DELAWARE COUNTY MEMORIAL HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- DELAWARE COUNTY MEMORIAL HOSPITAL (EIN 23-0517130)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-03-02
- IRS object ID
- 201100619349300500
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-03-02T09:07:17-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 South St Ste 200 | AddressLine1 |
| City | Morristown | City |
| State | NJ | State |
| ZIP Code | 079606497 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 230517130 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE COUNTY MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DELA | NameControl |
| Phone | 6104476252 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 NORTH LANSDOWNE AVENUE | AddressLine1 |
| City | DREXEL HILL | City |
| State | PA | State |
| ZIP Code | 19026 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PHILIP J RYAN | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Date Signed | 2011-02-21 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9738989494 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD I BENNETT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W SPROUL RD HLTHPLX PAV II | AddressLine1 |
| City | SPRINGFIELD | City |
| State | PA | State |
| ZIP Code | 19064 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 181819160 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.CROZER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1925 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | DELAWARE COUNTY MEMORIAL HOSPITAL IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE AND WILL DEPLOY ITS RESOURCES IN A COST- EFFECTIVE AND COMMUNITY-RESPONSIVE MANNER. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1458 | TotalNbrEmployees |
| Total Nbr Volunteers | 180 | TotalNbrVolunteers |
| Total Gross UBI | 310836 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -80992 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 464855 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 349017 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 195316215 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 178986637 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 992151 | InvestmentIncomePriorYear |
| Investment Income Current Year | 626527 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 935996 | OtherRevenuePriorYear |
| Other Revenue Current Year | 879967 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 197709217 | TotalRevenuePriorYear |
| Total Revenue Current Year | 180842148 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 625000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 625000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 90075529 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 89534479 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 104407554 | OtherExpensePriorYear |
| Other Expenses Current Year | 90473768 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 195108083 | TotalExpensesPriorYear |
| Total Expenses Current Year | 180633247 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2601134 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 208901 | RevenuesLessExpensesCY |
| Total Assets BOY | 133528791 | TotalAssetsBOY |
| Total Assets EOY | 132113176 | TotalAssetsEOY |
| Total Liabilities BOY | 111902019 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 111789108 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21626772 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20324068 | NetAssetsOrFundBalancesEOY |
| Mission Description | DELAWARE COUNTY MEMORIAL HOSPITAL 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Activity Code | 541900 | ActivityCode |
| Expense | 99111601 | Expense |
| Grants | 326064 | Grants |
| Revenue | 93427501 | Revenue |
| Description | THE ORGANIZATION IS AN AFFILIATE OF THE CROZER-KEYSTONE HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. EXPENSES 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity Code | 541900 | ActivityCode |
| Expense | 49719351 | Expense |
| Grants | 252746 | Grants |
| Revenue | 72307874 | Revenue |
| Description | THE ORGANIZATION IS AN AFFILIATE OF THE CROZER-KEYSTONE HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. EXPENSES 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity Code | 541900 | ActivityCode |
| Expense | 14719545 | Expense |
| Grants | 46190 | Grants |
| Revenue | 13251262 | Revenue |
| Description | THE ORGANIZATION IS AN AFFILIATE OF THE CROZER-KEYSTONE HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. EXPENSES 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 163550497 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 92 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1458 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PHILIP J RYAN CPA | NamePerson |
| Telephone Number | 6104476252 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W SPROUL RD HLTHPLX PAV II | AddressLine1 |
| City | SPRINGFIELD | City |
| State | PA | State |
| ZIP Code | 19064 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JEROME S PARKER PHD | |||||||
| CHAIRMAN - TRUSTEE | 3.0 | X | X | 0 | 0 | 0 | |
| GAIL M WHITAKER ESQ | |||||||
| VICE CHAIR - TRUSTEE | 3.0 | X | X | 0 | 0 | 0 | |
| PETER L OETINGER | |||||||
| SECRETARY - TRUSTEE | 3.0 | X | X | 0 | 0 | 0 | |
| MICHAEL J HANLON ESQ | |||||||
| TREASURER - TRUSTEE | 3.0 | X | X | 0 | 0 | 0 | |
| FRED A AKL PHD PE | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| DAVID B ARSHT DO | |||||||
| TRUSTEE | 3.0 | X | 0 | 120038 | 27681 | ||
| RICHARD I BENNETT | |||||||
| TRUSTEE - CEO CKHS HOSPITALS | 3.0 | X | X | 0 | 482788 | 226168 | |
| CORLISS BOGGS | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| JOHN D BOWERS | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| BEVERLEE L DELUCA | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| NORMAN V EDMONSON | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| BRUCE G FISCHER | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| FRANK P GIAMMATTEI MD | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| HORACE B GRIFFITH III | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| ROBERT B HEMPHILL | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| JACQUELINE M KRAEUTLER ESQ | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| DAVID S MCCLOSKEY MD | |||||||
| TRUSTEE | 3.0 | X | 0 | 482282 | 30098 | ||
| J RICHARDS SCH J PT 3 TOTAL 2009 | |||||||
| COMP $896,691)ASST TREAS/TRUST | 3.0 | X | X | 0 | 908085 | 222716 | |
| G GUY SMITH ESQ | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| ROBERT N SPEARE ESQ | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| ANN F SWAN | |||||||
| TRUSTEE | 3.0 | X | 0 | 0 | 0 | ||
| DONALD W LEGREID ESQ | |||||||
| ASST SEC. - VP/GENERAL COUNSEL | 3.0 | X | 0 | 274705 | 28795 | ||
| WILLIAM MCCUNE | |||||||
| PRESIDENT, DCMH | 55.0 | X | 0 | 261549 | 31568 | ||
| PHILIP J RYAN CPA | |||||||
| ASST TREASURER - SVP/CFO | 3.0 | X | 0 | 314591 | 38644 | ||
| ROBERT E WILSON | |||||||
| ASST SECRETARY-SVP/ADMIN & CIO | 3.0 | X | 0 | 457110 | 128212 | ||
| STEPHEN P SULLIVAN | |||||||
| EXECUTIVE DIRECTOR, FDNS | 55.0 | 213044 | 0 | 29454 | X | ||
| MOHAMEDO S MINHAJ | |||||||
| PHYSICIST | 55.0 | 209858 | 0 | 27613 | X | ||
| JUN YANG | |||||||
| PHYSICIST | 55.0 | 179619 | 0 | 27408 | X | ||
| REGINA A STANTON | |||||||
| SURGICAL ASSISTANT | 55.0 | 166445 | 0 | 6823 | X | ||
| JOAN K LAROCCO | |||||||
| AVP, PATIENT SERVICES | 55.0 | 166293 | 0 | 4048 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 935259 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3301148 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 829228 | TotalOtherCompensation |
| Number Individuals GT100 K | 107 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CYBERKNIFE CENTER OF PHILADELPHIA L | |||||
| 40 BURTON HILLS BOULEVARD STE 320 | NASHVILLE | TN | 37215 | RADIOSURGERY | 7186558 |
| DELCO RADIOLOGY ASSOCIATES | |||||
| 8701 D WEST CHESTER PIKE | UPPER DARBY | PA | 19082 | RADIOLOGY | 2257423 |
| SOCIETY HILL ANESTHESIA | |||||
| 501 N LANSDOWNE AVENUE | DREXEL HILL | PA | 19026 | ANESTHESIA | 1260370 |
| SLAVIN MD SERVICES | |||||
| 1485 GRADYVILLE ROAD | GLEN MILLS | PA | 19342 | MEDICAL | 515244 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 828669 | PHILADELPHIA | PA | 19182 | LABORATORY | 447285 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 33 | NumberOfContractorsGT100K |
| Related Organizations | 300000 | RelatedOrganizations |
| Government Grants | 49017 | GovernmentGrants |
| Total Contributions | 349017 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 541900 | 178469265 | 178469265 | |
| OTHER HEALTHCARE RELATED REVENUE | 811000 | 517372 | 206536 | 310836 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 178986637 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1603539 | TotalRevenueColumn |
| Exclusion | $1,603,539 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 116422 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 116422 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 116422 | TotalRevenueColumn |
| Exclusion | $116,422 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 977012 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -977012 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -977012 | TotalRevenueColumn |
| Exclusion | -$977,012 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA REVENUE | 722210 | 515004 | $515,004 |
| PARKING REVENUE | 812930 | 248541 | $248,541 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 763545 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 180842148 | TotalRevenueColumn |
| Related Or Exempt Function Income | 178675801 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 310836 | UnrelatedBusinessRevenue |
| Exclusion | $1,506,494 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 625000 | Total |
| Program Services | 625000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67177679 | Total |
| Program Services | 60459911 | ProgramServices |
| Management And General | 6717768 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4666080 | Total |
| Program Services | 4199472 | ProgramServices |
| Management And General | 466608 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12843178 | Total |
| Program Services | 11558860 | ProgramServices |
| Management And General | 1284318 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4847542 | Total |
| Program Services | 4362788 | ProgramServices |
| Management And General | 484754 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6011278 | Total |
| Program Services | 5410150 | ProgramServices |
| Management And General | 601128 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86289 | Total |
| Program Services | 77660 | ProgramServices |
| Management And General | 8629 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9250 | Total |
| Program Services | 8325 | ProgramServices |
| Management And General | 925 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31054297 | Total |
| Program Services | 27948867 | ProgramServices |
| Management And General | 3105430 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 780596 | Total |
| Program Services | 702536 | ProgramServices |
| Management And General | 78060 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25184887 | Total |
| Program Services | 22666398 | ProgramServices |
| Management And General | 2518489 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1900784 | Total |
| Program Services | 1710706 | ProgramServices |
| Management And General | 190078 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205208 | Total |
| Program Services | 184687 | ProgramServices |
| Management And General | 20521 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1882782 | Total |
| Program Services | 1694504 | ProgramServices |
| Management And General | 188278 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5453660 | Total |
| Program Services | 4908294 | ProgramServices |
| Management And General | 545366 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3771644 | Total |
| Program Services | 3394480 | ProgramServices |
| Management And General | 377164 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PROVISION FOR BAD DEBT | 9180752 | 9180752 | 0 | 0 |
| REPAIRS AND MAINTENANCE | 2396836 | 2157152 | 239684 | 0 |
| UTILITIES | 1598498 | 1438648 | 159850 | 0 |
| AGENCY MANPOWER | 297732 | 267959 | 29773 | 0 |
| DUES & SUBSCRIPTIONS | 195090 | 175581 | 19509 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 464185 | Total |
| Program Services | 417767 | ProgramServices |
| Management And General | 46418 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180633247 | Total |
| Program Services | 163550497 | ProgramServices |
| Management And General | 17082750 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4346 | BOY |
| EOY | 4346 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29871486 | BOY |
| EOY | 18994850 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 581627 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22229266 | BOY |
| EOY | 19033266 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8649640 | BOY |
| EOY | 8681496 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1570451 | BOY |
| EOY | 1711663 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 361028 | BOY |
| EOY | 287891 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 158748027 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 126614379 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34840481 | BOY |
| EOY | 32133648 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35206868 | BOY |
| EOY | 50356492 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 393225 | BOY |
| EOY | 327897 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 402000 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133528791 | BOY |
| EOY | 132113176 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17510287 | BOY |
| EOY | 16772714 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49243725 | BOY |
| EOY | 46192107 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45148007 | BOY |
| EOY | 48824287 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111902019 | BOY |
| EOY | 111789108 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18681452 | BOY |
| EOY | 16922518 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1614526 | BOY |
| EOY | 2070756 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1330794 | BOY |
| EOY | 1330794 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21626772 | BOY |
| EOY | 20324068 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133528791 | BOY |
| EOY | 132113176 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmount |
| Other Activities | true | OtherActivities |
| Other Activities | $0 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 0 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B; QUESTION 1 | ReturnReference |
| Explanation | THE ORGANIZATION IS AN AFFILIATE IN THE 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. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2945320 | BeginningOfYearBalance |
| Contributions | 512081 | Contributions |
| Investment Earnings Or Losses | 335064 | InvestmentEarningsOrLosses |
| Other Expenditures | 390915 | OtherExpenditures |
| End Of Year Balance | 3401550 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3690016 | BeginningOfYearBalance |
| Contributions | 390679 | Contributions |
| Investment Earnings Or Losses | -612933 | InvestmentEarningsOrLosses |
| Other Expenditures | 522442 | OtherExpenditures |
| End Of Year Balance | 2945320 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.61000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.39000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12811 | OtherCostOrOtherBasis |
| Book Value | 12811 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 63957163 | OtherCostOrOtherBasis |
| Depreciation | 46652205 | Depreciation |
| Book Value | 17304958 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1801937 | OtherCostOrOtherBasis |
| Depreciation | 1737980 | Depreciation |
| Book Value | 63957 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 58366436 | OtherCostOrOtherBasis |
| Depreciation | 51212018 | Depreciation |
| Book Value | 7154418 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34609681 | OtherCostOrOtherBasis |
| Depreciation | 27012176 | Depreciation |
| Book Value | 7597504 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 32133648 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated (9 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CASH AND CASH EQUIVALENTS | 6121488 | F |
| TAX-EXEMPT ORGANIZATION | 13926000 | F |
| LIMITED USE | 14560153 | F |
| MUTUAL FUND FIXED INCOME | 3097 | F |
| MUTUAL FUND EQUITY | 767 | F |
| COMMON AND COLLECTIVE TRUSTS | 1548 | F |
| LIMITED USE | 4860572 | F |
| LIMITED USE | 7271459 | F |
| LIMITED USE | 3611408 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 50356492 | TotalOfBookValueProgramRelated |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION LIABILITY | $31,564,263 |
| DUE TO AFFILIATES | $13,626,024 |
| OTHER LIABILITIES | $2,040,000 |
| PAYABLES TO THIRD-PARTY PAYORS | $1,594,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 48824287 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE | SCHEDULE D, PART X | THE ORGANIZATION IS AN AFFILIATE WITHIN THE 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 FIN 48 FOOTNOTE BELOW IS FROM THE SYSTEM'S FISCAL YEAR ENDED JUNE 30, 2008 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN 2006, FASB INTERPRETATION NO. 48 (FIN 48), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF SFAS NO. 109, ACCOUNTING FOR INCOME TAXES, WAS ISSUED. FIN 48 CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITION AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF FIN 48, A TAX-EXEMPT ORGANIZATION MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURES ITEMS. PRIOR TO FIN 48, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH SFAS NO. 5, ACCOUNTING FOR CONTINGENCIES. ON JULY 1, 2007, CKHS ADOPTED FIN 48. THE IMPACT OF THE ADOPTION OF FIN 48 ON CKHS'S CONSOLIDATED FINANCIAL STATEMENTS IS NOT SIGNIFICANT. |
| ENDOWMENT FUNDS | SCHEDULE D, PART V | RESTRICTED FUNDS ARE USED TO SUPPORT THE CHARITABLE ACTIVITIES AND PROGRAMS OF THE ORGANIZATION AND ITS AFFILIATES. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | true | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Number Of Offices | 1 | NumberOfOffices |
| Number Of Employees | 1 | NumberOfEmployees |
| Type Of Activities Conducted | Program Services | TypeOfActivitiesConducted |
| Specific Services Provided | FINANCIAL VEHICLE | SpecificServicesProvided |
| Total Expenditures | 0 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Offices | 1 | TotalNumberOfOffices |
| Total Number Of Employees | 1 | TotalNumberOfEmployees |
| Total Amount Spent | 0 | TotalAmountSpent |
Form990 Schedule F Part IV Form990ScheduleFPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | MONITORING GRANT FUNDS | Identifier |
| Return Reference | SCHEDULE F, PART I | ReturnReference |
| Explanation | CROZER-KEYSTONE HEALTH SYSTEM, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, PAID CASSATT INSURANCE COMPANY, LTD. $3,467,668 FOR MALPRACTICE INSURANCE ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5082221 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5082221 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02970 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24813790 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19988118 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4825672 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02810 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 29896011 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 19988118 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9907893 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05780 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 26 | NumberOfActivitiesOrPrograms |
| Persons Served | 116312 | PersonsServed |
| Total Community Benefit Expense | 462176 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26677 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 435499 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 345866 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 345866 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 2243340 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 248645 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1994695 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01160 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 149930 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 36145 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 113785 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 20 | PersonsServed |
| Total Community Benefit Expense | 8804 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8804 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 35 | NumberOfActivitiesOrPrograms |
| Persons Served | 116332 | PersonsServed |
| Total Community Benefit Expense | 3210116 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 311467 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2898649 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01690 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 35 | NumberOfActivitiesOrPrograms |
| Persons Served | 116332 | PersonsServed |
| Total Community Benefit Expense | 33106127 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20299585 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12806542 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07470 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $1,074,177 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 59404435 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 66599701 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7195266 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| DELAWARE COUNTY MEMORIAL HOSPITAL | ||||||||
| 501 NORTH LANSDOWNE AVENUE | DREXEL HILL | PA | 19026 | X | X | X | X | |
| CKHS HOMEHEALTH | ||||||||
| 5030 STATE ROAD SUITE 3001 | DREXEL HILL | PA | 19026 | HOMEHEALTH | ||||
| DCMH SPORTS MEDICINE DEPARTMENT | ||||||||
| 1500 GARRETT ROAD | UPPER DARBY | PA | 19082 | SPORTS MEDICINE | ||||
| CYBERKNIFE CENTER OF PHILADELPHIA LLC | ||||||||
| 2010 WEST CHESTER PIKE SUITE 115 | HAVERTOWN | PA | 19083 | RADIOSURGERY | ||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | NOT APPLICABLE. | IncomeBasedCriteria |
| Annual Community Benefit Expln | A COMMUNITY BENEFIT REPORT IS PREPARED EVERY TWO YEARS. | AnnualCommunityBenefitExpln |
| Costing Method Used | WORKSHEET 2 WAS USED TO CALCULATE THE COST TO CHARGE RATIO. | CostingMethodUsed |
| Subsidized Health Services Expln | NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,180,752. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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 BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS, BUSINESS ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. 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 AND HISTORICAL DATA AND TRENDS. PATIENT ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND CKHS CEASES COLLECTION EFFORTS. FOR THE YEARS ENDED JUNE 30, 2010 AND 2009, THE PROVISION FOR BAD DEBTS INCLUDES UNFAVORABLE COLLECTION EXPERIENCE ON ACCOUNTS RECEIVABLE FROM PRIOR YEARS OF APPROXIMATELY $0 AND $4,600, RESPECTIVELY. 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. | BadDebtFootnote |
| Shortfall As Community Benefit | MEDICARE COSTS WERE DERIVED FROM THE 2010 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 FEELS 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 INDIVIDUAL'S 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. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEUDLE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS 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 NAT | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| Number Of Facility Type Expln | NOT APPLICABLE. | NumberOfFacilityTypeExpln |
| General Explanation | PLEASE NOTE THAT THE ORGANIZATION PREPARES A COMMUNITY BENEFIT REPORT ON A SEMI-ANNUAL BASIS WHICH IT MAKES AVAILABLE TO THE PUBLIC. | GeneralExplanation |
| General Explanation | NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE COMMONWEALTH OF PENNSYLVANIA. | GeneralExplanation |
| Needs Assessment | 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 2010 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. CROZER-KEYSTONE HEALTH SYSTEM IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR ALL WHO LIVE, WORK AND PLAY IN DELAWARE COUNTY. | NeedsAssessment |
| Patient Education Assistance | 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. | PatientEducationAssistance |
| Community Information | 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 DREXEL HILL, 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 3% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. | CommunityInformation |
| Community Building Activities | 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 HEALTH CARE PROFESSIONALS. | CommunityBuildingActivities |
| Other Information | THIS ORGANIZATION HOLDS AN ANNUAL BOARD MEETING NOT OPEN TO THE PUBLIC. THE MAJORITY OF THE BOARD OF TRUSTEES ARE INDIVIDUALS WITH LOCAL BUSINESSES OR WHOM RESIDE IN THE COMMUNITY. HOSPITAL STAFF MEMBERS SERVE ON THE BOARDS OF MANY LOCAL NOT-FOR-PROFIT ORGANIZATIONS AND PROVIDE OTHER FORMS OF SUPPORT (FUNDRAISING, ACTIVITY PARTICIPATION). ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE THE CROZER-KEYSTONE HEALTH SYSTEM. | OtherInformation |
| Affiliated Health Care System | THIS ORGANIZATION IS AN AFFILIATE OF THE CROZER-KEYSTONE HEALTH SYSTEM. ALL AFFILIATES ARE COMMITTED TO ENHANCING THE OVERALL HEALTH STATUS OF THE COMMUNITY BY PROVIDING THE HIGHEST QUALITY HEALTHCARE AND RELATED SERVICES. THE CROZER-KEYSTONE HEALTH SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. THIS ORGANIZATION SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED BELOW FOR PART I, LINE 3C; PART I, LINE 6A; PART I, LINE 7G; PART I, LINE 7, COLUMN (F); PART I, LINE 7; PART III, LINE 4; PART III, LINE 8; PART III, LINE 9B ARE REFLECTED OF THAT POLICY. | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROZER-KEYSTONE HEALTH SYSTEM | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W SPROUL RD HLTHPLX PAV II | AddressLine1 |
| City | SPRINGFIELD | City |
| State | PA | State |
| ZIP Code | 19064 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 222540851 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 625000 | AmountOfCashGrant |
| Purpose Of Grant | PROGRAM SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GRANT FUND MONITORING | Identifier |
| Return Reference | SCHEDULE I, PART I, QUESTION 2 | ReturnReference |
| Explanation | GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD I BENNETT | |||||||||||||
| 0 | 469876 | 0 | 0 | 0 | 12912 | 0 | 205695 | 0 | 20473 | 0 | 708956 | 0 | 0 |
| DAVID S MCCLOSKEY MD | |||||||||||||
| 0 | 297529 | 0 | 169444 | 0 | 15309 | 0 | 12025 | 0 | 18073 | 0 | 512380 | 0 | 0 |
| J RICHARDS SCH J PT 3 TOTAL 200 | |||||||||||||
| 0 | 659675 | 0 | 0 | 0 | 248410 | 0 | 209528 | 0 | 13188 | 0 | 1130801 | 0 | 234110 |
| DONALD W LEGREID ESQ | |||||||||||||
| 0 | 272228 | 0 | 0 | 0 | 2477 | 0 | 12025 | 0 | 16770 | 0 | 303500 | 0 | 0 |
| WILLIAM MCCUNE | |||||||||||||
| 0 | 257460 | 0 | 0 | 0 | 4089 | 0 | 13025 | 0 | 18543 | 0 | 293117 | 0 | 0 |
| PHILIP J RYAN CPA | |||||||||||||
| 0 | 310925 | 0 | 0 | 0 | 3666 | 0 | 13025 | 0 | 25619 | 0 | 353235 | 0 | 0 |
| ROBERT E WILSON | |||||||||||||
| 0 | 358996 | 0 | 0 | 0 | 98114 | 0 | 119065 | 0 | 9147 | 0 | 585322 | 0 | 95637 |
| STEPHEN P SULLIVAN | |||||||||||||
| 210821 | 0 | 0 | 0 | 2223 | 0 | 11046 | 0 | 18408 | 0 | 242498 | 0 | 0 | 0 |
| MOHAMEDO S MINHAJ | |||||||||||||
| 208952 | 0 | 0 | 0 | 906 | 0 | 9894 | 0 | 17719 | 0 | 237471 | 0 | 0 | 0 |
| JUN YANG | |||||||||||||
| 179619 | 0 | 0 | 0 | 0 | 0 | 8722 | 0 | 18686 | 0 | 207027 | 0 | 0 | 0 |
| REGINA A STANTON | |||||||||||||
| 166445 | 0 | 0 | 0 | 0 | 0 | 4115 | 0 | 2708 | 0 | 173268 | 0 | 0 | 0 |
| JOAN K LAROCCO | |||||||||||||
| 165099 | 0 | 0 | 0 | 1194 | 0 | 2369 | 0 | 1679 | 0 | 170341 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION INFORMATION | PART VII AND SCHEDULE J | TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2009 FORMS W-2. |
| COMPENSATION INFORMATION | SCHEDULE J, PART II, COLUMN E | OUTLINED BELOW IS THE TOTAL COMPENSATION FOR THE INDVIDUALS REPORTED IN THIS FORM 990. THESE AMOUNTS WERE DERIVED BY SUBTRACTING FROM SCHEDULE J-2, COLUMN (E), TOTAL COMPENSATION, THE AMOUNT REPORTED IN SCHEDULE J-2, COLUMN (F) AS THE TOTAL COLUMN (F) AMOUNTS REPRESENT AMOUNTS ATTRIBUTABLE TO AND REPORTED ON PRIOR YEAR'S FORMS 990 BY THE ORGANIZATION: - JOAN K. RICHARDS, ASSISTANT TREASURER/TRUSTEE, $896,691; AND - ROBERT E. WILSON, ASSISTANT SECRETARY-SVP/ADMIN & CIO, $489,685. |
| COMPENSATION INFORMATION | 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 2009 FORM W-2, AS TAXABLE MEDICARE WAGES: - JOAN K. RICHARDS, $234,110 - ROBERT E. WILSON, $95,637. 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 AMOUNT REFLECTED IN COLUMN B(III)FOR THE FOLLOWING INDIVIDUALS INCLUDES AMOUNTS RELATING TO (1) INTERNAL REVENUE CODE ("IRC") SECTION 457(B) EMPLOYEE CONTRIBUTIONS, (2) IMPUTED LONG-TERM DISABILITY INSURANCE, (3) PERSONAL USAGE OF AUTO ALLOWANCE (4) IMPUTED GROUP TERM LIFE INSURANCE AND (5) CELL PHONE ALLOWANCE. THE FOLLOWING AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2009 FORM W-2, AS TAXABLE MEDICARE WAGES: - DAVID B. ARSHT, D.O. - IMPUTED GROUP TERM LIFE INSURANCE - $634; - RICHARD I. BENNETT - IMPUTED LONG-TERM DISABILITY INSURANCE - $2,480; PERSONAL USAGE OF AUTO ALLOWANCE - $7,655; IMPUTED GROUP TERM LIFE INSURANCE - $2,622 AND CELL PHONE ALLOWANCE - $155; - DAVID S. MCCLOSKEY, M.D. - INTERNAL REVENUE CODE ("IRC") SECTION 457(B) EMPLOYEE CONTRIBUTIONS - $13,808; IMPUTED LONG-TERM DISABILITY INSURANCE - $806 AND IMPUTED GROUP TERM LIFE INSURANCE - $696; - JOAN K. RICHARDS - IMPUTED LONG-TERM DISABILITY INSURANCE - $2,480; PERSONAL USAGE OF AUTO ALLOWANCE - $6,763; IMPUTED GROUP TERM LIFE INSURANCE - $4,902 AND CELL PHONE ALLOWANCE - $155; - DONALD W. LEGREID, ESQ. - IMPUTED GROUP TERM LIFE INSURANCE - $2,322 AND CELL PHONE ALLOWANCE - $155; - WILLIAM MCCUNE - IMPUTED LONG-TERM DISABILITY INSURANCE - $1,612; IMPUTED GROUP TERM LIFE INSURANCE - $2,322 AND CELL PHONE ALLOWANCE - $155; - PHILIP J. RYAN, CPA - IMPUTED LONG-TERM DISABILITY INSURANCE - $1,922; IMPUTED GROUP TERM LIFE INSURANCE - $1,589 AND CELL PHONE ALLOWANCE - $155; - ROBERT E. WILSON - IMPUTED GROUP TERM LIFE INSURANCE - $2,322 AND CELL PHONE ALLOWANCE - $155; - STEPHEN P. SULLIVAN - IMPUTED LONG-TERM DISABILITY INSURANCE - $1,246 AND IMPUTED GROUP TERM LIFE INSURANCE - $977; - MOHAMEDO S. MINHAJ - IMPUTED LONG-TERM DISABILITY INSURANCE - $806; AND - JOAN K. LAROCCO - IMPUTED GROUP TERM LIFE INSURANCE - $1,194. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES (1) IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS, (2) ACTUARIAL INCREASE IN PENSION AND (3) UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2009 FORM W-2, AS TAXABLE MEDICARE WAGES: - DAVID ARSHT, D.O. - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $1,000 AND ACTUARIAL INCREASE IN PENSION, $5,850; - RICHARD I. BENNETT - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $2,000; ACTUARIAL INCREASE IN PENSION - $11,025 AND SERP - $192,670; - DAVID S. MCCLOSKEY, M.D. - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $1,000 AND ACTUARIAL INCREASE IN PENSION - $11,025; - JOAN K. RICHARDS - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $2,000; ACTUARIAL INCREASE IN PENSION - $11,025 AND SERP - $196,503; - DONALD W. LEGREID, ESQ. - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $1,000 AND ACTUARIAL INCREASE IN PENSION - $11,025; - WILLIAM MCCUNE - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $2,000 AND ACTUARIAL INCREASE IN PENSION - $11,025; - PHILIP J. RYAN, CPA - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $2,000 AND ACTUARIAL INCREASE IN PENSION - $11,025; - ROBERT E. WILSON - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $2,000; ACTUARIAL INCREASE IN PENSION - $11,025 AND SERP - $106,040; - STEPHEN P. SULLIVAN - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $2,000 AND ACTUARIAL INCREASE IN PENSION - $9,046; - MOHAMEDO S. MINHAJ - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $1,000 AND ACTUARIAL INCREASE IN PENSION - $8,894; - JUN YANG - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $1,000 AND ACTUARIAL INCREASE IN PENSION - $7,722; - REGINA A. STANTON - ACTUARIAL INCREASE IN PENSION - $4,115; AND - JOAN K. LAROCCO - IRC SECTION 403(B) EMPLOYER MATCH CONTRIBUTIONS - $2,000 AND ACTUARIAL INCREASE IN PENSION - $369. |
| COMPENSATION INFORMATION | SCHEDULE J, PART 1; QUESTION 7 | THE FOLLOWING INDIVIDUAL RECEIVED NO BONUS WITH RESPECT TO THE FISCAL YEAR ENDED JUNE 30, 2010. THE AMOUNT OUTLINED HEREIN REPRESENTS A PERFORMANCE BASED BONUS PAID FOR THE FISCAL YEAR ENDED JUNE 30, 2009; NOT FOR THE ORGANIZATION'S FISCAL YEAR ENDED JUNE 30, 2010. THIS BONUS AMOUNT WAS INCLUDED IN COLUMN B (II) HEREIN AND IN THE INDIVIDUAL'S 2009 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: - DAVID S. MCCLOSKEY, M.D., $169,444. |
| COMPENSATION INFORMATION | 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 2009 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES AS FOLLOWS: - JOAN K. RICHARDS, $234,110 AND - ROBERT E. WILSON, $95,637. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS ACCRUED NON-TAXABLE BENEFITS. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELAWARE COUNTY AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 231973437 | IssuerEIN |
| CUSIP Number | 246006QQ6 | CUSIPNumber |
| Date Issued | 2006-12-21 | DateIssued |
| Issue Price | 108624866 | IssuePrice |
| Description Of Purpose | REFUND BONDS AND NEW CAPITAL | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 43362145 | TotalProceeds |
| Amount In Reserve Fund | 3022805 | AmountInReserveFund |
| Issuance Costs From Proceeds | 208797 | IssuanceCostsFromProceeds |
| Capital Expenditures | 40130543 | CapitalExpenditures |
| Year Of Subst Completion | 2006 | YearOfSubstCompletion |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | true | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | true | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | false | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MICHELLE GRIFFITH | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY MEMBER - GRIFFITH | Relationship |
| Amount Of Transaction | 35458 | AmountOfTransaction |
| Description Of Transaction | EMPLOYEE | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (23 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMMUNITY BENEFIT STATEMENT | CORE FORM, PART III | MISSION ======= DELAWARE COUNTY MEMORIAL HOSPITAL IS AN AFFILIATE OF CROZER-KEYSTONE HEALTH SYSTEM, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE. WE ARE FOCUSED 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. BACKGROUND ========== CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS A NOT FOR-PROFIT TAX-EXEMPT ORGANIZATION WITH ITS CENTRAL OFFICE IN SPRINGFIELD, PENNSYLVANIA. CKHS IS THE SOLE CORPORATE MEMBER OF VARIOUS HEALTHCARE RELATED ORGANIZATIONS, INCLUDING CROZER-CHESTER MEDICAL CENTER, THE MAJORITY OF WHICH ARE TAX-EXEMPT ENTITIES. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED CKHS AS BEING A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN PENNSYLVANIA, CKHS AND ITS AFFILIATES STRIVE TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF 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. CKHS ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICE. CKHS PROVIDES TREATMENT AND SERVICES TO APPROXIMATELY 41,400 INPATIENTS, 569,600 OUTPATIENTS, 12,400 SAME DAY SURGERY PATIENTS, 135,000 EMERGENCY DEPARTMENT PATIENTS AND DELIVERS MORE THAN 3,600 BABIES ANNUALLY. CKHS INCLUDES APPROXIMATELY 7,275 EMPLOYEES AND 908 VOLUNTEERS. AS OUTLINED HEREIN, CKHS PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CKHS PROVIDES MEDICALLY NECESSARY 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. CKHS MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE BASED ON ESTABLISHED RATES FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY AND COMMUNITY SERVICE POLICIES. CHARITY CARE INCLUDES SERVICES TO UNINSURED PATIENTS WHO CKHS HAS DETERMINED QUALIFY FOR CHARITY CARE UNDER CKHS POLICIES. SERVICES TO UNINSURED PATIENTS WHO ARE NOT ELIGIBLE FOR CHARITY CARE OR WHO CKHS WAS NOT ABLE TO DETERMINE THEIR ELIGIBILITY ARE NOT REPORTED AS CHARITY CARE BUT REPORTED IN THE PROVISION FOR BAD DEBTS. ADDITIONALLY, CKHS SPONSORS MANY PROGRAMS AND PROVIDES OTHER PATIENT SERVICES WHICH DIRECTLY BENEFIT THE SURROUNDING COMMUNITY. CKHS HOSPITALS AND MEDICAL CENTERS ================================== CKHS PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. CKHS INCLUDES THE FOLLOWING HOSPITALS AND MEDICAL CENTERS: 1. CROZER-CHESTER MEDICAL CENTER INCLUDING TAYLOR HOSPITAL, SPRINGFIELD HOSPITAL AND COMMUNITY HOSPITAL 2. DELAWARE COUNTY MEMORIAL HOSPITAL PURSUANT TO ITS CHARITABLE PURPOSES, EACH CKHS HOSPITAL 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 PATIENTS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICE BY ANY CKHS INSTITUTION. IN ADDITION, EACH HOSPITAL OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF EACH HOSPITAL RESTS WITH ITS BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS OF CKHS. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 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 EACH HOSPITAL/MEDICAL CENTER, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF EACH HOSPITAL/MEDICAL CENTER 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. COMMUNITY BENEFIT SUMMARY ========================= OUTLINED BELOW PLEASE FIND A COMMUNITY BENEFIT SUMMARY OF DELAWARE COUNTY MEMORIAL HOSPITAL ("DCMH") FOR THE FISCAL YEAR ENDED JUNE 30, 2010. PLEASE NOTE THAT THIS SUMMARY REFLECTS NUMERICAL INFORMATION AT COSTS. THIS INFORMATION IS ALSO REPORTED HEREIN ON DCMH'S FORM 990, SCHEDULE H, PARTS I AND III FOR THE FISCAL YEAR ENDED JUNE 30, 2010. DCMH MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE PROVIDED. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE BASED ON ESTABLISHED RATES FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY AND COMMUNITY SERVICE POLICIES. DCMH COMMUNITY BENEFIT INVENTORY FY'10 (7/1/09-6/30/10) DCMH ================= ========== COMMUNITY HEALTH SERVICES ------------------------- COMMUNITY HEALTH EDUCATION $356,289 COMMUNITY BASED CLINICAL SVCS 7,267 HEALTHCARE SUPPORT SVCS 949 ---------- SUB-TOTAL $364,505 HEALTH PROFESSIONS EDUCATION ---------------------------- PHYSICIANS/MEDICAL STUDENTS $110,000 TECHNICIANS 235,866 ---------- SUB-TOTAL $345,866 SUBSIDIZED HEALTH SERVICES -------------------------- NEONATAL INTENSIVE CARE $803,649 WOMEN AND CHILDREN'S SERVICES 1,191,046 ----------- SUB-TOTAL $1,994,695 RESEARCH -------- CLINICAL RESEARCH $113,785 FINANCIAL CONTRIBUTIONS ----------------------- CASH DONATIONS $725 GRANTS 40 IN-KIND DONATIONS 8,039 ---------- SUB-TOTAL $8,804 COMMUNITY BENEFIT OPERATIONS ---------------------------- DEDICATED STAFF $70,994 CHARITY CARE, AT COST $5,082,221 GOVERNMENT SPONSORED HEALTHCARE -------------------------------- MEDICAID $4,825,672 ---------- GRAND TOTAL $12,806,542 ========== PLEASE NOTE THAT THE GRAND TOTAL OUTLINED ABOVE EXCLUDES A SHORTFALL OF $7,195,266 ASSOCIATED WITH PROVIDING HEALTHCARE SERVICES TO MEDICARE PATIENTS. IN ADDITION, THE GRAND TOTAL OUTLINED ABOVE ALSO EXCLUDES $9,180,752 OF CHANGES AT AN ESTIMATED COST OF $1,074,177 DUE TO THOSE PATIENTS UNABLE TO PAY CO-INSURANCE/DEDUCTIBLES, AND OTHER WRITE-OFFS FOR WHICH DCMH WAS UNABLE TO DEMONSTRATE ELIGIBILITY FOR CHARITY CARE, THUS CLASSIFIED AS BAD DEBT. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | INTRODUCTION ============ CKHS' MAJOR AREAS OF FOCUS INCLUDE: - IMPROVING THE OVERALL HEALTH STATUS OF RESIDENTS IN DELAWARE COUNTY. - MEASURING PROGRESS OF KEY HEALTH INDICATORS, AS IDENTIFIED IN HEALTHY PEOPLE 2010, AND REPORTING THESE TRENDS OVER TIME. THE FOLLOWING LEADING HEALTH INDICATORS CHOSEN TO BE ADDRESSED BY CKHS REFLECT THE MAJOR PUBLIC HEALTH CONCERNS IN DELAWARE COUNTY: - ACCESS TO QUALITY HEALTHCARE - MATERNAL AND CHILD HEALTH - RESPONSIBLE SEXUAL BEHAVIOR - CARDIOVASCULAR HEALTH IMPROVEMENT - EARLY DETECTION OF CANCER - IMPROVED BEHAVIORAL HEALTH - INJURY/VIOLENCE PREVENTION - WELLNESS/FITNESS - TARGETING RISK REDUCTION AND HEALTH PROMOTION INTERVENTIONS. MEASUREMENT METHODOLOGY ======================= TOOLS USED BY CKHS TO DETERMINE THE NEEDS OF THE COMMUNITY THAT CKHS SERVES INCLUDE THE FOLLOWING: - PHILADELPHIA HEALTH MANAGEMENT CORPORATION HOUSEHOLD FIELD SURVEY - BRFSS - BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY - NCHS - NATIONAL CENTER FOR HEALTH STATISTICS - BUREAU OF THE CENSUS - STATISTICAL ABSTRACT OF THE U.S. - PA VITAL STATISTICS - PA DEPARTMENT OF HEALTH - NATIONAL HEALTH INTERVIEW SURVEY - COMMUNITY SURVEYS - FAITH BASED COMMUNITY SURVEYS STRATEGIES TO ADDRESS FINDINGS ============================== CKHS RESPONDS TO THE DATA IT RECEIVES REGARDING THE COMMUNITIES IT SERVES BY THE FOLLOWING: - EVALUATE PROVEN STRATEGIES THAT CURRENTLY EXIST TO ADDRESS IDENTIFIED COMMUNITY NEEDS. - IF NO PROVEN STRATEGIES EXIST, DESIGN NEW PROGRAMS/OUTREACH MEASURES USING STRATEGIES PROVEN TO WORK WITH REGARD TO SIMILAR HEALTH ISSUES OR WITHIN SIMILAR COMMUNITIES. - EVALUATE PROGRESS TOWARD MEETING 2010 GOALS. - IDENTIFY INTERNAL AND EXTERNAL PARTNERS. -COORDINATE AND COLLABORATE WITH INTERNAL/EXTERNAL PARTNERS TO ADDRESS COMMUNITY NEED. - INCLUDE PARTNERS, AS WELL AS MEMBERS OF THE COMMUNITY CKHS PLANS TO SERVE IN THE DESIGN AND IMPLEMENTATION PHASE OF THE "ROLL-OUT" OF THE PROGRAM. - DESIGN NEW PROGRAMS AND STRATEGIES TO ADDRESS OBSERVED NEED - INCLUDING A TOOL TO EVALUATE OUTREACH EFFORTS. - PLAN STRATEGIES TO IMPLEMENT THE PROGRAM BOTH INTERNALLY AND EXTERNALLY. PROCESS ======= 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. CKHS HAS FOUND THAT INDIVIDUALS IDENTIFY 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 CKHS CONTINUES WORKING TOWARD ACHIEVING THE HEALTHY PEOPLE 2010 GOALS FOR DELAWARE COUNTY CKHS MUST BUILD HEALTH 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 COMMUNITY. CKHS IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR ALL WHO LIVE, WORK AND PLAY IN DELAWARE COUNTY. SELECTED ACCOMPLISHMENTS ======================== CHESTER UPLAND SCHOOL DISTRICT/CKHS ALLIED HEALTH HIGH SCHOOL ------------------------------------------------------------- THIS SCHOOL A COLLABORATE EFFORT PREPARES AND MOTIVATES STUDENTS TO PURSUE FURTHER EDUCATION TOWARD A CAREER IN THE MEDICAL SCIENCES THROUGH SPECIALIZED CURRICULUM AND COMMUNITY BASED PARTNERSHIPS. STUDENTS WILL HAVE BOTH THEORETICAL AND PRACTICAL EXPERIENCES IN THE HEALTH SCIENCES. 2009-2010 THE SCHOOL OPENED UP WITH ANOTHER SUCCESSFUL YEAR ADDING 100 NEW STUDENTS. MANY STUDENTS ARE CPR CERTIFIED AND MANY STUDENTS ARE TAKING THEIR EMERGENCY MEDICAL SERVICES EXAM. ALL STUDENTS WILL EARN AN EMT AND CNA CERTIFICATION UPON GRADUATION. SMEDLEY HIGH SCHOOL FOR HEALTH CAREERS UPDATE ---------------------------------------------- BACKGROUND INFORMATION: NINETY PERCENT OF THE STUDENTS THAT ATTEND SMEDLEY HIGH SCHOOL FOR HEALTH CAREERS ARE ELIGIBLE FOR FREE AND REDUCED LUNCH UNDER THE FEDERAL TITLE I PROGRAM. MANY OF THE STUDENTS THAT ATTEND SMEDLEY LIVE WITH GRANDPARENTS OR EXTENDED FAMILY MEMBERS. AT THE END OF THE 2010 SCHOOL YEAR, THREE STUDENTS LIVED IN HOMELESS SHELTERS. THE STUDENTS ENROLLED IN THE HEALTH CAREERS PROGRAM ARE BEING PROVIDED AN OPPORTUNITY TO BREAK THE CHAINS OF POVERTY THAT HAVE PLAGUED THEIR FAMILY GENERATION AFTER GENERATION . THE MAJORITY OF THE SMEDLEY 2012 GRADUATES WILL BE THE FIRST IN THEIR FAMILIES TO ATTEND COLLEGE. THE MAJORITY OF STUDENTS HAVE NEVER LEFT THE CITY LIMITS OF CHESTER. THROUGH FIELD TRIPS, AND THE GENEROUS CONTRIBUTIONS FROM LOCAL AND COMMUNITY PARTNERS, STUDENTS ARE GIVEN AN OPPORTUNITY TO EXPERIENCE OTHER CULTURES AND OTHER PLACES. THREE TO FIVE FIELD TRIPS A YEAR ARE PLANNED FOR EACH GRADE LEVEL. SCHOOL COMPETITIONS AND AWARDS: - THE HEALTH CAREERS STUDENTS BEAT OUT THREE OTHER DELAWARE COUNTY HIGH SCHOOLS AT THE 2ND ANNUAL DELAWARE COUNTY READING OLYMPICS. - HEALTH CAREERS STUDENTS WON THE DELAWARE COUNTY STROKE AWARENESS VIDEO AWARD. SEVERAL STUDENTS CREATED A VIDEO THAT INFORMED THE PUBLIC ABOUT THE IMPORTANCE OF STROKE AWARENESS. - THIRTY-FIVE STUDENTS WON THE CITY OF CHESTER'S MAYOR'S AWARD FOR THEIR HIGH ACADEMIC ACHIEVEMENTS. NO OTHER SCHOOL HAD THIS LARGE NUMBER OF STUDENTS QUALIFY FOR THIS ANNUAL AWARD. - OVER HALF OF THE STUDENTS IN EACH GRADE SIGNED UP TO TAKE AN HONORS COURSE IN EITHER: MATHEMATICS, SCIENCE, HISTORY OR ENGLISH. - HEALTH CAREERS STUDENTS CREATE LITERATURE TO DISTRIBUTE AND SHARE WITH THE COMMUNITY ABOUT SEVERAL HEALTH RELATED TOPICS RANGING FROM STD'S TO BREAST CANCER TO STROKE AWARENESS. - THE STUDENTS ALSO MADE SUBSTANTIAL CONTRIBUTIONS TO THE HAITI RELIEF FUND AND OTHER LOCAL CHARITIES. MEASURING STUDENT PROGRESS/4 SIGHT: NINETY PERCENT OF THE STUDENTS IN THE HEALTH CAREERS PROGRAM ARE MEETING OR EXCEEDING THE STATE'S EXPECTATION IN BOTH READING AND MATHEMATICS. NO HIGH SCHOOL IN THE CHESTER-UPLAND DISTRICT HAS EVER ATTAINED THESE HIGH PERCENTAGES IN ANY SUBJECT AREA. HONOR ROLL: ONE THIRD OF THE TOTAL POPULATION OF THE SCHOOL HAS MADE THE HONOR ROLL THREE OUT OF FOUR MARKING PERIODS. STUDENTS AGREE THAT THE COURSES ARE RIGOROUS AND CHALLENGING. THE 2010-2011 SCHOOL YEAR WILL MARK THE START OF HONORS CLASSES AT SMEDLEY. THE FOLLOWING YEAR ADVANCED PLACEMENT CLASSES WILL BE OFFERED. GRADUATION RATE: SMEDLEY HIGH SCHOOL WILL HAVE 9TH, 10TH AND 11TH GRADERS IN THE 2010-2011 SCHOOL YEAR. EACH YEAR THE SCHOOL HAS PROMOTED EVERY STUDENT. NO STUDENT HAS EVER BEEN RETAINED. THE SCHOOL'S FOCUS AND GOAL IS TO HAVE EVERY SENIOR STUDENT GRADUATE IN 2012. CHESTER YOUTH COLLABORATIVE EXPANSION ------------------------------------- THE CHESTER YOUTH COLLABORATIVE (CYC) IS A CITY-WIDE NETWORK AIMED AT INCREASING THE QUALITY AND NUMBER OF OPPORTUNITIES FOR YOUTH IN CHESTER TO SUPPORT YOUTH IN TRANSITIONING INTO HEALTHY, PRODUCTIVE MEMBERS OF SOCIETY. CROZER WELLNESS CENTER SERVES AS THE LEAD ORGANIZATION FOR THE NETWORK. CYC WAS LAUNCHED IN 2005 WITH A THREE-YEAR $1.1 MILLION GRANT FROM PHILADELPHIA'S WILLIAM PENN FOUNDATION. BECAUSE THE CROZER WELLNESS CENTER HAS BEEN EXTREMELY SUCCESSFUL IN ACHIEVING THE OUTCOMES DICTATED BY THE WILLIAM PENN FOUNDATION IN THE 2005 GRANT, A SECOND 3-YEAR GRANT WAS AWARDED IN SPRING 2008. AT $1.9 MILLION, THIS GRANT WAS SIGNIFICANTLY LARGER THAN THE FIRST. PLEASE SEE CROZER WELLNESS CENTER'S INFORMATION BELOW FOR DETAILS. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | NEW MOMS/NEW PARENT PROJECT AND IDECIDE CAMPAIGN ------------------------------------------------ CROZER-KEYSTONE HEALTH SYSTEM'S WOMEN AND CHILDREN'S HEALTH SERVICES IN DELAWARE COUNTY, PENNSYLVANIA, IN PARTNERSHIP WITH THE PENNSYLVANIA DEPARTMENT OF HEALTH, WAS AWARDED A TWO-YEAR FEDERAL GRANT TO CREATE A SOCIAL MARKETING DEMONSTRATION PROJECT. THIS WAS ONE OF THIRTEEN GRANTS AWARDED NATIONALLY, WITH THE CROZER-KEYSTONE GRANT BEING THE ONLY ONE AWARDED IN PENNSYLVANIA. THE ULTIMATE GOAL OF THIS PROJECT WAS TO LEARN WHAT SOCIAL MARKETING STRATEGIES WORK TOWARD PROMOTION AND EDUCATION ON PRECONCEPTION CARE AND MATERNAL HEALTH; BOTH CONTRIBUTING LONG TERM TO LOWERING THE INFANT MORTALITY AND MORBIDITY RATE IN DELAWARE COUNTY, PA. THIS SOCIAL MARKETING DEMONSTRATION PROJECT WAS NAMED THE NEW MOMS/NEW PARENTS PROJECT. IN ORDER TO ACHIEVE THESE GOALS, THE NEW MOMS/NEW PARENTS PROJECT CREATED A HEALTH EDUCATION AND MARKETING CAMPAIGN TARGETING AN AUDIENCE OF 13-25 YEAR OLD WOMEN CALLED IDECIDE. THE IDECIDE CAMPAIGN HAS FOCUSED ON SEVEN MAIN HEALTH TOPICS WITHIN PRECONCEPTION CARE AND MATERNAL HEALTH INCLUDING: THE IMPORTANCE OF A MEDICAL HOME, SEXUAL HEALTH, SAFE RELATIONSHIPS, NUTRITION, EXERCISE, MENTAL HEALTH/STRESS, AND FOLIC ACID. ADDITIONALLY, THE IMPORTANCE OF GIRLS AND WOMEN TAKING CARE OF THEMSELVES WELL BEFORE THEY GET PREGNANT OR CONSIDER PREGNANCY WAS ALSO STRESSED IN ORDER TO HELP INCREASE THE CHANCES THAT IN THE FUTURE THEY WILL HAVE A HEALTHY BABY. THE GIRLS AND WOMEN THE CAMPAIGN TARGETED LIVED IN LOW INCOME AREAS AND OFTEN LACKED THE HEALTH LITERACY AND AWARENESS TO UNDERSTAND HOW TO BE HEALTHY AND HOW TO STAY HEALTHY. TO CREATE THE IDECIDE CAMPAIGN AND TO VALIDATE THE PROJECT WITH DATA, THE PROJECT PARTNERED WITH THE PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) TO CONDUCT EXTENSIVE FOCUS GROUPS AND STREET INTERCEPTS WITH THE IDENTIFIED TARGET AUDIENCE TO LEARN ABOUT THEIR OPINIONS AND ATTITUDES TOWARDS PRECONCEPTION CARE, INTERCONCEPTION CARE, AND HEALTH IN GENERAL. THE PROCESS EVALUATION FOUND THAT GIRLS AND WOMEN AGED 13-25 FELT THAT THEY WERE OFTEN TOO BUSY TO EAT HEALTHY AND THAT MOST WOMEN THEIR AGE ATE POORLY OUT OF CONVENIENCE. THOSE SURVEYED ALSO EXPRESSED THAT THEY FELT THAT ALL OF THE PROJECT'S THEMES WERE IMPORTANT, BUT BECAUSE LIFE IS OFTEN BUSY AND HECTIC, IT IS HARD TO STAY PHYSICALLY, MENTALLY, AND SEXUALLY HEALTHY. LAST, THEY FELT THAT PREGNANCY AND SEXUAL HEALTH NEEDED TO BE DISCUSSED MORE WITH TEENS. PHMC ALSO CONDUCTED A FOCUS GROUP WITH HEALTHCARE PROVIDERS TO GAUGE PROBLEMS AND CONCERNS ABOUT THEIR PATIENTS IN THE AGE RANGE, AS WELL AS TO LEARN WHAT AREAS DOCTORS AND CARE GIVERS FELT THAT GIRLS 13-25 LACKED IN KNOWLEDGE. WHILE TEEN PREGNANCY HAS BEEN SLOWLY DECLINING IN PENNSYLVANIA, THERE HAS ACTUALLY BEEN A SLIGHT INCREASE IN CHESTER. WITH THE IDECIDE CAMPAIGN, IT WAS HOPED THE STRATEGIES EMPLOYED WOULD HELP TO DECREASE TEEN UNPLANNED PREGNANCIES AND HELP EMPOWER GIRLS AND YOUNG WOMEN TO HELP THEMSELVES AND THEIR COMMUNITIES. ONCE THE RESEARCH WAS EVALUATED, THE PROJECT BEGAN TO IMPLEMENT THE INTERACTIVE IDECIDE CAMPAIGN. THE MAIN FOCUS OF THE CAMPAIGN WAS TO CONDUCT HEALTH PRESENTATIONS IN DELAWARE COUNTY SCHOOLS ABOUT THE IDENTIFIED FOCUS TOPICS. THE PROCESS BEGAN BY CONTACTING MIDDLE AND HIGH SCHOOLS ACROSS THE COUNTY TO MARKET THE CAMPAIGN AND PROMOTE INTEREST. ONCE A SCHOOL WAS INTERESTED IN THE CAMPAIGN, SPECIFIC SCHOOL NEED WAS DETERMINED. THE MOST POPULAR FOCUS TOPIC WAS NUTRITION FOLLOWED BY SAFE RELATIONSHIPS. BY TALKING WITH THE SCHOOLS, PROJECT STAFF LEARNED OF ADDITIONAL AREAS TO PRESENT THAT SCHOOLS FELT WERE "PROBLEM AREAS" WITHIN THE STUDENT BODY. FROM THESE MEETINGS, ADDITIONAL PRESENTATIONS WERE ADDED TO THE CAMPAIGN ON HYGIENE, BODY IMAGE, AND CYBER BULLYING. PRESENTATIONS LASTED FORTY-FIVE MINUTES TO AN HOUR AND WERE COMPLETELY INTERACTIVE INCLUDING VIDEOS, ACTIVITIES, AND ROLE-PLAYING SITUATIONS. TO MEASURE THE OUTCOMES OF THE HEALTH PRESENTATION, PHMC CREATED A PRE-TEST AND A POST-TEST ASKING GIRLS QUESTIONS REGARDING ATTITUDES, KNOWLEDGE, AND BEHAVIORS. IN ADDITION TO HEALTH PRESENTATIONS IN SCHOOLS, THE PROJECT ALSO LAUNCHED AN EXTENSIVE VIRTUAL CAMPAIGN. BY USING NEW MEDIA TECHNOLOGIES SUCH AS FACEBOOK, TWITTER, AND AN INTERACTIVE WEBSITE, THE CAMPAIGN WAS ABLE TO REACH THE TARGET AUDIENCE MORE EFFECTIVELY WITH TOOLS THAT THEY USE EVERY DAY. FOR THE SOCIAL MEDIA NETWORK SITES, THE CAMPAIGN PUBLISHED A "TIP OF THE DAY" THAT RELATED TO THE HEALTH TOPICS. THE CAMPAIGN ALSO IMPLEMENTED STRATEGIES TO ENGAGE THE AUDIENCE THROUGH DISCUSSION QUESTIONS ON A MESSAGE BOARD AS WELL AS COMMENTS TO THEIR ACTUAL PAGES. WITH THE WEBSITE, INTERACTIVE FEATURES WERE POSTED INCLUDING A HEALTH QUIZ, VIDEOS, HOT TOPICS, RESOURCES, AND UPCOMING EVENTS. WHEN WORKING WITH AN AUDIENCE WHOSE TRENDS CHANGE WEEKLY, IT WAS VERY IMPORTANT TO SPEAK IN A LANGUAGE THAT THE UNDERSTAND, THROUGH TOOLS THAT THEY KNOW HOW TO USE EFFECTIVELY. THROUGH THE PROJECT'S PRE AND POST- TEST EVALUATIONS, IT WAS LEARNED THAT THERE WERE SUCCESSES IN RAISING AWARENESS ABOUT THE TOPIC AREAS AND THAT THE GIRLS THAT PARTICIPATED ENJOYED THE STYLE AND LOOK OF THE IDECIDE CAMPAIGN. BY COMBINING THE VARIOUS BACKGROUNDS OF THE TEAM, USING NEW AND INNOVATIVE MEDIA, AND UTILIZING TRADITIONAL TIME-TESTED METHODS SUCH AS INTERACTIVE PRESENTATIONS, THE CAMPAIGN DEVELOPED A CUTTING-EDGE PROGRAM FOR THE TARGET AUDIENCE THAT WAS BOTH INTERESTING AND ENGAGING. THE NEW MOMS/NEW PARENTS PROJECT ENDED THE TWO-YEAR DEMONSTRATION PROJECT ON AUGUST 31, 2010. COMMUNITY PROGRAM ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 44,506 INDIVIDUALS IN THE PENNSYLVANIA, NEW JERSEY AND DELAWARE TRI-STATE AREA (DUE IN PART TO THE ELECTRONIC MEDIA COMPONENTS OF THE PROJECT). TOBACCO PREVENTION ART CONTEST ------------------------------ THE TOBACCO PREVENTION & CESSATION PROGRAM RECEIVED DONATIONS IN THE MEMORY OF A LOCAL RESIDENT KATHLEEN JONES. THESE FUNDS MADE IT POSSIBLE FOR CKHS COMMUNITY HEALTH EDUCATION'S TOBACCO PREVENTION AND CESSATION PROGRAM TO HOST AN ANTI-TOBACCO ART CONTEST FOR 10TH GRADERS IN THE CHESTER-UPLAND SCHOOL DISTRICT. MORE THAN 450 10TH GRADE STUDENTS THROUGHOUT THE DISTRICT WERE EDUCATED ABOUT THE DANGERS OF TOBACCO USE, TOBACCO MARKETING TACTICS TOWARDS YOUTH AND THE EFFECTS OF SECONDHAND SMOKE. THE STUDENTS CREATED A PIECE OF ART THAT WOULD PROMOTE A TOBACCO-FREE AND HEALTHY LIFESTYLE. ONE OF THE TOP ENTRIES SUMMED UP THE MESSAGE EMBODIED IN THIS OUTREACH PROGRAM FOR YOUNG ADULTS AS: "DON'T LET YOUR DREAMS END UP IN SMOKE!" IN THE COMING YEAR, THE PROGRAM WILL EDUCATE MORE YOUTHS ABOUT THE DANGERS OF TOBACCO USE TO PREVENT TODAY'S YOUTHS FROM BECOMING TOMORROW'S TOBACCO VICTIMS. DELAWARE COUNTY HEAD START COLLABORATION FOR NUTRITION AND PHYSICAL ACTIVITY OUTREACH ------------------------------------------------------------------- CKHS COMMUNITY HEALTH OFFERS PROGRAMMING TO MEET THE HEALTHY PEOPLE 2010 GOALS OF DECREASING OBESITY AND INCREASING FRUIT AND VEGETABLE CONSUMPTION AND DAILY PHYSICAL ACTIVITY. PROGRAMS PROVIDE EDUCATION TO PROMOTE THE IMPORTANCE OF HEALTHFUL EATING, PORTION SIZE CONTROL, AND THE IMPLEMENTATION OF DAILY PHYSICAL ACTIVITY. IT IS BEST TO BEGIN EDUCATING CHILDREN ABOUT HEALTHFUL BEHAVIORS FROM AN EARLY AGE, AND THEREFORE CKHS COMMUNITY HEALTH PARTNERS WITH CHESPENN HEALTH SERVICES AND THE DELAWARE COUNTY INTERMEDIATE UNIT (DCIU) TO PROVIDE THIS EDUCATION TO ITS YOUNGEST STUDENTS. APPROXIMATELY 500 STUDENTS BETWEEN THE AGES OF 3 AND 5 IN DELAWARE COUNTY HEAD START PROGRAMS PARTICIPATED IN INTERACTIVE EDUCATION PROGRAMS FOCUSED ON PROMOTING HEALTHFUL NUTRITION AND PHYSICAL ACTIVITY BEHAVIORS. THE PROGRAM IS IN ITS SECOND YEAR AND HAS BEEN WELL RECEIVED BY HEAD START FACILITIES AND THE DCIU. THE PROGRAM WILL CONTINUE AND LOOKS TO EXPAND ITS REACH WITHIN THE COMING YEAR. BODY AND SOUL: A CELEBRATION OF HEALTHY LIVING FOR AFRICAN AMERICAN CHURCHES ------------------------------------------------------------------- THE CKHS COMMUNITY HEALTH EDUCATION PROGRAM WAS CHOSEN BY THE PA DEPARTMENT OF HEALTH AND FOX CHASE CANCER CENTER TO PARTICIPATE IN THE BODY AND SOUL PROGRAM. CKHS COMMUNITY HEALTH EDUCATION DEPARTMENTS HAS A LONG STANDING POSITIVE RELATIONSHIP WITH THE CHESTER AND VICINITY MINISTERIAL COMMITTEE, THE AFRICAN-AMERICAN CHURCHES AND PARISH NURSES IN CHESTER WHICH ENABLED THE PROGRAM TO ENLIST FIVE LOCAL CHURCHES TO PARTICIPATE IN THE BODY AND SOUL PROGRAM. BODY AND SOUL IS A WELLNESS PROGRAM FOR AFRICAN-AMERICAN CHURCHES. IT IS A PROVEN PROGRAM THAT EMPOWERS CHURCH MEMBERS TO LIVE HEALTHIER LIFESTYLES. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | THE CKHS STAFF EDUCATED CHURCH MEMBERS REGARDING WAYS TO MAKE PERMANENT CHANGES IN DAILY LIVING FOR BETTER HEALTH AND CANCER PREVENTION, INCLUDING EATING A DIET RICH IN FRUITS AND VEGETABLES AND INCREASING PHYSICAL ACTIVITY. THE CHURCHES WERE THEN SUPPORTED BY THE CKHS STAFF AS THEY IMPLEMENTED ACTIVITIES THAT ENCOURAGED CHURCH MEMBERS TO INCORPORATE THE CONCEPTS LEARNED INTO EVERYDAY LIVING, CHURCH ACTIVITIES AND CHURCH POLICY. THE ACTIVITIES INCLUDED SUCH THINGS AS TASTE-TESTINGS OF HEALTHY FOODS, SERVING HEALTHY FOODS AT CHURCH FUNCTIONS, AND EXERCISE CLASSES. THE PROGRAM WAS AN ENORMOUS SUCCESS AT EACH CHURCH. CHURCHES WERE OFFERED SMALL STIPENDS TO PAY FOR THE PURCHASE OF FRUITS AND VEGETABLES, EXERCISE VIDEOS, DOOR PRIZES, ETC. AS A RESULT OF THIS PROGRAM'S SUCCESS, SUPPLEMENTAL FUNDS FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH WERE AWARDED TO INCLUDE A TOBACCO EDUCATION COMPONENT TO THE SERVICES OFFERED TO CHESTER BODY AND SOUL CHURCHES. KEEPING OUR BODIES HEALTHY - TOBACCO AWARENESS IS A CULTURALLY-APPROPRIATE TOBACCO EDUCATION SESSION BASED ON THE PATHWAYS TO FREEDOM GUIDE FOR AFRICAN-AMERICANS. THE CKHS STAFF EDUCATED CHURCH MEMBERS ON THE IMPACT OF TOBACCO USE ON THE AFRICAN-AMERICAN COMMUNITY; HOW TOBACCO PRODUCTS AFFECT THE BODY; WAYS TO QUIT SUCCESSFULLY OR HELP LOVED-ONES AS THEY QUIT; AND CULTURALLY-TAILORED EDUCATIONAL RESOURCES WERE MADE AVAILABLE FOR USE IN THE CHURCH. CHESTER HOME ASTHMA PREVENTION PROGRAM -------------------------------------- FUNDING WAS APPROVED BY THE PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THE ENVIRONMENTAL PROTECTION AGENCY FOR A THREE-YEAR PILOT PROGRAM THAT HAS ENABLED THE KIDS ASTHMA MANAGEMENT PROGRAM TO ADD A NEW COMPONENT TO ACCENTUATE THEIR CURRENT EDUCATION AND OUTREACH EFFORTS FOR CHILDREN WITH ASTHMA LIVING IN CHESTER. THE PROGRAM ENTITLED CHESTER HOME ASTHMA PREVENTION PROGRAM IS A HOME BASED ASTHMA ENVIRONMENTAL TRIGGER EDUCATION AND REMEDIATION SERVICE OFFERED TO CHESTER CITY RESIDENTS. THREE PART TIME PEER COUNSELORS FROM CHESTER WERE HIRED IN MAY 2010 AND HAVE BEEN TRAINED TO REACH FAMILIES OF CHILDREN AGE 5-17 WHO HAVE UNCONTROLLED ASTHMA IN THEIR HOMES TO REDUCE ASTHMA TRIGGERS AND PROVIDE FAMILIES WITH "ASTHMA-FRIENDLY HOME REMEDIATION KITS" TO SUPPORT WAYS TO REDUCE EXPOSURE TO HOUSEHOLD ASTHMA TRIGGERS. FAMILIES ARE CO-MANAGED WITH THE K.A.M.P. PROGRAM MANAGER AND TRACKED TO ASSESS HOW WELL THEY CAN MAINTAIN ENVIRONMENTAL MITIGATION OF ASTHMA TRIGGERS IN THEIR HOMES. MAYOR WENDELL BUTLER, JR. AND THE CHESTER CITY COUNCIL ACKNOWLEDGED CHAPP'S KICK-OFF DURING ITS ASTHMA AWARENESS MONTH PROCLAMATION ON MAY 12, 2010. THE CHESTER ENVIRONMENTAL PARTNERSHIP COLLABORATES WITH CROZER-KEYSTONE IN IMPLEMENTING CHAPP AND PROVIDES NEIGHBORHOOD CLEAN UPS TO ADDRESS OUTDOOR ENVIRONMENTAL ASTHMA TRIGGERS. 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. CROZER-CHESTER MEDICAL CENTER ============================= CROZER-CHESTER MEDICAL CENTER ("CCMC"), A SUBSIDIARY OF CKHS, IS A LICENSED 424-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 ADMITS MORE THAN 22,000 PATIENTS, TREATS APPROXIMATELY 55,000 EMERGENCY DEPARTMENT PATIENTS, AND DELIVERS ABOUT 2,000 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. CCMC'S FEATURED SERVICES INCLUDE: - ACUTE CARE OF ELDERS (ACE) UNIT - COMPREHENSIVE CARDIAC SERVICES, INCLUDING OPEN HEART SURGERY - CENTER FOR MATERNAL FETAL MEDICINE - CENTER FOR MINIMALLY INVASIVE AND BARIATRIC SURGERY - CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE - CROZER-KEYSTONE HUMAN MOTION INSTITUTE AT CROZER-CHESTER MEDICAL CENTER, ENCOMPASSING ORTHOPEDIC, REHABILITATION, SPINE AND SPORTS MEDICINE SERVICES, AS WELL AS A DEDICATED JOINT/SPINE UNIT FOR INPATIENTS - CROZER REGIONAL TRAUMA CENTER, THE ONLY ONE OF ITS KIND IN THE COUNTY - CROZER REPRODUCTIVE ENDOCRINOLOGY AND FERTILITY CENTER - EMERGENCY DEPARTMENT - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP: CROZER REGIONAL CANCER CENTER - INPATIENT PEDIATRIC UNIT - INTERVENTIONAL PAIN MANAGEMENT CENTER - INTERVENTIONAL RADIOLOGY - LEVEL III INTENSIVE CARE NURSERY - MATERNITY CENTER AND COMPREHENSIVE GYNECOLOGIC SERVICES - ADVANCED INPATIENT AND OUTPATIENT MEDICAL IMAGING SERVICES, INCLUDING MRI AND WOMEN'S IMAGING - NATIONALLY RECOGNIZED NATHAN SPEARE REGIONAL BURN TREATMENT CENTER (LARGEST IN REGION) - PARKINSON'S DISEASE AND MOVEMENT DISORDER CENTER - ADULT AND PEDIATRIC SURGERY, INCLUDING VASCULAR SURGERY - TEMPLE-CROZER KIDNEY TRANSPLANT ALLIANCE DELAWARE COMMUNITY MEMORIAL HOSPITAL ==================================== DELAWARE COUNTY MEMORIAL HOSPITAL ("DCMH"), ONE OF THE FOUNDING HOSPITALS OF CKHS, IS A 225-BED NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT OFFERS A BROAD RANGE OF ACUTE AND SPECIALIZED SERVICES. FOUNDED IN 1925, DCMH CURRENTLY ADMITS APPROXIMATELY 10,000 PATIENTS, TREATS 40,000 EMERGENCY DEPARTMENT PATIENTS, AND DELIVERS ABOUT 1,600 BABIES EACH YEAR. FEATURED SERVICES INCLUDE: - EMERGENCY DEPARTMENT AND 14-BED CRITICAL INTENSIVE CARE UNIT - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP: THE DELAWARE COUNTY REGIONAL CANCER CENTER - MRI - CRITICAL INTENSIVE CARE UNIT - POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT) IMAGING - WOMAN'S DIAGNOSTIC CENTER - THE MATERNITY CENTER AND COMPREHENSIVE GYNECOLOGIC SERVICES - LEVEL IIA NEONATAL INTENSIVE CARE NURSERY - SURGICENTER, A FULL RANGE OF INPATIENT AND OUTPATIENT SURGICAL SERVICES - OUTPATIENT REHABILITATION AND SPORTS MEDICINE CENTER - CROZER-KEYSTONE HUMAN MOTION INSTITUTE AT DELAWARE COUNTY MEMORIAL HOSPITAL, ENCOMPASSING ORTHOPEDIC, REHABILITATION, SPINE AND SPORTS MEDICINE SERVICES. - HEALTHLINE SERVICES FOR COMMUNITY EDUCATION - WOUND SERVICE - SLEEP CENTER TAYLOR HOSPITAL =============== TAYLOR HOSPITAL (C. 1910), A DIVISION OF CROZER-CHESTER MEDICAL CENTER, JOINED CKHS IN 1997. IT IS A 156-BED NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT OFFERS A RANGE OF ACUTE AND SPECIALIZED SERVICES. EACH YEAR, TAYLOR HOSPITAL ADMITS ABOUT 7,500 PATIENTS AND RECEIVES ABOUT 29,000 EMERGENCY DEPARTMENT VISITS. FEATURED SERVICES INCLUDE: - EMERGENCY DEPARTMENT - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP - CROZER-KEYSTONE HUMAN MOTION INSTITUTE AT TAYLOR HOSPITAL, ENCOMPASSING ORTHOPEDIC, REHABILITATION, SPINE AND SPORTS MEDICINE SERVICES - CARDIAC CATHETERIZATION LABORATORY AND CARDIOVASCULAR LABORATORY - ADULT MEDICAL AND SURGICAL SERVICES - SLEEP CENTERS - LARGE INPATIENT REHABILITATION CENTER SPRINGFIELD HOSPITAL ==================== FOUNDED IN 1960, THE MODERN DAY SPRINGFIELD HOSPITAL, A DIVISION OF CROZER-CHESTER MEDICAL CENTER, IS A 33-BED NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT PROVIDES COMPREHENSIVE ACUTE-CARE SERVICES AND WELLNESS CARE. EACH YEAR, SPRINGFIELD HOSPITAL ADMITS ABOUT 2,000 PATIENTS AND RECEIVES MORE THAN 12,000 EMERGENCY DEPARTMENT VISITS. SPRINGFIELD HOSPITAL IS CONNECTED TO THE PAVILIONS THAT HOUSE CKHS' CORPORATE OFFICES AND THE HEALTHPLEX SPORTS CLUB. SPRINGFIELD'S CLINICAL OFFERINGS INCLUDE: - EMERGENCY DEPARTMENT - CRITICAL CARE UNIT - CENTER FOR DIABETES & DIABETIC EDUCATION - CARDIAC AND PULMONARY REHABILITATION - DIAGNOSTIC IMAGING CENTER, INCLUDING POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT) IMAGING - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP - CROZER-KEYSTONE HUMAN MOTION INSTITUTE AT SPRINGFIELD HOSPITAL, ENCOMPASSING ORTHOPEDIC, REHABILITATION, SPINE AND SPORTS MEDICINE SERVICES - CROZER-KEYSTONE HEART INSTITUTE - SURGERY CENTER - CROZER-KEYSTONE SPORTS MEDICINE INSTITUTE - CENTER FOR PREVENTIVE MEDICINE, A CENTER FOR OCCUPATIONAL HEALTH AND A DESIGNATED UNITED STATES OLYMPIC COMMITTEE SPORTS SCIENCE AND TECHNOLOGY NATIONAL NETWORK SITE - ROBOTIC SURGERY |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | 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 6,000 MEMBERS BELONG TO THE 176,000-SQUARE-FOOT SPORTS CLUB, WHICH OFFERS THE FOLLOWING PROGRAMS AND SERVICES: - COURTS FOR TENNIS, RACQUETBALL, SQUASH AND HANDBALL - 1/5 MILE INDOOR RUNNING TRACK - THREE BASKETBALL COURTS - COMPREHENSIVE EQUIPMENT FOR CARDIOVASCULAR TRAINING AND STRENGTH AND CONDITIONING - A SIX-LANE, 25-YARD LAP POOL AND A THERAPY POOL - FULL-SERVICE SALON AND CHILD CARE - MORE THAN A DOZEN COMPREHENSIVE WELLNESS PROGRAMS FOR PEOPLE OF ALL AGES AND CONDITIONS, INCLUDING AQUA ARTHRITIS, OSTEO FIT, AQUA MOM AND A VARIETY OF "MOMS IN MOTION" OFFERINGS. 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: - OUTPATIENT MENTAL HEALTH SERVICES - ADULT AND PEDIATRIC PRIMARY CARE, DENTISTRY THROUGH THE CHESPENN CENTER FOR FAMILY HEALTH - WOMEN'S AND CHILDREN'S HEALTH SERVICES, INCLUDING THE CROZER-KEYSTONE HEALTHY START PROGRAM - OUTPATIENT SUBSTANCE ABUSE SERVICES CKHS CENTERS OF EXCELLENCE ========================== 1. CANCER IF YOU OR SOMEONE YOU LOVE NEEDS CANCER CARE, OR IF YOU ARE CONCERNED ABOUT YOUR RISK OF CANCER, TURN TO CKHS - OFFERING COMPASSIONATE, STATE-OF-THE-ART CARE, CLOSE TO HOME. WE ARE HERE TO SUPPORT YOU AND TEND TO YOUR NEEDS, EVERY STEP OF THE WAY. WE GUARANTEE YOU THE COMMITMENT OF EVERY PHYSICIAN, HEALTHCARE PROFESSIONAL AND CARING PERSON YOU ENCOUNTER WITHIN THE CKHS. OUR PATIENTS FURTHER BENEFIT FROM THE STRENGTH OF THE NEW CLINICAL AND RESEARCH PARTNERSHIP BETWEEN CKHS AND FOX CHASE CANCER CENTER. FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP, WHICH EXPANDS ON THE SUCCESSFUL PARTNERSHIP BETWEEN FOX CHASE CANCER CENTER AND DELAWARE COUNTY REGIONAL CANCER CENTER, PROVIDES PATIENTS WITH AN EVEN GREATER LEVEL OF ACCESS TO CLINICAL TRIALS AND PROGRAMS TO PREVENT AND TREAT CANCER. CKHS OFFERS CANCER PREVENTION, DIAGNOSTIC, TREATMENT, AND SUPPORT SERVICES AT THE FOLLOWING REGIONAL CANCER CENTERS: A. CROZER REGIONAL CANCER 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 THE 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. OUR 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 AFFECTS, AS WELL AS LEARN TECHNIQUES TO HELP THEM LOOK THEIR BEST DURING CANCER TREATMENT. MEDICAL ONCOLOGY ---------------- THE MEDICAL ONCOLOGISTS AT THE CANCER CENTER USE AN EVER-EXPANDING VARIETY OF APPROACHES TO CANCER TREATMENT, INCLUDING CHEMOTHERAPY, IMMUNOTHERAPY AND HORMONAL THERAPY. RADIATION ONCOLOGY ------------------ ABOUT HALF OF ALL THE PEOPLE WHO DEVELOP CANCER RECEIVE RADIATION THERAPY AT SOME TIME DURING THEIR ILLNESS. RADIATION THERAPY CAN BE USED TO CURE THE CANCER OR TO RELIEVE DISTURBING SYMPTOMS, IMPROVE QUALITY OF LIFE, OR AS A SUPPLEMENTAL TREATMENT TO CHEMOTHERAPY AND SURGERY. TWO OF THE MOST SIGNIFICANT RECENT ADVANCES, INTENSITY MODULATED RADIATION THERAPY (IMRT) AND BRACHYTHERAPY (SEED IMPLANTS), ARE AVAILABLE AT CROZER. SURGICAL ONCOLOGY ----------------- THE TREATMENT OF CANCER FREQUENTLY REQUIRES SURGERY. A SURGICAL BIOPSY IS OFTEN REQUIRED TO DETERMINE THE PRESENCE OF CANCER, AND SURGERY IS OFTEN THE MEANS BY WHICH A TUMOR IS REMOVED. SITE-SPECIFIC CANCER TREATMENTS ------------------------------- THE CANCER CENTER OFFERS SPECIALIZED SITE-SPECIFIC CANCER TREATMENT PROGRAMS FOR CANCERS AFFECTING MANY DIFFERENT BODY ORGANS AND SYSTEMS -- FROM SKIN CANCER TO LYMPHOMAS, AS WELL AS GYNECOLOGIC, BREAST AND UROLOGIC CANCERS. SUPPORT FOR MIND AND SPIRIT --------------------------- THE CANCER CENTER OFFERS A VARIETY OF SUPPORT SERVICES FOR PATIENTS AND THEIR FAMILIES, INCLUDING SUPPORTIVE COUNSELING, SYMPTOM MANAGEMENT AND NUTRITIONAL COUNSELING. PREVENTION ---------- TO HELP THOSE IN OUR COMMUNITY PREVENT CANCER, THE CANCER CENTER OFFERS A UNIQUE CANCER RISK ASSESSMENT PROGRAM AS WELL AS A RANGE OF REGULAR SCREENINGS AND EDUCATIONAL EVENTS. RESEARCH AND EDUCATION ---------------------- THE CANCER CENTER OFFERS PATIENTS ACCESS TO THE LATEST CLINICAL TRIALS AND TRAINS THE CANCER PROFESSIONALS OF THE FUTURE. B. DELAWARE COUNTY REGIONAL CANCER CENTER ----------------------------------------- THE DELAWARE COUNTY REGIONAL CANCER CENTER (DCRCC) PROVIDES A COMPREHENSIVE APPROACH TO CANCER CARE, COMBINING STATE-OF-THE-ART DIAGNOSIS AND TREATMENT WITH SUPPORTIVE CARE. PHYSICIANS AND STAFF WORK AS A MULTIDISCIPLINARY TEAM, USING THE NEWEST TECHNOLOGIES AND THERAPIES, TO TAILOR TREATMENT TO EACH PATIENT'S CONDITION AND SITUATION. THE TREATMENT OPTIONS AVAILABLE INCLUDE SURGERY, RADIATION THERAPY AND MEDICAL ONCOLOGY. OUR SERVICES ARE PROVIDED TO PATIENTS BY A TALENTED, SPECIALLY TRAINED AND COMPASSIONATE TEAM OF PHYSICIANS, NURSES AND STAFF MEMBERS. DCRCC PROFESSIONALS REMAIN ON THE FOREFRONT OF CANCER CARE, EXPLORING AND IMPLEMENTING THE LATEST TECHNOLOGY TO ENHANCE EACH PATIENT'S TREATMENT PLAN. THE MEMBERS OF YOUR TEAM WORK CLOSELY TOGETHER TO PLAN AND CARRY OUT TREATMENT. THE CANCER CENTER IS PARTNERED WITH FOX CHASE CANCER CENTER, WHICH HAS BEEN DESIGNATED A COMPREHENSIVE CANCER CENTER BY THE NATIONAL CANCER INSTITUTE. THE CANCER CENTER OFFERS ALL OF THE BENEFITS OF A LARGE ACADEMIC MEDICAL CENTER, INCLUDING ACCESS TO CLINICAL TRIALS, WITH THE ADDED CONVENIENCE OF PROXIMITY TO YOUR HOME. MEDICAL ONCOLOGY ---------------- THE MEDICAL ONCOLOGISTS AT THE CANCER CENTER UTILIZE AN EVER-EXPANDING VARIETY OF APPROACHES TO CANCER TREATMENT, INCLUDING CHEMOTHERAPY, IMMUNOTHERAPY AND HORMONAL THERAPY. RADIATION ONCOLOGY ------------------ ABOUT HALF OF ALL THE PEOPLE WHO DEVELOP CANCER RECEIVE RADIATION THERAPY AT SOME TIME DURING THEIR ILLNESS. RADIATION THERAPY CAN BE USED TO CURE THE CANCER OR TO RELIEVE DISTURBING SYMPTOMS, IMPROVE QUALITY OF LIFE, OR AS A SUPPLEMENTAL TREATMENT TO CHEMOTHERAPY AND SURGERY. TWO OF THE MOST SIGNIFICANT RECENT ADVANCES, INTENSITY MODULATED RADIATION THERAPY (IMRT) AND BRACHYTHERAPY (SEED IMPLANTS), ARE AVAILABLE AT CROZER. SURGICAL ONCOLOGY ----------------- THE TREATMENT OF CANCER FREQUENTLY REQUIRES SURGERY. A SURGICAL BIOPSY IS OFTEN REQUIRED TO DETERMINE THE PRESENCE OF CANCER, AND SURGERY IS OFTEN THE MEANS BY WHICH A TUMOR IS REMOVED. SITE-SPECIFIC CANCER TREATMENTS ------------------------------- THE CANCER CENTER OFFERS SPECIALIZED SITE-SPECIFIC CANCER TREATMENT PROGRAMS FOR CANCERS AFFECTING MANY DIFFERENT BODY ORGANS AND SYSTEMS -- FROM SKIN CANCER TO LYMPHOMAS, AS WELL AS GYNECOLOGIC, BREAST AND UROLOGIC CANCERS. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | SUPPORT FOR MIND AND SPIRIT --------------------------- THE CANCER CENTER OFFERS A VARIETY OF SUPPORT SERVICES FOR PATIENTS AND THEIR FAMILIES, INCLUDING SUPPORTIVE COUNSELING, SYMPTOM MANAGEMENT AND NUTRITIONAL COUNSELING. PREVENTION ---------- TO HELP THOSE IN OUR COMMUNITY PREVENT CANCER, THE CANCER CENTER OFFERS A UNIQUE CANCER RISK ASSESSMENT PROGRAM AS WELL AS A RANGE OF REGULAR SCREENINGS AND EDUCATIONAL EVENTS. RESEARCH AND EDUCATION ---------------------- THE CANCER CENTER OFFERS PATIENTS ACCESS TO THE LATEST CLINICAL TRIALS AND TRAINS THE CANCER PROFESSIONALS OF THE FUTURE. CANCER SERVICES ARE ALSO PROVIDED AT TAYLOR HOSPITAL AND SPRINGFIELD HOSPITAL. 2. CROZER-KEYSTONE HEART INSTITUTE WHETHER YOU HAVE JUST BEEN DIAGNOSED WITH HEART DISEASE OR HAVE A CHRONIC HEART CONDITION, IT'S IMPORTANT FOR YOU TO SEEK EVALUATION AND TREATMENT BY A DEDICATED, EXPERIENCED TEAM OF CARDIOLOGISTS. IN DELAWARE COUNTY, YOU WILL FIND THAT DEDICATION AND EXPERIENCE AT CROZER-KEYSTONE HEALTH SYSTEM HOSPITALS. CROZER-KEYSTONE HEALTH SYSTEM 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 EVALUATE 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, CROZER-KEYSTONE HEALTH SYSTEM CAN HELP -- FROM DIAGNOSIS TO TREATMENT TO REHABILITATION -- OUR DEDICATION AND EXPERIENCE ARE 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 2,000 BABIES ARE BORN AT CROZER EVERY YEAR, WHILE DCMH DELIVERS ABOUT 1,600. HIGHLY EXPERIENCED STAFF ------------------------ OUR EXPERIENCED MEDICAL AND NURSING STAFF WELCOME EVERY BABY INTO THE WORLD WITH EXCEPTIONAL KNOWLEDGE AND SKILLS. OUR GOAL IS TO PROVIDE YOU WITH ALL THE INFORMATION YOU NEED AND THE COMFORTS YOU EXPECT TO MAKE THE BIRTH OF YOUR BABY ONE OF LIFE'S MOST MEMORABLE AND JOYOUS MOMENTS. CROZER HAS OVER 15 PRACTICING OBSTETRICIANS WHILE DCMH PROVIDES OBSTETRICAL SERVICES BY OBSTETRICIANS, FAMILY PHYSICIANS AND MIDWIVES. CROZER-KEYSTONE'S MATERNITY HEALTHCARE PROVIDERS HAVE OFFICES THROUGHOUT DELAWARE COUNTY AND NORTHERN DELAWARE. CARE, COMFORT, PRIVACY ---------------------- WE OFFER PRIVACY, COMFORT, INDIVIDUAL ATTENTION AND THE ADVANCED CARE THAT IS THOUGHT ONLY TO BE AVAILABLE AT ACADEMIC MEDICAL CENTERS. WHEN YOU'RE AN EXPECTANT MOM, IT'S IMPORTANT TO GIVE YOUR BABY THE BEST POSSIBLE START IN LIFE BY CHOOSING A PROVIDER TO CARE FOR YOU AND YOUR BABY THROUGHOUT YOUR PREGNANCY AND BEYOND. AT CROZER AND DCMH, YOU'LL FIND A PHYSICIAN OR MIDWIFE WHO MEETS YOUR SPECIFIC NEEDS-AND THAT'S THE BEST PRESCRIPTION FOR A HAPPY AND HEALTHY PREGNANCY! A FAMILY AFFAIR --------------- WE KNOW THAT THE BIRTH OF YOUR BABY IS A FAMILY EVENT. IF YOU CHOOSE, YOU MAY HAVE SUPPORT PEOPLE TO HELP YOU THROUGH THE LABOR AND TO BE PRESENT AT YOUR BABY'S BIRTH. JUST OUTSIDE THE LABOR/DELIVERY/RECOVERY SUITE, OTHER LOVED ONES MAY WAIT IN A COMFORTABLE, CONVENIENT ATMOSPHERE. AFTER DELIVERY ON THE POSTPARTUM UNIT, OUR VISITING HOURS ARE FLEXIBLE SO YOU CAN DECIDE HOW SOCIAL OR PRIVATE YOU WANT YOUR HOSPITAL STAY TO BE. 4. CROZER-KEYSTONE HUMAN MOTION INSTITUTE ABOUT OUR PROGRAM ----------------- 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 THREE SITES FOR OUR PATIENTS' CONVENIENCE: - CROZER HEALTH PAVILION AT BRINTON LAKE (GLEN MILLS) - DELAWARE COUNTY MEMORIAL HOSPITAL (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. RESIDENCY/EDUCATION =================== CKHS OFFERS NUMEROUS CHALLENGING AND FULLY ACCREDITED RESIDENCY PROGRAMS AT ONE OF THE LEADING HEALTHCARE SYSTEMS IN THE DELAWARE VALLEY. NOTABLY, CKHS OFFERS STELLAR ALLOPATHIC RESIDENTS 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 CCMC, A NOT-FOR-PROFIT TERTIARY-CARE TEACHING HOSPITAL WITH 424 BEDS, STATE-OF-THE-ART FACILITIES AND A RICH HISTORY. CKHS' COMMITMENT ---------------- CKHS IS COMMITTED TO TRAINING THE HEALTH-CARE PROVIDERS OF TOMORROW: PHYSICIANS, NURSES, AND ALLIED HEALTH PROFESSIONALS. CKHS' HOSPITALS SPONSOR FREESTANDING RESIDENCIES IN FIVE ALLOPATHIC PROGRAMS - FAMILY PRACTICE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, AND TRANSITIONAL FIRST YEAR - AS WELL AS AN OSTEOPATHIC INTERNAL MEDICINE, OSTEOPATHIC ROTATING INTERNSHIP, A 36-MONTH PODIATRIC RESIDENCY, AND A PRIMARY CARE SPORTS MEDICINE FELLOWSHIP. CROZER-KEYSTONE ALSO OFFERS ACCREDITED ALLIED HEALTH PROGRAMS IN RADIOLOGIC TECHNOLOGY, RESPIRATORY CARE, DIAGNOSTIC ULTRASOUND, AND CLINICAL NEUROPHYSIOLOGY. THERE IS ALSO A COMPREHENSIVE PHARMACY RESIDENCY PROGRAM. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | CKHS MAINTAINS A STRONG TRADITION OF MEDICAL EDUCATION AND TRAINING, OFFERING THE BENEFITS OF A UNIVERSITY-BASED TEACHING MODEL PLUS THE ADVANTAGES OF COMMUNITY-BASED MEDICINE. MEDICAL RESIDENTS RECEIVE RIGOROUS ACADEMIC TRAINING COMBINED WITH HANDS-ON EXPERIENCE, WHICH FULLY PREPARES THEM TO PURSUE THEIR CAREER GOALS. ALLIED HEALTH PROGRAMS ====================== CCMC CAN OPEN THE DOOR TO YOUR FUTURE, AND IT'S CLOSER THAN YOU THINK. WHEN YOU ENROLL IN ONE OF CCMC'S EIGHT ALLIED HEALTH EDUCATION PROGRAMS, YOU'LL BE ON YOUR WAY TO STARTING AN EXCITING CAREER IN MEDICINE - WITHIN JUST A YEAR OR TWO. AS AN ALLIED HEALTH PROFESSIONAL IN THE GROWING FIELDS OF RADIOLOGIC TECHNOLOGY, RADIATION THERAPY, DIAGNOSTIC ULTRASOUND, SCHOOL OF RADIATION THERAPY, CLINICAL NEUROPHYSIOLOGY, RESPIRATORY THERAPY, EMERGENCY MEDICAL SERVICES OR NURSE ANESTHESIA, YOU'LL BECOME A VALUABLE MEMBER OF A HEALTHCARE TEAM. A CCMC EDUCATION IS COMPREHENSIVE YET AFFORDABLE, AND COMES WITH MANY REWARDS. YOU'LL LIKELY EARN A COMPETITIVE SALARY UPON GRADUATION AND THE PERSONAL FULFILLMENT ASSOCIATED WITH HELPING TO PREVENT ILLNESS, PROMOTE WELLNESS AND SAVE LIVES. HEALTHPLEX SPORTS CLUB ====================== THE HEALTHPLEX SPORTS CLUB OFFERS A SPACIOUS, STATE-OF-THE-ART FACILITY TO MEET ALL OF YOUR HEALTH AND FITNESS NEEDS. FROM ITS SWIMMING POOLS TO ITS BASKETBALL COURTS TO ITS BUSY FITNESS AREA, YOU WILL DISCOVER NEW WAYS OF ENHANCING YOUR HEALTH. CKHS' FIRST-CLASS FACILITY HAS EVERY AMENITY YOU WILL NEED, AND CKHS WORKS EVERY DAY TO KEEP IT LOOKING LIKE IT DID ON ITS VERY FIRST DAY OF BUSINESS. FROM FITNESS AND PERSONAL TRAINING CLASSES TO GROUP FITNESS PROGRAMS, WELLNESS PROGRAMS AND AQUATICS CLASSES, THERE'S SOMETHING FOR EVERYONE AT THE HEALTHPLEX! MISSION ------- AS A SUBSIDIARY OF CKHS, THE HEALTHPLEX SPORTS CLUB IS DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF OUR MEMBERS AND OUR COMMUNITY. IN ALL WE DO, WE ARE COMMITTED TO EXCEEDING OUR MEMBERS' EXPECTATIONS BY PROVIDING OUTSTANDING CUSTOMER SERVICE, SUPERIOR CLEANLINESS AND INNOVATIVE FITNESS AND WELLNESS PROGRAMS IN A FUN, FRIENDLY ENVIRONMENT. CENTER FOR NURSING EXCELLENCE ============================= JOURNEY TO MAGNET EXCELLENCE ---------------------------- WHAT IS MAGNET DESIGNATION? - THE HIGHEST LEVEL OF RECOGNITION THAT AN ORGANIZATION CAN ACHIEVE FOR EXCELLENCE AND INNOVATION IN NURSING. - CONSIDERED THE "GOLD STANDARD" IN THE NURSING WORLD. - CONFERRED BY THE AMERICAN NURSES CREDENTIALING CENTER, AN ARM OF THE AMERICAN NURSES ASSOCIATION. HOW DID MAGNET GET ITS START? - MAGNET DESIGNATION IS THE RESULT OF NURSING RESEARCH DONE IN 1983 DURING THE FIRST NURSING SHORTAGE. - NURSES OBSERVED THAT ALTHOUGH MANY HOSPITALS WERE CLAMORING FOR NURSES, THERE WERE A FEW THAT HAD MORE THAN ADEQUATE STAFF. - THESE NURSES SURVEYED THE 163 HOSPITALS TO DETERMINE WHAT MADE NURSES HAPPY. - 41 HOSPITALS HAD COMMON CHARACTERISTICS THAT MADE THE "ATTRACTIVE" TO NURSES. - THESE QUALITIES BECAME KNOWN AS THE "FORCES OF MAGNETISM." WHY DO WE WANT TO PURSUE MAGNET DESIGNATION? - WE WANT TO PURSUE MAGNET DESIGNATION BECAUSE IT IS A VISIBLE SYMBOL OF EXCELLENCE AND REFLECTS THE HEART AND SOUL OF OUR NURSES WHO STRIVE DAILY FOR PROFESSIONAL EXCELLENCE. - IF WE BELIEVE WE DO SOMETHING WELL, THE PURSUIT OF NURSING EXCELLENCE ALLOWS US OPPORTUNITIES TO BECOME EVEN BETTER AND TO CELEBRATE WHO AND WHAT WE ARE. - THE PRINCIPLES OF SHARED GOVERNANCE GIVE US THE OPPORTUNITY TO SEARCH THE LITERATURE, FIND BEST PRACTICES AND DESIGN PATIENT CARE TO IMPROVE OUTCOMES. - REMEMBER THAT EACH HOSPITAL, EACH DEPARTMENT AND EACH NURSE ARE AT A DIFFERENT PLACE ON THEIR "JOURNEY TO NURSING EXCELLENCE." NONE OF US HAVE "ARRIVED." HOW DOES THE PURSUIT OF MAGNET DESIGNATION SUPPORT OUR PRACTICE? IT STRENGTHENS AND ENERGIZES: - OUR PROFESSIONAL DEVELOPMENT. - OUR AUTONOMOUS NURSING PRACTICE. - POSITIVE INTERDISCIPLINARY RELATIONSHIPS. - OUR CREATIVITY. - OUR JOB SATISFACTION. - THE RESOURCES TO PROVIDE QUALITY PATIENT CARE. - OUR PATIENT'S SATISFACTION WITH THE CARE THEY RECEIVE. - IMPROVED PATIENT OUTCOMES. - SAFETY MEASURES. NEW KNOWLEDGE, INNOVATIONS AND IMPROVEMENTS ------------------------------------------- MAGNET ORGANIZATIONS INTEGRATE EVIDENCE-BASED PRACTICE AND RESEARCH INTO CLINICAL AND OPERATIONAL PROCESSES. NURSES ARE EDUCATED ABOUT EVIDENCE-BASED PRACTICE AND RESEARCH, ENABLING THEM TO APPROPRIATELY EXPLORE THE SAFEST AND BEST PRACTICES FOR THEIR PATIENTS AND PRACTICE ENVIRONMENT, AND TO GENERATE NEW KNOWLEDGE. PUBLISHED RESEARCH IS SYSTEMATICALLY PUBLISHED AND USED. NURSES SERVE ON THE BOARD THAT REVIEWS PROPOSALS FOR RESEARCH, AND KNOWLEDGE GAINED THROUGH RESEARCH IS DISSEMINATED TO THE COMMUNITY OF NURSES. NURSING RESEARCH COUNCIL ------------------------ THE SYSTEM-WIDE RESEARCH COUNCIL, WHICH BEGAN IN 2006, AIDS IN THE DEVELOPMENT OF MASTER- AND DOCTORATE-LEVEL NURSES. THE COUNCIL ALSO SUPPORTS AND PROMOTES THE USE OF NURSING RESEARCH. NURSING RESEARCH ---------------- CKHS HAS ESTABLISHED A SYSTEM-WIDE INSTITUTIONAL REVIEW BOARD (IRB) THAT CURRENTLY OVERSEES APPROXIMATELY 135 RESEARCH PROJECTS. MANY OF THOSE PROJECTS ARE BEING LED BY CKHS NURSES. NURSE-PHYSICIAN COLLABORATION ----------------------------- CKHS SUPPORTS STRONG NURSE-PHYSICIAN COLLABORATION TO YIELD POSITIVE PATIENT OUTCOMES. EVIDENCE-BASED PRACTICE ----------------------- ORGANIZATIONS ACHIEVING MAGNET RECOGNITION POSSESS ESTABLISHED AND EVOLVING PROGRAMS RELATED TO EVIDENCE-BASED PRACTICES AND RESEARCH PROGRAMS. INFRASTRUCTURES AND RESOURCES ARE IN PLACE TO SUPPORT THE ADVANCEMENT OF EVIDENCE-BASED PRACTICES AND RESEARCH IN ALL CLINICAL SETTINGS. INNOVATION ---------- INNOVATIONS IN PATIENT CARE, NURSING AND THE PRACTICE ENVIRONMENT ARE THE HALLMARK OF ORGANIZATIONS RECEIVING MAGNET RECOGNITION. ESTABLISHING NEW WAYS OF ACHIEVING HIGH-QUALITY, EFFECTIVE AND EFFICIENT CARE IS THE OUTCOME OF TRANSFORMATION LEADERSHIP, EMPOWERING STRUCTURES AND PROCESSES, AND EXEMPLARY PROFESSIONAL PRACTICE IN NURSING. PATIENT FLOW COORDINATION ------------------------- CKHS IMPLEMENTED A MULTIDISCIPLINARY TASK FORCE TO IMPROVE EFFICIENCIES, ACHIEVE POSITIVE OUTCOMES AND INCREASE REVENUE DURING THE PROCESS OF GETTING PATIENTS FROM THE CROZER-CHESTER MEDICAL CENTER EMERGENCY DEPARTMENT TO OPEN BEDS IN THE MEDICAL CENTER. CKHS COMMUNITY HEALTH REPORT ============================ COMMUNITY PROGRAMS ------------------ CKHS RECOGNIZES THAT OUR SUCCESS IS DIRECTLY RELATED TO OUR ABILITY TO EFFECTIVELY CONNECT WITH THE COMMUNITY. - CKHS COMMUNITY HEALTH EDUCATION: THE GOAL OF THE COMMUNITY HEALTH EDUCATION PROGRAM IS TO IMPROVE THE OVERALL HEALTH STATUS OF RESIDENTS IN DELAWARE COUNTY. THROUGH ASSESSING COMMUNITY NEEDS AND ASSETS COMMUNITY HEALTH EDUCATION PRODUCES A BIANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IS USED AS A TOOL TO MEASURE THE PROGRESS OF KEY HEALTH STATUS INDICATORS AND REPORT TRENDS OVER TIME TO TARGET RISK REDUCTION AND HEALTH PROMOTION INTERVENTION INITIATIVES FOR MAXIMUM EFFECTIVENESS. IMPROVING THE HEALTH OF THE COMMUNITY IS PROFOUNDLY AFFECTED BY THE COLLECTIVE BELIEFS, ATTITUDES AND BEHAVIORS OF EVERYONE WHO LIVES IN THE COMMUNITY. CROZER-KEYSTONE COMMUNITY HEALTH EDUCATION SHARES THIS RESPONSIBILITY WITH BOTH ITS INTERNAL AND COMMUNITY PARTNERS AS THEY STRIVE TO IMPROVE THE HEALTH STATUS OF THE INDIVIDUALS IN DELAWARE COUNTY AND THE SURROUNDING AREA. THE COMMUNITY HEALTH EDUCATION PROGRAM PROVIDES COMMUNITY OUTREACH/EDUCATION REGARDING THE MAJOR HEALTH CHALLENGES IDENTIFIED IN THE CKHS HEALTHY PEOPLE 2010 REPORT CARD FOR DELAWARE COUNTY, I.E. OVERWEIGHT/OBESITY/PHYSICAL INACTIVITY, SMOKING, IMMUNIZATION, CANCER, STROKE VIOLENCE, ETC. AND ALSO OVERSEE THE COMMUNITY OUTREACH ACTIVITIES OF THE CKHS PEACEFUL JOURNEY PARTNERSHIP. COMMUNITY PROGRAM ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 8,806 INDIVIDUALS IN THE COMMUNITY. - CKHS TOBACCO PREVENTION AND CESSATION PROGRAM: THE GOAL OF THE TOBACCO PREVENTION AND CESSATION PROGRAM IS TO REDUCE AND/OR ELIMINATE TOBACCO USE BY DELAWARE COUNTY RESIDENTS THROUGH EDUCATION, INTERVENTION, PREVENTION AND CESSATION PROGRAMS COMPLIANT WITH THE CENTERS FOR DISEASE CONTROL AND PREVENTION GUIDELINES. THESE SERVICES ARE AVAILABLE TO THE COMMUNITY THROUGH HOSPITAL, SCHOOL AND COMMUNITY BASED PROGRAMS SUCH AS OUR CLEAR THE AIR SMOKING CESSATION PROGRAM, AND THE YOUTH END CESSATION PROGRAM (END NICOTINE DEPENDENCE), AS WELL AS THROUGH THE FOLLOWING PREVENTION PROGRAMS: CKHS TOBACCO PREVENTION EDUCATION PROGRAM AND THE AMERICAN LUNG ASSOCIATION TATU PROGRAM (TEENS AGAINST TOBACCO USE). ALL PROGRAMS AND SERVICES ARE AVAILABLE FREE OF CHARGE TO DELAWARE COUNTY YOUTH AND ADULTS. COMMUNITY HEALTH EDUCATION TOBACCO PROGRAM ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 8,627 INDIVIDUALS IN THE COMMUNITY. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | - CKHS CULTURAL CONNECTIONS COLLABORATIVE: THE CULTURAL CONNECTIONS COLLABORATIVE PROGRAM PROVIDES CONNECTIVITY OF COMMUNITY AND HEALTH SERVICES TO IMMIGRANT AND REFUGEE FAMILIES IN THE COUNTY TO HELP THEM DEAL MORE EFFECTIVELY WITH HEALTH, MENTAL HEALTH AND SOCIAL ISSUES THAT HINDER NEW IMMIGRANT AND REFUGEE FAMILIES. OUTREACH ACTIVITIES INCLUDE COLLABORATIVE EFFORTS WITH THE UPPER DARBY HIGH SCHOOL FOR AN INTERGENERATIONAL "ENGLISH AS A SECOND LANGUAGE" PROGRAM; A FORUM FOR THE COMMUNITY'S SOCIAL SERVICE AND LAW ENFORCEMENT AGENCIES, TO ACQUAINT THE GROUPS WITH THE SERVICES; AND QUARTERLY COMMUNITY INCLUSION NETWORK MEETINGS WITH REPRESENTATIVES FROM THE RESPECTIVE COMMUNITIES. IN ADDITION, PROGRAM STAFF DESIGN AND COORDINATE AND PROVIDE DIVERSITY TRAININGS AND ORGANIZE PARENT HEALTH EDUCATION WORKSHOPS FOR FAMILIES OF THE COUNTY'S IMMIGRANT AND REFUGEE CHILDREN. FAMILIES ARE ABLE TO ACCESS HEALTHCARE AND HEALTH RESOURCES, AND CHILDREN RECEIVE MUCH NEEDED SERVICES LIKE IMMUNIZATIONS, PHYSICALS AND DENTAL SCREENINGS. LEADERSHIP IN THESE OUTREACH INITIATIVES UNIQUELY POSITIONS DCMH IN A ROLE THAT EXTENDS BEYOND HEALTHCARE AND ONE THAT WILL POSITIVELY AFFECT THE WELL BEING OF FAMILIES. CULTURAL CONNECTIONS STAFF PARTICIPATES IN THE CKHS SPEAKERS BUREAU, SYSTEM TRAININGS AND COMMUNITY HEALTH FAIRS/EVENTS. COMMUNITY PROGRAM ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 177 INDIVIDUALS IN THE COMMUNITY. GRAND TOTAL EDUCATIONAL OUTREACH FOR COMMUNITY HEALTH EDUCATION DEPARTMENT FOR '09-'10 REACHED APPROXIMATELY 17,550 INDIVIDUALS IN THE COMMUNITY. CKHS WOMEN AND CHILDREN'S HEALTH SERVICES PROGRAMS -------------------------------------------------- - HEALTHY START PROGRAM: THE HEALTHY START PROGRAM'S GOAL IS TO REDUCE INFANT MORTALITY AND MORBIDITY, AND TO IMPROVE PERINATAL OUTCOMES. HEALTHY START STAFF FOCUS ON THE IDENTIFICATION AND ASSESSMENT OF PARTICIPANT NEEDS; AND LINKAGE TO APPROPRIATE HEALTH, HUMAN AND SOCIAL SERVICES FOR VULNERABLE, HARD-TO-REACH, UNDERSERVED PREGNANT WOMEN, PARENTS, FAMILIES AND CAREGIVERS OF CHILDREN AGE 0 TO 24 MONTHS LIVING IN CHESTER, EDDYSTONE, WOODLYN, PARKSIDE, UPLAND, TOBY FARMS, CHESTER TOWNSHIP, TRAINER, MARCUS HOOK AND LINWOOD. ONCE ENROLLED, PROGRAM PARTICIPANTS RECEIVE CASE MANAGEMENT/CARE COORDINATION, COUNSELING AND HEALTH EDUCATION SERVICES. PROGRAM SERVICES WILL ALSO ASSIST PARTICIPANTS TO ACCESS OTHER EDUCATIONAL, HEALTH, HUMAN AND SOCIAL SERVICES THROUGH REFERRALS. PROGRAM PARTICIPANTS BENEFIT FROM THE FOLLOWING PROGRAM COMPONENTS TO ADDRESS THEIR AND THEIR FAMILY'S UNIQUE NEEDS: CASE MANAGEMENT/CARE COORDINATION, CLINICAL CARE, HOME VISITING, HEALTH EDUCATION, CLINICAL SOCIAL WORK, ADVOCACY, SUPPORT, RESOURCE LINKAGE, TRANSPORTATION, AND SPANISH TO ENGLISH TRANSLATION AND INTERPRETATION SERVICES. COMMUNITY PROGRAM ACTIVITIES FOR HEALTHY START '09 -'10 REACHED APPROXIMATELY 15,000 INCLUDING 477 ENROLLED PROGRAM PARTICIPANTS AND OVER 14,500 INDIVIDUALS IN THE COMMUNITY. - CROZER-KEYSTONE CHILDREN'S HEALTH CONNECTION REMINDER PROGRAM: THE CHILDREN'S HEALTH CONNECTION REMINDER PROGRAM'S GOAL IS TO PARTNER WITH PARENTS TO INFORM AND REMIND THEM ABOUT DETAILS RELATED TO THEIR CHILD'S/CHILDREN'S HEALTH, GROWTH, DEVELOPMENT AND WELL BEING. THIS DATABASE DRIVEN PROGRAM USES AN AUTOMATED DELIVERY SYSTEM TO DISTRIBUTE AND MAIL POST CARDS TO PARENTS. THE POST CARDS ARE SENT BASED ON THE CHILDHOOD IMMUNIZATION SCHEDULE (AT 2, 4, 6, 12, 18 AND 24 MONTHS) DURING THE EARLY CHILDHOOD YEARS TO INFORM PARENTS ABOUT WELL CHILD HEALTH VISITS, CHILDHOOD IMMUNIZATIONS, GROWTH AND DEVELOPMENT, NUTRITION, SAFETY AND MORE. AFTER THE SECOND BIRTHDAY, THE FAMILY WILL RECEIVE REMINDER CARDS EVERY YEAR DURING THE CHILD'S BIRTH MONTH UNTIL THE CHILD'S EIGHTEENTH BIRTHDAY. COMMUNITY PROGRAM ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 14,138 FAMILIES IN THE COMMUNITY. CKHS/DCMH CONGREGATIONAL NURSE OUTREACH --------------------------------------- CONGREGATIONAL NURSING IS HEALTH MINISTRY TO FAITH COMMUNITIES THAT FOCUSES ON THE WHOLENESS OF BODY, MIND AND SPIRIT. THE CONGREGATIONAL NURSE MINISTRY GROWS OUT OF THE BELIEF THAT ALL FAITH COMMUNITIES ARE PLACES OF HEALTH AND HEALING AND HAVE A ROLE IN PROMOTING WHOLENESS THROUGH INTEGRATING FAITH AND HEALTH. A CONGREGATIONAL NURSE PROVIDES HEALTH PROMOTION AND OUTREACH TO A FAITH-BASED COMMUNITY IN THE CONTEXT WITH THE VALUES, BELIEFS AND PRACTICES OF THAT COMMUNITY WHICH THEY SERVE. CKHS PROVIDES OUTREACH, ASSISTANCE AND TRAINING TO CONGREGATIONAL NURSES THROUGHOUT THE COMMUNITY THAT WE SERVE. THIS COMMITMENT TO HEALTH PROMOTION AND ACCESS TO HEALTH SERVICES AND RESOURCES AT THE COMMUNITY LEVEL ASSISTS THE CONGREGATIONAL NURSES IN CONNECTING THEIR PARISHIONERS TO PROGRAMS AND SERVICES IN AN EFFORT TO ENSURE OPTIMAL COMMUNITY HEALTH. COMMUNITY PROGRAM ACTIVITIES FOR '09-'10 APPROXIMATELY 1,667 INDIVIDUALS IN THE COMMUNITY. SOME OF THE ACTIVITIES INCLUDED: ADMINISTRATION OF FLU SHOTS, LECTURES AND DEMONSTRATION OF BREAST SELF EXAM, BLOOD DRIVES, ASSISTING WITH FILLING OUT THE CHIP APPLICATIONS FOR CHILDREN AND ADULTS, MANY HEALTH LECTURES, BLOOD DRIVES, BLOOD PRESSURE MONITORING, AND HEALTH FAIRS. CROZER K.A.M.P. (KIDS ASTHMA MANAGEMENT PROGRAM) ------------------------------------------------ K.A.M.P. WAS CREATED IN RESPONSE TO FINDING THAT CHESTER'S STUDENTS WERE EXPERIENCING ASTHMA AT RATES THAT WERE TYPICAL OF LARGE LOW-INCOME, MINORITY, INNER-CITY POPULATIONS (I.E. AT LEAST TWICE THE RATE OF CHILDREN ACROSS THE NATION). ASTHMA, A CHRONIC LUNG DISEASE THAT IS A LEADING CAUSE OF SCHOOL ABSENTEEISM IN CHILDREN, AFFECTS LOW-INCOME, AFRICAN-AMERICAN CHILDREN DISPROPORTIONATELY. WITH COMPLICATIONS RANGING FROM MILD TO LIFE-THREATENING, CHILDHOOD ASTHMA INTERRUPTS SLEEP, DISRUPTS FAMILY ROUTINES AND UNNECESSARILY RESTRICTS CHILDHOOD ACTIVITIES. UNDER THE DIRECTION OF DR. GERALD KOLSKI, A PEDIATRIC ASTHMA SPECIALIST, A PROGRAM WAS DESIGNED IN COLLABORATION WITH CHESTER UPLAND SCHOOL DISTRICT (CUSD) IN 1999 TO REDUCE THE LONG-TERM IMPACT OF ASTHMA ON CHESTER'S STUDENTS. DURING EIGHT YEARS OF SUCCESSFUL OPERATION, K.A.M.P. HAS PROVIDED COMPREHENSIVE, SCHOOL-BASED ASTHMA DETECTION AND MANAGEMENT SUPPORT SERVICES TO MORE THAN 13,223 CHILDREN IN THE DISTRICT AS WELL AS IN TWO LOCAL PAROCHIAL SCHOOLS. THE PROGRAM WAS EXPANDED INTO THE CHICHESTER SCHOOL DISTRICT IN 2006 AND TO THE UPPER DARBY SCHOOL DISTRICT IN 2008. A VARIETY OF AGE-APPROPRIATE EDUCATION CURRICULA DEVELOPED BY THE AMERICAN LUNG ASSOCIATION AND THE ASTHMA AND ALLERGY FOUNDATION ARE USED TO EDUCATE CHILDREN ABOUT MANAGING THEIR ASTHMA. THE PROGRAM HAS ENHANCED THE CHILDREN'S SAFETY (AS WELL AS PARENT AND SCHOOL PERSONNEL PEACE OF MIND) BY PROVIDING MEDICATIONS (WHEN APPROVED BY THE SCHOOL DISTRICTS), PEAK FLOW METERS, AND OTHER TOOLS FOR EFFECTIVE ASTHMA MANAGEMENT TO ENROLLEES, SCHOOL NURSES, AND PHYSICAL EDUCATION DEPARTMENTS, ALONG WITH INSTRUCTIONS IN THEIR USE. ENVIRONMENTAL AWARENESS SESSIONS HAVE HELPED TO IDENTIFY POTENTIAL ASTHMA TRIGGERS IN THE SCHOOLS AND ELIMINATE OR REDUCE EXPOSURE TO THESE HAZARDS. A NEW K.A.M.P. PROGRAM MANAGER WAS HIRED IN JANUARY 2010. SUBSEQUENT TO HER ORIENTATION AND MEETINGS WITH SCHOOL NURSES IN ALL THREE DISTRICTS THE NEW K.A.M.P. PROGRAM MANAGER CONDUCTED 16 ASTHMA PRESENTATIONS FOR STUDENTS, PARENTS AND SCHOOL STAFF, INCLUDING TWO OPEN AIRWAYS SERIES FOR GRADES 1-5 AT SENKOW ELEMENTARY SCHOOL, REACHING A TOTAL OF 745 PARTICIPANTS DURING THESE PRESENTATIONS. ASTHMA AWARENESS MONTH WAS PROMOTED AT PRESENTATIONS DURING MAY 2010. PARTICIPATING SCHOOLS INCLUDED GARRETTFORD, DREXEL NEUMAN, STONEHURST, BEVERLY HILLS, BYWOOD AND HIGHLAND PARK. ADDITIONALLY THE KELLY ELEMENTARY SCHOOL'S PRESENTATION INCORPORATED AN ASTHMA SCREENING FOR FIRST AND SECOND GRADERS. THE K.A.M.P. PROGRAM MANAGER PROMOTED AND HELPED STAFF CROZER-KEYSTONE'S ANNUAL SUMMER ASTHMA DAY CAMP AT THE HEATHPLEX SPORTS CLUB. THE ASTHMA DAY CAMP WAS HELD THE WEEK OF JUNE 21, 2010 FOR TWENTY-FIVE CHILDREN AGES 7 TO 12. CAMP ACTIVITIES INCLUDED YOGA, SWIMMING, TENNIS, BASKETBALL AND FITNESS WHILE TEACHING SELF MANAGEMENT SKILLS. CHILDREN RECEIVED PEAK FLOW METERS, SPACERS AND THE YOU CAN CONTROL ASTHMA WORKBOOK, AN EVIDENCED-BASED CURRICULUM DEVELOPED BY GEORGETOWN UNIVERSITY'S DIVISION OF CHILDREN'S HEALTH PROMOTION/DEPARTMENT OF FAMILY MEDICINE THAT WAS USED TO CONDUCT LESSONS EACH DAY OF THE CAMP. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | DCMH EMERGENCY DEPARTMENT DRUG AND ALCOHOL PREVENTION PROGRAM ------------------------------------------------------------- AS A COMMUNITY SERVICE, THE DELAWARE COUNTY MEMORIAL HOSPITAL EMERGENCY DEPT. OFFERS THE DRUG AND ALCOHOL PREVENTION PROGRAM, WHICH ADDRESSES THE FOLLOWING ALCOHOL AND DRUG AWARENESS AND EDUCATION PROGRAMS TO SCHOOL AGED CHILDREN, TEENAGERS AND THEIR FAMILIES: INHALANT ABUSE AWARENESS, ALCOHOL ABUSE AWARENESS, AND PARTY DRUG ABUSE AWARENESS. NEW THIS YEAR IS A BULLYING PROGRAM THAT WAS PILOTED TO 500 ELEMENTARY SCHOOL STUDENTS IN FOUR SCHOOLS (TWO PUBLIC SCHOOLS/TWO PAROCHIAL SCHOOLS). THIS PROGRAM FOCUSES ON IDENTIFYING WHAT BULLYING IS; WHY PEOPLE BULLY; AND THE EFFECTS OF BULLYING. IT IS AN INTERACTIVE PROGRAM ABOUT BULLYING BOTH IN SCHOOL AND OUT OF SCHOOL AND THE IMPACT BULLYING CAN HAVE ON AN INDIVIDUAL AND THE COMMUNITY. IT ALSO IDENTIFIES HOW ONE'S PERCEPTION OF AN INDIVIDUAL MAY BE MISLEADING. MORE WORK WILL BE DONE WITH THIS PROGRAM IN THE UPCOMING YEAR TO DEVELOP MEASUREMENT TOOLS TO VALIDATE THE PROGRAM'S IMPACT. COMMUNITY PROGRAM ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 10,632 INDIVIDUALS IN THE COMMUNITY. DCMH HEALTHLINE SERVICES ------------------------ DCMH'S HEALTHLINE SERVICES RUNS CPR, FIRST AID, AND SAFE BABYSITTER CLASSES. OUTREACH PROGRAMS FOR THE COMMUNITY INCLUDE: FREE SCREENINGS, HEALTH FAIRS AND EDUCATIONAL SESSIONS BY PHYSICIANS ON VARIOUS HEALTH TOPICS. PARTICIPATES IN THE CKHS SPEAKER'S BUREAU, PROVIDING OUTREACH AT COMMUNITY HEALTH FAIRS AND SPECIAL EVENTS. OUTREACH ALSO INCLUDES SEVERAL YOUTH PROGRAMS INCLUDING PARTICIPATION IN THE PASSPORT TO HEALTH PROGRAM REACHING 6,000 STUDENTS AND THE STRIDE (STUDENTS TAKING RESPONSIBILITY IN DRUG EDUCATION) PROGRAM, REACHING 500 STUDENTS EACH YEAR IN AREA SCHOOLS. COMMUNITY PROGRAM ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 61,351 INDIVIDUALS IN THE COMMUNITY. CROZER WELLNESS CENTER ---------------------- IN ADDITION TO THE MEDICAL SERVICES IT PROVIDES TO THE COMMUNITY UNDER THE DIRECTION OF RIMA HIMELSTEIN, M.D., THE CROZER WELLNESS CENTER ADMINISTERS EXTENSIVE RISK-REDUCTION AND YOUTH DEVELOPMENT PROGRAMS THROUGHOUT CHESTER CITY. THESE PROGRAMS ARE ALMOST ENTIRELY FUNDED THROUGH GRANTS AND, AS A RESULT, THE SPECIFIC PROGRAMS OFFERED IN THE COMMUNITY SHIFT SOMEWHAT EACH YEAR ACCORDING TO FUNDS. REGARDLESS OF SHIFTS IN PROGRAMMING, THE WELLNESS CENTER'S APPROACH TO COMMUNITY HEALTH REMAINS CONSTANT: WE USE PRINCIPLES OF POSITIVE YOUTH DEVELOPMENT TO POSITIVELY IMPACT THE LONG-TERM HEALTH AND LIFE OUTCOMES OF YOUTH. (POSITIVE YOUTH DEVELOPMENT EMPHASIZES BUILDING STRENGTHS OF YOUTH RATHER THAN FOCUSING EXCLUSIVELY ON RISK BEHAVIOR. POSITIVE YOUTH DEVELOPMENT ALSO INCLUDES AN EMPHASIS ON PROVIDING YOUTH WITH OPPORTUNITIES FOR LEADERSHIP IN PROGRAMMING AND OPPORTUNITIES TO BUILD MARKETABLE SKILLS THROUGH REAL-WORLD ACTIVITIES). IN FISCAL 2010 CROZER WELLNESS CENTER'S EFFORTS FELL INTO 2 AREAS: 1) OUT-OF-SCHOOL YOUTH PROGRAMS AND 2) CITY-WIDE INITIATIVES. OUT-OF-SCHOOL YOUTH PROGRAMS ---------------------------- THERE IS A WIDE RANGE IN WHAT OUT-OF-SCHOOL PROGRAMS CAN LOOK LIKE. CROZER WELLNESS CENTER'S NICHE AMONG SUCH PROGRAMS IS IN YOUTH LEADERSHIP. WE WORK WITH RELATIVELY SMALL NUMBERS OF YOUTH (30-50 PER PROGRAM) OVER AN EXTENDED PERIOD OF TIME (YEARS, AS OPPOSED TO WEEKS OR MONTHS), TRAINING THEM TO TAKE ON HIGH PROFILE LEADERSHIP ROLES IN THE COMMUNITY. EVALUATION OF PROGRAMS FOCUSES ON LONG TERM OUTCOMES RELATED TO RISK TAKING BEHAVIOR AS WELL AS SHORT-TERM AND INTERMEDIATE OUTCOMES CUSTOMIZED FOR EACH PROGRAM (EXAMPLES INCLUDE INCREASED WORKFORCE SKILLS, CONNECTION TO SUPPORTIVE ADULTS, CONNECTION TO POSITIVE PEERS, AND COMMITMENT TO EDUCATION). OUT-OF-SCHOOL PROGRAMS OFFERED IN FISCAL 2010 WERE: - CHESTER YOUTH COUNCIL: THE YOUTH COUNCIL IS ONE AREA WITHIN A LARGER, CITY-WIDE INITIATIVE LED BY CROZER WELLNESS CENTER: THE CHESTER YOUTH COLLABORATIVE (SEE CITY-WIDE INITIATIVES, BELOW). THE PROGRAM HAS BEEN IN OPERATION SINCE 2005. THE PURPOSE OF THE YOUTH COUNCIL IS TO CHANGE PERCEPTIONS OF AND ABOUT CHESTER YOUTH AND TO INSPIRE CIVIC ENGAGEMENT AMONG OTHER YOUTH IN THE COMMUNITY. YOUTH AGED 12-22 MAY BECOME MEMBERS BY SUCCESSFULLY COMPLETING 80 HOURS OF BASELINE TRAINING. ONCE INDUCTED, YOUTH COUNCIL MEMBERS ARE ASSIGNED TO TEAMS AND TEAMS ARE ASSIGNED TO WORK ON VARIOUS CIVIC ENGAGEMENT PROJECTS THROUGHOUT THE CITY (FOR EXAMPLE, BEING VOTING MEMBERS ON BOARDS OF COMMUNITY REVITALIZATION PROJECTS, PLANNING AND HOSTING THE ANNUAL CHESTER YOUTH EMPOWERMENT SUMMIT OR FACILITATING FORUMS WITH CHESTER YOUTH AT LARGE TO IDENTIFY ISSUES OF CONCERNS). IN ADDITION TO BASELINE TRAINING, MEMBERS TAKE PART ON ADDITIONAL TRAINING AND PERSONAL ENRICHMENT ACTIVITIES OVER THE COURSE OF EACH YEAR. IN FISCAL 2009 THE YOUTH COUNCIL ENGAGED 30 YOUTH FOR A MEAN OF 59 HOURS (MINIMUM OF 3 HOURS; MAXIMUM OF 125 HOURS). 68% OF MEMBERS HAVE BEEN ENROLLED FOR ONE OR MORE YEARS. IN ADDITION, THE YOUTH COUNCIL'S ANNUAL ONE-DAY YOUTH LEADERSHIP CONFERENCE, THE CHESTER YOUTH EMPOWERMENT SUMMIT, HAD 579 YOUTH AND ADULTS IN ATTENDANCE. - BLUEPRINTS/PEER LEADER PROGRAM: BLUEPRINTS IS AN OUT-OF SCHOOL PROGRAM OPERATED IN PARTNERSHIP WITH SWARTHMORE COLLEGE'S BLACK CULTURAL CENTER. FISCAL 2009 WAS THE 3RD YEAR OF THE BLUEPRINTS PROGRAM. MEMBERS WERE IN 7TH GRADE WHEN THE PROGRAM STARTED, AND IN 9TH GRADE IN FISCAL 2009. SWARTHMORE COLLEGE STUDENTS WERE RESPONSIBLE TO FACILITATE TUTORING, MENTORING AND CULTURAL ENRICHMENT ACTIVITIES. CROZER WELLNESS CENTER STAFF MEMBERS WERE RESPONSIBLE TO FACILITATE COMMUNITY SERVICES EXPERIENCES (MEMBERS VOLUNTEERED AT CHESTER CO-OP), 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. IN THEIR ROLE OF PEER LEADERS, MEMBERS WILL PRESENT WORKSHOPS ON LIFE SKILLS AND RISK TAKING BEHAVIORS TO 6TH GRADE STUDENTS IN THE CHESTER UPLAND SCHOOL DISTRICT. IN FISCAL 2010 THE BLUEPRINTS/PEER LEADER PROGRAM ENGAGED 33 YOUTH FOR A MEAN OF 150 HOURS (MINIMUM OF 5 HOURS; MAXIMUM OF 313 HOURS). 52% OF THE PARTICIPANTS HAVE BEEN ENROLLED SINCE THE BLUEPRINTS PROGRAM BEGAN 4 YEARS AGO. - CROZER MENTORING PROGRAM: CROZER MENTORING PROGRAM LINKS CHESTER UPLAND SCHOOL DISTRICT HIGH SCHOOL STUDENTS (GRADES 9-12) WITH ELEMENTARY STUDENTS AT COLUMBUS SCHOOL. FISCAL 2010 WAS THE 2ND YEAR OF THE PROGRAM. MENTEES WERE IN 5TH GRADE. PRIMARY FUNDING FOR THE PROGRAM WILL ALLOW MENTORS TO WORK WITH THE SAME GROUP OF MENTEES FOR THREE YEARS, UNTIL THEY COMPLETE 7TH GRADE. FOLLOWING SUCCESSFUL COMPLETION OF BASELINE TRAINING EACH MENTOR IS MATCHED WITH 2-4 MENTEES. MENTORS MEET WITH THEIR MENTEES IN A SMALL GROUP FOR ONE HOUR EACH WEEK, UNDER SUPERVISION OF CROZER WELLNESS CENTER STAFF. MENTORS ENGAGE THEIR MENTEES IN SMALL GROUP ACTIVITIES BASED ON EDUCATIONAL AND/OR PERSONAL ENRICHMENT WITH THEMES FOR EACH MONTH (FOR EXAMPLE SUBSTANCE ABUSE, PERSONAL HYGIENE, OR RESTAURANT MANNERS). IN ADDITION TO CLASSROOM SESSIONS MENTORS AND THEIR MENTEES PARTICIPATE TOGETHER IN FIELD TRIPS AND SPECIAL/FAMILY EVENTS DURING AND AFTER SCHOOL HOURS. DURING FISCAL 2009 THE CROZER MENTORING PROGRAM ENGAGED 49 MENTORS FOR A MEAN OF 19 HOURS (MINIMUM OF 1 HOUR; MAXIMUM OF 41 HOURS). - CROZER WELLNESS CENTER ALUMNI FELLOWSHIP: THE WELLNESS CENTER FELLOWSHIP IS A PAID INTERNSHIP THAT IS OPEN TO ALUMNI OF THE WELLNESS CENTER ON A COMPETITIVE BASIS: TWO HIGH SCHOOL SENIORS PER YEAR ARE AWARDED SLOTS IN THE PROGRAM FOLLOWING THEIR GRADUATION. COLLEGE STUDENTS WHO ARE PART OF THE FELLOWSHIP ARE ASSIGNED TO VARIOUS DEPARTMENTS THROUGHOUT THE HEALTH SYSTEM DURING THEIR SUMMER AND WINTER VACATIONS, UP TO 30 HOURS PER WEEK. THE GOALS OF THE WELLNESS CENTER FELLOWSHIP ARE TO PROVIDE STUDENTS WITH EXPOSURE TO A VARIETY OF PROFESSIONAL WORK EXPERIENCES, TO INCREASE THE PROFESSIONAL SKILL SET OF PARTICIPANTS, TO GROOM YOUTH WITH LEADERSHIP POTENTIAL FOR POSITIONS IN CKHS, AND TO PROVIDE A SOURCE OF INCOME FOR STUDENTS DURING COLLEGE. STUDENTS MUST REMAIN ENROLLED IN COLLEGE AND MAINTAIN A STRONG GRADE POINT AVERAGE TO STAY IN THE PROGRAM. DURING FISCAL 2010 HOST DEPARTMENTS INCLUDED SOCIAL WORK, MARKETING, NURSING AND COMMUNITY HEALTH. TO DATE 6 STUDENTS HAVE GRADUATED FROM THE PROGRAM, AND 5 OF THE 6 HAVE USED THE OPPORTUNITY TO SECURE PAID POSITIONS WITHIN CKHS OUTSIDE THEIR FELLOWSHIP HOURS, SOME EVEN BEFORE THEIR COLLEGE GRADUATION. PERFORMANCE EVALUATIONS OF PARTICIPANTS CONDUCTED BY THEIR HOST DEPARTMENTS DEMONSTRATE THAT STUDENTS' PROFESSIONAL SKILL SETS INCREASE STEADILY OVER THEIR YEARS IN THE PROGRAM. IN FISCAL 2010 THE CROZER WELLNESS CENTER ALUMNI FELLOWSHIP ENGAGED PARTICIPANTS IN 1,920 HOURS. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | CITY-WIDE INITIATIVES --------------------- SINCE IT WAS ESTABLISHED IN 1996 THE CROZER WELLNESS CENTER HAS EARNED A REPUTATION IN THE COMMUNITY AND REGION FOR OPERATING HIGH-QUALITY YOUTH DEVELOPMENT PROGRAMS WITH SOLID OUTCOMES. AS A RESULT WE HAVE BEEN GIVEN THE RESPONSIBILITY FOR LEADING TWO LARGE, CITY-WIDE INITIATIVES IN CHESTER. IN FISCAL 2010 THESE INCLUDED: CITY-WIDE INITIATIVES --------------------- SINCE IT WAS ESTABLISHED IN 1996 THE CROZER WELLNESS CENTER HAS EARNED A REPUTATION IN THE COMMUNITY AND REGION FOR OPERATING HIGH-QUALITY YOUTH DEVELOPMENT PROGRAMS WITH SOLID OUTCOMES. AS A RESULT WE HAVE BEEN GIVEN THE RESPONSIBILITY FOR LEADING TWO LARGE, CITY-WIDE INITIATIVES IN CHESTER. IN FISCAL 2010 THESE INCLUDED: - CHESTER YOUTH COLLABORATIVE: IN 2002 THE CHESTER YOUTH COLLABORATIVE (CYC) WAS ESTABLISHED WITH SUPPORT FROM PHILADELPHIA'S WILLIAM PENN FOUNDATION. THE GOALS OF THE INITIATIVE ARE TO INCREASE THE CAPACITY OF YOUTH SERVING ORGANIZATIONS AND TO INCREASE THE AVAILABILITY OF HIGH-QUALITY YOUTH DEVELOPMENT PROGRAMS FOR YOUTH IN CHESTER, TO SUPPORT YOUTH IN BECOMING HEALTHY, PRODUCTIVE MEMBERS OF SOCIETY. THE COLLABORATIVE IS A CITY-WIDE NETWORK CONSISTING OF ORGANIZATIONS OPERATING OUT-OF-SCHOOL PROGRAMS FOR CHESTER YOUTH AGES 12-22, YOUTH AGES 12-22 THEMSELVES (SEE OUT-OF-SCHOOL PROGRAMS: CHESTER YOUTH COUNCIL, ABOVE), PARENTS/COMMUNITY RESIDENTS, AND REPRESENTATIVES OF ANCHOR INSTITUTIONS IN CHESTER. EACH OF THESE STAKEHOLDER GROUPS WORKS ON SPECIFIC ACTIVITIES TO SUPPORT THE GOALS OF THE CYC. IN THE FIRST 3 YEARS KEY DELIVERABLES WERE RELATED TO ESTABLISHING THE NETWORK AS WELL AS ITS INFRASTRUCTURE AND COMMUNICATIONS, COORDINATING AND LAUNCHING A WEB-BASED DATA SYSTEM AMONG YOUTH SERVING ORGANIZATIONS IN CYC, ESTABLISHING A MECHANISM THROUGH WHICH TO PROVIDE TRAINING AND COACHING TO YOUTH SERVING ORGANIZATIONS TO INCREASE SCORES ON ASSESSMENTS, INCREASING THE NUMBER OF CHESTER YOUTH PARTICIPATING IN PROGRAMS OFFERED BY CYC MEMBER ORGANIZATIONS, AND INCREASING THE NUMBER OF YOUTH INVOLVED IN POSITIONS OF INFLUENCE AMONG CYC MEMBER ORGANIZATIONS AND THROUGHOUT THE CITY. BASED ON THE STRENGTH OF THE INITIATIVE, CHESTER CITY COUNCIL PASSED A RESOLUTION ESTABLISHING CYC AS THE OFFICIAL YOUTH DEVELOPMENT RESOURCE FOR THE CITY- AN OUTCOME BEYOND THE EXPECTATIONS OF THE WILLIAM PENN FOUNDATION. IN RECOGNITION OF CROZER WELLNESS CENTER'S SUCCESS AS THE LEAD ORGANIZATION FOR THE CYC, WILLIAM PENN FOUNDATION AWARDED A SECOND 3-YEAR GRANT IN SPRING 2008. DURING THIS CURRENT PHASE THE FOCUS OF THE COLLABORATIVE WORK WILL BE ON SUSTAINING THE WORK ALREADY DONE AS WELL AS CREATING YOUTH POLICY RECOMMENDATIONS FOR THE CITY OF CHESTER, CREATING A SET OF COMMON STANDARDS THROUGH WHICH TO ASSESS PROGRAM QUALITY OF YOUTH SERVING ORGANIZATIONS, CREATING A SUSTAINABILITY PLAN FOR CYC AND AN INVESTMENT STRATEGY FOR OUT-OF-SCHOOL PROGRAMS IN CHESTER, AND INCREASING THE ABILITY OF THE NETWORK AS A WHOLE TO COLLECT AND USE DATA FOR PLANNING AND CONTINUOUS QUALITY IMPROVEMENT. IN FISCAL YEAR 2010, 25 YOUTH SERVING ORGANIZATIONS PARTICIPATED IN YEAR-ROUND CAPACITY BUILDING PROVIDED BY THE CYC; THESE 25 YOUTH SERVING ORGANIZATIONS COLLECTIVELY SERVED 3,657 YOUTH VIA OUT-OF-SCHOOL PROGRAMMING; CYC ALSO PARTNERED WITH 90+ PARENTS, COMMUNITY RESIDENTS AND AREA INSTITUTIONS IN ACTIVITIES TO PROMOTE CYC GOALS. - DRUG FREE COMMUNITIES: CROZER WELLNESS CENTER'S DRUG FREE COMMUNITIES (DFC) INITIATIVE WAS LAUNCHED IN SPRING 2009. THE DFC PROJECT OPERATES AS A SPECIAL PROJECT UNDER THE CHESTER YOUTH COLLABORATIVE (SEE ABOVE). THE GOALS OF THE PROGRAM ARE: 1) TO ESTABLISH AND STRENGTHEN COLLABORATION AMONG THE CHESTER COMMUNITY, PUBLIC & PRIVATE NONPROFIT AGENCIES, AND LOCAL GOVERNMENT SUPPORTING EFFORTS OF COMMUNITY COALITIONS TO PREVENT AND REDUCE SUBSTANCE ABUSE AMONG YOUTH; AND 2) TO REDUCE SUBSTANCE ABUSE AMONG YOUTH AND, OVER TIME, AMONG ADULTS BY ADDRESSING THE FACTORS IN THE CHESTER COMMUNITY THAT INCREASE RISK OF SUBSTANCE ABUSE AND PROMOTING THE FACTORS THAT MINIMIZE ITS RISK. THE DRUG FREE COMMUNITIES PARTNERS REPRESENT A WIDE-RANGE OF STAKEHOLDER GROUPS: YOUTH, PARENTS, BUSINESSES, MEDIA, SCHOOLS, YOUTH SERVING ORGANIZATIONS, LAW ENFORCEMENT, FAITH BASED AND FRATERNAL ORGANIZATIONS, CIVIC GROUPS, HEALTHCARE ENTITIES, AND GOVERNMENT OFFICES CONCERNED WITH SUBSTANCE ABUSE. DFC PARTNERS WORK WITH STAFF TOWARD GOALS VIA EFFORTS IN FOUR KEY AREAS: - ALTERING YOUTH PERCEPTIONS OF ATOD NORMS, PARTICULARLY NORMS OF PEER USE AND NORMS OF FAMILY APPROVAL - INCREASING PARENTAL AWARENESS OF AND ACCESS TO PROGRAMS TARGETING ATOD RISK & PROTECTIVE FACTORS - IMPACTING CITY POLICY RELATED TO SALE OF TOBACCO PRODUCTS & DRUG PARAPHERNALIA - IMPACTING CITY POLICY RELATED TO ASSESSMENT AND RATING OF YOUTH DEVELOPMENT PROGRAMS IN THE FIRST YEAR THE PROGRAM SUCCESSFULLY MET ITS GOALS OF RECRUITING PARTNERS, ESTABLISHING THE INFRASTRUCTURE AND COMMUNICATIONS TO SUPPORT THE PROJECT, CRAFTING A SOCIAL MARKETING CAMPAIGN, AND CREATING DETAILED PARTNERSHIP AGREEMENTS AND WORK PLANS FOR EACH OF THE KEY ACTIVITY AREAS. CKHS RECEIVED SPECIAL COMMENDATION FROM THE FEDERAL PROGRAM OFFICER ASSIGNED TO THIS PROJECT, WHO NOTED THAT ONLY A FRACTION OF THE 746 TOTAL DFC GRANTEES IN FISCAL 2010 WERE HEALTH SYSTEMS AND RECOGNIZED THE VALUE OF HAVING HEALTH SYSTEMS LEADING SUBSTANCE ABUSE EFFORTS IN COMMUNITIES. CROZER'S DFC PROJECT PARTNERED WITH 60+ COMMUNITY RESIDENTS AND/OR REPRESENTATIVES OF COMMUNITY GROUPS TO PLAN DFC PREVENTION ACTIVITIES, WHICH WERE LAUNCHED IN FISCAL 2010. 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, AN AVERAGE OF 500 IN-PATIENTS AND OVER 3000 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. COMMUNITY PROGRAM ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 4,160 INDIVIDUALS IN THE COMMUNITY. 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 THROUGHOUT THE MONTH. THE CENTER FOR DIABETES SERVICES INCLUDE OUTPATIENT EDUCATION FOR INDIVIDUALS WHO ARE NEWLY DIAGNOSED, HAVE UNCONTROLLED DIABETES, OR FOR THOSE WHO DESIRE INTENSIVE CONTROL. INSULIN PUMP THERAPY AND MONTHLY EDUCATION/SUPPORT GROUP MEETINGS ARE PROVIDED AT THE CENTER FOR DIABETES. ALSO SPECIAL INSTRUCTION IS OFFERED FOR PREGNANT WOMEN WITH GESTATIONAL DIABETES. THE CENTER FOR DIABETES' FOCUS IS TO HELP PATIENTS ACHIEVE BLOOD GLUCOSE CONTROL BY BALANCING MEALS, EXERCISE AND MEDICATION, WHEN NECESSARY. THE CERTIFIED DIABETES EDUCATORS AT THE CENTER FOR DIABETES ARE ALSO AVAILABLE TO TEACH DIABETES EDUCATION, INSULIN ADMINISTRATION AND USE OF GLUCOMETER TO THE STAFF AND RESIDENTS AT ASSISTED LIVING FACILITIES IN THE AREA. A SERIES OF CLASSES ARE OFFERED MORNING, AFTERNOON AND EVENING TO ACCOMMODATE VARIOUS PATIENT SCHEDULES. THE FOLLOWING CLASSES ARE OFFERED IN THE CENTER FOR DIABETES: - BASIC DIABETES EDUCATION - BLOOD GLUCOSE MONITORING - NUTRITION COUNSELING - INSULIN ADMINISTRATION - MANAGEMENT SKILLS FOR DIABETES RELATED TO PREGNANCY - INTENSIVE MANAGEMENT PROGRAM - INSULIN PUMP TRAINING - GLUCOSE SENSOR TRAINING - CONTINUOUS GLUCOSE MONITORING SYSTEM - PRE-DIABETES CLASSES |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | 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. COMMUNITY PROGRAM ACTIVITIES FOR '09-'10 REACHED: 3,700 INDIVIDUALS VIA PATIENT VISITS AND 3,800 INDIVIDUALS VIA COMMUNITY VISITS, FOR A GRAND TOTAL OF 7,500 INDIVIDUALS REACHED. CKHS SENIOR HEALTH SERVICES --------------------------- SENIOR HEALTH SERVICES DEVELOPS, COORDINATES AND IMPLEMENTS PROGRAMS COMMITTED TO THE PROMOTION OF A HEALTHY SENIOR COMMUNITY IN DELAWARE COUNTY. THE SERVICES OFFERED ARE EASILY ACCESSIBLE; MEETS THE NEEDS OF THE COMMUNITY SERVED, AND ARE PROVIDED WITH RESPECT AND DIGNITY. WITH THE GROWING NUMBER OF SENIORS IN THE COUNTRY THE ELDERLY POPULATION IN OUR COUNTY IS ALSO EXPECTED TO SURGE SIGNIFICANTLY. BY THE YEAR 2030 THERE WILL BE 70 MILLION AMERICANS OVER THE AGE OF 65. DELAWARE COUNTY, ONE OF THE MOST DENSELY POPULATED COUNTIES IN THE STATE WILL BE HEAVILY IMPACTED BY THE POPULATION SURGE. AS ONE OF ITS MANY GOALS SENIOR HEALTH SERVICES DEVELOPS INITIATIVES TO EDUCATE AND SENSITIZE HEALTHCARE PROFESSIONALS TO THE UNIQUE NEEDS OF OUR GROWING SENIOR COMMUNITY. THESE INITIATIVES FOCUS ON ENHANCING THE SKILLS OF THE HEALTHCARE AND ACADEMIC COMMUNITIES TO DEVELOP EXPERTISE AND BEST PRACTICES IN GERIATRICS. THE DEPARTMENT ALSO ASSUMES JOINT RESPONSIBILITY FOR THE HEALTH SYSTEMS INPATIENT INITIATIVE, "CARING FOR HOSPITALIZED ELDERS AT CROZER KEYSTONE" (CHECK). RESPONSIBILITIES INCLUDE BUT NOT LIMITED TO; TRAINING EMPLOYEES ACROSS THE SYSTEM IN AREAS RELATED TO AGE COMPETENCY, DEVELOPING SENIOR FRIENDLY HOSPITALS ON ALL LEVELS AND BRIDGING THE GAP BETWEEN THE INPATIENT AND OUTPATIENT SERVICES. IN ADDITION THE DEPARTMENT IS ALSO RESPONSIBLE FOR THE HEALTH SYSTEM'S SENIOR SPECIFIC 24 HOUR SUPPORT LINE. THE SENIOR SUPPORT LINE (1-800-CKHS-KEY) IS A SINGLE POINT OF CONTACT FOR PATIENTS, FAMILIES, PHYSICIANS AND COMMUNITY ORGANIZATIONS, TO ACCESS RESOURCES THROUGH OUR HEALTH SYSTEM, AS WELL AS LOCAL AND NATIONAL ORGANIZATIONS. COUPLED WITH THE ABOVE THE DEPARTMENT OF SENIOR HEALTH SERVICES IS ALSO RESPONSIBLE FOR DEVELOPING AND/OR CREATING BETTER ACCESS TO SEVERAL OUTPATIENT PROGRAMS WHICH INCLUDES THE GERIATRIC EVALUATION AND MANAGEMENT PROGRAM (WHICH WAS EXPANDED TO INCLUDE AN ADDITIONAL SITE IN THE UPPER DARBY COMMUNITY AT THE CENTER FOR FAMILY HEALTH), SENIOR WELLNESS PROGRAMS, THE SENIOR SPECIFIC WELLNESS PROGRAMS AT THE HEALTHPLEX, AS WELL AS GERIATRIC BEHAVIORAL HEALTH SERVICES. THE DEPARTMENT IS ALSO RESPONSIBLE FOR DEVELOPING AND COORDINATING THE CARING FOR OLDER PEOPLE (COP) PROGRAM, WHICH IS A COLLABORATIVE WITH THE DELAWARE COUNTY DISTRICT ATTORNEY'S OFFICE AND THE COUNTY OFFICE FOR SERVICES FOR THE AGING (COSA).TO FURTHER EXPAND OUR SERVICES TO THE FRAIL ELDERLY IN THE COMMUNITY THE DEPARTMENT WAS AWARDED THE HEALTH PROMOTIONS COMPONENT OF THE HOUSING AND URBAN DEVELOPMENT (HUD) HOPE VI REVITALIZATION GRANT FOR THE CHESTER TOWERS. SENIOR HEALTH SERVICES HAS ASSIGNED A RN WHO IS THE COMMUNITY ELDER LIFE SPECIALIST, TO DEVELOP PROGRAMS TO ADDRESS THE HEALTHCARE NEEDS OF THE RESIDENTS IN THESE SENIOR SPECIFIC DWELLINGS (THE TOWERS) .WE HAVE OFFERED BI-WEEKLY PROGRAMS AS WELL AS MULTIPLE HEALTH SCREENINGS. WE HAVE ESTABLISHED A PROCESS TO MONITOR THE HIGHLY AT-RISK RESIDENTS AND PROVIDE A SEAMLESS PROCESS FOR THEM TO ACCESS HEALTHCARE RESOURCES WHEN NECESSARY. IN ADDITION TO THE ABOVE SENIOR HEALTH SERVICES ALSO RECEIVED A GRANT FROM THE COUNTY OFFICE OF SERVICES FOR THE AGING TO DEVELOP AND IMPLEMENT HEALTH AWARENESS PROGRAMS AT THREE AREA SENIOR CENTERS. FOCUSING ON HEALTH ISSUES SEVERELY IMPACTING THE ELDERLY, ONE OF THE PROGRAMS WHICH WAS OFFERED "HOW TO MAINTAIN YOUR FABULOUS BRAIN" A BRAIN HEALTH FITNESS PROGRAM WAS VERY SUCCESSFUL AND IS NOW AVAILABLE TO ALL SENIOR GROUPS ACROSS THE COUNTY TO FURTHER SERVE THE AGING POPULATION SENIOR HEALTH SERVICES PARTICIPATES IN COMMUNITY HEALTH PROMOTION ACTIVITIES, INCLUDING HEALTH FAIRS, LECTURES, WORKSHOPS AND PRESENTATIONS TO NUMEROUS SENIOR FOCUSED GROUPS. THE DEPARTMENT IS RESPONSIBLE FOR FOUR "DINING AT DUSK" PROGRAMS ACROSS THE HEALTH SYSTEM, MONTHLY PHYSICIAN LECTURE SERIES AT BRINTON LAKE MEDICAL PLAZA AND MEDIA BOROUGH, BRINGING SEVERAL SENIORS TO OUR HOSPITALS TO PARTICIPATE IN HEALTH PROMOTIONS AND SENIOR FOCUSED LECTURES AS WELL AS CREATE OPPORTUNITIES FOR SENIORS TO MEET OUR MEDICAL STAFF AND ACCESS SERVICES FORM OUR HEALTHCARE PROVIDERS. THROUGH ITS SENIOR WELLNESS PROGRAM THE DEPARTMENT ALSO PARTNERS WITH AARP AND OFFERS THE 55ALIVE DRIVING PROGRAM AT FOUR CROZER-KEYSTONE SITES. FURTHER THE DEPARTMENT PUBLISHES A "QUICK TIP" RESOURCE GUIDE FOR SENIORS AS WELL AS A MONTHLY E-NEWSLETTER AND QUARTERLY E-NEWS MAGAZINE (SENIOR HEALTHY LIVING). ADDED TO OUR COMMUNITY OUTREACH AND EDUCATIONAL COMMITMENT, THE DEPARTMENT'S SIGNATURE EVENT IS ITS ANNUAL DAY LONG PROGRAM IN HONOR OF OLDER AMERICAN'S MONTH, WHICH HAS ATTRACTED OVER 300 SENIORS FROM ACROSS DELAWARE COUNTY. THIS EVENT PROVIDES SENIORS WITH SEVERAL OPPORTUNITIES TO PARTICIPATE IN WORKSHOPS GIVEN BY CKHS PHYSICIANS. THROUGH THE PROVISION OF THESE SERVICES ACROSS THE CONTINUUM, THE ULTIMATE GOAL OF SENIOR HEALTH SERVICES IS TO REALIZE A CENTER OF EXCELLENCE IN DELAWARE COUNTY. COMMUNITY PROGRAM ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 10,725 INDIVIDUALS IN THE COMMUNITY - THIS INCLUDES ALL SENIOR SPECIFIC PROGRAMMING. PARKINSON DISEASE AND MOVEMENT DISORDER CENTER ---------------------------------------------- THIS CENTER PROVIDES COMPREHENSIVE AND INDIVIDUALIZED CARE WITHIN A SUPPORTIVE AND HOME-LIKE ATMOSPHERE. AFFILIATED WITH THE AMERICAN PARKINSON DISEASE ASSOCIATION (APDA), CROZER'S PARKINSON'S DISEASE AND MOVEMENT DISORDER CENTER IS ONE OF THE APDA'S OFFICIALLY RECOGNIZED INFORMATION AND REFERRAL CENTERS. THEY PROVIDE EDUCATION, SUPPORT AND EXERCISE CLASSES FOR INDIVIDUALS DEALING WITH PARKINSON'S DISEASE AND MOVEMENT DISORDERS. COMMUNITY OUTREACH ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 1,300 INDIVIDUALS IN THE COMMUNITY. NUTRITION SERVICES ------------------ REGISTERED DIETITIANS AT CROZER OFFER SERVICES INTERNALLY TO OUR PATIENTS AND EXTERNALLY FOR THE COMMUNITY. NUTRITION COUNSELING WAS PROVIDED AT THE OUTPATIENT NUTRITION AND BARIATRIC CENTERS TO 2,920 CLIENTS. APPROXIMATELY 600 MEMBERS OF THE COMMUNITY INQUIRED ABOUT NUTRITION EDUCATION MATERIALS AND PRODUCTS THROUGH VARIOUS HEALTH FAIRS ATTENDED BY REGISTERED DIETITIANS FROM CROZER. COMMUNITY OUTREACH ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 2,920 INDIVIDUALS. WIC --- THE WOMEN, INFANTS AND CHILDREN PROGRAM (WIC) PROVIDES SUPPLEMENTAL FOODS AND NUTRITION EDUCATION TO PREGNANT, POSTPARTUM AND BREASTFEEDING WOMEN; INFANTS; AND YOUNG CHILDREN UP TO AGE 5. THERE ARE THREE WIC OFFICES LOCATED IN DELAWARE COUNTY. CURRENTLY THE WIC PROGRAM IN DELAWARE COUNTY HAS A CASELOAD ASSIGNMENT OF 9,206 PARTICIPANTS, WHICH IS A 3% INCREASE OVER THE PREVIOUS YEAR'S ASSIGNMENT. THE CURRENT BREAKDOWN IN PARTICIPATION IS 2,098 PREGNANT AND POSTPARTUM WOMEN, 2,515 INFANTS, AND 4,554 CHILDREN 2-5 YEARS OF AGE. - WIC ADMINISTERS THE FARMERS MARKET NUTRITION PROGRAM (FMNP) AND LAST YEAR DISTRIBUTED 20,000 CHECKS THAT HELPS SUPPORT THE FARMERS OF PENNSYLVANIA AND SUPPLIES EACH ELIGIBLE WIC RECIPIENT WITH $20 WORTH OF COUPONS REDEEMABLE FOR PA GROWN FRUITS & VEGETABLES AT LOCAL FARMERS MARKETS. FMNP RECIPIENTS ALSO RECEIVE NUTRITION EDUCATION IN ACCORDANCE WITH THE "MORE MATTER" CAMPAIGN, AND INFORMATION REGARDING RECIPE, SELECTION, AND STORAGE OF PENNSYLVANIA GROWN FRUITS AND VEGETABLES. - WIC ADMINISTERED THE SUMMER LUNCH PROGRAM FUNDED BY THE NUTRITIONAL DEVELOPMENT SERVICES, ARCHDIOCESE OF PHILADELPHIA. LAST SUMMER THE PROGRAM DISTRIBUTED 2,488 INDIVIDUAL LUNCHES AT OUR CHESTER CLINIC. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | NUTRITION AND BREASTFEEDING GOALS FOR THE 09-10 FY INCLUDE: - NUTRITION EDUCATION IS DONE WITH ALL WIC CLIENTS A MINIMUM OF 4 TIMES/YEAR DURING THEIR SCHEDULED WIC APPOINTMENTS. IN RECENT YEARS THE MAIN OBJECTIVE IS TO HELP PEOPLE CHANGE BEHAVIORS IN THEIR EATING HABITS AND PHYSICAL ACTIVITY. SETTING GOALS TO INCREASE PHYSICAL ACTIVITY IS DISCUSSED WITH MOTHERS AND THEIR CHILDREN. PARENTS ALSO BECOME FAMILIAR WITH THEIR CHILDREN'S BODY MASS INDEX (BMI). THIS CAN HELP ADDRESS THE INCREASING PROBLEM OF CHILDHOOD OBESITY. PARENTS SET GOALS TO INCREASE THEIR OWN OR THEIR CHILDREN' CONSUMPTION OF FRUITS AND VEGETABLES. THIS CAN INCREASE INTAKE OF VALUABLE NUTRIENTS AND LOWER CALORIES CONSUMED. PREGNANT WOMEN RECEIVE NUTRITION COUNSELING TO HELP ENSURE APPROPRIATE WEIGHT GAIN AND HEALTHY OUTCOME TO PREGNANCY. - WIC PROMOTES BREASTFEEDING TO ALL WOMEN WHO ENROLL IN THE PROGRAM. WE ARE STRIVING TO MEET THE HEALTHY PEOPLE 2010 GOALS OF INCREASED BREASTFEEDING IN OUR NATION. WIC CLIENTS IN DELAWARE COUNTY HAVE INCREASED THE RATE OF MOMS WHO TRY BREASTFEEDING FROM 35% TO 58% OVER THE LAST 10 YEARS. THE RATE OF BREASTFEEDING IN DELAWARE COUNTY WIC WOMEN IS WELL ABOVE THE STATE AVERAGE RATE FOR WIC WOMEN (56%). WIC SUPPLIES BREAST PUMPS TO HELP WOMEN CONTINUE WITH BREASTFEEDING FOR LONGER PERIODS. OVER 100 BREAST PUMPS WERE GIVEN TO WOMEN OVER THE LAST YEAR. WE ALSO WORK WITH OTHER GROUPS WHO HAVE CONTACT WITH PREGNANT AND NEW MOTHERS. THE CROZER NURSE-FAMILY PARTNERSHIP HAS BEEN GIVEN INFORMATION TO HELP THEM SUPPORT MOM WHO ARE BREASTFEEDING. REFERRALS TO THEIR PROGRAM ARE GIVEN BY THE STAFF AT WIC. WIC CONTINUES TO REFER CLIENTS TO HEALTHY START AND WORKS WITH HEALTHY START STAFF TO PROMOTE BREASTFEEDING IN THE COMMUNITY. THE MARKETING/PUBLIC RELATIONS DEPARTMENT PROVIDES NUMEROUS EDUCATIONAL PROGRAMS AND SERVICES THROUGHOUT THE YEAR FOR THE COMMUNITY IT SERVES. THESE PROGRAMS INCLUDE FREE HEALTH FAIRS, PHYSICIAN-SPONSORED LECTURES AND SCREENINGS AT CKHS HOSPITALS AND FACILITIES, AS WELL AS OTHER LOCATIONS THROUGHOUT DELAWARE COUNTY (SUCH AS LIBRARIES, COMMUNITY CENTERS, ETC.). COMMUNITY OUTREACH ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 968 INDIVIDUALS. VOLUNTEER SERVICES ------------------ VOLUNTEER SERVICES AT CKHS OFFER NUMEROUS PROGRAMS AND SERVICES TO THE COMMUNITY AT LARGE AND TO THE PATIENTS AT OUR HOSPITALS. AMONG THESE SERVICES ARE MONTHLY BLOOD PRESSURE SCREENINGS, STUDENT MENTORING, PATIENT ADVOCACY, YOUTH LEADERSHIP, AND DONATION PROGRAMS. COMMUNITY OUTREACH ACTIVITIES FOR '09-'10 REACHED APPROXIMATELY 5,734 INDIVIDUALS. AREAS OF OPPORTUNITY -------------------- - MAJOR CHALLENGES: WE CAN FEEL GOOD ABOUT THE OVERALL HEALTH STATUS OF OUR RESIDENTS AND THE PROGRESS THAT HAS BEEN MADE IN ACHIEVING HEALTHIER LIFESTYLES, GREATER USE OF PREVENTIVE CARE AND ADVANCES IN MEDICINE. AS WE CONTINUE TO WORK TOWARD ACHIEVING THE HEALTHY PEOPLE 2010 (HP2010) GOALS FOR DELAWARE COUNTY, IT IS IMPORTANT TO REMAIN AWARE OF THE FOLLOWING CHALLENGES THAT WE FACE AS TOGETHER WE STRIVE TO OBTAIN THE GOAL OF OPTIMUM HEALTH FOR EVERY MEMBER OF OUR COMMUNITY: ACCESS TO HEALTHCARE: THERE IS A SLIGHT INCREASE IN OVERALL ACCESS TO A SOURCE OF ONGOING HEALTHCARE IN DELAWARE COUNTY, YET WE ARE STILL NOT MEETING THE HEALTHY PEOPLE 2010 TARGET. GOOD NEWS IN THAT THE PERCENTAGES OF INDIVIDUALS HAVING A REGULAR SOURCE OF CARE ARE FAIRLY EVEN ACROSS THE RACES, SHOWING LESS DISPARITY THAN IN 2006. CKHS WILL CONTINUE TO ADVOCATE FOR ACCESS TO HEALTHCARE SERVICES FOR ALL THE RESIDENTS OF DELAWARE COUNTY AND WILL CONTINUE TO OFFER THEIR CLINICS AT PEARL HALL AND ALSO CONTINUE THEIR PARTICIPATION ON THE DELAWARE COUNTY CHAMBER OF COMMERCE INSURE DELAWARE COUNTY'S CHILDREN TODAY TASK FORCE AND CHESPENN HEALTH SERVICES BOARD. OVERWEIGHT/OBESITY/PHYSICAL INACTIVITY: NOTED INCREASES IN OVERWEIGHT AND OBESITY, AS WELL AS HIGH LEVELS OF PHYSICAL INACTIVITY CONTINUE TO REMAIN A SIGNIFICANT CHALLENGE. THESE RISK FACTORS, FOR MANY ACUTE AND CHRONIC DISEASES, CONTINUE TO PLAGUE INDIVIDUALS OF EVERY AGE, GENDER AND ETHNIC GROUP. THIS AFFECTS THE OVERALL HEALTH STATUS OF DELAWARE COUNTY, BOTH TODAY AND FOR THE FUTURE. CKHS'S HEALTHPLEX SPORTS CLUB OFFERS A SPACIOUS, STATE-OF-THE-ART FACILITY TO MEET ALL OF AN INDIVIDUAL'S HEALTH AND FITNESS NEEDS. FROM SWIMMING POOLS TO BASKETBALL COURTS TO THE BUSY FITNESS AREA, INDOOR TENNIS/SQUASH AND RACQUETBALL COURTS, NEW WAYS TO ENHANCE ONE'S HEALTH ARE DISCOVERED. THE HEALTHPLEX SPORTS CLUB IS DEDICATED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF ITS MEMBERS AND THE COMMUNITY. LOW BIRTH WEIGHT (LBW): LOW BIRTH WEIGHT PERCENTAGES HIGHER THAN STATE AND NATIONAL PERCENTAGES. DELAWARE COUNTY'S RATE OF LOW BIRTH WEIGHT INFANTS (8.8%) HAS DECREASED SLIGHTLY FROM 2002-04 STATUS (9.4%), BUT IS SLIGHTLY HIGHER THAN THE STATE RATE (8.4 %) AND NATIONAL (8.2%) RATES AND STILL A SIGNIFICANT DISTANCE FROM THE 5% TARGET RATE OF HEALTHY PEOPLE 2010. THE GREATEST DISPARITY IS NOTED AT BOTH THE COUNTY AND STATE LEVEL IN THE AFRICAN AMERICAN POPULATION WHERE THE RATE IS 5.2% GREATER AT THE COUNTY LEVEL (14%) AND 5.5% GREAT AT THE STATE LEVEL (13.9%). IT SHOULD ALSO BE NOTED THAT THE INFANT DEATH RATE IS ALSO MUCH HIGHER IN THE AFRICAN AMERICAN POPULATION AT 15.3/1,000 VS. THE WHITE POPULATION OF 5.9/1,000 IN DELAWARE COUNTY. CKHS WOMEN AND CHILDREN'S HEALTHY START PROGRAM, THE CROZER OB/GYN CLINIC, THE DCMH MIDWIVES PROGRAM AND THE MANY CKHN OB/GYN PROVIDERS ENABLE WOMEN FROM DELAWARE COUNTY TO RECEIVE THE PRENATAL CARE THEY NEED TO ENSURE A HEALTHY BABY. CROZER-KEYSTONE ALSO OFFERS A LEVEL II NEONATAL INTENSIVE CARE NURSERY AT DELAWARE COUNTY MEMORIAL HOSPITAL, AND A LEVEL III INTENSIVE CARE NURSERY AT CROZER, THAT PROVIDE THE ESSENTIAL MEDICAL CARE NECESSARY FOR "HIGH RISK" BABIES TO SURVIVE AND THRIVE. TEEN PREGNANCY: THE TEEN PREGNANCY RATE FOR DELAWARE COUNTY IS SLIGHTLY LOWER THAN THE STATE (21.8/1,000 DELCO VS. 22.2/1,000 PA). A SIGNIFICANT DIFFERENCE IS NOTED IN THE PERCENTAGE OF BIRTHS TO MOTHERS UNDER THE AGE OF 18 BETWEEN WHITE AND AFRICAN AMERICAN POPULATIONS (WHITE -.9% VS. AFRICAN AMERICAN 6.8%). ALSO OF INTEREST ARE THE PERCENTAGES OF BIRTHS UNDER THE AGE OF 18 TO MOTHERS IN THE CITY OF CHESTER WHERE NUMBERS ARE SIGNIFICANTLY GREATER THAT THOSE OF THE COUNTY (AFRICAN AMERICAN 9.1% AND HISPANIC 13.2%). CKHS CONTINUES TO OFFER PEER LED EDUCATIONAL PROGRAMMING TO REDUCING ADOLESCENT RISK BEHAVIORS RELATED TO VIOLENCE, TEEN PREGNANCY, SEXUALLY TRANSMITTED DISEASES, AND USE OF ALCOHOL, TOBACCO AND OTHER DRUGS THROUGH THE CROZER WELLNESS CENTER TO YOUTH IN CHESTER. OUR WOMEN AND CHILDREN'S HEALTH PROGRAM OFFERS SUPPORT, CASE MANAGEMENT AND ACCESS TO PRENATAL AND INFANT CARE TO TEEN MOTHERS IN THE CITY OF CHESTER. CKHS WOMEN AND CHILDREN'S HEALTH SERVICES AND THE CROZER WELLNESS CENTER ARE PART OF THE DELAWARE COUNTY TEEN PREGNANCY COALITION, A COLLABORATIVE GROUP OF COUNTY PROVIDERS WHOSE AIM IS TO PREVENT TEEN PREGNANCY. EARLY PRENATAL CARE: RECEIVING EARLY AND ADEQUATE PRENATAL CARE STILL AN ISSUE FOR WOMEN IN DELAWARE COUNTY. THE PERCENTAGE OF WOMEN RECEIVING SOME TYPE OF PRENATAL CARE HAS DECREASED AGAIN SLIGHTLY (78.8%) WITH DISPARITIES BEING SEEN IN THE AFRICAN AMERICAN POPULATION (63.8%). THE PERCENTAGE OF WOMEN WHO RECEIVE EARLY AND ADEQUATE PRENATAL CARE (49.2% IN DELCO) CONTINUES TO DECREASE AND REMAINS SIGNIFICANTLY BELOW THE PENNSYLVANIA RATE OF 66% AND THE HEALTHY PEOPLE TARGET OF 90%. CROZER-KEYSTONE WOMEN AND CHILDREN'S HEALTH, HEALTHY START PROGRAM OFFERS ACCESS TO PRENATAL CARE, SUPPORT, CASE MANAGEMENT AND INFANT CARE TO PREGNANT WOMEN. HEALTHY START STAFF FOCUS ON THE IDENTIFICATION AND ASSESSMENT OF PARTICIPANT NEEDS; AND LINKAGE TO APPROPRIATE HEALTH, HUMAN AND SOCIAL SERVICES FOR VULNERABLE, HARD-TO-REACH, UNDERSERVED PREGNANT WOMEN, PARENTS, FAMILIES AND CAREGIVERS OF CHILDREN AGE 0 TO 24 MONTHS LIVING IN CHESTER, EDDYSTONE, WOODLYN, PARKSIDE, UPLAND, TOBY FARMS, CHESTER TOWNSHIP, TRAINER, MARCUS HOOK AND LINWOOD. OTHER CKHS PROGRAMS SUCH AS THE OB/GYN CLINIC AT PEARL HALL ON CROZER'S CAMPUS AND THE DCMH MIDWIVES PROGRAM LOCATED IN BARCLAY SQUARE SHOPPING CENTER IN UPPER DARBY, AS WELL AS OUR MANY CKHN OB/GYN PRACTICES OFFER WOMEN ACCESS TO PRENATAL CARE IN DELAWARE COUNTY. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | CHILDHOOD IMMUNIZATIONS: INFANTS AND YOUNG CHILDREN ARE AT HIGH RISK OF GETTING INFECTIOUS DISEASE; THAT IS WHY IT IS CRITICAL TO IMMUNIZE THEM AGAINST TWELVE DISEASES BEFORE THEY REACH THE AGE OF TWO. IN PENNSYLVANIA, WE CONTINUE TO STRUGGLE TO MEET THE HP2010 GOAL (90%) FOR CHILDHOOD IMMUNIZATION, WITH A CURRENT RATE OF 78.8% 4.3. CROZER-KEYSTONE'S CHILDREN'S HEALTH CONNECTION REMINDER PROGRAM PARTNERS WITH PARENTS TO INFORM AND REMIND THEM ABOUT DETAILS RELATED TO THEIR CHILD'S/CHILDREN'S HEALTH, GROWTH, DEVELOPMENT AND WELL BEING. THIS DATABASE DRIVEN PROGRAM USES AN AUTOMATED DELIVERY SYSTEM TO DISTRIBUTE AND MAIL POST CARDS TO PARENTS. THE POST CARDS ARE SENT BASED ON THE CHILDHOOD IMMUNIZATION SCHEDULE (AT 2, 4, 6, 12, 18 AND 24 MONTHS) DURING THE EARLY CHILDHOOD YEARS TO INFORM PARENTS ABOUT WELL CHILD HEALTH VISITS, CHILDHOOD IMMUNIZATIONS, GROWTH AND DEVELOPMENT, NUTRITION, SAFETY AND MORE. AFTER THE SECOND BIRTHDAY, THE FAMILY WILL RECEIVE REMINDER CARDS EVERY YEAR DURING THE CHILD'S BIRTH MONTH UNTIL THE CHILD'S EIGHTEENTH BIRTHDAY. ADULT IMMUNIZATION (INFLUENZA AND PNEUMOCOCCAL): FLU VACCINATION RATES WENT UP IN 2007 BY 6% (73% OVERALL), HOWEVER WE ARE STILL NOT MEETING THE HEALTHY PEOPLE 2010 GOAL OF 90%. ALSO NOTED WAS A DISPARITY IN THE NON-WHITE POPULATION THE RATE OF IMMUNIZATION IN THIS GROUP IS ONLY 59%. PNEUMOCOCCAL PNEUMONIA VACCINATION RATE IS HIGHER BY ABOUT 4% (70% OVERALL), HOWEVER, WE ARE STILL NOT MEETING THE HEALTHY PEOPLE 2010 TARGET OF 90%. AGAIN, A DISPARITY IS NOTED IN THE NON-WHITE POPULATION WHERE THE RATE OF IMMUNIZATION IS 55%. CKHS ACTIVELY PARTICIPATES IN THE DELAWARE COUNTY IMMUNIZATION COALITION COLLABORATIVE. CKHS PROVIDES FLU SHOTS TO HARD TO REACH POPULATIONS AND THE GENERAL PUBLIC THROUGH OUR SENIOR HEALTH SERVICES PROGRAM, OUR CONGREGATIONAL NURSE INITIATIVE, AND THROUGH OUR CENTERS FOR FAMILY HEALTH. CANCER: THE OVERALL DEATH RATE FOR CANCER, AS WELL AS THE DEATH RATES FOR LUNG CANCER, BREAST CANCER, AND COLORECTAL CANCER SHOW THAT DELAWARE COUNTY CANCER DEATH RATES EXCEED THOSE RATES IN ALL PENNSYLVANIA COUNTIES. CONTINUED FOCUS ON EDUCATION, PREVENTION AND EARLY DETECTION OPPORTUNITIES IS NEEDED TO POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY. CKHS'S REGIONAL CANCER CENTERS AT DELAWARE COUNTY MEMORIAL HOSPITAL AND CROZER-CHESTER MEDICAL CENTER BRING ADVANCED TECHNOLOGY, PROGRAMS AND SERVICES TOGETHER - PROVIDING A LEVEL OF CARE THAT RIVALS ANY UNIVERSITY-BASED CANCER CENTER IN THE WORLD. CKHS REGIONAL CANCER CENTERS HOUSE COMPREHENSIVE DIAGNOSTIC AND TREATMENTS PROGRAMS, AS WELL AS PREVENTION, EDUCATION AND COMPLEMENTARY TREATMENT RESOURCES AND HAVE RECEIVED APPROVAL WITH COMMENDATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. THE APPROACH TO TREATING PEOPLE WITH CANCER IS BASED UPON THE 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 GOAL IS TO PROVIDE PATIENTS WITH COMPLETE CANCER CARE, NOT JUST CANCER TREATMENT. FOR THAT REASON, PATIENTS CAN ACCESS A RANGE OF SPECIAL SERVICES AND PROGRAMS TO SUPPORT THEM IN THEIR FIGHT AGAINST CANCER. SMOKING: RATE OF SMOKING AMONG ADULTS AND ADOLESCENTS AND ITS MAJOR IMPACT ON DISEASE AND DEATH CONTINUES TO BE A CHALLENGE. DELAWARE COUNTY'S LUNG CANCER DEATH RATE IS 57.8 PER 100,000 ABOVE THE STATE RATE OF 53.4 PER 100,000 AND FAR FROM MEETING THE HEALTHY PEOPLE 2010 GOAL OF 44.9 PER 100,000. SLIGHT DECREASES ARE NOTED IN SMOKING RATES FOR ADULTS WITH OVERALL TOTAL OF 19.3%. THE 2008 STATUS SHOWS ADULT SMOKING RATES LEVELING OUT BETWEEN MALES AND FEMALES, HOWEVER THE AFRICAN AMERICAN SMOKING RATE IS THE HIGHEST (24.5%) - AN INTERESTING POINT CONSIDERING THAT WHILE IN THE ADOLESCENT YEARS, THE ADOLESCENT RATE AMONG AFRICAN AMERICAN'S IS SIGNIFICANTLY LOWER THAN THE NATIONAL AVERAGE. NATIONALLY, THE ADOLESCENT RATES OVERALL HAVE DECREASED SINCE 2006 DATA COLLECTION, HOWEVER THE ONLY GROUP MEETING THE HEALTHY PEOPLE 2010 GOAL OF 16% IS THE AFRICAN AMERICAN ADOLESCENTS (11.6%) WITH THE HISPANIC GROUP CLOSE TO MEETING THE GOAL (16.7%). IT IS NOTED THAT THE HIGHEST PERCENTAGE OF SMOKERS IS FOUND N THE WHITE ADOLESCENT GROUP (23.2%) - 3.2% ABOVE THE NATIONAL RATE OF ALL ADOLESCENTS. MALE ADOLESCENTS HAVE SLIGHTLY HIGHER RATES OF SMOKING THAN FEMALES (21.3% VS. 18.7%). THE PHMC HOUSEHOLD SURVEY FOR 2008 SHOWS THAT AMONG ADULTS 18+ WHO SMOKE, ONLY 60.1% WERE ADVISED TO QUIT SMOKING IN THE PAST YEAR AND THAT 15.6% OF HOUSEHOLDS IN DELAWARE COUNTY HAVE SOMEONE WHO SMOKES INSIDE THE HOME. CKHS COMMUNITY HEALTH EDUCATION'S TOBACCO PREVENTION AND CESSATION PROGRAM RECEIVES FUNDING FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH TO PROVIDE PREVENTION AND CESSATION PROGRAMMING TO YOUTH AND ADULTS AND FREE NICOTINE REPLACEMENT THERAPIES TO ADULTS IN DELAWARE COUNTY. THE CROZER-KEYSTONE REGIONAL CANCER CENTERS' COMPREHENSIVE LUNG CANCER PROGRAMS PROVIDE SERVICES FOR THE PREVENTION, DIAGNOSIS, TREATMENT AND SUPPORT OF PEOPLE DIAGNOSED WITH LUNG CANCER. THE PROGRAMS ALSO INCLUDE RESEARCH VIA CLINICAL TRIALS, WHEN DEEMED APPROPRIATE. PROSTATE SCREENING: PROSTATE CANCER IS THE SECOND LEADING CAUSE OF DEATH AMONG MALES IN THE U.S. LOCAL DATA SHOWS A INCREASE IN RATE OF PROSTATE SCREENING FROM 60.8% IN 2006 TO 68.4% IN 2008; ONLY A SMALL DIFFERENCE BETWEEN THE AFRICAN AMERICAN (68.8%) AND LATINO (66.7%) POPULATIONS. THE LATINO RATE IS A SIGNIFICANT DIFFERENCE FROM THE 2006 RATE (25.9%) - 2006 DATA COULD BE INACCURATE DUE TO A POTENTIAL SMALL SAMPLE SIZE. ALTHOUGH COUNTY-WIDE WE HAVE REACHED THE HEALTHY PEOPLE 2010 RATE FOR PROSTATE SCREENING (28.8%), WE SEE DISPARITIES IN THE AFRICAN AMERICAN MALE POPULATION WITH HIGHER INCIDENCE AND MORTALITY RATES NOTED FOR AFRICAN AMERICAN MALES BOTH IN DELAWARE COUNTY AND AT THE STATE LEVEL, DESPITE THE HIGH RATE OF SCREENING IN THIS POPULATION EDUCATION AND SCREENING OPPORTUNITIES FOR BOTH AFRICAN AMERICAN MALES IS STILL GREATLY NEEDED IN OUR COMMUNITY. CKHS REGIONAL CANCER SCREENINGS OFFERS FREE PROSTATE SCREENING ANNUALLY IN SEPTEMBER THAT IS OPEN TO RESIDENTS OF DELAWARE COUNTY. BREAST SCREENING: DELAWARE COUNTY HAS EXCEEDED THE HEALTHY PEOPLE 2000 GOAL OF 60% FOR PHYSICAL BREAST EXAMS AND THE HEALTHY PEOPLE 2010 GOAL OF 70% FOR MAMMOGRAPHY SCREENING, HOWEVER THE DEATH RATE PER 100,000 FOR BREAST CANCER STILL SLIGHTLY EXCEEDS THAT OF THE STATE (27.2 DELCO VS. 27.0 PA). ALSO NOTEWORTHY IS THE FACT THAT WHILE THE HIGHEST PERCENTAGE OF SCREENINGS SEEMS TO BE DONE IN THE AFRICAN AMERICAN COMMUNITY AND THE INCIDENCE RATES ARE LOWER AMONG AFRICAN AMERICANS; THE DEATH RATES PER 100,000 ARE HIGHER FOR THEM (36.5 DELCO VS. 35.9 PA). CKHS OFFERS STATE-OF-THE-ART MAMMOGRAPHY SERVICES. THE CKHS REGIONAL CANCER CENTERS HAVE PROGRAMS TO ASSIST WOMEN IN ACCESSING MAMMOGRAPHY SCREENING DESPITE THE ABILITY TO PAY. COLORECTAL SCREENING THROUGH SIGMOIDOSCOPY: WE ARE CURRENTLY EXCEEDING THE HP2010 GOAL FOR COLORECTAL SCREENING OVERALL FOR THE COUNTY. ALSO NOTED IS THAT DESPITE MEETING THE SCREENING GOAL OVERALL, ONLY SMALL IMPROVEMENTS HAVE BEEN REALIZED IN THE DEATH RATE PER 100,000 FROM COLORECTAL CANCER (21.6 DELCO) WHERE WE CONTINUE TO EXCEED THE STATE RATE (20.1 PA) AND FAR EXCEED THE EXPECTED RATE FOR HP2010 (13.9). CONTINUED EDUCATION, OUTREACH AND SCREENING ARE NEEDED IN THIS AREA. CKHS REGIONAL CANCER CENTERS OFFER FREE COLORECTAL SCREENING ANNUALLY IN MARCH THAT IS OPEN TO RESIDENTS OF DELAWARE COUNTY. IMPROVE CARDIOVASCULAR HEALTH - STROKE: DELAWARE COUNTY DEATH RATE FROM STROKE IS 58.0 PER 100,000, WHICH IS GREATER THAN THE STATE DEATH RATE OF 51.1 PER 100,000 AND FAR FROM MEETING THE HEALTHY PEOPLE 2010 GOAL OF 48 PER 100,000. CONTINUED FOCUS ON EDUCATION, PREVENTION AND EARLY INTERVENTION IS NEEDED TO POSITIVELY IMPACT THE HEALTH OF THE COMMUNITY. DELAWARE COUNTY MEMORIAL HOSPITAL AND CROZER-CHESTER MEDICAL CENTER HAVE JOINED AN ELITE GROUP OF HOSPITALS THAT DELIVER EXPERT STROKE CARE BY BECOMING CERTIFIED PRIMARY STROKE CENTERS CERTIFIED BY THE JOINT COMMISSION. THERE ARE APPROXIMATELY 400 HOSPITALS IN THE UNITED STATES THAT HAVE EARNED THIS DESIGNATION. CERTIFICATION GUIDELINES REQUIRE APPLICANTS TO HAVE A STROKE TEAM AND NEUROSURGICAL SERVICES AVAILABLE AROUND THE CLOCK, WRITTEN DIAGNOSIS AND CARE PROTOCOLS, CLOSE COORDINATION BETWEEN THE EMERGENCY DEPARTMENT AND EMERGENCY TRANSPORT, AND A DEDICATED STROKE UNIT IN ADDITION TO SPECIFIC CLINICAL EXPECTATIONS. |
| COMMUNITY BENEFIT STATEMENT CONTINUED | CORE FORM, PART III | VIOLENCE: ACTS OF VIOLENCE CONTINUE TO AFFECT THE HEALTH AND WELL BEING OF THE COMMUNITY ACROSS ALL AGE, GENDER AND ETHNIC GROUPS. IT IS NOTED IN THIS YEAR'S REPORT THAT THE RATE OF ASSAULTS ON FEMALES EXCEEDS THAT OF MALES. CKHS WILL CONTINUE TO ADDRESS THE ISSUE OF VIOLENCE, WITH SPECIAL EMPHASIS ON DOMESTIC ABUSE AND ADOLESCENT VIOLENCE, THROUGH THE COLLABORATIVE WORKINGS OF THE DOMESTIC VIOLENCE HEALTHCARE ADVOCACY COALITION OF DELAWARE COUNTY AND THE CKHS/WIDENER UNIVERSITY/COMMUNITY PARTNERSHIP. RESPONSIBLE SEXUAL BEHAVIOR - HIV, CHLAMYDIA, AND GONORRHEA: THE DEATH RATE FOR HIV IS HIGHER IN DELAWARE COUNTY (5.2 PER 100,000) THAN THROUGHOUT THE STATE OF PA (3.4 PER 100,000) AND SIGNIFICANTLY HIGHER THAN THE HEALTHY PEOPLE 2010 TARGET (0.7 PER 100,000). A SIGNIFICANT INCREASE IN THE INCIDENCE RATE FOR CHLAMYDIA IS NOTED (305.8 PER 100,000 UP FROM 234.8 PER 100,000) AND GONORRHEA (86.9 PER 100,000 UP FROM 67.9 PER 100,000). CONTINUED EDUCATION, OUTREACH AND SCREENING ARE NEEDED IN THE AREA OF SEXUALLY TRANSMITTED DISEASES. CKHS CONTINUES TO OFFER PEER LED EDUCATIONAL PROGRAMMING TO REDUCE ADOLESCENT RISK BEHAVIORS RELATED TO VIOLENCE, TEEN PREGNANCY, SEXUALLY TRANSMITTED DISEASES, AND USE OF ALCOHOL, TOBACCO AND OTHER DRUGS THROUGH THE CROZER WELLNESS CENTER TO YOUTH IN CHESTER. THE CKHS CLINICS AT PEARL HALL ON THE CROZER CAMPUS PROVIDE HEALTH SCREENINGS FOR SEXUALLY TRANSMITTED DISEASES AND PROVIDE OB/GYN CARE. CHESPENN HEALTH SERVICES, A FEDERALLY FUNDED HEALTH CENTER PROVIDES LOW COST CARE FOR DELAWARE COUNTY RESIDENTS. CURRENT SITES INCLUDE THE CITY OF CHESTER, COMMUNITY HOSPITAL AND THE COLLABORATIVE WITH THE CKHS CENTER FOR FAMILY HEALTH IN UPPER DARBY. CKHS HAS PROVIDED OVERSIGHT AND TECHNICAL ASSISTANCE FOR CHESPENN HEALTH SERVICES SINCE 1995. CROZER'S DRUG AND ALCOHOL RECOVERY CENTER AT COMMUNITY HOSPITAL OFFERS HIV TESTING PROCEDURES, RISK REDUCTION PREVENTION MEASURES, COUNSELING AND AIDS EDUCATION TO INDIVIDUALS IN THE COMMUNITY. IT IS VITALLY IMPORTANT THAT ALL SECTORS OF THE COMMUNITY COLLABORATIVELY WORK TOGETHER TO ADDRESS THE COMMUNITY NEEDS AND ACHIEVE THE HEALTHY PEOPLE 2010 GOALS FOR DELAWARE COUNTY. CKHS IS COMMITTED TO IMPROVING THE QUALITY OF LIFE FOR ALL WHO LIVE AND WORK IN OUR COMMUNITY. CROZER-KEYSTONE COMMUNITY HEALTH GOALS 2010 ------------------------------------------- - TOBACCO GOAL: CKHS COMMUNITY HEALTH'S TOBACCO PREVENTION AND CESSATION PROGRAM WILL: - OFFER CESSATION CLASSES AT COMMUNITY VENUES THAT ARE MORE ACCESSIBLE TO THE PUBLIC. - PROVIDE TOBACCO PREVENTION CAPACITY BUILDING TRAININGS FOR TEACHERS AND SCHOOL STAFF WITHIN 8 DELAWARE COUNTY SCHOOL DISTRICTS. - OFFER A LIBRARY OF TOBACCO PREVENTION AND CESSATION LITERATURE SPECIFIC TO POPULATIONS DISPARATELY AFFECTED BY TOBACCO RELATED CHRONIC DISEASE TO COMMUNITY PARTNERS. - NUTRITION GOAL: CKHS COMMUNITY HEALTH WILL PLAN PROGRAMMING TO MEET THE HEALTHY PEOPLE 2010 GOALS OF DECREASING OBESITY AND INCREASING FRUIT/VEGETABLE CONSUMPTION AND DAILY PHYSICAL ACTIVITY. PROGRAM WILL OFFER OUTREACH EDUCATION TO PROMOTE THE IMPORTANCE OF HEALTHFUL EATING, PORTION SIZE CONTROL, AND THE IMPLEMENTATION OF DAILY PHYSICAL ACTIVITY FOR A HEALTHY LIFESTYLE IN THE FOLLOWING VENUES: - WORK WITH 3 CHURCHES IN THE CHESTER COMMUNITY TO BUILD THE CAPACITY FOR CONTINUED NUTRITION EDUCATION PROGRAMMING AND PROMOTE CHURCH POLICY CHANGE THROUGH THE BODY AND SOUL PROGRAM, A COLLABORATION WITH FOX CHASE CANCER CENTER AND THE PA CANCER EDUCATION NETWORK. - OFFER OUTREACH EDUCATION TO AT LEAST FOUR SCHOOL DISTRICTS IN DELAWARE COUNTY. - OFFER OUTREACH EDUCATION IN COLLABORATION WITH CHESPENN HEALTH SERVICES TO AT LEAST 25 HEAD START LOCATIONS TO PRE-SCHOOL CHILDREN WITH PARENT MATERIALS SENT HOME. - CKHS PARTNERSHIP WITH CHESTER UPLAND SCHOOL DISTRICT: - DEVELOP THE SECOND YEAR CAREER TRACK WITH CKHS'S EMS DEPARTMENT TO TEACH THE FIRST EMT CLASS. THIS WILL BE A REQUIREMENT FOR ALL 10TH GRADERS. - BEHAVIORAL HEALTH SERVICES: - COLLABORATE WITH COMMUNITY PARTNER IN THE PROVISION OF ONE NEW PROGRAM TO COMPLEMENT THE EXISTING PROGRAMS IN ADULT, CHILD AND ADOLESCENT AND SUBSTANCE ABUSE SERVICES. - CHESTER YOUTH COLLABORATIVE: - CROZER WELLNESS CHESTER IS THE FACILITATING ORGANIZATION FOR THE CHESTER YOUTH COLLABORATIVE, A CITY-WIDE NETWORK OF INDIVIDUALS AND ORGANIZATIONS FOCUSED ON INCREASING THE QUALITY AND NUMBER OF OPPORTUNITIES FOR YOUTH AGES 12-22. IN 2010 THE CHESTER YOUTH COLLABORATIVE WILL RESEARCH AND PREPARE A SERIES OF POLICY BRIEFS ON ISSUES RELATED TO THE LONG-TERM HEALTH AND WELLNESS OF YOUTH |
| COMMUNITY BENEFIT STATEMENT ADDENDUM | SCHEDULE H, PART VI; QUESTION 7 SUPPLEMENT | 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: COMMUNITY MEDICAL CENTER, A NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN CHESTER, DELAWARE COUNTY, PENNSYLVANIA, CROZER-CHESTER MEDICAL CENTER, A 424-BED NON-PROFIT TEACHING HOSPITAL LOCATED IN UPLAND, DELAWARE COUNTY, PENNSYLVANIA, SPRINGFIELD HOSPITAL, A 33-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN SPRINGFIELD, DELAWARE COUNTY , PENNSYLVANIA AND TAYLOR HOSPITAL, A 156-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 225-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. |
| DISCLOSURE INFORMATION | 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. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 11A | THE ORGANIZATION IS AN AFFILIATE IN THE 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 MADE AVAILABLE 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 TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE IRS. |
| DISCLOSURE INFORMATION | 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. |
| DISCLOSURE INFORMATION | CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS AN AFFILIATE IN THE CROZER-KEYSTONE HEALTH SYSTEM, A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHOSE TAX-EXEMPT PARENT ORGANIZATION IS CROZER-KEYSTONE HEALTH SYSTEM ("CKHS"). 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. |
| DISCLOSURE INFORMATION | 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. |
| COMPENSATION INFORMATION DISCLOSURE | CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. PLEASE REFER TO PART VII AND SCHEDULE J AND THE INFORMATION OUTLINED BELOW. IN ADDITION, PART VII AND SCHEDULE J REFLECT A BOARD MEMBER WORKING AN AVERAGE OF THREE HOURS PER WEEK; DAVID B. ARSHT, D.O. HOWEVER, THIS INDIVIDUAL WORKS MORE THAN THREE HOURS PER WEEK ON A PART TIME BASIS IN HIS ROLE WITH HEALTH ACCESS NETWORK; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AND IS REFLECTED AS SUCH ON THAT ORGANIZATION'S FEDERAL FORM 990. IN ADDITION, PART VII AND SCHEDULE J REFLECT OFFICERS WORKING AN AVERAGE OF THREE HOURS PER WEEK INCLUDING RICHARD I. BENNETT, JOAN K. RICHARDS, DONALD W. LEGREID, ESQ., PHILIP J. RYAN, CPA AND ROBERT E. WILSON. PLEASE NOTE THAT MR. BENNETT AND MS. RICHARDS ARE ALSO MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS. HOWEVER, THESE INDIVIDUALS WORK MORE THAN FIFTY HOURS PER WEEK ON A FULL TIME BASIS IN THEIR RESPECTIVE ROLES WITHIN THE CROZER-KEYSTONE HEALTH SYSTEM AND ARE REFLECTED AS SUCH ON THE CROZER-KEYSTONE HEALTH SYSTEM FEDERAL FORM 990. |
| AUDITED FINANCIAL STATEMENTS | CORE FORM, PART XI, QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN THE CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"). A BIG FOUR INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE FISCAL YEARS ENDED JUNE 30, 2010 AND JUNE 30, 2009; 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. |
| FINANCIAL STATEMENTS AND REPORTING | CORE FORM, PART XI; QUESTION 3 | THE ORGANIZATION IS AN AFFILIATE IN THE CROZER-KEYSTONE HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ENGAGED A BIG FOUR 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| CROZER-CHESTER FOUNDATION | |||||||||
| ONE MEDICAL CENTER BOULEVARD | UPLAND | PA | 19013 | 222540853 | FUNDRAISING | PA | 501(C)(3) | 509(a)(1) | CCMC |
| CROZER-CHESTER MEDICAL CENTER | |||||||||
| ONE MEDICAL CENTER BOULEVARD | UPLAND | PA | 19013 | 231637191 | HEALTH SVCS. | PA | 501(C)(3) | HOSPITAL | CKHS |
| CROZER-KEYSTONE HEALTH SYSTEM | |||||||||
| 100 W SPROUL RD HLTHPLX PAV II | SPRINGFIELD | PA | 19064 | 222540851 | HEALTH SVCS. | PA | 501(C)(3) | 509(a)(3) | NA |
| DELCO MEMORIAL FOUNDATION | |||||||||
| 501 NORTH LANSDOWNE AVENUE | DREXEL HILL | PA | 19026 | 222980746 | FUNDRAISING | PA | 501(C)(3) | 509(a)(2) | DCMH |
| DELCO SYSTEMS SERVICES INC | |||||||||
| 100 W SPROUL RD HLTHPLX PAV II | SPRINGFIELD | PA | 19064 | 232215242 | INACTIVE | PA | 501(C)(3) | 509(A)(2) | CKHS |
| HEALTH ACCESS NETWORK | |||||||||
| 2602 WEST 9TH STREET | CHESTER | PA | 19013 | 232692637 | HEALTH SVCS. | PA | 501(C)(3) | 509(A)(1) | CKHS |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| CROZER-KEYSTONE SERVICES | ||||||||
| LAYTON HALL ONE MEDICAL CENTER BLV | UPLAND | PA | 19013 | 232735284 | HEALTHCARE SVCS. | PA | NA | C CORP. |
| CKS DELAWARE INC | ||||||||
| LAYTON HALL ONE MEDICAL CENTER BLV | UPLAND | PA | 19013 | 522069540 | INACTIVE | PA | NA | C CORP. |
| PENNSYLVANIA HEALTH CLUB INC | ||||||||
| 100 W SPROUL RD HLTHPLX PAV II | SPRINGFIELD | PA | 19064 | 232658404 | HEALTHCARE SVCS. | PA | NA | C CORP. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| DELCO MEMORIAL FOUNDATION | |
| C | 300000 |
| DELCO MEMORIAL FOUNDATION | |
| EJLNO | 122626 |
| DELCO MEMORIAL FOUNDATION | |
| DJLNO | 1458552 |
| CROZER-CHESTER MEDICAL CENTER | |
| EJLNO | 76256 |
| CROZER-CHESTER MEDICAL CENTER | |
| EJLNO | 299808 |
| HEALTH ACCESS NETWORK | |
| DJLNO | 227703 |
| HEALTH ACCESS NETWORK | |
| EJLNO | 638495 |
| CROZER-KEYSTONE HEALTH SYSTEM | |
| EJLNO | 63101 |
| CROZER-KEYSTONE HEALTH SYSTEM | |
| B | 625000 |
| CROZER-KEYSTONE HEALTH SYSTEM | |
| O | 3467668 |
| CROZER-KEYSTONE HEALTH SYSTEM | |
| L | 8406780 |
| HEALTH ACCESS NETWORK | |
| L | 5040467 |