2015-05-12T15:42:12-05:00 2014-06-30 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2013-07-01 263359979 LANSDALE HOSPITAL CORPORATION % MICHAEL B WALSH LANS 2154812851 100 MEDICAL CAMPUS DRIVE Suite LANSDALE PA 19446 MICHAEL WALSH CFO 9738989494 2015-05-11 true Scott J Mariani P00642486 9738989494 2013 2016-03-07 17:11:31Z LAURENCE M MERLIS 1200 OLD YORK ROAD ABINGTON PA 19001 81063369 false X WWW.ABINGTONHEALTH.ORG X 2008 PA THE ORG. IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR ALL BY FOSTERING HEALING, EASING SUFFERING, AND PROMOTING WELLNESS IN A CULTURE OF SAFETY, LEARNING AND RESPECT. 21 16 772 223 0 802437 121543 78091575 79897083 -400952 -18714 1203725 752084 79696785 80751996 135533 152016 0 0 37465065 36378718 0 0 0 37674598 40403196 75275196 76933930 4421589 3818066 79480763 80098062 66398683 63272201 13082080 16825861 X THE ORGANIZATION IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR ALL BY FOSTERING HEALING, EASING SUFFERING, AND PROMOTING WELLNESS IN A CULTURE OF SAFETY, LEARNING AND RESPECT. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 11084539 0 10506608 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY GERIATRIC MEDICINE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PERFORMED 1,568 GERIATRIC MEDICINE CASES FOR A TOTAL OF 6,481 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 10794495 0 11349069 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY ORTHOPEDIC SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PERFORMED 857 ORTHOPEDIC CASES FOR A TOTAL OF 2,346 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 5875036 0 9251318 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT GENERAL MEDICINE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 27,111 OUTPATIENT GENERAL MEDICINE PATIENTS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 41486469 152016 48790088 69240539 true true false true false false false false false false true false false true true false false true false false true false false false false false true true true false true true false false false false false false false true true false false false false false false true false false false true 82 0 true 772 true false false false false false false false false false false X 21 16 false false true false true true true true true false false true true true true true true true true false PA X MICHAEL B WALSH 2154812851 1200 OLD YORK ROAD ABINGTON PA 19001 X LORRAINE C PRUITT CHAIR - TRUSTEE 5.0 X X 0 0 0 HELEN R BOSLEY VICE CHAIR - TRUSTEE 5.0 X X 0 0 0 EDITH R DIXON SECRETARY - TRUSTEE 5.0 X X 0 0 0 BRUCE E TOLL TREASURER - TRUSTEE 5.0 X X 0 0 0 DAVID ARCHIBALD EdD TRUSTEE 2.0 X 0 0 0 STEPHEN CRANE TRUSTEE 2.0 X 0 0 0 BRUCE K ENTWISLE TRUSTEE 2.0 X 0 0 0 DAVID J ESKIN MD TRUSTEE 2.0 X 0 0 0 DAVID L HARRAR TRUSTEE 2.0 X 0 0 0 JOHN J KELLY MD TRUSTEE - CHIEF OF STAFF 55.0 X X 0 685358 88307 JOSEPH KRAYNAK MD TRUSTEE-CHIEF MEDICAL OFFICER 2.0 X 0 0 0 MARVIN MASHNER TRUSTEE 2.0 X 0 0 0 LAURENCE M MERLIS TRUSTEE - PRESIDENT 55.0 X X 0 1178046 128227 DUNCAN PITCAIRN TRUSTEE 2.0 X 0 0 0 REV CHARLES QUANN TRUSTEE 2.0 X 0 0 0 JAMES STILL TRUSTEE 2.0 X 0 0 0 MERYLE TWERSKY TRUSTEE 2.0 X 0 0 0 OSCAR P VANCE JR TRUSTEE 2.0 X 0 0 0 JOHN WALP TRUSTEE 2.0 X 0 0 0 PETER WANG MD TRUSTEE 2.0 X 0 0 0 MICHAEL J ZAKRZEWSKI DO TRUSTEE - PRES. MEDICAL STAFF 2.0 X X 15000 0 0 EDWARD K ASPLUNDH TRUSTEE (7/1 - 11/26/13) 2.0 X 0 0 0 JOHN H DURHAM TRUSTEE (7/1 - 11/26/13) 2.0 X 0 0 0 ROBERT M INFARINATO ESQ TRUSTEE (7/1 - 11/26/13) 2.0 X 0 0 0 JOHN OYLER ESQ TRUSTEE (7/1 - 11/26/13) 2.0 X 0 0 0 JOSEPHINE B SMITH TRUSTEE (7/1 - 11/26/13) 2.0 X 0 0 0 KEITH W SWEIGARD MD TRST(7/1-11/26/13)HD OF PHY PR 55.0 X X 0 342565 22833 ROBERT P VOGEL ESQ TRUSTEE (7/1 - 11/26/13) 2.0 X 0 0 0 PATRICIA WELLENBACH TRUSTEE (7/1 - 11/26/13) 2.0 X 0 0 0 MARGARET M MCGOLDRICK EXECUTIVE VICE PRESIDENT 55.0 X 0 960476 165145 MICHAEL B WALSH ASSISTANT TREASURER 55.0 X 0 563318 167302 GARY R CANDIA PHD CHIEF EXECUTIVE OFFICER 55.0 X 0 498246 66419 KATHLEEN M FARRELL EXECUTIVE DIRECTOR 55.0 X 0 240261 18787 DEBORAH A DATTE SENIOR VP; LEGAL 55.0 X 0 450180 51470 ALISON FERREN VP; PERFORMANCE EXCELLENCE/CIO 55.0 X 0 418788 64343 MEGHAN O PATTON VP; HUMAN RESOURCES 55.0 X 0 392723 59146 MARY THOMSON BRAUMAN VP; PUB REL (RETIRED 7/31/13) 55.0 X 0 359706 17908 NANCY G HESSE RN CNO (TERMED 12/14/13) 55.0 X 0 240136 8480 KELLY A CUMMINGS CNO (EFFECTIVE 12/15/13) 55.0 X 0 84682 19450 NAHEED G MOHAMMED MD PHYSICIAN (TERMED 6/30/13) 55.0 X 257352 0 8012 GLENNIS R HALL MD PHYSICIAN (TERMED 6/30/13) 55.0 X 197574 0 5054 DAVID S KREMPASKY MANAGER PHARMACY SERVICES 55.0 X 155488 0 7344 CONSTANCE KRAYNAK NURSE DIRECTOR 55.0 X 126610 0 12727 VIRGINIA TUCCIARONE PHARMACIST 55.0 X 124398 0 12384 876422 6414485 923338 18 false true false RADIOLOGY GROUP OF ABINGTON PC PO BOX 10668 LANCASTER PA 17605 MEDICAL 1177800 ABINGTON EMERGENCY PHYSICIANS 1200 OLD YORK ROAD ABINGTON PA 19001 MEDICAL 662286 ONCALL PHYSICIAN STAFFING INC 1555 BARDSEY DRIVE LOWER GWYNEDD PA 19002 STAFFING 648995 GE MEDICAL SYSTEMS INFO TECH 8200 WEST TOWER AVENUE MILWAUKEE WI 53223 IT 492603 UNITED ANESTHESIA SERVICE PC PO BOX 828962 PHILADELPHIA PA 191828962 MEDICAL 491703 16 X 43223 78320 121543 NET PATIENT SERVICE REVENUE 541900 78172086 78172086 OTHER HEALTHCARE RELATED REVENUE 541900 1724997 1724997 79897083 -18714 -18714 0 0 892676 311373 581303 0 581303 581303 0 0 0 0 CAFETERIA 722511 170781 170781 170781 80751996 79897083 733370 152016 152016 0 0 0 15000 13500 1500 0 0 30658594 27592735 3065859 252455 227210 25245 3193275 2873948 319327 2259394 2033455 225939 0 23674 21307 2367 85584 77026 8558 5809 5228 581 0 0 2396839 2157155 239684 614614 553153 61461 794763 715287 79476 0 0 974299 876869 97430 49148 44233 4915 0 0 2469718 2222746 246972 0 4982076 4483868 498208 2045649 1841084 204565 MEDICAL SUPPLIES 11716652 10544987 1171665 0 CORPORATE SERVICES 8695402 7825862 869540 0 PURCHASED SERVICES 3960815 3564733 396082 0 PHYSICIAN FEES 1329053 1196148 132905 0 259101 217989 41112 76933930 69240539 7693391 0 1305 1305 1279663 1703881 70852 26046 7529327 9322228 0 0 0 0 0 0 1015566 415278 619233 557722 84994484 21481946 64241977 63512538 0 0 0 0 427610 516321 0 0 4295230 4042743 79480763 80098062 7786546 7911975 0 0 0 0 48614769 46176478 0 0 0 0 0 0 0 0 9997368 9183748 66398683 63272201 X 12583511 16280034 498569 545827 0 0 13082080 16825861 79480763 80098062 X 3818066 -74285 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5809 5809 false false SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS A MEMBER OF THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $5,809. IN ADDITION, ABINGTON MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PAID THE MEMBERSHIP DUES TO THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA ON BEHALF OF ITS AFFILIATE, LANSDALE HOSPITAL CORPORATION. THE AMOUNT OF THESE DUES ALLOCATED TO LOBBYING EFFORTS ON BEHALF OF LANSDALE HOSPITAL CORPORATION AMOUNTED TO $10,044 FOR THE FISCAL YEAR ENDED JUNE 30, 2014. 0 8884649 8884649 0 15241105 8965411 6275694 0 35153801 0 35153801 0 23840328 12246848 11593480 0 1874601 269687 1604914 63512538 OTHER ACCOUNTS RECEIVABLE 1696799 OTHER ASSETS 2345944 4042743 0 DUE TO AFFILIATES 5550437 DUE TO THIRD-PARTY PAYORS 240000 SHORT-TERM LIABILITY INSURANCE 1064441 LONG-TERM LIABILITY INSURANCE 2328870 9183748 X SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ABINGTON HEALTH ("AH") WAS FORMED IN 2009 AND IS THE PARENT OF THE SYSTEM. PRIOR TO ABINGTON HEALTH, THE ABINGTON MEMORIAL HOSPITAL FOUNDATION WAS THE 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 FIN 48 (ASC 740) FOOTNOTE BELOW IS FROM THE SYSTEM'S FISCAL YEAR ENDED JUNE 30, 2008 CONSOLIDATED AUDITED FINANCIAL STATEMENTS: EFFECTIVE JULY 1, 2007, THE HOSPITAL ADOPTED FASB INTERPRETATION NO. 48 ("FIN 48"), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF SFAS NO. 109, ACCOUNTING FOR INCOME TAXES. THE ADOPTION DID NOT HAVE AN IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. true Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 1497261 1 1 1 1 1497261 1497261 true false false false false false true true X true X 300. true X 600. true true true false true true 5175 845420 0 845420 0.01100 6454 3885897 2951260 934637 0.01210 11629 4731317 2951260 1780057 0.02310 12329 493697 25985 467712 0.00610 2070 2207821 1488327 719494 0.00940 5 127695 0 127695 0.00170 14404 2829213 1514312 1314901 0.01720 26033 7560530 4465572 3094958 0.04030 2364 0 2364 0.00000 2364 0 2364 0.00000 true 3621008 40341 26645965 29730798 -3084833 X true true 1 1 LANSDALE HOSPITAL CORPORATION 100 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 WWW.ABINGTONHEALTH.ORG 660101 X X X LANSDALE HOSPITAL CORPORATION 1 true X X X X X X X X 13 true true true X WWW.ABINGTONHEALTH.ORG X X X X X X X false false true true 300. true 600. true X true true X X X X X X true false X X X X true X false false SCH H, PART V, SECT B,QS 1J,6I,10,11,12I,14G,16E,17E,18E,19C,19D,20D,21&22 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 3 PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) COLLABORATED WITH THE PARTICIPATING HOSPITALS TO IDENTIFY INDIVIDUALS LIVING AND/OR WORKING IN THE COMMUNITIES IN THE HOSPITALS' SERVICE AREAS WHO COULD PROVIDE QUALITATIVE INPUT TO THE NEEDS ASSESSMENT AS COMMUNITY MEMBERS, PUBLIC HEALTH EXPERTS, AND AS LEADERS OR PERSONS WITH KNOWLEDGE OF THE UNDERSERVED, RACIAL MINORITIES, LOW INCOME RESIDENTS, AND/OR THE CHRONICALLY ILL. LANSDALE HOSPITAL WORKED DILIGENTLY WITH PHMC TO OBTAIN MEETING VENUES, CONTACT POTENTIAL PARTICIPANTS, AND ENCOURAGE ATTENDANCE. MEETING PARTICIPANTS WERE NOT COMPENSATED. IN THE GREATER NORTH PENN AREA, A COLLABORATIVE OF OVER 60 NONPROFIT ORGANIZATIONS AND A LOCAL FOUNDATION ARE PARTNERS WITH LANSDALE HOSPITAL IN FURTHERING COLLABORATION FOR COMMUNITY INITIATIVES, EDUCATION AND COMMUNICATION ON EXISTING RESOURCES, GRANT AVAILABILITY AND MEETING UNMET NEEDS. LEADERS FROM THE COLLABORATIVE AND FOUNDATION SERVED AT THE COMMUNITY MEETINGS OR SHARED LETTERS TO PHMC THAT PROVIDED INFORMATION TO THE NEEDS ASSESSMENT PROCESS FOR LANSDALE HOSPITAL. INPUT FROM ALL PARTICIPANTS INCLUDING COUNTY AND LOCAL HEALTH DEPARTMENT OFFICIALS AND PUBLIC HEALTH EXPERTS, WAS USED TO FURTHER IDENTIFY AND PRIORITIZE UNMET NEEDS, LOCAL PROBLEMS WITH ACCESS TO CARE AND POPULATIONS WITH SPECIAL HEALTHCARE NEEDS. AN ABINGTON HEALTH SENIOR EXECUTIVE AND A LEADER FROM COMMUNITY HEALTH COORDINATED WITH PHMC STAFF ALL MEETING LOGISTICS AND DETAILS. PHMC STAFF FACILITATED THE MEETINGS/FOCUS GROUPS. SEVERAL FOLLOW UP TELEPHONE CALLS RESULTED IN ADDITIONAL INFORMATION SHARED BETWEEN THE NONPROFIT PROVIDERS, THE HOSPITAL LEADERS AND PHMC AS THE PROCESS ENSUED. INFORMATION ON THE HEALTH STATUS AND HEALTH CARE NEEDS OF THE RESIDENTS OF LANSDALE HOSPITAL'S SERVICE AREA WAS ALSO COLLECTED THROUGH COMMUNITY MEETINGS. THE MEETINGS WERE GUIDED BY A SET OF WRITTEN QUESTIONS. THE MEETINGS WERE HELD AT ABINGTON PUBLIC LIBRARY (1030 OLD YORK ROAD, ABINGTON, PA) ON JUNE 4, 2012 AND LANSDALE HOSPITAL (100 MEDICAL CAMPUS DRIVE, LANSDALE, PA) ON JUNE 6, 2012. A TOTAL OF 24 ATTENDEES PARTICIPATED IN THE MEETINGS. AT THE LHC MEETING, 6 COMMUNITY LEADERS WERE IN ATTENDANCE. SEVERAL EXAMPLES OF COMMUNITY LEADERS INFORMATION AT THE LHC MEETING ARE AS FOLLOWS: PRESIDENT/CEO OF NORTH PENN COMMUNITY HEALTH FOUNDATION: NON-PROFIT ORGANIZATION FOCUSED ON HEALTH ISSUES. DIRECTOR, COMMUNITY HEALTH OF NORTH PENN VISITING NURSES ASSOCIATION: HEALTHCARE PROVIDER; PUBLIC HEALTH EXPERT. SCHOOL NURSE: NORTH PENN SCHOOL DISTRICT: HEALTHCARE PROVIDER; CHILDREN. CLIENT SERVICES MANAGER, MANNA ON MAIN STREET; COMMUNITY-BASED ORGANIZATION FOCUSED ON NUTRITION, FOOD PANTRY AND CASE MANAGEMENT. PRESIDENT, BOARD OF DIRECTORS OF NAMI PA. NON-PROFIT ORGANIZATION FOCUSED ON MENTAL HEALTH ISSUES. DEAN OF HEALTH SCIENCES, MONTGOMERY COUNTY COMMUNITY COLLEGE. NON-PROFIT EDUCATIONAL INSTITUTION; PUBLIC HEALTH EXPERT. THESE INDIVIDUALS AND THE AMH COMMUNITY LEADERS SAW SIGNIFICANT OVERLAP IN THE DISCUSSION OF UNMET NEEDS AND HEALTH STATUS AND PROVIDED A FOCUS FOR BOTH HOSPITALS IN COLLABORATION WITH PHMC. THEMES EMERGED FROM THESE MEETINGS AND WERE ANALYZED AND CODED WITH ALL QUANTITATIVE DATA. RECOGNITION OF THEMES WERE DISCUSSED AND THE RESULTING ANALYSIS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS ORGANIZED INTO MAJOR TOPIC AREAS. OVERALL, THE HEALTH OF THE POPULATIONS SERVED IN THE LANSDALE HOSPITAL SERVICE AREA IS GOOD, RANKING HIGHER THAN THE MONTGOMERY COUNTY AND PENNSYLVANIA STATE POPULATIONS AS A WHOLE. ACTION PLANS HAVE BEEN DEVELOPED FOR THE MAJOR TOPIC AREAS FOR THE FOLLOWING IDENTIFIED HEALTH NEEDS: EDUCATION REGARDING CANCER RISK FACTORS AND SCREENINGS; ACCESS TO BEHAVIORAL HEALTH SERVICES; EDUCATION REGARDING ACTIVITIES OF DAILY LIVING (ADLS) FOR GERIATRIC PATIENTS; MORE ACCESSIBLE CULTURALLY AND LINGUISTICALLY APPROPRIATE MATERIALS REGARDING HEALTH SERVICES; EDUCATION AND SERVICES TO ADDRESS CARDIAC RISK FACTORS OF SMOKING, OBESITY AND HYPERTENSION; ACCESS TO CARE FOR THE UNINSURED AND UNDERINSURED. ABINGTON HEALTH'S ACCESS TO CARE ACTION PLAN WAS REVIEWED IMMEDIATELY WITH SEVERAL ENHANCEMENTS INTRODUCED. A THOROUGH REVIEW OF THE POLICY AND PROCEDURES FOR FINANCIAL ASSISTANCE TOOK PLACE WITH PLANS FOR A FINANCIAL COUNSELING CENTER TO BE CREATED WITHIN SIX MONTHS. A NEW PRINTED FINANCIAL ASSISTANCE BROCHURE WAS CREATED AND DISTRIBUTED AT AH ACCESS POINTS, INCLUDING CLINICS, OUTPATIENT AREAS, EMERGENCY DEPARTMENT AT LANSDALE HOSPITAL AND PRIMARY CARE OFFICES. SCHEDULE H, PART V, SECTION B, QUESTION 4 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 5D ABINGTON HEALTH PLACED THE FINAL COMMUNITY HEALTH NEEDS ASSESSMENT ON EACH HOSPITAL'S WEBSITE TO PROVIDE ACCESS AND MAKE WIDELY AVAILABLE. SEVERAL REQUESTS FROM LOCAL NONPROFIT ORGANIZATIONS SEEKING A COPY OF THE DOCUMENT WERE GIVEN ACCESS VIA THE DOWNLOADABLE DOCUMENT ON THE WEBSITE OR EMAILED BY AH LEADERS. TEAMS WERE FORMED AT ABINGTON HEALTH TO COINCIDE WITH THE MAJOR TOPIC AREAS IN SPRING 2013. ACTION PLANS OR IMPLEMENTATION PLANS WERE WRITTEN, ADOPTED AND APPROVED BY THE COMMUNITY BENEFIT COMMITTEE OF THE ABINGTON HEALTH FOUNDATION BOARD AND BY ABINGTON HEALTH'S BOARD OF TRUSTEES BY JUNE 30, 2013. SHORTLY THEREAFTER, THE COMMUNITY HEALTH DEPARTMENT WAS RESTRUCTURED AND REORGANIZED TO BETTER SERVE THE COMMUNITY THROUGH THE ACTION PLANS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT REQUIREMENTS. IN FY14, INTENSE WORK BEGAN ON OBJECTIVES RELATED TO SEVEN ACTION PLANS CREATED TO MEET THE CHNA IDENTIFIED NEEDS. LISTED BELOW ARE THE ACCOMPLISHMENTS FOR EACH ACTION PLAN: IMPROVE ACCESS TO CARE FOR THE UNINSURED AND UNDERINSURED: - IMPLEMENTATION OF ELECTRONIC CLINICAL RECORD SOFTWARE IN CHILDREN'S CLINIC - RESEARCH AND DEVELOPMENT OF NEW DENTAL CLINIC ACCESS PLAN TO BE IMPLEMENTED IN FY15 - ESTABLISHMENT OF FINANCIAL COUNSELING SERVICE PROGRAM BEHAVIORAL HEALTH INITIATIVE: - REVISION AND IMPLEMENTATION OF DEPRESSION SCREENING TOOL FOR INPATIENT AND HOMECARE PATIENTS. DEVELOPMENT OF PROTOCOL FOR PYSCH CONSULT BASED ON SCORE. - ENHANCEMENT OF EDUCATIONAL PROGRAMMING AND STUDENT ASSISTANCE FOR SCHOOLS WITH OUTREACH TO NORTH PENN SCHOOL DISTRICT - PARTICIPATION IN COUNTY BASED BEHAVIORAL HEALTH MEETINGS - PROVISION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE PRACTICES BY EMBEDDING THERAPIST INTO PRACTICES, INCLUDING CLINICS. CANCER EDUCATION AND SCREENING: - INCREASE OF COMMUNITY AWARENESS OF CANCER RISK FACTORS THROUGH EDUCATIONAL PROGRAMS FOCUSING OF AMERICAN CANCER SOCIETY RECOMMENDATIONS. - OUTREACH TO KOREAN BY PROVIDING EDUCATIONAL PROGRAMS TARGETING THESE COMMUNITIES. - KOREAN NURSE DEDICATED TO WORKING WITH KOREAN COMMUNITY THROUGH HEALTH EDUCATION PROGRAMS AND SCREENINGS TAILORED TO KOREAN COMMUNITY CULTURAL AND LINGUISTICALLY APPROPRIATE SERVICES AND EDUCATION MATERIALS: - MULTILINGUAL HEALTH RESOURCES AND WEBSITES DATA BASE CREATED AND POSTED TO LANSDALE HOSPITAL INTRANET - DISTRIBUTION LIST OF DIVERSE COMMUNITY STAKEHOLDERS CREATED FOR ELECTRONIC COMMUNICATION OF HEALTH SCREENINGS AND PROGRAMS - CLINIC FACT SHEETS AND FINANCIAL ASSISTANCE BROCHURES TRANSLATED INTO SPANISH, KOREAN AND BENGALI HYPERTENSION: - COUNTY WIDE HYPERTENSION ACTION TEAM CREATED TO DEVELOP AND IMPLEMENT COUNTY WIDE EDUCATION AND OUTREACH - BLOOD PRESSURE SCREENING PROVIDED TO 5029 PARTICIPANTS AT COMMUNITY SITES. REVISED TRACKING FORM AND FOLLOW UP PROTOCOLS. - IMPLEMENTED STROKE PROGRAM FOLLOW UP PHONE CALLS SEVEN DAYS POST DISCHARGE - EXPANDED FREE CHRONIC CARE MANAGEMENT PROGRAM FOR 118 COMMUNITY MEMBERS. DEVELOPED NEW CHRONIC CARE SUPPORT GROUPS FOR LOW INCOME SENIORS, ONE TARGETED TO KOREAN COMMUNITY OBESITY: - BEGAN EFFORTS TO EDUCATE AND ENGAGE PEDIATRICIANS AND FAMILY PRACTICE PHYSICIANS ON IDENTIFICATION AND INTERVENTIONS FOR OBESE PATIENTS THROUGH AMERICAN ACADEMY OF PEDIATRICS EPIC PROGRAM - EXPANDED "WEIGH TO GO" AND "5-2-1-0" PROGRAM TO TARGETED ORGANIZATIONS AND UNDERSERVED AREAS - DEVELOPED AND IMPLEMENTED HEALTHY LIVING WEBSITE ON ABINGTON HEALTH WEBSITE - FY14, OVER 18,000 VIEWS - NATIONAL DIABETES PREVENTION PROGRAM PROVIDED TO 103 INDIVIDUALS, ACHIEVING 6.6% WEIGHT LOSS - HEALTHY LIFESTYLE COMMUNITY BASED EDUCATION PROVIDED TO 1115 COMMUNITY MEMBERS SMOKING: - INCREASED ACCESS TO COMPREHENSIVE TOBACCO CESSATION PROGRAMMING BY PROVIDING 3 ADDITIONAL COMMUNITY BASED PROGRAMS, INCLUDING ONE LOCATED IN A LOW INCOME HOUSING COMMUNITY - EDUCATED FAITH COMMUNITY NURSES ON AVAILABLE RESOURCES FOR TOBACCO CESSATION PROGRAMS. - CREATED AND DISTRIBUTED COMPREHENSIVE SMOKING CESSATION BOOKLET DISTRIBUTED TO ALL AMH INPATIENT UNITS, AND PHYSICIAN PRACTICES. CONVERTED INTO PDF DOCUMENT AND ELECTRONICALLY DISTRIBUTED TO COMMUNITY STAKEHOLDERS. LANSDALE HOSPITAL WORKS HARD TO CONTINUALLY IMPROVE ITS PROGRAMS, HEALTH SERVICES, OUTREACH AND COMMUNICATION IN ITS COMMUNITIES. SCHEDULE H, PART V, SECTION B, QUESTION 7 THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS COMPLETED IN APRIL 2013. UNMET HEALTHCARE NEEDS THAT WERE IDENTIFIED INCLUDED: ACCESS TO PRIMARY AND PREVENTATIVE HEALTHCARE AND EDUCATION FOR ALL RESIDENTS, PARTICULARLY THOSE WITH LOW INCOME; ACCESS TO BEHAVIORAL HEALTH AND MENTAL HEALTHCARE FOR OLDER ADULTS AND THOSE WITH LOW INCOME. ALSO IDENTIFIED WAS THE NEED FOR INCREASING HEALTH EDUCATION PROGRAMS TO ADDRESS HEART DISEASE, CANCER PREVENTION AND SCREENING, SMOKING PREVENTION AND CESSATION, LINGUISTICALLY AND CULTURALLY APPROPRIATE SERVICES, BEHAVIORAL HEALTH. A MULTI-DISCIPLINARY TEAM MET AND THROUGH A RIGOROUS PROCESS AND CREATED ACTION PLANS WITH A THREE YEAR TIMELINE TO MEET THOSE UNMET NEEDS WHICH WERE WITHIN THE HOSPITAL'S MISSION AND ABILITY TO POSITIVELY IMPACT. THESE PLANS WERE APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES ON JUNE 30, 2013. HOSPITALS ARE NOT REQUIRED TO, NOR CAN THEY MEET ALL UNMET NEEDS IN THE COMMUNITY. ANY UNMET NEEDS NOT ADDRESSED BY THE APPROVED ACTION PLANS ARE ALREADY BEING ADDRESSED IN THE SERVICE AREA BY THE HOSPITAL, OTHER HEALTH CARE PROVIDERS, GOVERNMENT, AND LOCAL NON-PROFIT ORGANIZATIONS. OUR PRIORITY UNMET NEEDS IN THE ACTION PLANS ARE INTEGRAL TO OUR COMMUNITY BENEFIT STRATEGY. ABINGTON HEALTH LEADERS CONTINUE TO MONITOR NEW PROGRAM DEVELOPMENT AND SERVICES WITH COLLABORATIVE PARTNERS. 7 NPCHA CHILDRENS CLINIC 51 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 OUTPATIENT SERVICES NPCHA ADULT DAY SERVICES LANSDALE 51 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 OUTPATIENT SERVICES STONERIDGE SLEEP CENTER 670 LAWN AVE SUITE 2B SELLERSVILLE PA 18960 OUTPATIENT SERVICES NPCHA ADULT DAY SERVICES SOUDERTON 228 RIDGE AVENUE SOUDERTON PA 18964 OUTPATIENT SERVICES NPCHA ADULT DAY SERVICES SCHWENCKFELD 1290 ALLENTOWN ROAD SUITE A LANSDALE PA 19446 OUTPATIENT SERVICES NPCHA DENTAL CLINIC 51 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 OUTPATIENT SERVICES GREEN AND SEIDNER RADIOLOGY 826 NORTH BROAD STREET LANSDALE PA 19446 OUTPATIENT SERVICES SCHEDULE H, PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY FOR CHARITY CARE STARTS AT 300% OF THE FPG AND DISCOUNTED CARE IS A SLIDING SCALE STARTING AT 600% OF THE FPG. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED TO CALCULATE THE COST TO CHARGE RATIO FOR FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID. ALL OTHER COSTS WERE EITHER OBTAINED FROM THE HOSPITAL'S COST ACCOUNTING, COST REPORTING OR GENERAL LEDGER SYSTEMS. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. SCHEDULE H, PART III, SECTION A; LINE 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS FINANCIAL STATEMENTS. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND FINANCIAL ASSISTANCE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE ORGANIZATION AND ITS AFFILIATES. NET PATIENT SERVICE REVENUE THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. THE BASIS FOR PAYMENT UNDER THESE AGREEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE AND PER DAY, DISCOUNTS FROM ESTABLISHED CHARGES, CAPITATED PER MEMBER PER MONTH PAYMENTS, AND CERTAIN COST REIMBURSEMENT METHODOLOGIES. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. MEDICARE COST REPORTS FOR ALL YEARS THROUGH 2010 HAVE BEEN AUDITED AND FINAL SETTLED AS OF JUNE 30, 2014. THE 2011 THROUGH 2013 MEDICARE COST REPORTS HAVE BEEN FILED AND ARE AWAITING FINAL SETTLEMENT AS OF JUNE 30, 2014. THE HOSPITAL DID NOT HAVE ANY AMOUNTS INCLUDED IN NET PATIENT SERVICE REVENUE FOR FISCAL YEAR 2014 AND 2013, RESPECTIVELY, RELATED TO THIRD-PARTY PAYORS FINAL SETTLEMENTS FOR FISCAL YEARS 2010 AND PRIOR. INCLUDED IN THE HOSPITAL'S NET PATIENT SERVICE REVENUES ARE PAYMENTS MADE ON BEHALF OF THE MEDICARE AND MEDICAID PROGRAMS. THESE PAYMENTS REPRESENT 28% AND 6% OF NET PATIENT SERVICE REVENUE, RESPECTIVELY, FOR THE FISCAL YEAR ENDED JUNE 30, 2014 AND 28% AND 6% OF NET PATIENT SERVICE REVENUE, RESPECTIVELY, FOR THE FISCAL YEAR ENDED JUNE 30, 2013. LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAM PAYMENTS ARE COMPLEX AND SUBJECT TO INTERPRETATION. THE HOSPITAL BELIEVES THAT IT IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS AS THEY RELATE TO THESE PROGRAMS. SUCH LAWS AND REGULATIONS CAN BE SUBJECT TO REVIEW AND INTERPRETATION BY THE MEDICARE AND MEDICAID PROGRAMS. CHARITY CARE THE HOSPITAL AND LHC, UNDER THEIR FINANCIAL ASSISTANCE POLICIES, PROVIDE A SIGNIFICANT AMOUNT OF SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO COMPENSATE EITHER ENTITY FOR THEIR TREATMENTS EITHER THROUGH THIRD PARTY COVERAGE OR THEIR OWN RESOURCES. BECAUSE THESE AMOUNTS ARE NOT EXPECTED TO BE PAID, THEY ARE NOT REPORTED AS REVENUE. THE COST OF THIS CARE IS BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO THESE PATIENTS. THE RATIO OF COSTS TO CHARGES IS CALCULATED BASED ON THE TOTAL EXPENSES (LESS COMMUNITY BENEFIT EXPENSE) DIVIDED BY GROSS PATIENT SERVICE REVENUE. THE ESTIMATED COSTS OF CARING FOR THESE PATIENTS FOR THE YEARS ENDING JUNE 30, 2014 AND 2013 WERE $12,231,000 AND $11,798,000 RESPECTIVELY. THERE WERE NO FUNDS RECEIVED FROM GIFTS AND GRANTS TO SUBSIDIZE FINANCIAL ASSISTANCE SERVICES FOR FISCAL YEAR 2014 AND 2013. IN ADDITION, THE HOSPITAL AND LHC PROVIDE SERVICES AND SUPPLIES AT AMOUNTS BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. THE HOSPITAL ALSO SPONSORS CERTAIN OTHER SUBSIDIZED PROGRAMS AND CHARITY SERVICES THAT PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH SERVICES AND PROGRAMS INCLUDE COMMUNITY SERVICE PROGRAMS DESIGNED FOR SPECIFIC HEALTHCARE CONCERNS, INCLUDING HEALTH EDUCATION, SUPPORT GROUPS AND HEALTH SCREENINGS. SCHEDULE H, PART III, SECTION B; LINE 8 FINANCIAL INFORMATION LISTED ON SCHEDULE H PART III LINES 5, 6 & 7 WERE DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM AND NOT THE 2014 FILED MEDICARE COST REPORT. USING THE COST REPORT WOULD RESULT IN AN INCREASE TO THE AMOUNT ON LINE 5 OF $701,759 AND A DECREASE TO LINE 6 OF $3,656,792. 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 AN 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 ABINGTON 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 BALANCES AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING TWO STATEMENTS, THEN REFERRAL TO AN OUTSIDE EXTENDED BUSINESS OFFICE AGENCY WHO PERFORMS FOLLOW UP VIA STATEMENTS AND TELEPHONE CONTACT FOR 90 DAYS. THE FACILITY ALSO HAS A FINANCIAL ASSISTANCE 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 FINANCIAL 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 AND/OR FINANCIAL ASSISTANCE 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 HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. FLEXIBLE PAYMENT PLANS. ALL BILLING STATEMENTS INCLUDE A REFERENCE TO THE FINANCIAL ASSISTANCE POLICY AND A CONTACT NUMBER AS WELL AS REFERENCE TO A WEBSITE FOR ACCESS TO MORE INFORMATION. IF A PATIENT SUBMITS A FINANCIAL ASSISTANCE APPLICATION ANY EXTRAORDINARY COLLECTION ACTIONS (ECA) WILL NOT OCCUR UNTIL THE PATIENT'S FINANCIAL ASSISTANCE ELIGIBILITY IS DETERMINED AND THE PATIENT IS INFORMED OF THEIR ELIGIBILITY. 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 HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM IS COMPRISED OF A 50% DISCOUNT ON CHARGES WITH A $1,600 MAXIMUM LIABILITY FOR ANY SERVICES RECEIVED IN THE EMERGENCY DEPARTMENTS. SCHEDULE H, PART VI; QUESTION 2 THE COLLABORATIVE PROCESS FOR ABINGTON HEALTH INCLUDING ABINGTON MEMORIAL HOSPITAL AND LANSDALE HOSPITAL BEGAN IN FEBRUARY 2011, WHEN THE DELAWARE VALLEY HEALTHCARE COUNCIL ("DVHC") OF HAP ("HOSPITAL ASSOCIATION OF PENNSYLVANIA") ESTABLISHED A COMMUNITY HEALTH NEEDS ASSESSMENT WORKGROUP TO ASSIST HOSPITALS IN UNDERSTANDING THE AFFORDABLE CARE ACT (ACA) REQUIREMENTS AND THE INTERNAL REVENUE SERVICE GUIDANCE AROUND COMMUNITY HEALTH NEEDS ASSESSMENTS. DVHC AND THE HOSPITAL WORKGROUPS IDENTIFIED BEST RESOURCES, TOOLS, AND SERVICES FOR CONDUCTING NEEDS ASSESSMENTS. THE 24-MEMBER WORKGROUP INCLUDED REPRESENTATIVES FROM 13 HOSPITALS AND HEALTH SYSTEMS REPRESENTING 35 OR (70 PERCENT) OF THE 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 CONSIDERED THE TYPES OF RESOURCES THAT MIGHT BE NEEDED TO CONDUCT NEEDS ASSESSMENTS. UNDER THE WORKGROUP'S GUIDANCE, DVHC DEVELOPED A SCOPE OF WORK TO DEFINE THE RESEARCH SERVICES AND OTHER RESOURCES WHICH HOSPITALS MIGHT NEED TO ASSIST IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. BASED ON THE SCOPE OF WORK, DVHC ISSUED A REQUEST FOR PROPOSAL TO IDENTIFY HIGHLY QUALIFIED RESEARCH PARTNERS WHO COULD SUPPORT HOSPITALS IN CONDUCTING NEEDS ASSESSMENTS. AFTER A RIGOROUS EVALUATION PROCESS THAT INCLUDED INTENSIVE INPUT FROM WORKGROUP MEMBERS, PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) WAS SELECTED AS THE MOST APPROPRIATE RESEARCH PARTNER. PHMC'S SELECTION WAS DUE IN PART TO THEIR COMMUNITY HEALTH DATA BASE'S IN-DEPTH, ZIP-CODE-LEVEL HEALTH INFORMATION FOR THE FIVE-COUNTY REGION. IN ADDITION, MANY HOSPITALS ARE FAMILIAR WITH THIS RESOURCE AND ARE OR HAVE BEEN DATABASE SUBSCRIBERS. WITH DIRECTION AND GUIDANCE FROM THE WORKGROUP, DVHC AND PHMC THEN COLLABORATED TO DEVELOP THE OVERALL APPROACH TO CONDUCTING NEEDS ASSESSMENTS FOR HOSPITALS WISHING TO PARTICIPATE IN THE PROGRAM. TWENTY-EIGHT DVHC MEMBER FACILITIES PARTICIPATED IN THE PROGRAM. ALL OF THIS COLLABORATION HAD ONE GOAL IN MIND: TO COMPLY WITH ALL IRS REGULATIONS AND REQUIREMENTS IN MEETING COMMUNITY BENEFIT AND CONDUCTING A QUALITY COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. AS A NON-PROFIT 501(C)(3) ORGANIZATION, ABINGTON HEALTH HAS A STRONG MISSION OF COMMUNITY SERVICE AND OUTREACH. IN THE SPRING OF 2013 [FY13] THE TWO HOSPITALS, ABINGTON MEMORIAL HOSPITAL AND LANSDALE HOSPITAL CORPORATION, COMPLETED COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS TO GAUGE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE AND TO HELP SET THE AGENDA FOR PROGRAMS AND SERVICES IN THE YEARS TO COME. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES A DEFINITION OF THE COMMUNITY, THE DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS OF THE RESIDENTS, AND THE EXISTING HEALTH CARE RESOURCES. IMMEDIATELY FOLLOWING WERE THE NEEDS ASSESSMENTS PROCESS AND METHODS; FINDINGS; IDENTIFICATION OF UNMET NEEDS AND ASSET MAPPING. QUANTITATIVE INFORMATION FROM THE U.S. CENSUS, PENNSYLVANIA DEPARTMENT OF HEALTH VITAL STATISTICS AND PHMC'S SOUTHEASTERN PA HOUSEHOLD HEALTH SURVEY WAS ANALYZED FOR THE HOSPITAL'S SERVICE AREA USING THE STATISTICAL PROGRAM FOR SOCIAL SCIENCES (SPSS). THE UNMET HEALTHCARE NEEDS FOR THIS SERVICE AREA WERE IDENTIFIED AND PRIORITIZED BY COMPARING THE HEALTH STATUS, ACCESS TO CARE, HEALTH BEHAVIORS, AND UTILIZATION OF SERVICES FOR RESIDENTS OF THE SERVICE AREA TO RESULTS FOR THE COUNTY AND STATE AND THE HEALTHY PEOPLE 2020 GOALS FOR THE NATION. IN ADDITION, FOR HOUSEHOLD HEALTH SURVEY MEASURES, TESTS OF SIGNIFICANCE WERE CONDUCTED TO IDENTIFY AND PRIORITIZE. THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES INCLUDING PUBLIC HEALTH MANAGEMENT CORPORATION [PHMC] HOUSEHOLD HEALTH SURVEY DATA; HEALTHY PEOPLE 2020; PA DEPARTMENT OF HEALTH, BUREAU OF HEALTH STATISTICS AND RESEARCH; BEHAVIORAL RISKS OF PA ADULTS; MINORITY HEALTH DISPARITIES IN PENNSYLVANIA; DEATH RATES IN PA, MONTGOMERY COUNTY AND SOUTHEASTERN PENNSYLVANIA; COUNTY HEALTH RANKINGS; NATIONAL ORGANIZATION WEBSITES, I.E., AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION. THIS ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. AMH CONTINUES TO ATTEND LOCAL AND REGIONAL COMMUNITY ORGANIZATION MEETINGS AND COUNTY COLLABORATIVES FOR THE GREATER ABINGTON AREA. REGIONAL COUNTY COLLABORATIVES INCLUDE THE HEALTHCARE SYSTEM WITH REPRESENTATION FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, EMERGENCY HEALTH PROVIDERS AND OTHER COMMUNITY HEALTH LEADERS. AMH WORKED WITH AREA HOSPITALS AND NONPROFITS TO FORM THE MONTGOMERY COUNTY HEALTH ALLIANCE WHICH RECEIVED PA STATE DESIGNATION OF SHIP STATUS (STATE HEALTH IMPROVEMENT PLAN). 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. SCHEDULE H, PART VI; QUESTION 4 THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES OF NEIGHBORHOODS, POCKETS OF NEED TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN HATFIELD TOWNSHIP IN MONTGOMERY COUNTY. MONTGOMERY COUNTY IS THE SECOND MOST POPULOUS COUNTY IN THE STATE WITH 62 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES SUBURBAN AREAS WITH POCKETS OF NEED. APPROXIMATELY 4% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. SCHEDULE H, PART VI; QUESTION 5 ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS WHERE OPENINGS EXIST. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE THE ABINGTON HEALTH SYSTEM. SCHEDULE H, PART VI; QUESTION 6 NOT-FOR-PROFIT ABINGTON HEALTH AND AFFILIATES ENTITIES ABINGTON HEALTH ABINGTON HEALTH ("AH") IS A NOT FOR PROFIT HOLDING COMPANY BASED IN ABINGTON, PENNSYLVANIA. AH IS THE SOLE CORPORATE MEMBER OF A NUMBER OF NOT FOR-PROFIT ENTITIES AS OUTLINED HEREIN. AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, AH STRIVES TO CONTINUALLY DEVELOP AND OPERATE AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES A COMPREHENSIVE SPECTRUM OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE RESIDENTS OF PENNSYLVANIA COUNTIES INCLUDING EASTERN MONTGOMERY, PORTIONS OF BUCKS AND PHILADELPHIA COUNTIES, PENNSYLVANIA. ABINGTON HEALTH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AH 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. ABINGTON HEALTH HOSPITALS INCLUDE: ABINGTON MEMORIAL HOSPITAL AND LANSDALE HOSPITAL CORPORATION. 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 ABINGTON HEALTH. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY WHO ALL VOLUNTEER THEIR TIME AND TALENTS; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. ABINGTON MEMORIAL HOSPITAL ABINGTON MEMORIAL HOSPITAL ("AMH") IS A 665-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN ABINGTON, MONTGOMERY COUNTY, PENNSYLVANIA. AMH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, AMH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. LANSDALE HOSPITAL CORPORATION LANSDALE HOSPITAL CORPORATION ("LHC") IS A 125-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN LANSDALE, MONTGOMERY COUNTY, PENNSYLVANIA. LHC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, LHC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, LHC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ABINGTON HEALTH FOUNDATION ABINGTON HEALTH FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ABINGTON MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH 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. 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 PENNSUBURBAN CHAMBER OF COMMERCE 34 SUSQUEHANNA AVENUE LANSDALE PA 19446 501(C)(3) 7500 FMV GENERAL SUPPORT 1 0 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. SCHEDULE I, PART II PLEASE NOTE THAT ALTHOUGH GRANTS AND OTHER ASSISTANCE TO GOVERNMENT AND ORGANIZATIONS IN THE UNITED STATES PER PART IX, LINE 1 TOTALS $152,016, THERE IS ONLY ONE GRANT THAT EXCEEDS $5,000 INDIVIDUALLY. THEREFORE, NO OTHER GRANTS ARE SHOWN ON SCHEDULE I, PART II. X X X X X false true false false false false false true false JOHN J KELLY MD TRUSTEE - CHIEF OF STAFF 0 508423 0 145685 0 31250 0 75254 0 13053 0 773665 0 0 LAURENCE M MERLIS TRUSTEE - PRESIDENT 0 847496 0 308140 0 22410 0 120465 0 7762 0 1306273 0 0 KEITH W SWEIGARD MD TRST(7/1-11/26/13)HD OF PHY PR 0 271403 0 53662 0 17500 0 13000 0 9833 0 365398 0 0 MARGARET M MCGOLDRICK EXECUTIVE VICE PRESIDENT 0 466066 0 139248 0 355162 0 148535 0 16610 0 1125621 0 327462 MICHAEL B WALSH ASSISTANT TREASURER 0 420208 0 120698 0 22412 0 155468 0 11834 0 730620 0 0 GARY R CANDIA PHD CHIEF EXECUTIVE OFFICER 0 370499 0 98645 0 29102 0 58657 0 7762 0 564665 0 29102 KATHLEEN M FARRELL EXECUTIVE DIRECTOR 0 205131 0 35130 0 0 0 10590 0 8197 0 259048 0 0 DEBORAH A DATTE SENIOR VP; LEGAL 0 333436 0 93571 0 23173 0 43436 0 8034 0 501650 0 0 ALISON FERREN VP; PERFORMANCE EXCELLENCE/CIO 0 307569 0 77770 0 33449 0 48474 0 15869 0 483131 0 20179 MEGHAN O PATTON VP; HUMAN RESOURCES 0 273321 0 63054 0 56348 0 45196 0 13950 0 451869 0 25297 MARY THOMSON BRAUMAN VP; PUB REL (RETIRED 7/31/13) 0 178150 0 57065 0 124491 0 13749 0 4159 0 377614 0 111632 NANCY G HESSE RN CNO (TERMED 12/14/13) 0 208772 0 31364 0 0 0 4612 0 3868 0 248616 0 0 NAHEED G MOHAMMED MD PHYSICIAN (TERMED 6/30/13) 194964 0 62388 0 0 0 5200 0 2812 0 265364 0 0 0 GLENNIS R HALL MD PHYSICIAN (TERMED 6/30/13) 176320 0 21254 0 0 0 3974 0 1080 0 202628 0 0 0 DAVID S KREMPASKY MANAGER PHARMACY SERVICES 145992 0 9496 0 0 0 6272 0 1072 0 162832 0 0 0 PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2013 FORMS W-2. SCHEDULE J, PART 1; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES AMOUNTS RELATED TO PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE INDIVIDUAL HAS SATISFIED THE AGE AND YEARS OF SERVICE REQUIREMENTS SPECIFIED BY THE SERP. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARGARET M. MCGOLDRICK, $327,462; GARY R. CANDIA, PH.D., $29,102; ALISON FERREN, $20,179; MEGHAN O. PATTON, $25,297 AND MARY THOMSON BRAUMAN, $111,632. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN J. KELLY, M.D., $62,254; LAURENCE M. MERLIS, $107,465; MARGARET M. MCGOLDRICK, $135,535; MICHAEL B. WALSH, $142,468; GARY R. CANDIA PH.D., $45,657; DEBORAH A. DATTE, $30,436; ALISON FERREN, $35,474; MEGHAN O. PATTON, $32,196 AND MARY THOMSON-BRAUMAN, $12,722. SCHEDULE J, PART I, QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II, COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARGARET M. MCGOLDRICK, $327,462; GARY R. CANDIA, PH.D., $29,102; ALISON FERREN, $20,179; MEGHAN O. PATTON, $25,297 AND MARY THOMSON BRAUMAN, $111,632. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS ACCRUED NON-TAXABLE DEFERRED COMPENSATION. A MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTH 232328939 613604VK0 2009-11-04 154203713 REFUND LOAN&1998 BONDS/CAP EXPEND. false false true B MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTH 232328939 613604WK9 2012-07-26 205883542 REFUND ISSUES 1998&2012/CAP EXPEND false false true A 24535000 0 154203713 0 0 0 1587477 0 0 9241000 143375236 0 2009 true false true true B 0 0 205886594 0 0 0 1973968 0 0 34050210 169862416 0 2013 true false false true A false true true true false 0.00800 0.00000 0.00800 false true 0.00300 true B false true true true false 0.00300 0.00000 0.00300 false false false true A false true false false 0 false 0 false true B false true true false 0 false 0 false true A true B true SCHEDULE K ABINGTON MEMORIAL HOSPITAL ("AMH") AND LANSDALE HOSPITAL CORPORATION ("LHC") ARE RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS. BOTH ORGANIZATIONS WERE ISSUED DEBT AND ARE PART OF THE OBLIGATED GROUP. THE AMOUNT OF DEBT OUTSTANDING AS OF JUNE 30, 2014 WAS $128,400,000 OF THIS AMOUNT, $82,223,522 REPRESENTS AMH'S PORTION AND $46,176,478 REPRESENTS LHC'S PORTION. $143,375,236 OF THE 2009 PROCEEDS WERE CURRENT REFUNDING PROCEEDS AND ARE THEREFORE NOT IN THE REFUNDING ESCROW AS OF YEAR END. THE PROCEEDS WERE AS FOLLOWS: $35,253,628 WERE USED TO CURRENT REFUND SERIES 1998 BONDS AND $108,837,672 WERE USED TO REFINANCE A BANK LOAN. PART II, LINE 3; COLUMN B: THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE BECAUSE OF THE INVESTMENT EARNING OF $3,053. PART II, LINE 3; COLUMNS A & B: THE OTHER SPENT PROCEEDS RELATE TO THE REFUNDING PROCEEDS OF EACH USE. PART III, LINE 8C; COLUMN A: DUE TO THE SMALL AMOUNT OF PROCEEDS ALLOCATED TO THE DISPOSED PROPERTY A REMEDIAL ACTION WAS NOT TAKEN, BUT THE ORGANIZATION IS TREATING THE ENTIRE AMOUNT OF THE DISPOSED PROPERTY AS PRIVATE BUSINESS USE. CONSTANCE KRAYNAK FAMILY MEMBER-TRUSTEE/CMO 126610 EMPLOYEE false CARDIOLOGY CONSULTANTS OF PHILADELP TRUSTEE/CMO - KRAYNAK 263785 CARDIOLOGY GROUP false SCHEDULE L, PART IV JOSEPH KRAYNAK, M.D. IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, CARDIOLOGY CONSULTANTS OF PHILADELPHIA, DURING THE FISCAL YEAR ENDED JUNE 30, 2014. TOTAL FEES PAID TO CARDIOLOGY CONSULTANTS OF PHILADELPHIA WERE $263,785. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. CORE FORM, PART III LANSDALE HOSPITAL CORPORATION ("LHC") IS A NON-PROFIT 125-BED COMMUNITY HOSPITAL IN HATFIELD TOWNSHIP THAT PROVIDES A COMPREHENSIVE RANGE OF MEDICALLY NECESSARY INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. LHC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, LHC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, GENDER, SEXUAL PREFERENCE, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, LHC OPERATES CONSISTENTLY WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. LHC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. LHC OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. LHC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF LHC RESTS WITH ABINGTON HEALTH'S BOARD OF DIRECTORS; WHICH INCLUDES A NUMBER OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY WHO ALL VOLUNTEER THEIR TIME AND TALENTS. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. ABINGTON MEMORIAL HOSPITAL ("AMH") PURCHASED THE ASSETS OF THE FORMER CENTRAL MONTGOMERY MEDICAL CENTER FROM UNIVERSAL HEALTH SERVICES, INC. ON OCTOBER 31, 2008. THE HOSPITAL WAS RE-NAMED LANSDALE HOSPITAL CORPORATION AND BECAME A PART OF ABINGTON HEALTH "(AH") AND AFFILIATES, BRINGING ALL THE ABINGTON ENTITIES UNDER A NEW UMBRELLA. LHC PROVIDES 125 INPATIENT BEDS, A 13-BED ACUTE REHABILITATION UNIT, A SLEEP DISORDERS CENTER, PAIN MANAGEMENT CENTER, AND A WOUND CARE CENTER OWNED AND OPERATED BY LHC. THE HOSPITAL HAS MORE THAN 650 EMPLOYEES AND A MEDICAL STAFF. IN FY14, ABINGTON HEALTH HAD OVER 1,100 PHYSICIANS ON ITS ACTIVE MEDICAL STAFF. LHC IS GUIDED BY THE BELIEF THAT IT IS DEDICATED TO THE HEALTHCARE NEEDS OF THE COMMUNITIES THAT IT SERVES. THAT LEVEL OF DETERMINATION AND COMMITMENT IS THE CORNERSTONE OF LHC. MOREOVER, LHC, UNDER ITS FINANCIAL ASSISTANCE POLICY, PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO COMPENSATE LHC FOR THEIR TREATMENTS EITHER THROUGH THIRD PARTY COVERAGE OR THEIR OWN RESOURCES. BECAUSE CHARITY CARE AMOUNTS ARE NOT EXPECTED TO BE PAID, THEY ARE NOT REPORTED AS REVENUE. IN ADDITION, LHC PROVIDES SERVICES AND SUPPLIES AT BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. IN FY14, ABINGTON HEALTH CENTRALIZED ITS FINANCIAL COUNSELORS FROM WITHIN THE SYSTEM INTO THE FINANCIAL COUNSELING PROGRAM. A FINANCIAL COUNSELOR HELPS DETERMINE ELIGIBILITY FOR GOVERNMENT-SPONSORED PROGRAMS, AND OFFERS ASSISTANCE WITH THE HEALTH INSURANCE EXCHANGE AND OTHER INSURANCE COVERAGE. IF AN INDIVIDUAL DOES NOT QUALIFY FOR OTHER COVERAGE, THEY ASSIST INDIVIDUALS AND FAMILIES IN THE COMPLETION OF THE AH FINANCIAL ASSISTANCE APPLICATION. IN KEEPING WITH LHC'S COMMITMENT TO ITS COMMUNITY MEMBERS, THE FOLLOWING SERVICES WERE PROVIDED TO THE COMMUNITY, PARTICULARLY TO LOW INCOME MEMBERS WITHIN ITS SERVICE AREA, DURING THE YEAR: - EMERGENCY DEPARTMENT (OPERATES 24 HOURS A DAY/365 DAYS A YEAR) OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. - LHC PROVIDES HEALTH EDUCATION THROUGH ONSITE AND COMMUNITY-BASED PROGRAMS, ROUTINE SCREENINGS WHICH INCLUDES BLOOD PRESSURE, HEART, STROKE AND DIABETES RISK ASSESSMENTS, AND BREAST CANCER SCREENINGS. IN ADDITION, HEALTH EDUCATION SEMINARS ARE SCHEDULED THROUGHOUT THE YEAR FOR THE GENERAL PUBLIC AND TARGETED TO DIVERSE POPULATIONS IN NEIGHBORHOODS, MALLS, FAITH COMMUNITIES, COMMUNITY CENTERS, SCHOOLS, AND OTHER VENUES. THIS INITIATIVE INCREASED ITS SITES IN FY14 GIVEN THE ACQUISITION OF THE FORMER NORTH PENN VISITING NURSES ASSOCIATION. STAFF AT LHC WORKED TO INCREASE COMMUNITY ENGAGEMENT AND OFFER ONSITE AND OFFSITE PROGRAMMING TO THE COMMUNITY. A CPR TRAINING CENTER, CHRONIC CARE MANAGEMENT PROGRAM, FLU IMMUNIZATION PROGRAM AND FAITH COMMUNITY NETWORK WERE ADDED TO THE COMMUNITY OFFERINGS. IN FY14, ABINGTON HEALTH AND LANSDALE HOSPITAL CORPORATION CELEBRATED A ONE YEAR ANNIVERSARY SINCE THE ACQUISITION OF THE FORMER NORTH PENN VISITING NURSES ASSOCIATION ("NPVNA"). THIS ACQUISITION ALLOWED AH TO EXPAND HOME HEALTH SERVICES GEOGRAPHICALLY AND ENHANCES AH'S ABILITY TO PROVIDE THE FULL CONTINUUM OF CARE ACROSS THE REGION. OVER 100 PROFESSIONAL STAFF MEMBERS JOINED ABINGTON HEALTH'S HOME CARE AND HOSPICE DIVISION, WHICH EMPLOYS OVER 200 PROFESSIONALS PROVIDING HOME CARE AND HOSPICE TO RESIDENTS IN PARTS OF BUCKS, MONTGOMERY, AND PHILADELPHIA COUNTIES. IN ADDITION, A CHRONIC CARE MANAGEMENT PROGRAM, CLINICS FOR CHILDREN AND A DENTAL ACCESS PROGRAM WERE BROUGHT INTO ABINGTON HEALTH TO BETTER SERVE THE HEALTHCARE NEEDS OF THE COMMUNITY. SERVICES WILL CONTINUE TO BE PROVIDED AT THE MEDICAL CAMPUS DRIVE FACILITY ON LANSDALE HOSPITAL CAMPUS. ADULT DAY SERVICES ARE PROVIDED AT TWO LOCATIONS IN THE COMMUNITY. FIVE YEARS OF RISING EXCELLENCE IS THE STATEMENT FOR LANSDALE HOSPITAL CORPORATION. SINCE LANSDALE HOSPITAL CORPORATION BECAME PART OF ABINGTON HEALTH FIVE YEARS AGO, IT HAS PURSUED A ROBUST PROGRAM OF STRENGTHENING EVERY ASPECT OF ITS CARE. THE RESULTS HAVE BEEN DRAMATIC. PATIENT SATISFACTION SCORES ARE NOW CONSISTENTLY GREATER THAN 90 PERCENT. IN FY14, THE HOSPITAL WAS RANKED NUMBER ONE IN THE REGION FOR ITS QUICK RESPONSE TO PATIENT NEEDS, AND NUMBER TWO IN THE REGION FOR ITS EMERGENCY DEPARTMENT'S SHORTEST WAIT TIMES. LHC HAS BEEN DESIGNATED A PRIMARY STROKE CENTER BY THE JOINT COMMISSION, AND IT RECEIVED THE JOINT COMMISSION'S DESIGNATION FOR HIP AND KNEE REPLACEMENTS. IT RECEIVED THE 2013 PATIENT SAFETY EXCELLENCE AWARD FROM HEALTHGRADES, AND IT WAS THE SECOND ACUTE CARE HOSPITAL IN PENNSYLVANIA TO ACHIEVE PATHWAY TO EXCELLENCE DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER. OVER THE PAST FIVE YEARS THE HOSPITAL HAS BOLSTERED ITS MEDICAL STAFF, ADDING TOP SPECIALISTS IN AREAS THAT INCLUDE EMERGENCY MEDICINE, NEUROSURGERY, ORTHOPAEDICS, SPINE SURGERY, RADIOLOGY, PATHOLOGY AND OTHERS. IT HAS ALSO UPGRADED TECHNOLOGY THROUGHOUT THE HOSPITAL, CREATED NEW SUITES FOR NEUROLOGY AND GASTROINTESTINAL CARE, RENOVATED ITS FACILITIES INSIDE AND OUT AND OPENED A NEW PAIN CENTER. MISSION ======= IN FY14, ABINGTON HEALTH AND LHC CREATED A FRAMEWORK FOR EXCELLENCE, REPRESENTING THE HEALTH SYSTEM'S FOCUS, PRIORITIES, COMMITMENTS AND GOALS IN TOTAL ALIGNMENT. THIS IS THE SCOPE OF THE ORGANIZATION: THE PEOPLE WE SERVE (PATIENTS), HOW AND WHY WE SERVE THOSE (MISSION/VISION/VALUES), THE KEY FACTORS TO SUCCESS (PATIENT SAFETY AND CLINICAL EXCELLENCE, STAFF ENGAGEMENT AND SERVICE EXCELLENCE, AND OPERATIONAL AND FINANCIAL EXCELLENCE) AND THE BEHAVIORS THAT OUR STAFF EMBRACE TO ACCOMPLISH OUR GOALS. THIS IS THE WHO, WHAT, WHERE, WHY AND HOW OF ABINGTON HEALTH. OUR COMMITMENT TO OUR GOALS ALLOWS US TO ACHIEVE OUR KEY SUCCESS FACTORS. THAT MEANS SAFE, SATISFIED PATIENTS, FREE OF HARM; HAPPIER, MORE ENGAGED EMPLOYEES; AND FINANCIAL STABILITY, EVEN IN AN UNSURE ECONOMY. AND THAT IS THE EPITOME OF LHC'S MISSION, VISION AND VALUES. THE MORE WE STRIVE TO REACH OUR GOALS, THE BETTER CARE WE GIVE, THE MORE TRUST WE EARN. OUR VISION IS TO BE THE MOST TRUSTED HEALTHCARE PROVIDER. BACKGROUND ---------- LHC SERVES ITS COMMUNITY BY PROVIDING THE HIGHEST QUALITY AND MOST COST-EFFECTIVE HEALTHCARE TO ALL. LHC IS COMMITTED TO PROVIDING COMPREHENSIVE, QUALITY HEALTHCARE SERVICES WHICH IMPROVE AND SUSTAIN THE HEALTH STATUS OF THE RESIDENTS PRIMARILY IN THE GREATER NORTH PENN REGION, EASTERN MONTGOMERY, AND PORTIONS OF BUCKS COUNTIES, PENNSYLVANIA. LHC ASSURES ACCESSIBLE, COMPASSIONATE HEALTHCARE SERVICES THAT HONOR THE DIGNITY OF EVERY PERSON. LHC IS A LEADER IN DEFINING ITS COMMUNITY'S HEALTHCARE NEEDS, IN PROVIDING APPROPRIATE SOLUTIONS, AND DEVELOPING A COMPREHENSIVE CONTINUUM OF CARE INCLUDING EDUCATION, PREVENTION, DISEASE MANAGEMENT AND RESTORATIVE PROGRAMS. WITH THE ACQUISITION OF THE FORMER NPVNA, LHC HAS EXPANDED ITS HOME HEALTH, ADULT DAY, CHRONIC CARE MANAGEMENT PROGRAM AND COMMUNITY HEALTH/COMMUNITY BENEFIT FOR FUTURE YEARS. THE FORMER NORTH PENN HOSPITAL WAS ESTABLISHED IN 1939 IN LANSDALE, PENNSYLVANIA, A NON-PROFIT COMMUNITY HOSPITAL, TO PROVIDE ACCESSIBLE HEALTH SERVICES TO RESIDENTS OF THE GREATER NORTH PENN COMMUNITY. ORIGINALLY NAMED ELM TERRACE HOSPITAL, THE HOSPITAL FIRST CARED FOR PATIENTS IN A BUILDING AT SEVENTH AND BROAD STREETS OWNED BY A LOCAL PHYSICIAN, FRANK E. BOSTON. DR. BOSTON ALSO WAS INSTRUMENTAL IN THE FOUNDING OF A COMMUNITY AMBULANCE COMPANY KNOWN AS THE VOLUNTEER MEDICAL SERVICE CORPS. CORE FORM, PART III AS THE NORTH PENN POPULATION GREW, THE HOSPITAL ADDED TO ITS ORIGINAL BUILDING. IN THE 1970'S THE HOSPITAL WAS LICENSED FOR 150 ACUTE CARE BEDS INCLUDING OBSTETRICAL BEDS AND A TWENTY BED INTENSIVE CORONARY CARE UNIT. SAME DAY SURGERY AND TELEMETRY BEDS ALSO WERE ADDED. IN THE LATE 1970'S THE HOSPITAL'S BOARD OF DIRECTORS ACQUIRED A 72 ACRE TRACT OF LAND LOCATED IN THE HATFIELD TOWNSHIP TO ERECT A NEW HOSPITAL BUILDING AS THE HOSPITAL'S EXPANDING NEEDS HAD OUTGROWN THE SPACE AT THE CURRENT LOCATION. ON APRIL 19, 1980 THE HOSPITAL, WITH THE HELP OF A FLEET OF LOCAL AMBULANCES, MOVED OPERATIONS TO THE NEW BUILDING LOCATED AT 100 MEDICAL CAMPUS DRIVE. THE MOVE WAS ACCOMPLISHED IN LESS THAN 4 HOURS WITH NO INTERRUPTION TO PATIENT CARE OR SERVICE. DURING THE 1980'S THE HOSPITAL CONTINUED TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY BY ESTABLISHING ALLIANCES WITH URBAN HOSPITALS TO PROVIDE SPECIALIZED CARE. AMONG THESE WERE HAHNEMANN HOSPITAL, TEMPLE UNIVERSITY AND FOX CHASE CANCER CENTER. IN OCTOBER 2001, THE HOSPITAL BOARD NEGOTIATED THE SALE OF NORTH PENN HOSPITAL TO UNIVERSAL HEALTH SERVICES OF KING OF PRUSSIA, PENNSYLVANIA. THE TRANSACTION PROVIDED FINANCIAL RESOURCES TO IMPROVE CAPITAL EQUIPMENT AND EXPAND SERVICES ON THE HOSPITAL'S CAMPUS. AS AN IMPORTANT PART OF THE CONSIDERATION FOR THE PURCHASE OF THE HOSPITAL, THE PARTIES AGREED TO PRESERVE THE CHARITABLE ASSETS THAT HAD BEEN ACCUMULATED BY THE HOSPITAL OVER FOUR DECADES BY ESTABLISHING THE NORTH PENN COMMUNITY HEALTH FOUNDATION WHOSE MISSION IS TO IDENTIFY, SELECT AND INVEST IN PROGRAMS AND AGENCIES THAT WILL IMPROVE THE HEALTH, WELFARE AND QUALITY OF LIFE OF ITS COMMUNITY. SINCE THE ACQUISITION OF LHC UNDER THE AH UMBRELLA IN NOVEMBER 2008, ADMINISTRATORS, MEDICAL STAFF MEMBERS AND BOARD MEMBERS HAVE WORKED TO STRENGTHEN RELATIONSHIPS WITH OTHER AGENCIES AND PROVIDERS INCLUDING THE NORTH PENN COMMUNITY HEALTH FOUNDATION, THE GREATER NORTH PENN COLLABORATIVE, THE NORTH PENN SCHOOL DISTRICT, LANSDALE ECONOMIC DEVELOPMENT COMMITTEE, LOCAL EMS SQUADS, AND THE NORTH PENN UNITED WAY. IN FY14 LHC CONTINUED TO INCREASE COMMUNITY ENGAGEMENT ACTIVITIES BY FULFILLING REQUESTS AND INVITATIONS FROM COLLABORATIVE PARTNERS. FOR THE SECOND YEAR, LHC WAS A PARTNER IN THE INTERNATIONAL SPRING FESTIVAL: A WELL-ESTABLISHED COMMUNITY EVENT WITH A FOCUS ON THE CELEBRATION OF CULTURAL DIVERSITY IN THE COMMUNITY WHICH HONORS TRADITIONS OF THE PAST AS WELL AS EDUCATING THE PUBLIC TO PROMOTE UNITY. IN OCTOBER OF 2009, LHC THROUGH THE AH CORPORATE UMBRELLA PURCHASED FROM UNITED HEALTH SERVICES ("UHS") THE THREE-STORY MEDICAL OFFICE BUILDING ON THE CAMPUS OF LHC TO PROVIDE ACCESS AND FUTURE EXPANSION OF PRIMARY CARE AND SPECIALTY SERVICES TO THE COMMUNITY. IN FY14, LHC MOVED AND EXPANDED THE SLEEP DISORDERS LAB AND PAIN MANAGEMENT CENTER TO THE MEDICAL ARTS BUILDING. AS PART OF ABINGTON HEALTH, LHC HAS NOW RETURNED TO ITS NON-PROFIT ROOTS. LHC IS A FULLY ACCREDITED, NOT-FOR-PROFIT HOSPITAL LOCATED IN HATFIELD TOWNSHIP, BETWEEN BROAD AND LINE STREETS WHICH ARE MAIN ROADS IN THE LANSDALE AREA COMMUNITY. LHC TREATS MORE THAN 5,100 INPATIENTS PER YEAR AND HANDLES OVER 77,000 OUTPATIENT VISITS. THE EMERGENCY DEPARTMENT CARES FOR ALMOST 26,000 INDIVIDUALS EACH YEAR. IN FY14, THE LHC EMERGENCY DEPARTMENT AND COMMUNITY HEALTH TEAM CONTINUED ITS FOCUS ON THE ENCARE PROGRAM EMERGENCY ROOM NURSES CARING FOR ALCOHOL RELATED EMERGENCIES AND INJURY PREVENTION. IN FY14, LHC ER NURSES AND COMMUNITY HEALTH TEAM WORKED ON A COUNTY INITIATIVE FOR DISTRACTED DRIVING. COMMUNITY PROGRAMS INCLUDING OUTREACH TO LOCAL SCHOOL DISTRICTS WAS ACHIEVED. IN FY14, THE LHC EMERGENCY DEPARTMENT CONTINUED AND ENHANCED A ONE CALL TRANSFER SERVICE BETWEEN LANSDALE HOSPITAL CORPORATION AND ABINGTON MEMORIAL HOSPITAL. IN FY14, LHC LEADERS AND ABINGTON HEALTH LEADERS CONTINUED IN THE PARTICIPATION OF THE GREATER NORTH PENN COLLABORATIVE. THIS COLLABORATIVE WAS ESTABLISHED BY THE NORTH PENN COMMUNITY HEALTH FOUNDATION AND INCLUDES THE MISSION TO FOSTER INFORMATION SHARING, DIALOGUE, AND COLLABORATIVE ACTION AROUND HEALTH AND WELLNESS ISSUES IN THE GREATER NORTH PENN COMMUNITY; TO STRENGTHEN NONPROFIT ORGANIZATIONS THROUGH MONTHLY MEMBERSHIP MEETINGS THAT PROVIDE TIMELY INFORMATION AND UPDATES, NETWORKING WITH AGENCY, BUSINESS, EDUCATION, FAITH, AND GOVERNMENT LEADERS; AND PROVIDES LEADERSHIP TRAINING AND DEVELOPMENT. THE COLLABORATIVE AND LHC IN FY14 PROVIDED LEADERSHIP AND COLLABORATION TO PARTNER WITH COUNTY AGENCIES AND OTHER COMMUNITY COLLABORATIVES TO WORK ON PROJECTS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. SINCE ITS FOUNDING, THE GREATER NORTH PENN COLLABORATIVE FOR HEALTH AND HUMAN SERVICES HAS WORKED THROUGH ITS BOARD OF DIRECTORS TO UPHOLD AND PROMOTE THE PROVISION OF HIGH QUALITY SERVICES TO ALL CONSTITUENCIES. LHC LEADERS SERVE ACTIVELY ON THE BOARD AND CONTINUE TO LINK AND CONNECT LHC TO THE LOCAL NONPROFIT ORGANIZATIONS AND COMMUNITY LEADERS. AS A MEMBER OF ABINGTON HEALTH, LHC, ALSO A 501(C)(3) TAX-EXEMPT ORGANIZATION, OFFERS A GENEROUS FINANCIAL ASSISTANCE POLICY TO ENSURE FREE OR LOW COST SERVICES TO PATIENTS WHO DO NOT HAVE INSURANCE. ABINGTON HEALTH IN FY14 REALIZED THE FIRST FULL YEAR OF THE INTEGRATION OF THE FORMER NORTH PENN VISITING NURSES ASSOCIATION INTO THE AH DIVISION OF HOME HEALTH AND HOSPICE. AS THE FISCAL YEAR ENFOLDED A NEW DENTAL ACCESS MODEL WAS CREATED. THE PEDIATRIC CLINIC AND TWO ADULT DAY CARE CENTERS CONTINUED TO ACCEPT NEW PATIENTS. THE COMMUNITY HEALTH EDUCATION DEPARTMENT SUCCESSFULLY MERGED WITH ABINGTON HEALTH'S TEAM FORMING A CORPORATE TEAM IN THE HOME CARE DIVISION CHARGED WITH THE ACTION PLANS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PROJECTS ASSOCIATED WITH IMPROVING THE HEALTH STATUS OF THE COMMUNITY. PATIENT SAFETY INITIATIVES FY14 CONTINUED AND WERE ENHANCED INCLUDING, THE DAILY CHECK-IN CALL. THIS CALL TAKES PLACE EACH WEEKDAY MORNING AT 9:45 A.M. AND INCLUDES OVER 17 LHC DEPARTMENTS AS THEY CONNECT TO RAISE ISSUES THAT MAY HAVE OCCURRED IN THE LAST 24-HOURS, OR MAY COME UP THAT DAY. THIS DAILY CALL HAS BEEN SO SUCCESSFUL THAT LHC INSTITUTED WEEKEND SHIFT DAILY CALLS. KEEPING OUR PATIENTS SAFE - BY INSTITUTING MANDATORY FLU SHOTS IN FY12, LHC CONTINUED THIS IMPORTANT PUBLIC HEALTH INITIATIVE IN FY14 PROVIDING FREE FLU SHOTS TO ALL EMPLOYEES AND MEDICAL STAFF MEMBERS. LOW COST FLU SHOTS WERE ALSO MADE AVAILABLE TO STUDENTS AND VOLUNTEERS. ABINGTON HEALTH WAS ONE OF THE FIRST HEALTH SYSTEMS TO INSTITUTE THIS MANDATORY INITIATIVE. A FLU IMMUNIZATION PROGRAM FROM THE FORMER NPVNA CONTINUED TO PROVIDE FLU SHOTS TO COMMUNITY SITES IN THE GREATER NORTH PENN REGION. IN FY11, LHC OPENED THE ORTHOPAEDIC AND SPINE INSTITUTE ("OSI") TO BETTER SERVE THE LANSDALE/GREATER NORTH PENN COMMUNITY. THIS UNIT IS A PREMIERE DIAGNOSTIC, MEDICAL/SURGICAL TREATMENT AND REHABILITATION CENTER WITH PRIVATE PATIENT ROOMS. THIS MARKS THE FIRST ABINGTON HEALTH SERVICE LINE TO BE LOCATED AT BOTH HOSPITAL CAMPUSES. THIS ONSITE 18-BED COMPREHENSIVE UNIT IS FOR JOINT REPLACEMENT AND SPINE SURGERY STAFFED BY ORTHOPAEDISTS AND NEUROSURGEONS. THIS SERVICE IS A COMPLETE "ONE-STOP SHOP" FOR PRE- AND POST-OPERATIVE TREATMENT AND REHABILITATION. WITH CONSISTENT 99 PERCENT PATIENT SATISFACTION SCORES, THE OSI RECEIVED THE 2012 JOINT COMMISSION CERTIFICATION IN HIP AND KNEE. IN ADDITION, LHC PROVIDES: - PRIMARY CARE ACCESS AND SPECIALTY SERVICES THROUGH THE ABINGTON CLINICS, INCLUDING THE NORTH HILLS HEALTH CENTER, THE OB/GYN CENTERS, ABINGTON AMBULATORY CARE SERVICES UNIT, CORINNE SANTERIAN NEWBORN CENTER AND ABINGTON FAMILY MEDICINE. CONTINUING INTO FY14 COMMUNICATION FACT SHEETS ON ALL HEALTH SYSTEM CLINICS WERE UPDATED AND TRANSLATED INTO KOREAN, SPANISH, GUJARATI, BENGALI AND PORTUGUESE LANGUAGES AND COMMUNICATED THROUGH THE AH PHYSICIAN PRACTICES, HOSPITAL INTRANET AND HEALTH SYSTEM WEBSITES AND EXTERNAL KEY COMMUNITY STAKEHOLDERS. LHC PROVIDES INTENSIVE, GENERAL/SURGICAL CARE; 24 HOUR COVERAGE BY IN-HOUSE HOSPITALISTS. MANY SPECIALISTS ARE AVAILABLE INCLUDING NEUROSURGEONS, VASCULAR SURGEONS, ORTHOPAEDISTS, GYNECOLOGISTS, AND BREAST SURGEON. TELEMEDICINE FOR NEUROLOGY AND PSYCHIATRY ARE PROVIDED WITH ABINGTON MEMORIAL HOSPITAL. THE FORMER NPVNA ACQUISITION BROUGHT TO LHC TWO ADULT DAY CARE CENTERS ("ADS"). THESE CENTERS PROVIDE A COORDINATED PROGRAM OF PROFESSIONAL AND COMPASSIONATE SERVICES FOR ADULTS IN A COMMUNITY-BASED GROUP SETTING. ABINGTON HEALTH HAS TWO ADS LOCATIONS: LANSDALE AND TOWAMENCIN, PENNSYLVANIA. THE SERVICES AT BOTH CENTERS ARE DESIGNED TO PROVIDE SOCIAL AND SOME HEALTH SERVICES TO ADULTS WHO NEED SUPERVISED CARE IN A SAFE PLACE OUTSIDE THE HOME DURING THE DAY, FIVE DAYS A WEEK. IN FY14 THE CENTERS SERVED OVER 70 CLIENTS AND THEIR FAMILIES. CORE FORM, PART III THE NEWLY ACQUIRED DENTAL CLINIC FROM THE NPVNA JOINS AMH'S DENTAL CLINIC IN PROVIDING THIS SERVICE AND FILLING A COMMUNITY NEED. THE FOCUS OF THE DENTAL CLINIC IS TO PROVIDE LOW-COST OR FREE CARE TO ADULTS AND CHILDREN WHO DO NOT HAVE HEALTH INSURANCE OR WHOSE INSURANCE MAKES TRADITIONAL DENTAL OFFICE VISITS COST-PROHIBITIVE. LICENSED DENTISTS PROVIDE SERVICE SUPPORTED BY A DENTAL ASSISTANT. SERVICES OFFERED INCLUDE ROUTINE EXAMS, CLEANINGS, FILLINGS, EXTRACTIONS, X-RAYS AND SEALANTS. IN FY14, 927 PATIENTS WERE SERVED WITH OVER 1,700 ENCOUNTERS. TOWARDS THE END OF FY14, A DENTAL ACCESS PROGRAM WAS INITIATED WITH COMMUNITY FUNDERS TO REPLACE THE DENTAL CLINIC WORKING WITH AREA DENTISTS AND A CASE MANAGER TO ENSURE A SMOOTH TRANSITION FOR THOSE IN NEED. IN ADDITION, IN FY 13 AND CONTINUING INTO FY14, THE FORMER NPVNA ACQUISITION BROUGHT THE CHILDREN'S CLINIC UNDER THE LICENSE OF LANSDALE HOSPITAL CORPORATION AND PROVIDES LOW-COST OR FREE CARE TO CHILDREN WHO DO NOT HAVE HEALTH INSURANCE OR ARE UNDERINSURED. THE CLINIC IS CREDENTIALED AND USES A NURSING CENTER STAFFING MODEL INCLUDING A PEDIATRIC NURSE PRACTITIONER MANAGER, PEDIATRIC NURSE PRACTITIONER, A REGISTERED NURSE AND A CLINIC STAFF. THERE IS COLLABORATIVE PRACTICE AGREEMENT WITH A LANSDALE HOSPITAL PEDIATRICIAN. CHILDREN CAN RECEIVE COMPREHENSIVE PHYSICAL EXAMS, TREATMENT FOR MINOR ILLNESS AND IMMUNIZATIONS TO NAME A FEW OF ITS SERVICES. IN FY14, ALMOST 800 PATIENTS WERE SEEN WITH ALMOST 3,200 ENCOUNTERS. THE CLINIC IS UNIQUE AS IS SERVES AS A REFERRAL CENTER FOR THESE FAMILIES PROVIDING DONATED CLOTHING, FOOD, TOYS AND SUPPLIES AND REFERRALS TO OTHER NONPROFIT ORGANIZATIONS. APPROXIMATELY 50% OF THE CLINIC PATIENTS ARE CHILDREN BORN TO RECENTLY IMMIGRATED PARENTS. A CHRONIC CARE MANAGEMENT PROGRAM FUNDED IN PART BY THE NORTH PENN UNITED WAY IDENTIFIES ENGAGES AND COACHES OLDER ADULTS WITH CHRONIC ILLNESS TO DEVELOP AND IMPLEMENT INDIVIDUALIZED STRATEGIES FOR BETTER SELF-MANAGEMENT OF THEIR DISEASE; REDUCING THE RISK OF HOSPITALIZATIONS, AND ASSISTING THE INDIVIDUAL TO REMAIN AN ACTIVE HEALTHY MEMBER OF THE COMMUNITY. ALMOST 120 SENIORS WERE PART OF THE FY14 PROGRAM. - BLOOD PRESSURE SCREENINGS AND HEART/STROKE/DIABETES RISK ASSESSMENTS AT A VARIETY OF LOCATIONS. IN FY14 THESE SITES WERE EXPANDED TO INCLUDE THE HOSPITAL CAMPUS, LOCAL FOOD STORES, HEALTH FAIRS AND COMMUNITY EVENTS UPON REQUEST AND IN TARGETED SITES OF IDENTIFIED NEED.. - COMMUNITY HEALTH PROGRAMS FOCUS ON A VARIETY OF TOPICS, INCLUDING SMOKING CESSATION; DIABETES EDUCATION; AND "DINNERS WITH DOCTORS" A POPULAR EDUCATION SERIES TO INTRODUCE OUR MEDICAL STAFF AND THEIR AREAS OF EXPERTISE. IN ADDITION, COMMUNITY HEALTH SERVICES HAS REACHED OUT TO THE SENIOR POPULATION THROUGH AREA SENIOR CENTERS AND THOSE LIVING IN CONTINUING CARE RETIREMENT COMMUNITIES ("CCRC'S") AND LOWER INCOME SENIOR HOUSING PROVIDING HEALTH FAIRS, SPEAKING ENGAGEMENTS AND EDUCATIONAL PROGRAMS. LHC HOSTS AND IS A SITE FOR AMERICAN RED CROSS BLOOD DRIVES FOR BOTH EMPLOYEE AND COMMUNITY DONATIONS THROUGHOUT THE YEAR. STROKE EDUCATION IS A MAJOR INITIATIVE FOR LHC AND MEMBERS OF THE STROKE COMMITTEE AND NURSING LEADERSHIP PROVIDE HEALTH EDUCATION ONSITE AT LHC AND OFFSITE FOR COMMUNITY GROUPS VIA THE AH SPEAKERS BUREAU. A DISTRACTED DRIVING INITIATIVE, INJURY PREVENTION, PROGRAMS, HEALTH EDUCATION ON MEMORY AND A "LIVING WELL" SERIES WERE ADDED TO THE FULL COMPLEMENT OF COMMUNITY HEALTH OFFERINGS IN FY14. - IN FY13, LHC IMPLEMENTED THROUGH A GRANT, EDUCATION ON BREAST HEALTH AND REFERRAL FOR SCREENING TO THE KOREAN COMMUNITY. THIS GRANT SUPPORTED A PER-DIEM BI-LINGUAL KOREAN COMMUNITY OUTREACH NURSE DEDICATED TO ENGAGING THE KOREAN COMMUNITY AND STREAMLINING MAMMOGRAM SCREENINGS TO THESE WOMEN. EDUCATION WAS OFFERED ONSITE AT KOREAN CHURCHES IN FY13. LHC CONTINUED EVEN WITHOUT THE RENEWAL OF THE GRANT, OUTREACH TO THE KOREAN COMMUNITY IN FY14. PROGRAMS AND ACTIVITIES INCLUDING PARTICIPATION IN A KOREAN HEALTH FAIR COORDINATED BY A NONPROFIT HEALTH CARE CENTER. BREAST CANCER AND STROKE EDUCATION TO KOREAN HOME HEALTH AIDES AND SENIORS. PARTNERING WITH AH ROSENFELD CANCER CENTER NURSE NAVIGATORS, THIS NURSE PRESENTED INFORMATION ON COLON HEALTH; DIABETES AND HEART DISEASE ONSITE AT LHC AND IN THE COMMUNITY. THE KOREAN BILINGUAL NURSE RECRUITED KOREAN AND ASIAN INDIAN WOMEN FOR AH'S BREAST SCREENING PROGRAM AND HEALTHY WOMAN INITIATIVE. SUCCESSFULLY INITIATED IN FY14, COMMUNITY HEALTH AND THE BILINGUAL KOREAN OUTREACH NURSE DEVELOPED A CHRONIC CARE MANAGEMENT SUPPORT GROUP FOR KOREAN SENIORS OFFSITE AND BLOOD PRESSURE SCREENINGS AT A LOCAL INTERNATIONAL MARKET. OVER 360 INDIVIDUALS WERE SERVED. REFERRAL AND ACCESS TO CARE FOR THE WHOLE FAMILY OFTEN TIMES IS A RESULT OF THE SCREENINGS. LHC CONTINUES TO OFFER A FREE OF CHARGE SPEAKER'S BUREAU SENDING MEDICAL STAFF REPRESENTATIVES, CLINICAL AND EMERGENCY DEPARTMENT PERSONNEL INTO THE COMMUNITY TO SPEAK ON HEALTH TOPICS OF INTEREST. IN FY14 LHC EXPANDED WITH AMH THE AH HEALTH SYSTEM SPEAKER'S BUREAU CONTENT AND TOPICS TO FURTHER THE ACTION PLANS AS A RESULT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TARGETED SITES TO INCLUDE OBESITY, SMOKING CESSATION, CANCER EDUCATION AND HYPERTENSION. - LHC IN FY14 ACHIEVED BOARD CERTIFICATION OF EMERGENCY NURSING FOR 6 NURSES IN THE ER. NURSES ARE ENCOURAGED BY LEADERSHIP TO ACHIEVE THIS CERTIFICATION. COMMUNITY OUTREACH TO EMERGENCY RESPONDERS WAS ENHANCED AFTER THE ACQUISITION IN 2008 AND IS MAINTAINED WITH AREA EMS SQUADS. QUARTERLY MEETINGS WITH THE LOCAL EMS SQUAD AND INCLUSION IN HOSPITAL PROGRAMS, INCLUDING THE STROKE COMMITTEE WAS INITIATED IN FY13. THE MULTIDISCIPLINARY STROKE COMMITTEE CONTINUES TO MEET EACH MONTH AND INCLUDES CLINICAL, PHYSICIAN, EMS SQUAD, JEFFSTAT AND PATIENT INVOLVEMENT. LHC STRIVES TO REACH OUT TO ALL RESIDENTS IN OUR SERVICE AREA AND TO PARTNER WITH OTHER ORGANIZATIONS FOR THE GREATER GOOD OF THE COMMUNITIES WE SERVE. LHC LEADERSHIP AND STAFF WORK TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE OF THE BROADER COMMUNITY. WORKING WITH ABINGTON HEALTH'S COMMUNITY HEALTH SERVICES DEPARTMENT A WIDE VARIETY OF HEALTH EDUCATION AND SCREENINGS ARE OFFERED TO RESIDENTS OF THE NORTH PENN/HATFIELD AREA. THESE PROGRAMS ARE PROVIDED EITHER FREE OF CHARGE OR AT A MINIMAL COST TO PARTICIPANTS. AWARDS ====== FY12 PATHWAYS TO EXCELLENCE DESIGNATION RECEIVED MAY 2012 BY THE AMERICAN NURSES CREDENTIALING CENTER ("ANCC"). LHC IS ONE OF ONLY TWO FACILITIES IN PENNSYLVANIA TO RECEIVE THIS NURSING DESIGNATION. ONLY 81 HOSPITALS IN THE COUNTRY HAVE ACHIEVED PATHWAY TO EXCELLENCE. THIS DESIGNATION IDENTIFIES THE ELEMENTS OF WORK ENVIRONMENTS WHERE NURSES CAN FLOURISH. THE DESIGNATION SUBSTANTIATES THE PROFESSIONAL SATISFACTION OF NURSES AT LHC AND IDENTIFIES IT AS ONE OF THE BEST PLACES TO WORK. BASED ON SPECIFIC ANCC CRITERIA, AN ORGANIZATION DISTINCTION MUST SUCCESSFULLY UNDERGO A THOROUGH REVIEW PROCESS THAT DOCUMENTS FOUNDATIONAL QUALITY INITIATIVES IN CREATING A POSITIVE WORK ENVIRONMENT - AS DEFINED BY NURSES AND SUPPORTED BY RESEARCH. THESE INITIATIVES MUST BE PRESENT IN THE FACILITY'S PRACTICES, POLICIES, AND CULTURE. NURSES IN THE ORGANIZATION VERIFY THE PRESENCE OF THE CRITERIA IN THE ORGANIZATION THROUGH PARTICIPATION IN A COMPLETELY CONFIDENTIAL ONLINE SURVEY. THE COMMITMENT TO NURSES INCLUDES IDENTIFYING AS IMPORTANT THEIR PRACTICE AND TO VALUE NURSES' CONTRIBUTIONS IN THE WORKPLACE. THE HONOR ENCOURAGES OTHER NURSES TO JOIN THEIR COLLEAGUES IN THIS DESIRABLE AND NURTURING ENVIRONMENT. IN FY13, LHC RECEIVED OFFICIAL NOTIFICATION FROM THE JOINT COMMISSION OF THEIR DESIGNATION AS A PRIMARY STROKE CENTER. THIS CERTIFICATION SIGNIFIES LHC'S DEDICATION TO FOSTERING BETTER OUTCOMES FOR PATIENTS AND THAT THE PROGRAM MEETS CRITICAL ELEMENTS OF PERFORMANCE TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES FOR STROKE PATIENTS. IN FY14, THE JOINT COMMISSION, IN CONJUNCTION WITH THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION, RECOGNIZED ABINGTON HEALTH AND LANSDALE HOSPITAL CORPORATION WITH ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTERS. LANSDALE HOSPITAL CORPORATION IN FY14 RECEIVED THE GET WITH THE GUIDELINES - STROKE BRONZE QUALITY ACHIEVEMENT AWARD. THE AWARD RECOGNIZES LHC'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF STROKE CARE BY ENSURING THAT STROKE PATIENTS RECEIVE TREATMENT ACCORDING TO NATIONALLY ACCEPTED STANDARDS AND RECOMMENDATIONS. LHC HAS DEVELOPED A COMPREHENSIVE SYSTEM FOR RAPID DIAGNOSIS AND TREATMENT OF STROKE PATIENTS ADMITTED TO THE EMERGENCY DEPARTMENT. THIS INCLUDES ALWAYS BEING EQUIPPED TO PROVIDE BRAIN IMAGING SCANS, HAVING NEUROLOGISTS AVAILABLE TO CONDUCT PATIENT EVALUATIONS AND USING CLOT-BUSTING MEDICATIONS WHEN APPROPRIATE. CORE FORM, PART III IN FY14, LANSDALE HOSPITAL CORPORATION WAS RECOGNIZED FOR PROVIDING OUTSTANDING PATIENT EXPERIENCE AS A HEALTHGRADES 2014 OUTSTANDING PATIENT EXPERIENCE AWARD RECIPIENT. LHC WAS IDENTIFIED AS PROVIDING OUTSTANDING PERFORMANCE IN THE DELIVERY OF POSITIVE EXPERIENCES FOR PATIENTS DURING THEIR HOSPITAL STAY. THIS SERVICE EXCELLENCE AWARD INCLUDED THE EVALUATION OF LHC'S PERFORMANCE AS ASSESSED BY THE HOSPITAL'S PATIENTS ACROSS 27 DIFFERENT QUESTIONS THAT ROLL UP TO TEN DISTINCT MEASURES. RANGING FROM CLEANLINESS AND NOISE LEVELS IN A PATIENT ROOM TO FACTORS SUCH AS PAIN MANAGEMENT AND RESPONSIVENESS TO PATIENT'S NEEDS, THE MEASURE ALSO INCLUDE WHETHER A PATIENT WOULD RECOMMEND THIS HOSPITAL TO FRIENDS OR FAMILY. ABINGTON HEALTH INCLUDING LANSDALE HOSPITAL CORPORATION ACHIEVED PLATINUM-LEVEL RECOGNITION FROM THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PENNSYLVANIA (HAP) FOR PARTICIPATING IN THE 2014 PENNSYLVANIA DONATE LIFE HOSPITAL CHALLENGE. THE GOAL OF THE CHALLENGE WAS FOR HOSPITALS TO WORK ON THIS INITIATIVE AT THE SAME TIME WITH THE GIFT OF LIFE PROGRAM TO INCREASE ORGAN AND TISSUE DONOR AWARENESS AND DESIGNATIONS AMONG EMPLOYEES, PHYSICIANS, PATIENTS, AND COMMUNITY. ABINGTON HEALTH HOSTED EVENTS AND COMMUNICATED AND EDUCATED THE MEDICAL AND GENERAL COMMUNITY ON THE IMPORTANCE OF ORGAN DONATION USING NEWSLETTERS, EMAIL, SOCIAL MEDIA PLATFORMS AND MORE TO INCREASE DONOR AWARENESS. THE EFFORTS WERE CAPTURED IN A SCORECARD AND SUBMITTED TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP) THE COMMUNITY HEALTH TEAM AND LHC EMERGENCY DEPARTMENT NURSES ALONG WITH HUMAN RESOURCES COORDINATED THESE EFFORTS FOR THE GREATER NORTH PENN REGION. ABINGTON HEALTH WEBSITE WAS NAMED BEST IN CLASS BY THE INTERACTIVE MEDIA AWARDS. THE WEBSITE, WWW.ABINGTONHEALTH.ORG, WENT LIVE IN JANUARY 2014. THE HONOR RECOGNIZES THAT THE PROJECT MET AND SURPASSED THE BASIC STANDARDS OF EXCELLENCE THAT COMPRISE THE WEB'S MOST PROFESSIONAL WORK. THE SITE WAS HONORED SPECIFICALLY FOR EXCELLENCE IN HEALTHCARE. THE JUDGING CONSISTED OF VARIOUS CRITERIA, INCLUDING DESIGN, USABILITY, INNOVATION IN TECHNICAL FEATURES, STANDARDS COMPLIANCE AND CONTENT. IN ORDER TO WIN THIS AWARD LEVEL, THE SITE HAD TO MEET STRICT GUIDELINES IN EACH AREA --- AN ACHIEVEMENT ONLY A FRACTION OF SITES IN THE INTERACTIVE MEDIA AWARDS COMPETITION EARN EACH QUARTER. ABINGTON HEALTH IN FY14 WAS RECOGNIZED AS ONE OF THE NATION'S MOST WIRED, ACCORDING TO THE RESULTS OF THE 2013 MOST WIRED SURVEY IN THE JULY ISSUE OF HOSPITALS AND HEALTH NETWORKS MAGAZINE. THIS DESIGNATION ACKNOWLEDGES AH IN ESTABLISHING THE BASIC BUILDING BLOCKS FOR CREATING ROBUST CLINICAL INFORMATION SYSTEMS AIMED AT IMPROVING PATIENT CARE. AH UTILIZES INFORMATION TECHNOLOGY TO ENHANCE CARE COORDINATION AND COLLABORATION AMONG CLINICIANS AND PATIENTS TO IMPROVE QUALITY, EFFICIENT AND TRANSFORM HEALTH CARE DELIVERY. LANSDALE HOSPITAL CORPORATION IN FY13 RECEIVED A JOINT COMMISSION GOLD SEAL OF APPROVAL AND DISEASE-SPECIFIC CERTIFICATION FOR HIP AND KNEE REPLACEMENT. TO EARN THE GOLD SEAL OF APPROVAL, A FACILITY MUST MEET OR EXCEED THE FOLLOWING CRITERIA: COMPLIANCE WITH CONSENSUS-BASED NATIONAL STANDARDS; AN ORGANIZED APPROACH TO PERFORMANCE MEASUREMENT AND IMPROVEMENT ACTIVITIES; AND THE EFFECTIVE USE OF ESTABLISHED CLINICAL PRACTICE GUIDELINES TO MANAGE AND OPTIMIZE CARE. THIS ACCREDITATION IS THE FIRST DISEASE-SPECIFIC ACCREDITATION FOR LANSDALE HOSPITAL CORPORATION. IN FY14, LANSDALE HOSPITAL CORPORATION CELEBRATED ITS THIRD SUMMER OF CO-OP STUDENTS. THE SUMMER CO-OP PROGRAM COMBINES EMPLOYMENT AND HANDS-ON EXPERIENCE, ALLOWING STUDENTS TO EXPLORE ADMINISTRATIVE HEALTHCARE CAREERS. THE FOCUS IN ON DIVERSITY, TEAMWORK AND INCREASING AWARENESS OF NON-CLINICAL HOSPITAL CAREER OPTIONS. TWO STUDENTS WORKED WITH LEADERS IN COMMUNITY HEALTH, BUSINESS DEVELOPMENT AND HUMAN RESOURCES. STUDENTS WERE FROM AREA COLLEGES AND UNIVERSITIES. TECHNOLOGY ========== DIAGNOSTIC IMAGING INCLUDING X-RAY, CT, MRI, NUCLEAR MEDICINE, DEXA SCAN (BONE DENSITY TESTING) AND DIGITAL MAMMOGRAPHY ARE PROVIDED AT LHC. TECHNOLOGY CONTINUES TO BE PROVIDED AS AN INTEGRAL PART OF PATIENT CARE OFTEN IDENTIFYING ABNORMALITIES VERY EARLY IN THE PROGRESSION OF A DISEASE. ABINGTON HEALTH PHYSICIANS - MYAHLINK CREATED IN FY14 IS A SECURE PLATFORM THAT GIVES AH PHYSICIAN'S PATIENTS ACCESS TO THEIR MEDICAL INFORMATION ONLINE. CONVENIENT WAY TO COMMUNICATE THE PATIENT'S OFFICE AND MANAGE PERSONAL HEALTH INFORMATION INCLUDES: ACCESS TO VIEW ROUTINE LABORATORY AND RADIOLOGY RESULTS; SUMMARY OF EACH OFFICE VISIT; REQUEST A NON-URGENT APPOINTMENT; REQUEST A PRESCRIPTION REFILL; REQUEST A REFERRAL; SEND A MESSAGE AND VIEW HEALTH EDUCATION. REMOTE ACCESS FOR CLINICIANS, USE OF SHAREPOINT AND A NEW CALL BELL SYSTEM ON TWO FLOORS WERE ADDED TECHNOLOGIES IN FY14 TO LHC. IN FY14, A NEW SOFTWARE PROGRAM WAS INSTALLED TO ASSIST CASE MANAGERS AND SOCIAL WORKER WITH CARE TRANSITIONS AND DISCHARGE TO HOME OR FACILITY. CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE LHC HAS AN OUTPATIENT CENTER DEDICATED TO THE MANAGEMENT OF CHRONIC WOUNDS. THE STAFF UTILIZES ADVANCED MEDICAL TECHNOLOGY AND TECHNIQUES TO TAKE CARE OF NON-HEALING WOUNDS. A MULTIDISCIPLINARY MEDICAL TEAM INCLUDES PHYSICIANS, CERTIFIED WOUND CARE NURSES, CLINICAL HYPERBARIC MANAGERS, TECHNICIANS AND SUPPORT STAFF. COMPREHENSIVE PAIN MANAGEMENT CENTER THIS SERVICE ESTABLISHED IN FY13, WAS EXPANDED INTO A CENTER IN FY14 AT LHC. THIS CENTER PROVIDES A PATIENT CENTERED MODEL FOR THE TREATMENT AND MANAGEMENT OF PAIN RELATED DIAGNOSIS. THIS MULTI-DISCIPLINARY MODEL HAS A DESIGNATED NAVIGATOR TO COORDINATE AND SCHEDULE ALL PAIN RELATED APPOINTMENTS FOR EACH PATIENT. SERVICES INCLUDE A CUSTOMIZED PAIN MANAGEMENT OR TREATMENT PROGRAM AND FOLLOW UP CARE. EXPANSION OF OB/GYN PRACTITIONERS LOCATED IN LHC'S MEDICAL ARTS BUILDING PROVIDED TO ENSURE THAT WOMEN RESIDING IN THE LANSDALE COMMUNITY HAVE ACCESS TO PRENATAL CARE IN THEIR NEIGHBORHOOD IN PREPARATION FOR DELIVERIES OCCURRING AT AMH. THESE PHYSICIANS ALSO PROVIDE GYNECOLOGY SERVICES. FY14, LANSDALE HOSPITAL CORPORATION CONTINUED ITS INTERPRETER SERVICES EXPEDITED WITH NEW ALVIN (SHORT FOR: ALL LANGUAGE VIDEO INTERPRETER NETWORK) A NEW TECHNOLOGY BRINGING INSTANT ACCESS TO INTERPRETERS FOR PATIENTS IN NEED OF TRANSLATION SERVICES. ALVIN IS BASED IN THE LHC EMERGENCY DEPARTMENT, BUT IS AVAILABLE FOR USE THROUGHOUT THE HOSPITAL. THIS SOPHISTICATED EQUIPMENT USES VRI (VIDEO REMOTE INTERPRETER) TECHNOLOGY TO PROVIDE PATIENTS WITH AROUND-THE-CLOCK ACCESS TO TRAINED HEALTHCARE INTERPRETERS AND INTERPRETATION IN MULTIPLE LANGUAGES, INCLUDING AMERICAN SIGN LANGUAGE BY ROUTING REQUESTS FOR LANGUAGES TO A NATIONWIDE NETWORK OF HOSPITALS. HEALTH INFORMATION RESOURCE LHC'S WEBSITE INCLUDES HEALTH EDUCATION MODULES SPECIFIC TO CHRONIC DISEASES, WELLNESS APPLICATIONS, HEALTH DIALOGUE, EDUCATION AND PREVENTION TOOLS AS MORE TECH SAVVY INDIVIDUALS IN OUR COMMUNITY FIND THEIR MEDICAL INFORMATION VIA THE WEB. LHC CONTINUES TO WORK WITH AH CORPORATE ON THE IDENTIFICATION OF QUALITY ONLINE TOOLS AND WEB-BASED HEALTH INFORMATION FOR OUR COMMUNITY. IN FY14, A NEW E-NEWSLETTER WAS ESTABLISHED AND COMMUNICATED TO MEMBERS OF OUR COMMUNITY VIA THEIR VOLUNTARY EMAIL. THIS NEWSLETTER PROVIDES HEALTH EDUCATION, INFORMATION ON HEALTH SCREENINGS AND COMMUNITY OFFERINGS, SERVICES OF INTEREST AND HEALTHY RECIPES. AS A RESULT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RESULTANT ACTION OR IMPLEMENTATION PLANS, LHC INITIATED AN INTERNAL MULTICULTURAL DATABASE OF HEALTH EDUCATION WEBSITES WITH DOWNLOADABLE INTERPRETATION OF EDUCATION IN VARIOUS LANGUAGES. THESE MATERIALS COMPILED ARE FOR HEALTH PROFESSIONALS TO CONTINUE TO ENGAGE CULTURAL COMPETENCE IN IMPROVING HEALTH STATUS THROUGH EDUCATION, SCREENING AND INFORMATION AND REFERRAL. MEDICAL SCREENINGS LHC PROVIDES NUMEROUS MEDICAL SCREENINGS FOR THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING THE FOLLOWING: - PROSTATE CANCER SCREENING - BREAST CANCER SCREENINGS - BLOOD PRESSURE SCREENINGS (COMMUNITY-BASED) - SKIN CANCER SCREENINGS - HEART, STROKE AND DIABETES RISK ASSESSMENTS DURING FISCAL YEAR 2014 LHC PROVIDED 260 NO-FEE SCREENING PROGRAMS TO APPROXIMATELY 3,587 INDIVIDUALS AT A COST TO LHC OF APPROXIMATELY $43,487. PLEASE NOTE THAT THE AFOREMENTIONED LIST OF SCREENING PROGRAMS IS NOT AN ALL-INCLUSIVE LIST. CORE FORM, PART III FISCAL YEAR 2014 PROGRAMS WERE HELD AT MANY VENUES IN THE LHC SERVICE AREA INCLUDING: COMMUNITY AND SENIOR CENTERS, SCHOOLS, FAITH COMMUNITIES, CHAMBER OF COMMERCE EVENTS, EXPOS, LOW INCOME SENIOR HOUSING, FOOD PANTRY, AND AREA NONPROFIT ORGANIZATIONS. - COMMUNICATION, MAILINGS, SCREENINGS FOR PROSTATE, HYPERTENSION AND BREAST CANCER SCREENINGS TO AREA NONPROFITS WORKING WITH THE KOREAN, ASIAN INDIAN AND AFRICAN AMERICAN COMMUNITIES INCREASED BY THE DEVELOPMENT AND ELECTRONIC DISTRIBUTION OF LIST SERVES. - COMMUNITY FAIRS SERVING AND TARGETING THE KOREAN AND ASIAN INDIAN COMMUNITY VIA EXPOS AND FAITH COMMUNITY PROGRAMMING. - INTERNATIONAL SPRING FESTIVAL IN THE GREATER NORTH PENN AREA - A CELEBRATION OF COMMUNITY DIVERSITY EACH YEAR INCLUDING A HEALTH COMPONENT SERVING OVER 5,500 RESIDENTS EACH YEAR. LHC, AS A PARTNER, COORDINATES THE HEALTH FAIR ACTIVITY INCLUDING SCREENINGS AND INFORMATION ON ACCESS, CLINICS AND COMMUNITY SERVICES. IN FISCAL YEAR 2014, LHC PROVIDED OVER $27,000 IN CASH OR IN-KIND DONATIONS TO 27 NONPROFIT ORGANIZATIONS. ADDITIONALLY, OVER $86,722 OF IN-KIND DONATIONS/EQUIPMENT WERE DONATED TO TWO NONPROFIT ORGANIZATIONS INCLUDING AN LHC DONATION OF A DEFIBRILLATOR TO MANNA ON MAIN STREET. SUBSTANTIAL INVESTMENT OF IN-KIND TO THE MISSION DONATION OF USED EQUIPMENT WAS OVER $80,000 IN FY14. LHC PROVIDES IN-KIND SPACE FOR THE WOMEN'S CENTER OF MONTGOMERY COUNTY. IN FY14, THIS CENTER SERVED OVER 100 DOMESTIC VIOLENCE CASES, SUPPORT GROUP SESSIONS AND CONDUCTED 10 COMMUNITY BASED TRAININGS REACHING ALMOST 100 PEOPLE. IN FISCAL YEAR 2014, LHC PROVIDED 18 HEALTH FAIRS SERVING MEMBERS OF ITS COMMUNITY, REACHING 2,400 INDIVIDUALS AT A COST OF $20,709. COMMUNITY SUPPORT, ACTIVITIES AND PROGRAMS ========================================== OUTLINED BELOW ARE A NUMBER OF LHC COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW LHC BENEFITS THE SURROUNDING COMMUNITY IN FURTHERING ITS CHARITABLE TAX-EXEMPT PURPOSES. - SPONSORSHIP OF COMMUNITY ORGANIZATIONS SERVING THE HEALTH AND SOCIAL SERVICE NEEDS OF THE LHC COMMUNITY. THIS INCLUDED EDUCATIONAL PROGRAMS, MEETINGS AND FREE SPACE TO COMMUNITY GROUPS. - LHC WALKING TRAIL - AN ONSITE WALKING TRAIL HISTORICALLY USED BY LOCAL NEIGHBORS FOR HEALTHY WALKS WAS REDESIGNED AND REPAVED AFTER THE AH ACQUISITION. LHC CONTINUES TO MAINTAIN THIS WALKING TRAIL EACH YEAR FOR OUR LOCAL COMMUNITY. IN FY14, LHC WITH ABINGTON HEALTH CONTINUED TO PROMOTE A LISTING OF ALL WALKING TRAILS IN THE NORTH PENN REGION, MONTGOMERY AND BUCKS COUNTY. THIS LISTING WAS POSTED TO HOSPITAL WEBSITES AND USED AT PROGRAMS AND EVENTS. THIS HAS BEEN A VERY POPULAR TOOL AND SERVES AS A GOOD INTRODUCTION TO OBESITY PREVENTION EFFORTS. - VOLUNTEERS: OVER 225 MEMBERS OF THE COMMUNITY CONTRIBUTED 27,120 HOURS TO SERVE THE HEALTHCARE NEEDS OF THEIR NEIGHBORS. THE VALUE OF THIS CONTRIBUTION IS APPROXIMATELY $528,840 WHICH IS RETURNED TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND WELLNESS PROGRAMS. - PROVIDING A FREE PHYSICIAN REFERRAL SERVICE TO THE COMMUNITY FOR THOSE MEMBERS WHO ARE IN NEED OF PHYSICIAN SERVICES. CALLERS CAN OBTAIN COMPREHENSIVE INFORMATION ABOUT LHC PHYSICIANS INCLUDING SPECIALTY, OFFICE HOURS, TYPES OF INSURANCE ACCEPTED, ETC. - INFORMATION AND REFERRAL SERVICES FOR ALL COMMUNITY PROGRAMS AND HOSPITAL SERVICES ARE OFFERED. LHC IN FY14 USED BOTH PRINT AND ELECTRONIC COMMUNICATION OF NEW PROGRAMS AND SERVICES TO AREA FAITH COMMUNITIES, CONTINUING CARE RETIREMENT COMMUNITIES ("CCRCS"), AND NONPROFIT ORGANIZATIONS TO PROVIDE LINKAGES AND PROMOTION OF EXISTING AND NEW PROGRAMS. - COMMUNITY HEALTH-BASED OUTREACH PROGRAMS AT CHURCHES, MOSQUES, TEMPLES AND SYNAGOGUES IN THE COMMUNITY. LHC, IN ADDITION TO THOSE OUTLINED ABOVE, OFFERS NUMEROUS OTHER COMMUNITY PROGRAMS AND ACTIVITIES INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: - CAREER EXPLORATION - TOURS OF THE HOSPITAL - HOSPITAL HOLIDAY PROGRAM FOR LOW INCOME FAMILIES - INFORMATION AND REFERRAL TO ALL SUPPORT GROUPS - MEDICAL BENEFIT ASSISTANCE - AMERICAN RED CROSS BLOOD DRIVES - CPR TRAINING CENTER - FLU IMMUNIZATION PROGRAM - FAITH COMMUNITY NETWORK COMMUNITY HEALTH SERVICES ------------------------- LHC COMMUNITY HEALTH SERVICES SPONSORS HEALTH EDUCATION SEMINARS AND FREE OR LOW-COST SCREENINGS, SUPPORT/SELF-HELP AND AWARENESS GROUPS, INFORMATION AND REFERRAL, CPR AND FIRST-AID CLASSES, SMOKING CESSATION CLASSES, PARENTING EDUCATION AND MUCH MORE. DURING FISCAL YEAR 2014 LHC PROVIDED 143 HEALTH SEMINARS INCLUDING VARIOUS EDUCATION CLASSES FOR 3,306 INDIVIDUALS IN OUR COMMUNITY AT A COST OF $58,688. IN FY14, LHC WORKED WITH COMMUNITY COLLABORATIVE PARTNERS ON PROJECTS SUCH AS MANNA ON MAIN STREET PANTRY, FILLING WINTER PANTRIES, COAT DRIVES AND MISSION/SERVICE LEAVE. A SPECIAL TRANSPORTATION PROJECT FOR ACCESS TO FREE BREAST SCREENINGS WAS COORDINATED WITH THE ASIAN INDIAN COMMUNITY IN FY14 WITH INTERPRETERS AND TRANSLATED MATERIALS TO SUPPORT THIS EFFORT. COMMUNITY HEALTH EDUCATION PROGRAMS ----------------------------------- LHC PROVIDES LECTURES, SEMINARS AND OTHER EDUCATIONAL PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - CPR AND SAFETY EDUCATION CLASSES - MAXIMIZE YOUR MEMORY - SLEEP DISORDERS - BRAIN GAMES - KEEPING YOUR HEART HEALTHY - HEALTHY STEPS FOR OLDER ADULTS - DIABETES EDUCATION - BREAST CANCER EDUCATION - CARDIOVASCULAR DISEASE PREVENTION INCLUDING HYPERTENSION - STRESS MANAGEMENT - BREAST CANCER SCREENING FOR KOREAN WOMEN - BACK PAIN - STROKE AND KNOWING YOUR RISKS - GIFT OF LIFE CAMPAIGN - DISTRACTED DRIVING INITIATIVE - NUMBERS THAT COUNT FOR A HEALTHY HEART - PAIN MANAGEMENT - SUPPORT GROUPS - LIVING WELL EDUCATIONAL SERIES EACH OF LHC'S SERVICES HAS ONE GOAL IN MIND - TO IMPROVE THE HEALTH OF THE COMMUNITY BY HELPING COMMUNITY MEMBERS LIVE HEALTHIER LIVES. LHC RECOGNIZES THAT A HEALTHY DIET AND ACTIVE LIFESTYLE CAN HELP REDUCE THE RISK OF DISEASE, PREVENT COMPLICATIONS ASSOCIATED WITH PRE-EXISTING CONDITIONS, AND INCREASE ENERGY - AS WELL AS ENHANCE SELF-IMAGE AND GENERAL SENSE OF WELL-BEING. CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. CORE FORM, PART VI, SECTION A; QUESTION 4 THE ORGANIZATION AMENDED ITS BYLAWS TO REFLECT A CHANGE IN THE COMPOSITION OF THE BOARD OF TRUSTEES AND THE TERM AND YEARS OF SERVICE LIMITATIONS OF THE BOARD OF TRUSTEE MEMBERS. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ABINGTON HEALTH ("AH")IS THE SOLE MEMBER OF LANSDALE HOSPITAL CORPORATION. AH HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES LANSDALE HOSPITAL CORPORATION ("LHC"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE AUDIT AND COMPLIANCE COMMITTEE OF AMH REVIEWED THE FORM 990 IN DETAIL PRIOR TO THE FORM 990 BEING PROVIDED TO THE GOVERNING BODY. THE ORGANIZATION'S BOARD OF TRUSTEES HAS DELEGATED TO THE AUDIT AND COMPLIANCE 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 AUDIT AND COMPLIANCE COMMITTEE AND THEREAFTER TO THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM ; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES LANSDALE HOSPITAL CORPORATION ("LHC"). THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO AMH'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND REVIEWS THIS SUMMARY WITH AMH'S VP OF LEGAL AFFAIRS/GENERAL COUNSEL. THIS SUMMARY IS THEN GIVEN TO A SUB-COMMITTEE OF AMH'S AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW. THEREAFTER, THE SUB COMMITTEE OF THE AUDIT AND COMPLIANCE COMMITTEE OF AMH REVIEWS AND MAKES DECISIONS ON HOW TO HANDLE CONFLICTS OF INTEREST AND ASSOCIATED MITIGATING BEHAVIOR TO BE TAKEN BY THE ORGANIZATION IF APPLICABLE. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES LANSDALE HOSPITAL CORPORATION ("LHC"). CERTAIN KEY SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT, CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER, ARE EMPLOYED BY AMH. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE ALSO OFFICERS AND OR BOARD MEMBERS OF THIS ORGANIZATION. ACCORDINGLY, AMH'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE AMH'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT, CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT, CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THE PEER GROUP CHOSEN FOR COMPARISON SHOULD REFLECT THE FACT THAT ABINGTON HEALTH IS A MULTI-HOSPITAL HEALTHCARE SYSTEM. THE PEER GROUP WILL CONTAIN NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS COMPARABLE IN SIZE AND COMPLEXITY TO ABINGTON HEALTH. THE PEER GROUP WOULD CONSIST OF INDEPENDENT, SINGLE AND MULTI-HOSPITAL HEALTHCARE SYSTEMS THAT HAVE AN EMPHASIS ON TEACHING AND RANGE IN SIZE FROM HALF AS LARGE TO UP TO TWICE AS LARGE AS ABINGTON HEALTH. ALTHOUGH THIS PEER GROUP WILL CONTAIN ORGANIZATIONS FROM ALL PARTS OF THE U.S., ABINGTON HEALTH WILL ALSO EXAMINE REGIONAL (MID-ATLANTIC) AND LOCAL (PHILADELPHIA) PAY LEVELS. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT, CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT, CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER WITH ASSISTANCE FROM AMH'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND FOR THEIR POSITION WITHIN THE ABINGTON HEALTH AND AFFILIATES INTEGRATED HEALTHCARE DELIVERY SYSTEM; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES MULTIPLE NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY 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 ABINGTON HEALTH SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION; ($74,285). CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES LANSDALE HOSPITAL CORPORATION ("LHC"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE FISCAL YEARS ENDED JUNE 30, 2014 AND JUNE 30, 2013; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. AMH'S AUDIT AND COMPLIANCE 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 THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DEVLIVERY SYSTEM ("SYSTEM") WHICH INCLUDES ABINGTON MEMORIAL HOSPITAL ("AMH"). AMH'S AUDIT AND COMPLIANCE COMMITTEE 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. ABINGTON HEALTH FOUNDATION 1200 OLD YORK ROAD ABINGTON PA 19001 232188052 FUNDRAISING PA 501(c)(3) 509(A)(1) AH false ABINGTON MEMORIAL HOSPITAL 1200 OLD YORK ROAD ABINGTON PA 19001 231352152 HEALTH SVCS. PA 501(c)(3) HOSPITAL AH false ABINGTON HEALTH 1200 OLD YORK ROAD ABINGTON PA 19001 271243803 SUPPORTING PA 501(c)(3) 509(A)(3) NA false false true true false false false false false false true false false true true true true false false false