2015-05-12T15:36:06-05:00 2014-06-30 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2013-07-01 231637191 CROZER-CHESTER MEDICAL CENTER % PHILIP J RYAN CPA CROZ 6104476252 ONE MEDICAL CENTER BLVD Suite UPLAND PA 190133995 PHILIP J RYAN CFO 9738989494 2015-05-11 true Scott J Mariani P00642486 9738989494 2013 2016-03-07 17:11:31Z PATRICK J GAVIN 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 524367369 false X WWW.CROZERKEYSTONE.ORG X 1883 PA CROZER-CHESTER MEDICAL CENTER IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE & WILL DEPLOY ITS RESOURCES IN A COST-EFFECTIVE & COMMUNITY-RESPONSIVE MANNER 16 9 4587 782 77110 7545001 6338348 535604870 504964219 2734714 9996957 3233086 2785793 549117671 524085317 3780980 3301954 0 0 280091744 261423463 0 0 0 254768449 267675536 538641173 532400953 10476498 -8315636 415705295 390434461 418366700 410745282 -2661405 -20310821 X CROZER-CHESTER MEDICAL CENTER IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE. THROUGH A SEAMLESS, USER-FRIENDLY CONTINUUM OF QUALITY HEALTH SERVICES INCLUDING PRIMARY AND HEALTH PROMOTION, ACUTE AND LONG-TERM CARE, THROUGH REHABILITATION AND RESTORATIVE CARE, CROZER-KEYSTONE WILL DEPLOY ITS RESOURCES IN A COST-EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER. WORKING IN PARTNERSHIP WITH OUR PHYSICIANS AND OTHER HEALTH PROFESSIONALS, WE WILL SEEK TO FORGE NEW ALLIANCES WITH OTHER COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS. WORKING WITH OUR COMMUNITY, OUR GOAL IS TO BUILD A HEALTHY PLACE TO LIVE AND WORK, AND A SOUND ENVIRONMENT IN WHICH TO BUILD AND MAINTAIN OUR FAMILIES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 288813590 1919878 293604809 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. EXPENSES (DIRECT ONLY; NOT INCLUDING INDIRECT) ARE INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT HEALTHCARE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 163653892 1203090 183987239 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. EXPENSES (DIRECT ONLY; NOT INCLUDING INDIRECT) ARE INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT HEALTHCARE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 27022396 178986 27372171 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. EXPENSES (DIRECT ONLY; NOT INCLUDING INDIRECT) ARE INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY ROOM HEALTHCARE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 479489878 true true false true false false false false false true true false true false true true false true false false true false false false false false true true true true true true false false false false false false false false true true false false false false false true true true false false true 375 0 true 4587 true true true false false false false false false false false false X 16 9 false false false false true true true true true false false true true true true true true true true false PA X PHILIP J RYAN CPA 6104476252 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 X GAIL M WHITAKER ESQ CHAIR - DIRECTOR 1.0 X X 0 0 0 DAVID B ARSHT DO SECRETARY - DIRECTOR 1.0 X X 0 0 0 ANN F SWAN TREASURER - DIRECTOR 1.0 X X 0 0 0 FRED A AKL PHD PE DIRECTOR 1.0 X 0 0 0 OLESH BABIAK MD DIRECTOR 4.0 X 36000 0 0 CORLISS BOGGS DIRECTOR 1.0 X 0 0 0 JOHN D BOWERS DIRECTOR 1.0 X 0 0 0 BRUCE G FISCHER DIRECTOR 1.0 X 0 0 0 PATRICK J GAVIN DIRECTOR - EVP/COO 55.0 X X 576094 0 136582 HORACE B GRIFFITH III DIRECTOR 1.0 X 0 0 0 THOMAS J MATULEWSKI MD DIRECTOR 55.0 X 0 395440 37471 PETER L OETINGER DIRECTOR 1.0 X 0 0 0 JEROME S PARKER PHD DIRECTOR 1.0 X 0 0 0 JOAN K RICHARDS DIRECTOR - ASST TREASURER 55.0 X X 0 1143945 212124 G GUY SMITH ESQ DIRECTOR 1.0 X 0 0 0 ROBERT N SPEARE ESQ DIRECTOR 1.0 X 0 0 0 BEVERLEE L DELUCA DIRECTOR (7/1 - 12/1/13) 1.0 X 0 0 0 JACQUELINE M KRAEUTLER ESQ DIRECTOR (7/1 - 2/1/14) 1.0 X 0 0 0 KEVIN P CAPUTO MD PRESIDENT, COMMUNITY HOSPITAL 55.0 X 0 512021 45296 DONALD W LEGREID ESQ ASST SEC. - VP/GENERAL COUNSEL 55.0 X 0 348273 39336 DIANE C MILLER TERM 22614 PRESIDENT, TAYLOR HOSPITAL 55.0 X 309539 0 36896 ROBERT HAFFEY EFF 22714 PRESIDENT TAYLOR HOSP & DCMH 55.0 X 308169 0 45975 GWENDOLYN SMITH PRESIDENT, SPRINGFIELD HOSP. 55.0 X 265172 0 35064 PHILIP J RYAN CPA ASST TREASURER - SVP/CFO 55.0 X 0 543451 134501 ROBERT E WILSON RET 123113 ASST SECRETARY-SVP/ADMIN & CIO 55.0 X 0 717870 140769 STEPHEN A DIMAMBRO VP, SUPPORT SVCS(TERM 2/26/14) 55.0 X 227272 0 41509 CAROLE EISEN MD PHYSICIAN ADVISOR 55.0 X 223473 0 15111 LIANG SONG CHIEF PHYSICIST 55.0 X 214340 0 31356 NANCY A POLITARHOS AVP,NURSING SVCS(TERM 2/26/14) 55.0 X 182090 0 30003 LINDA RAMSEY AVP 55.0 X 176794 0 25075 2518943 3661000 1007068 397 false true false ASSOCIATES IN ANESTHESIA 30 MEDICAL CENTER BLVD SUITE 305 UPLAND PA 19013 ANESTHESIA 5454689 SOUTHEAST RADIOLOGY LTD PO BOX 981 MEDIA PA 19063 RADIOLOGY 4179867 BRINTON LAKE MANAGEMENT COMPANY LL 300 EVERGREEN DRIVE SUITE 320 GLEN MILLS PA 19342 MANAGEMENT 1601152 QUEST DIAGNOSTICS PO BOX 828669 PHILADELPHIA PA 191828669 LAB 1573231 CARDIOLOGY CONSULTANTS 207 NORTH BROAD STREET 3RD FLOOR PHILADELPHIA PA 191071500 CARDIOLOGY 1373667 51 X 6064073 274275 6338348 NET PATIENT SERVICE REVENUE 541900 484400854 484400854 OTHER HEALTHCARE RELATED REVENUE 811000 20563365 20486255 77110 504964219 2368629 2368629 0 0 1738020 282052 1455968 0 1455968 1455968 7404149 224179 7404149 224179 7628328 7628328 0 0 0 PARKING GARAGE REVENUE 812930 913756 913756 CAFETERIA REVENUE 722410 370184 370184 TELEPHONE REVENUE 900099 45885 45885 1329825 524085317 504887109 77110 12782750 X 1878025 1878025 1423929 1423929 0 0 1749492 1574542 174950 0 0 197678889 177910999 19767890 24325541 21892987 2432554 21781687 19603519 2178168 15887854 14299069 1588785 25757169 23181452 2575717 579556 521601 57955 51178 46061 5117 0 0 0 113669618 102302656 11366962 4558108 4102297 455811 8702718 7832446 870272 10023227 9020904 1002323 0 12511337 11260203 1251134 602783 542505 60278 0 0 4826439 4343795 482644 0 16557529 14901776 1655753 -1832109 -1648898 -183211 MEDICAL SUPPLIES 60019740 54017766 6001974 REPAIRS & MAINTENANCE 5099301 4589371 509930 RESTRUCTURING CHARGES 3874000 3486600 387400 RECRUITMENT 503719 453347 50372 2171223 1952926 218297 532400953 479489878 52911075 0 X 10871 9771 37007863 28362983 9003119 7397437 72017763 61744231 0 0 0 0 16040171 15644757 6821652 6558308 2376605 2467591 434631729 322231409 119548619 112400320 0 0 0 0 137732207 141043017 1252355 1111858 13894070 13694188 415705295 390434461 58041082 55993340 0 0 0 0 138963517 134061910 0 0 0 0 1144000 0 0 0 220218101 220690032 418366700 410745282 X -13309846 -31884129 3868841 4194287 6779600 7379021 -2661405 -20310821 415705295 390434461 X -8315636 -3824660 -5509120 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true true false false SCHEDULE C, PART II-B; QUESTION 1 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM PAYS ALL LOBBYING EXPENDITURES ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM AND REPORTS THESE EXPENDITURES ON THE CROZER-KEYSTONE HEALTH SYSTEM FEDERAL FORM 990. THESE LOBBYING EXPENDITURES INCLUDE (1) PAYMENTS TO OUTSIDE INDEPENDENT FIRMS AND (2) AN ALLOCATED PORTION OF THE DUES PAID TO THE AMERICIAN HOSPITAL ASSOCIATION AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA. 10648441 877555 1050550 1003238 11573308 9479347 1732855 739588 1303349 10648441 10368806 940338 -149588 1680209 9479347 9215163 1022252 1385785 1254394 10368806 8662317 1363858 969315 1780327 9215163 0.63760 0.36240 true false 3384133 3384133 185639101 105628005 80011096 243162087 214778937 28383150 2446408 1824467 621941 112400320 CASH AND CASH EQUIVALENTS 10653264 F TAX-EXEMPT ORGANIZATION 54280000 F PERPETUAL TRUST 4874937 F MUTUAL FUND FIXED INCOME 30684456 F MUTUAL FUND EQUITY 12561382 F COMMON & COLLECTIVE TRUSTS 5224852 F US GOVERNMENT OBLIGATIONS 6161264 F MARKETABLE EQUITY SECURITIES 401403 F CORPORATE BONDS 2955313 F CERTIFICATES OF DEPOSIT 6850050 F OTHER INVESTMENTS 6396096 F 141043017 0 ESTIMATED THIRD-PARTY PAYORS SETTLEMENTS 7706636 DUE TO AFFILIATES 5552311 INSURANCE LIABILITY 13277445 PENSION LIABILITY 183479158 OTHER LIABILITIES 10674482 220690032 X SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS THE TAX-EXEMPT PARENT OF THE SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S FISCAL YEAR ENDED JUNE 30, 2014 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATIONS LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740). CKHS AND MOST OF ITS SUBSIDIARIES ARE NONPROFIT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 509(A)(1) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM TAXES. THE HEALTH SYSTEM FILES U.S. FEDERAL, STATE AND LOCAL INFORMATION RETURNS AND NO RETURNS ARE CURRENTLY UNDER EXAMINATION. THE STATUTE OF LIMITATIONS ON THE HEALTH SYSTEM'S U.S. FEDERAL INFORMATION RETURNS REMAINS OPEN FOR THREE YEARS FOLLOWING THE YEAR THEY ARE FILED. GAAP REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HEALTH SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS. SCHEDULE D, PART V RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. true Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 1 1 1 1 false false false false false false SCHEDULE F, PART I CROZER-KEYSTONE HEALTH SYSTEM, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, PAID CASSATT INSURANCE COMPANY, LTD. $1,437,396; A FINANCIAL VEHICLE, ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. true true X true X true X true true true false false 14501838 14501838 0.02720 90559606 70778489 19781117 0.03720 105061444 70778489 34282955 0.06440 33 59914 2154782 296748 1858034 0.00350 3 32990529 18532368 14458161 0.02720 9 3245 8207505 203699 8003806 0.01500 1 23455 23455 1 17 2753 2753 47 63176 43379024 19032815 24346209 0.04570 47 63176 148440468 89811304 58629164 0.11010 true 18579080 1300536 160082509 173873110 -13790601 X true true 3 1 CROZER-CHESTER MEDICAL CENTER ONE MEDICAL CENTER BLVD UPLAND PA 190133995 WWW.CROZERKEYSTONE.ORG 037201 X X X X 1 2 TAYLOR HOSPITAL 175 EAST CHESTER PIKE RIDLEY PARK PA 19078 WWW.CROZERKEYSTONE.ORG 037201 X X X X 1 3 SPRINGFIELD HOSPITAL 190 WEST SPROUL ROAD SPRINGFIELD PA 19064 WWW.CROZERKEYSTONE.ORG 037201 X X X X 1 CROZER-CHESTER MEDICAL CENTER 13 true X X X X X X X X X 13 true true true X WWW.CROZERKEYSTONE.ORG/COMMUNITY X X X X X X X X X X false false true true 200. true 400. true X X X true true X X X X X X true false X X X X true X false false SCH H, PT V, SECT B, Q'S 1J,6I,10,11,12I,14G,16E,17E,18E,19C,19D,20D,21&22 NOT APPLICABLE. SCHEDULE H, PART V, SECTION B, QUESTION 3 CROZER-KEYSTONE HEALTH SYSTEM COMMUNITY HEALTH EDUCATION WORKED TO ASSIST IN THE IDENTIFICATION OF HEALTH, SOCIAL SERVICE AND COMMUNITY LEADERS TO ATTEND FOCUS GROUPS HELD IN DELAWARE COUNTY, PENNSYLVANIA, RUN BY PUBLIC HEALTH MANAGEMENT CORPORATION TO GATHER THIS INFORMATION IN RESPONSE TO THE CURRENT LEGISLATION. IN ADDITION, IN FEBRUARY 2011, DELAWARE VALLEY HEALTHCARE COUNCIL OF HAP ("DVHC"), THE MEMBERSHIP ASSOCIATION FOR HOSPITALS IN THE FIVE-COUNTY REGION OF SOUTHEASTERN PENNSYLVANIA, ESTABLISHED A COMMUNITY HEALTH NEEDS ASSESSMENT WORKGROUP TO ASSIST HOSPITALS IN: - UNDERSTANDING AFFORDABLE CARE ACT ("ACA") REQUIREMENTS AND INTERNAL REVENUE SERVICE GUIDANCE AROUND COMMUNITY HEALTH NEEDS ASSESSMENTS. - IDENTIFYING THE BEST RESOURCES, TOOLS, AND SERVICES FOR CONDUCTING NEEDS ASSESSMENTS. THE WORKGROUP CONSISTED OF REPRESENTATIVES FROM THE FOLLOWING COLLABORATING HOSPITALS, HEALTH SYSTEMS, AND ORGANIZATIONS: - ABINGTON HEALTH - ARIA HEALTH - BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP - THE CHILDREN'S HOSPITAL OF PHILADELPHIA - CROZER-KEYSTONE HEALTH SYSTEM - EINSTEIN HEALTHCARE NETWORK - HOLY REDEEMER - JEFFERSON HEALTH SYSTEM - MAGEE REHABILITATION HOSPITAL - MAIN LINE HEALTH - MERCY HEALTH SYSTEM OF SEPA - PENN MEDICINE ("UPHS") - ST. MARY MEDICAL CENTER - TEMPLE UNIVERSITY HEALTH SYSTEM THE 24-MEMBER WORKGROUP INCLUDED REPRESENTATIVES FROM 13 HOSPITALS AND HEALTH SYSTEMS REPRESENTING 35 (70 PERCENT) OF 48 DVHC-MEMBER NOT-FOR-PROFIT HOSPITAL FACILITIES IN BUCKS, CHESTER, DELAWARE, MONTGOMERY, AND PHILADELPHIA COUNTIES. THE GROUP HELD A SERIES OF MEETINGS TO REVIEW ACA REQUIREMENTS WITH POLICY EXPERTS FROM THE AMERICAN HOSPITAL ASSOCIATION AND CONSIDER THE TYPES OF RESOURCES THAT MIGHT BE NEEDED TO CONDUCT NEEDS ASSESSMENTS. SCHEDULE H, PART V, SECTION B, QUESTION 4 PUBLIC HEALTH MANAGEMENT CORPORATION ("PHMC") PERFORMED THE NEEDS ASSESSMENT TO COVER ALL FOUR OF OUR HOSPITAL FACILITIES SERVING DELAWARE COUNTY AND THE SURROUNDING AREA. PHMC ALSO MET WITH FOCUS GROUPS IN DIFFERENT AREAS IN THE COUNTY TO OBTAIN INFORMATION AND THE FOCUS GROUPS INCLUDED OUTREACH IN OUR SERVICE AREAS. PHMC ALSO WORKED WITH FITZGERALD MERCY HOSPITAL, WHICH IS OUTSIDE OF THE CROZER-KEYSTONE HEALTH SYSTEM BUT WITHIN OUR COUNTY. TWENTY-EIGHT MEMBER FACILITIES FROM THE DELAWARE VALLEY HEALTHCARE COUNCIL OF THE HOSPITAL ASSOCIATION OF PENNSYLVANIA PARTICIPATED: ABINGTON MEMORIAL HOSPITAL LANSDALE HOSPITAL CORPORATION THE CHILDREN'S HOSPITAL OF PHILADELPHIA CROZER-CHESTER MEDICAL CENTER DELAWARE COUNTY MEMORIAL HOSPITAL SPRINGFIELD HOSPITAL TAYLOR HOSPITAL DOYLESTOWN HOSPITAL EAGLEVILLE HOSPITAL EINSTEIN MEDICAL CENTER PHILADELPHIA EINSTEIN MEDICAL CENTER ELKINS PARK EINSTEIN MEDICAL CENTER MONTGOMERY MOSS REHAB BELMONT BEHAVIORAL HEALTH CENTER FOR COMPREHENSIVE TREATMENT GRAND VIEW HOSPITAL HOLY REDEEMER HOSPITAL MERCY FITZGERALD HOSPITAL MERCY PHILADELPHIA HOSPITAL MERCY SUBURBAN HOSPITAL NAZARETH HOSPITAL ST. MARY MEDICAL CENTER TEMPLE UNIVERSITY HOSPITAL JEANES HOSPITAL FOX CHASE CANCER CENTER EPISCOPAL HOSPITAL HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PENNSYLVANIA HOSPITAL PENN PRESBYTERIAN MEDICAL CENTER SCHEDULE H, PART V, SECTION B, QUESTION 5D THE CROZER-KEYSTONE HEALTH SYSTEM HAS PRESENTED THIS INFORMATION TO INTERESTED GROUPS UPON REQUEST. OUR MANAGEMENT IS WORKING WITH A COMMUNITY HEALTH IMPROVEMENTS WORK GROUP BEING SPEAR HEADED FROM THE UNITED WAY OF DELAWARE COUNTY TO TRY TO BRING HEALTHCARE PROVIDERS TOGETHER FROM ACROSS DELAWARE COUNTY TO ADDRESS COMMUNITY HEALTH NEEDS FOUND IN ALL OF OUR COMMUNITY NEEDS ASSESSMENTS IN A COLLABORATIVE MANNER. SCHEDULE H, PART V, SECTION B, QUESTION 7 CROZER-KEYSTONE HEALTH SYSTEM'S MISSION ENSURES COMMITMENT TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE. WE FOCUS ON PROVIDING THE HIGHEST QUALITY OF MEDICAL CARE AND ACTING DECISIVELY TO PREVENT DISEASE WHILE PARTNERING WITH THE COMMUNITY TO EDUCATE AND ENCOURAGE HEALTHY LIFE CHOICES FOR IMPROVED INDIVIDUAL AND OVERALL COMMUNITY HEALTH OUTCOMES. IT IS THROUGH THIS COMMITMENT THAT CKHS HAS CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR 25 YEARS AND FOLLOWED HEALTH TRENDS AND DEVELOPED STRATEGIES FOR HEALTH IMPROVEMENT FOR THE COMMUNITY WE SERVE. CROZER-CHESTER MEDICAL CENTER'S ("CCMC") 2012 CHNA HAS BEEN A CONTINUATION OF AN ONGOING PROCESS TO IDENTIFY COMMUNITY ASSETS AND NEEDS AND DEVELOPMENT OF GOALS AND STRATEGIES TO MOVE THE NEEDLE FORWARD TOWARD THE GOAL OF HEALTH IMPROVEMENT BY MAXIMIZING COMMUNITY ASSETS AND PARTNERSHIPS TO ADDRESS HEALTH NEEDS. THIS MISSION CONTINUES TO DEFINE OUR INVESTMENT IN THE HEALTH AND WELLNESS OF DELAWARE COUNTY RESIDENTS. CROZER HAS ESTABLISHED ITS IMPLEMENTATION PLAN APPROVED BY OUR HEALTH SERVICES BOARD WHICH INCLUDES GOALS TO ADDRESS THE COMMUNITY HEALTH NEEDS THAT FALL WITHIN THE SCOPE OF THE SERVICES WE CAN PROVIDE AND HAVE WORKED COLLABORATIVELY ACROSS OUR HEALTH SYSTEM AS WELL AS WITH COMMUNITY PARTNERS TO ADDRESS THESE GOALS. MORE INFORMATION CAN BE OBTAINED THROUGH THE CKHS 2013-2014 BOARD REPORT. AS A LEADER IN THE CHNA PROCESS IN DELAWARE COUNTY, CKHS SPENT TIME OVER THE PAST FISCAL YEAR TO EDUCATE THE COMMUNITY SERVED BY CCMC REGARDING OUTCOMES OF ITS CHNA THROUGH OUTREACH AND PRESENTATIONS TO COMMUNITY LEADERS/COMMUNITY MEMBERS/COMMUNITY PARTNERS, AND THROUGH POSTING THIS DOCUMENT ON OUR CKHS WEBSITE. WE ALSO SPENT A SIGNIFICANT AMOUNT OF TIME AND ENERGY TO PULL TOGETHER A PROCESS WHERE OTHER HEALTHCARE PROVIDERS WITHIN OUR COUNTY COULD COLLECTIVELY ADDRESS CHNA OUTCOMES RATHER THAN HAVING INDIVIDUAL EFFORTS OCCURRING IN SILOS IN THE COMMUNITY. WE SOLICITED THE UNITED WAY, AS AN IMPARTIAL ORGANIZATION TO SERVE AS THE CONDUIT FOR THIS INITIATIVE. UNFORTUNATELY, AFTER MUCH TIME AND ENERGY EXTENDED, THE UNITED WAY DECIDED TO TAKE ON A PROJECT REGARDING TRAUMA INFORMED CARE INSTEAD. THIS WORK WAS NOT IN VAIN; HOWEVER, IT ENABLED CKHS TO SHARE THE OUTCOMES OF OUR CHNA AND ALSO PROVIDED UNITED WAY WITH CONTACTS AND INFORMATION TO ACCESS THE OTHER CHNA IN OUR COMMUNITY. IT IS OUR HOPE THAT SHARING THIS INFORMATION WITH UNITED WAY MAY IN TURN PROVIDE A BASE OF KNOWLEDGE FOR REGIONAL GOAL SETTING AND FUNDING RESOURCES DEVELOPMENT FOR COMMUNITY HEALTH IMPROVEMENT OPPORTUNITIES. CROZER HAS COLLABORATIVELY WORKED WITH HEALTH PROVIDERS AND OTHER COMMUNITY PARTNERS OVER THE PAST FISCAL YEAR ON SPECIFIC INITIATIVES FOR HEALTH IMPROVEMENT IN THE COMMUNITY WE SERVE, EXAMPLES OF SUCH ARE: DELAWARE COUNTY TOBACCO FREE COALITION, HEALTHY CHESTER COALITION, CHESTER CITY LET'S MOVE/HEART & STROKE OUTREACH/MEN'S HEALTH INITIATIVE/DIABETES MONTH PROGRAMMING, AND DELAWARE COUNTY PEDIATRIC ASTHMA TASK FORCE, AMONG OTHERS. IN CROZER'S SERVICE AREA, NOT UNLIKE ELSEWHERE ACROSS THE COUNTY, CARDIOVASCULAR DISEASE, CANCER AND STROKE ARE THE TOP DISEASES THAT ARE KILLING OUR COMMUNITY. WE HAVE WORKED TO PROVIDE PRIMARY PREVENTION THROUGH HEALTH PROMOTION ACTIVITIES, SECONDARY PREVENTION EFFORTS THROUGH CONNECTION TO SCREENING OPPORTUNITIES AND TERTIARY PREVENTION THROUGH THE INPATIENT AND OUTPATIENT SERVICES OFFERED THROUGH CCMC, TAYLOR HOSPITAL AND SPRINGFIELD HOSPITAL. WE HAVE ALSO CONNECTED THE COMMUNITY TO OPPORTUNITIES TO ACCESS INSURANCE, CONNECT TO A MEDICAL HOME AND HOSPITAL AND COMMUNITY BASED SERVICES FOR HEALTH IMPROVEMENT. CKHS, AS AN EMPLOYER OF APPROXIMATELY 6,000 PEOPLE FROM OUR COMMUNITY, PROMOTES A TOBACCO FREE LIFESTYLE. THIS YEAR WE STRENGTHENED OUR TOBACCO FREE POLICIES BY OFFERING TARGETED TOBACCO CESSATION OPPORTUNITIES AND POLICY CHANGES TO ELICIT STAFF PERSONAL BEHAVIOR CHANGE REGARDING TOBACCO USE. CKHS AND ITS FACILITIES WILL CONTINUE TO FOLLOW OUR IMPLEMENTATION PLAN TO ENGAGE OUR COMMUNITY AND COMMUNITY PARTNERS TO ADDRESS THE HEALTH CONCERNS EFFECTING THE HEALTH AND QUALITY OF LIFE OF THOSE WE SERVE. CURRENTLY, PLANS ARE UNDERWAY FOR THE NEXT CHNA PROCESS IN AN EFFORT TO CONTINUE OUR ONGOING MISSION FOR EVALUATION OF HEALTH TRENDS TO DEVELOPMENT OPPORTUNITIES FOR COMMUNITY HEALTH IMPROVEMENT. 13 COMMUNITY HOSPITAL 2600 WEST NINTH STREET CHESTER PA 19013 OUTPATIENT SERVICES CCMC NORTH CAMPUS 301 WEST 15TH STREET UPLAND PA 19013 PSYCHIATRIC SERVICES CROZER MEDICAL PLAZA BRINTON LAKE 300 EVERGREEN DRIVE GLEN MILLS PA 19342 CLINICAL LAB CROZER MED PLAZA&CANCER CTR BRINTON LAKE 500 EVERGREEN DRIVE GLEN MILLS PA 19342 CLINICAL LAB CENTERS FOR FAMILY HEALTH & THE WIC PROG 1260 WOODLAND AVENUE SPRINGFIELD PA 19064 CLINIC & COMMUNITY OUTREACH CCMC AMBULATORY WIC PROGRAM 3 SOUTH STREET STE 100 UPPER DARBY PA 19082 COMMUNITY OUTREACH PROGRAM CROZER MEDICAL ASSOCIATES 1553 CHESTER PIKE CRUM LYNNE PA 19022 CLINIC TAYLOR HOSPITAL - PHYSICAL THERAPY ROUTE 420 AND SECOND STREET HOLMES PA 19043 PHYSICAL THERAPY/REHAB CROZER HEALTH PAVILION 145 BRINTON LAKE ROAD GLEN MILLS PA 19342 SLEEP CENTER MEDIA MEDICAL PLAZA 200 SOUTH STATE STREET MEDIA PA 19063 CLINIC, LAB & IMAGING PAVILLION ONE 196 WEST SPROUL ROAD SPRINGFIELD PA 19064 PHYSICIAL THERAPY/REHAB CROZER MEDICAL ASSOCIATES 2700 CHESTNUT PARKWAY CHESTER PA 19013 CLINIC CCMC CENTERS FOR FAMILY HEALTH 3 SOUTH STATE STREET STE 200 UPPER DARBY PA 19082 CLINIC SCHEDULE H, PART I, LINE 3C NOT APPLICABLE. SCHEDULE H, PART I, LINE 6A PLEASE NOTE THAT THE ORGANIZATION PREPARES A COMMUNITY BENEFIT REPORT ON AN ANNUAL BASIS WHICH IT MAKES AVAILABLE TO THE PUBLIC. SCHEDULE H, PART I; QUESTION 7G NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED TO CALCULATE THE COST TO CHARGE RATIO. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. SCHEDULE H, PART III, SECTION A; QUESTIONS 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM FINANCIAL STATEMENT, NET OF ACCOUNTS WRITTEN OFF AT CHARGES. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. RECEIVABLES FOR PATIENT CARE PATIENT ACCOUNTS RECEIVABLE FOR WHICH CKHS RECEIVES PAYMENT UNDER COST REIMBURSEMENT, PROSPECTIVE PAYMENT FORMULAE, OR NEGOTIATED RATES, WHICH COVER THE MAJORITY OF PATIENT SERVICES, ARE STATED AS THE ESTIMATED NET AMOUNTS RECEIVABLE FROM PAYORS, WHICH ARE GENERALLY LESS THAN THE ESTABLISHED BILLING RATES OF CKHS. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF PROVISIONS FOR DOUBTFUL ACCOUNTS. ALLOWANCE FOR DOUBTFUL ACCOUNTS CKHS PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE UNWILLINGNESS OR INABILITY OF PATIENTS TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING SPECIFIC ACCOUNTS, HISTORICAL AND EXPECTED DATA AND TRENDS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PATIENT ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND CKHS CEASES COLLECTION EFFORTS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWABLE FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF MANAGEMENT'S EVALUATION ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. ADDITIONALLY, CKHS FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES, WHICH ARE SUBJECT TO CERTAIN RESTRICTIONS ON COLLECTION EFFORTS AS DETERMINED BY CKHS. CHARITY CARE AND COMMUNITY SERVICE CKHS PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. BECAUSE CKHS DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. ADDITIONALLY, CKHS SPONSORS CERTAIN OTHER PROGRAMS WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS INCLUDING COMMUNITY SERVICE PROGRAMS AND SERVICES FOR SCHOOL-AGED CHILDREN AND THE ELDERLY. CKHS ALSO ACTIVELY SPONSORS PROGRAMS ON HEALTH EDUCATION AND WELLNESS. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2014 TEN MONTH INTERIM COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "[T]HE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4 PERCENT. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE CROZER-KEYSTONE HEALTH SYSTEM BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCE AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING FOUR STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, TELEPHONE CONTACT FOR ANY ACCOUNT OVER $10 OR AT THE DISCRETION OF THE ACCOUNT REPRESENTATIVE AND/OR SUPERVISOR. THE FACILITY ALSO HAS A CHARITY CARE ACCESS POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE CROZER-KEYSTONE HEALTH SYSTEM PAYMENT ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), OR 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE PENNSYLVANIA HOSPITAL CARE PAYMENT ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM RATES ARE REFLECTIVE OF MEDICARE REIMBURSEMENT, AS REFERRED BY THE STATE OF PENNSYLVANIA. SCHEDULE H, PART VI; QUESTION 2 CROZER-KEYSTONE HEALTH SYSTEM RESPONDS TO THE COMMUNITY'S IDENTIFIED NEEDS BY SEEKING OUT PARTNERSHIPS AND OPPORTUNITIES WHICH WILL TARGET THE IDENTIFIED NEEDS. SELECTION OF STAFF TAKES INTO CONSIDERATION THE INDIVIDUAL AND CULTURAL COMPOSITION OF THE COMMUNITIES TO BE SERVED. WE HAVE FOUND THAT INDIVIDUALS IDENTIFIY MORE CLOSELY AND ARE MORE INCLINED TO PARTICIPATE IN PROGRAMS WHERE THERE ARE INDIVIDUALS OF SIMILAR CHARACTERISTICS. ONCE STAFF IS SELECTED, TRAINING AND SUPERVISION OCCUR ON AN ON-GOING BASIS TO ASSURE THAT TARGETED GOALS ARE BEING MET AND THAT THE COMMUNITY IS POSITIVELY RESPONDING TO PROGRAMS. COMMUNITY PROGRAMS TAKE PLACE IN SEVERAL VENUES SUCH AS SCHOOLS, HOSPITALS, HOUSING UNITS, COMMUNITY CENTERS, CHURCHES AND SHOPPING AREAS. EACH ENCOUNTER IS INTENDED TO RAISE AWARENESS ABOUT COMMUNITY HEALTH AND RESOURCES THAT ARE AVAILABLE TO ADDRESS COMMUNITY HEALTH NEEDS. COMMUNICATION REGARDING COMMUNITY HEALTH ACTIVITIES IS IN THE FORM OF FLYERS, POSTERS, BUSINESS CARDS, TELEVISION, RADIO AND NEWSPRINT. HEALTH LITERACY IS TAKEN INTO CONSIDERATION WHEN GENERATING ALL COMMUNITY HEALTH COMMUNICATIONS. AS WE CONTINUE WORKING TOWARD ACHIEVING THE HEALTHY PEOPLE 2020 GOALS FOR DELAWARE COUNTY WE MUST BUILD HEALTHY COMMUNITY PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS AND INDIVIDUALS. IT IS IMPERATIVE THAT ALL SECTORS OF THE COMMUNITY (HEALTHCARE, BUSINESS, EDUCATION, GOVERNMENT, LAW ENFORCEMENT, PUBLIC HEALTH AND OTHERS) RECOGNIZE AND EMBRACE THEIR PUBLIC ACCOUNTABILITY FOR COMMUNITY HEALTH. A TRULY HEALTHY COMMUNITY REQUIRES A COLLABORATIVE EFFORT BY ALL THE SHAREHOLDERS IN THE COMUNITY. CKHS IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR ALL WHO LIVE, WORK AND PLAY IN DELAWARE COUNTY. SCHEDULE H, PART VI; QUESTION 3 CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. IN ADDITION, PLEASE REFER TO THE RESPONSE FOR PART III, SECTION B; QUESTION 9B. SCHEDULE H, PART VI; QUESTION 4 THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN CHESTER TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN UPLAND, PA, IN DELAWARE COUNTY. DELAWARE COUNTY IS THE FIFTH MOST POPULOUS COUNTY IN THE STATE WITH 49 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. ABOUT 34% OF ITS INPATIENTS ARE OF MINORITY RACE/ETHNICITY. IN ADDITION, APPROXIMATELY 6% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. SCHEDULE H, PART VI; QUESTION 5 THE ORGANIZATION, AND THE ENTIRE CROZER-KEYSTONE HEALTH SYSTEM PROMOTE THE HEALTH OF THE COMMUNITY ON A DAILY BASIS THROUGHOUT THE YEAR. THE SYSTEM COORDINATES AND OFFERS NUMEROUS COMMUNITY BENEFIT PROGRAMS, ACTIVITIES, AND SUPPORT GROUPS TO THE COMMUNITY. PLEASE REFER TO SCHEDULE O FOR A DETAILED COMMUNITY BENEFIT STATEMENT. SCHEDULE H, PART VI; QUESTION 6 NOT FOR PROFIT CROZER-KEYSTONE HEALTH SYSTEM AND AFFILIATES ENTITIES: CROZER-KEYSTONE HEALTH SYSTEM CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS A NOT FOR PROFIT HOLDING COMPANY BASED IN SPRINGFIELD, PENNSYLVANIA. CKHS IS THE SOLE CORPORATE MEMBER OF A NUMBER OF NOT FOR-PROFIT ENTITIES AND THE SOLE SHAREHOLDER OF VARIOUS OTHER FOR-PROFIT ENTITIES. AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, CKHS STRIVES TO CONTINUALLY DEVELOP AND OPERATE AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES A COMPREHENSIVE SPECTRUM OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE RESIDENTS OF PENNSYLVANIA COUNTIES INCLUDING DELAWARE, CHESTER, MONTGOMERY AND PHILADELPHIA, PENNSYLVANIA, SOUTHERN NEW JERSEY AND NORTHERN DELAWARE. CROZER-KEYSTONE HEALTH SYSTEM IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). CKHS ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. CROZER-KEYSTONE HEALTH SYSTEM HOSPITALS INCLUDE: CROZER-CHESTER MEDICAL CENTER AND DELAWARE COUNTY MEMORIAL HOSPITAL. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH OPERATE AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF CROZER-KEYSTONE HEALTH SYSTEM. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. CROZER-CHESTER MEDICAL CENTER CROZER-CHESTER MEDICAL CENTER ("CCMC") IS COMPRISED OF THE FOLLOWING HOSPITALS: CROZER-CHESTER MEDICAL CENTER, A 430-BED NON-PROFIT TEACHING HOSPITAL LOCATED IN UPLAND, DELAWARE COUNTY, PENNSYLVANIA, SPRINGFIELD HOSPITAL, A 25-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN SPRINGFIELD, DELAWARE COUNTY, PENNSYLVANIA AND TAYLOR HOSPITAL, A 105-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN RIDLEY PARK, DELAWARE COUNTY, PENNSYLVANIA. CCMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CCMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, CCMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. DELAWARE COUNTY MEMORIAL HOSPITAL DELAWARE COUNTY MEMORIAL HOSPITAL ("DCMH") IS A 168-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN DREXEL HILL, DELAWARE COUNTY, PENNSYLVANIA. DCMH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, DCMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, DCMH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. CROZER-CHESTER FOUNDATION CROZER-CHESTER FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF CROZER-CHESTER MEDICAL CENTER; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DELCO MEMORIAL FOUNDATION DELCO MEMORIAL FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF DELAWARE COUNTY MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. HEALTH ACCESS NETWORK HEALTH ACCESS NETWORK IS AN AFFILIATE OF CROZER-KEYSTONE HEALTH SYSTEM, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. HEALTH ACCESS NETWORK IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. DELCO SYSTEM SERVICES, INC. DELCO SYSTEM SERVICES, INC. IS AN INACTIVE ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION WAS CREATED TO PROVIDE NURSING HOME SERVICES IN SUPPORT OF ALL AFFILIATES WITHIN THE CROZER-KEYSTONE HEALTH SYSTEM. FOR PROFIT CROZER-KEYSTONE HEALTH SYSTEM AND AFFILIATES ENTITIES: CROZER-KEYSTONE SERVICES A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CROZER-KEYSTONE HEALTH SYSTEM. THE ORGANIZATION IS LOCATED IN UPLAND, DELAWARE COUNTY, PENNSYLVANIA. THE ORGANIZATION PROVIDES VARIOUS SERVICES TO INDIVIDUALS AND COMPANIES IN SUPPORT OF CKHS AND AFFILIATES. PENNSYLVANIA HEALTH CLUB, INC. A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS CROZER-KEYSTONE SERVICES. THE ORGANIZATION IS LOCATED IN SPRINGFIELD, DELAWARE COUNTY, PENNSYLVANIA. THE ORGANIZATION PROVIDES VARIOUS SERVICES TO INDIVIDUALS AND COMPANIES IN SUPPORT OF CKHS AND AFFILIATES. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE COMMONWEALTH OF PENNSYLVANIA. true CROZER-KEYSTONE HEALTH SYSTEM 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 222540851 501(C)(3) 1875000 PROGRAM SUPPORT 1 TUITION ASSISTANCE 688 1423929 COST TUITION ASSIST PROG SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X false true false false false false false true false PATRICK J GAVIN DIRECTOR - EVP/COO 455079 0 108105 0 12910 0 104216 0 32366 0 712676 0 0 0 THOMAS J MATULEWSKI MD DIRECTOR 0 295923 0 84515 0 15002 0 17300 0 20171 0 432911 0 0 JOAN K RICHARDS DIRECTOR - ASST TREASURER 0 794092 0 210648 0 139205 0 192942 0 19182 0 1356069 0 120137 KEVIN P CAPUTO MD PRESIDENT, COMMUNITY HOSPITAL 0 379931 0 128448 0 3642 0 17300 0 27996 0 557317 0 0 DONALD W LEGREID ESQ ASST SEC. - VP/GENERAL COUNSEL 0 295701 0 50250 0 2322 0 16300 0 23036 0 387609 0 0 DIANE C MILLER TERM 22614 PRESIDENT, TAYLOR HOSPITAL 261569 0 43567 0 4403 0 17300 0 19596 0 346435 0 0 0 ROBERT HAFFEY EFF 22714 PRESIDENT TAYLOR HOSP & DCMH 262891 0 45278 0 0 0 16300 0 29675 0 354144 0 0 0 GWENDOLYN SMITH PRESIDENT, SPRINGFIELD HOSP. 223238 0 38023 0 3911 0 15621 0 19443 0 300236 0 0 0 PHILIP J RYAN CPA ASST TREASURER - SVP/CFO 0 425262 0 101375 0 16814 0 104067 0 30434 0 677952 0 0 ROBERT E WILSON RET 123113 ASST SECRETARY-SVP/ADMIN & CIO 0 398249 0 93800 0 225821 0 127745 0 13024 0 858639 0 222257 STEPHEN A DIMAMBRO VP, SUPPORT SVCS(TERM 2/26/14) 191180 0 32763 0 3329 0 13736 0 27773 0 268781 0 0 0 CAROLE EISEN MD PHYSICIAN ADVISOR 222110 0 0 0 1363 0 13500 0 1611 0 238584 0 0 0 LIANG SONG CHIEF PHYSICIST 213300 0 0 0 1040 0 15542 0 15814 0 245696 0 0 0 NANCY A POLITARHOS AVP,NURSING SVCS(TERM 2/26/14) 158148 0 21869 0 2073 0 11792 0 18211 0 212093 0 0 0 LINDA RAMSEY AVP 153603 0 21186 0 2005 0 11486 0 13589 0 201869 0 0 0 PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2013 FORMS W-2. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B (III) FOR THE FOLLOWING INDIVIDUALS INCLUDES AMOUNTS RELATING TO PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE INDIVIDUALS HAVE SATISFIED BOTH THE AGE AND THE YEARS OF SERVICE REQUIREMENTS SPECIFIED BY THE SERP. THESE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, box 5, AS TAXABLE MEDICARE WAGES: JOAN K. RICHARDS, $120,137 AND ROBERT E. WILSON, $222,257. HOWEVER, THE INDIVIDUALS DID NOT ACTUALLY RECEIVE ALL OF THESE FUNDS. THE INDIVIDUALS ONLY RECEIVED AN AMOUNT SUFFICIENT TO COVER THEIR RESPECTIVE INDIVIDUAL FEDERAL AND STATE TAX LIABILITIES ASSOCIATED WITH THEIR GROSS AMOUNT. IN ADDITION THESE FUNDS STILL REMAIN SUBJECT TO A RISK OF RECEIPT BY THE INDIVIDUALS UNTIL THEIR RETIREMENT FROM EMPLOYMENT AT THE CROZER-KEYSTONE HEALTH SYSTEM. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THESE INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: PATRCIK J. GAVIN, $87,916; JOAN K. RICHARDS, $175,642; PHILIP J. RYAN, CPA, $86,767 AND ROBERT E. WILSON, $124,833. 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. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES AS FOLLOWS: JOAN K. RICHARDS, $120,137 AND ROBERT E. WILSON, $222,257. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS ACCRUED NON-TAXABLE BENEFITS. A DELAWARE COUNTY AUTHORITY 231973437 246006QB9 2005-03-02 24873051 REFUND 93 BONDS, CAP RENO/IMPR false false false B DELAWARE COUNTY AUTHORITY 231973437 246006QQ6 2006-12-21 108624866 REFUND 94 BONDS, CAP RENO/IMPR false false true C DELAWARE COUNTY AUTHORITY 231973437 246006RG7 2010-08-02 30000000 REFUND 02 VARIABLE BONDS false false true D DELAWARE COUNTY AUTHORITY 231973437 2012-04-12 31000000 REFUND 98 BONDS, CAP RENO/IMPR false false true A 0 0 25428479 2009446 0 0 352901 0 0 22815327 0 0 2006 true false true true B 0 0 66581358 4608989 0 7437895 384830 0 0 54003780 0 0 2009 true true true true C 0 0 22360771 0 0 0 86256 0 0 0 0 0 2010 true true true true D 0 0 31000000 0 0 0 175117 0 0 10950000 0 0 2012 true true true true A false false false false 0 true false false true B false false false false 0 true false false true C false false false false 0 true false false true D false false false false 0 true false false true A true false false 0 false 0 false true B false false false 0 false 0 false true C false false false 0 false 0 false true D false false false 0 false 0 false true A true B true C true D true ELLEN M OETINGER FAMILY MEMBER - OETINGER 11187 EMPLOYEE false ASSOCIATES IN ANESTHESIA INC DIRECTOR - BABIAK 6732257 MEDICAL SERVICES false SCHEDULE L, PART IV OLESH BABIAK, M.D. IS A DIRECTOR OF THE ORGANIZATION. THE ORGANIZATION UTILIZED THE SERVICES OF HIS COMPANY, ASSOCIATES IN ANESTHESIA, INC., DURING THE FISCAL YEAR ENDED JUNE 30, 2014. TOTAL FEES PAID TO ASSOCIATES IN ANESTHESIA, INC. WERE $6,732,257. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. CORE FORM, PART III BACKGROUND ========== CROZER-CHESTER MEDICAL CENTER ("CCMC") IS A GENERAL MEDICAL AND SURGICAL HOSPITAL. CCMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C) (3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, CCMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, CCMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. CCMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. CCMC OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. CCMC MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF CCMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF CROZER-KEYSTONE HEALTH SYSTEM. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF CCMC, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THE HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT AND THAT THE USE AND CONTROL OF CCMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. CCMC'S SOLE CORPORATE MEMBER IS CROZER-KEYSTONE HEALTH SYSTEM ("CKHS"), A TAX-EXEMPT PENNSYLVANIA NON-PROFIT PARENT CORPORATION. CROZER-KEYSTONES HEALTH SYSTEM IS A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTING OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE COMMONWEALTH OF PENNSYLVANIA PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER CKHS OR ANOTHER CKHS AFFILIATE CONTROLLED OR OWNED BY CKHS. CKHS PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, CKHS PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH AND SENIOR SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. CKHS MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF CHARITY CARE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. CROZER-CHESTER MEDICAL CENTER ============================= CCMC IS A LICENSED 430-BED NOT-FOR-PROFIT TEACHING HOSPITAL. CROZER-CHESTER MEDICAL CENTER WAS ESTABLISHED IN 1963 WITH THE MERGER OF CHESTER HOSPITAL (C. 1883) AND CROZER HOSPITAL (C. 1902), AND BECAME ONE OF THE FOUNDING HOSPITALS OF CKHS IN 1990. TODAY, CCMC'S TOTAL ADMISSIONS AND OBSERVATIONS EXCEED 18,000, CCMC TREATS APPROXIMATELY 52,200 EMERGENCY DEPARTMENT PATIENTS, AND DELIVERS ABOUT 1,600 BABIES A YEAR. IN 2006, CCMC OPENED THE DOORS TO A NEW 40,000 SQUARE FOOT EMERGENCY DEPARTMENT, WHICH MORE THAN DOUBLED THE SPACE AND ENHANCED PRIVACY AND COMFORT FOR PATIENTS AND FAMILIES. IN 2007, THE CROZER-KEYSTONE CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE OPENED ON THE CROZER CAMPUS, OFFERING PATIENTS WITH CHRONIC WOUNDS ADVANCED OUTPATIENT WOUND CARE DELIVERED BY A MULTIDISCIPLINARY TEAM OF SPECIALISTS. AND IN 2008, THE BERTRAM SPEARE OUTPATIENT PAVILION OPENED, OFFERING IMPROVED ACCESS FOR PEOPLE COMING TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. MISSION STATEMENT ================= CCMC IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE. THROUGH A SEAMLESS, USER-FRIENDLY CONTINUUM OF QUALITY HEALTH SERVICES INCLUDING PRIMARY AND HEALTH PROMOTION, ACUTE AND LONG-TERM CARE, THROUGH REHABILITATION AND RESTORATIVE CARE, CROZER-KEYSTONE WILL DEPLOY ITS RESOURCES IN A COST-EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER. WORKING IN PARTNERSHIP WITH OUR PHYSICIANS AND OTHER HEALTH PROFESSIONALS, WE WILL SEEK TO FORGE NEW ALLIANCES WITH OTHER COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS. WORKING WITH OUR COMMUNITY, OUR GOAL IS TO BUILD A HEALTHY PLACE TO LIVE AND WORK, AND A SOUND ENVIRONMENT IN WHICH TO BUILD AND MAINTAIN OUR FAMILIES. CCMC'S FEATURED SERVICES INCLUDE: - ACUTE CARE OF ELDERS (ACE) UNIT. - NATIONALLY RECOGNIZED NATHAN SPEARE REGIONAL BURN TREATMENT CENTER, CELEBRATING 40 YEARS OF CARE. - COMPREHENSIVE CARDIAC SERVICES, INCLUDING OPEN HEART SURGERY AND INTERVENTIONAL CARDIOLOGY PROCEDURES. - CENTER FOR MATERNAL FETAL MEDICINE. - CENTER FOR MINIMALLY INVASIVE AND BARIATRIC SURGERY, NAMED A CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. - CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE. - CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. - CERTIFIED BY THE JOINT COMMISSION IN HIP AND KNEE REPLACEMENT SURGERY. - CROZER REGIONAL TRAUMA CENTER, THE ONLY ONE OF ITS KIND IN DELAWARE COUNTY, AS WELL AS AN INPATIENT SHOCK TRAUMA UNIT. - CROZER REPRODUCTIVE ENDOCRINOLOGY AND FERTILITY CENTER. - EMERGENCY DEPARTMENT. - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP: CROZER REGIONAL CANCER CENTER. CROZER HAS BEEN HONORED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS AND IS CERTIFIED BY THE JOINT COMMISSION IN BREAST CANCER CARE. - FULL RANGE OF MUSCULOSKELETAL SERVICES, INCLUDING ORTHOPAEDIC, REHABILITATION, SPINE AND SPORTS MEDICINE SERVICES AS WELL AS A DEDICATED JOINT/SPINE UNIT FOR INPATIENTS. - GASTROENTEROLOGY SERVICES, INCLUDING ENDOSCOPY LABORATORY. - INPATIENT PEDIATRIC UNIT. - INTERVENTIONAL RADIOLOGY. - CROZER-KEYSTONE REGIONAL KIDNEY TRANSPLANT CENTER AT CROZER-CHESTER MEDICAL CENTER. - LEVEL III INTENSIVE CARE NURSERY. - MATERNITY CENTER AND COMPREHENSIVE GYNECOLOGIC SERVICES. - MEDICAL IMAGING SERVICES, INCLUDING MRI AND WOMEN'S IMAGING. CROZER HAS BEEN NAMED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY. - MULTIPLE SCLEROSIS CENTER. - PARKINSON'S DISEASE AND MOVEMENT DISORDERS CENTER. - PEDIATRIC SLEEP CENTER. - SURGICAL SERVICES, INPATIENT AND OUTPATIENT, INCLUDING THE DAVINCI SURGICAL SYSTEM. - VASCULAR AND ENDOVASCULAR CARE. TAYLOR HOSPITAL =============== TAYLOR HOSPITAL (C. 1910), A DIVISION OF CROZER-CHESTER MEDICAL CENTER, JOINED CKHS IN 1997. IT IS A 105-BED NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT OFFERS A RANGE OF ACUTE AND SPECIALIZED SERVICES. TAYLOR HOSPITAL'S ADMISSIONS AND OBSERVATIONS ARE ABOUT 6,800 PATIENTS AND TAYLOR HOSPITAL RECEIVES ABOUT 27,000 EMERGENCY DEPARTMENT VISITS. FEATURED SERVICES INCLUDE: - CARDIAC CATHETERIZATION LABORATORY AND CARDIOVASCULAR LABORATORY. - CARDIAC SERVICES. - CERTIFIED BY THE JOINT COMMISSION IN HIP AND KNEE REPLACEMENT SURGERY. - CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. - CROZER-KEYSTONE HOSPICE RESIDENTS AT TAYLOR HOSPITAL. - CROZER-KEYSTONE SLEEP DISORDERS CENTER AT TAYLOR HOSPITAL. - EMERGENCY DEPARTMENT. - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP. - FULL RANGE OF MUSCULOSKELETAL SERVICES, INCLUDING ORTHOPAEDIC, REHABILITATION, SPINE, HAND AND SPORTS MEDICINE SERVICES AS WELL AS THE ORTHOPAEDIC CENTER. - GASTROENTEROLOGY SERVICES, INCLUDING AN ENDOSCOPY LABORATORY. - INPATIENT AND OUTPATIENT SURGERY. - MEDICAL IMAGING SERVICES, INCLUDING WOMEN'S IMAGING, DEXA SCANNING AND MRI SERVICES. - SURGICAL SERVICES, INPATIENT AND OUTPATIENT. - THE TAYLOR REGIONAL REHABILITATION CENTER. - VASCULAR AND ENDOVASCULAR CARE. CORE FORM, PART III SPRINGFIELD HOSPITAL ==================== FOUNDED IN 1960, SPRINGFIELD HOSPITAL, A DIVISION OF CROZER-CHESTER MEDICAL CENTER, IS A 25-BED NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT PROVIDES COMPREHENSIVE ACUTE-CARE SERVICES AND WELLNESS CARE. SPRINGFIELD HOSPITAL'S ADMISSIONS AND OBSERVATIONS TOTAL 2,000 AND SPRINGFIELD HOSPITAL RECEIVES 13,300 EMERGENCY DEPARTMENT VISITS. SPRINGFIELD HOSPITAL IS CONNECTED TO THE PAVILIONS THAT HOUSE CKHS' CORPORATE OFFICES AND THE HEALTHPLEX SPORTS CLUB, (A FITNESS CENTER AND CERTIFIED OLYMPIC TRAINING FACILITY) SPRINGFIELD'S CLINICAL OFFERINGS INCLUDE: - CARDIAC SERVICES, INCLUDING CARDIAC REHABILITATION. - CENTER FOR DIABETES. - CENTER FOR DIZZINESS AND BALANCE. - CENTER FOR MINIMALLY INVASIVE SURGERY. - CENTER FOR PREVENTIVE MEDICINE, A CENTER FOR OCCUPATIONAL HEALTH AND A DESIGNATED UNITED STATES OLYMPIC COMMITTEE SPORTS SCIENCE AND TECHNOLOGY NATIONAL NETWORK SITE. - CRITICAL CARE UNIT. - DIAGNOSTIC IMAGING CENTER INCLUDING POSITRON EMISSION TOMOGRAPHY/COMPUTED. TOMOGRAPHY (PET/CT) IMAGING AND WOMEN'S IMAGING. - EMERGENCY DEPARTMENT. - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP. - FULL RANGE OF MUSCULOSKELETAL SERVICES, INCLUDING ORTHOPAEDIC, REHABILITATION, SPINE AND SPORTS MEDICINE SERVICES. - GASTROENTEROLOGY SERVICES. - MOORE EYE INSTITUTE. - PAIN MANAGEMENT CENTER. - PULMONARY REHABILITATION. - SPORTS MEDICINE INSTITUTE. - SURGICAL SERVICES, INPATIENT AND OUTPATIENT. ESTABLISHED IN 1996 TO COMPLEMENT THE FULL RANGE OF HEALTH AND WELLNESS PROGRAMS AT SPRINGFIELD HOSPITAL AND THROUGHOUT CKHS, THE HEALTHPLEX SPORTS CLUB IS CONSIDERED ONE OF THE LARGEST AND MOST FULLY INTEGRATED CENTERS OF ITS KIND IN THE UNITED STATES. MORE THAN 6,500 MEMBERS BELONG TO THE 176,000-SQUARE-FOOT SPORTS CLUB, WHICH OFFERS THE FOLLOWING PROGRAMS AND SERVICES: - MEMBER ORIENTATION PROGRAM FOR EACH NEW MEMBER. - SPACIOUS, STATE-OF-THE-ART FACILITIES, INCLUDING 2 INDOOR POOLS, 10 TENNIS COURTS, 3 NBA SIZE BASKETBALL COURTS, SQUASH/RACQUETBALL COURTS, 3 LANE 1/5 MILE INDOOR TRACK AND MORE. - OVER 100 GROUP FITNESS CLASSES PER WEEK, INCLUDING ZUMBA, BODY PUMP, BODY FLOW, PILATES, YOGA, SPINNING AND MORE. - COMPREHENSIVE PERSONAL TRAINING AND WELLNESS PROGRAMS FOR PEOPLE OF ALL AGES AND CONDITIONS. - FITNESS AREA FEATURING CARDIOVASCULAR AND STRENGTH-TRAINING EQUIPMENT. - SPECIAL AMENITIES LIKE THE SPA AT THE HEALTHPLEX, SAUNAS, STEAM ROOMS AND COLD PLUNGE. - LOCKER ROOMS AND TOWEL SERVICE. - KIDZ KLUB BABYSITTING AREA. - SMALL GROUP TRAINING STUDIO WITH TRX, P90X, CARDIO KICK, AND MORE - MIND AND BODY STUDIO WITH YOGA AND PILATES. - NUTRITION PROGRAMS AND COUNSELING. - MINDFULNESS-BASED STRESS REDUCTION (MBSR) COURSES. COMMUNITY HOSPITAL ================== COMMUNITY HOSPITAL, A DIVISION OF CROZER-CHESTER MEDICAL CENTER, COORDINATES A FULL RANGE OF OUTPATIENT BEHAVIORAL AND COMMUNITY HEALTH SERVICES AS WELL AS PRIMARY CARE. THE FACILITY WAS FOUNDED AS SACRED HEART HOSPITAL IN 1953 AND LATER RENAMED COMMUNITY HOSPITAL IN 1992 WHEN IT JOINED CKHS. TODAY, COMMUNITY HOSPITAL IS A SINGLE, CONVENIENT PLACE FOR FAMILIES TO COME FOR ALL OF THEIR SOCIAL SERVICE NEEDS. BY PARTNERING WITH 20-PLUS ORGANIZATIONS LIKE THE CHESTER EDUCATION FOUNDATION, THE CHESTER HOUSING AUTHORITY, AND CHESPENN HEALTH SERVICES - FEDERALLY FUNDED COMMUNITY HEALTH CENTERS - COMMUNITY HOSPITAL HAS BECOME A TRUE COMMUNITY ASSET. FEATURED SERVICES INCLUDE: - MENTAL HEALTH SERVICES. - ADULT AND PEDIATRIC PRIMARY CARE AND DENTISTRY THROUGH THE CHESPENN CENTER FOR FAMILY HEALTH. - THE WELLNESS CENTER AND CHESTER YOUTH COLLABORATIVE. - WOMEN'S AND CHILDREN'S HEALTH SERVICES, INCLUDING THE CROZER-KEYSTONE HEALTHY START PROGRAM, THE NURSE-FAMILY PARTNERSHIP AND THE HISPANIC RESOURCE CENTER. - SUBSTANCE ABUSE SERVICES. CROZER MEDICAL PLAZA AT BRINTON LAKE ==================================== THE CROZER MEDICAL PLAZA AT BRINTON LAKE, WHICH OPENED IN 2005, IS A COMPREHENSIVE OUTPATIENT CENTER LOCATED JUST OFF ROUTE 1 IN GLEN MILLS AT THE SHOPPES AT BRINTON LAKE. THE FACILITY PROVIDES WESTERN DELAWARE COUNTY AND CHESTER COUNTY RESIDENTS WITH CONVENIENT ACCESS TO AN ARRAY OF DIAGNOSTIC, SURGICAL, AND PHYSICIAN SERVICES, INCLUDING FULL-SERVICE MEDICAL IMAGING AND OUTPATIENT SURGERY CENTERS. FEATURED SERVICES INCLUDE: - ASTHMA AND ALLERGY. - CARDIOLOGY. - CROZER-KEYSTONE/PHILADELPHIA HAND CENTER PARTNERSHIP. - DIABETES EDUCATION. - DIALYSIS ACCESS CENTER. - ENDOCRINOLOGY. - FAMILY MEDICINE. - GASTROENTEROLOGY. - GENERAL SURGERY. - LABORATORY SERVICES. - MEDICAL IMAGING/RADIOLOGY. - NEUROLOGY. - OB/GYN. - OPHTHALMOLOGY. - ORTHOPAEDICS AND SPORTS MEDICINE. - OSTEOPOROSIS CENTER. - OUTPATIENT PHYSICAL THERAPY. - PAIN MANAGEMENT. - PODIATRY. - PULMONOLOGY. - SURGERY CENTER AT BRINTON LAKE (OUTPATIENT SURGERY CENTER). - UROGYNECOLOGY. - VASCULAR AND ENDOVASCULAR. - VEIN CENTER. CROZER HEALTH PAVILION ====================== THE OUTPATIENT FACILITY IS LOCATED JUST ACROSS ROUTE 1 FROM CROZER MEDICAL PLAZA AT BRINTON LAKE. FEATURED SERVICES INCLUDE: - FAMILY MEDICINE. - CROZER-KEYSTONE SLEEP CENTER AT BRINTON LAKE. - NEUROLOGY. CROZER MEDICAL PLAZA AND CROZER-KEYSTONE CANCER CENTER AT BRINTON LAKE ====================================================================== CROZER-KEYSTONE'S NEWEST OUTPATIENT CENTER FEATURES A FULL-SERVICE CANCER CENTER, AN ENDOSCOPY CENTER AND OTHER SPECIALTIES. FEATURED SERVICES INCLUDE: - CARDIOVASCULAR. - DERMATOLOGY. - EAR, NOSE AND THROAT. - ENDOSCOPY CENTER. - GASTROENTEROLOGY. - GENERAL AND BREAST SURGERY. - GYNECOLOGIC ONCOLOGY. - HEMATOLOGY/ONCOLOGY. - KIDNEY TRANSPLANT/HEPATOBILIARY PROGRAM. - MEDICAL ONCOLOGY. - MEDICAL IMAGING (PET-CT). - OB/GYN. - PODIATRY. - PSYCHOTHERAPY SERVICES. - PULMONOLOGY. - RADIATION ONCOLOGY. - UROLOGY. MEDIA MEDICAL PLAZA =================== TO PROVIDE MORE CONVENIENT ACCESS TO CROZER-KEYSTONE'S CLINICAL SERVICES AND PHYSICIANS, THE HEALTH SYSTEM EXPANDED MEDIA MEDICAL IMAGING IN 2006 TO BECOME THE MEDIA MEDICAL PLAZA. FEATURED SERVICES INCLUDE: - FAMILY MEDICINE. - CENTER FOR GERIATRIC MEDICINE. - GASTROENTEROLOGY. - INTERNAL MEDICINE. - LABORATORY SERVICES. - MEDIA MEDICAL IMAGING (MEDICAL IMAGING/RADIOLOGY, INCLUDING WOMEN'S IMAGING AND MRI). - OB/GYN. - ORTHOPAEDICS AND SPORTS MEDICINE, INCLUDING AN URGENT CARE CENTER. MISSION STATEMENT ================= CCMC IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE. THROUGH A SEAMLESS, USER-FRIENDLY CONTINUUM OF QUALITY HEALTH SERVICES INCLUDING PRIMARY AND HEALTH PROMOTION, ACUTE AND LONG-TERM CARE, THROUGH REHABILITATION AND RESTORATIVE CARE, CROZER-KEYSTONE WILL DEPLOY ITS RESOURCES IN A COST-EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER. WORKING IN PARTNERSHIP WITH OUR PHYSICIANS AND OTHER HEALTH PROFESSIONALS, WE WILL SEEK TO FORGE NEW ALLIANCES WITH OTHER COMMUNITY HEALTH AND SOCIAL SERVICE ORGANIZATIONS. WORKING WITH OUR COMMUNITY, OUR GOAL IS TO BUILD A HEALTHY PLACE TO LIVE AND WORK, AND A SOUND ENVIRONMENT IN WHICH TO BUILD AND MAINTAIN OUR FAMILIES. SELECTED ACCOMPLISHMENTS ========================== FOSTER G. MCGAW PRIZE FOR EXCELLENCE IN COMMUNITY SERVICE ========================================================= SELECTED AMONG HUNDREDS OF APPLICATIONS NATIONWIDE, CROZER-KEYSTONE WAS CHOSEN BY A NATIONAL COMMITTEE FOR THEIR COMMITMENT AND PASSION TO IMPROVING THE HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY. IN HONOR OF ITS BROAD-BASED EFFORTS TO IMPROVE THE LIVES OF THE MOST VULNERABLE MEMBERS OF ITS COMMUNITY, CROZER-KEYSTONE WAS RECENTLY RECOGNIZED AS THE RECIPIENT OF THE 2013 FOSTER G. MCGAW PRIZE FOR EXCELLENCE IN COMMUNITY SERVICE. THIS AWARD IS ONE OF THE MOST ESTEEMED COMMUNITY SERVICE HONORS IN HEALTHCARE AND IS AWARDED BY THE AMERICAN HOSPITAL ASSOCIATION. THE FOSTER G. MCGAW AWARD IS SPONSORED BY THE BAXTER INTERNAL FOUNDATION, THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HEALTH RESEARCH AND EDUCATIONAL TRUST. THIS AWARD ACKNOWLEDGES EXEMPLARY PROGRAMS THAT HAVE BEEN IN OPERATION FOR MORE THAN FIVE YEARS; ADDRESS THE ENTIRE LIFESPAN; TARGET THE REDUCTION OF INFANT MORTALITY; AND INCLUDE PROGRAMS THAT SUPPORT, EDUCATE AND ENABLE SENIORS TO REMAIN IN THEIR HOMES AS LONG AS POSSIBLE. "WORKING WITH ITS COMMUNITY, CROZER-KEYSTONE'S GOAL IS TO BUILD A HEALTHY PLACE TO LIVE AND WORK, AND A SOUND ENVIRONMENT IN WHICH TO BUILD AND MAINTAIN A FAMILY," SAID JOHN O'BRIEN, CHAIR OF THE FOSTER G. MCGAW PRIZE COMMITTEE. "THE SYSTEM'S EXEMPLARY COMMUNITY BENEFIT PROGRAMS ADDRESS THE ENTIRE LIFESPAN - FROM PROGRAMS THAT TARGET THE REDUCTION OF INFANT MORTALITY TO PROGRAMS THAT SUPPORT, EDUCATE AN ENABLE SENIORS TO REMAIN IN THEIR HOMES AS LONG AS POSSIBLE." CORE FORM, PART III PRYSM YOUTH CENTER OF DELAWARE COUNTY ===================================== IN AN EFFORT TO INCREASE OUR CAPACITY TO REACH UNDERSERVED POPULATIONS, CKHS COMMUNITY HEALTH EDUCATION PARTNERED WITH THE PRYSM YOUTH CENTER WHICH SERVES THE LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER, QUESTIONING AND INTERSEX (LGBTQQI) YOUTH IN DELAWARE COUNTY. IN A NATIONAL STUDY OF MIDDLE AND HIGH SCHOOL STUDENTS, LGBT STUDENTS (61.1%) WERE MORE LIKELY THAN THEIR NON-LGBT PEERS TO FEEL UNSAFE OR UNCOMFORTABLE AS A RESULT OF THEIR SEXUAL ORIENTATION. EXPOSURE TO VIOLENCE CAN HAVE NEGATIVE EFFECTS ON THE EDUCATION AND HEALTH OF LGBT YOUTH. OVERALL, THE STRESSES EXPERIENCED BY LGBT YOUTH ALSO PUT THEM AT GREATER RISK FOR MENTAL HEALTH PROBLEMS, SUBSTANCE USE, AND PHYSICAL HEALTH PROBLEMS. THE MISSION OF THE PRYSM YOUTH CENTER OF DELAWARE COUNTY IS TO PROVIDE LGBTQQI YOUTH WITH A SAFE, SUPPORTIVE, NON-JUDGMENTAL ENVIRONMENT WHERE THEY CAN MEET REGULARLY AND BE THEMSELVES. THE CENTER FACILITATES SOCIAL, EDUCATIONAL AND SUPPORTIVE ACTIVITIES FOR THE YOUTH. AT THE BEGINNING OF THE 2013-2014 SCHOOL YEAR, CKHS COMMUNITY HEALTH EDUCATION OFFERED TO HOST A SECONDARY SPACE FOR PRYSM IN CHESTER CITY. THE LOCATION NOW CALLED "SAPPHIRE SPACE" PROVIDES A SAFE SPACE FOR LGBTQQI YOUTH IN CHESTER AND THE SURROUNDING COMMUNITIES TO COME ON A BIWEEKLY BASIS. IN ADDITION, CKHS COMMUNITY HEALTH EDUCATION HAS BEEN ABLE TO PROVIDE EDUCATION TO THE LGBTQQI YOUTH ON CERTAIN HEALTH TOPICS SUCH AS TOBACCO PREVENTION, HEALTHY EATING AND PHYSICAL ACTIVITY. THE TWO GROUPS HAVE ALSO PARTNERED TO PROVIDE DIVERSITY/SENSITIVITY TRAININGS TO HEALTH PROFESSIONALS AND SCHOOL PROFESSIONALS. DELAWARE COUNTY ANTI-BULLYING COALITION ======================================= BULLYING IS ONE TYPE OF YOUTH VIOLENCE THAT THREATENS YOUNG PEOPLE'S WELL-BEING. BULLYING CAN RESULT IN PHYSICAL INJURIES, SOCIAL AND EMOTIONAL DIFFICULTIES, AND ACADEMIC PROBLEMS. THE HARMFUL EFFECTS OF BULLYING ARE FREQUENTLY FELT BY OTHERS, INCLUDING FRIENDS AND FAMILIES, AND CAN HURT THE OVERALL HEALTH AND SAFETY OF SCHOOLS, NEIGHBORHOODS, AND SOCIETY. SEEING BULLYING AS A TRENDING TOPIC AND PERTINENT TO THE OVERALL HEALTH OF YOUTH, CKHS COMMUNITY HEALTH EDUCATION PARTNERED WITH INTERNAL AND EXTERNAL PARTNERS TO CREATE THE DELAWARE COUNTY ANTI-BULLYING COALITION. THE DELAWARE COUNTY ANTI-BULLYING COALITION (DABC) STRIVES TO INCREASE COMMUNITY AWARENESS OF BULLYING AND PROMOTE POSITIVE DIALOGUE BETWEEN YOUTH, PARENTS, SCHOOL AND THE COMMUNITY. THE DABC HOPES TO PROVOKE CONSTRUCTIVE CONVERSATIONS REGARDING BULLYING THROUGH COMMUNITY ENGAGEMENT ACTIVITIES. IN COMMUNITY FORUMS THROUGHOUT THE YEAR, DABC HOSTED SCREENINGS OF THE AWARD WINNING DOCUMENTARY "BULLY". FILMED OVER THE COURSE OF THE 2009/2010 SCHOOL YEAR, BULLY OPENS A WINDOW ONTO THE PAINED AND OFTEN ENDANGERED LIVES OF BULLIED KIDS, REVEALING A PROBLEM THAT TRANSCENDS GEOGRAPHIC, RACIAL, ETHNIC AND ECONOMIC BORDERS. THROUGH THESE FORUMS, DABC INCREASED AWARENESS AND OPENED THE FLOOR TO POSITIVE DIALOGUE IN REGARDS TO HOW THE COMMUNITY COULD PREVENT AND DECREASE BULLYING. INTEGRATED HEALTH PRACTICES FOR PHYSICAL AND MENTAL WELL BEING ============================================================== PHYSICAL HEALTH CONDITIONS AMONG PEOPLE WITH SERIOUS MENTAL ILLNESSES IMPACT THEIR QUALITY OF LIFE AND CONTRIBUTE TO DISPROPORTIONATE PREMATURE DEATH. IN 2006, THE NATIONAL ASSOCIATION OF STATE MENTAL HEALTH PROGRAM DIRECTORS (NASMHPD) ISSUED A TECHNICAL REPORT, MORBIDITY AND MORTALITY IN PEOPLE WITH SERIOUS MENTAL ILLNESS, WHICH REVEALED THAT PEOPLE WITH SERIOUS MENTAL ILLNESS ON THE AVERAGE DIE 25 YEARS EARLIER THAN PEOPLE WITHOUT SERIOUS MENTAL ILLNESS. WE HAVE SEEN CLIENTS IN THEIR LATE 40'S AND 50'S DIE FROM CHRONIC PHYSICAL ILLNESS THAT WAS NOT TREATED OR ADDRESSED. FOR THE LAST SEVERAL YEARS CKHS BEHAVIORAL HEALTH SERVICES HAS BEEN WORKING WITH CLIENTS TO IDENTIFY WELLNESS GOALS, REMOVE BARRIERS TO SECURING PRIMARY CARE AND WORK TOWARDS PHYSICAL AS WELL AS MENTAL WELL BEING. OUR EFFORTS HAVE INCLUDED EDUCATING ALL LEVELS OF MENTAL HEALTH STAFF TO THE IMPORTANCE OF ADDRESSING PHYSICAL HEALTH ISSUES; WORKING WITH CLIENTS TO DEVELOP PHYSICAL WELLNESS GOALS AND MONITORING THEIR PROGRESS; AND PROVIDING INDIVIDUAL EDUCATION AND WELLNESS ACTIVITIES. WE HAVE A NURSE NAVIGATOR, MARY ZECCA, WHO COORDINATES WELLNESS EDUCATION, COLLABORATES WITH STAFF TO IDENTIFY AT RISK CLIENTS, AND ASSISTS THEM IN DEVELOPING WELLNESS GOALS COLLABORATIVELY WITH THEIR CLIENTS. THE NURSE NAVIGATOR MAKES CONTACT WITH CLIENTS WHO AGREE TO EDUCATION AND CONDUCTS WELLNESS ACTIVITIES. SHE HAS BEEN SUCCESSFUL WITH MANY CLIENTS IN WEIGHT LOSS, SMOKING CESSATION OR DECREASE IN USE, GETTING CLIENTS TO UTILIZE PRIMARY CARE AND OVERALL ADOPTING MORE HEALTHY PRACTICES AND MAKING BETTER CHOICES. THE NUMBERS OF CLIENTS PARTICIPATING IN THESE ACTIVITIES IS INCREASING AND WE HAVE A NUMBER OF INDIVIDUAL SUCCESS STORIES. IT WILL TAKE MANY YEARS TO REVERSE THE DISTURBING TREND OF SHORTER LIFE EXPECTANCY FOR CLIENTS WITH SERIOUS MENTAL ILLNESS BUT WITH PROGRAMS LIKE OUR INTEGRATED HEALTH AND THE COMMITMENT OF OUR NURSE NAVIGATOR AND MENTAL HEALTH STAFF WE WILL HOPEFULLY BEGIN TO MAKE PROGRESS. PEDIATRIC ASTHMA TASK FORCE OF DELAWARE COUNTY ============================================== THE KIDS ASTHMA MANAGEMENT PROGRAM PROVIDES PRIMARY STAFF SUPPORT FOR THE PEDIATRIC ASTHMA TASK FORCE OF DELAWARE COUNTY (PATF) AND DR. VATSALA RAMPRASAD, CKHS PEDIATRIC PULMONOLOGIST IS THE CONVENER. PATF IS A COALITION OF PROVIDERS, MANAGED CARE ORGANIZATIONS, SCHOOL NURSES, UNIVERSITIES, EPA AND OTHER GOVERNMENT REPRESENTATIVES, AMERICAN LUNG ASSOCIATION AND OTHER STAKEHOLDERS WORKING TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR CHILDREN WITH ASTHMA THROUGH COLLABORATIVE CARE PRACTICES, EDUCATION, ADVOCACY, AND COMMUNITY PARTNERSHIPS THAT ALSO INCORPORATE SUSTAINABILITY. SOME OF PATF'S PROGRAMS INCLUDE ANNUAL ASTHMA AWARENESS MONTH FAIRS, EDUCATIONAL LITERATURE DEVELOPMENT AND DISTRIBUTION FOR FAMILY AND PROVIDERS, AND OUTREACH TO ENTITIES SUCH AS THE DELAWARE COUNTY SCHOOL NURSE ASSOCIATION. THE MISSION OF THE TASK FORCE IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR CHILDREN WITH ASTHMA THROUGH COLLABORATIVE CARE PRACTICES, EDUCATION, ADVOCACY, AND COMMUNITY PARTNERSHIPS THAT ALSO INCORPORATE SUSTAINABILITY. SPECIFIC OBJECTIVES OF THE TASK FORCE ARE: - TO COLLECT LOCAL ASTHMA PREVALENCE DATA BASED ON SUCH ENTITIES AS CENSUS TRACTS, ZIP CODES, SCHOOL DISTRICTS, ER LISTINGS OR OTHER AVENUES, IDENTIFYING RESOURCES TO SUPPORT DATA COLLECTION. - TO FOSTER COLLABORATION IN THE IDENTIFICATION OF FUNDING SOURCES AND THE SUBSEQUENT DEVELOPMENT AND SUBMISSION OF GRANT PROPOSALS RELATED TO PEDIATRIC ASTHMA, INCLUDING ITS RELATIONSHIP TO OBESITY AND SLEEP APNEA. - TO BE A FORUM FOR COMMUNITY EFFORTS IN PEDIATRIC ASTHMA CONTROL THAT IMPROVES CLINICAL CARE, CHILD/FAMILY SELF-MANAGEMENT AND QUALITY OF LIFE. - TO ADVOCATE FOR THE REIMBURSEMENT OF PATIENT EDUCATION AND HOME-BASED ENVIRONMENTAL REMEDIATION CONDUCTED BY BOTH CLINICAL AND PARAPROFESSIONAL STAFF. BRINGING PEOPLE TO THE TABLE ---------------------------- THE COMMUNITY HEALTH COMMITTEE MEETING BRINGS INDIVIDUALS TOGETHER FROM ACROSS THE SYSTEM. THIS OPPORTUNITY TO SHARE IDEAS AND INFORMATION, AND TO COLLABORATE IN THEIR EFFORTS TO PROVIDE OUTREACH AND IMPROVE THE HEALTH OF OUR COMMUNITY. BLUEPRINTS/PEER LEADER PROGRAM ------------------------------ LAUNCHED IN 2006, BLUEPRINTS IS AN EVOLUTION OF THE PEER LEADER PROGRAM, WHICH WAS CROZER WELLNESS CENTER'S FIRST YOUTH LEADERSHIP PROGRAM AND WHICH STARTED IN 1996. THE PROGRAM IS OPEN TO YOUTH RESIDING WITHIN THE BOUNDARIES OF THE CHESTER UPLAND SCHOOL DISTRICT WHO (PRIOR TO ENROLLMENT) HAD ONE OR MORE RESEARCH-IDENTIFIED RISK FACTORS FOR DROP-OUT. THE PROGRAM HAD A CAPACITY TO SERVE 40 YOUTH PER YEAR, AND IS COHORT BASED. OUR CURRENT COHORT OF PARTICIPANTS WILL HAVE BEEN IN 8TH GRADE IN THE 2012/2013 ACADEMIC YEAR, AND WE WILL FOLLOW THEM THROUGH HIGH SCHOOL GRADUATION IN THE 2016/2017 ACADEMIC YEAR. BLUEPRINTS IS A YEAR-ROUND OUT-OF SCHOOL PROGRAM OPERATED IN PARTNERSHIP WITH SWARTHMORE COLLEGE'S BLACK CULTURAL CENTER AND THE COLLEGE ACCESS CENTER OF DELAWARE COUNTY. THROUGH THE PARTNERSHIP SWARTHMORE COLLEGE STUDENTS ARE RESPONSIBLE TO FACILITATE TUTORING, MENTORING AND CULTURAL ENRICHMENT ACTIVITIES. COLLEGE ACCESS CENTER STAFF MEMBERS ARE RESPONSIBLE TO PROVIDE CAREER EXPOSURE AND COLLEGE ACCESS GUIDANCE. CROZER WELLNESS CENTER STAFF MEMBERS ARE RESPONSIBLE TO FACILITATE COMMUNITY SERVICE EXPERIENCES, TO PROVIDE MEMBERS WITH LIFE SKILLS & RISK REDUCTION EDUCATION, TO TRAIN PARTICIPANTS TO TAKE ON THE ROLE OF PEER EDUCATORS OR "PEER LEADERS", AND TO COORDINATE SPECIAL/FAMILY/RECOGNITION EVENTS. CORE FORM, PART III CENTERS OF EXCELLENCE ===================== 1. CROZER REGIONAL CANCER CENTER (CROZER-CHESTER MEDICAL CENTER) ---------------------------------------------------------------- LOCATED AT CROZER-CHESTER MEDICAL CENTER, THE FOUR-STORY CANCER CENTER BRINGS ADVANCED TECHNOLOGY, PROGRAMS AND SERVICES TOGETHER IN ONE LOCATION - PROVIDING A LEVEL OF CARE THAT RIVALS ANY UNIVERSITY-BASED CANCER CENTER IN THE WORLD. AS PART OF CKHS, THE CANCER CENTER HOUSES COMPREHENSIVE DIAGNOSTIC AND TREATMENT PROGRAMS, AS WELL AS PREVENTION, EDUCATION AND COMPLEMENTARY TREATMENT RESOURCES IN ONE LOCATION. THE CANCER CENTER HAS RECEIVED APPROVAL WITH COMMENDATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. THE CANCER CENTER'S APPROACH TO TREATING PEOPLE WITH CANCER IS BASED UPON A PATIENT'S INDIVIDUAL NEEDS. TO MEET THESE NEEDS, A MULTIDISCIPLINARY TEAM OF SPECIALISTS THAT MAY INCLUDE MEDICAL ONCOLOGISTS, SURGEONS, PATHOLOGISTS AND RADIATION ONCOLOGISTS PROVIDE COORDINATED TREATMENTS FOR PATIENTS. THE CANCER CENTER IS DESIGNED TO NOT ONLY DELIVER HIGH TECH TREATMENTS, BUT TO SOOTHE THE SPIRIT. INTERIOR GARDENS, WATERFALLS AND OTHER FEATURES PROVIDE PATIENTS WITH A BRIEF HAVEN FROM THE OUTSIDE WORLD. PATIENTS ALSO BENEFIT FROM THE STRENGTH OF THE NEW CLINICAL AND RESEARCH PARTNERSHIP BETWEEN CKHS AND FOX CHASE CANCER CENTER. THE FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP, WHICH EXPANDS ON THE SUCCESSFUL PARTNERSHIP BETWEEN FOX CHASE CANCER CENTER AND DELAWARE COUNTY REGIONAL CANCER CENTER, WILL PROVIDE PATIENTS WITH AN EVEN GREATER LEVEL OF ACCESS TO CLINICAL TRIALS AND PROGRAMS TO PREVENT AND TREAT CANCER. IN ADDITION, THE CANCER CENTER OFFERS CANCER SUPPORT GROUPS THAT BRING PATIENTS AND THEIR FAMILIES AND LOVED ONES TOGETHER WITH OTHERS WHO SHARE AND UNDERSTAND THEIR EXPERIENCES. THROUGH THESE SUPPORT GROUPS, PATIENTS CAN EXPLORE COMPLEMENTARY ALTERNATIVE APPROACHES - MASSAGE THERAPY AND YOGA, FOR EXAMPLE -- TO COPING WITH SIDE EFFECTS, AS WELL AS LEARN TECHNIQUES TO HELP THEM LOOK THEIR BEST DURING CANCER TREATMENT. CANCER SERVICES ARE ALSO PROVIDED AT TAYLOR HOSPITAL AND SPRINGFIELD HOSPITAL. 2. CROZER-KEYSTONE HEART INSTITUTE ---------------------------------- CKHS HAS THE LONGEST HISTORY OF PROVIDING CARDIOVASCULAR CARE TO THE PEOPLE OF DELAWARE COUNTY, AND WE'RE PROUD OF OUR MANY ACCOMPLISHMENTS. IN DELAWARE COUNTY, WE'RE THE FIRST HEALTHCARE SYSTEM TO: - PERFORM OPEN HEART SURGERY - PERFORM PRIMARY ANGIOPLASTY - ESTABLISH OPEN HEART AND REHABILITATION UNITS - ESTABLISH AN INTERVENTIONAL HEART PROGRAM - ESTABLISH AN ELECTROPHYSIOLOGY PROGRAM TO TREAT HEART RHYTHM DISORDERS - OFFER CARDIAC RESYNCHRONIZATION THERAPY, A UNIQUE DEVICE THERAPY TO TREAT HEART FAILURE WHEN YOU COME TO ANY CROZER-KEYSTONE HOSPITAL WITH A HEART PROBLEM, OUR TEAM OF HEART SPECIALISTS EVALUATES YOUR CONDITION IMMEDIATELY AND DECIDES UPON A COURSE OF ACTION. THE TEAM DETERMINES THE SERIOUSNESS OF YOUR CONDITION, WHETHER IT IS AN EMERGENCY, AND WHAT TREATMENT YOU NEED. WHATEVER YOUR HEART REQUIRES, CKHS CAN HELP -- FROM DIAGNOSIS TO TREATMENT TO REHABILITATION -- OUR DEDICATION AND EXPERIENCE IS UNMATCHED IN DELAWARE COUNTY. 3. MATERNITY ------------- EVERY YEAR, MORE NEWBORN BABIES ARE WELCOMED INTO THE WORLD BY THE CARING PROFESSIONALS AT CROZER-CHESTER MEDICAL CENTER AND DELAWARE COUNTY MEMORIAL HOSPITAL THAN BY ANY OTHER HEALTH SYSTEM IN DELAWARE COUNTY. APPROXIMATELY 1,600 BABIES ARE BORN AT CCMC EVERY YEAR, WHILE DCMH DELIVERS ABOUT 1,500. 4. CROZER-KEYSTONE HUMAN MOTION INSTITUTE ----------------------------------------- THE HUMAN MOTION INSTITUTE IS A UNIQUE PROGRAM OFFERING A COMPREHENSIVE TREATMENT CONTINUUM OF CARE WITHIN A HIGHLY INTEGRATED HEALTHCARE DELIVERY NETWORK. OUR GOAL IS SIMPLE: TO RETURN OUR PATIENTS TO NORMAL FUNCTION AS QUICKLY AND SAFELY AS POSSIBLE. TO REACH THIS GOAL, THE MEDICAL PROFESSIONALS AT THE HUMAN MOTION INSTITUTE ENLIST A COMPREHENSIVE, LEADING EDGE APPROACH TO THE PREVENTION, ASSESSMENT, TREATMENT AND REHABILITATION OF MUSCULOSKELETAL INJURIES. OUR HIGHLY TRAINED TEAM OF SURGEONS, NURSES, PHYSICIAN ASSISTANTS, REHABILITATION SPECIALISTS AND VARIOUS MEDICAL SUPPORT PERSONNEL WORKS WITH EACH PATIENT AND THEIR PRIMARY CARE PHYSICIAN TO DEVELOP A TREATMENT PLAN SPECIFICALLY FOR THAT PATIENT. BY COMBINING EXTENSIVE CLINICAL EXPERTISE WITH A COMPASSIONATE, CARING TREATMENT PHILOSOPHY, WE HAVE CREATED A PROGRAM KNOWN FOR ITS QUALITY OF CARE. 5. CROZER-KEYSTONE SLEEP CENTERS -------------------------------- FEW THINGS ARE AS FRUSTRATING AS NOT BEING ABLE TO SLEEP. CONVERSELY, FALLING ASLEEP AT INAPPROPRIATE TIMES (SUCH AS WHEN DRIVING) IS JUST AS BOTHERSOME AND CAN EVEN BE DANGEROUS. FORTUNATELY, THERE IS A TRUSTED RESOURCE RIGHT HERE IN DELAWARE COUNTY. THE CROZER-KEYSTONE SLEEP CENTERS. FOR MORE THAN 30 YEARS WE'VE HELPED THOUSANDS OF PEOPLE FROM DELAWARE COUNTY AND BEYOND TO FALL ASLEEP AND STAY ASLEEP AT THE RIGHT TIME AND IN THE RIGHT PLACE. THE CROZER-KEYSTONE SLEEP CENTERS ARE LOCATED AT FOUR SITES FOR OUR PATIENTS' CONVENIENCE: - CROZER-CHESTER MEDICAL CENTER (UPLAND) - ADULT AND PEDIATRIC SLEEP CENTER - CROZER HEALTH PAVILION AT BRINTON LAKE (GLEN MILLS) - DCMH (DREXEL HILL) - TAYLOR HOSPITAL (RIDLEY PARK) OUR ACCREDITED, MULTIDISCIPLINARY PROGRAM FOR THE INVESTIGATION AND TREATMENT OF SLEEP PROBLEMS WAS ESTABLISHED IN 1978. IT IS THE OLDEST NATIONALLY ACCREDITED PROGRAM FOR THE EVALUATION OF PATIENTS WITH SLEEP-RELATED PROBLEMS IN THE GREATER DELAWARE VALLEY. OUR SITES ARE STAFFED BY PHYSICIANS WITH SPECIAL TRAINING IN SLEEP DISORDERS. OUR COMPASSIONATE AND CARING TECHNICAL STAFF ARE ENCOURAGED TO OBTAIN NATIONAL REGISTRATION BY THE BOARD OF POLYSOMNOGRAPHIC TECHNOLOGISTS. 6. NATHAN SPEARE REGIONAL BURN TREATMENT CENTER ----------------------------------------------- THE NATHAN SPEARE REGIONAL BURN TREATMENT CENTER IS STILL THE ONLY BURN FACILITY IN SUBURBAN PHILADELPHIA THAT PROVIDES ALL THE SERVICES NEEDED TO MEET ALL THE NEEDS OF BURN PATIENTS AND THEIR FAMILIES WITHIN A SINGLE UNIT - FROM EMERGENCY TREATMENT TO INTENSIVE CARE TO REHABILITATION TO FOLLOW-UP AND OUTPATIENT CARE. IN 2000, IT WAS THE FIRST BURN CENTER IN THE STATE OF PENNSYLVANIA TO EARN THE DISTINCTION OF BEING A VERIFIED BURN CENTER, MEETING THE STANDARDS SET FORTH BY THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN BURN ASSOCIATION. WE HAVE EARNED AN INTERNATIONAL REPUTATION FOR EXCELLENCE IN HOLISTIC BURN CARE, TREATING MORE THAN 9,400 NEW PATIENTS SINCE 1973, AND AN AVERAGE OF 500 IN-PATIENTS AND OVER 3,000 OUTPATIENT VISITS ANNUALLY. WE ALSO TREAT NON-BURN INJURIES, SUCH AS "ROAD RASH" AND "STEVENS JOHNSON," AND MEDICATION REACTIONS AND OTHER SKIN DISEASES THAT RESULT IN CONDITIONS SIMILAR TO THOSE EXPERIENCED BY BURN PATIENTS. SERVICES INCLUDE: COUNSELING AND EMOTIONAL SUPPORT, OUTPATIENT BURN WOUND CARE CENTER, AND THE BURN OUTREACH EDUCATION PROGRAM. STAFF FROM THE NATHAN SPEAR REGIONAL BURN TREATMENT CENTER PROVIDED OUTREACH EDUCATIONAL PROGRAMS TO THE COMMUNITY WE SERVE REACHING OVER 3,800 PEOPLE IN FY 2013. 7. CKHS CENTER FOR DIABETES --------------------------- MORE THAN 24 MILLION PEOPLE IN THE U.S. HAVE DIABETES, BUT APPROXIMATELY 1/3 DON'T KNOW THEY HAVE IT BECAUSE OF MINIMAL SYMPTOMS OR NO SYMPTOMS AT ALL. DIABETES IS NOT A DISEASE TO BE TAKEN LIGHTLY, IT IS A SERIOUS DISEASE WITH ITS COMPLICATIONS KILLING 224,000 PEOPLE EACH YEAR. THE GOAL OF THE CENTER FOR DIABETES IS TO MEET THE NEEDS OF OUR PATIENTS BY EDUCATING AND PROVIDING A CLEAR UNDERSTANDING OF HOW TO MANAGE THEIR CHRONIC CONDITION - EVERY SINGLE DAY. THE CENTER FOR DIABETES AT SPRINGFIELD HOSPITAL IS AN AMERICAN DIABETES ASSOCIATION RECOGNIZED, HOSPITAL BASED, OUTPATIENT DIABETES EDUCATION PROGRAM. THE CENTER FOR DIABETES HAS EXPANDED ITS SERVICES TO THE CROZER MEDICAL PLAZA AT BRINTON LAKE AND COMMUNITY HOSPITAL PROVIDING NUTRITION AND EDUCATION CLASSES THERE. THE CENTER FOR DIABETES SERVICES INCLUDE OUTPATIENT EDUCATION FOR INDIVIDUALS WHO ARE NEWLY DIAGNOSED, HAVE UNCONTROLLED DIABETES, OR FOR THOSE WHO DESIRE INTENSIVE CONTROL. INSULIN PUMP THERAPY AND MONTHLY EDUCATION/SUPPORT GROUP MEETINGS ARE PROVIDED AT THE CENTER FOR DIABETES. ALSO SPECIAL INSTRUCTION IS OFFERED FOR PREGNANT WOMEN WITH GESTATIONAL DIABETES. THE CENTER FOR DIABETES' FOCUS IS TO HELP PATIENTS ACHIEVE BLOOD GLUCOSE CONTROL BY BALANCING MEALS, EXERCISE AND MEDICATION, WHEN NECESSARY. THE CERTIFIED DIABETES EDUCATORS AT THE CENTER FOR DIABETES ARE ALSO AVAILABLE TO TEACH DIABETES EDUCATION, INSULIN ADMINISTRATION AND USE OF GLUCOMETER TO THE STAFF AND RESIDENTS AT ASSISTED LIVING FACILITIES IN THE AREA. CORE FORM, PART III A SERIES OF CLASSES ARE OFFERED MORNING, AFTERNOON AND EVENING TO ACCOMMODATE VARIOUS PATIENT SCHEDULES. THE FOLLOWING CLASSES ARE OFFERED IN THE CENTER FOR DIABETES: - BASIC DIABETES EDUCATION. - BLOOD GLUCOSE MONITORING. - NUTRITION COUNSELING. - INSULIN ADMINISTRATION. - MANAGEMENT SKILLS FOR DIABETES RELATED TO PREGNANCY. - INTENSIVE MANAGEMENT PROGRAM. - INSULIN PUMP TRAINING. - GLUCOSE SENSOR TRAINING. - CONTINUOUS GLUCOSE MONITORING SYSTEM. - PRE-DIABETES CLASSES. THE CENTER FOR DIABETES OFFERS SUPPORT PROGRAMS THROUGHOUT THE YEAR AT SPRINGFIELD HOSPITAL. OUR SUPPORT GROUPS DISCUSS TOPICS SUCH AS COPING SKILLS, RESOURCES, FOOT AND EYE CARE RELATED TO DIABETES, UNDERSTANDING THE IMPORTANCE OF GOOD BLOOD GLUCOSE CONTROL AND HEALTHY MEAL PLANNING. OUR HEALTHCARE TEAM WORKS WITH PATIENTS TO TEACH THEM HOW TO BALANCE THEIR CARE AND DIABETES (WHAT ARE RISK FACTORS FOR COMPLICATIONS, HEART DISEASE, ETC.); HOW TO RECOGNIZE AND TREAT HYPERGLYCEMIA AND HYPOGLYCEMIA; HEALTHY EATING AND CARBOHYDRATE COUNTING; DIABETES MEDICATIONS AND VARIOUS MEDICATIONS THAT CAN EFFECT BLOOD GLUCOSE CONTROL; EXERCISE BENEFITS, HOW DIABETES EFFECTS THE EYES, HEART, AND KIDNEYS; RISK FOR STROKE; AND WHY IT IS IMPORTANT FOR THE PATIENT TO BE AN ACTIVE MEMBER IN THE HEALTHCARE TEAM. WE WANT THE PATIENT TO BE ABLE TO MANAGE THEIR DIABETES ON A DAILY BASIS. RESIDENCY/EDUCATION =================== CKHS OFFERS NUMEROUS CHALLENGING AND FULLY ACCREDITED RESIDENCY PROGRAMS AS ONE OF THE LEADING HEALTHCARE SYSTEMS IN THE DELAWARE VALLEY. NOTABLY, CKHS OFFERS STELLAR ALLOPATHIC RESIDENCIES IN FAMILY PRACTICE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, PEDIATRICS AND TRANSITIONAL YEAR, AS WELL AS OSTEOPATHIC INTERNAL MEDICINE, PODIATRIC RESIDENCY AND A VARIETY OF OSTEOPATHIC AND ALLIED HEALTH TRAINING PROGRAMS. CKHS IS A TOP-RATED REGIONAL HEALTH SYSTEM WITH A LONGSTANDING TEACHING TRADITION AND A SUPERB FACULTY OFFERING THE BENEFITS OF A UNIVERSITY-BASED TEACHING MODEL, PLUS THE ADVANTAGES OF COMMUNITY-BASED RESIDENCY PROGRAMS. EACH YEAR, APPROXIMATELY 97 TO 100 PERCENT OF CKHS' HIGHLY COMPETITIVE ALLOPATHIC RESIDENCY POSITIONS ARE FILLED THROUGH THE NATIONAL RESIDENT MATCHING PROGRAM. AS A WHOLE, CKHS' RESIDENCIES ARE COMMITTED TO DEVELOPING HIGHLY SKILLED PHYSICIANS WHO MASTER THE SCIENCE OF THEIR SPECIALTY, THE PRACTICE OF TOP-QUALITY PATIENT CARE AND THE ART OF TEACHING NEW GENERATIONS OF DOCTORS. CKHS' RESIDENTS RECEIVE RIGOROUS ACADEMIC EXPERIENCES AND HANDS-ON CLINICAL AND RESEARCH OPPORTUNITIES, WHICH FULLY PREPARE THEM TO PURSUE THEIR CAREER GOALS. IN FACT, CKHS IS PARTICULARLY PROUD OF THE OUTSTANDING PERFORMANCES ITS GRADUATES CONTINUE TO ACHIEVE ON NATIONAL BOARD EXAMINATIONS. FOSTERING A WELL-ROUNDED EDUCATIONAL EXPERIENCE, CKHS RESIDENCIES PROVIDE STRONG DIDACTIC INSTRUCTION THAT REINFORCES THE CLINICAL, ETHICAL AND PRACTICE-MANAGEMENT ASPECTS OF MEDICINE. THE RESIDENCY PROGRAMS ALSO EMPHASIZE THE USE OF COMPUTERS AT THE POINT OF CARE TO ACCESS EXPERT INFORMATION, DECISION SUPPORT, LITERATURE SEARCHES, DRUG INTERACTIONS AND PATIENT EDUCATION MATERIALS. AS THEY TRAIN, CKHS RESIDENTS HAVE THE OPPORTUNITY TO USE CKHS' OWN CUTTING-EDGE FACILITIES, AS WELL AS THOSE OF OUR WORLD-CLASS EDUCATIONAL AFFILIATES. THE MAJORITY OF RESIDENCY TRAINING TAKES PLACE AT CROZER-CHESTER MEDICAL CENTER ("CCMC"), A NOT-FOR-PROFIT TERTIARY-CARE TEACHING HOSPITAL. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS THE SOLE MEMBER OF THIS ORGANIZATION. CKHS HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO THE AUDIT COMMITTEE OF CROZER-KEYSTONE HEALTH SYSTEM FOR REVIEW BY ITS MEMBERS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). FOLLOWING THIS REVIEW THE FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE IRS. THE CROZER-KEYSTONE HEALTH SYSTEM BOARD OF DIRECTORS HAS DELEGATED TO ITS AUDIT COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION AND THE SYSTEM TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE CROZER-KEYSTONE HEALTH SYSTEM AUDIT COMMITTEE AND THEREAFTER PROVIDING TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S LEGAL DEPARTMENT AND VP/GENERAL COUNSEL FOR REVIEW. THEREAFTER THE LEGAL DEPARTMENT AND VP/GENERAL COUNSEL PREPARE A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE VP/GENERAL COUNSEL OF THE ORGANIZATION PRESENTS THIS SUMMARY TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR ITS REVIEW AND DISCUSSION. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE SYSTEM. CKHS' BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM IS INDEPENDENT AND FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE HAS ADOPTED A WRITTEN COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OR CONCURS WITH THE COMPENSATION AND BENEFITS OF CKHS' SENIOR MANAGEMENT, INCLUDING: THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT ADMINISTRATION & CHIEF INFORMATION OFFICER, AND SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE BYLAWS OUTLINE THE POWERS AND FUNCTIONS OF THE COMPENSATION COMMITTEE. THE COMMITTEE RELIES UPON APPROPRIATE COMPARABLE DATA FROM AN INDEPENDENT CONSULTING FIRM WHICH SPECIALIZES IN REVIEWING HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USES COMPARABLE GEOGRAPHICAL AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, NUMBER OF LICENSED BEDS, AND NET PATIENT REVENUE ON BOTH A REGIONAL AND NATIONAL BASIS. THE COMMITTEE DOCUMENTS ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS ARE REVIEWED AND SUBSEQUENTLY APPROVED. THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE REVIEWED BY THE COMMITTEE ON AN ANNUAL BASIS IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE. THE COMPENSATION COMMITTEE THEN RECOMMENDS TO CKHS' BOARD OF DIRECTORS APPROPRIATE COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE BOARD OF DIRECTOR'S THEN REVIEWS THE COMMITTEE'S RECOMMENDATION AND APPROVES THE COMPENSATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER BASED ON THE COMMITTEE'S RECOMMENDATION. THE PRESIDENT/CHIEF EXECUTIVE OFFICER ESTABLISHES, AFTER DISCUSSION WITH AND CONCURRENCE BY THE COMMITTEE, THE COMPENSATION LEVELS OF THE EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER; SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER; SENIOR VICE PRESIDENT ADMINISTRATION & CHIEF INFORMATION OFFICER; AND CERTAIN OTHER INDIVIDUALS DEEMED TO BE DISQUALIFIED PERSONS PURSUANT TO THE INTERNAL REVENUE SERVICE DEFINITION. THIS IS DONE WITH COMPARABLE MARKET DATA PROVIDED BY AN INDEPENDENT CONSULTANT. THE PRESIDENT/CHIEF EXECUTIVE OFFICER ALSO RECEIVES ASSISTANCE FROM CKHS' HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH EACH INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR. COMPENSATION REVIEW AND APPROVAL IS ALSO BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY CKHS. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, AND EVALUATIONS. THE ACTIVITIES AND PROCEDURES FOLLOWED BY THE COMMITTEE ENABLE CKHS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF ALL INDIVIDUALS DISCLOSED ON THIS FORM 990, INCLUDING THE PRESIDENT/CEO, EXECUTIVE VICE PRESIDENT/COO, SENIOR VICE PRESIDENT ADMINISTRATION/CIO AND SENIOR VICE PRESIDENT/CFO. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER, SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND SENIOR VICE PRESIDENT ADMINISTRATION RECEIVING COMPENSATION AND BENEFITS FROM THE ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - OTHER CHANGES IN PENSION AND OTHER ACCRUED RETIREMENT BENEFITS LIABILITIES; ($12,633,417); - CHANGE IN BENEFICIAL INTEREST IN FOUNDATION; $6,124,000; - TEMPORARILY RESTRICTED CONTRIBUTIONS; $877,555; - NET ASSETS RELEASED FROM RESTRICTIONS - TEMPORARILY RESTRICTED; ($1,003,238); - INVESTMENT INCOME - TEMPORARILY RESTRICTED; $648,373; AND - INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST - PERMANENTLY RESTRICTED - $477,607. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE FISCAL YEARS ENDED JUNE 30, 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. THE TAXPAYER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:63561520 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:10965469 FORM 990 PART IX LINE 11G DESCRIPTION:HMO FEES TOTAL FEES:8098766 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:7863521 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:4400924 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:3344469 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2009272 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION FEES TOTAL FEES:761806 FORM 990 PART IX LINE 11G DESCRIPTION:STAFF DEVELOPMENT FEES TOTAL FEES:702470 FORM 990 PART IX LINE 11G DESCRIPTION:MEMBERSHIP FEES TOTAL FEES:492852 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:11468549 CROZER-CHESTER FOUNDATION ONE MEDICAL CENTER BOULEVARD UPLAND PA 19013 222540853 FUNDRAISING PA 501(C)(3) 509(a)(1) CCMC true CROZER-KEYSTONE HEALTH SYSTEM 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD PA 19064 222540851 HEALTH SVCS. 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