2016-05-12T16:16:17-05:00 2015-06-30 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2014-07-01 231637191 CROZER-CHESTER MEDICAL CENTER % PHILIP J RYAN CPA CROZ 6104476252 ONE MEDICAL CENTER BLVD UPLAND PA 190133995 PHILIP J RYAN CFO 9738989494 2016-05-10 true Scott J Mariani P00642486 9738989494 2014 2016-08-17 19:52:53Z PATRICK J GAVIN 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 515726822 false X WWW.CROZERKEYSTONE.ORG X 1883 PA CROZER-CHESTER MEDICAL CENTER IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE & WILL DEPLOY ITS RESOURCES IN A COST-EFFECTIVE & COMMUNITY-RESPONSIVE MANNER 15 11 4143 288 78596 6338348 7731463 504964219 499883260 9996957 3917279 2785793 3899334 524085317 515431336 3301954 1945668 0 0 261423463 243676003 0 0 0 267675536 269892448 532400953 515514119 -8315636 -82783 390434461 396453977 410745282 396403902 -20310821 50075 X CROZER-CHESTER MEDICAL CENTER IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE. THROUGH A SEAMLESS, USER-FRIENDLY CONTINUUM OF QUALITY HEALTH SERVICES INCLUDING PRIMARY AND HEALTH PROMOTION, ACUTE AND LONG-TERM CARE, THROUGH REHABILITATION AND RESTORATIVE CARE, CROZER-KEYSTONE WILL DEPLOY ITS RESOURCES IN A COST-EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER. WORKING IN PARTNERSHIP WITH OUR PHYSICIANS AND OTHER HEALTH PROFESSIONALS, WE WILL SEEK TO FORGE NEW ALLIANCES WITH OTHER COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS. WORKING WITH OUR COMMUNITY, OUR GOAL IS TO BUILD A HEALTHY PLACE TO LIVE AND WORK, AND A SOUND ENVIRONMENT IN WHICH TO BUILD AND MAINTAIN OUR FAMILIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 273023590 1159448 297886735 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. EXPENSES (DIRECT ONLY; NOT INCLUDING INDIRECT) ARE INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT HEALTHCARE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 164595860 678445 174306925 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. EXPENSES (DIRECT ONLY; NOT INCLUDING INDIRECT) ARE INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT HEALTHCARE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 26539250 107775 27689600 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. EXPENSES (DIRECT ONLY; NOT INCLUDING INDIRECT) ARE INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY ROOM HEALTHCARE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 464158700 true true false true false false false false false true true false true true true true false true false false true false false false false false true true true true true true false false false false false false false false false false false false false false false true true true false false true 421 0 true 4143 true true true false false false false false false false false false X 15 11 false false false false true true true true true false false true true true true true true true true false PA X PHILIP J RYAN CPA 6104476252 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 X GAIL M WHITAKER ESQ CHAIR - DIRECTOR 1.0 X X 0 0 0 PETER L OETINGER VICE CHAIR - DIRECTOR 1.0 X X 0 0 0 DAVID B ARSHT DO SECRETARY - DIRECTOR 1.0 X X 0 0 0 ANN F SWAN TREASURER - DIRECTOR 1.0 X X 0 0 0 FRED A AKL PHD PE DIRECTOR 1.0 X 0 0 0 CORLISS BOGGS DIRECTOR 1.0 X 0 0 0 JOHN D BOWERS DIRECTOR 1.0 X 0 0 0 BRUCE G FISCHER DIRECTOR 1.0 X 0 0 0 PATRICK J GAVIN DIRECTOR - EVP/COO 55.0 X X 0 478353 216026 HORACE B GRIFFITH III DIRECTOR 1.0 X 0 0 0 C NATHAN OKECHUKWU MD DIRECTOR 55.0 X 308780 0 0 JEROME S PARKER PHD DIRECTOR 1.0 X 0 0 0 THOMAS PRESTEL MD DIRECTOR 1.0 X 0 0 0 JOAN K RICHARDS DIRECTOR - ASST. TREASURER 55.0 X X 0 1000142 233339 ROBERT N SPEARE ESQ DIRECTOR 1.0 X 0 0 0 KEVIN P CAPUTO MD PRESIDENT, COMMUNITY HOSPITAL 55.0 X 0 489193 47739 DONALD W LEGREID ESQ ASST SEC. - VP/GENERAL COUNSEL 55.0 X 0 311444 42102 ROBERT HAFFEY PRESIDENT TAYLOR HOSP & DCMH 55.0 X 300871 0 49829 GWENDOLYN SMITH PRESIDENT, SPRINGFIELD HOSP. 55.0 X 226340 0 36617 PHILIP J RYAN CPA ASST TREASURER - SVP/CFO 55.0 X 0 447185 141408 CAROLE EISEN MD PHYSICIAN ADVISOR 55.0 X 226380 0 15062 LIANG SONG CHIEF PHYSICIST 55.0 X 208640 0 31942 STEPHEN V DEFRUSCIO VP ADMINISTRATION 55.0 X 204176 0 47739 STEPHEN A DIMAMBRO VP,SUPPORT SVCS(TERM 2/26/14) 55.0 X 192990 0 36770 CHARLES J GOWER RN REGISTERED NURSE 55.0 X 162021 0 48426 DIANE C MILLER TERM 22614 FORMER PRESIDENT, TAYLOR HOSP. 0.0 X 252560 0 38692 2082758 2726317 985691 361 true true false ASSOCIATES IN ANESTHESIA 30 MEDICAL CENTER BLVD SUITE 305 UPLAND PA 19013 ANESTHESIA 8215938 SOUTHEAST RADIOLOGY LTD PO BOX 981 MEDIA PA 19063 RADIOLOGY 4435136 SIEMENS MEDICAL SOLUTIONS PO BOX 120001 DALLAS TX 75312 HEALTHCARE 2427696 PHILADELPHIA COLLEGE OF MEDICINE PO BOX 824101 PHILADELPHIA PA 19182 MEDICAL 1807482 SIGNATURE COMMUNICATIONS 417 N 8TH STREET SUITE 401 PHILADELPHIA PA 19123 ADVERTISING 1767568 113 X 7375263 356200 7731463 NET PATIENT SERVICE REVENUE 541900 480094724 480094724 OTHER HEALTHCARE RELATED REVENUE 811000 19788536 19709940 78596 499883260 1621568 1621568 0 0 1762211 295486 1466725 0 1466725 1466725 2072900 222811 2072900 222811 2295711 2295711 0 0 0 CAFETERIA REVENUE 722410 1526986 1526986 PARKING GARAGE REVENUE 812930 851356 851356 TELEPHONE REVENUE 900099 54267 54267 2432609 515431336 499804664 78596 7816613 X 938664 938664 1007004 1007004 0 0 922437 830193 92244 0 188344796 169510316 18834480 16899561 15209605 1689956 21441772 19297595 2144177 16067437 14460693 1606744 26226714 23604043 2622671 1603409 1443068 160341 56669 51002 5667 0 0 0 112460700 101214628 11246072 3905345 3514811 390534 7743058 6968753 774305 9944160 8949744 994416 0 11178634 10060771 1117863 565028 508525 56503 0 0 4739410 4265469 473941 0 15966310 14369679 1596631 4434888 3991399 443489 MEDICAL SUPPLIES 62048465 55843618 6204847 0 REPAIRS & MAINTENANCE 4580309 4122278 458031 0 RECRUITMENT 403196 362876 40320 0 OTHER EXPENSES 4036153 3633966 402187 0 515514119 464158700 51355419 0 X 9771 9521 28362983 25743739 7397437 11649516 61744231 63582741 0 0 0 0 0 0 6558308 7099336 2467591 2890027 446845855 338015274 112400320 108830581 0 0 0 0 141043017 132731599 1111858 979212 29338945 42937705 390434461 396453977 55993340 62486007 0 0 0 0 134061910 129094340 0 0 0 0 10116 43102 0 0 220679916 204780453 410745282 396403902 X -31884129 -11150925 4194287 3921000 7379021 7280000 -20310821 50075 390434461 396453977 X -82783 -2035321 22479000 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true true false false SCHEDULE C, PART II-B; QUESTION 1 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM PAYS ALL LOBBYING EXPENDITURES ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM AND REPORTS THESE EXPENDITURES ON THE CROZER-KEYSTONE HEALTH SYSTEM FEDERAL FORM 990. THESE LOBBYING EXPENDITURES INCLUDE (1) PAYMENTS TO OUTSIDE INDEPENDENT FIRMS AND (2) AN ALLOCATED PORTION OF THE DUES PAID TO THE AMERICIAN HOSPITAL ASSOCIATION AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA. 11573308 435000 -9000 798308 11201000 10648441 877555 1050550 1003238 11573308 9479347 1732855 739588 1303349 10648441 10368806 940338 -149588 1680209 9479347 9215163 1022252 1385785 1254394 10368806 0.65000 0.35000 true false 3384133 3384133 187825646 112441214 75384432 251433666 223703271 27730395 4202410 1870789 2331621 108830581 CASH AND CASH EQUIVALENTS 14785200 F TAX-EXEMPT ORGANIZATION 55253000 F PERPETUAL TRUST 4785411 F MUTUAL FUND FIXED INCOME 36945693 F MUTUAL FUND EQUITY 711178 F COMMON & COLLECTIVE TRUSTS 5321207 F US GOVERNMENT OBLIGATIONS 2597400 F MARKETABLE EQUITY SECURITIES 401403 F CORPORATE BONDS 207089 F CERTIFICATES OF DEPOSIT 8989529 F OTHER INVESTMENTS 2734489 F 132731599 DUE TO AFFILIATES 29023553 OTHER ASSETS 13914152 42937705 0 ESTIMATED THIRD-PARTY PAYORS SETTLEMENTS 3928997 DUE TO AFFILIATES 18034947 INSURANCE LIABILITY 10670076 PENSION LIABILITY 163430978 OTHER LIABILITIES 8715455 204780453 X SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS THE TAX-EXEMPT PARENT OF THE SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S FISCAL YEAR ENDED JUNE 30, 2015 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATIONS LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740). CKHS AND MOST OF ITS SUBSIDIARIES ARE NONPROFIT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 509(A)(1) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM TAXES. THE HEALTH SYSTEM FILES U.S. FEDERAL, STATE AND LOCAL INFORMATION RETURNS AND NO RETURNS ARE CURRENTLY UNDER EXAMINATION. THE STATUTE OF LIMITATIONS ON THE HEALTH SYSTEM'S U.S. FEDERAL INFORMATION RETURNS REMAINS OPEN FOR THREE YEARS FOLLOWING THE YEAR THEY ARE FILED. GAAP REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HEALTH SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS. SCHEDULE D, PART V RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. true Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 0 1 1 1 1 0 0 false false false false false false SCHEDULE F, PART I CROZER-KEYSTONE HEALTH SYSTEM, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, PAID CASSATT INSURANCE COMPANY, LTD. $3,932,557; A FINANCIAL VEHICLE, ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true true X true X true X true true true false false 8549456 0 8549456 0.01670 79826778 61320487 18506291 0.03590 88376234 61320487 27055747 0.05260 28 48127 1153879 0 1153879 0.00220 3 34431604 18967469 15464135 0.03000 10004879 202071 9802808 0.01900 1 23455 0 23455 0.00000 1 17 2753 0 2753 0.00000 33 48144 45616570 19169540 26447030 0.05120 33 48144 133992804 80490027 53502777 0.10380 true 19839538 1388768 113546647 133677246 -20130599 X true true 3 1 CROZER-CHESTER MEDICAL CENTER ONE MEDICAL CENTER BLVD UPLAND PA 190133995 WWW.CROZERKEYSTONE.ORG 037201 X X X X 1 2 TAYLOR HOSPITAL 175 EAST CHESTER PIKE RIDLEY PARK PA 19078 WWW.CROZERKEYSTONE.ORG 037201 X X X X 1 3 SPRINGFIELD HOSPITAL 190 WEST SPROUL ROAD SPRINGFIELD PA 19064 WWW.CROZERKEYSTONE.ORG 037201 X X X X 1 CROZER-CHESTER MEDICAL CENTER 13 false false true X X X X X X X X X 13 true true true true X WWW.CROZERKEYSTONE.ORG/COMMUNITY X X true 13 false true false true X 200. 400. X X X X true true X X X X true X WWW.CROZERKEYSTONE.ORG X WWW.CROZERKEYSTONE.ORG X X X X X true X false X X X X true X false false SCH H, PT V, SECT B, Q'S 2,3J,13H,15E,16I,18D,19D,20E,21C,21D,22D,23&24 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 5 CROZER-KEYSTONE HEALTH SYSTEM COMMUNITY HEALTH EDUCATION WORKED TO ASSIST IN THE IDENTIFICATION OF HEALTH, SOCIAL SERVICE AND COMMUNITY LEADERS TO ATTEND FOCUS GROUPS HELD IN DELAWARE COUNTY, PENNSYLVANIA, RUN BY PUBLIC HEALTH MANAGEMENT CORPORATION TO GATHER THIS INFORMATION IN RESPONSE TO THE CURRENT LEGISLATION. IN ADDITION, IN FEBRUARY 2011, DELAWARE VALLEY HEALTHCARE COUNCIL OF HAP ("DVHC"), THE MEMBERSHIP ASSOCIATION FOR HOSPITALS IN THE FIVE-COUNTY REGION OF SOUTHEASTERN PENNSYLVANIA, ESTABLISHED A COMMUNITY HEALTH NEEDS ASSESSMENT WORKGROUP TO ASSIST HOSPITALS IN: - UNDERSTANDING AFFORDABLE CARE ACT ("ACA") REQUIREMENTS AND INTERNAL REVENUE SERVICE GUIDANCE AROUND COMMUNITY HEALTH NEEDS ASSESSMENTS. - IDENTIFYING THE BEST RESOURCES, TOOLS, AND SERVICES FOR CONDUCTING NEEDS ASSESSMENTS. THE WORKGROUP CONSISTED OF REPRESENTATIVES FROM THE FOLLOWING COLLABORATING HOSPITALS, HEALTH SYSTEMS, AND ORGANIZATIONS: - ABINGTON HEALTH - ARIA HEALTH - BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP - THE CHILDREN'S HOSPITAL OF PHILADELPHIA - CROZER-KEYSTONE HEALTH SYSTEM - EINSTEIN HEALTHCARE NETWORK - HOLY REDEEMER - JEFFERSON HEALTH SYSTEM - MAGEE REHABILITATION HOSPITAL - MAIN LINE HEALTH - MERCY HEALTH SYSTEM OF SEPA - PENN MEDICINE ("UPHS") - ST. MARY MEDICAL CENTER - TEMPLE UNIVERSITY HEALTH SYSTEM THE 24-MEMBER WORKGROUP INCLUDED REPRESENTATIVES FROM 13 HOSPITALS AND HEALTH SYSTEMS REPRESENTING 35 (70 PERCENT) OF 48 DVHC-MEMBER NOT-FOR-PROFIT HOSPITAL FACILITIES IN BUCKS, CHESTER, DELAWARE, MONTGOMERY, AND PHILADELPHIA COUNTIES. THE GROUP HELD A SERIES OF MEETINGS TO REVIEW ACA REQUIREMENTS WITH POLICY EXPERTS FROM THE AMERICAN HOSPITAL ASSOCIATION AND CONSIDER THE TYPES OF RESOURCES THAT MIGHT BE NEEDED TO CONDUCT NEEDS ASSESSMENTS. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B PUBLIC HEALTH MANAGEMENT CORPORATION ("PHMC") PERFORMED THE NEEDS ASSESSMENT TO COVER ALL FOUR OF OUR HOSPITAL FACILITIES SERVING DELAWARE COUNTY AND THE SURROUNDING AREA. PHMC ALSO MET WITH FOCUS GROUPS IN DIFFERENT AREAS IN THE COUNTY TO OBTAIN INFORMATION AND THE FOCUS GROUPS INCLUDED OUTREACH IN OUR SERVICE AREAS. PHMC ALSO WORKED WITH FITZGERALD MERCY HOSPITAL, WHICH IS OUTSIDE OF THE CROZER-KEYSTONE HEALTH SYSTEM BUT WITHIN OUR COUNTY. TWENTY-EIGHT MEMBER FACILITIES FROM THE DELAWARE VALLEY HEALTHCARE COUNCIL OF THE HOSPITAL ASSOCIATION OF PENNSYLVANIA PARTICIPATED: ABINGTON MEMORIAL HOSPITAL LANSDALE HOSPITAL CORPORATION THE CHILDREN'S HOSPITAL OF PHILADELPHIA CROZER-CHESTER MEDICAL CENTER DELAWARE COUNTY MEMORIAL HOSPITAL SPRINGFIELD HOSPITAL TAYLOR HOSPITAL DOYLESTOWN HOSPITAL EAGLEVILLE HOSPITAL EINSTEIN MEDICAL CENTER PHILADELPHIA EINSTEIN MEDICAL CENTER ELKINS PARK EINSTEIN MEDICAL CENTER MONTGOMERY MOSS REHAB BELMONT BEHAVIORAL HEALTH CENTER FOR COMPREHENSIVE TREATMENT GRAND VIEW HOSPITAL HOLY REDEEMER HOSPITAL MERCY FITZGERALD HOSPITAL MERCY PHILADELPHIA HOSPITAL MERCY SUBURBAN HOSPITAL NAZARETH HOSPITAL ST. MARY MEDICAL CENTER TEMPLE UNIVERSITY HOSPITAL JEANES HOSPITAL FOX CHASE CANCER CENTER EPISCOPAL HOSPITAL HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PENNSYLVANIA HOSPITAL PENN PRESBYTERIAN MEDICAL CENTER SCHEDULE H, PART V, SECTION B, QUESTION 7D THE CROZER-KEYSTONE HEALTH SYSTEM HAS PRESENTED THIS INFORMATION TO INTERESTED GROUPS UPON REQUEST. OUR MANAGEMENT IS WORKING WITH A COMMUNITY HEALTH IMPROVEMENTS WORK GROUP BEING SPEAR HEADED FROM THE UNITED WAY OF DELAWARE COUNTY TO TRY TO BRING HEALTHCARE PROVIDERS TOGETHER FROM ACROSS DELAWARE COUNTY TO ADDRESS COMMUNITY HEALTH NEEDS FOUND IN ALL OF OUR COMMUNITY NEEDS ASSESSMENTS IN A COLLABORATIVE MANNER. SCHEDULE H, PART V, SECTION B, QUESTION 11 CROZER-KEYSTONE HEALTH SYSTEM'S MISSION ENSURES COMMITMENT TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE. WE FOCUS ON PROVIDING THE HIGHEST QUALITY OF MEDICAL CARE AND ACTING DECISIVELY TO PREVENT DISEASE WHILE PARTNERING WITH THE COMMUNITY TO EDUCATE AND ENCOURAGE HEALTHY LIFE CHOICES FOR IMPROVED INDIVIDUAL AND OVERALL COMMUNITY HEALTH OUTCOMES. IT IS THROUGH THIS COMMITMENT THAT CKHS HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR 25 YEARS AND FOLLOWED HEALTH TRENDS AND DEVELOPED STRATEGIES FOR HEALTH IMPROVEMENT FOR THE COMMUNITY WE SERVE. CROZER-CHESTER MEDICAL CENTER'S ("CCMC") 2013 CHNA HAS BEEN A CONTINUATION OF AN ONGOING PROCESS TO IDENTIFY COMMUNITY ASSETS AND NEEDS AND DEVELOPMENT OF GOALS AND STRATEGIES TO MOVE THE NEEDLE FORWARD TOWARD THE GOAL OF HEALTH IMPROVEMENT BY MAXIMIZING COMMUNITY ASSETS AND PARTNERSHIPS TO ADDRESS HEALTH NEEDS. THIS MISSION CONTINUES TO DEFINE OUR INVESTMENT IN THE HEALTH AND WELLNESS OF DELAWARE COUNTY RESIDENTS. CROZER HAS ESTABLISHED ITS IMPLEMENTATION PLAN APPROVED BY OUR HEALTH SERVICES BOARD WHICH INCLUDES GOALS TO ADDRESS THE COMMUNITY HEALTH NEEDS THAT FALL WITHIN THE SCOPE OF THE SERVICES WE CAN PROVIDE AND HAVE WORKED COLLABORATIVELY ACROSS OUR HEALTH SYSTEM AS WELL AS WITH COMMUNITY PARTNERS TO ADDRESS THESE GOALS. MORE INFORMATION CAN BE OBTAINED THROUGH THE CKHS 2013-2014 BOARD REPORT. AS A LEADER IN THE CHNA PROCESS IN DELAWARE COUNTY, CKHS SPENT TIME OVER THE PAST FISCAL YEAR TO EDUCATE THE COMMUNITY SERVED BY CCMC REGARDING OUTCOMES OF ITS CHNA THROUGH OUTREACH AND PRESENTATIONS TO COMMUNITY LEADERS/COMMUNITY MEMBERS/COMMUNITY PARTNERS, AND THROUGH POSTING THIS DOCUMENT ON OUR CKHS WEBSITE. WE ALSO SPENT A SIGNIFICANT AMOUNT OF TIME AND ENERGY TO PULL TOGETHER A PROCESS WHERE OTHER HEALTHCARE PROVIDERS WITHIN OUR COUNTY COULD COLLECTIVELY ADDRESS CHNA OUTCOMES RATHER THAN HAVING INDIVIDUAL EFFORTS OCCURRING IN SILOS IN THE COMMUNITY. WE SOLICITED THE UNITED WAY, AS AN IMPARTIAL ORGANIZATION TO SERVE AS THE CONDUIT FOR THIS INITIATIVE. UNFORTUNATELY, AFTER MUCH TIME AND ENERGY EXTENDED, THE UNITED WAY DECIDED TO TAKE ON A PROJECT REGARDING TRAUMA INFORMED CARE INSTEAD. THIS WORK WAS NOT IN VAIN; HOWEVER, IT ENABLED CKHS TO SHARE THE OUTCOMES OF OUR CHNA AND ALSO PROVIDED UNITED WAY WITH CONTACTS AND INFORMATION TO ACCESS THE OTHER CHNA IN OUR COMMUNITY. IT IS OUR HOPE THAT SHARING THIS INFORMATION WITH UNITED WAY MAY IN TURN PROVIDE A BASE OF KNOWLEDGE FOR REGIONAL GOAL SETTING AND FUNDING RESOURCES DEVELOPMENT FOR COMMUNITY HEALTH IMPROVEMENT OPPORTUNITIES. CROZER HAS COLLABORATIVELY WORKED WITH HEALTH PROVIDERS AND OTHER COMMUNITY PARTNERS OVER THE PAST FISCAL YEAR ON SPECIFIC INITIATIVES FOR HEALTH IMPROVEMENT IN THE COMMUNITY WE SERVE, EXAMPLES OF SUCH ARE: DELAWARE COUNTY TOBACCO FREE COALITION, HEALTHY CHESTER COALITION, CHESTER CITY LET'S MOVE/HEART & STROKE OUTREACH/MEN'S HEALTH INITIATIVE/DIABETES MONTH PROGRAMMING, AND DELAWARE COUNTY PEDIATRIC ASTHMA TASK FORCE, AMONG OTHERS. IN CROZER'S SERVICE AREA, NOT UNLIKE ELSEWHERE ACROSS THE COUNTY, CARDIOVASCULAR DISEASE, CANCER AND STROKE ARE THE TOP DISEASES THAT ARE KILLING OUR COMMUNITY. WE HAVE WORKED TO PROVIDE PRIMARY PREVENTION THROUGH HEALTH PROMOTION ACTIVITIES, SECONDARY PREVENTION EFFORTS THROUGH CONNECTION TO SCREENING OPPORTUNITIES AND TERTIARY PREVENTION THROUGH THE INPATIENT AND OUTPATIENT SERVICES OFFERED THROUGH CCMC, TAYLOR HOSPITAL AND SPRINGFIELD HOSPITAL. WE HAVE ALSO CONNECTED THE COMMUNITY TO OPPORTUNITIES TO ACCESS INSURANCE, CONNECT TO A MEDICAL HOME AND HOSPITAL AND COMMUNITY BASED SERVICES FOR HEALTH IMPROVEMENT. CKHS, AS AN EMPLOYER OF APPROXIMATELY 6,000 PEOPLE FROM OUR COMMUNITY, PROMOTES A TOBACCO FREE LIFESTYLE. THIS YEAR WE STRENGTHENED OUR TOBACCO FREE POLICIES BY OFFERING TARGETED TOBACCO CESSATION OPPORTUNITIES AND POLICY CHANGES TO ELICIT STAFF PERSONAL BEHAVIOR CHANGE REGARDING TOBACCO USE. CKHS AND ITS FACILITIES WILL CONTINUE TO FOLLOW OUR IMPLEMENTATION PLAN TO ENGAGE OUR COMMUNITY AND COMMUNITY PARTNERS TO ADDRESS THE HEALTH CONCERNS EFFECTING THE HEALTH AND QUALITY OF LIFE OF THOSE WE SERVE. CURRENTLY, PLANS ARE UNDERWAY FOR THE NEXT CHNA PROCESS IN AN EFFORT TO CONTINUE OUR ONGOING MISSION FOR EVALUATION OF HEALTH TRENDS TO DEVELOPMENT OPPORTUNITIES FOR COMMUNITY HEALTH IMPROVEMENT. 14 COMMUNITY HOSPITAL 2600 WEST NINTH STREET CHESTER PA 19013 OUTPATIENT SERVICES CCMC NORTH CAMPUS 301 WEST 15TH STREET UPLAND PA 19013 PSYCHIATRIC SERVICES CROZER MEDICAL PLAZA BRINTON LAKE 300 EVERGREEN DRIVE GLEN MILLS PA 19342 CLINICAL LAB CROZER MED PLAZA&CANCER CTR BRINTON LAKE 500 EVERGREEN DRIVE GLEN MILLS PA 19342 CLINICAL LAB CENTERS FOR FAMILY HEALTH & THE WIC PROG 1260 WOODLAND AVENUE SPRINGFIELD PA 19064 CLINIC & COMMUNITY OUTREACH CCMC AMBULATORY WIC PROGRAM 3 SOUTH STREET STE 100 UPPER DARBY PA 19082 COMMUNITY OUTREACH PROGRAM CROZER MEDICAL ASSOCIATES 1553 CHESTER PIKE CRUM LYNNE PA 19022 CLINIC TAYLOR HOSPITAL - PHYSICAL THERAPY ROUTE 420 AND SECOND STREET HOLMES PA 19043 PHYSICAL THERAPY/REHAB CROZER HEALTH PAVILION 145 BRINTON LAKE ROAD GLEN MILLS PA 19342 SLEEP CENTER MEDIA MEDICAL PLAZA 200 SOUTH STATE STREET MEDIA PA 19063 CLINIC, LAB & IMAGING PAVILLION ONE 196 WEST SPROUL ROAD SPRINGFIELD PA 19064 PHYSICIAL THERAPY/REHAB CROZER MEDICAL ASSOCIATES 2700 CHESTNUT PARKWAY CHESTER PA 19013 CLINIC CCMC CENTERS FOR FAMILY HEALTH 3 SOUTH STATE STREET STE 200 UPPER DARBY PA 19082 CLINIC CKHS HOME HEALTH & HOSPICE 200 WEST SPROUL ROAD SPRINGFIELD PA 19064 HOME HEALTH SCHEDULE H, PART I, LINE 3C NOT APPLICABLE. SCHEDULE H, PART I, LINE 6A PLEASE NOTE THAT THE ORGANIZATION PREPARES A COMMUNITY BENEFIT REPORT ON AN ANNUAL BASIS WHICH IT MAKES AVAILABLE TO THE PUBLIC. SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED TO CALCULATE THE COST TO CHARGE RATIO. 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; QUESTIONS 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. RECEIVABLES FOR PATIENT CARE PATIENT ACCOUNTS RECEIVABLE FOR WHICH CKHS RECEIVES PAYMENT UNDER COST REIMBURSEMENT, PROSPECTIVE PAYMENT FORMULAE, OR NEGOTIATED RATES, WHICH COVER THE MAJORITY OF PATIENT SERVICES, ARE STATED AS THE ESTIMATED NET AMOUNTS RECEIVABLE FROM PAYORS, WHICH ARE GENERALLY LESS THAN THE ESTABLISHED BILLING RATES OF CKHS. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF PROVISIONS FOR DOUBTFUL ACCOUNTS. ALLOWANCE FOR DOUBTFUL ACCOUNTS CKHS 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, HISTORICAL AND EXPECTED DATA AND TRENDS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PATIENT ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND CKHS CEASES COLLECTION EFFORTS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWABLE FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF MANAGEMENT'S EVALUATION ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. ADDITIONALLY, CKHS FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, WHICH ARE SUBJECT TO CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY CKHS. CHARITY CARE AND COMMUNITY SERVICE CKHS PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. BECAUSE CKHS DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. ADDITIONALLY, CKHS SPONSORS CERTAIN OTHER PROGRAMS WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS INCLUDING COMMUNITY SERVICE PROGRAMS AND SERVICES FOR SCHOOL-AGED CHILDREN AND THE ELDERLY. CKHS ALSO ACTIVELY SPONSORS PROGRAMS ON HEALTH EDUCATION AND WELLNESS. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2015 COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION 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 "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND 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 "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITALS' BE SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE CROZER-KEYSTONE HEALTH SYSTEM BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING FOUR STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $10 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE CROZER-KEYSTONE HEALTH SYSTEM PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE PENNSYLVANIA HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF PENNSYLVANIA. SCHEDULE H, PART VI; QUESTION 2 CROZER-KEYSTONE HEALTH SYSTEM RESPONDS TO THE COMMUNITY'S IDENTIFIED NEEDS BY SEEKING OUT PARTNERSHIPS AND OPPORTUNITIES WHICH WILL TARGET THE IDENTIFIED NEEDS. SELECTION OF STAFF TAKES INTO CONSIDERATION THE INDIVIDUAL AND CULTURAL COMPOSITION OF THE COMMUNITIES TO BE SERVED. WE HAVE FOUND THAT INDIVIDUALS IDENTIFIY MORE CLOSELY AND ARE MORE INCLINED TO PARTICIPATE IN PROGRAMS WHERE THERE ARE INDIVIDUALS OF SIMILAR CHARACTERISTICS. ONCE STAFF IS SELECTED, TRAINING AND SUPERVISION OCCUR ON AN ON-GOING BASIS TO ASSURE THAT TARGETED GOALS ARE BEING MET AND THAT THE COMMUNITY IS POSITIVELY RESPONDING TO PROGRAMS. COMMUNITY PROGRAMS TAKE PLACE IN SEVERAL VENUES SUCH AS SCHOOLS, HOSPITALS, HOUSING UNITS, COMMUNITY CENTERS, CHURCHES AND SHOPPING AREAS. EACH ENCOUNTER IS INTENDED TO RAISE AWARENESS ABOUT COMMUNITY HEALTH AND RESOURCES THAT ARE AVAILABLE TO ADDRESS COMMUNITY HEALTH NEEDS. COMMUNICATION REGARDING COMMUNITY HEALTH ACTIVITIES IS IN THE FORM OF FLYERS, POSTERS, BUSINESS CARDS, TELEVISION, RADIO AND NEWSPRINT. HEALTH LITERACY IS TAKEN INTO CONSIDERATION WHEN GENERATING ALL COMMUNITY HEALTH COMMUNICATIONS. AS WE CONTINUE WORKING TOWARD ACHIEVING THE HEALTHY PEOPLE 2020 GOALS FOR DELAWARE COUNTY WE MUST BUILD HEALTHY COMMUNITY PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS AND INDIVIDUALS. IT IS IMPERATIVE THAT ALL SECTORS OF THE COMMUNITY (HEALTHCARE, BUSINESS, EDUCATION, GOVERNMENT, LAW ENFORCEMENT, PUBLIC HEALTH AND OTHERS) RECOGNIZE AND EMBRACE THEIR PUBLIC ACCOUNTABILITY FOR COMMUNITY HEALTH. A TRULY HEALTHY COMMUNITY REQUIRES A COLLABORATIVE EFFORT BY ALL THE SHAREHOLDERS IN THE COMUNITY. CKHS IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR ALL WHO LIVE, WORK AND PLAY IN DELAWARE COUNTY. SCHEDULE H, PART VI; QUESTION 3 CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. IN ADDITION, PLEASE REFER TO THE RESPONSE FOR PART III, SECTION B; QUESTION 9B. SCHEDULE H, PART VI; QUESTION 4 THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN CHESTER TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN UPLAND, PA, IN DELAWARE COUNTY. DELAWARE COUNTY IS THE FIFTH MOST POPULOUS COUNTY IN THE STATE WITH 49 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 34% OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 6% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. SCHEDULE H, PART VI; QUESTION 5 THE ORGANIZATION, AND THE ENTIRE CROZER-KEYSTONE HEALTH SYSTEM PROMOTE THE HEALTH OF THE COMMUNITY ON A DAILY BASIS THROUGHOUT THE YEAR. THE SYSTEM COORDINATES AND OFFERS NUMEROUS COMMUNITY BENEFIT PROGRAMS, ACTIVITIES, AND SUPPORT GROUPS TO THE COMMUNITY. PLEASE REFER TO SCHEDULE O FOR A DETAILED COMMUNITY BENEFIT STATEMENT. SCHEDULE H, PART VI; QUESTION 6 NOT FOR PROFIT CROZER-KEYSTONE HEALTH SYSTEM AND AFFILIATES ENTITIES: CROZER-KEYSTONE HEALTH SYSTEM CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS A NOT FOR PROFIT HOLDING COMPANY BASED IN SPRINGFIELD, PENNSYLVANIA. CKHS IS THE SOLE CORPORATE MEMBER OF A NUMBER OF NOT FOR-PROFIT ENTITIES AND THE SOLE SHAREHOLDER OF VARIOUS OTHER FOR-PROFIT ENTITIES. AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, CKHS 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 DELAWARE, CHESTER, MONTGOMERY AND PHILADELPHIA, PENNSYLVANIA, SOUTHERN NEW JERSEY AND NORTHERN DELAWARE. CROZER-KEYSTONE HEALTH SYSTEM 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). CKHS ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. CROZER-KEYSTONE HEALTH SYSTEM HOSPITALS INCLUDE: CROZER-CHESTER MEDICAL CENTER AND DELAWARE COUNTY MEMORIAL HOSPITAL. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH OPERATE AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF CROZER-KEYSTONE HEALTH SYSTEM. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CROZER-CHESTER MEDICAL CENTER CROZER-CHESTER MEDICAL CENTER ("CCMC") IS COMPRISED OF THE FOLLOWING HOSPITALS: CROZER-CHESTER MEDICAL CENTER, A 430-BED NON-PROFIT TEACHING HOSPITAL LOCATED IN UPLAND, DELAWARE COUNTY, PENNSYLVANIA, SPRINGFIELD HOSPITAL, A 25-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN SPRINGFIELD, DELAWARE COUNTY, PENNSYLVANIA AND TAYLOR HOSPITAL, A 105-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RIDLEY PARK, DELAWARE COUNTY, PENNSYLVANIA. CCMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CCMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, CCMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. DELAWARE COUNTY MEMORIAL HOSPITAL DELAWARE COUNTY MEMORIAL HOSPITAL ("DCMH") IS A 168-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN DREXEL HILL, DELAWARE COUNTY, PENNSYLVANIA. DCMH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, DCMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, DCMH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CROZER-CHESTER FOUNDATION CROZER-CHESTER 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 CROZER-CHESTER MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DELCO MEMORIAL FOUNDATION DELCO MEMORIAL 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). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF DELAWARE COUNTY MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HEALTH ACCESS NETWORK HEALTH ACCESS NETWORK IS AN AFFILIATE OF CROZER-KEYSTONE HEALTH SYSTEM, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. HEALTH ACCESS NETWORK 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 PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DELCO SYSTEM SERVICES, INC. DELCO SYSTEM SERVICES, INC. IS AN INACTIVE 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 WAS CREATED TO PROVIDE NURSING HOME SERVICES IN SUPPORT OF ALL AFFILIATES WITHIN THE CROZER-KEYSTONE HEALTH SYSTEM. FOR PROFIT CROZER-KEYSTONE HEALTH SYSTEM AND AFFILIATES ENTITIES: CROZER-KEYSTONE SERVICES A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CROZER-KEYSTONE HEALTH SYSTEM. THE ORGANIZATION IS LOCATED IN UPLAND, DELAWARE COUNTY, PENNSYLVANIA. THE ORGANIZATION PROVIDES VARIOUS SERVICES TO INDIVIDUALS AND COMPANIES IN SUPPORT OF CKHS AND AFFILIATES. PENNSYLVANIA HEALTH CLUB, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CROZER-KEYSTONE SERVICES. THE ORGANIZATION IS LOCATED IN SPRINGFIELD, DELAWARE COUNTY, PENNSYLVANIA. THE ORGANIZATION PROVIDES VARIOUS SERVICES TO INDIVIDUALS AND COMPANIES IN SUPPORT OF CKHS AND AFFILIATES. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE COMMONWEALTH OF PENNSYLVANIA. true CROZER-KEYSTONE HEALTH SYSTEM 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 222540851 501(C)(3) 937500 PROGRAM SUPPORT 1 0 TUITION ASSISTANCE 791 1007004 COST TUITION ASSIST PROG SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X false true false false false false false true false PATRICK J GAVIN DIRECTOR - EVP/COO 0 465651 0 0 0 12702 0 180528 0 35498 0 694379 0 0 C NATHAN OKECHUKWU MD DIRECTOR 0 0 0 0 308780 0 0 0 0 0 308780 0 0 0 JOAN K RICHARDS DIRECTOR - ASST. TREASURER 0 792916 0 0 0 207226 0 212807 0 20532 0 1233481 0 188117 KEVIN P CAPUTO MD PRESIDENT, COMMUNITY HOSPITAL 0 378652 0 106929 0 3612 0 17600 0 30139 0 536932 0 0 DONALD W LEGREID ESQ ASST SEC. - VP/GENERAL COUNSEL 0 307880 0 0 0 3564 0 17600 0 24502 0 353546 0 0 ROBERT HAFFEY PRESIDENT TAYLOR HOSP & DCMH 300202 0 0 0 669 0 16600 0 33229 0 350700 0 0 0 GWENDOLYN SMITH PRESIDENT, SPRINGFIELD HOSP. 222451 0 0 0 3889 0 15621 0 20996 0 262957 0 0 0 PHILIP J RYAN CPA ASST TREASURER - SVP/CFO 0 430411 0 0 0 16774 0 109112 0 32296 0 588593 0 0 CAROLE EISEN MD PHYSICIAN ADVISOR 224994 0 0 0 1386 0 13500 0 1562 0 241442 0 0 0 LIANG SONG CHIEF PHYSICIST 207613 0 0 0 1027 0 15542 0 16400 0 240582 0 0 0 STEPHEN V DEFRUSCIO VP ADMINISTRATION 202143 0 0 0 2033 0 17600 0 30139 0 251915 0 0 0 STEPHEN A DIMAMBRO VP,SUPPORT SVCS(TERM 2/26/14) 34130 0 0 0 158860 0 13736 0 23034 0 229760 0 0 0 CHARLES J GOWER RN REGISTERED NURSE 161705 0 0 0 316 0 16900 0 31526 0 210447 0 0 0 DIANE C MILLER TERM 22614 FORMER PRESIDENT, TAYLOR HOSP. 43701 0 0 0 208859 0 17600 0 21092 0 291252 0 0 0 PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2014 FORMS W-2. SCHEDULE J, PART I; QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR YEAR 2014 WHICH WAS INCLUDED IN EACH INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: STEPHEN A. DIMAMBRO, $155,729 AND DIANE C. MILLER, $207,081. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B (III) FOR THE FOLLOWING INDIVIDUAL INCLUDES AMOUNTS RELATING TO PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE INDIVIDUAL HAS SATISFIED BOTH THE AGE AND THE YEARS OF SERVICE REQUIREMENTS SPECIFIED BY THE SERP. THIS AMOUNT WAS INCLUDED IN THE INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOAN K. RICHARDS, $188,117. HOWEVER, THE INDIVIDUAL DID NOT ACTUALLY RECEIVE ALL OF THESE FUNDS. THE INDIVIDUAL ONLY RECEIVED AN AMOUNT SUFFICIENT TO COVER THEIR FEDERAL AND STATE TAX LIABILITIES ASSOCIATED WITH THEIR GROSS AMOUNT. IN ADDITION THESE FUNDS STILL REMAIN SUBJECT TO A RISK OF RECEIPT BY THE INDIVIDUAL UNTIL THEIR RETIREMENT FROM EMPLOYMENT AT THE CROZER-KEYSTONE HEALTH SYSTEM. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THESE INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: PATRICK J. GAVIN, $163,928; JOAN K. RICHARDS, $195,207 AND PHILIP J. RYAN, CPA, $91,512. SCHEDULE J, PART I; QUESTION 7 AN INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2014 WHICH THE AMOUNT WAS INCLUDED IN COLUMN B(II) HEREIN AND IN THE INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION FOR THE INDIVIDUAL. SCHEDULE J, PART II, COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2014 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES AS FOLLOWS: JOAN K. RICHARDS, $188,117. THIS AMOUNT WAS REPORTED ON PRIOR YEAR FORMS 990 AS ACCRUED NON-TAXABLE BENEFITS. A DELAWARE COUNTY AUTHORITY 231973437 246006QB9 2005-03-02 24873051 REFUND 93 BONDS, CAP RENO/IMPR false false false B DELAWARE COUNTY AUTHORITY 231973437 246006QQ6 2006-12-21 108624866 REFUND 94 BONDS, CAP RENO/IMPR false false true C DELAWARE COUNTY AUTHORITY 231973437 246006RG7 2010-08-02 30000000 REFUND 02 VARIABLE BONDS false false true D DELAWARE COUNTY AUTHORITY 231973437 2012-04-12 31000000 REFUND 98 BONDS, CAP RENO/IMPR false false true A 0 0 25428479 2009446 0 0 352901 0 0 22815327 0 0 2006 true false true true B 0 0 66581358 4608989 0 7437895 384830 0 0 54003780 0 0 2009 true true true true C 0 0 22360771 0 0 0 86256 0 0 0 0 0 2010 true true true true D 0 0 31000000 0 0 0 175117 0 0 10950000 0 0 2012 true true true true A false false false false 0.00000 0.00000 0.00000 true false false true B false false false false 0 true false false true C false false false false 0.00000 0.00000 0.00000 true false false true D false false false false 0.00000 0.00000 0.00000 true false false true A true false false 0 false 0 false true B false false false 0 false 0 false true C false false false 0 false 0 false true D false false false 0 false 0 false true A true B true C true D true CORE FORM, PART III BACKGROUND (2014-2015) ====================== CROZER-CHESTER MEDICAL CENTER ("CCMC") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. CCMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CCMC PROVIDES 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, CCMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. CCMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. CCMC OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. CCMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF CCMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF CROZER-KEYSTONE HEALTH SYSTEM. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF CCMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF CCMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. CCMC'S SOLE CORPORATE MEMBER IS CROZER-KEYSTONE HEALTH SYSTEM ("CKHS"), A TAX-EXEMPT PENNSYLVANIA NON-PROFIT PARENT CORPORATION. CROZER-KEYSTONE HEALTH SYSTEM IS A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTING OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE COMMONWEALTH OF PENNSYLVANIA PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER CKHS OR ANOTHER CKHS AFFILIATE CONTROLLED OR OWNED BY CKHS. CKHS PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, CKHS PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. CKHS MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. CROZER-CHESTER MEDICAL CENTER ============================= CROZER-CHESTER MEDICAL CENTER (CROZER) IS A 300-BED NOT-FOR-PROFIT TERTIARY-CARE TEACHING HOSPITAL LOCATED ON A 68-ACRE CAMPUS. CROZER WAS ESTABLISHED IN 1963 THROUGH THE MERGER OF CHESTER HOSPITAL (C. 1893) AND CROZER HOSPITAL (C. 1902), AND BECAME ONE OF THE FOUNDING HOSPITALS OF CKHS IN 1990. TODAY, THE MEDICAL CENTER ADMITS MORE THAN 19,000 PATIENTS, TREATS APPROXIMATELY 53,000 EMERGENCY DEPARTMENT PATIENTS AND DELIVERS ABOUT 1,600 BABIES A YEAR. FEATURED SERVICES INCLUDE: - NATIONALLY RECOGNIZED NATHAN SPEARE REGIONAL BURN TREATMENT CENTER, CELEBRATING 41 YEARS OF CARE. - COMPREHENSIVE CARDIAC SERVICES, INCLUDING OPEN HEART SURGERY AND INTERVENTIONAL CARDIOLOGY PROCEDURES. - CENTER FOR MATERNAL FETAL MEDICINE. - CENTER FOR MINIMALLY INVASIVE AND BARIATRIC SURGERY, NAMED A CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. - CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE. - CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. - CROZER REGIONAL TRAUMA CENTER, THE ONLY ONE OF ITS KIND IN DELAWARE COUNTY, AS WELL AS AN INPATIENT SHOCK TRAUMA UNIT. - CROZER REPRODUCTIVE ENDOCRINOLOGY AND FERTILITY CENTER. - EMERGENCY DEPARTMENT. - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP: CROZER REGIONAL CANCER CENTER. CROZER HAS BEEN HONORED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS AND IS CERTIFIED BY THE JOINT COMMISSION IN BREAST CANCER CARE. - FULL RANGE OF MUSCULOSKELETAL SERVICES, INCLUDING ORTHOPEDIC, REHABILITATION, SPINE AND SPORTS MEDICINE SERVICES AS WELL AS A DEDICATED JOINT/SPINE UNIT FOR INPATIENTS. - GASTROENTEROLOGY SERVICES, INCLUDING ENDOSCOPY LABORATORY. - INPATIENT PEDIATRIC UNIT. - INTERVENTIONAL RADIOLOGY. - CROZER-KEYSTONE REGIONAL KIDNEY TRANSPLANT CENTER AT CROZER-CHESTER MEDICAL CENTER. - LEVEL III INTENSIVE CARE NURSERY. - MATERNITY CENTER AND COMPREHENSIVE GYNECOLOGIC SERVICES. - MEDICAL IMAGING SERVICES, INCLUDING MRI, 3D MAMMOGRAPHY AND WOMEN'S IMAGING. CROZER HAS BEEN NAMED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY. - SURGICAL SERVICES, INPATIENT AND OUTPATIENT. - DAVINCI SURGICAL SYSTEM. - VASCULAR AND ENDOVASCULAR CARE. TAYLOR HOSPITAL =============== TAYLOR HOSPITAL (C. 1910) JOINED THE CROZER-KEYSTONE HEALTH SYSTEM IN 1997. EACH YEAR, THE 105-BED, NOT-FOR-PROFIT HOSPITAL ADMITS MORE THAN 7,000 PATIENTS AND RECEIVES MORE THAN 28,000 EMERGENCY DEPARTMENT VISITS. FEATURED SERVICES INCLUDE: - CARDIAC CATHETERIZATION LABORATORY AND CARDIOVASCULAR LABORATORY. - CARDIAC SERVICES. - CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. - CROZER-KEYSTONE SLEEP CENTER AT TAYLOR HOSPITAL. - EMERGENCY DEPARTMENT. - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP. - FULL RANGE OF MUSCULOSKELETAL SERVICES, INCLUDING ORTHOPEDIC, REHABILITATION, SPINE, HAND AND SPORTS MEDICINE SERVICES AS WELL AS THE ORTHOPEDIC CENTER. - GASTROENTEROLOGY SERVICES, INCLUDING AN ENDOSCOPY LABORATORY. - CROZER-KEYSTONE HOSPICE RESIDENCE AT TAYLOR HOSPITAL. - MEDICAL IMAGING SERVICES, INCLUDING DEXA SCANNING AND MRI SERVICES. - SURGICAL SERVICES, INPATIENT AND OUTPATIENT. - THE TAYLOR REGIONAL REHABILITATION CENTER. - VASCULAR AND ENDOVASCULAR CARE. SPRINGFIELD HOSPITAL TODAY ========================== FOUNDED IN 1960 AS TRI-COUNTY HOSPITAL AND LATER RENAMED METROPOLITAN HOSPITAL, SPRINGFIELD HOSPITAL TODAY IS A 25-BED NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT PROVIDES COMPREHENSIVE ACUTE-CARE SERVICES AND WELLNESS CARE. THE HOSPITAL IS CONNECTED TO THE PAVILIONS THAT HOUSE CROZER-KEYSTONE HEALTH SYSTEM CORPORATE OFFICES AND THE HEALTHPLEX SPORTS CLUB. EACH YEAR, SPRINGFIELD HOSPITAL ADMITS MORE THAN 1,800 PATIENTS AND RECEIVES MORE THAN 11,000 EMERGENCY DEPARTMENT VISITS. FEATURED SERVICES INCLUDE: - CARDIAC SERVICES, INCLUDING CARDIAC REHABILITATION. - CENTER FOR DIABETES. - CENTER FOR DIZZINESS AND BALANCE. - CENTER FOR MINIMALLY INVASIVE SURGERY. - CENTER FOR PREVENTIVE MEDICINE, A CENTER FOR OCCUPATIONAL HEALTH AND A DESIGNATED UNITED STATES OLYMPIC COMMITTEE SPORTS SCIENCE AND TECHNOLOGY NATIONAL NETWORK SITE. - CRITICAL CARE UNIT. - DIAGNOSTIC IMAGING CENTER, INCLUDING POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT) IMAGING AND WOMEN'S IMAGING. - EMERGENCY DEPARTMENT. - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP. - FULL RANGE OF MUSCULOSKELETAL SERVICES, INCLUDING ORTHOPEDIC, REHABILITATION, SPINE, HAND AND SPORTS MEDICINE SERVICES. - GASTROENTEROLOGY SERVICES. - MOORE EYE INSTITUTE. - PAIN MANAGEMENT CENTER. - PULMONARY REHABILITATION. - SPORTS MEDICINE INSTITUTE. - SURGICAL SERVICES, INPATIENT AND OUTPATIENT. COMMUNITY HOSPITAL ================== COMMUNITY HOSPITAL IS A NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT COORDINATES A FULL RANGE OF OUTPATIENT BEHAVIORAL AND COMMUNITY HEALTH SERVICES AS WELL AS PRIMARY CARE. FOUNDED AS SACRED HEART HOSPITAL IN 1953 AND RENAMED COMMUNITY HOSPITAL IN 1992 WHEN IT JOINED THE CROZER-KEYSTONE HEALTH SYSTEM, THE HOSPITAL TODAY IS A CENTRAL AND CONVENIENT PLACE FOR AREA FAMILIES TO COME FOR ALL OF THEIR SOCIAL SERVICE NEEDS. THE HOSPITAL PARTNERS WITH MORE THAN 20 LOCAL ORGANIZATIONS, INCLUDING THE CHESTER YOUTH COLLABORATIVE, CHESTER EDUCATION FOUNDATION, THE CHESTER HOUSING AUTHORITY, AND CHESPENN HEALTH SERVICES. FEATURED SERVICES INCLUDE: - MENTAL HEALTH SERVICES. - ADULT AND PEDIATRIC PRIMARY CARE AND DENTISTRY THROUGH THE CHESPENN CENTER FOR FAMILY HEALTH. - THE WELLNESS CENTER AND CHESTER YOUTH COLLABORATIVE. - WOMEN'S AND CHILDREN'S HEALTH SERVICES, INCLUDING THE CROZER-KEYSTONE HEALTHY START PROGRAM, THE NURSE-FAMILY PARTNERSHIP AND THE HISPANIC RESOURCE CENTER. - SUBSTANCE ABUSE SERVICES. THE CROZER MEDICAL PLAZA AT BRINTON LAKE ======================================== THE CROZER MEDICAL PLAZA AT BRINTON LAKE, WHICH OPENED IN 2005, IS A COMPREHENSIVE OUTPATIENT CENTER LOCATED JUST OFF ROUTE 1 IN GLEN MILLS AT THE SHOPPES AT BRINTON LAKE. THE FACILITY PROVIDES WESTERN DELAWARE COUNTY, CHESTER COUNTY, AND NORTHERN DELAWARE RESIDENTS WITH CONVENIENT ACCESS TO AN ARRAY OF DIAGNOSTIC, SURGICAL, AND PHYSICIAN SERVICES, INCLUDIN CORE FORM, PART III CROZER MEDICAL PLAZA AND CROZER-KEYSTONE CANCER CENTER AT BRINTON LAKE ====================================================================== CROZER-KEYSTONE'S NEWEST OUTPATIENT CENTER FEATURES A FULL-SERVICE CANCER CENTER, AND ENDOSCOPY CENTER AND OTHER SPECIALTIES. FEATURE SERVICES INCLUDE: - CARDIOVASCULAR. - DERMATOLOGY. - EAR, NOSE & THROAT. - ENDOCRINOLOGY. - ENDOSCOPY CENTER. - GASTROENTEROLOGY. - HEMATOLOGY/ONCOLOGY. - INTEGRATED WELLNESS. - MEDICAL IMAGING (PET-CT). - PODIATRY. - PSYCHOTHERAPY SERVICES. - PULMONOLOGY. - RADIATION ONCOLOGY. - UROLOGY. - VASCULAR. MEDIA MEDICAL PLAZA TO PROVIDE MORE CONVENIENT ACCESS TO CROZER-KEYSTONE'S CLINICAL SERVICES AND PHYSICIANS, THE HEALTH SYSTEM EXPANDED MEDIA MEDICAL IMAGING IN 2006 TO BECOME THE MEDIA MEDICAL PLAZA. FEATURED SERVICES INCLUDE: - FAMILY PRACTICE. - GASTROENTEROLOGY. - CENTER FOR GERIATRIC MEDICINE. - MEDIA MEDICAL IMAGING (MEDICAL IMAGING/RADIOLOGY, INCLUDING WOMEN'S IMAGING AND MRI). - INTERNAL MEDICINE. - LABORATORY SERVICES. - OB/GYN. - ORTHOPEDICS AND SPORTS MEDICINE, INCLUDING AN URGENT CARE CENTER. - UROLOGY. MISSION STATEMENT ================= CCMC IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE. THROUGH A SEAMLESS, USER-FRIENDLY CONTINUUM OF QUALITY HEALTH SERVICES INCLUDING PRIMARY AND HEALTH PROMOTION, ACUTE AND LONG-TERM CARE, THROUGH REHABILITATION AND RESTORATIVE CARE, CROZER-KEYSTONE WILL DEPLOY ITS RESOURCES IN A COST-EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER. WORKING IN PARTNERSHIP WITH OUR PHYSICIANS AND OTHER HEALTH PROFESSIONALS, WE WILL SEEK TO FORGE NEW ALLIANCES WITH OTHER COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS. WORKING WITH OUR COMMUNITY, OUR GOAL IS TO BUILD A HEALTHY PLACE TO LIVE AND WORK, AND A SOUND ENVIRONMENT IN WHICH TO BUILD AND MAINTAIN OUR FAMILIES. SELECTED ACCOMPLISHMENTS ======================== COMMUNITY HOSPITAL OUTREACH PROGRAMS KEY TO CLINICAL SERVICE CERTIFICATIONS AND CONNECTIVITY TO HEALTH SYSTEM PROGRAMS AND SERVICES ====================================================================== CKHS COMMUNITY HEALTH EDUCATION, DCMH HEALTHLINE SERVICES, AND SENIOR HEALTH SERVICES' DAILY WORK ADDRESSES COMMUNITY NEEDS AS IDENTIFIED IN THE CKHS COMMUNITY HEALTH NEEDS ASSESSMENT. THESE PROGRAMS TARGET THEIR EFFORTS TO PROVIDE EDUCATION, OUTREACH, SCREENING OPPORTUNITIES AND CONNECTIVITY TO SYSTEM-WIDE PROGRAMS AND SERVICES THROUGHOUT THE COMMUNITY WE SERVE. EACH PROGRAM WORKS WITH DIVERSE COMMUNITIES AND DEVELOPS RELATIONSHIPS WITH DIVERSE POPULATIONS. THIS OUTREACH ASSISTS SOME OF THE SYSTEM'S CLINICAL PROGRAMS IN PROMOTING THEIR PRODUCT-LINES AND IN MAINTAINING THEIR PROGRAM CERTIFICATIONS. EXAMPLES OF OUTREACH INCLUDE SMOKING CESSATION, NUTRITION AND PHYSICAL ACTIVITY, PROMOTION OF REGULAR SCREENINGS, CARDIOVASCULAR DISEASE, STROKE, INJURY PREVENTION, AND DIABETES TO NAME A FEW. THESE SERVICES ASSIST SYSTEM PRODUCT LINES SUCH AS CKHS REGIONAL CANCER CENTERS, CKHS CERTIFIED STROKE CENTERS, CKHS CENTER FOR DIABETES, LABORATORY, RADIOLOGY SERVICES, AND SLEEP CENTER AS WELL AS OUR TRAUMA CENTER. CKHS COMMUNITY HEALTH NUTRITION & PHYSICAL ACTIVITY OUTREACH ============================================================ THE CKHS COMMUNITY HEALTH EDUCATION DEPARTMENT IS WORKING WITH CHESTER COMMUNITY CHARTER SCHOOLS EAST, WEST AND UPLAND CAMPUSES TO PROVIDE NUTRITION EDUCATION AND TASTE-TESTING OPPORTUNITIES BASED ON THE USDA AND DEPARTMENT OF HEALTH & HUMAN SERVICES GUIDELINES FOR NUTRITION AND PHYSICAL ACTIVITY. THE 2014-2015 SCHOOL YEAR HAS BEEN THE FIRST OF A THREE-YEAR CAROL M. WHITE PHYSICAL EDUCATION PROGRAM (PEP) GRANT RECEIVED BY CHESTER COMMUNITY CHARTER SCHOOL IN COLLABORATION WITH CKHS COMMUNITY HEALTH EDUCATION. CKHS COMMUNITY HEALTH STAFF WORKS COLLABORATIVELY WITH THE CHARTER SCHOOL'S PEP TEAM ON THIS PROJECT. CKHS COMMUNITY HEALTH STAFF HAS DESIGNED LESSONS FOR KINDERGARTEN AND 3RD GRADES WHICH WILL BE PROVIDED OVER A THREE-YEAR PERIOD ON SUBJECTS SUCH AS "CHOOSEMYPLATE", ENERGY-IN/ENERGY-OUT AND OTHER EVIDENCE BASED TOPICS. THESE CONCEPTS ARE PRESENTED IN FUN AND ACTIVE FORMATS TO ENGAGE THE STUDENTS IN MAKING HEALTHFUL FOOD CHOICES AND TO INCLUDE PHYSICAL ACTIVITY IN THEIR DAILY LIVES. THE PROJECT ALSO INCLUDES A PARENT ENGAGEMENT PROGRAM HOSTED AT THE SCHOOLS ENTITLES "RAISING A FIT KID" AS WELL AS FIT FAMILY NEWSLETTERS AND TEACHER ENGAGEMENT ACTIVITIES. SELFMADE HEALTH NETWORK TOBACCO CESSATION MARKETPLACE PROJECT GRANT =================================================================== COMMUNITY HEALTH EDUCATION DEPARTMENT WAS RECENTLY AWARDED A MULTI-YEAR PROJECT GRANT FROM THE SELF-MADE HEALTH NETWORK TO PROMOTE THE NATIONAL SELF-MADE HEALTH NETWORK TOBACCO (SMHN) CESSATION MARKETPLACE PROJECT. CKHS WAS ONE OF THE TEN ORGANIZATIONS IN THE COUNTY TO RECEIVE THIS HIGHLY COMPETITIVE GRANT. IN PARTNERSHIP WITH THE AMERICAN LUNG ASSOCIATION (ALA) ASSISTORS PROJECT TOOLKIT THROUGHOUT SEVERAL GEOGRAPHIC REGIONS TO REDUCE THE RISK OF DEVELOPING SOME OF THE NATION'S LEADING HEALTH CONCERNS ASSOCIATED WITH TOBACCO USE. USING THE ALA TOOLKIT, CERTIFIED APPLICATION COUNSELOR ORGANIZATIONS PARTNERS AND OTHER TYPES OF ORGANIZATIONS WILL GAIN THE RESOURCES AND KNOWLEDGE TO DIRECTLY CONNECT CLIENTS WITH CANCER PREVENTION TOOLS AND TOBACCO CESSATION PROGRAMS DURING THE HEALTH INSURANCE ENROLLMENT AND PLAN SELECTION PROCESS. CENTERS OF EXCELLENCE ===================== 1. CROZER REGIONAL CANCER CENTER (CROZER-CHESTER MEDICAL CENTER) ---------------------------------------------------------------- LOCATED AT CROZER-CHESTER MEDICAL CENTER, THE FOUR-STORY CANCER CENTER BRINGS ADVANCED TECHNOLOGY, PROGRAMS AND SERVICES TOGETHER IN ONE LOCATION - PROVIDING A LEVEL OF CARE THAT RIVALS ANY UNIVERSITY-BASED CANCER CENTER IN THE WORLD. AS PART OF CKHS, THE CANCER CENTER HOUSES COMPREHENSIVE DIAGNOSTIC AND TREATMENT PROGRAMS, AS WELL AS PREVENTION, EDUCATION AND COMPLEMENTARY TREATMENT RESOURCES IN ONE LOCATION. THE CANCER CENTER HAS RECEIVED APPROVAL WITH COMMENDATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. THE CANCER CENTER'S APPROACH TO TREATING PEOPLE WITH CANCER IS BASED UPON A PATIENT'S INDIVIDUAL NEEDS. TO MEET THESE NEEDS, A MULTIDISCIPLINARY TEAM OF SPECIALISTS THAT MAY INCLUDE MEDICAL ONCOLOGISTS, SURGEONS, PATHOLOGISTS AND RADIATION ONCOLOGISTS PROVIDE COORDINATED TREATMENTS FOR PATIENTS. THE CANCER CENTER IS DESIGNED TO NOT ONLY DELIVER HIGH TECH TREATMENTS, BUT TO SOOTHE THE SPIRIT. INTERIOR GARDENS, WATERFALLS AND OTHER FEATURES PROVIDE PATIENTS WITH A BRIEF HAVEN FROM THE OUTSIDE WORLD. PATIENTS ALSO BENEFIT FROM THE STRENGTH OF THE NEW CLINICAL AND RESEARCH PARTNERSHIP BETWEEN CKHS AND FOX CHASE CANCER CENTER. THE FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP, WHICH EXPANDS ON THE SUCCESSFUL PARTNERSHIP BETWEEN FOX CHASE CANCER CENTER AND DELAWARE COUNTY REGIONAL CANCER CENTER, WILL PROVIDE PATIENTS WITH AN EVEN GREATER LEVEL OF ACCESS TO CLINICAL TRIALS AND PROGRAMS TO PREVENT AND TREAT CANCER. IN ADDITION, THE CANCER CENTER OFFERS CANCER SUPPORT GROUPS THAT BRING PATIENTS AND THEIR FAMILIES AND LOVED ONES TOGETHER WITH OTHERS WHO SHARE AND UNDERSTAND THEIR EXPERIENCES. THROUGH THESE SUPPORT GROUPS, PATIENTS CAN EXPLORE COMPLEMENTARY ALTERNATIVE APPROACHES - MASSAGE THERAPY AND YOGA, FOR EXAMPLE - TO COPING WITH SIDE EFFECTS, AS WELL AS LEARN TECHNIQUES TO HELP THEM LOOK THEIR BEST DURING CANCER TREATMENT. CANCER SERVICES ARE ALSO PROVIDED AT TAYLOR HOSPITAL AND SPRINGFIELD HOSPITAL. 2. CROZER-KEYSTONE HEART INSTITUTE ---------------------------------- CKHS HAS THE LONGEST HISTORY OF PROVIDING CARDIOVASCULAR CARE TO THE PEOPLE OF DELAWARE COUNTY, AND WE'RE PROUD OF OUR MANY ACCOMPLISHMENTS. IN DELAWARE COUNTY, WE'RE THE FIRST HEALTHCARE SYSTEM TO: - PERFORM OPEN HEART SURGERY. - PERFORM PRIMARY ANGIOPLASTY. - ESTABLISH OPEN HEART AND REHABILITATION UNITS. - ESTABLISH AN INTERVENTIONAL HEART PROGRAM. - ESTABLISH AN ELECTROPHYSIOLOGY PROGRAM TO TREAT HEART RHYTHM DISORDERS. - OFFER CARDIAC RESYNCHRONIZATION THERAPY, A UNIQUE DEVICE THERAPY TO TREAT HEART FAILURE. WHEN YOU COME TO ANY CROZER-KEYSTONE HOSPITAL WITH A HEART PROBLEM, OUR TEAM OF HEART SPECIALISTS EVALUATES YOUR CONDITION IMMEDIATELY AND DECIDES UPON A COURSE OF ACTION. THE TEAM DETERMINES THE SERIOUSNESS OF YOUR CONDITION, WHETHER IT IS AN EMERGENCY, AND WHAT TREATMENT YOU NEED. WHATEVER YOUR HEART REQUIRES, CKHS CAN HELP - FROM DIAGNOSIS TO TREATMENT TO REHABILITATION - OUR DEDICATION AND EXPERIENCE IS UNMATCHED IN DELAWARE COUNTY. 3. MATERNITY ------------- EVERY YEAR, MORE NEWBORN BABIES ARE WELCOMED INTO THE WORLD BY THE CARING PROFESSIONALS AT CROZER-CHESTER MEDICAL CENTER AND DELAWARE COUNTY MEMORIAL HOSPITAL THAN BY ANY OTHER HEALTH SYSTEM IN DELAWARE COUNTY. APPROXIMATELY 1,600 BABIES ARE BORN AT CCMC EVERY YEAR, WHILE DCMH DELIVERS ABOUT 1,500. 4. CROZER-KEYSTONE HUMAN MOTION INSTITUTE ----------------------------------------- THE HUMAN MOTION INSTITUTE IS A UNIQUE PROGRAM OFFERING A COMPREHENSIVE TREATMENT CORE FORM, PART III 5. CROZER-KEYSTONE SLEEP CENTERS -------------------------------- FEW THINGS ARE AS FRUSTRATING AS NOT BEING ABLE TO SLEEP. CONVERSELY, FALLING ASLEEP AT INAPPROPRIATE TIMES (SUCH AS WHEN DRIVING) IS JUST AS BOTHERSOME AND CAN EVEN BE DANGEROUS. FORTUNATELY, THERE IS A TRUSTED RESOURCE RIGHT HERE IN DELAWARE COUNTY. THE CROZER-KEYSTONE SLEEP CENTERS. FOR MORE THAN 30 YEARS WE'VE HELPED THOUSANDS OF PEOPLE FROM DELAWARE COUNTY AND BEYOND TO FALL ASLEEP AND STAY ASLEEP AT THE RIGHT TIME AND IN THE RIGHT PLACE. THE CROZER-KEYSTONE SLEEP CENTERS ARE LOCATED AT FOUR SITES FOR OUR PATIENTS' CONVENIENCE: - CROZER-CHESTER MEDICAL CENTER (UPLAND) - ADULT AND PEDIATRIC SLEEP CENTER. - CROZER HEALTH PAVILION AT BRINTON LAKE (GLEN MILLS). - DCMH (DREXEL HILL). - TAYLOR HOSPITAL (RIDLEY PARK). OUR ACCREDITED, MULTIDISCIPLINARY PROGRAM FOR THE INVESTIGATION AND TREATMENT OF SLEEP PROBLEMS WAS ESTABLISHED IN 1978. IT IS THE OLDEST NATIONALLY ACCREDITED PROGRAM FOR THE EVALUATION OF PATIENTS WITH SLEEP-RELATED PROBLEMS IN THE GREATER DELAWARE VALLEY. OUR SITES ARE STAFFED BY PHYSICIANS WITH SPECIAL TRAINING IN SLEEP DISORDERS. OUR COMPASSIONATE AND CARING TECHNICAL STAFF ARE ENCOURAGED TO OBTAIN NATIONAL REGISTRATION BY THE BOARD OF POLYSOMNOGRAPHIC TECHNOLOGISTS. 6. NATHAN SPEARE REGIONAL BURN TREATMENT CENTER ----------------------------------------------- THE NATHAN SPEARE REGIONAL BURN TREATMENT CENTER IS STILL THE ONLY BURN FACILITY IN SUBURBAN PHILADELPHIA THAT PROVIDES ALL THE SERVICES NEEDED TO MEET ALL THE NEEDS OF BURN PATIENTS AND THEIR FAMILIES WITHIN A SINGLE UNIT - FROM EMERGENCY TREATMENT TO INTENSIVE CARE TO REHABILITATION TO FOLLOW-UP AND OUTPATIENT CARE. IN 2000, IT WAS THE FIRST BURN CENTER IN THE STATE OF PENNSYLVANIA TO EARN THE DISTINCTION OF BEING A VERIFIED BURN CENTER, MEETING THE STANDARDS SET FORTH BY THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN BURN ASSOCIATION. WE HAVE EARNED AN INTERNATIONAL REPUTATION FOR EXCELLENCE IN HOLISTIC BURN CARE, TREATING MORE THAN 9,400 NEW PATIENTS SINCE 1973, AND AN AVERAGE OF 500 IN-PATIENTS AND OVER 3,000 OUTPATIENT VISITS ANNUALLY. WE ALSO TREAT NON-BURN INJURIES, SUCH AS "ROAD RASH" AND "STEVENS JOHNSON," AND MEDICATION REACTIONS AND OTHER SKIN DISEASES THAT RESULT IN CONDITIONS SIMILAR TO THOSE EXPERIENCED BY BURN PATIENTS. SERVICES INCLUDE: COUNSELING AND EMOTIONAL SUPPORT, OUTPATIENT BURN WOUND CARE CENTER, AND THE BURN OUTREACH EDUCATION PROGRAM. STAFF FROM THE NATHAN SPEAR REGIONAL BURN TREATMENT CENTER PROVIDED OUTREACH EDUCATIONAL PROGRAMS TO THE COMMUNITY WE SERVE REACHING OVER 3,800 PEOPLE IN FY 2013. 7. CKHS CENTER FOR DIABETES --------------------------- MORE THAN 24 MILLION PEOPLE IN THE U.S. HAVE DIABETES, BUT APPROXIMATELY 1/3 DON'T KNOW THEY HAVE IT BECAUSE OF MINIMAL SYMPTOMS OR NO SYMPTOMS AT ALL. DIABETES IS NOT A DISEASE TO BE TAKEN LIGHTLY, IT IS A SERIOUS DISEASE WITH ITS COMPLICATIONS KILLING 224,000 PEOPLE EACH YEAR. THE GOAL OF THE CENTER FOR DIABETES IS TO MEET THE NEEDS OF OUR PATIENTS BY EDUCATING AND PROVIDING A CLEAR UNDERSTANDING OF HOW TO MANAGE THEIR CHRONIC CONDITION - EVERY SINGLE DAY. THE CENTER FOR DIABETES AT SPRINGFIELD HOSPITAL IS AN AMERICAN DIABETES ASSOCIATION RECOGNIZED, HOSPITAL BASED, OUTPATIENT DIABETES EDUCATION PROGRAM. THE CENTER FOR DIABETES HAS EXPANDED ITS SERVICES TO THE CROZER MEDICAL PLAZA AT BRINTON LAKE AND COMMUNITY HOSPITAL PROVIDING NUTRITION AND EDUCATION CLASSES THERE. THE CENTER FOR DIABETES SERVICES INCLUDE OUTPATIENT EDUCATION FOR INDIVIDUALS WHO ARE NEWLY DIAGNOSED, HAVE UNCONTROLLED DIABETES, OR FOR THOSE WHO DESIRE INTENSIVE CONTROL. INSULIN PUMP THERAPY AND MONTHLY EDUCATION/SUPPORT GROUP MEETINGS ARE PROVIDED AT THE CENTER FOR DIABETES. ALSO SPECIAL INSTRUCTION IS OFFERED FOR PREGNANT WOMEN WITH GESTATIONAL DIABETES. THE CENTER FOR DIABETES' FOCUS IS TO HELP PATIENTS ACHIEVE BLOOD GLUCOSE CONTROL BY BALANCING MEALS, EXERCISE AND MEDICATION, WHEN NECESSARY. THE CERTIFIED DIABETES EDUCATORS AT THE CENTER FOR DIABETES ARE ALSO AVAILABLE TO TEACH DIABETES EDUCATION, INSULIN ADMINISTRATION AND USE OF GLUCOMETER TO THE STAFF AND RESIDENTS AT ASSISTED LIVING FACILITIES IN THE AREA. A SERIES OF CLASSES ARE OFFERED MORNING, AFTERNOON AND EVENING TO ACCOMMODATE VARIOUS PATIENT SCHEDULES. THE FOLLOWING CLASSES ARE OFFERED IN THE CENTER FOR DIABETES: - BASIC DIABETES EDUCATION. - BLOOD GLUCOSE MONITORING. - NUTRITION COUNSELING. - INSULIN ADMINISTRATION. - MANAGEMENT SKILLS FOR DIABETES RELATED TO PREGNANCY. - INTENSIVE MANAGEMENT PROGRAM. - INSULIN PUMP TRAINING. - GLUCOSE SENSOR TRAINING. - CONTINUOUS GLUCOSE MONITORING SYSTEM. - PRE-DIABETES CLASSES. THE CENTER FOR DIABETES OFFERS SUPPORT PROGRAMS THROUGHOUT THE YEAR AT SPRINGFIELD HOSPITAL. OUR SUPPORT GROUPS DISCUSS TOPICS SUCH AS COPING SKILLS, RESOURCES, FOOT AND EYE CARE RELATED TO DIABETES, UNDERSTANDING THE IMPORTANCE OF GOOD BLOOD GLUCOSE CONTROL AND HEALTHY MEAL PLANNING. OUR HEALTHCARE TEAM WORKS WITH PATIENTS TO TEACH THEM HOW TO BALANCE THEIR CARE AND DIABETES (WHAT ARE RISK FACTORS FOR COMPLICATIONS, HEART DISEASE, ETC.); HOW TO RECOGNIZE AND TREAT HYPERGLYCEMIA AND HYPOGLYCEMIA; HEALTHY EATING AND CARBOHYDRATE COUNTING; DIABETES MEDICATIONS AND VARIOUS MEDICATIONS THAT CAN EFFECT BLOOD GLUCOSE CONTROL; EXERCISE BENEFITS, HOW DIABETES EFFECTS THE EYES, HEART, AND KIDNEYS; RISK FOR STROKE; AND WHY IT IS IMPORTANT FOR THE PATIENT TO BE AN ACTIVE MEMBER IN THE HEALTHCARE TEAM. WE WANT THE PATIENT TO BE ABLE TO MANAGE THEIR DIABETES ON A DAILY BASIS. RESIDENCY/EDUCATION =================== CKHS OFFERS NUMEROUS CHALLENGING AND FULLY ACCREDITED RESIDENCY PROGRAMS AS ONE OF THE LEADING HEALTHCARE SYSTEMS IN THE DELAWARE VALLEY. NOTABLY, CKHS OFFERS STELLAR ALLOPATHIC RESIDENCIES IN FAMILY PRACTICE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, PEDIATRICS AND TRANSITIONAL YEAR, AS WELL AS OSTEOPATHIC INTERNAL MEDICINE, PODIATRIC RESIDENCY AND A VARIETY OF OSTEOPATHIC AND ALLIED HEALTH TRAINING PROGRAMS. CKHS IS A TOP-RATED REGIONAL HEALTH SYSTEM WITH A LONGSTANDING TEACHING TRADITION AND A SUPERB FACULTY OFFERING THE BENEFITS OF A UNIVERSITY-BASED TEACHING MODEL, PLUS THE ADVANTAGES OF COMMUNITY-BASED RESIDENCY PROGRAMS. EACH YEAR, APPROXIMATELY 97 TO 100 PERCENT OF CKHS' HIGHLY COMPETITIVE ALLOPATHIC RESIDENCY POSITIONS ARE FILLED THROUGH THE NATIONAL RESIDENT MATCHING PROGRAM. AS A WHOLE, CKHS' RESIDENCIES ARE COMMITTED TO DEVELOPING HIGHLY SKILLED PHYSICIANS WHO MASTER THE SCIENCE OF THEIR SPECIALTY, THE PRACTICE OF TOP-QUALITY PATIENT CARE AND THE ART OF TEACHING NEW GENERATIONS OF DOCTORS. CKHS' RESIDENTS RECEIVE RIGOROUS ACADEMIC EXPERIENCES AND HANDS-ON CLINICAL AND RESEARCH OPPORTUNITIES, WHICH FULLY PREPARE THEM TO PURSUE THEIR CAREER GOALS. IN FACT, CKHS IS PARTICULARLY PROUD OF THE OUTSTANDING PERFORMANCES ITS GRADUATES CONTINUE TO ACHIEVE ON NATIONAL BOARD EXAMINATIONS. FOSTERING A WELL-ROUNDED EDUCATIONAL EXPERIENCE, CKHS RESIDENCIES PROVIDE STRONG DIDACTIC INSTRUCTION THAT REINFORCES THE CLINICAL, ETHICAL AND PRACTICE-MANAGEMENT ASPECTS OF MEDICINE. THE RESIDENCY PROGRAMS ALSO EMPHASIZE THE USE OF COMPUTERS AT THE POINT OF CARE TO ACCESS EXPERT INFORMATION, DECISION SUPPORT, LITERATURE SEARCHES, DRUG INTERACTIONS AND PATIENT EDUCATION MATERIALS. AS THEY TRAIN, CKHS RESIDENTS HAVE THE OPPORTUNITY TO USE CKHS' OWN CUTTING-EDGE FACILITIES, AS WELL AS THOSE OF OUR WORLD-CLASS EDUCATIONAL AFFILIATES. THE MAJORITY OF RESIDENCY TRAINING TAKES PLACE AT CROZER-CHESTER MEDICAL CENTER, A NOT-FOR-PROFIT TERTIARY-CARE TEACHING HOSPITAL. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS THE SOLE MEMBER OF THIS ORGANIZATION. CKHS HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS 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 CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO THE AUDIT COMMITTEE OF CROZER-KEYSTONE HEALTH SYSTEM FOR REVIEW BY ITS MEMBERS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). FOLLOWING THIS REVIEW THE FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE IRS. THE CROZER-KEYSTONE HEALTH SYSTEM BOARD OF DIRECTORS HAS DELEGATED TO ITS AUDIT COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL 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 AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE CROZER-KEYSTONE HEALTH SYSTEM AUDIT COMMITTEE AND THEREAFTER PROVIDING TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S LEGAL DEPARTMENT AND VP/GENERAL COUNSEL FOR REVIEW. THEREAFTER THE LEGAL DEPARTMENT AND VP/GENERAL COUNSEL PREPARE A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE VP/GENERAL COUNSEL OF THE ORGANIZATION PRESENTS THIS SUMMARY TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR ITS REVIEW AND DISCUSSION. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE SYSTEM. CKHS' BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM IS INDEPENDENT AND FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE HAS ADOPTED A WRITTEN COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OR CONCURS WITH THE COMPENSATION AND BENEFITS OF CKHS' SENIOR MANAGEMENT, INCLUDING: THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER AND SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE BYLAWS OUTLINE THE POWERS AND FUNCTIONS OF THE COMPENSATION COMMITTEE. THE COMMITTEE RELIES UPON APPROPRIATE COMPARABLE DATA FROM AN INDEPENDENT CONSULTING FIRM WHICH SPECIALIZES IN REVIEWING HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USES COMPARABLE GEOGRAPHICAL AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, NUMBER OF LICENSED BEDS, AND NET PATIENT REVENUE ON BOTH A REGIONAL AND NATIONAL BASIS. THE COMMITTEE DOCUMENTS ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS ARE REVIEWED AND SUBSEQUENTLY APPROVED. THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE REVIEWED BY THE COMMITTEE ON AN ANNUAL BASIS IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE. THE COMPENSATION COMMITTEE THEN RECOMMENDS TO CKHS' BOARD OF DIRECTORS APPROPRIATE COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE BOARD OF DIRECTOR'S THEN REVIEWS THE COMMITTEE'S RECOMMENDATION AND APPROVES THE COMPENSATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER BASED ON THE COMMITTEE'S RECOMMENDATION. THE PRESIDENT/CHIEF EXECUTIVE OFFICER ESTABLISHES, AFTER DISCUSSION WITH AND CONCURRENCE BY THE COMMITTEE, THE COMPENSATION LEVELS OF THE EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER; SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER; AND CERTAIN OTHER INDIVIDUALS DEEMED TO BE DISQUALIFIED PERSONS PURSUANT TO THE INTERNAL REVENUE SERVICE DEFINITION. THIS IS DONE WITH COMPARABLE MARKET DATA PROVIDED BY AN INDEPENDENT CONSULTANT. THE PRESIDENT/CHIEF EXECUTIVE OFFICER ALSO RECEIVES ASSISTANCE FROM CKHS' HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH EACH INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR. COMPENSATION REVIEW AND APPROVAL IS ALSO BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY CKHS. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, AND EVALUATIONS. THE ACTIVITIES AND PROCEDURES FOLLOWED BY THE COMMITTEE ENABLE CKHS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF ALL INDIVIDUALS DISCLOSED ON THIS FORM 990, INCLUDING THE PRESIDENT/CEO, EXECUTIVE VICE PRESIDENT/COO AND SENIOR VICE PRESIDENT/CFO. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. 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 PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER AND SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER RECEIVING COMPENSATION AND BENEFITS FROM THE ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR 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 DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON 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 CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - CURTAILMENT NET LOSS; ($1,467,000); - OTHER CHANGES IN PENSION AND OTHER ACCRUED RETIREMENT BENEFITS LIABILITIES; $22,828,000; - CHANGE IN BENEFICIAL INTEREST IN FOUNDATION; $1,260,000; - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF PROPERTY AND EQUIPMENT; $108,000; - TEMPORARILY RESTRICTED CONTRIBUTIONS; $435,000; - NET ASSETS RELEASED FROM RESTRICTIONS - TEMPORARILY RESTRICTED; ($799,000); - INVESTMENT INCOME - TEMPORARILY RESTRICTED; $203,000; - NET ASSETS RELEASED FROM RESTRICTIONS - PERMANENTLY RESTRICTED; ($89,000); CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE FISCAL YEARS ENDED JUNE 30, 2015 AND JUNE 30, 2014; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE TAXPAYER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:61597858 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:11011819 FORM 990 PART IX LINE 11G DESCRIPTION:HMO FEES TOTAL FEES:7829211 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:7641490 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:4985890 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:3817947 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2173153 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION FEES TOTAL FEES:633756 FORM 990 PART IX LINE 11G DESCRIPTION:STAFF DEVELOPMENT FEES TOTAL FEES:688387 FORM 990 PART IX LINE 11G DESCRIPTION:MEMBERSHIP FEES TOTAL FEES:317688 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:11763501 CROZER-CHESTER FOUNDATION ONE MEDICAL CENTER BOULEVARD UPLAND PA 19013 222540853 FUNDRAISING PA 501(C)(3) 509(a)(1) CCMC true CROZER-KEYSTONE HEALTH SYSTEM 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 222540851 HEALTH SVCS. PA 501(C)(3) 509(a)(3) NA false DELCO MEMORIAL FOUNDATION 501 NORTH LANSDOWNE AVENUE DREXEL HILL PA 19026 222980746 FUNDRAISING PA 501(C)(3) 509(a)(2) DCMH false DELAWARE COUNTY MEMORIAL HOSPITAL 501 NORTH LANSDOWNE AVENUE DREXEL HILL PA 19026 230517130 HEALTH SVCS. PA 501(C)(3) HOSPITAL CKHS false DELCO SYSTEMS SERVICES INC 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 232215242 INACTIVE PA 501(C)(3) 509(A)(2) CKHS false HEALTH ACCESS NETWORK 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 232692637 HEALTH SVCS. PA 501(C)(3) 509(A)(1) CKHS false CROZER-KEYSTONE SERVICES LAYTON HALL ONE MEDICAL CENTER BLV UPLAND PA 19013 232735284 HEALTHCARE SVCS. PA NA C CORP. false CKS DELAWARE INC LAYTON HALL ONE MEDICAL CENTER BLV UPLAND PA 19013 522069540 INACTIVE PA NA C CORP. false PENNSYLVANIA HEALTH CLUB INC 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 232658404 HEALTHCARE SVCS. PA NA C CORP. false UNIVERSITY TECHNOLOGY PARK INC ONE MEDICAL CENTER BLVD LAYTON HA UPLAND PA 19013 900294852 REAL ESTATE PA NA C CORP. false TECH PARK PROPERTIES INC ONE MEDICAL CENTER BLVD LAYTON HA UPLAND PA 19013 010847504 REAL ESTATE PA NA C CORP. false false true true true true false false false false true true false true false true true true false false CROZER-KEYSTONE HEALTH SYSTEM EJKLO 642199 COST CROZER-KEYSTONE HEALTH SYSTEM EJKLO 1682916 COST CROZER-KEYSTONE HEALTH SYSTEM B 937500 COST CROZER-KEYSTONE HEALTH SYSTEM M 29352576 COST CROZER-KEYSTONE HEALTH SYSTEM P 3932557 COST CROZER-KEYSTONE HEALTH SYSTEM K 506762 COST SCHEDULE R, PART V CROZER-KEYSTONE HEALTH SYSTEM ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN CROZER-KEYSTONE HEALTH SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENT 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.