2017-05-09T12:51:33-05:00 2016-06-30 990 2015-07-01 231534300 HOLY REDEEMER HEALTH SYSTEM HOLY 2158561114 667 Welsh Road Huntingdon Valley PA 19006 RUSSELL R WAGNER Exec VP, Treasurer 2158561114 2017-05-09 2015 2021-01-29 14:40:06Z HOLY REDEEMER HOSPITAL RUSSELL R WAGNER 12265 Townsend Rd Suite 100 Philadelphia PA 19154 258925507 0 X WWW.HOLYREDEEMER.COM X 1956 PA Holy Redeemer Health System provides health care services through Holy Redeemer Hospital and Medical Center; long term care services through Holy Redeemer Lafayette and Holy Redeemer Saint Joseph Manor; and, home care services through Holy Redeemer Home Care and Hospice, and Holy Redeemer Support at Home. 18 17 4629 431 3347588 -55117 497243 2490984 277088294 279773068 0 6392006 -17237086 -29958595 260348451 258697463 504233 136169 0 0 145768056 153943153 0 0 2202938 117841841 119940376 264114130 274019698 -3765679 -15322235 468713139 423979183 250442595 221906412 218270544 202072771 X As a catholic health system, rooted in the tradition of the Sisters of the Holy Redeemer, we care, comfort and heal, following the example of Jesus, proclaiming the hope God offers in the midst of human struggle. The Hospital, one of the areas leading providers of comprehensive and outpatient services, offers a full range of acute, ambulatory services. We provide an excellent service in cardiology, oncology, orthopedics, obstetrics, pediatrics, diagnostics and rehabilitation services, and emergency care from pediatric to geriatric. Our long term care facilities provide services to older adults at different levels of care independent, personal care and skilled. The Home Care unit provides a full range of home care services administered by skilled professional nurses and therapists in conjunction with a physicians plan of treatment. In the comfort of their home, patients receive personalized care designed to improve their quality of life, restore health and promote independence. 0 0 132599649 136169 155155482 HEALTHCARE -- Holy Redeemer Hospital is a 242-bed hospital with a staff of more than 500 physicians. We also provide comprehensive outpatient community-based diagnostics, home health services, and rehabilitation programs that bring compassion and caring directly into the community. Our physicians and surgeons are well known for their expertise and have earned the hospital an outstanding reputation for medical excellence. We provide an excellent service in cardiology, oncology, orthopedics, obstetrics, pediatrics, diagnostics and rehabilitation services, and emergency care from pediatric to geriatric. The Hospitals patient admissions or cases for the year were 10,207, for a total patient service days of 48,888. There were 6,031 surgical cases performed, both inpatient and outpatient. Outpatient service cases performed was 111,354. 52484581 62985795 LIFECARE -- Our Long Term Care facilities, Holy Redeemer Lafayette and Holy Redeemer Saint Joseph Manor, provides services to older adults at different levels of care. The Lafayette is a wonderful option for adults who desire to maintain an independent lifestyle with the added assurance that medical, social and religious services are available. The facility offers 240 lovely private rental apartments set on a beautiful campus adjacent to the woods of Pennypack Park. Fifty-six Personal Care units are also available, and the Lafayette's 120-bed long term care facility provides a seamless transition if the need for skilled nursing care arises. The Lafayette is also a site for Holy Redeemer's outpatient rehabilitation center, which offers speech, occupational and physical therapy. Saint Joseph Manor has been providing compassionate nursing and assisted living care to older adults since 1937. The Manor offers 66 Personal Care units, and 296 long term care skilled nursing services and a Dementia unit. Adjacent to Holy Redeemer Hospital and Medical Center, residents have convenient access to physicians, diagnostic and emergency services. Both the Manor and Lafayette are Medicare and Medicaid certified. Total occupancy in both facilities equate to 95.8% in Nursing, 91.4% in Personal Care, and 80.7% in Independent. 29224507 34222663 HOMECARE -- HomeCare provides: 1. Specialized nursing care delivered by our highly-trained nursing staff with a compassionate approach; 2. Therapy services by our specialized rehabilitation therapists who offer a variety of therapies to meet the unique needs of each patient; 3. LifeAssess Program, a comprehensive assessment, education, support and rehabilitation program that identifies and treats older adults who are at risk for four of the most common geriatric syndromes depression, dementia, falls risk and incontinence allowing them to live safely at home; 4. HeartAssess Program, designed to improve quality of life for heart failure patients by helping them focus on the most important aspects of managing their heart failure at home. Patients are taught symptom and medication management and are assigned home health care nurses to help with medications, diet, disease management and assisting with lifestyle changes; 5. Breathe Easy Program, allows patients who suffer from chronic obstructive pulmonary disease (COPD) to better manage their condition at home, improving their overall quality of life; and, 6. Telemonitoring, an advanced system available to remotely monitor vital information, such as blood pressure, heart rate, weight and blood oxygen levels for cardiac patients or any patients who need additional supervision. Results are automatically transmitted to a HomeCare nurse who will perform triage to determine an appropriate plan of action. The Hospice division provides pain relief and symptom control appropriate to clinical goals. Psychological and spiritual pains are as significant as physical pain. Addressing all three requires the skills of an interdisciplinary team. The Holy Redeemer Hospice team is guided by the needs and wishes of the patient and family and includes them as important members of the care team. The integrated, multi-disciplinary group includes: patient and family, patients personal physician, Hospice medical director, specially trained nurses, medical social workers, pastoral counselors, home health aides, physical, occupational and speech therapists, complementary therapists, volunteers, and bereavement counselors available to assist with the grieving process. A complementary (or alternative) therapy program offers holistic solutions for patients and families. Holy Redeemer also offers Palliative Care services which aim to provide comfort and improve quality of life at any time during the course of a serious advanced illness, often at the same time as a curative or life prolonging treatments. The support and education provided by the palliative care team also provides much needed benefits for family members and caregivers and assists the patient and family to better understand and cope with the illness, and in making choices for care.The Support at Home service provides practical support, peace of mind and a safe and sound environment. Services include personal care, meal preparation, laundry/light housekeeping, errands and local transportation, mobility and exercise management, companionship and socialization, medication management, wellness, and health maintenance. Homecare nursing admissions for the fiscal year were 5,998 and performed a total of 130,714 service/visits in patients' homes. Hospice service days were 48,889 served on a total of 1,200 patients. Homecare support service hours were 237,397. 214308737 1 1 0 0 0 1 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 1 0 0 0 0 1 0 1 1 0 0 0 1 1 0 0 0 1 532 0 1 4629 1 1 1 1 CJ 0 0 0 1 1 0 0 0 X 18 17 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 PA X Holy Redeemer Corporate Finance 2158561114 12265 Townsend Rd Philadelphia PA 19154 X WILLIAM R SASSO ESQ Chairman 1.00 X 0 0 0 CHARLES KAHN JR Board Member 1.00 X 0 0 0 CHARLOTTE MCKINES Board Member 1.00 X 0 0 0 EMILY JANE A LEMOLE Board Member 1.00 X 0 0 0 GEORGE W NISE Board Member 1.00 X 0 0 0 GUY E MCELWAIN JR MD Board Member 1.00 X 0 0 0 HYLAND R JOHNS Board Member 1.00 X 0 0 0 JAMES J LYNCH Board Member 1.00 X 0 0 0 JAMES K PAUL Board Member 1.00 X 0 0 0 K KULTAR SINGH Board Member 1.00 X 0 0 0 MARC CRESPI board Member 1.00 X 0 0 0 MSGR JOSEPH P GARVIN Board Member 1.00 X 0 0 0 ROBERT WECKENMAN Board Member 1.00 X 0 0 0 ROBYN S WALSH Board Member 1.00 X 0 0 0 RONALD J BROOKS MD Board Member 1.00 X 0 0 0 S NICHOLAS LEZZI Board Member 1.00 X 0 0 0 TIMOTHY J ABELL Board Member 1.00 X 0 0 0 MICHAEL B LAIGN Board Member/President 23.00 17.00 X X 975187 0 91803 RUSSELL R WAGNER Exec VP/Treasurer 23.00 17.00 X 395248 0 99342 DOLORES TORSITANO Corp Secretary 28.00 12.00 X 102935 0 20334 DONALD FRIEL Exec VP/Asst. Treasurer 36.00 4.00 X 366092 0 95236 ANNE CATINO VP Hospital 40.00 X 199877 0 42945 CATHERINE EGAN Senior VP, Chief Admin Ofc 40.00 X 292272 0 54439 DENISE E COLLINS "Former" Exec VP 40.00 X 396438 0 84125 DONALD FOX VP Homecare 34.00 6.00 X 263746 0 56772 GEORGE HAMILTON VP Finance 33.00 7.00 X 225532 0 40356 JACK DEMPSTER VP/Construction-Facilities 40.00 X 188745 0 27982 JOSEPH CASSIDY RN VP Human Resources 40.00 X 238179 0 43746 KAREN RENSON RN VP, Chief Qual & Safety Of 40.00 X 200140 0 43366 MARIAN THALLNER Senior VP Women's & Childr 40.00 X 277028 0 63179 MICHELE L UROFSKY Sr Vice President 14.00 6.00 X 170479 0 16167 PATRICK KENNEDY Senior VP 40.00 X 322139 0 63750 RANDIE OBERLANDER Director of Pharmacy 40.00 X 191657 0 27683 ROBERT HEINEMAN Vice President Homecare 34.00 6.00 X 199588 0 46837 ROBIN FRANKWICH Group VP Lifecare 40.00 X 180854 0 40025 ROBERT FARRINGTON VP Revenue Cycle 40.00 X 152682 0 962 ROSEANNE SILVESTRI Vice Presidcent 40.00 X 167134 0 11915 CHARLES THOMAS STRIDE Vice President, CIO 40.00 X 263242 0 20846 NANCY MANDES VP, Corp Comp/Inter Audit 40.00 X 152813 0 26203 JIMM GRIMM Radiation Oncologist 40.00 X 173773 0 13252 ROBERT E HAYES JR Physical Therapist 40.00 X 152836 0 27536 PAMELA SNASHALL VP Corp Development 40.00 X 149078 0 17534 STEVEN CROWELL RN, Staff 40.00 X 147650 0 25073 BENJAMIN PIECZYNSKI VP, Administrator 40.00 X 141795 0 15280 ANTHONY COLETTA "Former"VP, Chief Qual & Safety Of 0.00 X 161600 0 0 6848739 0 1116688 76 1 1 0 CERNER HEALTH SERVICES INC PO Box 412702 Kansas City MO 64141 IT SERVICES 3557745 ARAMARK HEALTHCARE FOOD 25271 NETWORK PLACE CHICAGO IL 60673 Food Service 3442930 GENESIS ELDERCARE REHABILITATION PO BOX 821322 Philadelphia PA 19182 REHABILITATION THERAPY 3095010 MORRISON MANAGEMENT SPECIALISTS 2400 Yorkmont Road Charlotte NC 28217 Food Services 3078891 SIEMENS MEDICAL SOLUTIONS 51 VALLEY STREAM PARKWAY MALVERN PA 19355 Computer Services 2667653 174 1202733 1288251 2490984 NET PATIENT REVENUE HOSPITAL 622000 151412117 151412117 NET REVENUE - SNF & RESIDENTIAL 623000 62071234 62071234 HOME CARE REVENUE 621610 34212776 34212776 ALL OTHER OPERATING REVENUE 541900 29609187 28729353 879834 SEE LINE 103 STMT 713940 2467754 0 2467754 279773068 6392006 6392006 722995 228044 494951 494951 MISCELLANEOUS NON-OPERATING INCOM 621610 8450 8450 GAIN ON ASSETS SOLD 622000 -101354 -101354 UNREALIZED GAIN/LOSS ON INVESTMEN 900099 -6499220 -6499220 -23861422 -23861422 -30453546 258697463 252363940 3347588 494951 100000 100000 36169 36169 7600205 1224811 6226316 149078 119084794 96976196 21458435 650163 3064856 2634697 411871 18288 14776420 11686276 2982369 107775 9416878 7540590 1816328 59960 4443726 4445108 -1382 1263443 154078 1109365 147200 147200 13501638 6423412 7035391 42835 1444654 13155 1428054 3445 1544067 488729 833490 221848 4612721 3773528 832481 6712 4731410 3663645 820221 247544 413548 152575 260973 546932 133107 401914 11911 3647126 3647126 5927899 5832619 95280 16049074 14004277 2029598 15199 6031793 5903237 112683 15873 TOTAL MEDICAL SUPPLIES 22572841 22571106 1735 TOTAL MAINTENANCE & HOU 9574130 6986207 2543482 44441 TOTAL DIETARY SUPPLIES 5423174 5382802 14209 26163 TOTAL DRUGS/PHARMACEUTI 4712850 4705437 7413 13352150 5829850 6940597 581703 274019698 214308737 57508023 2202938 110678 134479 16504129 14533920 610060 883740 27774368 26560282 2373220 2189429 5174065 4882245 340775166 229259558 105901551 111515608 143347221 143301261 15339845 16088230 151578002 103889989 468713139 423979183 47854143 46980835 93173886 88641645 109414566 86283932 250442595 221906412 X 208015872 191639551 6979035 6989008 3275637 3444212 218270544 202072771 468713139 423979183 X -15322235 -875538 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 112 18 961523 1026133 1060847 532744 9933220 7846079 1 1 3779424 62675 81670 333336 3590433 3253633 687836 4623 166668 3779424 3493905 6000 87064 333336 3253633 2875713 859316 92212 333336 3493905 2810566 4500 66281 5634 2875713 1.00000 0 0 3207884 3207884 211914306 141085857 70828449 1923595 1304025 619570 111294488 86869676 24424812 12434893 12434893 111515608 DUE FROM AFFILIATES 96167062 RESIDENT ESCROW FUND 1007032 OTHER ASSETS 6715895 103889989 DUE TO AFFILIATES 29147780 PENSION FUND PAYABLE 47080623 RESIDENT FUND ESCROW 1591096 OTHER LIABILITIES 2493139 CAPITAL LEASES 5971294 86283932 X Part V, Line 4: There are several endowment funds at holy redeemer. Intended use of these funds are: 1. Provide educational scholarships for health system employees and volunteers in health related studies. 2. Provide for outstanding care and support services to patients at the cancer center at holy redeemer. 3. Provide support for cardiopulmonary prevention health and fitness programss of holy redeemer. 4. Provide caregiver support for home hospice care. 5. Support cost of maintenance of chapels throughout the holy redeemer health system. 6. Support for surgical program. Part X, Line 2: Holy Redeemer Health System follows the guidance in the accounting standards regarding the recognition and measurement of uncertain tax positions. The guidance clarifies the accounting for uncertainty in income taxes recognized in an entitys financial statements. The guidance further prescribes recognition and measurement of tax provisions taken or expected to be taken on a tax return that are not certain to be realized. The application of this standard has no impact on Holy Redeemers consolidated financial statements. Holy Redeemers tax returns are subject to review and examination by federal, state and local authorities. The tax returns for the years 2013 through 2015 are open to examination by federal, state and local authorities. With the exception of the Holy Redeemer Ambulatory Surgery Center (ASC) and Holy Redeemer Active and Retirement Living (HRARL, Inc.), all entities are not-for-profit corporations as described in section 501(c)(3) of the internal revenue code. In conformity with the internal revenue code and applicable state and local tax statutes, taxable income or loss of the ASC is required to be reported in the tax returns of the owners and, accordingly, no provision has been made in the accompanying consolidated financial statements for any federal, state, or local income taxes. HOLY REDEEMER GOLF CLASSIC 213100 213100 59200 1740 PENNSYLVANIA TREE OF LIGHTS 40960 40960 1297 8832 2 468935 468935 66476 90499 722995 722995 59200 67773 101071 228044 494951 HOLY REDEEMER CORPORATE FINANCE 12265 Townsend Rd Suite 100 Philadelphia PA 19154 1 1 1 X 400.000000000000 1 X 1 1 0 1 1 444066 444066 0.00160 11190680 11190680 0.04080 11634746 11634746 0.04240 954434 954434 0.00350 221945 221945 0.00080 1176379 1176379 0.00430 12811125 12811125 0.04670 337750 337750 0.00120 337750 337750 0.00120 1 3247529 33436118 39883859 -6447741 X 1 1 1 1 HOLY REDEEMER HOSPITAL 1648 HUNTINGDON PIKE MEADOWBROOK PA 19046 www.holyredeemer.com 083901 X X X X X HOLY REDEEMER HOSPITAL 1 0 0 1 X X X X X X X X 15 1 1 1 1 X www.holyredeemer.com X 1 15 1 www.holyredeemer.com 1 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X www.holyredeemer.com X www.holyredeemer.com X www.holyredeemer.com X X X X 1 X 0 X X X X 1 X 0 0 HOLY REDEEMER HOSPITAL Part V, Section B, Line 5: In conducting the recent (2015-2016) CHNA, input from the community served by the hospital facility were taken into account in two ways: first from representatives of the community, and also from the Public Health Management Corporation (PHMC), a public health institute. PHMC uses best practices to improve community health through direct service, partnership,innovation, policy, research, technical assistance, and a prepared workforce. Public Health Management Corporation (PHMC) is a 501(c)(3) non-profit corporation that was founded in 1972 to address problems in the organization and delivery of health and social services. PHMC is a public health institute that creates and sustains healthier communities and envisions a healthy community for all. In 2013, PHMC completed 28 Community Health Needs Assessments for Southeastern Pennsylvania non-profit hospitals, and has been assessing the health needs of the community since 1972. PHMC's Community Health Data Base is uniquely qualified to provide comprehensive services to not-for-profit hospitals. It is the only public health institute in Pennsylvania, has many years' experience collaborating with health care stakeholders, and can facilitate the participation of these diverse groups as required by the ACA. PHMC staff are public health experts who have conducted many services over the past twenty years for hospitals, health departments, foundations, and other non-profits. PHMC's service qualifications also include developing and maintaining the Southeastern Pennsylvania Community Health Data Base. The CHDB provides an unmatched set of information on local community health needs that can be used to develop focused findings supported by reliable data. These data can also be used in developing priorities and rationales for strategic plans that are ACA compliant. The biennial SEPA Household Health Survey collects information on more than 13,000 residents (children, adults, and seniors) living in the five-county SEPA region. The survey is the longest running community health survey in the United States, as well as one of the largest regional surveys of its kind. DATA ACQUISITION AND ANALYSIS:Both primary and secondary and quantitative and qualitative data were obtained and analyzed for this needs assessment. Obtaining information from multiple sources, known as triangulation, helps provide context for information and allows researchers to identify results which are consistent across more than one data source.Quantitative information from: the 2013 American Community Survey, and 2015 and 2020 Nielsen-Claritas Pop-Facts; Pennsylvania Health Department vital statistics on births, deaths, communicable diseases, and cancer incidence (2008-2012 and 2009-2012); PHMC's 2015 Southeastern Pennsylvania Household Health Survey; 2015 County Health Roadmaps & Rankings for Bucks, Delaware, Montgomery, and Philadelphia Counties. were analyzed for the hospitals' service area using the Statistical Program for Social Sciences (SPSS).A total of 1,274 interviews were conducted with adults residing in the hospital's service area, including 369 adults age 60 and over and 443 households with a selected child under the age of 18. PHMC SOUTHEASTERN PENNSYLVANIA HOUSEHOLD HEALTH SURVEY:Holy Redeemer received input on the needs of the community, including the medically underserved, low-income, and minority populations from PHMC's 2015 Southeastern Pennsylvania Household Health Survey. The survey questionnaire examines health status and utilization of, and access to, health care among adults and children in the five county area of Bucks, Chester, Delaware, Montgomery and Philadelphia Counties. The survey was conducted through telephone interviews with people 18 years of age and older living in 10,018 households in Southeastern Pennsylvania. Of this total sample of 10,018 adults, 1,274 adult survey respondents lived in Holy Redeemer Hospital's service area and participated in the survey. These 1,274 households also included 369 adults age 60 and over and 443 households with at least one child under the age of 18. A total of 2,009 cell phone interviews were conducted with adults in the five county area. Cell phone respondents received the same survey questionnaire as landline respondents.The survey includes many questions that have been administered and tested in national and local health surveys:National Center for Health Statistics (NCHS) for the National Health Interview Survey (NHIS);The Behavioral Risk Factor Surveillance Survey (BRFSS);The California Women's Health Survey;The Social Capital Community Benchmark Survey (Kennedy School of Government, Harvard University); andThe Survey on Childhood Obesity (Kaiser Family Foundation/San Jose Mercury News).Households in each of the five counties were selected to guarantee representation from all geographic areas and from all population subgroups. When needed, the interviews were conducted in Spanish.The survey was administered for PHMC by Abt/SRBI, Inc., a research firm in New York City, between December 2014 and March 2015.The final sample of interviews is representative of the population in each of the five counties so that the results can be generalized to the populations of these counties.Within each selected household with more than one eligible adult, the Last Birthday Method was used to select the adult who last had a birthday as the respondent for the interview (with the exception of the cell phone sample).In households with children, the child under age 18 who most recently had abirthday was selected as the subject of the child interview.The survey incorporates over-samples of people ages 60-74 and 75 and older toprovide a sufficient number of interviews for separate analyses of the responses of people in these subgroups. Information from the survey was analyzed for the community as a whole and for the uninsured, medically underserved, poor, ethnic and racial minorities, children, and older adults. The results of the survey were taken into account in identifying the size andlocation of these medically underserved populations, their unmet health care needs, and any barriers they encounter to accessing services. Priorities among these needs were established by comparing the results of the 2015 HHS to Health People 2020 benchmarks, existing resources, and the hospital's existing programs and mission.COMMUNITY MEETINGS AND INTERVIEWSThe hospital solicited and took into account input from persons or organizations that represent the broad interests of the community it serves, including: Local city and county health departments from each of the five counties in SEPA; Members and/or representatives of medically underserved, low-income, and minority populations; and Written comments received on the most recent service and Implementation Strategy.Holy Redeemer solicited and took into account input from persons or organizations that represent the broad interests of the community it serves. In general, input was received on the unmet health care needs, existing health care resources, and special needs of minority and medically underserved populations. The community meeting was guided by a set of written questions that focused on participants' perceptions of the mostimportant physical and behavioral health problems in the area, programs thatsuccessfully address these issues, gaps in services, barriers to care, vulnerable and underserved populations, and how to best reach individuals in the community. This input was solicited from 31 service area community representatives of the medically underserved, low-income, and minority populations in the service area. Potential participants for the meetings were invited by mail or electronic mail to attend the meeting.The input was received at the community meeting on June 23, 2015 at Wesley Enhanced Living Pennypack Park, located in Northeast Philadelphia, and in interviews with the Deputy Health Commissioner of the Philadelphia Department of Public Health on September 8, 2015 and with the Montgomery County Health Department on November 3, 2015.Anyone who could not attend was invited to send written comments at any time. The community members attending the meeting represented the organizations listed below, and included local government, public health experts, and members and representatives of medically underserved, low-income, and minority populations. HOLY REDEEMER HOSPITAL Part V, Section B, Line 6a: Currently, PHMC is conducting Community Health Needs Assessments for the following hospitals and health systems in SEPA:Crozer Keystone Health SystemDoylestown HospitalEinstein Healthcare NetworkGrand View HealthMain Line HealthMercy Health System EastSt. Mary Medical CenterTemple University Health SystemThe Children's Hospital of PhiladelphiaUniversity of Pennsylvania Health System HOLY REDEEMER HOSPITAL Part V, Section B, Line 6b: Other (non-Hospital) organizations: American Cancer Society, Southeast Region, East Central DivisionDeer Meadows Retirement Community (6)Friendship PharmacyMercy Home Health, Mission IntegrationNazareth Hospital (6)Holy Redeemer Health System (2)Arthritis FoundationKleinLIFE, Community ServicesSt. John's Lutheran Church of MayfairNazareth Hospital's Patient & Family Advocacy CouncilBoulevard SDA ChurchCORA ServicesWesley Enhanced Living, Professional and Community RelationsVitas Innovative Hospice CareChester Senior CenterSt. Jerome SchoolTemple Beth Ami SynagogueCatholic Community ServicesLocal GovernmentJames Kennedy, Office of U.S. Representative Brendan T. BoylePhiladelphia Fire Department, Community Risk ReductionPhiladelphia Police Department, 7th District, Community RelationsTom Holroyd, Office of City Councilman Bobby HenonPublic Health ExpertsPhiladelphia Department of Public HealthMontgomery County Department of Public Health HOLY REDEEMER HOSPITAL Part V, Section B, Line 11: PRIORITIZATION:Similar to its prioritization process with the 2013 CHNA, Holy Redeemer's CHNA Steering Committee met and discussed each identified need including the impact of this need on the community, what it will take to make an impact on the need, the ability of Holy Redeemer to make an impact, and what resources and collaboratives are already available in the community. Besides the unmet needs listed above, the Committee also discussed, and included, a Healthy Living category. Committee members again chose three criteria on which to base prioritization of the identified needs. These criteria included: 1) magnitude of the problem, 2) alignment with Holy Redeemer's strategicplan, and 3) availability of Holy Redeemer resources to make an impact.This prioritization process resulted in the following four categories which will be addressed in Holy Redeemer's Implementation Plan for 2016-2018.Prenatal Care - increasing the percent of women who obtain prenatal care in the first trimester.Mental Health - Behavioral & Substance AbuseAccess to Care - Primary CareHealthy Living - This category will include nutrition, exercise, screenings, smoking cessation, etc., all of which will impact the prevention, identification and management of cancer, coronary heart disease, hypertension, diabetes, asthma, being overweight and obese, as well as other health conditions. There were needs identified that Holy Redeemer did not choose to address. While important to the community and the hospital, they were not chosen based on the prioritization process and are being addressed already in the community. Access to Care - Dental - Holy Redeemer does not provide dental services and does not have the financial resources to begin a program. Dental emergencies are seen in our emergency room. Patients are referred to the available dental clinics and programs. Area dental clinics include Abington Memorial Hospital, University of Pennsylvania Dental School, and Temple University Dental School among others. Emergency Room staff and Social Workers have a list of dental clinics available for emergency and non-emergency cases. Falls in the Home - Through its Home Care Department, Holy Redeemer provides identification and prevention assistance to older adults who are at risk for falling in their home. Implementation plans will be developed based on this prioritization.UNMET NEEDS:The unmet health care needs for the Holy Redeemer CHNA were identified by usingsecondary data findings in comparing the health status, access to care, health behaviors, and utilization of services for residents of the identified service area to results for Montgomery, Bucks and Philadelphia counties, as well as Southeastern Pennsylvania (SEPA), the state of Pennsylvania and the Healthy People 2020 goals for the nation. Input from community meeting participants and public health department officials were also used to further identify and prioritize unmet needs, local problems with access to care, and populations with special health care needs. Additionally, tests of statistical significance were conducted on all Household Health Survey datacomparing the results of residents in the service area with residents living in the remainder of SEPA. The following are the major findings of this assessment. Prenatal care - Almost one-third of women in the Holy Redeemer service area (31%) receive prenatal care beginning after the first trimester or have no prenatal care, which does not meet the HP 2020 goal of 22.1%.Cancer related deaths - In the service area, cancer is the leading cause ofdeath (177 per 100,000; representing 1,230 deaths annually). This does not meet the Healthy People 2020 goal of 161. Lung cancer represents the highest cancer mortality rate (47; 320) followed by Breast (23; 91), and Prostate (18; 52) cancer.Cancer screenings - Approximately 24,300 women ages 21 to 65 in the servicearea (14%) did not receive a Pap test in the past three years. This does not meet the Healthy People 2020 goal for cervical cancer screenings of 93% or higher. More than one in five women aged 50-74 did not have a mammogram in thepast two years (22% or 12,500). This percentage does not meet the HealthyPeople 2020 goal for screening mammography of 81.1% or higher. Coronary Heart Disease & High blood pressure screening - This is the second leading cause of death with a mortality rate of 111, which does not meet the HP2020 Goals of 103. One-quarter of adults in the Holy Redeemer service area (26%, or 135,200 adults) have been diagnosed with high blood pressure. This ageadjustedpercentage meets the Healthy People 2020 goal of 27%. However, more than one half of older adults (56%) have been diagnosed with high blood pressure and 5% of those on medication do not take it regularly. Smoking prevention, intervention and cessation - Cigarette smoking is associated with many health conditions and diseases such as certain cancers and heart disease. In addition, smoking is strongly correlated with chronic health conditionssuch as lung cancer, one of the leading causes of death in the service area.The percentage of adults who smoke in the service area (19%) does not meetthe Healthy People 2020 goal of 12% or fewer. In addition, the percentages ofsmokers who have tried to quit in the past year (63%) does not meet the Healthy People 2020 goal of 80% or higher. Concerns were raised in communitymeetings about tobacco use, particularly among pregnant women and parentsof newborns. Overweight and obesity - Being overweight or obese is correlated with certain diseases such as heart disease, certain cancers, and high blood pressure. In the service area, almost three in ten (29%) adults are obese and nearly four in ten (38%) are overweight. About 11,800 children in the service area (17%) are classified as obese, and 19% are overweight. Community meeting attendees listed obesity as one of the leading issues in the service area.Nutrition - In the Holy Redeemer service area, 79% of adults do not eat 4-5servings of fruit and vegetables daily. This is higher than SEPA as a whole (77%). Attendees also discussed concerns about malnutrition, even among children who are consuming enough calories, and not enough food pantries for those experiencing food insecurity. Exercise - Participants in community meetings noted that diet and exercise were of particular concern in children, noting that some areas are not safe for them to play outside alone. One-quarter of adults in the service area (do not participate in any exercise, and more than half (52%) exercise fewer than three times each week, both of which are higher than SEPA (22% at all.) Diabetes - 53,800 adults (13%) have been diagnosed with diabetes. This is comparable to the percentage across SEPA (13%). Of note is that more than one in five older adults age 60+ in the service area (22%) has diabetes; this represents 28,000 older adults.Asthma - One in five children (19%) in the service area has been diagnosed with asthma; this represents 21,700 children and is higher than the rate in Bucks and Montgomery Counties (16% and 15%, respectively). In Philadelphia, 22% of children have been diagnosed with asthma. Also, across the service area, about 64,900 adults (16%) have been diagnosed with asthma.Mental Health (Behavioral and Substance Abuse) - Approximately 16% of adultsin the service area have been diagnosed with a mental health condition. This is less than the SEPA region at 18%, but more than Montgomery County (14%). Ofthose with a mental health condition, 42% are not currently receiving treatment for the condition. Many comments were made about mental health services by community members including noting depression as one of the leading health issues in the service area, and listed concerns about suicide and self-harm among teens. Accessing mental and behavioral health care in the service area can be a challenge (difficulty scheduling appointments, comorbid conditions, affordability, and stigma as barriers.) Quality and the pushing of medication without therapy were concerns. Also, a lack of addiction prevention services and over-reliance on emergency departments are concerns.Community members also commented on depression and social isolation of theelderly. About 14% of the older adults 60+ in the service area have four or more signs of depression on the CES-D 10 Item Depression Scale. This is greater than SEPA (12%). Access to Care - Primary Care - In the Holy Redeemer service area, 15% of adults do not have a regular source of primary care they can consult if they are ill or have a question about their health. This is greater than SEPA (13%), but less than the HP2020 (26%). Attendees at community meetings noted that the cost of copays and deductibles makes accessing healthcare difficult for middle-income service area residents. HOLY REDEEMER HOSPITAL Part V, Section B, Line 22d: FAP-eligible individuals treated for emergency or other medically necessary care are not charged a fee if they meet at least 250% of the federal poverty guideline (FPG). 5 2 - HOLY REDEEMER ST JOSEPH MANOR 1616 HUNTINGDON PIKE MEADOWBROOK PA 19046 SKILLED NURSING FACILITY 3 - HOLY REDEEMER LAFAYETTE 8580 VEREE ROAD PHILADELPHIA PA 19111 SKILLED NURSING FACILITY 4 - HOLY REDEEMER HOMECARE (VNA-PA) 12265 TOWNSEND ROAD PHILADELPHIA PA 19154 HOME CARE NURSING 5 - HOLY REDEEMER HOSPICE 12265 TOWNSEND ROAD PHILADELPHIA PA 19154 HOSPICE CARE 6 - HOLY REDEEMER SUPPORT AT HOME 12265 TOWNSEND ROAD PHILADELPHIA PA 19154 HOME CARE SUPPORT SERVICES Part I, Line 7: As reported in the income statement and reflected in the financial assistance and community service section of the auditor's report footnote #3 -- Holy Redeemer provides services to patients who meet the criteria of the financial assistance service policy without charge or at amounts less than established rates and provides programs for the community. Criteria for financial assistance conform to the provisions of the Catholic Health Association of the United States, Social Accountability Budget, a Process for Planning and Reporting Community Service in a Time of Fiscal Constraint. Holy Redeemer maintains records to identify and monitor the level of financial assistance and community service it provides. These records include the amount of charges forgone, based on established rates, for services and supplies furnished under financial assistance and community services policies, the estimated cost of those services and supplies and statistics quantifying the level of financial assistance and community service. Holy Redeemer estimates its direct and indirect costs of providing financial assistance for each entity by either calculating a cost per chargeable unit and applying to charges forgone, a cost-to-charge ratio by comparing the per-diem rate from the most recently filed cost report to the gross bill rate, or direct expenses recorded under specific cost centers. Benefits for the poor include services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured. Benefits for the broader community include services provided to other needy populations that may not qualify as poor but that need special services and support. Examples include maternity assistance programs, health evaluations, and social services. Part I, Line 7g: Subsidized health services were for employee programs; negative margins for pediatric rehabilitation services, counseling services and under-funded programs (grant supported) for community health services. Part II, Community Building Activities: Holy Redeemer is an active participant in the health and wellbeing of our community. From regional health and safety task force participation, youth education and screenings to interactive events that promote health, Holy Redeemer brings our mission to Care, Comfort, and Heal to our community. Since 1924 when the Sisters of the Holy Redeemer (Sponsor of the Holy Redeemer Health System) settled in Huntingdon Valley, PA, Holy Redeemer has been committed to helping women and their children and the elderly, and to fulfill that commitment has developed a transitional housing program for homeless women and their children, education programs for expectant parents, health services delivered in the home for homebound seniors, and even a participatory community gardening program that promotes nutrition and ecology. Holy Redeemer staff, volunteers, physicians and nurses educate community members, patients, and residents about how to care for themselves and provide preventative health information to seniors, women, children and teens, encouraging behaviors that may lead to major improvements in physical and emotional health. We conduct health fairs and screenings in the community. Community service programs and activities are aimed at improving the general health and well being of the community as a whole. (See list.) Holy Redeemer leaders volunteer hundreds of hours on local non-profit organization boards contributing to community development and enhancement activities, as well as work force and health improvement initiatives. Holy Redeemer also produces and mails quarterly LifeLinks newsletter to 80,000 households in Southeastern Pennsylvania to assist community members with easy to read, actionable health and wellness information. Part III, Line 2: The amount reported was the actual Bad Debt written-off from self-pay class of accounts in in-patient, out-patient and emergency services multiplied by the "cost-to-charge ratio" to arrive at calculated cost of services that were foregone. Part III, Line 4: Holy Redeemer provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and Holy Redeemer ceases collection efforts. Losses have been consistent with managements expectations. In evaluating the collectability of accounts receivable, Holy Redeemer analyzes past results and identifies trends for each major payor source of revenue for the purpose of estimating the appropriate amounts of the allowance for doubtful accounts and the provision for bad debts. Data in each major payor source are regularly reviewed to evaluate the adequacy of the allowance fordoubtful accounts. Specifically, for receivables relating to services provided to patients having third party coverage, an allowance for doubtful accounts and a corresponding provision for bad debts are established for amounts outstanding longer than 120 days and for third-party payors experiencing financial difficulties; for receivables relating to self-pay patients, a provision for bad debts is made in the period services are rendered based on experience indicating the inability or unwillingness ofpatients to pay amounts for which they are financially responsible. Actual write-offs are charged against the allowance for doubtful accounts, and are reflected as a reduction of net patient service revenue in the consolidated statement of operations and changes in net assets. Part III, Line 8: Medicare revenue and cost were determined from the accounting system for all divisions of this business unit - Holy Redeemer Health System. The shortfall or loss from the treatments and services rendered to medicare recipients should be treated as community benefit. Part III, Line 9b: The formal written financial assistance policy contains specific criteria that must be met in order to be deemed eligible. The patient is responsible for providing Holy Redeemer with all necessary information in order to make an informed decision as to the amount of financial assistance that may be offered. Schedule H, Part III, Lines 2, 5 and 6 The amounts reported in this section of Schedule H pertains only to the business of the reporting facility Holy Redeemer Hospital. Part VI, Line 2: As an organization, we have continually assessed the health care needs of the community we serve using the PHMC Community Health Data Base, tracking the community's health status, as well as other pertinent statistics. The purpose of the needs assessment is to identify and prioritize community health needs so that the hospital can develop strategies and implementation plans that benefit the public as well as satisfy the requirements of the Affordable Care Act. Part VI, Line 3: Holy Redeemer engages an external consultant to assist patients with obtaining medical assistance from the state of Pennsylvania. This function begins in the emergency department and continues if the patient is admitted. If the patient is discharged from the emergency department, every effort is made to assist the patient once they return home. While inpatient, the patient will receive a visit(s) from the financial counselor to assist in the completion of the application necessary for Medicaid. A patient may qualify for financial assistance even if they are not eligible for medical assistance. The patient would be made aware of this process once a determination has been made at the state level. A patient may contact our customer service center anytime to request assistance with paying their patient liabilities. Holy Redeemer Health System extends charity to those that meet criteria using a formula at 400% of the federal poverty level. A financial assistance application must be completed before determination can be made as it relates to extending financial assistance, although presumptive financial assistance is extended using external sources for verification of patient's income and percentage of federal poverty level. Part VI, Line 4: Holy Redeemer Health System's service area includes Philadelphia, Montgomery, and Bucks counties in southeastern Pennsylvania. The Holy Redeemer Homecare and Hospice in New Jersey also serves eleven counties in New Jersey including Cape May, Atlantic, Ocean, Camden, Gloucester, Salem, Cumberland, Monmouth, Middlesex, Somerset and Union counties. The System provides services for over 5.2 million people throughout the primary, secondary and New Jersey service areas. The southeastern Pennsylvania market (primary and secondary service areas) includes areas served by the Holy Redeemer Hospital and Medical Center, Holy Redeemer Saint Joseph manor, Holy Redeemer Lafayette, and Holy Redeemer Home Care and Hospice services. Primary service area: in Pennsylvania, the system primarily serves eastern Montgomery county, southeastern Bucks county and northeastern Philadelphia county. The primary service area ("psa") is comprised of five zip codes in Montgomery county, five zip codes in Bucks county and ten zip codes in Philadelphia county. The total population of Holy Redeemer Health System's service area increased to approximately 531,146 residents in 2015 from 530,146 residents in 2013. In the Holy Redeemer service area, 18-44 year olds make up 34% of the population and is predicted to decline by 1% into 2020. The 18-44 year old age groupo in Montgomery County makes up a similar percentage of the population (33%) and is following the same growth trend as the Holy Redeemer service area. 27% of the service area residents are between the ages of 45-65. This percentage has not changed since 2013, but by 2020 is predicted to decrease by 1%. 22% of the Holy Redeemer service area residents are children aged 0-17. This percentage has not changed since 2013 and is predicted to hold steady into 2020. The 65+ population makes up 18% of the overall population in 2015, and is the only age group in the service area predicted to increase in size by 1% by 2020. Of the total service area population, the major race categories include white non-hispanic which makes up 69%, 11% Black, 9% Latino,and 8% Asian. The average household income of the service area is $56,920 in 2015, an increase from 2013's $54,776. The median household income in Holy Redeemer's service area is predicted to grow to $59,851 by 2020. MOntgomery County's median income is at $80,561. Over 63 percent of the population has a high school degree, and an additional one-quarter have a college degree or more, and 13% of the residents have less than a high school degree. Approximately 89% of the service area's residents are employed and 11% are unemployed. Nearly one-quarter of families (23%) in the Holy Redeemer service area are living with incomes 150% below the poverty level. 14% of families with children and 9% of families without children in the HOly Redeemer service area are living in poverty in 2015. Part VI, Line 5: Holy Redeemer provides the following services to our community:All activities are free unless otherwise noted.Support groups" Bucks County Breast Friends Support Groups for all stageso New Members, General Members, and Young Members" Meta Friends for men and women with Stage IV breast cancer" CaRES-Cancer Resources Education and Support open to all cancer patients at any stage of illness, and for their caregivers. " Living in My Genes for BRCA-positive individuals at risk for breast cancer" Unite, Inc. grief support following the loss of a baby " Infant Memorial Annual interfaith service for those who have experienced miscarriage, stillbirth or death of an infant." Bereavement support group for adults grieving the loss of a loved one in a safe, supportive atmosphere." Tree of Lights bereavement and memorial services for hospice families. Multiple locations in PA and New Jersey.Educational Events" Diabetes Self-Management Classes, offered several times per year. (Cost generally covered by health insurance.)" Heart Healthy Expo educates about heart disease and women, held annually at Macy's, Neshaminy Mall." Look Good...Feel Better teaches beauty techniques to women who are actively undergoing cancer treatment" AARP Driver Safety Program" Childbirth Education Classes - Costs vary" Family & Friends CPR provided every month - ($25 per person)" Safe Sitter prepares 11-14 year olds with the life and safety skills they need to be safe while home alone, watching younger siblings, or babysitting. ($40 per child)Community Interaction and Educational Outreach" American Diabetes Association's Tour de Cure" American Heart Association Heart Walk" Heart Healthy Expo" Ladies of Port Richmond Breast Cancer Walk" Senator Greenleaf's Community Night" Survivors' Day Brunch" Upper Southampton Fire Company Fire Prevention Night" Various corporate and community health fairsScreenings" Blood pressure screenings at events throughout the region" Body Mass Index measurement and information provided at events in the community" Depression and Anxiety Screenings" Mammograms offered free to uninsured women four times per yearPublication" LifeLinks, our community magazine, is published quarterly, distributed to 80,000 households, and focuses on health and wellness information and the numerous events associated with Holy Redeemer Hospital. Topics covered include pregnancy, cardiovascular health, breast cancer, lung cancer, holistic health, diabetes, and senior health.Digital Resources (Updated three times a week)" HealthLink: Beginning in October 2014, Holy Redeemer began publishing a health news site with nearly daily updates. The site provides consumer health and wellness information on diverse topics such as orthopedics, senior living, hospice care, women's health, diabetes and more. This site also incorporates the former Caring with Confidence: Support for end of life caregivers' site and The Aging Well, a blog site focusing on senior health and living. This content-rich online community includes informational posts, fact sheets, web resources, and a forum our community. " Health Library on www.holyredeemer.com" www.facebook.com/holyredeemerhealth posts health information, current events related to healthcare, and community educational events.Charitable Activities" Drueding Center-Holy Redeemer sponsors Drueding Center, a transitional housing program and comprehensive treatment program for homeless women and their children. A complete report is available on Drueding Center's website, www.druedingcenter.org. " Food pantries-Holy Redeemer Health System sponsors three food pantries: Green Light Food Pantry at Drueding Center, Philadelphia; Food Pantry of PA in Northeast Philadelphia, and Holy Redeemer's Food Pantry of NJ in Swainton, NJ. Part VI, Line 6: Holy Redeemer is involved with several community partners:1. Abington Community Taskforce-Organizations Supporting a Caring Community-This organization is a coalition of parents and students, as well as Abington- and Rockledge- based representatives from educational, religious, social services, recreational, civic and law enforcement organizations with a mission to create a responsible, caring and safe community. The focus of ACT has been to promote healthy youth activities, to increase awareness among citizens about these activities in the community and give recognition to outstanding partnerships in Abington. Holy Redeemer has been involved with ACT on several initiatives such as the annual teen forum, in-services, team building and community activities.2. Holy Redeemer & St. Hilary of Poitiers Community Garden Project-The second grade class of a local grade school, St Hilary of Poitiers, their principal, and teacher participate in a school garden program. The program includes classroom education with a Holy Redeemer dietitian, garden visits and planting in the Sisters of the Holy Redeemer's garden. Planting includes summer fruit varieties and garden vegetables, herbs and flowers. The curriculum includes care of environment, healthy eating, and sharing the garden produce with those who don't have access to healthy foods.3. Healing Consciousness FoundationHealing Consciousness Foundation - a non-profit organization was founded by breast cancer surgeon, Dr. Beth Baughman Dupree. Dr. Dupree is also Medical Director of Holy Redeemer's Breast Health Program, working together to provide a holistic approach to healing.4. AARP-Holy Redeemer works with AARP to provide safe driving classes for seniors every month. Part VI, Line 7, Reports Filed With States PA,NJ 1 The Philadelphia Food Trust 1617 JFK Blvd Suite 900 Philadelphia PA 19103 232678383 100000 Support for operation and food inventory for feeding the needy in the community served. Scholarship/Educational Tuition Assistance 12 36169 Part I, Line 2: The organization have a policy and set qualifying criterias for awarding grants to applicants. Grant awards are monitored by the organization by maintaining records of award recipients, amount of the grant and disbursement of the award. Disbursement are made only after review of the recipients school enrollment, tuition invoices and completion of their respective courses. X X X X X X 0 0 0 0 0 0 0 0 0 MICHAEL B LAIGN Board Member/President 715149 0 170000 0 90038 0 77839 0 13964 0 1066990 0 0 0 RUSSELL R WAGNER Exec VP/Treasurer 351614 0 0 0 43634 0 87010 0 12332 0 494590 0 0 0 DONALD FRIEL Exec VP/Asst. Treasurer 317460 0 0 0 48632 0 80944 0 14292 0 461328 0 0 0 ANNE CATINO VP Hospital 179593 0 20284 0 0 0 31833 0 11112 0 242822 0 0 0 CATHERINE EGAN Senior VP, Chief Admin Ofc 251284 0 35000 0 5988 0 51445 0 2994 0 346711 0 0 0 DENISE E COLLINS "Former" Exec VP 297167 0 52390 0 46881 0 77525 0 6600 0 480563 0 0 0 DONALD FOX VP Homecare 223606 0 39270 0 870 0 43528 0 13244 0 320518 0 0 0 GEORGE HAMILTON VP Finance 186106 0 23020 0 16406 0 34335 0 6021 0 265888 0 0 0 JACK DEMPSTER VP/Construction-Facilities 172773 0 15972 0 0 0 14652 0 13330 0 216727 0 0 0 JOSEPH CASSIDY RN VP Human Resources 194876 0 23297 0 20006 0 42188 0 1558 0 281925 0 0 0 KAREN RENSON RN VP, Chief Qual & Safety Of 174336 0 25804 0 0 0 32254 0 11112 0 243506 0 0 0 MARIAN THALLNER Senior VP Women's & Childr 234828 0 35000 0 7200 0 48758 0 14421 0 340207 0 0 0 MICHELE L UROFSKY Sr Vice President 131138 0 0 0 39341 0 15737 0 430 0 186646 0 0 0 PATRICK KENNEDY Senior VP 275329 0 0 0 46810 0 51268 0 12482 0 385889 0 0 0 RANDIE OBERLANDER Director of Pharmacy 175201 0 16456 0 0 0 16966 0 10717 0 219340 0 0 0 ROBERT HEINEMAN Vice President Homecare 167914 0 25925 0 5749 0 36194 0 10643 0 246425 0 0 0 ROBIN FRANKWICH Group VP Lifecare 161576 0 19278 0 0 0 29074 0 10951 0 220879 0 0 0 ROBERT FARRINGTON VP Revenue Cycle 139557 0 13125 0 0 0 0 0 962 0 153644 0 0 0 ROSEANNE SILVESTRI Vice Presidcent 157614 0 9520 0 0 0 6988 0 4927 0 179049 0 0 0 CHARLES THOMAS STRIDE Vice President, CIO 226586 0 36656 0 0 0 9275 0 11571 0 284088 0 0 0 NANCY MANDES VP, Corp Comp/Inter Audit 134779 0 18034 0 0 0 12221 0 13982 0 179016 0 0 0 JIMM GRIMM Radiation Oncologist 173773 0 0 0 0 0 12291 0 961 0 187025 0 0 0 ROBERT E HAYES JR Physical Therapist 152536 0 300 0 0 0 12094 0 15442 0 180372 0 0 0 PAMELA SNASHALL VP Corp Development 133355 0 9422 0 6301 0 12261 0 5273 0 166612 0 0 0 STEVEN CROWELL RN, Staff 147350 0 300 0 0 0 12911 0 12162 0 172723 0 0 0 BENJAMIN PIECZYNSKI VP, Administrator 130932 0 10863 0 0 0 13789 0 1491 0 157075 0 0 0 ANTHONY COLETTA "Former"VP, Chief Qual & Safety Of 0 0 0 0 161600 0 0 0 0 0 161600 0 0 0 A MONTGOMERY COUNTY HIGHER EDUC & HEALTH AUTHORITY 232447147 613603TA7 2014-10-30 46320000 SEE EXPLANATION IN SCHEDULE O. 0 0 0 B MONTGOMERY COUNTY HIGHER EDUC & HEALTH AUTHORITY 232447147 613603PX1 2006-01-12 30000000 SEE EXPLANATION IN SCHEDULE O. 0 0 0 A 46320000 4394863 41068673 856464 1 0 1 1 B 30000000 3000000 1134200 25865800 2009 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 1 0 0 0 0 0 B 1 0 0 0 0 0 A 0 B 0 Schedule K, Part V We are currently reviewing. WILLIAM SASSO ESQ TRUSTEE 905682 Trustee is a partner of legal firm doing business with all related organizations in the Holy Redeemer Health System. 0 RONALD BROOKS TRUSTEE Trustee is the medical director of Independence Blue Cross. 0 CHARLES KAHN JR TRUSTEE 177415 Trustee is co-owner of real estate business leasing certain offices to a related organization at market rate. 0 TIMOTHY J ABELL TRUSTEE Trustee is an officer of a financial institution doing business with the organization and affiliates. 0 ROBERT WECKENMAN TRUSTEE Invest on behalf of Redeemer Villages (related organization), assets held under HUD guidelines. 0 CHRISTINE HOLT Former Key Employee 239382 Person is now working for the organization as a contractor/consultant; representing Holt Strategic Consulting LLC. 0 X 1058037 Thriftshop store sales X 2 6147 Ave. price on year donat 0 0 0 Form 990, Part I, Item C DBA: HOLY REDEEMER THRIFT STORE DBA: HOLY REDEEMER HOMECARE DBA: HOLY REDEEMER LAFAYETTE DBA: HOLY REDEEMER ST. JOSEPH MANOR DBA: HOLY REDEEMER SUPPORT AT HOME DBA: HOLY REDEEMER MULTICARE SERVICES DBA: HOLY REDEEMER MEDICAL MESSAGING DBA: HOLY REDEEMER HOSPICE Form 990, Part VI, Section A, line 6 HOLY REDEEMER MINISTRIES, a related organization, is a member with reserve powers. Form 990, Part VI, Section A, line 7a HOLY REDEEMER MINISTRIES, a related organization, is a member which had the power to elect or appoint one or more members of the governing body. Form 990, Part VI, Section A, line 7b HOLY REDEEMER MINISTRIES, a related organization, is a member with reserve powers over governance decisions of the organization. Form 990, Part VI, Section B, line 11 A copy of Form 990 (pdf format) is published in a secure internal website prior to filing. Members and officers of the governing body are notified by email, and each are issued an individual access code to retrieve the Form 990. They are given two weeks to review, question, and comment on the Form 990. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors, and enforces compliance to our conflict of interest policy. All officers, directors, and key employees reviews, acknowledge and sign annually, the organizations Conflict of Interest Policy statement. All are required to disclose annually any interests that could give rise to conflicts. Form 990, Part VI, Section B, line 15 The Holy Redeemer Health System Board of Trustees through the committee that oversees executive and physician compensation periodically engages the services of Integrated Healthcare Strategies, a consulting firm with expertise in health care executive compensation, to review the external market data. The market data provides comparable compensation levels based on geography, revenue size and other factors to determine a market range for each executive. The results of their findings are shared directly with the Governance and Leadership committee of the Board of Trustees. Form 990, Part VI, Section C, line 19 The Holy Redeemer Health Systems consolidated financial statements are available on DAC Bonds quarterly report. The organization's Form 990, financial statements, conflicts of interest policy and governing documents are made available to the public upon request. These are made available to individuals that makes a request in person, immediately after completing and signing a formal request form identifying themselves, providing their addresses and signing the form. All other written requests via mail or email from individuals, foundations or government agencies are honored within 30 days of receipt. Notice of annual public meeting of the corporation is advertised in local newspapers. FORM 990, PART VII, SECTION A All compensation informations to all listed compensated persons in this section, due to "Common Paymaster" agreement with the Internal Revenue Service were reported under the Holy Redeemer Health Systems tax id #23-1534300. FORM 990, PART VII, SECTION B The Holy Redeemer Health System has a centralized and consolidated accounts payable processing for all related organizations listed in Schedule R. Payments for services and materials rendered to all the related organizations, including Holy Redeemer Health System, were consolidated and reported in Form 1099 to the Internal Revenue Service under the Holy Redeemer Health System tax id #23-1534300. Form 990, Part XI, line 9: Increase in temporarily restricted assets 9,973. increase in permanently restricted assets 168,574. Fund transfer to Drueding Center for proceeds of Thriftshop sales of -81,793. Equity transfer/Capital Investment to Pine Views II -972,292. FORM 990, PART XII, LINE 2C The process and responsibility for oversight of the audit of financial statements and selection of independent accountant remain with the Legal and Audit Committee of the Board of Holy Redeemer Health System, and remains the same as in the previous year. Form 990, Part XI, Line 9 Equity Transfer Note The Other Change in Net Assets noted as "Equity Transfer" to Pine Views II is a conversion of a previous Receivable amount from Pine Views II. Schedule K, Part I, line A, column F The Series 2014A Bonds were issued to finance the costs of the current refunding of all of the Authority's outstanding Health Care Revenue Bonds, the 1997 Series A (Holy Redeemer Health System) bonds which were originally issued by the Authority to finance and refinance the costs of various capital projects for the benefit of two Pennsylvania non-profit corporations - Holy Redeemer Health System, tax id#23-1534300 ("HRHS"), this filing organization, and HR Physician Services, tax id#23-2696460 ("HRPS")- which are part of an integrated health and social service delivery system. The proceeds from the sale of the Series 2014A Bonds, together with other available funds of the HRHS and HRPS, will be used to: (i) currently refund all of the outstanding Series 1997 Bonds; (ii) fund a deposit to the Debt Service Reserve Fund established under the Bond Indenture in an amount sufficient to satisfy the Reserve Fund Requirement thereunder upon issuance of the Series 2014A Bonds; and (iii) pay certain costs related to the issuance of the Series 2014A Bonds. Schedule K, Part I, line B, column F The 2006 Bonds were issued to finance cost of various capital projects for the benefit of two non-profit corporations, Holy Redeemer Health System (HRHS) and Holy Redeemer Physician Services. The amounts reported in Schedule K is the total of the bonds issued for HRHS, tax id #23-1534300 and HRPS, tax id #23-2696460 (this filing organization). Proceeds from the sale of the 2006 Series-A bond will be use to: (1) finance, or reimburse the borrowers for, the cost of certain capital improvements to facilities of the borrowers; (2) fund a debt service reserve fund for the series 2006a bonds; (3) to pay certain costs related to the issuance of the series 2006a bonds (collectively, the "series 2006a project"). REDEEMER HEALTH NETWORK LLC 667 WELSH ROAD HUNTINGDON VALLEY PA 19006 232876526 INACTIVE ORGANIZATION PA HOLY REDEEMER HEALTH SYSTEM SOUTHPOINT HEALTH NETWORK LLC 1801 N ROUTE 9 SWAINTON NJ 08210 223376863 INACTIVE ORGANIZATION PA HOLY REDEEMER HEALTH SYSTEM REDEEMER AMBULATORY SURGERY CENTER LLC 667 WELSH ROAD HUNTINGDON VALLEY PA 19006 231534300 INACTIVE ORGANIZATION PA HOLY REDEEMER HEALTH SYSTEM HOLY REDEEMER MINISTRIES 1602 HUNTINGDON PIKE MEADOWBROOK PA 19046 237454932 UMBRELLA CORP FOR THE HOLY REDEEMER HEALTH SYSTEM PA 501(C)(3) Line 3 0 HRH MANAGEMENT CORPORATION 667 WELSH RD HUNTINGDON VALLEY PA 19006 232127559 LEASE MEDICAL OFFICES IN CLOSE PROXIMITY TO THE HOSPITAL SUPPORTED PA 501(C)(3) Line 11b, II 0 HOLY REDEEMER PHYSICIAN AND AMBULATORY SERVICES 667 WELSH RD HUNTINGDON VALLEY PA 19006 232696460 PHYSICIAN PRACTICE PA 501(C)(3) Line 3 0 REDEEMER VILLAGE 1551 HUNTINGDON PIKE HUNTINGDON VALLEY PA 19006 232091414 RENTAL HOUSING FOR LOW INCOME ELDERLY/DISABLED PA 501(C)(3) Line 9 0 REDEEMER VILLAGE II 1551 HUNTINGDON PIKE HUNTINGDON VALLEY PA 19006 222282223 RENTAL HOUSING FOR LOW INCOME ELDERLY/DISABLED PA 501(C)(3) Line 9 0 DRUEDING CENTER 413 W MASTER STREET PHILADELPHIA PA 19122 231532883 SUPPORT SERVICES FOR HOMELESS WOMEN & THEIR CHILDREN PA 501(C)(3) Line 7 0 HOLY REDEEMER VISITING NURSE AGENCY INC 1801 N ROUTE 9 SWAINTON NJ 08210 222424253 PROVIDE HEALTH CARE IN PATIENTS' HOME NJ 501(C)(3) Line 9 0 HOLY REDEEMER HOMECARE-NJ NORTH PO BOX 250 RUNNEMEDE NJ 08078 221501364 PROVIDE HEALTH CARE IN PATIENTS' HOME NJ 501(C)(3) Line 9 0 HOLY REDEEMER HOMECARE-NJ SOUTH PO BOX 250 RUNNEMEDE NJ 08078 210634582 PROVIDE HEALTH CARE IN PATIENTS' HOME NJ 501(C)(3) Line 9 0 VISITING NURSE SERVICE SYSTEM INC PO BOX 250 RUNNEMEDE NJ 08078 222676688 PROVIDE ADMIN SUPPORT TO AFFILIATES NJ 501(C)(3) Line 11a, I 0 HOLY REDEEMER HOSPICE INC PO BOX 250 RUNNEMEDE NJ 08078 223166974 CARE FOR PATIENTS W/ LIFE LIMITING ILLNESS NJ 501(C)(3) Line 9 0 VISITING NURSE CUSTOM SERVICES PO BOX 250 RUNNEMEDE NJ 08078 223808046 PROVIDE HEALTH CARE SERVICES NJ 501(C)(3) Line 9 0 HOLY REDEEMER ACTIVE AND RETIREMENT LIVING COMMUNITIES 667 WELSH RD HUNTINGDON VALLEY PA 19006 232695245 CCRC PROVIDER WITH ACCESS TO MEDICAL CARE PA 501(C)(3) Line 11a, I 0 VNHS FOUNDATION INC PO BOX 250 RUNNEMEDE NJ 08078 223043177 PROVIDE ADMIN SUPPORT TO AFFILIATES NJ 501(C)(3) Line 11a, I 0 HOLY REDEEMER HOSPITAL & MEDICAL CENTER DISABILITY TRUST 1648 HUNTINGDON PIKE MEADOWBROOK PA 19046 232501530 DISABILITY BENEFITS TO BENEFICIARIES PA 501(C)(3) Line 11a, I 0 D'YOUVILLE MANOR 1750 QUARRY RD YARDLEY PA 19067 232564327 PROVIDE LONG TERM CARE SERVICE TO ITS RESIDENTS PA 501(C)(3) Line 9 0 VNA HOME CARE OF MERCER COUNTY 171 JERSEY STREET NO 201 TRENTON NJ 08611 210634500 PROVIDE HEALTH CARE IN PATIENTS' HOME NJ 501(C)(3) Line 9 0 HOLY REDEEMER-DALE ZIPLEY HOMES FOR INDEPENDENT ADULTS 1587 EASTON RD ROSLYN PA 19001 208201594 PROVIDE HOUSING FACILITY FOR ADULTS WITH DISABILITIES PA 501(C)(3) Line 9 0 HOLY REDEEMER AMBULATORY SURGERY CENTER LLC 821 HUNTINGDON PIKE MEADOWBROOK PA 19046 233020527 SURGERY CENTER PA HOLY REDEEMER PHYSICIAN SERVICES 0 0 INNOVATIVE WELLNESS ALLIANCE LLC 667 Old Welsh Road 3rd Floor Huntingdon Valley PA 19006 464781400 Develop a clinically integrated network. PA HOLY REDEEMER HEALTH SYSTEM RELATED -1699587 1355694 0 1 0.90090 COMMUNITY CARE COLLABORATIVE OF PA AND NJ LLC 595 West State Street Doylestown PA 18901 812682767 Community health improvement PA HOLY REDEEMER HEALTH SYSTEM RELATED 30000 0 1 0.50000 VISITING NURSE MANAGEMENT CO INC PO BOX 250 RUNNEMEDE NJ 08078 222653985 OFFICE ADMINISTRATION SERVICES PA C 0 HOLY REDEEMER ACTIVE AND RETIREMENT LIVING COMMUNITIES INC 667 WELSH RD HUNTINGDON VALLEY PA 19006 020726139 CCRC PROPERTY MANAGERS PA HOLY REDEEMER HEALTH SYSTEM C 1.00000 0 THR INSURANCE COMPANY LTD 2ND FL STRATHVALE HOUSE N CHURCH GEORGE TOWN CJ 980461500 INSURANCE CJ HOLY REDEEMER HEALTH SYSTEM 1.00000 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 HRH MANAGEMENT CORP K 545257 MARKET RATE RENT DRUEDING CENTER B 81793 NET PROCEEDS, THRIFT STORE SALE RELATED ORGANIZATIONS LISTED IN PART II O 21672283 SEE EXPLANATION ON PART VII SCHEDULE R, PART V, LINE 2, 2 INFORMATION HOLY REDEEMER HEALTH SYSTEM CORPORATE DEPARTMENT ALLOCATE EXPENSES TO ALL RELATED COMPANIES AND ARE RECORDED IN HRHS'S PL STATEMENT AS OTHER REVENUE. THESE EXPENSES INCLUDE SALARIES, BENEFITS AND MISCELLANEOUS EXPENSES APPROPRIATE TO RUN THE WHOLE HEALTH SYSTEM EFFECTIVELY WITH SIGNIFICANT COST SAVINGS.