-30 WithumSmithBrown PC TWO LOGAN SQUARE SUITE 2001 PHILADELPHIA PA 191032726 990 2017-07-01 263359979 LANSDALE HOSPITAL CORPORATION % MICHAEL B WALSH LANS 2154812851 100 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 PETER L DEANGELIS JR EVP/CFO 2159554773 2019-05-15 true Scott J Mariani P00642486 2155462140 148.77.36.74 22006220191355000148 2019-05-15 P 3EAB307D2E8AFAB6AF4FCC2E4D32CBEA4C05B2A0 B4F49B62ABB70139397F9A781BA9C9E9BE652F2C 2017 2019-02-21 02:37:17Z ABINGTON-LANSDALE HOSPITAL-JEFFERSON LAURENCE M MERLIS 1200 OLD YORK ROAD ABINGTON PA 19001 92273880 false X WWW.ABINGTONHEALTH.ORG X 2008 PA THE ORG. IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR ALL BY FOSTERING HEALING, EASING SUFFERING, AND PROMOTING WELLNESS IN A CULTURE OF SAFETY, LEARNING AND RESPECT. 57 49 715 293 0 0 1402669 270498 88226819 90932787 25035 14999 804227 688699 90458750 91906983 0 0 0 0 41715289 39160727 0 0 0 43651668 44394945 85366957 83555672 5091793 8351311 81883310 89488408 51446171 51271888 30437139 38216520 X THE ORGANIZATION IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR ALL BY FOSTERING HEALING, EASING SUFFERING, AND PROMOTING WELLNESS IN A CULTURE OF SAFETY, LEARNING AND RESPECT. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 12750235 0 16838566 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MUSCULOSKELETAL SERVICES 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. THE ORGANIZATION TREATED 2,065 MUSCULOSKELETAL PATIENTS FOR A TOTAL OF 2,071 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 10183744 0 9983164 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY GENERAL MEDICINE SERVICES 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. THE ORGANIZATION PERFORMED 1,396 GENERAL MEDICINE CASES FOR A TOTAL OF 5,347 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 6466168 0 9199424 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES 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. THE ORGANIZATION TREATED 21,306 EMERGENCY DEPARTMENT PATIENTS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 45799958 0 54911633 75200105 true true false true false false false false false false true false true false true false false true false false true false false false false false true true false false true false false false false false false false false false false false false false true false false false true 40 0 true 715 true false false false false false false false false false false X 57 49 true false false false true true true true true false false true true true true true true true true false PA X MICHAEL B WALSH 2154812851 1200 OLD YORK ROAD ABINGTON PA 19001 X BRUCE K ENTWISLE CHAIRMAN - TRUSTEE 5.0 0.0 X X 0 0 0 JEAN FITZPATRICK PHD VICE CHAIR - TRUSTEE 5.0 0.0 X X 0 0 0 JOHN A BOWN JR SECRETARY - TRUSTEE 5.0 0.0 X X 0 0 0 REV CHARLES QUANN TREASURER - TRUSTEE 5.0 0.0 X X 0 0 0 DAVID ARCHIBALD EDD TRUSTEE 2.0 0.0 X 0 0 0 EDWARD K ASPLUNDH TRUSTEE 2.0 0.0 X 0 0 0 ROBERT BARSKY DO TRUSTEE 2.0 0.0 X 0 0 0 HELEN R BOSLEY TRUSTEE 2.0 0.0 X 0 0 0 ARNOLD W BRADBURD TRUSTEE 2.0 0.0 X 0 0 0 DOUGLAS S CALLANTINE TRUSTEE 2.0 0.0 X 0 0 0 GERARD M CLEARY DO TRUSTEE; EX-OFFICIO 55.0 0.0 X 0 137188 12458 EDITH R DIXON TRUSTEE 2.0 0.0 X 0 0 0 MARK L DOOLEY TRUSTEE 2.0 0.0 X 0 0 0 GEORGE T DOWNS III TRUSTEE 2.0 0.0 X 0 0 0 DAVID J ESKIN MD TRUSTEE 2.0 0.0 X 0 0 0 MARK R ESKIN TRUSTEE 2.0 0.0 X 0 0 0 WILLIAM W FONNER TRUSTEE 2.0 0.0 X 0 0 0 GAIL GARBER TRUSTEE; EX-OFFICIO 2.0 0.0 X 0 0 0 BRUCE GOODMAN TRUSTEE 2.0 0.0 X 0 0 0 DAVID L HARRAR TRUSTEE 2.0 0.0 X 0 0 0 MARILYN D HARRIS TRUSTEE 2.0 0.0 X 0 0 0 THOMAS HILL TRUSTEE 2.0 0.0 X 0 0 0 HYMAN R KAHN MD TRUSTEE 2.0 0.0 X 0 0 0 SUSAN KENNEDY MD PHD TRUSTEE; EX-OFFICIO 2.0 0.0 X 0 0 0 H LEWIS KLEIN TRUSTEE 2.0 0.0 X 0 0 0 RICHARD KRAUSS TRUSTEE 2.0 0.0 X 0 0 0 JOSEPHINE C MANDEVILLE TRUSTEE 2.0 0.0 X 0 0 0 LINDA MANFREDONIA ESQ TRUSTEE 2.0 0.0 X 0 0 0 WARREN B MATTHEWS MD TRUSTEE - PHYSICIAN 55.0 0.0 X 0 321799 28568 MARGARET M MCGOLDRICK TRUSTEE - PRESIDENT, AMH/LHC 55.0 0.0 X X 0 894272 198061 LAURENCE M MERLIS TRUSTEE-EVP,COO-JEFFERSON HLTH 55.0 0.0 X X 0 2219845 630721 REEVES MILLER TRUSTEE 2.0 0.0 X 0 0 0 NEAL PEARLSTINE ESQ TRUSTEE 2.0 0.0 X 0 0 0 FREDERICK PENNEKAMP TRUSTEE 2.0 0.0 X 0 0 0 ROBERT PETERMAN TRUSTEE 2.0 0.0 X 0 0 0 REV DR BRUCE W PETTY SR TRUSTEE 2.0 0.0 X 0 0 0 DONALD PIZER TRUSTEE 2.0 0.0 X 0 0 0 LORRAINE C PRUITT TRUSTEE 2.0 0.0 X 0 0 0 ROBERT J RIETHMILLER JR TRUSTEE 2.0 0.0 X 0 0 0 JEREMY A ROSENAU TRUSTEE 2.0 0.0 X 0 0 0 ANDREW D RUBIN TRUSTEE 2.0 0.0 X 0 0 0 HERBERT SACHS TRUSTEE 2.0 0.0 X 0 0 0 MICHAEL SCULLY TRUSTEE 2.0 0.0 X 0 0 0 FREDDA L SEGAL TRUSTEE 2.0 0.0 X 0 0 0 STANLEY A SINGER TRUSTEE 2.0 0.0 X 0 0 0 JOSEPHINE B SMITH TRUSTEE 2.0 0.0 X 0 0 0 RICHARD SNYDER MD TRUSTEE 2.0 0.0 X 0 43696 0 STEVEN E SPENCER MD TRUSTEE - MEDICAL DIRECTOR 55.0 0.0 X 0 293320 19640 JAMES STILL TRUSTEE 2.0 0.0 X 0 0 0 ELLIOT W STONE TRUSTEE 2.0 0.0 X 0 0 0 KEITH W SWEIGARD MD TRUSTEE - MEDICAL DIV CHIEF 55.0 0.0 X 0 499388 91001 MICHAEL JC TAUPIN MD TRUSTEE; EX-OFFICIO 2.0 0.0 X 0 0 0 BRUCE E TOLL TRUSTEE 2.0 0.0 X 0 0 0 OSCAR P VANCE JR TRUSTEE 2.0 0.0 X 0 0 0 ROBERT P VOGEL ESQ TRUSTEE 2.0 0.0 X 0 0 0 MARY ANN WATSON TRUSTEE 2.0 0.0 X 0 0 0 HOWARD ZIPIN MD TRUSTEE 2.0 0.0 X 0 0 0 JOHN J KELLY MD TRUSTEE - EVP & CCO (TERMED) 55.0 0.0 X X 0 972128 17848 PETER WANG MD TRUSTEE (TERMED) 2.0 0.0 X 7500 0 0 GARY R CANDIA PHD CHIEF HOSPITAL ADMINISTRATOR 55.0 0.0 X 0 523029 21659 KATHLEEN M FARRELL EXECUTIVE DIRECTOR 55.0 0.0 X 0 267712 20487 MICHAEL B WALSH SR VP FINANCE/CFO 55.0 0.0 X 0 827636 193970 ALISON L FERREN SR VP; INTEGRATOIN & PERF IMP 55.0 0.0 X 0 569564 85184 DEBORAH A DATTE SR VP; LEGAL 55.0 0.0 X 0 517011 56228 MEGHAN O PATTON VP; HR OPS & ASSOCIATE CHRO 55.0 0.0 X 0 539977 78633 KELLY A CUMMINGS CNO 55.0 0.0 X 0 146105 27190 DAVID S KREMPASKY ASST. DIR. PHARMACEUTICAL SVCS 55.0 0.0 X 184051 0 16204 BETH PRAJZNER DIR. IMAGING & CARDIO 55.0 0.0 X 139078 0 24625 CONSTANCE KRAYNAK NURSE DIRECTOR 55.0 0.0 X 137566 0 6292 PHILLIP DEANGELIS PHARMACIST 55.0 0.0 X 134499 0 32480 LIEM NGUYEN PHARMACIST 55.0 0.0 X 134340 0 16051 737034 8772670 1577300 19 false true false RADIOLOGY GROUP OF ABINGTON PC 1200 OLD YORK ROAD ABINGTON PA 19001 MEDICAL 1407858 ONCALL PHYSICIAN STAFFING INC 1555 BARDSEY DRIVE LOWER GWYNEDD PA 19002 STAFFING 1160167 UNITED ANESTHESIA SERVICE PC PO BOX 828962 PHILADELPHIA PA 191828962 MEDICAL 1065136 ABINGTON EMERGENCY PHYSICIANS 1200 OLD YORK ROAD ABINGTON PA 19001 MEDICAL 776712 NORTH PENN SURGICAL ASSOCIATES 125 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 MEDICAL 400236 5 X 270498 270498 NET PATIENT SERVICE REVENUE 541900 90477885 90477885 OTHER HEALTHCARE RELATED REVENUE 541900 454902 454902 90932787 14999 14999 0 0 893812 366897 526915 0 526915 526915 0 0 0 0 0 0 0 0 0 0 CAFETERIA 722511 161784 161784 161784 91906983 90932787 703698 0 0 0 0 7500 6750 750 0 30757447 27681702 3075745 1077866 970079 107787 4928259 4435433 492826 2389655 2150690 238965 0 0 54587 49128 5459 7918 7126 792 0 0 3165784 2849206 316578 0 327780 295002 32778 563843 507459 56384 0 0 738775 664897 73878 35733 32160 3573 0 0 2134113 1920702 213411 0 5118953 4607058 511895 1048895 944006 104889 MEDICAL SUPPLIES 12955110 11659599 1295511 0 CORPORATE SERVICES 9757746 8781971 975775 0 PURCHASED SERVICES 5339158 4805242 533916 0 PHYSICIAN FEES 1459728 1313755 145973 0 1686822 1518140 168682 83555672 75200105 8355567 0 X 2055 2055 14469346 15639757 0 0 7890022 11106275 0 0 0 0 0 0 464162 492170 711111 507915 99733246 41611929 59774273 58121317 0 0 0 0 0 5020149 0 0 -1427659 -1401230 81883310 89488408 7884149 7497534 0 0 0 0 0 0 0 0 0 0 0 0 0 0 43562022 43774354 51446171 51271888 X 30437139 38216520 0 0 0 0 30437139 38216520 81883310 89488408 X 8351311 -5193 -566737 X X false true X true true true X false false false false false false false false true 7918 7918 false false SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THOMAS JEFFERSON UNIVERSITY PAYS ALL LOBBYING EXPENDITURES ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM AND ALLOCATES A PERCENTAGE OF THESE EXPENDITURES TO VARIOUS AFFILIATES. THESE LOBBYING EXPENDITURES INCLUDE (1) PAYMENT TO AN OUTSIDE INDEPENDENT FIRM AND (2) AN ALLOCATED PORTION OF THE DUES PAID TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION. THE AMOUNT ALLOCATED TO THIS ORGANIZATION ATTRIBUTABLE TO LOBBYING ACTIVITY FOR THE YEAR ENDED JUNE 30, 2018 IS $7,918. 8884649 8884649 17634197 17634197 0 39299755 39299755 32108801 23412691 8696110 1805844 565041 1240803 58121317 SHORT TERM INVESTMENTS 5020149 F 5020149 0 OTHER LIABILITIES 700000 DUE TO THIRD-PARTY PAYORS 100000 SHORT-TERM LIABILITY INSURANCE 1540058 LONG-TERM LIABILITY INSURANCE 2635448 TJU OBLIGATED GROUP LIABILITY 38798848 43774354 true Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 953955 1 1 1 1 953955 953955 true false false false false false true true X true X 299. true X 600. true true false true true 4855 386947 20933 366014 0.00440 9480 6514628 4570367 1944261 0.02330 14335 6901575 4591300 2310275 0.02770 10907 761063 34041 727022 0.00870 391 101428 0 101428 0.00120 1736107 845185 890922 0.01070 419 163653 0 163653 0.00200 11717 2762251 879226 1883025 0.02260 26052 9663826 5470526 4193300 0.05030 true 3002088 50494 29845718 30758282 -912564 X true true 1 1 LANSDALE HOSPITAL CORPORATION 100 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 WWW.ABINGTONHEALTH.ORG 660101 X X X LANSDALE HOSPITAL CORPORATION 1 false false true X X X X X X X X X 15 true true true true X WWW.ABINGTONHEALTH.ORG X true 15 true WWW.ABINGTONHEALTH.ORG false true X 299. 600. X X X X X true true X X X true X WWW.ABINGTONHEALTH.ORG X WWW.ABINGTONHEALTH.ORG X WWW.ABINGTONHEALTH.ORG X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 5 For the 2016 community health needs assessment ("chna"), the department of treasury and the Internal Revenue Service ("irs") encouraged cross institution collaboration. To that end the healthcare improvement foundation, Philadelphia, pennsylvania, in partnership with the hospital and health system association of pennsylvania and the u.s. department of health and human services (region 3) convened the regions hospitals in the collaborative opportunities to advance community health ("coach") project. The goals of coach are to: gather input from public health authorities and key community stakeholders; explore a growing number of health and epidemiologic data sources; and collaborate with public health and other stakeholders to prioritize needs, coordinate interventions, and establish measures for evaluating results. Additionally, the health care improvement foundation began facilitation in fy16 of a Montgomery county hospital partnership. The partnerships role, similar to coach, has an exclusive focus on Montgomery county, pennsylvania, and all hospitals, whether profit or non-profit for involvement. THIS INITIATIVE CONTINUED IN FY18. Lansdale hospital corporation ("lhc") community health and community benefit leaders worked diligently with the Montgomery county hospital partnership and Jefferson health colleagues, as part of a newly formed organization, to conduct the 2016 chna for Abington health including Abington memorial hospital ("amh") and LHC. Community health leaders scheduled meetings, conference calls and follow up conversations, obtained meeting venues, contacted potential participants, and encouraged attendance. Meeting participants were not compensated. Input from all participants, including county and local health department officials and public health experts, was used to further identify and prioritize unmet needs, local problems with access to care and populations with special healthcare needs. Several follow up telephone calls resulted in additional information shared between the non-profit providers and the hospital leaders as the process ensued. Information on the health status and healthcare needs of the residents of LHC's service area was also collected through interviews and meetings and guided by a set of written questions finalized by AMH, LHC and Jefferson/JEFFERSON HEALTH colleagues in community health and community benefit. Almost 30 interviews were conducted with individuals representing healthcare and community-based organizations who have knowledge of the health and underlying social conditions that affect health of people in their neighborhood and broader community. These interviews were conducted by community health and community benefit leaders to gain insight about health needs and priorities, barriers to improving community health, and the community assets and efforts already in place or being planned to address these issues and concerns. In addition, interviews were conducted with health providers of Abington health to gain their perspective about the health issues of their patients and community and to identify LHCs and others efforts to address these issues. Interviewees were asked to prioritize the needs/recommendations discussed during their interview. Lhc interviews and meetings included: hospital senior leaders, emergency room nursing leadership, corporate departments, population health, women and childrens services, muller institute for senior health staff and human resources and hospitalists to name a few. Community organizations were represented from: Montgomery county health department, Montgomery county intermediate unit, north penn community health foundation leadership [NOW KNOWN AS HEALTHSPARK FOUNDATION], north penn mosque, north penn school district, north penn united way, souderton area school district nurse coordinator, vna foundation of north penn, wissahickon school district nurse coordinator, manna on main street executive director, north penn ymca and Philadelphia freedom valley ymcas of ambler leaders. These individuals and the LHC community leaders saw significant overlap in the discussion of unmet needs and health status and provided a focus for both hospitals. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B Lhc participated in the coach project with AMH and jefferson health given the merger. As part of integration the community health and community benefit leaders of LHC collaborated with jefferson HEALTHs center for urban health physician and academic leaders on the chna process for 2016. Coach collaborative participating hospitals included: - abington memorial hospital, now abington hospital-jefferson health - lansdale hospital corporation, now abington-lansdale hospital-jefferson health - aria health - the children's hospital of philadelphia - delaware valley healthcare council of hap - einstein medical center philadelphia - einstein medical center elkins park - einstein medical center montgomery - health care improvement foundation - hospital and health system association of pa - hahnemann university hospital - holy redeemer health system - mercy health system of southeastern pa - mercy fitzgerald hospital - mercy philadelphia hospital - mercy suburban hospital, now prime health - montgomery county health department - temple university health system - jeanes hospital-fox chase cancer center - university of pennsylvania health system - pennsylvania hospital - penn presbyterian medical center - philadelphia department of public health - u.s. department of health and human services, region iii LHC collaborated with the above listed hospitals and health systems, working with jefferson health colleagues and the public health management corporation for household health survey to complete the march 2016 community health needs assessment. SCHEDULE H, PART V, SECTION B, QUESTION 7A THE ORGANIZATION IS AN AFFILIATE WITHIN ABINGTON HEALTH ("AH"); A MEMBER WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR AH. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN AH'S WEBSITE: https://www.abingtonhealth.org/app/files/public/4984/2016-Lansdale-Communi ty-Health-Needs-Assessment.pdf SCHEDULE H, PART V, SECTION B, QUESTION 8 AH including amh and lhc placed the final 2016 chna on the health systems website to provide access and make widely available. The chna from 2013 continues to be posted. Several requests from local non-profit organizations seeking a copy of the document were given access via the downloadable document on the website or emailed by ah leaders. In fy18, this process remained in effect. All 2016 chna and implementation plans were shared with all key community stakeholders and participants in interviews and meetings. Teams were formed at ah to coincide with the major topic areas in spring 2016. Action plans or implementation plans were written, adopted and approved by the community benefit committee of the abington health foundation ("AHF") board by june 30, 2016 [NOW KNOWN AS THE REV. DR. MARTIN LUTHER KING JR. COMMUNITY BENEFIT AND DIVERSITY COMMITTEE]. A presentation was made to AHs legacy board of trustees in april 2016 followed by a presentation to the jefferson health clinical affairs committee. The community health department continues responsibility for the chna and resultant implementation plans to meet community benefit requirements. The strategy of the implementation plans identifies the means through which the hospital plans to address needs that are consistent with the hospitals charitable mission as part of its community benefit programs from 2016 through 2019. Beyond programs discussed in the strategy, the hospital is addressing many of these needs simply by providing care to all, regardless of ability to pay. The hospital anticipates health needs and resources may change, and thus a flexible approach was adopted in the development of its strategy to address needs identified in the 2016 chna. Themes emerged from the chna meetings and were analyzed and coded with all quantitative data. Recognition of themes were discussed and the resulting analysis in the community health needs assessment was organized into major topic or domain areas. Overall, the health of the populations served in the lhc service area is good, ranking higher than the montgomery county and pennsylvania state populations as a whole. Ah's access to care ip/action plan was reviewed immediately with several enhancements introduced. A thorough review of the policy and procedures for financial assistance took place in accordance with internal revenue code 501(r). In fy18 ah continued with a financial counseling center centralizing this function to better accommodate patients and the community. Services onsite at LHC include a financial counselor to help determine eligibility for government-sponsored programs, and offer assistance with the health insurance exchange and other insurance coverage. A printed PLAIN LANGUAGE SUMMARY [PLS] was created and distributed at ah access points, including clinics, outpatient areas, emergency department at LHC and primary care offices. Overview of implementation strategy includes: Prioritization was placed into the chna to maximize the resources available to the hospital using domains. The strategy will focus on the priority health needs that are most important in the domain of access to care: mental health services, access to care and healthy lifestyle behaviors especially for social and healthcare needs of older adults and health education, social services and regular source of care. In the chronic disease management domain, most important was obesity followed by diabetes, heart disease and hypertension, stroke and asthma. Healthy lifestyle behaviors and community environment domain includes alcohol/substance abuse and womens cancer. The domain of health screening and early detection includes colon cancer. Lhc will continue collaboration regionally with other hospitals and health systems within bucks and montgomery counties through partnerships, cooperation, and coordination on public health issues. cooperation, and coordination on public health issues. SCHEDULE H, PART V, SECTION B, QUESTION 10 THE ORGANIZATION IS AN AFFILIATE WITHIN ABINGTON HEALTH ("AH"); A MEMBER WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR AH. THE IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN AH'S WEBSITE: https://www.abingtonhealth.org/app/files/public/5282/abington-lansdale-chn a-ip-plan-2016wcover-final.pdf SCHEDULE H, PART V, SECTION B, QUESTION 11 The most recent, required chna was completed in march 2016. To address the needs identified in the 2016 chna process, the health system convened 7 community benefit action teams consisting of key community stakeholders and ah administrative and clinical leaders to develop and implement goals and action plans or implementation plans. Leaders of these teams will report on progress quarterly through reports shared with the community benefit committee of the ahf board. The health system will not directly focus on youth health behaviors, medication access, community safety, transportation, or the built and natural environment needs identified as "important or less important" in the 2016 chna. Those priorities are beyond the scope of ah and are being addressed by other community based and government organizations. Ah will collaborate with groups of experts in these areas to foster appropriate and safe referrals and identify opportunities for partnership and inclusion in community benefit initiatives. Hospitals are not required to, nor can they meet all unmet needs in the community. Any unmet needs not addressed by the approved implementation plans are already being addressed in the service area by the hospital, other healthcare providers, government, and local non-profit organizations. Our priority unmet needs in the implementation plans are integral to our community benefit strategy. AH leaders continue to monitor new program development and services with collaborative partners, including coach and the montgomery county hospital partnership. SCHEDULE H, PART V, SECTION B, QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN ABINGTON HEALTH ("AH"); A MEMBER WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN PART V, SECTION B, QUESTIONS 16A, 16B AND 16C, IS THE HOME PAGE FOR AH. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN AH'S WEBSITE: https://www.abingtonhealth.org/patients-guests/payment-information/financi al-assistance-program/#.WqllrOjwaUk SCH H,PART V,SECT B,Q'S 2,3J,7d,13B&H,15E,16J,18E,19E,20E,21C&D,23,24 NOT APPLICABLE. 5 NPCHA ADULT DAY SERVICES LANSDALE 51 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 OUTPATIENT SERVICES GREEN AND SEIDNER RADIOLOGY 826 NORTH BROAD LANSDALE PA 19446 OUTPATIENT SERVICES NPCHA ADULT DAY SERVICES SCHWENCKFELD 1290 ALLENTOWN ROAD SUITE A LANSDALE PA 19446 OUTPATIENT SERVICES NPCHA CHILDRENS CLINIC 51 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 OUTPATIENT SERVICES STONERIDGE SLEEP CENTER 670 LAWN AVE SUITE 2B SELLERSVILLE PA 18960 OUTPATIENT SERVICES SCHEDULE H, PART I, LINE 3C LHC is committed to providing medical care in a caring and compassionate manner regardless of the patients financial circumstances, in compliance with the department of treasury internal revenue service section 501(r). The organizations 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") LHC uses the following criteria when determining a patients eligibility for free or discounted financial assistance: - asset level; - medical indigency; - insurance status; - underinsurance status; and - residency. In accordance with the organizations 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 that fall below 299% of the fpl, based on total household income, with sufficient supporting documentation provided, will receive a 100% discount. Patients at 300% or above, up to a maximum of 600% of the fpl, are eligible for financial assistance based upon a sliding scale discount. These discounts are applied against the medicare fee-for-service rates in place at time of determination. Eligibility for financial assistance is also determined by the patients or guarantors ability to pay after all insurance has been utilized or liquid resources exhausted (excluding retirement funds). LHC will not consider the patients 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 50% off total charges for services rendered. In addition, for emergency department and observation services for those treated and released (not admitted as inpatient) there will be a maximum liability of $1,600. For laboratory services, there is a further discount that is generally greater than 50% off charges. A patient unable to pay the uninsured rate is eligible to apply for financial assistance. SCHEDULE H, PART I; QUESTION 6A The organization's community benefit report is in a report prepared by abington health (ein: 27-1243803), a related tax exempt organization. SCHEDULE H, PART I, QUESTION 7 Worksheet 2 was used to calculate the cost to charge ratio for financial assistance and unreimbursed medicaid. All other costs were either obtained from the hospital's cost accounting, cost reporting or general ledger systems. SCHEDULE H, PART II Community building activities undertaken by this organization improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. SCHEDULE H, PART III, SECTION A; LINES 2, 3 & 4 Bad debt expense was calculated using the providers' bad debt expense from its financial statements. The organization and its affiliates prepare and issue audited consolidated financial statements. The system's allowance for doubtful accounts (bad debt expense) methodology and financial assistance policies are consistently applied across all hospital affiliates. The attached text was obtained from the footnotes to the audited consolidated financial statements of the organization and its affiliates. Charitable medical care provided Tju provides medically necessary services to all patients regardless of their ability to pay. Some patients qualify for charity care based on policies established by tju and are therefore not responsible for payment for all or a part of their healthcare services. These policies allow for the provision of free or discounted care in circumstances where requiring payment would impose financial hardship on the patient. Charges for services rendered to patients who meet tjus guidelines for charity care are not separately recorded in the accompanying consolidated financial statements. Tju maintains records to identify and monitor the level of charity care provided. These records include the amount of charges foregone for services and supplies furnished. Such amounts have been excluded from net patient service revenue. Management estimates that the cost of charity care provided by tju was $36.9 million and $28.6 million for the years ended june 30, 2018 and 2017, respectively. These amounts are not included IN the provision for bad debts of $132.8 million and $124.8 million in 2018 and 2017, respectively, which are reflected as deductions in net patient service revenue. The estimated costs of providing charity services are based on a calculation which applies a ratio of costs to charges to the gross uncompensated charges associated with providing care to charity patients. The ratio of cost to charges is calculated based on the tju total expenses divided by gross patient service revenue. Net patient service revenue Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payers and others for services rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payers. Retroactive adjustments are considered in the recognition of revenue on an estimated basis in the period the related services are rendered and are adjusted in future periods as final settlements are determined. Revenue from the medicare and medicaid fee-for-service programs accounted for approximately 33.3% and 8.8%, respectively, and 34.4% and 6.5%, respectively of net patient service revenue in 2018 and 2017, respectively. Most payments to tju from the medicare and pennsylvania medicaid programs for inpatient hospital services are made on a prospective basis. Under these programs, payments are made at a pre-determined specific rate for each discharge based on a patients diagnosis. Additional payments are made to tju teaching and disproportionate share hospitals, as well as for cases that have unusually high costs. Laws governing the medicare and medicaid programs are complex and subject to interpretation. Services billed to the medicare program are subject to external review for both medical necessity and billing compliance. Medicare cost reports for all years, except 2011, 2015, 2016, 2017 AND 2018 have been audited and final settled as of june 30, 2018. No significant adjustments are expected. In addition, tju received funds from the philadelphia hospital assessment program and the medical assistance modernization act-quality care assessment program in the amount of $125.7 million and $125.3 million in 2018 and 2017, respectively, and are recorded in net patient service revenue. Tju paid taxes in respect to these programs amounting to $96.1 million and $95.3 million in 2018 and 2017, respectively, and are recorded in other operating expenses. Both programs were designed to provide supplemental funding for licensed acute care hospitals with the philadelphia hospital assessment program specifically designated for hospital emergency services. Tju has also entered into agreements with certain commercial insurance carriers, health maintenance organizations and preferred provider organizations. The basis for payment to tju under these agreements includes prospectively determined rates per discharge, discounts from established charges, prospectively determined daily rates and capitated rates. Revenue from blue cross and aetna ushc amounted to 21.0% and 11.7%, respectively, and 22.1% and 10.5%, respectively, of tjus net patient service revenue in 2018 and 2017, respectively. SCHEDULE H, PART III, SECTION B; LINE 8 Financial information listed on schedule h part iii lines 5, 6 & 7 were derived from the hospital's cost accounting system and not the 2017 filed medicare cost report. Using the cost report would result in a DECREASE to the amount on line 5 of $298,726 and a decrease to line 6 of $3,878,783. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. The organization believes that medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on the form 990, schedule h, part i. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, national origin, gender, gender identity or expression, sexual orientation, age, status as an individual with a handicap/disability or ability to pay and consistent with the community benefit standard promulgated by the irs. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("irc") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the irc. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "the term charitable is used in section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the irs to determine the criteria hospitals must meet to qualify as irc 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the irs with the community benefit standard which is the current standard. Charity care standard In 1956, the irs issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for irc 501(c)(3) status. One of these requirements is known as the "charity care standard." under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community benefit standard In 1969, the irs issued revenue ruling 69-545, which "remove(d)" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as medicare), but operated a full-time emergency room that was open to everyone. The irs ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The irs reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The irs ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The irs concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the irs highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. The american hospital association ("aha") believes that medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, schedule h, part i. This organization agrees with the aha position. As outlined in the aha letter to the irs dated august 21, 2007 with respect to the first published draft of the new form 990 and schedule h, the aha felt that the irs should incorporate the full value of the community benefit that hospitals provide by counting medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - providing care for the elderly and serving medicare patients is an essential part of the community benefit standard. - medicare, like medicaid, does not pay the full cost of care. Recently, medicare reimburses hospitals only 92 cents for every dollar they spend to take care of medicare patients. The medicare payment advisory commission ("medpac") in its march 2007 report to congress cautioned that underpayment will get even worse, with margins reaching a 10-year low at negative 5.4 percent. - many medicare beneficiaries, like their medicaid counterparts, are poor. More than 46 percent of medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those medicare beneficiaries are also eligible for medicaid -- so called eligibles." There is every compelling public policy reason to treat medicare and medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, schedule h, part i. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the aha and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, schedule h, part i. Like medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - a significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("cbo") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - the report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to be deemed charity care by auditors. As a result, roughly 40% of bad debt is pending charity care. - the cbo concl SCHEDULE H, PART III, SECTION C; QUESTION 9B LHC 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, LHC 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. LHC 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, LHC 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 organizations plain language summary will accompany the 30 day eca initiation notice. If the patient submits a financial assistance application, lhc will suspend any ecas until the patients 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 LHCs financial assistance policy in relation to its collection efforts. No external collection agency are permitted to engage in ecas unless authorized by LHC. After the above-described steps have been taken, LHC 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. LHCs general counsel is required to all lawsuits prior to the eca commencing. Final authority for determining that LHC has made adequate attempts to inform a patient of the financial assistance policy, and thus may initiate the use ecas, rests with the organizations vice president director of revenue cycle operations. SCHEDULE H, PART VI; QUESTION 2 As a non-profit internal revenue code 501(c)(3) organization, abington health ("ah") has a strong mission of community service and outreach. The collaborative process for ah including abington memorial hospital and lansdale hospital corporation began in may 2015 when ah leaders reached out to our new jefferson colleagues at the center for urban health to begin a dialogue for the 2016 chna process. The enterprise team was formed with meetings, conference calls and discussions immediately following. Together a new chna model was created and together we agreed to continue with public health management corporation ("phmc") household health survey for data and quantitative information. Numerous secondary data and literature sources, and internal experts and external representatives of healthcare and community based organizations who have knowledge of health and social conditions of these communities were represented in key interviews and small group meetings during the chna process. The community health needs assessment provides a definition of the community, the demographic and socioeconomic characteristics of the residents, and the existing healthcare resources. Immediately following were the needs assessments process and methods; findings; identification of unmet needs and asset mapping. Quantitative information from the u.s. census, pennsylvania department of health vital statistics and phmc's southeastern pa household health survey was analyzed for the hospital's service area using the statistical program for social sciences ("spss"). The unmet healthcare needs for this service area were identified and prioritized by comparing the health status, access to care, health behaviors, and utilization of services for residents of the service area to results for the county and state and the healthy people 2020 goals for the nation. In addition, for household health survey measures, tests of significance were conducted to identify and prioritize. This organization conducts a review of key factor information annually which includes: a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; healthcare service estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; and, a review of health status/needs assessments and studies conducted by external parties including phmc household health survey data; healthy people 2020; pa department of health, bureau of health statistics and research; behavioral risks of pa adults; minority health disparities in pennsylvania; death rates in pa, montgomery county and southeastern pennsylvania; county health rankings; national organization websites, i.e., american diabetes association, american heart association and american stroke association. Using the quantitative and qualitative data presented in the chna and a prioritization process, ah identified the most important priority health needs for the population of lansdale community benefit areas which include: mental health services; social and healthcare needs of the older adults; obesity; alcohol/substance abuse; womens cancer; chronic disease management (diabetes, heart disease and hypertension, stroke, asthma); health education, social services and regular source of care. The community health department, working under the guidance of the abington health foundation community benefit committee [NOW KNOWN AS THE REV. DR. MARTIN LUTHER KING JR. COMMUNITY BENEFIT AND DIVERSITY COMMITTEE] is responsible for developing implementation plans focusing on priority issues and most important health needs. In addition, this organization works with local providers to plan and discuss health needs of the population. Lhc continues to attend local and regional community organization meetings and county collaboratives for the greater lansdale area. Regional county collaboratives include the healthcare system with representation from local politicians, local community health centers, emergency health providers and other community health leaders. Lhc worked with area hospitals and nonprofits to form the montgomery county health alliance which received pa state designation of ship status (state health improvement plan). In addition, during the chna process, abington health joined coach and the montgomery county hospital partnership WHICH FOCUSED ON FOOD INSECURITY, FUTURE CHNA AND MENTAL HEALTH. SCHEDULE H, PART VI; QUESTION 3 LHC is committed to providing medical care in a caring and compassionate manner regardless of the patients 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. LHC 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 organizations 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 LHC website at https://www.abingtonhealth.org/patients-guests/payment-information/financi al-assistance-program/#.WqllrOjwaUk 2) by mail when a patient calls or contacts LHC's financial services unit at 215-481-2185 3) in person, without appointment, at the following hospital locations: LHC's Financial Services Unit Widener Building, 1st floor 1200 Old York Road Abington, PA 19001 4) as part of the intake or discharge process, paper copies of the plain language summary are offered to individuals who are provided care by the facility. Personal notification --------------------- LHC 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, LHC provides financial counseling services to go over patient bills and answer any questions a patient may have. patient bills and answer any questions a patient may have.and answer any questions a patient may have. SCHEDULE H, PART VI; QUESTION 4 This organization is in a diverse suburban location serving diverse communities of neighborhoods, pockets of need to more affluent suburban areas. This organization is located in hatfield township in montgomery county, pennsylvania. Montgomery county is the second most populous county in the state with 62 municipalities. This organization is committed to service for its communities and serves suburban areas with pockets of need. LHC is a pennsylvania nonprofit organization located in montgomery county, pennsylvania that considers its community benefit service area to include proximate portions of montgomery and bucks counties where almost 544,000 people live. Ahs community benefit area is an area with relatively low underlying economic and structural barriers such as income, culture/language, education, insurance, and housing, that affect overall health. Most health status indicators are improving, and many are better than the healthy people 2020 goal (note that there is not a healthy people 2020 target for many of the health status measures described in the chna). More than 1.4 million people live in bucks (627,000) and montgomery counties (812,000). According to the county health rankings and roadmaps 2015, the population of bucks county is 86% non-hispanic white, 4% non-hispanic african american, 5% hispanic or latino, and 4% asian. Montgomery countys racial/ethnic distribution is 78% non-hispanic white, 9% non-hispanic african american, 5% hispanic or latino, and 7% asian. The demographic profiles of these counties is fairly similar to the profile of the commonwealth of pennsylvania with 78% non-hispanic white, 10% non-hispanic african american, 6% hispanic or latino, and 3% asian. The proportion of residents aged less than 18 in pennsylvania, bucks and montgomery counties is 21-22%, and the proportion of age 65+ is 16% in all three regions. Median household income in bucks ($73,662) and montgomery ($77,021) counties is significantly higher than for pennsylvania ($52,005). Approximately 2% are not proficient in english in each of the 3 geographies. LHC geographically defined its community benefit area by region in the following way: north penn, indian valley, county line and blue bell with zip codes documented in the chna. SCHEDULE H, PART VI; QUESTION 5 All qualified physicians are extended privileges by their respective departments where openings exist. Under the directive of the organization's corporate finance office, surplus funds are utilized for capital projects to improve services or purchase equipment which in turn, benefit the community. Please also refer to form 990, schedule o, which contains the organization's community benefit statement and summary of all entities which comprise jefferson/jefferson health. SCHEDULE H, PART VI; QUESTION 6 THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/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 CONDUCTS RESEARCH AND OFFERS UNDERGRADUATE AND GRADUATE INSTRUCTION THROUGH THE SIDNEY KIMMEL MEDICAL COLLEGE AND THE JEFFERSON COLLEGES OF NURSING, PHARMACY, HEALTH PROFESIONS, POPULATION HEALTH, AND BIOMEDICAL SCIENCES. THOMAS JEFFERSON UNIVERSITY HOSPITAL, ABINGTON HEALTH, ARIA HEALTH, 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 ARIA HEALTH SYSTEM 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. THOMAS JEFFERSON UNIVERSITY AND JEFFERSON HEALTH (ALSO KNOWN COLLECTIVELY AS ("JEFFERSON") IS AN ACADEMIC MEDICAL CENTER DEDICATED TO EDUCATING THE HEALTH PROFESSIONALS OF TOMORROW IN A VARIETY OF DISCIPLINES; DISCOVERING NEW TREATMENTS AND THERAPIES THAT WILL DEFINE THE FUTURE OF CLINICAL CARE; AND PROVIDING EXCEPTIONAL PRIMARY CARE THROUGH COMPLEX QUATERNARY CARE TO PATIENTS IN THE COMMUNITIES SERVED THROUGHOUT THE DELAWARE VALLEY. FOUNDED IN 1824 AS JEFFERSON MEDICAL COLLEGE (JMC), AND NOW KNOWN AS SIDNEY KIMMEL MEDICAL COLLEGE AT THOMAS JEFFERSON UNIVERSITY (TJU), THE UNIVERSITY ALSO INCLUDES THE JEFFERSON COLLEGES OF BIOMEDICAL SCIENCES, HEALTH PROFESSIONS, NURSING, PHARMACY, AND POPULATION HEALTH. TJU ENROLLS MORE THAN 3,800 FUTURE PHYSICIANS, SCIENTISTS AND HEALTHCARE PROFESSIONALS. TJUH SYSTEM, INC. ----------------- TJUH SYSTEM, INC. ("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 ALL OTHER HOSPITAL ENTERPRISE ORGANIZATIONS. THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. ------------------------------------------- JEFFERSON HEALTH IS THE CLINICAL ARM OF THE ORGANIZATION. IT 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 HOLDING COMPANY PROVIDING PLANNING, MANAGEMENT AND OVERSIGHT FOR CERTAIN NON-ACUTE CARE, NON-PROFIT SUBSIDIARY ORGANIZATIONS. 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). JEFFERSON PHYSICIAN SERVICES PROVIDES SUPPORT TO VARIOUS RELATED THOMAS JEFFERSON INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS. 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). JMC PROVIDES PHYSICIAN SERVICES IN THE AREAS OF FAMILY MEDICINE, ORAL SURGERY AND INTEGRATIVE MEDICINE. 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). JUP IS CHARGED IN SUPPORTING THE MEDICAL CARE, EDUCATION AND RESEARCH OF TJU, SKMC AND TJUHS. 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). JUPNJ IS CHARGED IN SUPPORTING THE MEDICAL CARE, EDUCATION AND RESEARCH OF TJU, SKMC AND TJUHS. 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). METHODIST ASSOCIATES IN HEALTHCARE, INC. PROVIDES PROFESSIONAL SERVICES. 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 FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). MAHCNJ IS A PROFESSIONAL CORPORATION WHOSE STOCK IS NOMINALLY OWNED BY AN EMPLOYED PHYSICIAN OF TJUHS. SUTHBREIT PROPERTIES, LTD. -------------------------- SUTHBREIT PROPERTIES, LTD. ("SP") IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). SP ACTS AS A REAL ESTATE HOLDING COMPANY FOR VARIOUS PROPERTIES. WALNUT HOME THERAPEUTICS, INC. ------------------------------ WALNUT HOME THERAPEUTICS, INC. ("WHT") IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(2). WHT PROVIDES MEDICATIONS IN THE HOME TO ASSIST IN TRANSITIONING PATIENTS FROM A HOSPITAL OF SKILLED FACILITY TO INDEPENDENT LIVING, PRIMARILY THROUGH INTRAVENOUS DRUG DELIVERY METHODOLOGIES, IN SUPPORT OF TJUH AND OTHER PHILADELPHIA AREA HOSPITALS, AND SERVES AS A SPECIALTY PHARMACY THAT PROVIDES A UNIQUE SERVICE TO CLINICALLY COMPLEX PATIENTS. SPECIALTY MEDICATIONS ARE TYPICALLY BIOTECHNOLOGY-DERIVED MEDICATIONS THAT TREAT RARE AND CHRONIC CONDITIONS. SCHEDULE H, PART VI; QUESTION 6 ABINGTON HEALTH --------------- ABINGTON HEALTH ("AH") IS A NOT FOR PROFIT HOLDING COMPANY BASED IN ABINGTON, PENNSYLVANIA. AH IS THE SOLE CORPORATE MEMBER OF A NUMBER OF NOT FOR-PROFIT ENTITIES AS OUTLINED HEREIN. AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, AH STRIVES TO CONTINUALLY DEVELOP AND OPERATE AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES A COMPREHENSIVE SPECTRUM OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE RESIDENTS OF PENNSYLVANIA COUNTIES INCLUDING EASTERN MONTGOMERY, PORTIONS OF BUCKS AND PHILADELPHIA COUNTIES, PENNSYLVANIA. AH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). ABINGTON MEMORIAL HOSPITAL -------------------------- ABINGTON MEMORIAL HOSPITAL ("AMH") IS A 665-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN ABINGTON, MONTGOMERY COUNTY, PENNSYLVANIA. AMH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, GENDER, GENDER IDENTITY OR EXPRESSION, SEXUAL ORIENTATION, RELIGION, AGE, STATUS AS AN INDIVIDUAL WITH A HANDICAP/DISABILITY OR ABILITY TO PAY. MOREOVER, NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. AMH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. LANSDALE HOSPITAL CORPORATION ----------------------------- LANSDALE HOSPITAL CORPORATION ("LHC") IS A 140-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN LANSDALE, MONTGOMERY COUNTY, PENNSYLVANIA. LHC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, LHC 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. LHC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ABINGTON HEALTH FOUNDATION -------------------------- ABINGTON HEALTH FOUNDATION 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). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ABINGTON MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION. ARIA HEALTH SYSTEM, INC. ------------------------ ARIA HEALTH SYSTEM, INC. ("AHS") IS THE TAX-EXEMPT PARENT OF THE ARIA HEALTH SYSTEM ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER AHS OR ANOTHER AHS AFFILIATE CONTROLLED BY AHS. THE SYSTEM IS AN INTEGRATED SYSTEM OF HEALTHCARE PROVIDERS THROUGHOUT THE COMMONWEALTH OF PENNSYLVANIA AND IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). ARIA HEALTH D/B/A JEFFERSON HEALTH - NORTHEAST ("JHNE") ------------------------------------------------------- JHNE IS COMPRISED OF THREE HOSPITAL CAMPUSES, MULTIPLE OUTPATIENT CENTERS AND A GROWING NETWORK OF PHYSICIANS THAT SERVE THE NORTHEAST PHILADELPHIA AND BUCKS COUNTY COMMUNITIES. JHNE'S JEFFERSON FRANKFORD HOSPITAL IS A 115-BED HOSPITAL FACILITY WHICH OFFERS AN ARRAY OF EMERGENCY, INPATIENT, OUTPATIENT MEDICAL AND SURGICAL SERVICES. ALSO LOCATED ON JEFFERSON FRANKFORD HOSPITAL IS THE HEALTH CENTER CLINIC WHICH HANDLES MORE THAN 5,000 OUTPATIENT CASES PER YEAR, ALONG WITH THE ARIA HEALTH SCHOOL OF NURSING, WHICH OPENED A YEAR AFTER THE HOSPITAL AND IS NOW THE LARGEST HOSPITAL-BASED NURSING SCHOOL IN PENNSYLVANIA. JHNE'S JEFFERSON TORRESDALE HOSPITAL IS A 258-BED HOSPITAL FACILITY THAT OFFERS AN ARRAY OF INPATIENT AND OUTPATIENT MEDICAL, SURGICAL AND EMERGENCY SERVICES. ARIA HEALTH - TORRESDALE IS ALSO A STATE-ACCREDITED LEVEL II TRAUMA CENTER, ONE OF THE ORIGINAL NINE TRAUMA SITES DESIGNATED BY THE COMMONWEALTH OF PENNSYLVANIA. JHNE'S JEFFERSON BUCKS HOSPITAL IS A 112-BED HOSPITAL FACILITY THAT OFFERS AN ARRAY OF EMERGENCY, INPATIENT, OUTPATIENT, MEDICAL AND SURGICAL SERVICES. JHNE 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 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. MOREOVER, JHNE OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ARIA HEALTH PHYSICIAN SERVICES ------------------------------ ARIA HEALTH 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 170(B)(1)(A)(III). THE ORGANIZATION SUPPORTS JHNE, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION. ARIA HEALTH ORTHOPAEDICS ------------------------ ARIA HEALTH ORTHOPAEDICS 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). THE ORGANIZATION SUPPORTS JHNE, A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION. JEFFERSON HEALTH NORTHEAST FOUNDATION --------------------------------------- JEFFERSON HEALTH NORTHEAST FOUNDATION 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). THIS ORGANIZATION IS ORGANIZED AND OPERATED EXCLUSIVELY TO SUPPORT AND FOR THE BENEFIT OF ARIA HEALTH SYSTEM, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. KENNEDY HEALTH SYSTEM, INC. --------------------------- KENNEDY HEALTH SYSTEM, INC. ("KHS") IS THE TAX-EXEMPT PARENT OF THE KENNEDY HEALTH SYSTEM ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS KHS. THE SYSTEM IS AN INTEGRATED SYSTEM OF HEALTHCARE PROVIDERS THROUGHOUT NEW JERSEY AND IS 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 170(B)(1)(A)(VI). KENNEDY UNIVERSITY HOSPITAL, INC. --------------------------------- KENNEDY UNIVERSITY HOSPITAL, INC. ("KUH") IS A NON-PROFIT NEW JERSEY CORPORATION WHICH OWNS AND OPERATES A 607-BED MULTI-CAMPUS HOSPITAL SYSTEM WITH HOSPITAL FACILITIES IN STRATFORD, CHERRY HILL AND TURNERSVILLE (WASHINGTON TOWNSHIP), NEW JERSEY. THE HOSPITAL IS THE MAJOR TEACHING AFFILIATE OF THE ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES, AS WELL AS HOME HEALTH, DIALYSIS, RADIATION ONCOLOGY AND REHABILITATION SERVICES, PRINCIPALLY TO RESIDENTS OF CAMDEN AND GLOUCESTER COUNTIES, NEW JERSEY. KUH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, KUH PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX OR ABILITY TO PAY. MOREOVER, IT OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. KENNEDY HEALTH FACILITIES, INC. ------------------------------- KENNEDY HEALTH FACILITIES, INC. IS A NON-PROFIT NURSING HOME CONSISTING OF 190 BEDS (130 LONG-TERM CARE BED AND 60 SUB-ACUTE CARE BEDS). KHF IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). KENNEDY HEALTH CARE FOUNDATION, INC. ------------------------------------ KENNEDY HEALTH CARE FOUNDATION, INC. IS A NOT-FOR-PROFIT CORPORATION WHICH IS RESPONSIBLE FOR THE FUNDRAISING ACTIVITIES OF THE SYSTEM. THE ORGANIZATION IS 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 170(B)(1)(A)(VI). SCHEDULE H, PART VI; QUESTION 6 KENNEDY MEDICAL GROUP PRACTICE, P.C. ------------------------------------ KENNEDY MEDICAL GROUP PRACTICE, P.C. D/B/A KENNEDY HEALTH ALLIANCE, IS A TAX-EXEMPT PROFESSIONAL CORPORATION AND OPERATES AS A NETWORK OF PRIMARY PHYSICIAN GROUPS AND SPECIALISTS WITH OFFICES LOCATED THROUGHOUT THE SOUTH JERSEY REGION. 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). KENNEDY PROPERTY CORPORATION ---------------------------- KENNEDY PROPERTY CORPORATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). KPC IS THE HOLDING COMPANY TO PROVIDE OVERALL PLANNING, MANAGEMENT AND SUPPORT SERVICES FOR ALL OTHER HOSPITAL ENTERPRISE ORGANIZATIONS. STAT MEDICAL TRANSPORT, INC. ---------------------------- STAT MEDICAL TRANSPORT, INC. IS A NOT-FOR-PROFIT AMBULANCE COMPANY WHICH OWNS AND OPERATES AMBULANCES THAT SERVICE THE HOSPITAL AND THE COMMUNITY. THE ORGANIZATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). PHILADELPHIA UNIVERSITY ----------------------- PHILADELPHIA UNIVERSITY 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). THE ORGANIZATION FUNCTIONS AS A COMPREHENSIVE UNIVERSITY WITH PREEMINENCE IN TRANSDISCIPLINARY, EXPERIENTIAL PROFESSIONAL EDUCATION, RESEARCH AND DISCOVERY, DELIVERING EXCEPTIONAL VALUE FOR THE 21ST CENTURY STUDENTS WITH EXCELLENCE IN ARCHITECTURE, BUSINESS, DESIGN, FASHION, ENGINEERING, HEALTH, MEDICINE, SCIENCE AND TEXTILES - INFUSED WITH THE LIBERAL ARTS. MAGEE REHABILITATION HOSPITAL ----------------------------- MAGEE REHABILITATION IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, MAGEE REHABILITATION PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, MAGEE REHABILITATION OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. FOR-PROFIT HEALTH SYSTEM ENTITIES ================================== 1100 WALNUT ASSOCIATES, LLC --------------------------- 1100 WALNUT ASSOCIATES, LLC IS A LIMITED LIABILITY COMPANY WHICH ENGAGES IN REAL ESTATE ACTIVITY. TMB ENTERPRISE PARTNERSHIP, LLC ------------------------------- TMB ENTERPRISE PARTNERSHIP, LLC IS A PARTNERSHIP OWNED BY ARIA HEALTH SYSTEM AFFILIATES. THIS ORGANIZATION ENGAGES IN REAL ESTATE ACTIVITY. JUNIATA MEDICAL BUILDING PARTNERS, LLC -------------------------------------- JUNIATA MEDICAL BUILDING PARTNERS, LLC IS A PARTNERSHIP OWNED BY ARIA HEALTH SYSTEM AFFILIATES. THIS ORGANIZATION ENGAGES IN REAL ESTATE ACTIVITY. MEDICAL IMAGING ASSOCIATES, LLC ------------------------------- MEDICAL IMAGING ASSOCIATES, LLC IS A PARTNERSHIP WHICH IS OWNED 83% BY ARIA HEALTH SYSTEM; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. THIS ORGANIZATION RENTS MEDICAL EQUIPMENT TO SYSTEM AFFILIATES. ATRIUM CORPORATION ------------------ ATRIUM CORPORATION IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS TJUHS. THE ORGANIZATION IS LOCATED IN PHILADELPHIA, PENNSYLVANIA. THE ORGANIZATION IS A TAXABLE HOLDING COMPANY PROVIDING OVERSIGHT FOR OWNED FOR-PROFIT SUBSIDIARY ORGANIZATIONS. HEALTHMARK, INC. ---------------- HEALTHMARK, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS THE ATRIUM CORPORATION. THE ORGANIZATION IS LOCATED IN PHILADELPHIA, PENNSYLVANIA. THE ORGANIZATION PROVIDES WORKERS COMPENSATION SERVICES AND EMPLOYEE PHYSICALS AND TESTING. JEFFCARE, INC. -------------- JEFFCARE, INC. IS A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS TJUHS. THE ORGANIZATION IS LOCATED IN PHILADELPHIA, PENNSYLVANIA. THE ORGANIZATION NEGOTIATES AND COORDINATES MANAGED CARE CONTRACTS AND SUPPORTS JEFFCARE ALLIANCE, LLC. THE ORGANIZATION IS A PHYSICIAN-HOSPITAL ORGANIZATION ("PHO"). JEFFERSON ACUTE CARE PHYSICIANS, P.C. ------------------------------------- JEFFERSON ACUTE CARE PHYSICIANS, P.C. IS A FOR-PROFIT ENTITY. THE ORGANIZATION IS LOCATED IN PHILADELPHIA, PENNSYLVANIA. THE ORGANIZATION PROVIDES MEDICAL SERVICES. JEFFERSON PHYSICIAN SERVICES OF CALIFORNIA, P.C. ------------------------------------------------ JEFFERSON PHYSICIAN SERVICES OF CALIFORNIA, P.C. IS A FOR-PROFIT ENTITY. THE ORGANIZATION WAS ORGANIZED TO PROVIDE TELEMEDICINE SERVICES. TELEMEDICINE SEEKS TO IMPROVE A PATIENT'S HEALTH BY PERMITTING TWO-WAY, REAL TIME INTERACTIVE COMMUNICATION BETWEEN THE PATIENT, AND THE PHYSICIAN OR PRACTITIONER AT THE DISTANT SITE. THIS ORGANIZATION IS CURRENTLY INACTIVE. MID-ATLANTIC MATERNAL FETAL INSTITUTE, INC. ------------------------------------------- MID-ATLANTIC MATERNAL FETAL INSTITUTE, INC. IS A FOR-PROFIT ENTITY. THE ORGANIZATION IS LOCATED IN PHILADELPHIA, PENNSYLVANIA. THE ORGANIZATION IS CURRENTLY INACTIVE. MID-ATLANTIC MATERNAL FETAL INSTITUTE, PC ----------------------------------------- MID-ATLANTIC MATERNAL FETAL INSTITUTE, PC IS A FOR-PROFIT ENTITY. THE ORGANIZATION IS LOCATED IN PHILADELPHIA, PENNSYLVANIA. THE ORGANIZATION IS CURRENTLY INACTIVE. TJU, INC. --------- TJU, INC. IS A FOR-PROFIT ENTITY. THE ORGANIZATION IS LOCATED IN PHILADELPHIA, PENNSYLVANIA. THE ORGANIZATION IS RESPONSIBLE FOR MANAGING AND OPERATING RENTAL SPACE. WALNUT REALTY ------------- WALNUT REALTY IS A FOR-PROFIT ENTITY. THE ORGANIZATION IS LOCATED IN PHILADELPHIA, PENNSYLVANIA. THE ORGANIZATION IS RESPONSIBLE FOR MANAGING AND OPERATING RENTAL SPACE. 925 WALNUT STREET CORP. ----------------------- 925 WALNUT STREET CORP. IS A FOR-PROFIT ENTITY. THE ORGANIZATION IS LOCATED IN WILMINGTON, DELAWARE. THE ORGANIZATION IS RESPONSIBLE FOR MANAGING AND OPERATING A PARKING GARAGE. SYSTEM SERVICE CORPORATION -------------------------- SYSTEM SERVICE CORPORATION IS A FOR-PROFIT HOLDING CORPORATION LOCATED IN DELAWARE. T.F. DEVELOPMENT, INC. ---------------------- T.F. DEVELOPMENT, INC. IS A FOR-PROFIT CORPORATION WHOSE SOLE SHAREHOLDER IS SYSTEM SERVICE CORPORATION. THE ORGANIZATION MANAGES RENTAL REAL ESTATE. HEALTH CARE, INC. ----------------- HEALTH CARE, INC. IS A FOR-PROFIT CORPORATION WHOSE SOLE SHAREHOLDER IS SYSTEM SERVICE CORPORATION. THE ORGANIZATION OPERATES A PHARMACY IN BUCKS COUNTY, PENNSYLVANIA. KENNEDY MANAGEMENT GROUP, INC. ------------------------------ KENNEDY MANAGEMENT GROUP, INC. IS A FOR-PROFIT CORPORATION THAT INVESTS IN FOR-PROFIT BUSINESSES TO FURTHER ITS MISSION. KMG ACCOUNTS FOR INVESTMENTS UNDER THE EQUITY METHOD AND HAS A 50% INTEREST IN THE OPERATIONS OF HEALTHTRAX FITNESS GYM, LLC, A 20% INTEREST IN MAB BUILDING ASSOCIATES, AND A 26% INTEREST IN KHS AMBULATORY SURGERY CENTER, LLC. KMG FILES ITS FEDERAL TAX RETURN IN CONSOLIDATION WITH PROFESSIONAL MEDICAL MANAGEMENT, INC. PROFESSIONAL MEDICAL MANAGEMENT, INC. ------------------------------------- PROFESSIONAL MEDICAL MANAGEMENT, INC. IS A SUBSIDIARY OF KENNEDY MANAGEMENT GROUP, INC. THIS CORPORATION IS A FOR-PROFIT COLLECTION SERVICE COMPANY. KENNEDY ACCESS INCORPORATED --------------------------- KENNEDY ACCESS INCORPORATED IS A FOR-PROFIT CORPORATION WHOSE SOLE SHAREHOLDER IS KENNEDY HEALTH SYSTEM, INC. THE ORGANIZATION IS CURRENTLY INACTIVE. SCHEDULE H, PART VI; QUESTION 6 JOINT VENTURES ============== RIVERVIEW SURGERY CENTER AT THE NAVY YARD, LP --------------------------------------------- RIVERVIEW SURGERY CENTER AT THE NAVY YARD, LP IS A LIMITED PARTNERSHIP OF WHICH THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. OWNS A 50.49% MAJORITY INTEREST. RIVERVIEW SURGERY CENTER AT THE NAVY YARD, LLC ---------------------------------------------- RIVERVIEW SURGERY CENTER AT THE NAVY YARD, LLC IS A LIMITED LIABILITY COMPANY OF WHICH THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. OWNS A 51% MAJORITY INTEREST. JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC ---------------------------------------------- JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES, LLC IS A LIMITED LIABILITY COMPANY OF WHICH THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. OWNS A 80% MAJORITY INTEREST. JEFFERSON COMPREHENSIVE CONCUSSION CENTER, LLC ---------------------------------------------- JEFFERSON COMPREHENSIVE CONCUSSION CENTER, LLC IS A LIMITED LIABILITY COMPANY OF WHICH THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. HOLDS A 32.5% INTEREST IN AND JEFFERSON UNIVERSITY PHYSICIANS HOLDS A 33.9% INTEREST IN. ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL, LLC ------------------------------------------- ROTHMAN ORTHOPAEDIC SPECIALTY HOSPITAL, LLC IS A LIMITED LIABILITY COMPANY OF WHICH THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. OWNS A 54% MAJORITY INTEREST. JEFFHEDGE, LLC -------------- JEFFHEDGE, LLC IS A LIMITED LIABILITY COMPANY OF WHICH THOMAS JEFFERSON UNIVERSITY HOLDS A 70% MAJORITY INTEREST. MLJH, LLC --------- MLJH, LLC IS A LIMITED LIABILITY COMPANY OF WHICH THOMAS JEFFERSON UNIVERSITY HOSPITALS, INC. HAS A 50% INTEREST. THIS ORGANIZATION WAS CREATED TO INVEST IN PHYSICIANS CARE SURGICAL HOSPITAL, LP, A PENNSYLVANIA LIMITED PARTNERSHIP WHICH OPERATES A SPECIALTY SURGICAL HOSPITAL. GARDEN STATE RADIOLOGY NETWORK, LLC ----------------------------------- GARDEN STATE RADIOLOGY NETWORK, LLC WILL DEVELOP, OWN, OPERATE AND MANAGE A DIAGNOSTIC IMAGING NETWORK FOR THE SYSTEM. KENNEDY HEALTH SYSTEM, INC. HAS A 51% INTEREST IN THE ORGANIZATION. KENNEDY CHERRY HILL SURGICAL CENTER, LLC ---------------------------------------- KENNEDY CHERRY HILL SURGICAL CENTER, LLC IS A LIMITED LIABILITY COMPANY OF WHICH KENNEDY UNIVERSITY HOSPITAL, INC. HAS A 51% INTEREST. THIS ORGANIZATION OPERATES A SURGICAL CENTER. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA. NO COMMUNITY BENEFIT REPORT IS REQUIRED TO BE FILED WITH EITHER PENNSYLVANIA OR NEW JERSEY. X X X X X true true false false false false false true false WARREN B MATTHEWS MD TRUSTEE - PHYSICIAN 0 306199 0 0 0 15600 0 12500 0 16068 0 350367 0 0 MARGARET M MCGOLDRICK TRUSTEE - PRESIDENT, AMH/LHC 0 502821 0 163016 0 228435 0 185205 0 12856 0 1092333 0 200235 LAURENCE M MERLIS TRUSTEE-EVP,COO-JEFFERSON HLTH 0 1106165 0 837120 0 276560 0 614008 0 16713 0 2850566 0 221229 STEVEN E SPENCER MD TRUSTEE - MEDICAL DIRECTOR 0 260810 0 22500 0 10010 0 12500 0 7140 0 312960 0 0 KEITH W SWEIGARD MD TRUSTEE - MEDICAL DIV CHIEF 0 359703 0 119301 0 20384 0 79644 0 11357 0 590389 0 0 JOHN J KELLY MD TRUSTEE - EVP & CCO (TERMED) 0 403181 0 223601 0 345346 0 12500 0 5348 0 989976 0 15364 GARY R CANDIA PHD CHIEF HOSPITAL ADMINISTRATOR 0 370529 0 122500 0 30000 0 12500 0 9159 0 544688 0 0 KATHLEEN M FARRELL EXECUTIVE DIRECTOR 0 226555 0 41157 0 0 0 11328 0 9159 0 288199 0 0 MICHAEL B WALSH SR VP FINANCE/CFO 0 460923 0 131699 0 235014 0 179581 0 14389 0 1021606 0 211884 ALISON L FERREN SR VP; INTEGRATOIN & PERF IMP 0 379414 0 130810 0 59340 0 74913 0 10271 0 654748 0 45791 DEBORAH A DATTE SR VP; LEGAL 0 358987 0 109110 0 48914 0 48124 0 8104 0 573239 0 25269 MEGHAN O PATTON VP; HR OPS & ASSOCIATE CHRO 0 353767 0 113093 0 73117 0 57887 0 20746 0 618610 0 48121 KELLY A CUMMINGS CNO 0 129881 0 16224 0 0 0 6494 0 20696 0 173295 0 0 DAVID S KREMPASKY ASST. DIR. PHARMACEUTICAL SVCS 159759 0 24292 0 0 0 7988 0 8216 0 200255 0 0 0 BETH PRAJZNER DIR. IMAGING & CARDIO 115043 0 14917 0 9118 0 5752 0 18873 0 163703 0 0 0 PHILLIP DEANGELIS PHARMACIST 134399 0 100 0 0 0 6720 0 25760 0 166979 0 0 0 LIEM NGUYEN PHARMACIST 134240 0 100 0 0 0 6712 0 9339 0 150391 0 0 0 CORE FORM, PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2017 FORMS W-2. SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2017 WHICH WAS INCLUDED IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOHN J. KELLY, M.D., $295,393 AND BETH PRAJZNER, $9,118. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES AMOUNTS RELATED TO PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE INDIVIDUAL HAS SATISFIED THE AGE AND YEARS OF SERVICE REQUIREMENTS SPECIFIED BY THE SERP. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARGARET M. MCGOLDRICK, $181,713; LAURENCE M. MERLIS, $132,556; MICHAEL B. WALSH, $211,884; ALISON L. FERREN, $45,791; DEBORAH A. DATTE, $25,269 AND MEGHAN O. PATTON, $48,121. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT IS 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 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARGARET M. MCGOLDRICK, $154,186; LAURENCE M. MERLIS, $118,852; KEITH W. SWEIGARD, M.D., $48,363; MICHAEL B. WALSH, $167,081; ALISON L. FERREN, $49,913; DEBORAH A. DATTE, $35,624 AND MEGHAN O. PATTON, $45,387. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A TJU RECRUITMENT AND RETENTION PROGRAM FOR KEY INDIVIDUALS WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN THE INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: LAURENCE M. MERLIS, $449,760. SCHEDULE J, PART I, QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2017 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. 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 AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AND EXECUFLEX PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARGARET M. MCGOLDRICK, $200,235; LAURENCE M. MERLIS, $221,229; JOHN J. KELLY, M.D., $15,364; MICHAEL B. WALSH, $211,884; ALISON L. FERREN, $45,791; DEBORAH A. DATTE, $25,269 AND MEGHAN O. PATTON, $48,121. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS ACCRUED NON-TAXABLE DEFERRED COMPENSATION. CORE FORM, PART III LANSDALE HOSPITAL CORPORATION ("LHC") IS A NON-PROFIT 140-BED COMMUNITY HOSPITAL LOCATED IN HATFIELD TOWNSHIP THAT PROVIDES A COMPREHENSIVE RANGE OF MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. LHC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, LHC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, GENDER, GENDER IDENTITY OR EXPRESSION, SEXUAL ORIENTATION, RELIGION, AGE, STATUS AS AN INDIVIDUAL WITH A HANDICAP/DISABILITY OR ABILITY TO PAY. MOREOVER, NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. LHC OPERATES CONSISTENTLY WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. LHC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. LHC OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. LHC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF LHC RESTS WITH JEFFERSON HEALTH'S BOARD OF TRUSTEES; WHICH INCLUDES A NUMBER OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY WHO ALL VOLUNTEER THEIR TIME AND TALENTS. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. ABINGTON MEMORIAL HOSPITAL ("AMH") PURCHASED THE ASSETS OF THE FORMER CENTRAL MONTGOMERY MEDICAL CENTER FROM UNIVERSAL HEALTH SERVICES, INC. ON OCTOBER 31, 2008. THE HOSPITAL WAS RE-NAMED LHC AND BECAME A PART OF ABINGTON HEALTH ("AH") AND AFFILIATES, BRINGING ALL THE ABINGTON ENTITIES UNDER A NEW UMBRELLA: ABINGTON HEALTH EFFECTIVE APRIL 30, 2015 AT 11:59 PM, THOMAS JEFFERSON UNIVERSITY ("TJU"), A PENNSYLVANIA NON-PROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, BECAME THE SOLE CORPORATE MEMBER OF AH. THIS TRANSACTION WAS ACHIEVED BY THE FILING OF THE AMENDED AND RESTATED ARTICLES OF INCORPORATION. AS A RESULT OF THIS TRANSACTION, AH AND ITS SUBSIDIARIES, AMH, LHC, AND ABINGTON HEALTH FOUNDATION ("AHF") (COLLECTIVELY, THE "SUBSIDIARIES"), BECAME SUBSIDIARIES OF TJU, CREATING A UNIVERSITY HEALTH SYSTEM, KNOWN AS JEFFERSON, THAT ENCOMPASSES THOMAS JEFFERSON UNIVERSITY PLUS JEFFERSON HEALTH. THE ABINGTON NAME IS MAINTAINED IN THE SUBURBAN ABINGTON REGION AND NOW INCLUDES A JEFFERSON HEALTH ENDORSEMENT. FOR EXAMPLE, AMH IS NOW KNOWN AS ABINGTON HOSPITAL JEFFERSON HEALTH AND LHC KNOWN AS ABINGTON-LANSDALE HOSPITAL-JEFFERSON HEALTH. PART OF JEFFERSON HEALTH SINCE 2015, WHICH HAS ALSO RECENTLY MERGED WITH THE FORMER ARIA HEALTH AND KENNEDY HEALTH. THE COMBINED ENTITY INCLUDES FOURTEEN HOSPITALS AND 40+ OUTPATIENT AND URGENT CARE CENTER LOCATIONS LOCATED THROUGHOUT PHILADELPHIA, BUCKS AND MONTGOMERY COUNTIES IN PENNYSLVANIA 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 6,600 PHYSICIANS/PRACTITIONERS, 7,400 NURSES [FULL/PART TIME], 40+ OUTPATIENT AND URGENT CARE LOCATIONS; AND OVER 4.3 MILLION PATIENT INTERACTIONS. THE PARTNERSHIP STRENGTHENS THE ENTERPRISES ABILITY TO CARE FOR THE COMMUNITIES WE SERVE. IN ADDITION, JEFFERSONS UNIQUE GOVERNANCE STRUCTURE CONTINUES AS A COMBINED BOARD WITH EQUAL REPRESENTATION FROM JEFFERSON, ABINGTON, ARIA AND KENNEDY. MAGEE REHABILITATION HOSPITAL WAS ACQUIRED IN FY18. ADDITIONALLY, IN FY18, JEFFERSON HEALTH SIGNED A LETTER OF INTENT WITH EINSTEIN HEALTHCARE NETWORK [EHN] OF PHILADELPHIA AND MONTGOMERY COUNTY, PENNSYLVANIA. THIS ADDITIONAL PARTNERSHIP BUILDS ON A SHARED GOVERNANCE MODEL THAT WOULD INCLUDE THE APPOINTMENT OF EINSTEIN HEALTHCARE NETWORK REPRESENTATIVES TO THE TJU BOARD. EHN INCLUDES THE LARGEST INDEPENDENT ACADEMIC MEDICAL CENTER IN THE PHILADELPHIA REGION. WITH MORE THAN 150 YEARS OF SERVICE TO THE COMMUNITY, EINSTEIN HAS A WEALTH OF EXPERIENCE, BLENDING A LONG AND DISTINGUISHED HISTORY WITH HIGH QUALITY, LEADINGEDGE MEDICINE. THE NETWORK ENCOMPASSES 8,500 EMPLOYEES AND FOUR INPATIENT HOSPITAL FACILITIES WITH 1,000 LICENSED BEDS WHICH INCLUDES AN INDEPENDENT ACADEMIC MEDICAL CENTER WITH OVER 400 RESIDENTS AND FELLOWS THROUGHOUT ITS FACILITIES. A DEFINITIVE AGREEMENT IS THE NEXT STEP IN THE PROCESS FOR FY19. AH IS THE UMBRELLA ORGANIZATION THAT ENCOMPASSES ITS FLAGSHIP HOSPITAL, AMH, IN ABINGTON AND LHC IN HATFIELD TOWNSHIP. TOGETHER, AMH AND LHC HAVE 800 LICENSED BEDS, SIX OUTPATIENT CAMPUSES: ABINGTON HEALTHBLUE BELL, ABINGTON HEALTH-ELKINS PARK, ABINGTON HEALTH-LOWER GWYNEDD, ABINGTON HEALTH-MONTGOMERYVILLE, ABINGTON HEALTH-WARMINSTER, AND ABINGTON HEALTH-WILLOW GROVE. THERE ARE TWO URGENT CARE CENTERS, IN FLOURTOWN AND WILLOW GROVE, PENNSYLVANIA. PHYSICIANS EMPLOYED PRACTICES LOCATED IN BUCKS, MONTGOMERY AND PHILADELPHIA COUNTIES WITH 69 LOCATIONS. THE ABOVE BRANDED, FICTITIOUS NAMES ARE USED FOR MERGER ANNOUNCEMENT PURPOSES. LEGAL NAMES OF AMH, AH, AHF AND LHC WILL BE USED IN FY18 DOCUMENTS. IN KEEPING WITH LHC'S COMMITMENT TO ITS COMMUNITY MEMBERS, THE FOLLOWING SERVICES WERE PROVIDED TO THE COMMUNITY, PARTICULARLY TO LOW INCOME MEMBERS WITHIN ITS SERVICE AREA, DURING THE YEAR: - EMERGENCY DEPARTMENT (OPERATES 24 HOURS A DAY/365 DAYS A YEAR) OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. LHC IS A 140-BED, ACUTE CARE GENERAL HOSPITAL PROVIDING A COMPREHENSIVE RANGE OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. THE FACILITY INCLUDES A 24-HOUR EMERGENCY DEPARTMENT, AN 18 BED ORTHOPAEDIC AND SPINE INSTITUTE, A SLEEP CENTER, PAIN CENTER AND WOUND CARE CENTER. HOME TO OVER 500 EMPLOYEES, LHC HAS A STAFF OF MORE THAN 270 ACTIVE PHYSICIANS. PHYSICIANS ARE SUPPORTED BY A DEDICATED TEAM OF PROFESSIONAL NURSES WHO DRAW FROM YEARS OF CLINICAL EXPERIENCE AND TRAINING. LHC OFFERS A SOPHISTICATED ARRAY OF CLINICAL PROGRAMS, INCLUDING: INTERVENTIONAL RADIOLOGY, ORTHOPAEDICS, PHYSICAL REHABILITATION, OUTPATIENT SURGERY, CARDIOLOGY, OPHTHALMOLOGY, PODIATRY, ORAL SURGERY AND 24-HOUR EMERGENCY SERVICES. AS A TRUSTED HEALTHCARE PROVIDER, LHC HANDLES ALMOST 6,000 INPATIENT ADMISSIONS PER YEAR WHILE OUTPATIENT REGISTRATIONS NUMBER OVER 78,000. IN ADDITION, ALMOST 28,000 PEOPLE ARE TREATED EACH YEAR IN THE HOSPITAL'S EMERGENCY DEPARTMENT. LHC IS LOCATED JUST OUTSIDE OF LANSDALE, PENNSYLVANIA, APPROXIMATELY 24 MILES NORTHWEST OF PHILADELPHIA. NESTLED IN THE HEART OF MONTGOMERY COUNTY, LANSDALE IS ONE OF THE SIX BOROUGHS THAT MAKE UP THE AREA KNOWN AS NORTH PENN, ONE OF THE REGION'S MOST PROSPEROUS AND DESIRABLE LOCATIONS. ACCORDING TO RECENT DEMOGRAPHIC INFORMATION, LANSDALE IS HOME TO AN ESTIMATED 51,000 RESIDENTS. HOWEVER, LHC SERVES ALL OF THE NORTH PENN COMMUNITIES, AS WELL AS PARTS OF NEIGHBORING BUCKS COUNTY, FOR A TOTAL PATIENT BASE NEARING 200,000. FROM SMALL LOCAL ENTERPRISES TO LARGE MULTI-NATIONAL CORPORATIONS, BUSINESS IS BOOMING IN THE NORTH PENN AREA. MONTGOMERY COUNTY HAS THE HIGHEST PER CAPITA INCOME IN THE STATE OF PENNSYLVANIA, AND THE SECOND HIGHEST MEDIAN INCOME. LANSDALE IS SERVED BY THE NORTH PENN SCHOOL DISTRICT, WITH THIRTEEN ELEMENTARY SCHOOLS, THREE MIDDLE SCHOOLS AND ONE HIGH SCHOOL. THE AREA IS ALSO HOME TO NUMEROUS PRIVATE AND PAROCHIAL SCHOOLS, TECHNICAL CAREER CENTERS, FOUR-YEAR COLLEGES AND TWO-YEAR COLLEGES. THE LANSDALE/NORTH PENN AREA OFFERS AN EXCEPTIONAL QUALITY OF LIFE, WITH QUAINT SUBURBAN TOWNS, QUALITY SCHOOLS, A HEALTHY ECONOMY, GOOD JOBS, ABUNDANT RECREATION AND CONVENIENT ACCESS TO PHILADELPHIA, NEW YORK, THE POCONOS AND THE NEW JERSEY SHORE. LHC IS GUIDED BY THE BELIEF THAT IT IS DEDICATED TO THE HEALTHCARE NEEDS OF THE COMMUNITIES THAT IT SERVES. THAT LEVEL OF DETERMINATION AND COMMITMENT IS THE CORNERSTONE OF LHC. MOREOVER, LHC, UNDER ITS FINANCIAL ASSISTANCE POLICY, PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO COMPENSATE LHC FOR THEIR TREATMENTS EITHER THROUGH THIRD PARTY COVERAGE OR THEIR OWN RESOURCES. SINCE CHARITY CARE AMOUNTS ARE NOT EXPECTED TO BE PAID, THEY ARE NOT REPORTED AS REVENUE. IN ADDITION, LHC PROVIDES SERVICES AND SUPPLIES AT BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. CORE FORM, PART III COORDINATION CONTINUED IN FY18 CENTRALIZING ITS FINANCIAL COUNSELORS FROM WITHIN THE SYSTEM INTO THE FINANCIAL COUNSELING PROGRAM AND EXPANDED STAFF TO LHC. IN ADDITION, A SOCIAL WORKER SUPPORTS THE CHILDREN'S CLINIC AND DENTAL ACCESS PROGRAM. A FINANCIAL COUNSELOR HELPS DETERMINE ELIGIBILITY FOR GOVERNMENT-SPONSORED PROGRAMS, AND OFFERS ASSISTANCE WITH THE HEALTH INSURANCE EXCHANGE AND OTHER INSURANCE COVERAGE. IF AN INDIVIDUAL DOES NOT QUALIFY FOR OTHER COVERAGE, THEY ASSIST INDIVIDUALS AND FAMILIES IN THE COMPLETION OF THE AH FINANCIAL ASSISTANCE APPLICATION. COMMUNITY RESOURCES ARE SHARED WITH LHC STAFF TO SUPPORT PATIENTS AND FAMILIES INCLUDING COUNTY AND AREA NON-PROFIT PROVIDER PROGRAMS AND SERVICES. - LHC PROVIDES HEALTH EDUCATION THROUGH ONSITE AND COMMUNITY-BASED PROGRAMS, ROUTINE SCREENINGS WHICH INCLUDES BLOOD PRESSURE, HEART AND STROKE RISK ASSESSMENTS, SKIN AND BREAST CANCER SCREENINGS. IN ADDITION, HEALTH EDUCATION SEMINARS ARE SCHEDULED THROUGHOUT THE YEAR FOR THE GENERAL PUBLIC AND TARGETED TO DIVERSE POPULATIONS IN NEIGHBORHOODS, MALLS, FAITH COMMUNITIES, COMMUNITY CENTERS, SCHOOLS, AND OTHER VENUES. STAFF AT LHC WORKED TO INCREASE COMMUNITY ENGAGEMENT AND OFFER ONSITE AND OFFSITE PROGRAMMING TO THE COMMUNITY. A CPR TRAINING CENTER, CHRONIC CARE MANAGEMENT PROGRAM, FLU IMMUNIZATION PROGRAM AND FAITH COMMUNITY NETWORK ARE INCLUDED IN THE COMPLEMENT OF COMMUNITY OFFERINGS. LHC HAS BOLSTERED ITS MEDICAL STAFF, ADDING TOP SPECIALISTS IN AREAS THAT INCLUDE EMERGENCY MEDICINE, NEUROSURGERY, ORTHOPAEDICS, SPINE SURGERY, RADIOLOGY, ANESTHESIA, PATHOLOGY, SURGICAL AND OTHERS. IT HAS ALSO UPGRADED TECHNOLOGY THROUGHOUT LHC, CREATED NEW SUITES FOR NEUROLOGY AND GASTROINTESTINAL CARE, RENOVATED ITS FACILITIES INSIDE AND OUT AND OPENED A PAIN CENTER. OUR MISSION ----------- WE IMPROVE LIVES. OUR VISION ---------- REIMAGINING HEALTH, EDUCATION, AND DISCOVERY TO CREATE UNPARALLELED VALUE. OUR VALUES ---------- PUT PEOPLE FIRST/BE BOLD AND THINK DIFFERENTLY/DO THE RIGHT THING BACKGROUND ---------- LHC SERVES ITS COMMUNITY BY PROVIDING THE HIGHEST QUALITY AND MOST COST-EFFECTIVE HEALTHCARE TO ALL. LHC IS COMMITTED TO PROVIDING COMPREHENSIVE, QUALITY HEALTHCARE SERVICES WHICH IMPROVE AND SUSTAIN THE HEALTH STATUS OF THE RESIDENTS PRIMARILY IN THE GREATER NORTH PENN REGION, EASTERN MONTGOMERY, AND PORTIONS OF BUCKS COUNTIES, PENNSYLVANIA. LHC ASSURES ACCESSIBLE, COMPASSIONATE HEALTHCARE SERVICES THAT HONOR THE DIGNITY OF EVERY PERSON. LHC IS A LEADER IN DEFINING ITS COMMUNITY'S HEALTHCARE NEEDS, IN PROVIDING APPROPRIATE SOLUTIONS, AND DEVELOPING A COMPREHENSIVE CONTINUUM OF CARE INCLUDING EDUCATION, PREVENTION, DISEASE MANAGEMENT AND RESTORATIVE PROGRAMS. WITH THE FORMER NORTH PENN HOSPITAL WAS ESTABLISHED IN 1939 IN LANSDALE, PENNSYLVANIA, A NON-PROFIT, COMMUNITY HOSPITAL, TO PROVIDE ACCESSIBLE HEALTH SERVICES TO RESIDENTS OF THE GREATER NORTH PENN COMMUNITY. ORIGINALLY NAMED ELM TERRAGE HOSPITAL, IT FIRST CARED FOR PATIENTS IN A BUILDING AT SEVENTH AND BROAD STREETS OWNED BY A LOCAL PHYSICIAN, FRANK E. BOSTON. DR. BOSTON ALSO WAS INSTRUMENTAL IN THE FOUNDING OF A COMMUNITY AMBULANCE COMPANY KNOWN AS THE VOLUNTEER MEDICAL SERVICE CORPS. AS THE NORTH PENN POPULATION GREW, THE HOSPITAL ADDED TO ITS ORIGINAL BUILDING. IN THE 1970'S, THE HOSPITAL WAS LICENSED FOR 150 ACUTE CARE BEDS INCLUDING OBSTETRICAL BEDS AND A TWENTY BED INTENSIVE CORONARY CARE UNIT. SAME DAY SURGERY AND TELEMETRY BEDS ALSO WERE ADDED. IN THE LATE 1970'S, THE HOSPITAL'S BOARD OF DIRECTORS ACQUIRED a 72 ACRE TRACT OF LAND LOCATED IN THE HATFIELD TOWNSHIP TO ERECT A NEW HOSPITAL BUILDING AS THE HOSPITAL'S EXPANDING NEEDS HAD OUTGROWN THE SPACE AT THE CURRENT LOCATION. ON APRIL 19, 1980, THE HOSPITAL, WITH THE HELP OF A FLEET OF LOCAL AMBULANCES, MOVED OPERATIONS TO THE NEW BUILDING LOCATED AT 100 MEDICAL CAMPUS DRIVE. THE MOVE WAS ACCOMPLISHED IN LESS THAN 4 HOURS WITH NO INTERRUPTION TO PATIENT CARE OR SERVICE. DURING THE 1980'S THE HOSPITAL CONTINUED TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY BY ESTABLISHING ALLIANCES WITH URBAN HOSPITALS TO PROVIDE SPECIALIZED CARE. AMONG THESE WERE HAHNEMANN HOSPITAL, TEMPLE UNIVERSITY AND FOX CHASE CANCER CENTER. IN OCTOBER 2001, THE HOSPITAL BOARD NEGOTIATED THE SALE OF NORTH PENN HOSPITAL TO UNIVERSAL HEALTH SERVICES OF KING OF PRUSSIA, PENNSYLVANIA. THE TRANSACTION PROVIDED FINANCIAL RESOURCES TO IMPROVE CAPITAL EQUIPMENT AND EXPAND SERVICES ON THE HOSPITAL'S CAMPUS. AS AN IMPORTANT PART OF THE CONSIDERATION FOR THE PURCHASE OF THE HOSPITAL, THE PARTIES AGREED TO PRESERVE THE CHARITABLE ASSETS THAT HAD BEEN ACCUMULATED BY THE HOSPITAL OVER FOUR DECADES BY ESTABLISHING THE NORTH PENN COMMUNITY HEALTH FOUNDATION WHOSE MISSION IS TO IDENTIFY, SELECT AND INVEST IN PROGRAMS AND AGENCIES THAT WILL IMPROVE THE HEALTH, WELFARE AND QUALITY OF LIFE OF ITS COMMUNITY. SINCE THE ACQUISITION OF LHC UNDER THE AH UMBRELLA IN NOVEMBER 2008, ADMINISTRATORS, MEDICAL STAFF MEMBERS AND BOARD MEMBERS HAVE WORKED TO STRENGTHEN RELATIONSHIPS WITH OTHER AGENCIES AND PROVIDERS INCLUDING THE HEALTHSPARK FOUNDATION (FORMER NORTH PENN COMMUNITY HEALTH FOUNDATION), THE BUCKS-MONT COLLABORATIVE, THE NORTH PENN SCHOOL DISTRICT, LOCAL EMS SQUADS, AND THE FORMER NORTH PENN UNITED WAY (MERGED IN 2017 WITH UNITED WAY OF SOUTHEASTERN PHILADELPHIA AND SOUTHERN NEW JERSEY). REGIONALLY, LHC BEGAN A COLLABORATION WITH OTHER HOSPITALS AND HEALTH SYSTEMS TO FORM COACH: "COLLABORATIVE OPPORTUNITIES TO ADVANCE COMMUNITY HEALTH" IN 2016 AND CONTINUED WORKING IN FY18 WITH THE HEALTH CARE IMPROVEMENT FOUNDATION AND THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA. PUBLIC HEALTH EXPERTS AND HOSPITAL LEADERS COLLABORATED ON REGIONAL AND LOCAL COMMUNITY NEEDS AND BEGAN A NEW DIALOGUE TO FOCUS OF HEALTH IMPROVEMENT WITH A FOCUS ON FOOD INSECURITY AND RENEWED EFFORTS OF CENTRALIZING AND COMMUNICATING COMMUNITY RESOURCES. A PARTNERSHIP MODEL AMONG MONTGOMERY COUNTY HOSPITALS WAS FORMED IN 2016 AND CONTINUED IN FY18 CALLED THE MONTGOMERY COUNTY HOSPITAL PARTNERSHIP. THE PARTNERSHIP HAS: CONFIRMED A COLLECTIVE IMPACT FRAMEWORK TO STRUCTURE THE PARTNERSHIP'S WORK; ACTIVELY ENGAGE IN STORYTELLING AND MEANINGFUL NETWORKING; SHARED PRESSING NEEDS EMERGING FROM THE LATEST ROUND OF NON-PROFIT HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENTS; VISUALIZED A ROADMAP FOR ACTION AND POTENTIAL PARTNERSHIP OPPORTUNITIES THROUGH THE SUPPORT OF A GRAPHIC RECORDER; PRIORITIZED COLLECTIVELY ADDRESSING BEHAVIORAL HEALTH NEEDS IN THE COUNTY; ESTABLISHED SHARED AIMS TO IMPROVE COMMUNITY WELL-BEING AND SYSTEMS OF BEHAVIORAL HEALTH CARE AND SUPPORT; AND IDENTIFIED SPECIFIC OBJECTIVES AND STRATEGIES TO FURTHER THESE AIMS. IN FY18 LHC CONTINUED TO INCREASE COMMUNITY ENGAGEMENT ACTIVITIES BY FULFILLING REQUESTS AND INVITATIONS FROM COLLABORATIVE PARTNERS. FOR THE FIFTH YEAR, LHC WAS A PARTNER IN THE INTERNATIONAL SPRING FESTIVAL: A WELL-ESTABLISHED COMMUNITY EVENT WITH A FOCUS ON THE CELEBRATION OF CULTURAL DIVERSITY IN THE COMMUNITY WHICH HONORS TRADITIONS OF THE PAST AS WELL AS EDUCATING THE PUBLIC TO PROMOTE UNITY. IN OCTOBER OF 2009, LHC THROUGH THE AH CORPORATE UMBRELLA PURCHASED FROM UNITED HEALTH SERVICES ("UHS") THE THREE-STORY MEDICAL OFFICE BUILDING ON THE CAMPUS OF LHC TO PROVIDE ACCESS AND FUTURE EXPANSION OF PRIMARY CARE AND SPECIALTY SERVICES TO THE COMMUNITY. THIS MEDICAL OFFICE BUILDING IS HOME TO AN EXPANDED SLEEP DISORDERS, LAB AND A PAIN MANAGEMENT CENTER. AS PART OF AH, LHC HAS NOW RETURNED TO ITS NON-PROFIT ROOTS. LHC IS A FULLY ACCREDITED, NOT-FOR-PROFIT HOSPITAL LOCATED IN HATFIELD TOWNSHIP, BETWEEN BROAD AND LINE STREETS WHICH ARE MAIN ROADS IN THE LANSDALE AREA COMMUNITY. LHC TREATS ALMOST 6,000 INPATIENTS PER YEAR AND HANDLES OVER 78,000 OUTPATIENT REGISTRATIONS. THE EMERGENCY DEPARTMENT CARES FOR ALMOST 28,000 INDIVIDUALS EACH YEAR. IN FY18, THE LHC EMERGENCY DEPARTMENT AND COMMUNITY HEALTH TEAM CONTINUED ITS FOCUS ON THE ENCARE PROGRAM, EMERGENCY ROOM NURSES CARING FOR ALCOHOL RELATED EMERGENCIES AND INJURY PREVENTION. IN FY18, LHC LEADERS CONTINUED IN THE PARTICIPATION OF THE BUCKS-MONT COLLABORATIVE. THIS COLLABORATIVE WAS ESTABLISHED BY THE HEALTHSPARK FOUNDATION (FORMERLY NORTH PENN COMMUNITY HEALTH FOUNDATION) AND INCLUDES THE MISSION TO FOSTER INFORMATION SHARING, DIALOGUE, AND COLLABORATIVE ACTION AROUND HEALTH AND WELLNESS ISSUES IN MONTGOMERY AND BUCKS COUNTIES TO STRENGTHEN NON-PROFIT ORGANIZATIONS THROUGH MONTHLY MEMBERSHIP MEETINGS THAT PROVIDE TIMELY INFORMATION AND UPDATES, NETWORKING WITH AGENCY, BUSINESS, EDUCATION, FAITH, AND GOVERNMENT LEADERS; AND PROVIDES LEADERSHIP TRAINING AND DEVELOPMENT. SINCE ITS FOUNDING, THE BUCKS MONT COLLABORATIVE FOR HEALTH AND HUMAN SERVICES HAS WORKED THROUGH ITS BOARD OF DIRECTORS TO UPHOLD AND PROMOTE THE PROVISION OF HIGH QUALITY SERVICES TO ALL CONSTITUENCIES. AH LEADERS SERVE ACTIVELY ON THE BOARD AND CONTINUE TO LINK AND CONNECT LHC TO THE LOCAL NON-PROFIT ORGANIZATIONS AND KEY COMMUNITY STAKEHOLDERS. CORE FORM, PART III AS A MEMBER OF AH, LHC, ALSO A 501(C)(3) TAX-EXEMPT ORGANIZATION, OFFERS A GENEROUS FINANCIAL ASSISTANCE POLICY TO ENSURE FREE OR LOW COST SERVICES TO PATIENTS WHO DO NOT HAVE INSURANCE. LHC CONTINUED WITH THE DENTAL ACCESS PROGRAM TO SERVE THOSE IN NEED IN THE GREATER NORTH PENN REGION. THE CHILDREN'S CLINIC AND AN ADULT DAY CARE CENTER CONTINUED TO ACCEPT NEW PATIENTS. THE COMMUNITY HEALTH TEAM IN FY18 CONTINUED RESPONSIBILITY FOR THE ACTION PLANS OR IMPLEMENTATION PLANS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PROJECTS ASSOCIATED WITH IMPROVING THE HEALTH STATUS OF THE COMMUNITY. IN ADDITION, LHC PROVIDES: - PRIMARY CARE ACCESS AND SPECIALTY SERVICES THROUGH THE AH CLINICS, INCLUDING THE NORTH HILLS HEALTH CENTER, THE OB/GYN CENTER, HARTNETT HEALTH SERVICES (FORMERLY ABINGTON'S AMBULATORY CARE SERVICES UNIT), CORINNE SANTERIAN NEWBORN CENTER, CHILDREN'S CLINIC LOCATED ON THE CAMPUS OF LHC, AND ABINGTON FAMILY MEDICINE. CONTINUING INTO FY18 AN AH TRANSLATED BROCHURE INTO KOREAN AND SPANISH LANGUAGES WAS COMMUNICATED TO THE COMMUNITY, AND TO NON-PROFIT SOCIAL SERVICE AGENCIES, HOSPITAL INTRANET AND HEALTH SYSTEM WEBSITES AND EXTERNAL KEY COMMUNITY STAKEHOLDERS. A WEB PAGE ON THE HOSPITALS WEBSITE WAS UPDATED. LHC PROVIDES INTENSIVE, GENERAL/SURGICAL CARE; 24 HOUR COVERAGE BY IN-HOUSE HOSPITALISTS. MANY SPECIALISTS ARE AVAILABLE INCLUDING NEUROSURGEONS, VASCULAR SURGEONS, ORTHOPAEDISTS, AND GYNECOLOGISTS. TELEMEDICINE FOR NEUROLOGY, ESPECIALLY IN STROKE CARE AND PSYCHIATRY ARE PROVIDED WITH AMH. TOWARDS THE END OF 2014, A DENTAL CARE ACCESS PROGRAM, A NEW AND INNOVATIVE MODEL, WAS INITIATED WITH COMMUNITY FUNDERS TO REPLACE THE DENTAL CLINIC WORKING WITH AREA DENTISTS AND A CASE MANAGER TO ENSURE A SMOOTH TRANSITION FOR THOSE IN NEED. THE PROGRAM IS DESIGNED TO PROVIDE DENTAL SERVICES TO UNINSURED PATIENTS AND THOSE WHO HAVE MEDICAID. THROUGH THE PROGRAM, DENTAL CARE IS PROVIDED IN THE OFFICES OF 60 PARTICIPATING DENTISTS AT 34 LOCATIONS IN THE NORTH PENN REGION OF MONTGOMERY COUNTY FROM THE MONTGOMERY BUCKS DENTAL SOCIETY. THESE DENTISTS PROVIDE A FULL RANGE OF DENTAL SERVICES, WHICH ARE SUBSIDIZED BY AMH AND LHC THROUGH THE VNA FOUNDATION OF GREATER NORTH PENN GRANT DOLLARS. SERVICES PROVIDED INCLUDE CLEANINGS, ROOT CANALS, SCALING, EXTRACTIONS, CROWNS, FILLINGS, PARTIALS, ANESTHESIA, X-RAYS AND SEALANTS. IN FY18, 79 CHILDREN AND 206 ADULTS WERE SERVED THROUGH THIS PROGRAM, ACCESSING $118,585 WORTH OF SERVICES. THE CHILDREN'S CLINIC IS UNDER THE LICENSE OF LHC AND PROVIDES LOW-COST OR FREE CARE TO CHILDREN WHO DO NOT HAVE HEALTH INSURANCE OR ARE UNDERINSURED. THE CLINIC IS CREDENTIALED AND USES A NURSING CENTER STAFFING MODEL AND IS STAFFED BY A PEDIATRIC NURSE PRACTITIONER MANAGER, PEDIATRIC NURSE PRACTITIONER, A REGISTERED NURSE, A SOCIAL WORKER AND RECEPTIONIST. THERE IS A COLLABORATIVE PRACTICE AGREEMENT WITH AN LHC PEDIATRICIAN. THE CLINIC FUNCTIONS AS A PATIENT-CENTERED MEDICAL HOME. CHILDREN CAN RECEIVE COMPREHENSIVE PHYSICAL EXAMS, TREATMENT FOR MINOR ILLNESS AND IMMUNIZATIONS AS WELL AS 24 HOUR ON-CALL ACCESS TO A HEALTH PROVIDER FOR URGENT ISSUES TO NAME A FEW OF ITS SERVICES. IN FY18, APPROXIMATELY 1,200 PATIENTS WERE SEEN IN 3,300 OFFICE VISITS. THE CLINIC IS UNIQUE AS IT SERVES AS A REFERRAL CENTER FOR THESE FAMILIES PROVIDING DONATED CLOTHING, FOOD, TOYS AND SUPPLIES AND REFERRALS TO OTHER NON-PROFIT ORGANIZATIONS. APPROXIMATELY 50% OF THE CLINIC PATIENTS ARE CHILDREN BORN TO RECENTLY IMMIGRATED PARENTS. KEY ACTIVITIES IN FY18 INCLUDE EARLY DENTAL PROPHYLAXIS AND EDUCATION, AN EARLY LITERACY PROGRAM, AS WELL AS BEHAVIORAL HEALTH SCREENING AND TREATMENT. THE CLINIC OFFERS EXPANDED BEHAVIORAL HEALTH SCREENING TO INCLUDE SCHOOL-AGE CHILDREN TO ASSIST IN EARLY IDENTIFICATION OF BEHAVIORAL PROBLEMS AND BARRIERS TO LEARNING SUCH AS ATTENTION DEFICIT DISORDER, DEPRESSION AND ANXIETY. THE CLINIC PARTNERS WITH THE CO-LOCATED BEHAVIORAL HEALTH COUNSELOR AS WELL AS THE LOCAL SCHOOLS TO ENSURE THAT THE NEEDS OF THESE CHILDREN ARE ADDRESSED. A CHRONIC CARE MANAGEMENT PROGRAM FUNDED IN PART BY THE FORMER NORTH PENN UNITED WAY [CURRENTLY UNITED WAY OF PHILADELPHIA AND SOUTHERN NEW JERSEY] IDENTIFIES, ENGAGES, AND COACHES OLDER ADULTS WITH CHRONIC ILLNESS TO DEVELOP AND IMPLEMENT INDIVIDUALIZED STRATEGIES FOR BETTER SELF-MANAGEMENT OF THEIR DISEASE; REDUCING THE RISK OF HOSPITALIZATIONS, AND ASSISTING THE INDIVIDUAL TO REMAIN AN ACTIVE HEALTHY MEMBER OF THE COMMUNITY. THIS PROGRAM SERVED 327 SENIORS DURING FY18. COMMUNITY HEALTH SCREENINGS AND PROGRAMS FOCUS ON A VARIETY OF TOPICS, INCLUDING SMOKING CESSATION AND "DINNERS WITH DOCTORS" A POPULAR EDUCATION SERIES TO INTRODUCE OUR MEDICAL STAFF AND THEIR AREAS OF EXPERTISE. IN ADDITION, COMMUNITY HEALTH HAS REACHED OUT TO THE SENIOR POPULATION THROUGH AREA SENIOR CENTERS AND LOWER INCOME SENIOR HOUSING PROVIDING HEALTH FAIRS, SPEAKING ENGAGEMENTS AND EDUCATIONAL PROGRAMS. FURTHER ENGAGEMENT INCLUDED OUTREACH TO THE KOREAN COMMUNITY ESPECIALLY SENIORS AND LOWER INCOME HOUSING AREAS FOR HEALTH EDUCATION. LHC HOSTS AND IS A SITE FOR AMERICAN RED CROSS BLOOD DRIVES FOR BOTH EMPLOYEE AND COMMUNITY DONATIONS THROUGHOUT THE YEAR. STROKE EDUCATION IS A MAJOR INITIATIVE FOR LHC AND MEMBERS OF THE STROKE COMMITTEE AND NURSING LEADERSHIP PROVIDE HEALTH EDUCATION ONSITE AT LHC AND OFFSITE FOR COMMUNITY GROUPS. INJURY PREVENTION, HEALTH SCREENINGS (BREAST HEALTH, BLOOD PRESSURE, SKIN CANCER), FAITH COMMUNITY NETWORK PROGRAM INCLUDING AN EDUCATIONAL SUMMER CAMP, SUPPORT GROUPS AND HEALTH EDUCATION MATTER OF BALANCE SERIES WERE CONTINUED OFFERINGS IN FY18. AWARDS AND ACCREDITATIONS: ========================== IN FY18, LHC EARNED THE JOINT COMMISSIONS ADVANCED HIP AND KNEE CERTIFICATION. - LHC AND AMH BOTH EARNED CHEST PAIN CENTER ACCREDITATION FROM THE AMERICAN COLLEGE OF CARDIOLOGY FOR STAFF MEMBERS DEMONSTRATED EXPERTISE AND COMMITMENT TO TREATING PATIENTS WITH CHEST PAIN. - LHC EARNED THE GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD AND TARGET 2018 STROKE ELITE AWARD. LHC ALSO EARNED ADVANCED PRIMARY STROKE CENTER. - LHC EARNS HEALTHGRADES EXPERIENCE AWARD AND RANKED IN THE TOP FIVE PERCENT IN THE NATION AND EARNED THE HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARD IN 2018. - THE GIFT OF LIFE DONOR PROGRAM AND HOSPITAL ASSOCIATION OF PENNSYLVANIA [HAP] HONORED AH AND JEFFERSON HOSPITAL FOR NEUROSCIENCE WITH THE 2017 GIFT OF LIFE AWARD. IN 2018, AMH EARNED THE TITANIUM AWARD AND LHC EARNED THE PLATINUM AWARD WHICH WILL BE SHARED IN FY19. THE GOAL OF THE CHALLENGE WAS FOR HOSPITALS TO WORK ON THIS INITIATIVE AT THE SAME TIME WITH THE GIFT OF LIFE PROGRAM TO INCREASE ORGAN AND TISSUE DONOR AWARENESS AND DESIGNATIONS AMONG EMPLOYEES, PHYSICIANS, PATIENTS, AND COMMUNITY. AH HOSTED EVENTS AND COMMUNICATED AND EDUCATED THE MEDICAL AND GENERAL COMMUNITY ON THE IMPORTANCE OF ORGAN DONATION USING NEWSLETTERS, EMAIL, SOCIAL MEDIA PLATFORMS AND CAMPAIGNS TO INCREASE DONOR AWARENESS. THE EFFORTS WERE CAPTURED IN A SCORECARD AND SUBMITTED TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA, THE COMMUNITY HEALTH TEAM AND LHC EMERGENCY DEPARTMENT NURSES COORDINATED THESE EFFORTS FOR THE GREATER NORTH PENN REGION. LHC IN FY17 CONCENTRATED ON EXTERNAL RENOVATIONS AND BEAUTIFICATION AS PART OF THE BUILDING PLAN. REGULAR CAPITAL IMPROVEMENTS FOR EQUIPMENT WERE ALLOCATED. CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE --------------------------------------------- LHC HAS AN OUTPATIENT CENTER DEDICATED TO THE MANAGEMENT OF CHRONIC WOUNDS. THE STAFF UTILIZES ADVANCED MEDICAL TECHNOLOGY AND TECHNIQUES TO TAKE CARE OF NON-HEALING WOUNDS. A MULTIDISCIPLINARY MEDICAL TEAM INCLUDES PHYSICIANS, CERTIFIED WOUND CARE NURSES, CLINICAL HYPERBARIC MANAGERS, TECHNICIANS AND SUPPORT STAFF. COMPREHENSIVE PAIN MANAGEMENT CENTER ------------------------------------ THIS SERVICE, NEW IN 2013 WAS EXPANDED IN 2015 TO THE MEDICAL ARTS BUILDING AT LHC. THIS CENTER PROVIDES A PATIENT CENTERED MODEL FOR THE TREATMENT AND MANAGEMENT OF PAIN RELATED DIAGNOSIS. THIS MULTI-DISCIPLINARY MODEL HAS A DESIGNATED NAVIGATOR TO COORDINATE AND SCHEDULE ALL PAIN RELATED APPOINTMENTS FOR EACH PATIENT. SERVICES INCLUDE A CUSTOMIZED PAIN MANAGEMENT OR TREATMENT PROGRAM AND FOLLOW UP CARE. EXPANSION OF OB/GYN PRACTITIONERS LOCATED IN LHC'S MEDICAL ARTS BUILDING PROVIDED TO ENSURE THAT WOMEN RESIDING IN THE LANSDALE COMMUNITY HAVE ACCESS TO PRENATAL CARE IN THEIR NEIGHBORHOOD IN PREPARATION FOR DELIVERIES OCCURRING AT AMH. THESE PHYSICIANS ALSO PROVIDE GYNECOLOGY SERVICES. CORE FORM, PART III HEALTH INFORMATION RESOURCE --------------------------- LHC'S WEBSITE, WWW.ABINGTONHEALTH.ORG, INCLUDES HEALTH EDUCATION MODULES SPECIFIC TO CHRONIC DISEASES, WELLNESS APPLICATIONS, HEALTH DIALOGUE, EDUCATION AND PREVENTION TOOLS AS MORE TECH SAVVY INDIVIDUALS IN OUR COMMUNITY FIND THEIR MEDICAL INFORMATION VIA THE WEB. LHC CONTINUES TO WORK WITH AH ON THE IDENTIFICATION OF QUALITY ONLINE TOOLS AND WEB-BASED HEALTH INFORMATION FOR OUR COMMUNITY. IN FY18, THE HEALTH SYSTEM CONTINUED WITH AN E-NEWSLETTER COMMUNICATING HEALTHY LIFESTYLE AND HOSPITAL INFORMATION TO MEMBERS OF OUR COMMUNITY VIA THEIR VOLUNTARY EMAIL. THIS NEWSLETTER PROVIDES HEALTH EDUCATION, INFORMATION ON HEALTH SCREENINGS AND COMMUNITY OFFERINGS, SERVICES OF INTEREST AND HEALTHY RECIPES. AS A RESULT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RESULTANT ACTION OR IMPLEMENTATION PLANS, LHC INITIATED AN INTERNAL MULTICULTURAL DATABASE OF HEALTH EDUCATION WEBSITES WITH DOWNLOADABLE INTERPRETATION OF EDUCATION IN VARIOUS LANGUAGES. THESE MATERIALS COMPILED ARE FOR HEALTH PROFESSIONALS TO CONTINUE TO ENGAGE CULTURAL COMPETENCE IN IMPROVING HEALTH STATUS THROUGH EDUCATION, SCREENING AND INFORMATION AND REFERRAL. MEDICAL SCREENINGS ------------------ PLEASE NOTE THAT THE AFOREMENTIONED LIST IS NOT ALL-INCLUSIVE. LHC PROVIDES NUMEROUS MEDICAL SCREENINGS FOR THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING THE FOLLOWING: - BREAST CANCER SCREENING - BLOOD PRESSURE SCREENINGS (HOSPITAL AND COMMUNITY-BASED) - SKIN CANCER SCREENING - HEART AND STROKE RISK ASSESSMENTS DURING FISCAL YEAR 2018 LHC PROVIDED NO-FEE SCREENING PROGRAMS TO APPROXIMATELY 2,432 INDIVIDUALS AT A COST TO LHC OF APPROXIMATELY $30,289. - COMMUNITY FAIRS SERVING AND TARGETING THE KOREAN AND ASIAN INDIAN COMMUNITY VIA EXPOS AND FAITH COMMUNITY PROGRAMMING. - INTERNATIONAL SPRING FESTIVAL IN THE GREATER NORTH PENN AREA - A CELEBRATION OF COMMUNITY DIVERSITY EACH YEAR INCLUDING A HEALTH COMPONENT SERVING OVER RESIDENTS EACH YEAR. LHC, AS A PARTNER, COORDINATES THE HEALTH FAIR ACTIVITY INCLUDING SCREENINGS AND INFORMATION ON ACCESS, CLINICS AND COMMUNITY SERVICES. IN FISCAL YEAR 18, LHC PROVIDED OVER $18,000 IN CASH OR IN-KIND DONATIONS TO NON-PROFIT ORGANIZATIONS. ADDITIONALLY, OVER $78,000 OF IN-KIND DONATIONS/EQUIPMENT WERE DONATED. LHC PROVIDES IN-KIND SPACE FOR THE WOMEN'S CENTER OF MONTGOMERY COUNTY. IN FISCAL YEAR 2018 LHC PROVIDED HEALTH FAIRS SERVING MEMBERS OF ITS COMMUNITY, REACHING INDIVIDUALS AT A COST OF $37,225. COMMUNITY SUPPORT, ACTIVITIES AND PROGRAMS ========================================== OUTLINED BELOW ARE A NUMBER OF LHC COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW LHC BENEFITS THE SURROUNDING COMMUNITY IN FURTHERING ITS CHARITABLE TAX-EXEMPT PURPOSES. - SPONSORSHIP OF COMMUNITY ORGANIZATIONS SERVING THE HEALTH AND SOCIAL SERVICE NEEDS OF THE LHC COMMUNITY. THIS INCLUDED EDUCATIONAL PROGRAMS, MEETINGS AND FREE SPACE TO COMMUNITY GROUPS. - LHC WALKING TRAIL - AN ONSITE WALKING TRAIL HISTORICALLY USED BY LOCAL NEIGHBORS. LHC CONTINUES TO MAINTAIN THIS WALKING TRAIL EACH YEAR FOR OUR LOCAL COMMUNITY. - VOLUNTEERS: OVER 293 MEMBERS OF THE COMMUNITY CONTRIBUTED OVER 31,027 HOURS TO SERVE THE HEALTHCARE NEEDS OF THEIR NEIGHBORS. THE VALUE OF THIS CONTRIBUTION IS APPROXIMATELY $605,027 WHICH IS RETURNED TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND WELLNESS PROGRAMS. LHC, IN ADDITION TO THOSE OUTLINED ABOVE, OFFERS NUMEROUS OTHER COMMUNITY PROGRAMS AND ACTIVITIES INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: - TOURS OF THE HOSPITAL - HOSPITAL HOLIDAY PROGRAM FOR LOW INCOME FAMILIES - INFORMATION AND REFERRAL TO ALL SUPPORT GROUPS - AMERICAN RED CROSS BLOOD DRIVES - CPR TRAINING CENTER - FLU IMMUNIZATION PROGRAM - FAITH COMMUNITY NETWORK COMMUNITY HEALTH SERVICES ------------------------- LHC AND AH HAS DEDICATED ITSELF TO THE COMMUNITY BY PROVIDING A DEPARTMENT RESPONSIBLE FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS, IMPLEMENTATION PLANS, COMMUNITY BENEFIT INITIATIVES, HEALTH EDUCATION, SCREENINGS, FAITH COMMUNITY NETWORK, CPR TRAINING CENTER, AND A CHRONIC DISEASE MANAGEMENT PROGRAM. IN ADDITION, LHC PROVIDES CLINICS TO SERVE THOSE IN NEED INCLUDING PRIMARY CARE, A CHILDRENS CLINIC AND SPECIALTY CLINICS GEOGRAPHICALLY LOCATED WITHIN THE SERVICE AREA; SPACE FOR OVER 45 SUPPORT AND SELF-HELP GROUPS ON VARIOUS AH CAMPUSES AND A SPEAKERS BUREAU FOR THE COMMUNITY. AH HAS WORKED SINCE 2013 THROUGH 2016 WITH THE IMPLEMENTATION OR ACTION PLANS OF THE 2013 AND 2016 COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") RESPECTIVELY. FOR AH, PLANS INCLUDED WORK ON ACCESS TO CARE, BEHAVIORAL HEALTH/MENTAL HEALTH, OBESITY, SMOKING, CANCER SCREENINGS AND EDUCATION, OLDER ADULTS AND ACTIVITIES OF DAILY LIVING, AND CULTURAL AND LINGUISTICALLY APPROPRIATE EDUCATION. IN FY18, AH PERSONNEL CONTINUED TO UPDATE THE IMPLEMENTATION PLANS ON A QUARTERLY BASIS, WHICH IS THEN REVIEWED BY AH'S COMMUNITY BENEFIT COMMITTEE. THIS SAME TEAM, WORKING WITH COLLEAGUES FROM JEFFERSON HEALTH, COMPLETED THE 2016 CHNA WHICH IS POSTED TO THE WEBSITE WITH IMPLEMENTATION PLANS UPDATED QUARTERLY INCLUDING SUBSTANCE ABUSE ISSUES AS A PRIORITY AND CHRONIC DISEASES ALONG WITH THE ABOVE LISTED PRIORITIES. AHF APPOINTED A COMMUNITY BENEFIT COMMITTEE IN 2011 WHOSE CHARTER IS TO OVERSEE AND RECOMMEND POLICIES AND PROGRAMS DESIGNED TO CARRY OUT THE CHARITABLE MISSION OF AH, PROTECTING ITS NON-PROFIT STATUS, AND TO ENHANCE THE HEALTH STATUS OF COMMUNITIES SERVED BASED ON THE RESULTS OF THE CHNA. IN 2017 THE COMMUNITY BENEFIT COMMITTEE INTEGRATED WITH THE REVEREND DR. MARTIN LUTHER KING COMMITTEE TO FORM AN ENHANCED COMMITTEE SERVING COMMUNITY BENEFIT AND DIVERSITY INITIATIVES. THIS COMMITTEE CONTINUED TO PROVIDE OVERSIGHT IN FY18. UPDATES ON JEFFERSON ENTERPRISE DIVERSITY INITIATIVES, COMMUNITY BENEFIT, FINANCIAL ASSISTANCE PROGRAMS AND HEALTH SYSTEM CLINICS CONTINUED TO BE RELEVANT AGENDA ITEMS. COMMUNITY HEALTH, COMMUNITY BENEFIT AND OTHER AH LEADERS AND STAFF ARE DEDICATED TO THE IMPLEMENTATION PLANS OF THE CHNA WORKING ON NEW INITIATIVES IN FY18 SUCH AS FOOD INSECURITY; ENHANCING ACCESS AND COMMUNICATION TO COMMUNITY RESOURCES IN SUPPORT OF SOCIAL DETERMINANTS OF HEALTH AND HEALTH DISPARITIES EXPANDING BEYOND MONTGOMERY COUNTY; MENTAL HEALTH INITIATIVES; SUBSTANCE USE DISORDER ESPECIALLY WORK ON OPIOID USE DISORDER AND THE CURRENT CRISIS INCLUDING PROGRAMS AND COLLABORATION AROUND DRUG TAKE BACK, WARM HAND OFF, PREVENTION AND EDUCATION. DURING FISCAL YEAR 2018 LHC PROVIDED HEALTH SEMINARS INCLUDING VARIOUS EDUCATION CLASSES FOR INDIVIDUALS IN OUR COMMUNITY AT A COST OF $20,312. IN FY18, LHC WORKED WITH COMMUNITY COLLABORATIVE PARTNERS ON PROJECTS SUCH AS MANNA ON MAIN STREET PANTRY, FILLING WINTER PANTRIES, COAT DRIVES AND MISSION/SERVICE LEAVE. COMMUNITY HEALTH EDUCATION PROGRAMS ----------------------------------- LHC PROVIDES LECTURES, SEMINARS AND OTHER EDUCATIONAL PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - CPR AND SAFETY EDUCATION CLASSES - SKIN CANCER SCREENING - KEEPING YOUR HEART HEALTHY - DIABETES EDUCATION - BREAST CANCER EDUCATION - CARDIOVASCULAR DISEASE PREVENTION INCLUDING HYPERTENSION - STRESS MANAGEMENT - BREAST CANCER SCREENING FOR KOREAN WOMEN - STROKE AND KNOWING YOUR RISKS - GIFT OF LIFE CAMPAIGN - MEMORY FITNESS CENTER PROGRAM - COMMUNITY READING DAY - SUPPORT GROUPS EACH OF LHC'S SERVICES HAS ONE GOAL IN MIND - TO IMPROVE THE HEALTH OF THE COMMUNITY BY HELPING COMMUNITY MEMBERS LIVE HEALTHIER LIVES. LHC RECOGNIZES THAT A HEALTHY DIET AND ACTIVE LIFESTYLE CAN HELP REDUCE THE RISK OF DISEASE, PREVENT COMPLICATIONS ASSOCIATED WITH PRE-EXISTING CONDITIONS, AND INCREASE ENERGY - AS WELL AS ENHANCE SELF-IMAGE AND GENERAL SENSE OF WELL-BEING. CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER 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. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTION 2 DAVID J. ESKIN, M.D. AND MARK R. ESKIN - FAMILY RELATIONSHIP. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ABINGTON HEALTH ("AH") IS THE SOLE MEMBER OF THIS ORGANIZATION. THOMAS JEFFERSON UNIVERSITY ("TJU") IS THE SOLE MEMBER OF AH. TJU HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/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 AND MADE AVAILABLE 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 ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION AND THE SYSTEM 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 ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS 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 ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW. THEREAFTER, THE CPA FIRM GAVE A FORM 990 SUMMARY PRESENTATION TO THE TJU AUDIT, RISK AND COMPLIANCE COMMITTEE AND THEREAFTER A COMPLETE COPY OF THE FORM 990 WAS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO FILING. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/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 RESPONDENTS 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 HE OR SHE 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 AUDIT, RISK AND 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 BOARDS 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 JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE WHICH INCLUDES ABINGTON MEMORIAL HOSPITAL ("AMH"). TJU HAS A COMPENSATION AND HUMAN RESOURCES 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 ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER, PRESIDENT OF ABINGTON HEALTH ("AH") HOSPITALS, SENIOR VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF LEGAL AFFAIRS/GENERAL COUNSEL AND CHIEF OF STAFF. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE CHIEF EXECUTIVE OFFICER, PRESIDENT OF AH HOSPITALS, SENIOR VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF LEGAL AFFAIRS/GENERAL COUNSEL AND CHIEF OF STAFF. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY, THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THE PEER GROUP CHOSEN FOR COMPARISON SHOULD REFLECT THE FACT THAT ABINGTON HEALTH IS A MULTI HOSPITAL HEALTHCARE SYSTEM. THE PEER GROUP WILL CONTAIN NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS COMPARABLE IN SIZE AND COMPLEXITY TO ABINGTON HEALTH. THE PEER GROUP WOULD CONSIST OF INDEPENDENT, SINGLE AND MULTI-HOSPITAL HEALTHCARE SYSTEMS THAT HAVE AN EMPHASIS ON TEACHING AND RANGE IN SIZE FROM HALF AS LARGE TO UP TO TWICE AS LARGE AS ABINGTON HEALTH. ALTHOUGH THIS PEER GROUP WILL CONTAIN ORGANIZATIONS FROM ALL PARTS OF THE U.S., ABINGTON HEALTH WILL ALSO EXAMINE REGIONAL (MID-ATLANTIC) AND LOCAL (PHILADELPHIA) PAY LEVELS. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE CHIEF EXECUTIVE OFFICER, PRESIDENT OF AH HOSPITALS, SENIOR VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF LEGAL AFFAIRS/GENERAL COUNSEL AND CHIEF OF STAFF. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. 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 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 AND FOR THEIR POSITION WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/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 INCLUDES BOTH FOR PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS 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 BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND 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 JEFFERSON/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 2006B; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2009A; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2012; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2012A; - PENNSYLVANIA HIGHER EDUCATIONAL FACILITIES AUTHORITY SERIES 2012B; - 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; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2018A; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2018B; - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2018C; AND - PHILADELPHIA AUTHORITY FOR INDUSTRIAL DEVELOPMENT SERIES 2018D. 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, INC., 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 - ARIA HEALTH, EIN: 23-0596940 - ARIA HEALTH SYSTEM, EIN: 23-2239131 - PHILADELPHIA UNIVERSITY, EIN: 23-1352294 - KENNEDY HEALTH SYSTEM, INC., EIN: 22-2442036 - KENNEDY UNIVERSITY HOSPITAL, INC., EIN: 22-1773439 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 OF THOMAS JEFFERSON UNIVERSITY, EIN: 23-1352651. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - LOSS ON ADVANCE REFUNDING OF BONDS; ($581,912); AND - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL; $15,175. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/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, 2018 AND JUNE 30, 2017; RESPECTIVELY AND ISSUED A CONSOLIDATED AUDITED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THOMAS JEFFERSON UNIVERSITY'S AUDIT, RISK AND 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 JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. TJU'S AUDIT, RISK AND COMPLIANCE COMMITTEE ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. THOMAS JEFFERSON UNIVERSITY 601 WALNUT STREET SUITE 925E PHILADELPHIA PA 19106 231352651 EDUCATION PA 501(C)(3) 509(A)(1) NA false TJUH SYSTEM INC C/O TJU601 WALNUT STSTE 925E PHILADELPHIA PA 19106 263026795 HEALTH SVCS. PA 501(c)(3) 509(A)(3) TJU false THOMAS JEFFERSON UNIVERSITY HOSPITALS C/O TJU601 WALNUT STSTE 925E PHILADELPHIA PA 19106 232829095 HEALTH SVCS. 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PA NA C CORP. false KENNEDY MANAGEMENT GROUP INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 223347294 MANAGEMENT NJ NA C CORP. false PROFESSIONAL MEDICAL MANAGEMENT INC 500 MARLBORO AVENUE CHERRY HILL NJ 08002 222559690 COLLECTION SVCS. NJ NA C CORP. false KENNEDY ACCESS INCORPORATED 500 MARLBORO AVENUE CHERRY HILL NJ 08002 472661672 INACTIVE NJ NA C CORP. false false true true false false false false false false true false false true true true true false false false SCHEDULE R, PART V THOMAS JEFFERSON UNIVERSITY ROUTINELY PAYS EXPENSES FOR ITS AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.