2011-05-12T08:08:27-05:00 2010-06-30 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2009-07-01 231352152 ABINGTON MEMORIAL HOSPITAL ABIN 2154812851 1200 OLD YORK ROAD ABINGTON PA 19001 MICHAEL B WALSH 2011-05-11 9738989494 2009 2016-02-24 21:20:13Z LAURENCE M MERLIS 1200 OLD YORK ROAD ABINGTON PA 19001 707682863 false X WWW.AMH.ORG X 1913 PA TO REDUCE THE BURDEN OF SUFFERING ATTRIBUTABLE TO ILLNESS, INJURY AND DISABILITY FOR ALL MEMBERS OF THE COMMUNITY AND TO PROVIDE THE COMMUNITY WITH PREVENTIVE HEALTH AND WELLNESS SERVICES. 27 20 6156 1795 5150131 -2190026 13794024 7830993 690263834 682572434 4546813 5056136 4105382 4805228 712710053 700264791 52521017 0 0 0 375598007 395726173 0 0 0 299474946 302123821 727593970 697849994 -14883917 2414797 671672589 676884247 484029013 517045595 187643576 159838652 TO REDUCE THE BURDEN OF SUFFERING ATTRIBUTABLE TO ILLNESS, INJURY AND DISABILITY FOR ALL MEMBERS OF THE COMMUNITY AND TO PROVIDE THE COMMUNITY WITH PREVENTIVE HEALTH AND WELLNESS SERVICES INCLUDING THE FULL SPECTRUM OF MATERNITY AND NEWBORN CARE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 541900 52796318 0 52011548 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY GENERAL SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PERFORMED 3,254 GENERAL SURGERY CASES FOR A TOTAL OF 20,022 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 541900 45427902 0 50755642 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY GENERAL MEDICINE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 7,034 GENERAL MEDICINE CASES FOR A TOTAL OF 27,289 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 541900 43314286 0 42410759 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY CARDIOVASCULAR AND THORACIC SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PERFORMED1,623 CARDIOVASCULAR AND THORACIC SURGERY CASES FOR A TOTAL OF 9,529 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 486526488 0 537394485 628064994 true true false true false false false false true true false true false false true false false false true false true false false true true false false false false false false false true true true true false false false false true true false false true 668 0 true 6156 true true true false false false false true true false false false false false false 27 20 false false false false true true true true true false false true true true true true true true true true false PA X MICHAEL B WALSH 2154812851 1200 OLD YORK ROAD ABINGTON PA 19001 JOHN H DURHAM 3.0 X X 0 0 0 ROBERT INFARINATO ESQ 3.0 X X 0 0 0 BRUCE E TOLL 3.0 X X 0 0 0 EDWARD K ASPLUNDH 3.0 X 0 0 0 HELEN R BOSLEY 3.0 X 0 0 0 STEPHEN CRANE 3.0 X 0 0 0 EDITH R DIXON 3.0 X 0 0 0 BRUCE K ENTWISLE 3.0 X 0 0 0 DAVID J ESKIN MD 3.0 X 0 0 0 CHRISTOPHER H GADSDEN 3.0 X 0 0 0 GRETCHEN GRAHAM 3.0 X 0 0 0 DAVID L HARRAR 3.0 X 0 0 0 LAURENCE M MERLIS 21510-63010 3.0 X X 0 0 0 RICHARD L JONES JR 7109-13110 55.0 X X 1024256 0 24963 JOHN J KELLY MD 3.0 X 558401 0 68198 DONALD A PIZER 3.0 X 0 0 0 LORRAINE C PRUITT 3.0 X 0 0 0 P TERRENCE QUINN 3.0 X 0 0 0 JOSEPH A RIGOTTI DO 3.0 X 339986 0 28478 JOHN J RUSSELL MD 3.0 X 205787 0 28717 FRED W SHAFFER 3.0 X 0 0 0 IVY E SILVER 3.0 X 0 0 0 JOSEPHINE B SMITH 3.0 X 0 0 0 KEITH W SWEIGARD MD 3.0 X X 277005 0 27394 OSCAR P VANCE JR 3.0 X 0 0 0 ROBERT P VOGEL ESQ 3.0 X 0 0 0 PATRICIA WELLENBACH 3.0 X 0 0 0 MARGARET M MCGOLDRICK 55.0 X 559548 0 163951 MICHAEL B WALSH 55.0 X 507659 0 201761 GARY R CANDIA PHD 55.0 X 477130 0 75031 DEBORAH A DATTE 55.0 X 436871 0 42165 BARBARA WADSWORTH 55.0 X 420589 0 83184 MEGHAN O PATTON 55.0 X 338306 0 60861 ALISON FERREN 55.0 X 329349 0 83882 MARY THOMSON BRAUMAN 55.0 X 309665 0 48004 JILL G KYLE 55.0 X 261135 0 78345 KATHLEEN M FARRELL 55.0 X 221443 0 22962 JOHN REDMOND MD 55.0 X 443557 0 32198 JOHN S KUKORA MD 55.0 X 524969 0 27862 JOEL I POLIN MD 55.0 X 454705 0 25245 RICHARD S EISENSTAEDT MD 55.0 X 410955 0 27394 PARVIS HANJANI MD 55.0 X 370154 0 25245 STEVEN BARRER MD 55.0 X 760064 0 30698 V PAUL ADDONIZIO MD 55.0 X 723744 0 18787 RICHARD J MEAGHER MD 55.0 X 563672 0 27394 MICHAEL S YOON MD 55.0 X 559605 0 30698 JONAS J GOPEZ MD 55.0 X 540257 0 27394 11618812 0 1310811 411 false true false RADIOLOGY GROUP OF ABINGTON PC 1200 OLD YORK ROA ABINGTON PA 19001 MEDICAL 5026402 ABINGTON EMERGENCY PHYSICIANS PO BOX 3012 WILMINGTON DE 19804 MEDICAL 3191122 ANESTHESIA ASSOCIATES 1200 OLD YORK ROAD ABINGTON PA 19001 MEDICAL 2173337 PHILADELPHIA CENTRALIZED ACUTES PO BOX 13700 PHILADELPHIA PA 19191 MEDICAL 1740062 DEVITO VERDI 100 5TH AVENUE NEW YORK NY 10003 ADVERTISING 1735804 63 2115906 3576071 2139016 134223 7830993 NET PATIENT SERVICE REVENUE 541900 682572434 677422303 5150131 682572434 3721764 3721764 1070294 1070294 0 6836704 7129980 -293276 -293276 -293276 264078 264078 264078 264078 288092 367680 288092 0 0 0 CAFETERIA 722210 2900066 2900066 PARKING/GARAGE 812930 2051849 2051849 DIETARY 900099 93467 93467 53122 53122 5098504 700264791 677422303 5150131 9861364 0 0 0 0 9647311 8682580 964731 0 0 314698816 283228934 31469882 28748474 25873627 2874847 19522246 17570021 1952225 23109326 20798393 2310933 3839578 3455620 383958 651600 586440 65160 629761 566785 62976 50522 45470 5052 0 0 0 529717 476745 52972 119842142 107857928 11984214 0 0 5803740 5223366 580374 1760262 1584236 176026 0 0 14751104 13275994 1475110 0 35517932 31966139 3551793 23493520 21144168 2349352 PROVISION FOR BAD DEBTS 22601638 20341475 2260163 0 OTHER PURCHASED SERVICES 16869127 15182214 1686913 0 PHYSICIAN & CONTRACTED SVCS. 10880830 9792747 1088083 0 MAINTENANCE 10567484 9510736 1056748 0 UTILITIES 10425408 9382867 1042541 0 23909456 21518509 2390947 0 697849994 628064994 69785000 0 7085725 23588486 35818697 23890231 280000 3483279 82896450 83500041 4388040 5234250 2851329 2744282 4134597 3220701 919851720 493168667 432551356 426683053 89060533 94295079 5576816 5084709 7029046 5160136 671672589 676884247 81174248 82833960 231120000 287815000 60646211 1032932 111088554 145363703 484029013 517045595 X 130769606 96353548 9590286 12950078 47283684 50535026 187643576 159838652 671672589 676884247 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 50522 50522 LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINES 1G AND 1H THE ORGANIZATION IS A MEMBER OF THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $39,315 DURING THE FISCAL YEAR ENDED JUNE 30, 2010. IN ADDITION, ABINGTON MEMORIAL HOSPITAL PAID THE MEMBERSHIP DUES TO THESE ORGANIZATIONS ON BEHALF OF ITS SUBSIDIARY, LANSDALE HOSPITAL CORPORATION. THE AMOUNT OF THESE DUES ALLOCATED TO LOBBYING EFFORTS ON BEHALF OF LANSDALE HOSPITAL CORPORATION AMOUNTED TO $11,207 FOR THE FISCAL YEAR ENDED JUNE 30, 2010. 47283684 3251342 50535026 59792226 -12508542 47283684 1.00000 false false 23920796 23920796 480229497 178396248 301833249 1395356 1365550 29806 396453114 299676119 96776995 17852957 13730750 4122207 426683053 MUTUAL FUNDS 27090457 F USE 47118400 F OBLIGATIONS F FUNDS 14268369 F CASH EQUIVALENTS 5817853 F 94295079 0 PENSION LIABILITY 133554575 THIRD-PARTY LIABILITIES 2533723 OTHER LIABILITIES 9275405 145363703 ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ABINGTON HEALTH("AH") WAS FORMED IN 2009 AND IS THE PARENT OF THE SYSTEM. PRIOR TO ABINGTON HEALTH, ABINGTON MEMORIAL HOSPITAL FOUNDATION WAS THE PARENT OF THE SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 FOOTNOTE BELOW IS FROM THE SYSTEM'S FISCAL YEAR ENDED JUNE 30, 2008 CONSOLIDATED AUDITED FINANCIAL STATEMENTS: EFFECTIVE JULY 1, 2007, THE HOSPITAL ADOPTED FASB INTERPRETATION NO. 48 ("FIN 48"), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF SFAS NO. 109, ACCOUNTING FOR INCOME TAXES. 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PSYCHIATRIC THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY FOR CHARITY CARE AND DISCOUNTED CARE IS A SLIDING SCALE BASED ON 100-400% OF THE FPG. NOT APPLICABLE. AMOUNTS WERE CALCULATED USING COST ACCOUNTING SYSTEM. NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS. 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 $22,601,638. BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS FINANCIAL STATEMENTS, MULTIPLIED BY THE ORGANIZATION'S COST TO CHARGE RATIO. 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 CONSOLIDATED FINANCIAL STATEMENTS OF THE ORGANIZATION AND ITS AFFILIATES. NET PATIENT SERVICE REVENUE THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. THE BASIS FOR PAYMENT UNDER THESE AGREEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE AND PER DAY, DISCOUNTS FROM ESTABLISHED CHARGES, CAPITATED PER MEMBER PER MONTH PAYMENTS, AND CERTAIN COST REIMBURSEMENT METHODOLOGIES. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. THE HOSPITAL HAS INCLUDED IN NET PATIENT SERVICE REVENUE $527,000 AND $445,000 IN FISCAL YEARS 2010 AND 2009, RESPECTIVELY, RELATED TO THIRD PARTY PAYORS FINAL SETTLEMENTS FOR FISCAL YEARS 2007 AND PRIOR. CHARITY CARE THE HOSPITAL, UNDER ITS CHARITY CARE POLICY, PROVIDES A SIGNIFICANT AMOUNT OF SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO COMPENSATE THE HOSPITAL FOR THEIR TREATMENTS EITHER THROUGH THIRD-PARTY COVERAGE OR THEIR OWN RESOURCES. BECAUSE CHARITY CARE AMOUNTS ARE NOT EXPECTED TO BE PAID, THEY ARE NOT REPORTED AS REVENUE. IN ADDITION, THE HOSPITAL PROVIDES SERVICES AND SUPPLIES AT AMOUNTS BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. THE HOSPITAL ALSO SPONSORS CERTAIN OTHER SUBSIDIZED PROGRAMS AND CHARITY SERVICES THAT PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH SERVICES AND PROGRAMS INCLUDE COMMUNITY SERVICE PROGRAMS DESIGNED FOR SPECIFIC HEALTHCARE CONCERNS, INCLUDING HEALTH EDUCATION, SUPPORT GROUPS AND HEALTH SCREENINGS. THE AMOUNT OF CHARITY CARE PROVIDED ON THE BASIS OF CHARGES IN FISCAL YEAR 2010 AND 2009 WAS $48,375,000 AND $41,690,000. MEDICARE COSTS WERE DERIVED FROM THE 2009 MEDICARE 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 INCLUDBALE 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 NATIONWIDE; T ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF THE ABINGTON HEALTH SYSTEM BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCES AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING THREE STATEMENTS, A MINIMUM OF ONE PRE-COLLECTION LETTER, AND TELEPHONE CONTACT. 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 HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 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 HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM IS COMPRISED OF A 50% DISCOUNT ON CHARGES. NOT APPLICABLE. NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE COMMONWEALTH OF PENNSYLVANIA. THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES INCLUDING PUBLIC HEALTH MANAGEMENT CORPORATION [PHMC] HOUSEHOLD HEALTH SURVEY DATA; HEALTHY PEOPLE 2010; PA DEPARTMENT OF HEALTH, BUREAU OF HEALTH STATISTICS AND RESEARCH; BEHAVIORAL RISKS OF PA ADULTS; MINORITY HEALTH DISPARITIES IN PENNSYLVANIA; DEATH RATES IN PA, MONTGOMERY COUNTY AND SOUTHEASTERN PENNSYLVANIA; COUNTY HEALTH RANKINGS; NATIONAL ORGANIZATION WEBSITES, I.E., AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION. THIS ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. AMH CONTINUES TO ATTEND LOCAL AND REGIONAL COMMUNITY ORGANIZATIONAL MEETINGS AND COUNTY COLLABORATIVES FOR THE GREATER ABINGTON AREA. REGIONAL COUNTY COLLABORATIVES INCLUDE THE HEALTHCARE SYSTEM WITH REPRESENTATION FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, EMERGENCY HEALTH PROVIDERS AND OTHER COMMUNITY HEALTH LEADERS. AMH WORKED WITH AREA HOSPITALS AND NONPROFITS TO FORM THE MONTGOMERY COUNTY HEALTH ALLIANCE WHICH RECEIVED PA STATE DESIGNATION OF SHIP STATUS [STATE HEALTH IMPROVEMENT PLAN]. 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. THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN PHILADELPHIA TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN ABINGTON TOWNSHIP, IN MONTGOMERY COUNTY. MONTGOMERY COUNTY IS THE SECOND MOST POPULOUS COUNTY IN THE STATE WITH 62 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. APPROXIMATELY 7% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS WHERE OPENINGS EXIST. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE THE ABINGTON HEALTH SYSTEM. THIS ORGANIZATION IS AN AFFILIATE OF THE ABINGTON 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 ABINGTON HEALTH SYSTEM STRIVES TO EXCEED THE PATIENTS' EXPECTATIONS EMPHASIZING COMMITMENT, COMPETENCE, COLLABORATION, COMMUNICATION, AND COMPASSION. PLEASE ALSO SEE SCHEDULE O FOR THE ABINGTON HEALTH AFFILIATES. THIS ORGANIZATION SETS OVERALL POLICY REGARDING BILLING AND COLLECTIONS AND THE FACILITY RESPONSES PROVIDED ABOVE 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. X X true X X X X X X false true false false false false false true false RICHARD L JONES JR 7109-1311 691081 0 301558 0 31617 0 14075 0 10888 0 1049219 0 0 0 JOHN J KELLY MD 471477 0 57283 0 29641 0 49075 0 19123 0 626599 0 0 0 JOSEPH A RIGOTTI DO 322118 0 0 0 17868 0 14075 0 14403 0 368464 0 0 0 JOHN J RUSSELL MD 205787 0 0 0 0 0 14075 0 14642 0 234504 0 0 0 KEITH W SWEIGARD MD 253967 0 23038 0 0 0 14075 0 13319 0 304399 0 0 0 MARGARET M MCGOLDRICK 406536 0 124160 0 28852 0 142222 0 21729 0 723499 0 0 0 MICHAEL B WALSH 367119 0 112112 0 28428 0 154106 0 47655 0 709420 0 0 0 GARY R CANDIA PHD 338075 0 112133 0 26922 0 60117 0 14914 0 552161 0 0 0 DEBORAH A DATTE 310617 0 96096 0 30158 0 34870 0 7295 0 479036 0 0 0 BARBARA WADSWORTH 258281 0 130580 0 31728 0 40069 0 43115 0 503773 0 0 0 MEGHAN O PATTON 249618 0 63423 0 25265 0 45042 0 15819 0 399167 0 0 0 ALISON FERREN 245736 0 65419 0 18194 0 46517 0 37365 0 413231 0 0 0 MARY THOMSON BRAUMAN 225968 0 60403 0 23294 0 28821 0 19183 0 357669 0 0 0 JILL G KYLE 201774 0 53170 0 6191 0 33545 0 44800 0 339480 0 0 0 KATHLEEN M FARRELL 192315 0 29083 0 45 0 14075 0 8887 0 244405 0 0 0 JOHN REDMOND MD 336368 0 43776 0 63413 0 14075 0 18123 0 475755 0 0 0 JOHN S KUKORA MD 488469 0 20000 0 16500 0 14075 0 13787 0 552831 0 0 0 JOEL I POLIN MD 454705 0 0 0 0 0 14075 0 11170 0 479950 0 0 0 RICHARD S EISENSTAEDT MD 373955 0 37000 0 0 0 14075 0 13319 0 438349 0 0 0 PARVIS HANJANI MD 322404 0 0 0 47750 0 14075 0 11170 0 395399 0 0 0 STEVEN BARRER MD 757242 0 0 0 2822 0 14075 0 16623 0 790762 0 0 0 V PAUL ADDONIZIO MD 673744 0 50000 0 0 0 14075 0 4712 0 742531 0 0 0 RICHARD J MEAGHER MD 563672 0 0 0 0 0 14075 0 13319 0 591066 0 0 0 MICHAEL S YOON MD 559605 0 0 0 0 0 14075 0 16623 0 590303 0 0 0 JONAS J GOPEZ MD 540257 0 0 0 0 0 14075 0 13319 0 567651 0 0 0 COMPENSATION INFORMATION PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2009 FORMS W-2. COMPENSATION INFORMATION SCHEDULE J, PART 1; QUESTION 1 THE ORGANIZATION MAINTAINS A FLEXIBLE BENEFIT PROGRAM ("EXECUFLEX BENEFIT PROGRAM") FOR CERTAIN OF ITS EXECUTIVE EMPLOYEES. THIS PROGRAM PROVIDES A FIXED DOLLAR AMOUNT, AND ENABLES PARTICIPATING EMPLOYEES TO ALLOCATE THE AMOUNT AMONG CERTAIN TAXABLE BENEFIT OPTIONS (I.E., ADDITIONAL LIFE INSURANCE COVERAGES, LONG-TERM CARE INSURANCE, FINANCIAL OR TAX PLANNING ASSISTANCE, AND PERSONAL USE OF A CAR PROVIDED BY THE ORGANIZATION) OR TO NONQUALIFIED DEFERRED COMPENSATION OPTIONS. THE ELECTIONS ARE MADE BEFORE THE YEAR IN WHICH THE BENFIT PROGRAM AMOUNT IS PROVIDED. THE AMOUNTS ALLOCATED TO TAXABLE BENEFIT OPTIONS ARE INCLUDED ON EMPLOYEES' W-2S AS TAXABLE INCOME FOR THE YEAR IN WHICH THE ALLOCATIONS ARE EFFECTIVE, AND THE NONQUALIFIED DEFERRED COMPENSATION AMOUNTS ARE DISCLOSED ON FORM 990 IN THE YEAR OF DEFERRAL AND AGAIN IN THE YEAR IN WHICH THE SUBSTANTIAL RISK OF FORFEITURE LAPSES AND THE AMOUNTS ARE TREATED AS TAXABLE INCOME. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S EXECUFLEX BENEFIT PROGRAM: RICHARD L. JONES, JR.; MARGARET M. MCGOLDRICK; MICHAEL B. WALSH; DEBORAH A. DATTE; BARBARA WADSWORTH; MEGHAN O. PATTON; MARY THOMSON-BRAUMAN AND ALLISON FERREN. IN ADDITION MR. JONES ELECTED TO ALLOCATE A PORTION OF HIS EXECUFLEX BENEFIT PROGRAM AMOUNTS TO PAY FOR TAXABLE FINANCIAL AND/OR TAX PLANNING SERVICES. THE AMOUNT TOTALLED $18,180. THIS AMOUNT WAS INCLUDED IN RICHARD L. JONES, JR.'S 2009 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. COMPENSATION INFORMATION SCHEDULE J, PART 1; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2009 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN J. KELLY, M.D., $35,000; MARGARET M. MCGOLDRICK, $128,147; MICHAEL B. WALSH, $140,031; DEBORAH A. DATTE, $20,795; BARBARA WADSWORTH, $25,994; MEGHAN O. PATTON, $30,967; MARY THOMSON-BRAUMAN, $14,746; GARY R. CANDIA, PH.D., $46,042; ALISON FERREN, $32,442 AND JILL G. KYLE, $19,470. COMPENSATION INFORMATION SCHEDULE J, PART I, QUESTION 7 THE FOLLOWING INDIVIDUALS RECEIVED A BONUS DURING CALENDAR YEAR 2009 WHICH BONUS AMOUNTS WERE INCLUDED IN COLUMN B (II) HEREIN AND IN EACH INDIVIDUAL'S 2009 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: RICHARD L. JONES, JR., $301,558; JOHN J. KELLY, M.D., $57,283; MARGARET M. MCGOLDRICK, $124,160; MICHAEL B. WALSH, $112,112; GARY R. CANDIA, PH.D., $112,133; DEBORAH A. DATTE, $96,096; BARBARA WADSWORTH, $130,580; MEGHAN O. PATTON, $63,423; ALISON FERREN, $65,419; MARY THOMSON-BRAUMAN, $60,403; JILL G. KYLE, $53,170; KATHLEEN M. FARRELL, $29,083; JOHN REDMOND, M.D., $43,776; JOHN S. KUKORA, M.D., $20,000; RICHARD S. EISENSTAEDT, M.D., $37,000; KEITH W. SWEIGARD, M.D., $23,038 AND V. PAUL ADDONIZIO, M.D., $50,000. MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTH 232328939 613604VH7 2009-11-01 154203713 TAX-EXEMPT BONDS false false 154203713 114525000 35253627 2150603 9200000 2009 false true true true true true true false false 0.00600 0.00000 0.00600 true false false false false false false BET INVESTMENTS OFFICER/TRUSTEE - TOLL 1485348 RENT false GALLAGHER BENEFIT SERVICES TRUSTEE - SILVER 239968 EMPLOYEE BENEFITS CONSULTANT false BT BLUE BELL LP OFFICER/TRUSTEE - TOLL 2380767 TENANT LEASEHOLD IMPROVEMENTS false MARY R FARIS FAMILY MEMBER - REDMOND 441125 EMPLOYEE false X 21 134223 FMV false true true NON-CASH CONTRIBUTIONS SCHEDULE M, PART I; QUESTION 32A THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT INVESTMENT MANAGEMENT FIRM TO SELL DONATED SECURITIES. THE ORGANIZATION PAYS FAIR MARKET VALUE RATES AND COMMISSIONS IN THESE INSTANCES. COMMUNITY BENEFIT STATEMENT CORE FORM, PART III ABINGTON MEMORIAL HOSPITAL ("AMH") IS A NON-PROFIT, REGIONAL ACUTE CARE HOSPITAL. AMH IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, GENDER, SEXUAL PREFERENCE, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, AMH OPERATES CONSISTENTLY WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. AMH OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. AMH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; AND 4. CONTROL OF AMH RESTS WITH ITS BOARD OF DIRECTORS; WHICH IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY WHO ALL VOLUNTEER THEIR TIME AND TALENTS; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. AMH IS GUIDED BY ITS MISSION AND IS DEDICATED TO THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THIS LEVEL OF DETERMINATION AND COMMITMENT IS THE VERY SOUL OF AMH. AMH MAINTAINS A GENEROUS CHARITY CARE POLICY, PROVIDING A SIGNIFICANT AMOUNT OF SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO PAY FOR CARE EITHER THROUGH THIRD PARTY COVERAGE OR THEIR OWN RESOURCES. BECAUSE CHARITY CARE AMOUNTS ARE NOT EXPECTED TO BE PAID, THEY ARE NOT REPORTED AS REVENUE. IN ADDITION, AMH PROVIDES SERVICES AND SUPPLIES AT BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. IN KEEPING WITH AMH'S COMMITMENT TO ALL MEMBERS OF ITS COMMUNITY, THE FOLLOWING SERVICES WERE PROVIDED DURING THE YEAR WITH A, PARTICULAR FOCUS ON LOW INCOME MEMBERS WITHIN ITS SERVICE AREAS.: - FREE CARE AND/OR SUBSIDIZED CARE TO INPATIENTS AND OUTPATIENTS. - OPERATION OF BOTH PRIMARY AND SPECIALTY CLINICS, TWO OB/GYN CENTERS, A PSYCHIATRIC SERVICES CLINIC, A DENTAL CLINIC AND A HEALTH CENTER FOR NEWBORNS. - FAMILY PRACTICE CENTER WHICH ALSO PROVIDES AN EDUCATIONAL SETTING FOR THE TEACHING OF PRIMARY CARE PHYSICIANS. - EMERGENCY/TRAUMA CENTER (OPERATES 24 HOURS A DAY, 365 DAYS A YEAR) IS THE ONLY ACCREDITED TRAUMA CENTER IN MONTGOMERY COUNTY, OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. - AMH'S "CLOSING THE GAP" PROGRAM PROVIDES ROUTINE SCREENINGS (BLOOD PRESSURE, HEART AND STROKE RISK ASSESSMENTS, BREAST EXAMS) AND HEALTH EDUCATION TO DIVERSE POPULATIONS IN NEIGHBORHOODS, MALLS, CHURCHES AND OTHER VENUES. AMH SERVES ITS COMMUNITY BY STRIVING TO PROVIDE THE HIGHEST QUALITY AND MOST COST-EFFECTIVE HEALTHCARE TO ALL. COMPREHENSIVE HEALTHCARE SERVICES ARE DESIGNED AND PLANNED TO IMPROVE AND SUSTAIN THE HEALTH STATUS OF THE RESIDENTS OF MONTGOMERY, BUCKS AND PORTIONS OF PHILADELPHIA COUNTIES, PENNSYLVANIA. AMH ASSURES ACCESSIBLE, COMPASSIONATE HEALTHCARE SERVICES THAT HONOR THE DIGNITY OF EVERY PERSON. AMH IS A LEADER IN DEFINING ITS COMMUNITY'S HEALTHCARE NEEDS, IN PROVIDING APPROPRIATE SOLUTIONS, AND DEVELOPING A COMPREHENSIVE CONTINUUM OF CARE INCLUDING EDUCATION, PREVENTION, DISEASE MANAGEMENT AND RESTORATIVE PROGRAMS. MISSION ======= AMH IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR ALL BY FOSTERING HEALING, EASING SUFFERING, AND PROMOTING WELLNESS IN A CULTURE OF SAFETY, LEARNING AND RESPECT. BACKGROUND ---------- FOUNDED IN 1914, AMH IS A FULLY ACCREDITED, NOT-FOR-PROFIT, REGIONAL TEACHING HOSPITAL WITH 665 LICENSED BEDS IN ABINGTON, PENNSYLVANIA. LOCATED AT 1200 OLD YORK ROAD (ROUTE 611) IN ABINGTON, PENNSYLVANIA, AMH HAS BEEN PROVIDING COMPREHENSIVE, HIGH-QUALITY SERVICES FOR PEOPLE IN MONTGOMERY, BUCKS AND PHILADELPHIA COUNTIES FOR OVER 90 YEARS. WITH MORE THAN 41,000 INPATIENT ADMISSIONS AND 541,000 OUTPATIENT VISITS LAST YEAR, AMH IS A MAJOR REGIONAL REFERRAL CENTER FOR CANCER CARE, NEUROSCIENCES, ORTHOPAEDIC AND SPINE TREATMENT, CARDIAC CARE, AND MANY OTHER MEDICAL AND SURGICAL SPECIALTY PROGRAMS AND HAS THE ONLY LEVEL II TRAUMA CENTER IN MONTGOMERY COUNTY. AMH HAS A LONG TRADITION OF PERSONAL, HIGH-QUALITY MATERNITY CARE SERVING AS ONE OF THE BUSIEST OB/GYN CENTERS IN THE REGION AND IS A LEADER IN SENIOR HEALTH SERVICES. AMH HAS A STRONG EDUCATIONAL MISSION AND SPONSORS FIVE RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY, GENERAL SURGERY AND DENTISTRY. IN ADDITION, AMH PROVIDES POSTGRADUATE MEDICAL EDUCATION IN AFFILIATION WITH SEVERAL AREA MEDICAL SCHOOLS. THE HOSPITAL ALSO OPERATES THE DIXON SCHOOL OF NURSING, AND A RADIOLOGIC TECHNOLOGY SCHOOL. AMH IS AFFILIATED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOR ITS INPATIENT PEDIATRIC UNIT. IT ALSO PROVIDES PEDIATRIC SURGICAL SERVICES THROUGH AN AGREEMENT WITH ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN IN PHILADELPHIA. OUTPATIENT CAMPUSES ------------------- THE ABINGTON HEALTH CENTER - SCHILLING CAMPUS SERVES AS A MAJOR SATELLITE OF THE HOSPITAL. OUTPATIENT HEALTHCARE SERVICES SUCH AS LABORATORY TESTING, RADIOLOGY (INCLUDING MRI, MAMMOGRAPHY AND X-RAY), SAME DAY SURGERY, PSYCHIATRIC SERVICES AND WOUND AND DIABETES CARE AS WELL AS PRIMARY AND SPECIALTY CARE PHYSICIAN OFFICES, ARE AVAILABLE IN THIS CONVENIENT LOCATION IN WILLOW GROVE. JUST 10 MINUTES NORTH OF THE HOSPITAL, THE CAMPUS OCCUPIES 40 ACRES IN FIVE SEPARATE BUILDINGS: BLAIRWOOD (2701 BLAIR MILL ROAD); NORTHWOOD (2729 BLAIR MILL ROAD); WILLOWOOD (2510 MARYLAND ROAD); PENNWOOD (2500 MARYLAND ROAD); AND CREEKWOOD (3941 COMMERCE AVENUE). ABINGTON HEALTH CENTER - WARMINSTER CAMPUS (FORMERLY WARMINSTER HOSPITAL) WAS ACQUIRED IN LATE 2007. IT OFFERS A VARIETY OF OUTPATIENT SERVICES, INCLUDING RADIOLOGIC, LABORATORY, CARDIAC, NEUROLOGIC AND RESPIRATORY TESTING. THE OB/GYN CENTER (FORMERLY ON STREET ROAD), A SLEEP DISORDERS CENTER AND AMH'S INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY AND AN INPATIENT HOSPICE FACILITY ARE ALSO LOCATED THERE. A NUMBER OF COMMUNITY HEALTH PROGRAMS, INCLUDING FREE BLOOD PRESSURE SCREENINGS, DIABETES CLASSES, AARP DRIVER SAFETY, A MEMORY FITNESS CENTER, ELDERMED EDUCATION SESSIONS, AND A SENIORS' BOOK CLUB ARE HELD REGULARLY. AMH PHYSICIANS AT MONTGOMERYVILLE PROVIDES CONVENIENT ACCESS TO TOP DOCTORS AND ADVANCED TECHNOLOGY FOR CENTRAL MONTGOMERY COUNTY RESIDENTS. IN ADDITION, AN OPEN MRI AND NUCLEAR MEDICINE STRESS TESTING, CARDIOLOGY, FEMALE PELVIC MEDICINE, OBSTETRICS/GYNECOLOGY, ORTHOPAEDICS, PEDIATRICS, PRIMARY CARE AND REHABILITATION SERVICES ARE AVAILABLE. AWARDS AND RECOGNITIONS ======================= AMH HAS BEEN RECOGNIZED BY MANY ORGANIZATIONS FOR THE QUALITY OF ITS SERVICES: - 2010 KEYSTONE ALLIANCE FOR PERFORMANCE EXCELLENCE (KAPE) PRESENTED THE HIGHEST LEVEL PERFORMANCE EXCELLENCE AWARD TO ABINGTON MEMORIAL HOSPITAL FOR THE FIRST TIME IN KAPE'S HISTORY - 2010 Blue Distinction Center for Cardiac Care - Recognized for excellence in comprehensive cardiac care by Independence Blue Cross - 2010 Top Docs, Philadelphia Magazine - Physicians recognized as "Top Doctors" - 2010 Healthy Work Place Award, Philadelphia Business Journal - Named one of the healthiest employers in the region - 2010 Get With the Guidelines - Stroke Gold Plus Performance Achievement Award - 2010 Blue Distinction Center for Spine Surgery - recognized for spine surgical services by Independence Blue Cross - 2010 Blue Distinction Center for Knee and Hip Replacement - recognized for knee and hip replacement surgical services by Independence Blue Cross - 2010 Gold Seal of Approval and Disease-Specific Certification from the Joint Commission for our joint replacement (hip and knee) program (reaccreditation) - 2010 Gold Seal of Approval and Disease-Specific Care Certification from the Joint Commission for stroke care-the first center in Pennsylvania to earn this designation (reaccreditation) - 2009 Community Organization Diversity Award, Pennsylvania Medical Society - 2009 Humanitarian Service Award, Willow Grove Branch, NAACP COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III - 2009 DVHC Gift of Life Award (fourth consecutive), Gift of Life Donor Program - 2009 Rosenfeld Cancer Center - Designation by the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons - 2009 Best of Willow Grove/U.S. Local Business Association Home Health Service category Award, AMH's Home Care Department - 2008 THE MAGNET PRIZE AWARDED TO AMH FOR ITS DAILY CARE PLAN - 2008 MAGNET RE-DESIGNATION FOR EXCELLENCE IN NURSING, AMERICAN NURSES CREDENTIALING CENTER (ANCC) - 2008 BEST PLACES TO WORK AWARD, PHILADELPHIA BUSINESS JOURNAL 2008 BEST HOSPITAL IN MONTGOMERY COUNTY, THE PHILADELPHIA INQUIRER, NEIGHBORS' CHOICE AWARD - 2008 INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY WAS NAMED A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE SURGICAL REVIEW CORPORATION, WHICH IS RECOGNIZED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY - 2008 THE INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY WAS DESIGNATED A BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY (SM) BY THE BLUE CROSS AND BLUE SHIELD COMPANIES - 2008 BLUE DISTINCTION CENTER - THE ROSENFELD CANCER CENTER HONORED FOR ITS TREATMENT PROGRAM OF RARE AND COMPLEX CANCERS BY BLUE CROSS BLUE SHIELD COMPANIES - 2008 GOLD SEAL OF APPROVAL AND DISEASE-SPECIFIC CERTIFICATION FROM THE JOINT COMMISSION FOR AMH'S JOINT REPLACEMENT (HIP AND KNEE) PROGRAM (REACCREDITATION) - 2008 GOLD SEAL OF APPROVAL AND DISEASE-SPECIFIC CARE CERTIFICATION FROM THE JOINT COMMISSION FOR STROKE CARE -- THE FIRST CENTER IN PENNSYLVANIA TO EARN THIS DESIGNATION (REACCREDITATION) - 2007 RANKED 19 AMONG 50 LARGE COMPANIES THAT RECEIVED RECOGNITION AS "BEST PLACES TO WORK" BY TEAM PENNSYLVANIA FOUNDATION, THE STATE DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT, THE PENNSYLVANIA CHAMBER OF BUSINESS AND INDUSTRY AND THE CENTRAL BUSINESS JOURNAL - 2007 GOLD SEAL OF APPROVAL AND DISEASE-SPECIFIC CERTIFICATION FROM THE JOINT COMMISSION FOR AMH'S JOINT REPLACEMENT (HIP AND KNEE) PROGRAM - 2007 THE MEDAL OF HONOR FOR ORGAN DONATION - 2007 ANNUAL GET WITH THE GUIDELINES - CORONARY ARTERY DISEASE - 2007 ACS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM - 2006 BLUE DISTINCTION CENTER - THE PILLA HEART CENTER HONORED FOR CARDIAC CARE BY BLUE CROSS BLUE SHIELD - 2006 THE MEDAL OF HONOR FOR ORGAN DONATION - 2005 THE MEDAL OF HONOR FOR ORGAN DONATION - 2004 HOSPITAL QUALITY ALLIANCE PARTICIPANT - - 2004 GOLD SEAL OF APPROVAL AND DISEASE-SPECIFIC CARE CERTIFICATION FROM THE JOINT COMMISSION FOR STROKE CARE -- THE FIRST CENTER IN PENNSYLVANIA TO EARN THIS DESIGNATION (REACCREDITED IN 2006 & 2008) - 2003 MAGNET AWARD FOR EXCELLENCE IN NURSING, AMERICAN NURSES CREDENTIALING CENTER (ANCC) - 2003 AMERICAN HOSPITAL QUEST FOR QUALITY PRIZE - 2003 JOHN M. EISENBERG AWARD FOR PATIENT SAFETY AND QUALITY - 2003 DELAWARE VALLEY MEDICAL SAFETY AWARD WEBINR OUTPATIENT PROGRAM - 2002 DELAWARE VALLEY MEDICAL SAFETY AWARD INPATIENT COUMADIN PROGRAM CENTERS OF EXCELLENCE ===================== 1. THE PILLA HEART CENTER HEART PATIENTS CAN ACCESS A FULL RANGE OF SERVICES FOR HIGH-LEVEL DIAGNOSIS AND TREATMENT, INCLUDING OPEN HEART SURGERY, WITHOUT SACRIFICING THE CONVENIENCE AND WARMTH OF AMH. THE PILLA HEART CENTER AT AMH OFFERS STATE-OF-THE-ART TECHNOLOGY, COMPREHENSIVE SERVICES AND UNIQUELY SKILLED CARDIAC SURGEONS, CARDIOLOGISTS, CARDIAC ANESTHESIOLOGISTS AND SPECIALLY TRAINED NURSES. AMH HAS ACHIEVED STATUS AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE(SM). BLUE DISTINCTION IS A NATIONWIDE PROGRAM OF THE BLUE CROSS BLUE SHIELD ASSOCIATION (BCBSA). 2. PORTER INSTITUTE FOR VALVULAR HEART DISEASE THE PORTER INSTITUTE FOR VALVULAR HEART DISEASE, UNIQUE IN THIS REGION, IS DEDICATED TO THE RESEARCH, DIAGNOSIS AND MEDICAL MANAGEMENT OF HEART VALVE DISEASE AND THE SURGICAL REPAIR AND RECONSTRUCTION OF HEART VALVES. 3. THE ROSENFELD CANCER CENTER THE ROSENFELD CANCER CENTER AT AMH IS BUILT ON A FOUNDATION OF CLINICAL EXCELLENCE AND GENUINE CONCERN FOR EACH PATIENT. THE CANCER CENTER PROVIDES MODERN AND EFFECTIVE TREATMENTS AS WELL AS SUPPORT SERVICES TO ENSURE THAT EACH PATIENT RECEIVES THE FINEST CARE IN A CONVENIENT LOCATION. AMH'S PHYSICIANS AND MEDICAL PROFESSIONALS FROM A VARIETY OF DISCIPLINES WORK TOGETHER TO PROVIDE STATE-OF-THE-ART CARE PLUS PERSONALIZED ATTENTION TO MEET THE PATIENTS' TOTAL MEDICAL, PSYCHOLOGICAL AND SOCIAL NEEDS. AMH'S ACCREDITATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS ASSURES PATIENTS THAT AMH'S ROSENFELD CANCER CENTER MEETS THE HIGHEST NATIONAL STANDARDS FOR PREVENTION, EARLY DETECTION, DIAGNOSIS AND TREATMENT. THE ROSENFELD CANCER CENTER AT AMH HAS BEEN SELECTED AS ONE OF THE DELAWARE VALLEY'S FOUR BLUE DISTINCTION CENTERS FOR COMPLEX AND RARE CANCERS (SM) BY INDEPENDENCE BLUE CROSS BLUE SHIELD. A FREE CANCER HELPLINE (1-800-405-HELP) IS AVAILABLE TO PATIENTS AND THE COMMUNITY FOR INFORMATION ABOUT DIAGNOSIS, TREATMENT OPTIONS AND SUPPORT SERVICES. AMH'S CANCER INFORMATION AND REFERRAL SPECIALIST, AN ONCOLOGY CLINICAL NURSE SPECIALIST, CAN ANSWER ANY QUESTIONS ABOUT THE HOSPITAL, ITS PHYSICIANS AND SERVICES. AMH OFFERS FREE RISK ASSESSMENT PROGRAMS FOR BREAST, COLON, AND OVARIAN CANCERS. THE BREAST CANCER CARE COORDINATOR/NURSE NAVIGATOR HELPS WOMEN DIAGNOSED WITH THE DISEASE COORDINATE SCHEDULING AND HELPS WITH A VARIETY OF ISSUES RELATED TO THEIR CARE. A SECOND NURSE NAVIGATOR IS AVAILABLE TO HELP PATIENTS WITH OTHER CANCER DIAGNOSES. THE HEPATOBILIARY AND PANCREATIC SURGERY PROGRAM AT AMH OPERATES IN CONJUNCTION WITH DREXEL UNIVERSITY MEDICAL SCHOOL SPECIALISTS. THIS COLLABORATION PROVIDES AMH PATIENTS WITH THE MOST COMPREHENSIVE CARE FOR CANCER AND OTHER SERIOUS CONDITIONS OF THE LIVER, PANCREAS AND BILE DUCTS. AS THIS AREA OF SURGERY HAS EVOLVED RAPIDLY, WE ARE ABLE TO OFFER THE FULL ARMAMENTARIUM OF PROCEDURES WITHIN AMH'S GROWING COMMUNITY. AMH'S ACCREDITATION BY THE JOINT COMMISSION, ALONG WITH THE ACCREDITATION OF ITS CANCER PROGRAM BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS, ASSURES PATIENTS THAT AMH'S ROSENFELD CANCER CENTER MEETS THE HIGHEST NATIONAL STANDARDS FOR PREVENTION, EARLY DETECTION, DIAGNOSIS AND TREATMENT. 4. THE HANJANI INSTITUTE FOR GYNECOLOGIC ONCOLOGY AMH IS DEDICATED TO MEETING THE PHYSICAL, EMOTIONAL AND LIFESTYLE NEEDS OF GYNECOLOGIC CANCER PATIENTS. AS ONE OF THE BUSIEST GYNECOLOGIC CANCER TREATMENT CENTERS IN THE DELAWARE VALLEY, THE HANJANI INSTITUTE OFFERS THE EXPERTISE OF A TEACHING HOSPITAL AND THE PERSONAL INVOLVEMENT AND ACCESSIBILITY OF A COMMUNITY HOSPITAL. THROUGH THE SPECIALIZED FOCUS PROVIDED BY THE HANJANI INSTITUTE, A PATIENT IS GIVEN EXPERT DIAGNOSIS AND STATE-OF-THE-ART TREATMENT. THE PATIENT BENEFITS FROM ONE-ON-ONE CONSULTATIONS WITH ATTENDING PHYSICIANS - NOT RESIDENTS OR FELLOWS AS WITH OTHER CANCER CENTERS. THE PATIENT ALSO RECEIVES CONTINUOUS EMOTIONAL SUPPORT, COUNSELING AND ACCESS TO SUPPORT SERVICES. THE TREATMENT OPTIONS AVAILABLE ARE SURGERY, FERTILITY-SPARING FOR EARLY-STAGE GYN CANCER, CHEMOTHERAPY (INCLUDING INTRAPERITONEAL CHEMOTHERAPY FOR ADVANCED OVARIAN CANCER), BIOLOGIC TREATMENT OF CANCER, AND RADIATION THERAPY TREATMENTS, INCLUDING HIGH-DOSE BRACHYTHERAPY AND INTENSITY-MODULATED RADIATION THERAPY. THE PHYSICIANS IN THE PROGRAM ARE PRIMARY PRINCIPAL INVESTIGATORS FOR THE GYNECOLOGY ONCOLOGY GROUP (A NATIONAL RESEARCH BODY SUPPORTED BY THE NATIONAL CANCER INSTITUTE). AMH'S GYNECOLOGIC ONCOLOGY PROGRAM IS HIGHLY RANKED AMONG 49 FULL MEMBERS OF THE GOG IN TERMS OF NUMBER OF PATIENTS TREATED AND QUALITY OF RESEARCH DATA. PATIENTS HAVE ACCESS TO MORE THAN 40 CLINICAL TRIALS TO TREAT OVARIAN, CERVICAL AND UTERINE CANCERS, WHICH ARE CAREFULLY MONITORED STUDIES DESIGNED TO EVALUATE NEW THERAPIES. AMH'S ACTIVE PARTICIPATION IN PHASE II AND PHASE III CLINICAL TRIALS MEANS THAT PROMISING NEW ADVANCES ARE OFFERED TO ITS PATIENTS RIGHT IN THE COMMUNITY ALLOWING THEM TO REMAIN CLOSE TO HOME AND FAMILY. RESEARCH PROTOCOLS ARE CURRENTLY AVAILABLE IN GYNECOLOGIC ONCOLOGY SERVICES AT AMH. 5. WOMEN'S AND CHILDREN'S HEALTH AMH HAS BEEN COMMITTED TO WOMEN'S AND CHILDREN'S HEALTH FOR 90 YEARS. THE CARE OF WOMEN AND CHILDREN GOES HAND-IN-HAND AT AMH. MANY WOMEN HAVE THEIR FIRST HOSPITAL EXPERIENCE WHEN THEY GIVE BIRTH AT AMH. WITH ALMOST 5,100 BIRTHS A YEAR, AMH IS A LEADER IN MATERNITY CARE IN THE STATE OF PENNSYLVANIA PROVIDING A 36-BED Level III NEONATAL INTENSIVE CARE UNIT, HIGH RISK PRENATAL CARE, INFERTILITY SERVICES AND AN AFFILIATION WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOR PEDIATRIC INPATIENT CARE WOMEN WHO DELIVER THEIR BABIES AT AMH TEND TO CHOOSE AMH FOR THE CARE OF THEIR ENTIRE FAMILIES, SETTING THE STAGE FOR A LIFETIME OF CARE. WE OPERATE TWO OB/GYN CENTERS (CLINICS) IN ABINGTON AND WARMINSTER, SERVING A DIVERSE, LOW-INCOME POPULATION. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III 6. ORTHOPAEDIC AND SPINE SERVICE THE ORTHOPAEDIC AND SPINE SERVICE AT AMH COMBINES THE MOST ADVANCED MEDICAL TECHNOLOGY WITH A DEDICATED TEAM OF ORTHOPAEDIC SURGEONS, NEUROSURGEONS, REHABILITATION MEDICINE SPECIALISTS AND SKILLED AND DEDICATED MEDICAL PROFESSIONALS. PHYSICIANS TREAT A WIDE VARIETY OF DISORDERS AFFECTING THE MUSCULOSKELETAL SYSTEM, INCLUDING THE CARE OF FRACTURES AND INJURIES TO TENDONS, LIGAMENTS, JOINTS, BONES AND MUSCLES. SPECIALISTS IN JOINT REPLACEMENT, SPINE SURGERY, SPORTS MEDICINE, ORTHOPAEDIC HAND SURGERY, RHEUMATOLOGY AND REHABILITATION MEDICINE ARE ON STAFF AT AMH. ORTHOPAEDIC SURGEONS AND NEUROSURGEONS ARE EXPERIENCED IN TREATING PATIENTS REQUIRING HIP OR KNEE REPLACEMENTS OR SPINE SURGERY. AMH'S COMPREHENSIVE PROGRAM INCLUDES EVALUATION, CENTRALIZED PREADMISSION, HIGH-TECH OPERATING SUITE WITH LAMINAR AIR FLOW, INPATIENT AND OUTPATIENT REHABILITATION, AND HOME CARE TO ENSURE SUCCESSFUL RESULTS. STATE-OF-THE-ART MINIMAL-INCISION PROCEDURES AND COMPUTER-ASSISTED SURGERY ARE AVAILABLE FOR SOME JOINT REPLACEMENT SURGERIES. THE ORTHOPEDIC AND SPINE SERVICE HAS EARNED THE JOINT COMMISSION'S DISEASE SPECIFIC CERTIFICATION FOR JOINT REPLACEMENT, HIP AND KNEE. FREE EDUCATIONAL SESSIONS FOR THOSE INTERESTED IN MORE INFORMATION ABOUT HIP AND KNEE REPLACEMENTS ARE ALSO OFFERED. 7. NEUROSCIENCES INSTITUTE SPECIALISTS IN THE FIELD OF NEUROSURGERY EMPLOY STATE-OF-THE-ART SURGICAL AND MICROSURGICAL TECHNIQUES TO DIAGNOSE, TREAT AND ALLEVIATE PAIN AND DISABILITY CAUSED BY NEUROLOGICAL PROBLEMS. AMH'S FOUR FULL-TIME NEUROSURGEONS HAVE SPECIAL EXPERTISE IN THE TREATMENT OF BRAIN, SPINAL CORD AND PERIPHERAL NERVE DISORDERS. THE ADVANCED DIAGNOSTIC TECHNOLOGY AND SUPPORT AT AMH FURTHER ENHANCE THE ABILITY OF OUR NEUROSURGEONS TO PROVIDE OUTSTANDING, COMPREHENSIVE CARE. AMH'S NEUROSURGEONS ARE HIGHLY SKILLED IN TREATING BRAIN TUMORS AND CEREBROVASCULAR DISEASES THROUGH TRADITIONAL SURGERY AND NEWER, COMPUTER-GUIDED INTRA-OPERATIVE TECHNIQUES. THEY PERFORM PRECISE AND DELICATE SPINAL SURGERY TO TREAT HERNIATED DISCS, STENOSIS AND ARTHRITIS OF THE SPINE. CRANIAL SURGERY IS PERFORMED FOR TUMORS, HEMORRHAGIC STROKES, TRAUMA, CONGENITAL DEFECTS AND VASCULAR ABNORMALITIES. THEY PERFORM PROCEDURES ON THE CAROTID ARTERY TO RELIEVE STENOSIS IN THE NECK, A CONDITION WHICH PLACES PATIENTS AT HIGH RISK FOR STROKE. ADDITIONAL PROCEDURES INCLUDE PERIPHERAL NERVE SURGERY FOR ENTRAPMENT, NAMELY CARPAL TUNNEL RELEASES AND ULNAR NERVE DECOMPRESSIONS. THE BREADTH OF SERVICES IS FURTHER ENHANCED BY SOPHISTICATED ADVANCED CARE BY NEUROINTERVENTIONAL SPECIALISTS. INTERVENTIONAL RADIOLOGISTS, ALONG WITH A NEURINTERNVENTIONAL RADIOLOGIST AND AN INTERVENTIONAL NEURORADIOLOGIST, PERFORM CAROTID STENTING AND COILING OF CEREBRAL ANEURYSMS, INTRA-ARTERIAL RTPA, AND OTHER ADVANCED INTERVENTIONAL PROCEDURES. TOGETHER WITH THEIR ORTHOPAEDIC COLLEAGUES AT OSI, NEUROSURGEONS OFFER SURGICAL SERVICES TO TREAT THE SPINE AND HAND. THEY ALSO PERFORM THE KYPHOPLASTY PROCEDURE FOR PATIENTS WHO SUFFER FROM VERTEBRAL COMPRESSION FRACTURES, AS WELL AS MOTION PRESERVING SPINE PROCEDURES INCLUDING THE ARTIFICIAL DISC FOR PATIENTS WITH DEGENERATIVE DISC DISEASE. PATIENTS ALSO BENEFIT FROM COLLABORATIVE EFFORTS WITH THE ROSENFELD CANCER CENTER. NEUROSURGEONS PERFORM BOTH FRAMELESS AND FRAME-BASED STEREOTACTIC SURGERY. RADIATION ONCOLOGISTS USE A STATE-OF-THE-ART LINEAR ACCELERATOR TO PROVIDE STEREOTACTIC RADIATION TO TUMORS AND VASCULAR LESIONS. DIAGNOSTIC EQUIPMENT, SUCH AS A MULTI-DETECTION CT SCAN, MRI (MAGNETIC RESONANCE IMAGING) AND MRA (MAGNETIC RESONANCE ANGIOGRAPHY) IS AVAILABLE AT AMH. A TECHNOLOGICALLY ADVANCED ANGIOGRAPHY SUITE PROVIDES ADVANCED CEREBROVASCULAR IMAGING OF THE BRAIN. AMH'S NEW IMAGE-GUIDED SURGICAL SYSTEM REPRESENTS THE LATEST STATE-OF-THE-ART TECHNOLOGY. THIS AIDS IN THE PRECISION AND SAFETY OF BOTH CRANIAL AND SPINAL SURGICAL PROCEDURES. IN ADDITION TO LEADING-EDGE MRI NEUROLOGICAL IMAGING CAPABILITIES, WE RECENTLY ADDED A DEDICATED NEUROVASCULAR INTERVENTIONAL LABORATORY WITH BI-PLANE FUNCTIONALITY AND 3D IMAGING. NEURO-INTERVENTIONAL SERVICES ARE PROVIDED BY TWO FELLOWSHIP-TRAINED NEURO-INTERVENTIONALISTS WITH EXPERIENCE IN THE ENDOVASCULAR TREATMENT OF ACUTE STROKE, INCLUDING INTRACRANIAL STENTS, BALLOON-ASSISTED COIL EMBOLIZATION, MECHANICAL CLOT RETRIEVAL AND MORE. NEURO-CRITICAL CARE IS MANAGED BY A FELLOWSHIP-TRAINED NEURO-INTENSIVIST. ALSO ON STAFF ARE SIX BOARD-CERTIFIED INTERVENTIONAL RADIOLOGISTS, SEVERAL OF WHOM ARE FELLOWSHIP TRAINED IN NEURO-INTERVENTIONAL DIAGNOSTICS. 8. THE STROKE CENTER WHEN SOMEONE YOU LOVE IS EXPERIENCING A STROKE AND REQUIRES EMERGENCY CARE, EXPERT HELP IS IMMEDIATELY AVAILABLE AT AMH'S CERTIFIED STROKE CENTER. STROKE CARE REQUIRES A DEDICATED TEAM THAT FIGHTS STROKE 24 HOURS A DAY, SEVEN DAYS A WEEK. THE STROKE CENTER AT AMH IS DESIGNED TO DIAGNOSE, TREAT AND MANAGE PATIENTS WITH STROKE. THE CENTER HAS COMMITTED ITS SERVICES TO THE COMMUNITY BY INTERACTING AND TEACHING PEOPLE ABOUT STROKE WARNING SIGNS AND PREVENTION. IN 2004 AMH'S STROKE CENTER BECAME THE FIRST STROKE CENTER IN PENNSYLVANIA TO RECEIVE THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION. AMH HAS BEEN RECERTIFIED IN 2006 AND 2008. AMH HAS ALSO BEEN HONORED FOR ITS EFFECTIVE STROKE EDUCATION AND PREVENTION BY THE DELAWARE VALLEY STROKE COUNCIL AND U.S. NEWS AND WORLD REPORT MAGAZINE. THE STROKE CENTER CONSISTENTLY SETS GOALS TO IMPROVE PATIENT OUTCOMES. A FULLY INTEGRATED AND MULTIDISCIPLINARY NEUROSCIENCES TEAM WORKS TOGETHER TO ACCOMPLISH THESE GOALS. TEAM MEMBERS INCLUDE: A NEUROLOGIST, NEUROSURGEON, NEUROINTERVENTIONALIST, NURSING, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, CASE MANAGEMENT, SOCIAL SERVICE, NUTRITION SERVICES, PASTORAL CARE SERVICES, GERIATRIC CLINICAL NURSE SPECIALIST, PHARMACIST, AND STROKE PROGRAM COORDINATOR. THE STROKE CENTER ALSO HAS A DEDICATED STROKE COMMITTEE, WHICH MEETS EVERY SIX WEEKS TO REVIEW STROKE CARE AND SET NEW GOALS. THIS IS A DEDICATED COMMITTEE TO EVALUATE AMH'S PROCESSES AND OUTCOMES. MEMBERS OF THE COMMITTEE INCLUDE: DIRECTOR OF MEDICINE, STROKE DIRECTOR, REHABILITATION PHYSICIAN, STROKE PROGRAM COORDINATOR, VICE PRESIDENT OF PATIENT SERVICES, NURSE DIRECTOR, NURSE MANAGER, NURSE REPRESENTATIVES, PHARMACY, PERFORMANCE IMPROVEMENT, AND ETC PHYSICIANS. THE STROKE CENTER ALIGNS CRITICAL HOSPITAL RESOURCES FOR EMERGENCY STROKE INTERVENTION AND FOLLOW UP. STRUCTURAL MEASURES OF THE STROKE CENTER INCLUDE: - ORGANIZED EMERGENCY RESPONSE TEAM/SYSTEM THAT RESPONDS TO STROKE AS AN EMERGENCY, WITH IMMEDIATE RESPONSE TIME, ACCESS TO SPECIALTY CARE (NEUROSURGERY, NEUROLOGY, NEUROINTERVENTIONAL, REHABILITATION), ACCESS TO ACUTE PHARMACOLOGICAL THERAPY, CLINICAL TRIAL AVAILABILITY, AND CRITICAL CARE AVAILABILITY. - A DESIGNATED STROKE UNIT, INPATIENT REHAB PROGRAM, MULTIDISCIPLINARY STROKE TEAM, CLINICAL PRACTICE GUIDELINES, PHYSICIAN ORDERS, PATIENT QUALITY IMPROVEMENT PROGRAM. - PROCESS MEASURES INCLUDE THE IMPLEMENTATION OF SECONDARY STROKE PREVENTION (ANTIPLATELET THERAPY, ANTICOAGULATION), ACUTE MANAGEMENT OF STROKE RISK FACTORS, EVALUATION OF PATIENT FOR REHABILITATION, EVALUATION OF SCREENING, SWALLOWING, EVALUATION OF NUTRITIONAL STATUS, AND SCREENING FOR DEPRESSION. AS PUBLISHED BY THE JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, KEY ELEMENTS OF A STROKE CENTER INCLUDE AN ACUTE STROKE TEAM, A STROKE UNIT, WRITTEN CARE PROTOCOLS, INTEGRATED EMS, REHABILITATION SERVICES AND COMMUNITY EDUCATION PROGRAMS. INPATIENT SUPPORT SERVICES INCLUDE AVAILABILITY AND INTERPRETATION OF CT SCANS 24 HOURS A DAY, RAPID LABORATORY TESTING AND AROUND-THE-CLOCK PHARMACY SERVICES. ADMINISTRATIVE SUPPORT, STRONG LEADERSHIP AND CONTINUING EDUCATION ARE ALSO IMPORTANT ELEMENTS. THE AMH STROKE CENTER POSSESSES ALL OF THESE KEY ELEMENTS. AMH HAS BEEN ACTING AS A RESOURCE FOR COORDINATORS FROM OTHER HOSPITALS WHO WISH TO COME, VISIT AND LEARN ABOUT AMH'S STROKE PROGRAM. AMH IS WORKING WITH THE NATIONAL STROKE ASSOCIATION, THE DELAWARE VALLEY STROKE COUNCIL, THE AMERICAN STROKE ASSOCIATION AND THE NATIONAL APHASIA ASSOCIATION AS THESE EDUCATIONAL PROJECTS CONTINUE. STROKE PROGRAMS CONTINUE TO DEVELOP TO ENHANCE STROKE TREATMENT AND MANAGEMENT, ALONG WITH COMMUNITY OUTREACH/EDUCATION. AMH CONTINUES TO PLAY A LEADERSHIP ROLE IN STROKE CARE THROUGH ITS PARTICIPATION IN THE DELAWARE VALLEY STROKE COUNCIL'S STROKE TREATMENT ENHANCEMENT PROGRAM AND THE AMERICAN STROKE ASSOCIATION'S ACUTE STROKE TREATMENT PROGRAM. AMH ALSO OFFERS FREE BLOOD PRESSURE SCREENINGS AND STROKE RISK ASSESSMENTS SEVERAL TIMES MONTHLY AT LOCATIONS THROUGHOUT ITS COMMUNITY. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III 9. MULLER CENTER FOR SENIOR HEALTH AMH'S MULLER CENTER FOR SENIOR HEALTH HELPS PEOPLE ENJOY HEALTHY, PRODUCTIVE LIVES AS THEY AGE. THE MULLER CENTER BRINGS TOGETHER AMH'S OUTSTANDING INPATIENT, OUTPATIENT, COMMUNITY OUTREACH AND LONG-TERM CARE SERVICES FOR ITS SENIOR PATIENTS. IN ADDITION, ACADEMIC TEACHING AND RESEARCH ACTIVITIES ARE LINKED WITH THE CENTER AND NEW SERVICES AND EDUCATIONAL OPPORTUNITIES FOR PHYSICIANS AND OTHER PROFESSIONALS ARE ONGOING. THE MULLER CENTER FOR SENIOR HEALTH HAS AN EXPANDED FOCUS ON PHYSICIAN TRAINING IN GERIATRICS. SKILLED STAFF AND OUTSTANDING PROGRAMS MAKE AMH AN IDEAL PLACE FOR INTERNAL MEDICINE AND FAMILY MEDICINE PHYSICIANS TO RECEIVE ADVANCED TRAINING IN CARING FOR ELDERLY PATIENTS. AMH'S GERIATRIC MEDICINE FELLOWSHIP IS THE ONLY SUCH PROGRAM IN CHESTER, MONTGOMERY AND BUCKS COUNTIES ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. AMH'S GERIATRIC ASSESSMENT CENTER PROVIDES COMPREHENSIVE ASSESSMENTS FOR OLDER ADULTS WHO MANY BE EXPERIENCING MEMORY PROBLEMS, SUFFER A COMPLEX ARRAY OF PHYSICAL PROBLEMS, OR HAVE SOCIAL SITUATIONS COMPLICATING THEIR HEALTH STATUS. ASSESSMENT IS OFFERED ON BOTH AN INPATIENT AND OUTPATIENT BASIS. AMH'S MULLER CENTER OFFERS THESE FREE SERVICES: - CAREGIVERS RESOURCE ROOM - SENIOR RELATED INFORMATION ABOUT COMMUNITY RESOURCES, WITH COMPUTER ACCESS, CURRENT PUBLICATIONS, LONG-TERM CARE FACILITIES INFORMATION AND A BENEFITS CHECK-UP. - ELDERMED - A FREE WELLNESS PROGRAM FOR INDIVIDUALS 50 YEARS OF AGE AND OLDER, OFFERING EDUCATION PROGRAMS, HEALTHCARE RESOURCES AND SOCIAL PROGRAMS. - OPERATION REASSURANCE - DAILY TELEPHONE CONTACT TO ADULTS OVER AGE 60 AND THE DISABLED WHO LIVE ALONE IN EASTERN MONTGOMERY COUNTY. - STOP ABUSE IN LATER LIFE (SAILL) - ONSITE ELDER ABUSE COUNSELING, COMMUNITY RESOURCE REFERRALS AND SUPPORT GROUPS. - THE HOSPITAL ELDER LIFE PROGRAM ("HELP") IS AN INNOVATIVE APPROACH TO PROTECT OLDER PATIENTS FROM DECLINING PHYSICALLY AND MENTALLY WHILE THEY ARE HOSPITALIZED. GERIATRICIANS, A GERIATRIC NURSE PRACTITIONER, AN ELDER LIFE SPECIALIST AND TRAINED VOLUNTEERS WORK TOGETHER TO PROTECT OLDER PATIENTS FROM EXPERIENCING THE POTENTIAL LOSS OF INDEPENDENCE THAT MAY OCCUR AS AN OUTCOME OF A HOSPITAL STAY. AMH'S STAFF WORKS AS A TEAM TO ADDRESS THE SPECIAL NEEDS OF EACH OLDER PATIENT. VOLUNTEERS PLAY A CRUCIAL ROLE IN "HELP" BY PROVIDING SPECIALIZED CARE DIRECTLY AT BEDSIDE. A VOLUNTEER VISITS AMH'S OLDER PATIENTS DAILY TO ORIENT THE PATIENT TO THE HOSPITAL AND TO OFFER SOCIAL SUPPORT. THEY ALSO OFFER ASSISTANCE WITH MEALS, WALKING AND OTHER DAILY EXERCISE AND WITH HEARING AND VISION EQUIPMENT. VOLUNTEERS ENCOURAGE THERAPEUTIC ACTIVITIES TO PROVIDE MENTAL STIMULATION AND SOCIALIZATION. THROUGH "HELP", THE HOSPITAL BECOMES A PLACE WHERE OLDER PATIENTS CAN FEEL SECURE AS THEY PARTICIPATE IN THEIR TREATMENT AND MAINTAIN SOME CONTROL OVER THEIR OWN RECUPERATION. - THE MEMORY FITNESS CENTER OFFERS A PROGRAM DESIGNED TO HELP SHARPEN THE MEMORY SKILLS OF OLDER ADULTS WHO ARE SHOWING SIGNS OF MEMORY LOSS OR HAVE BEEN RECENTLY DIAGNOSED WITH DEMENTIA. PHYSICAL AND LEISURE ACTIVITIES, ALONG WITH SUPPORT AND FRIENDSHIP FROM OTHERS ATTENDING THE PROGRAM, HELP INDIVIDUALS FEEL MORE COMFORTABLE AND CONFIDENT. PARTICIPANTS CHOOSE THEIR OWN ACTIVITIES AND THE NUMBER OF SESSIONS THEY WISH TO ATTEND. THE CENTER PROVIDES FOUR-HOUR SESSIONS, WHICH INCLUDE ACTIVITIES (LISTED BELOW) DESIGNED TO HELP MINIMIZE MEMORY LOSS AND DELAY SYMPTOMS BY STIMULATING THE MIND. PROGRAM ACTIVITIES INCLUDE: PHYSICAL EXERCISE, GAMES, PUZZLES, LITERATURE DISCUSSION, CURRENT EVENTS, GUEST SPEAKERS, MUSIC, SUPPORT GROUP AND INFORMATION AND REFERRAL. - APPRISE IS A FREE HEALTH INSURANCE COUNSELING PROGRAM, TO ASSIST PENNSYLVANIA RESIDENTS AGE 60 AND OLDER WITH CONCERNS ABOUT HEALTH INSURANCE. SPECIALLY TRAINED VOLUNTEER COUNSELORS PROVIDE ANSWERS TO QUESTIONS ABOUT MEDICARE BENEFITS, SUPPLEMENTAL PLANS AND MANAGED CARE OPTIONS. 10. THE ROBOTIC SURGERY PROGRAM AT AMH WITH THE ACQUISITION OF THE DA VINCI' S SURGICAL SYSTEM AND THE ADDITION OF LEE SCHACHTER, M.D., DIRECTOR, ROBOTIC SURGERY PROGRAM AND UROLOGIST, THE SURGEONS AT ABINGTON MEMORIAL HOSPITAL BEGAN PERFORMING ROBOTIC PROCEDURES IN SEPTEMBER 2006. SURGEONS SPECIALLY TRAINED IN ROBOTICS INCLUDE GYNECOLOGIC ONCOLOGISTS, OB/GYNS, PEDIATRIC UROLOGISTS, A PEDIATRIC SURGEON, A REPRODUCTIVE ENDOCRINOLOGIST, BARIATRIC SURGEONS, A CARDIOTHORACIC SURGEON, GENERAL SURGEONS AND UROLOGISTS. 11. HOME CARE AMH HOME CARE ("AMHHC"), A DEPARTMENT OF AMH, PROVIDES COST-EFFECTIVE, HIGH-QUALITY, MULTIDISCIPLINARY HEALTH AND HOSPICE CARE TO INDIVIDUALS OF ALL AGES, TO IMPROVE HEALTH, PREVENT ILLNESS AND ENABLE TERMINALLY ILL PATIENTS TO REMAIN AT HOME. AMHHC NURSES HAVE BEEN CALLED THE AT-HOME EYES, EARS AND HANDS OF PHYSICIANS. THEY VERIFY MEDICAL ORDERS AND ASCERTAIN THAT PATIENTS ARE COMPLYING WITH PHYSICIAN-APPROVED TREATMENT PLANS. REGULAR WRITTEN AND VERBAL COMMUNICATIONS WITH PHYSICIANS ABOUT THEIR PATIENTS ENSURE THAT PROGRESS IS DOCUMENTED AND PROBLEMS ARE QUICKLY IDENTIFIED. EVERY YEAR, THOUSANDS OF PATIENTS AND THEIR FAMILIES IN THE DELAWARE VALLEY TURN TO AMHHC FOR COMPASSIONATE, SKILLED NURSING AND OTHER CARE IN THE COMFORT AND SECURITY OF HOME. PATIENTS RELY ON AMHHC TO PROVIDE PROFESSIONAL CARE AND SOPHISTICATED PROCEDURES, ONCE ONLY AVAILABLE IN THE HOSPITAL, IN SURROUNDINGS THAT ARE FAMILIAR AND REASSURING. COMPREHENSIVE, COST-EFFECTIVE CARE ---------------------------------- AS AN ALTERNATIVE TO COSTLY HOSPITALIZATION AND LENGTHY STAYS, WHEN PATIENTS ARE DISCHARGED, THEY MAY CHOOSE A HOME HEALTHCARE PROVIDER. AMHHC OFFERS A COMPREHENSIVE RANGE OF SERVICES ON SITE. WORKING WITH PHYSICIANS, CASE MANAGERS AND FAMILY MEMBERS, AMHHC'S PROFESSIONAL STAFF DETERMINES THE CLINICAL AND PERSONAL CARE PLAN THAT BEST MEETS PATIENTS' NEEDS. UNDER THE CARE OF REGISTERED NURSES, THERAPISTS, MEDICAL SOCIAL WORKERS AND AIDES, PATIENTS BENEFIT FROM HIGH-QUALITY, SKILLED, RELIABLE AND EFFICIENT CARE WHILE ENJOYING THE RELATIVE INDEPENDENCE OF HOME. FROM HOSPITAL TO HOME --------------------- AMHHC BRINGS HIGH-TECH MEDICAL RESOURCES FROM HOSPITAL ACUTE CARE UNITS INTO PATIENTS' HOMES. IN ACCORDANCE WITH PHYSICIAN'S ORDERS, AMHHC NURSES ADMINISTER MEDICATIONS AND INJECTIONS, CHANGE DRESSINGS, MANAGE TUBE FEEDINGS, PROVIDE TRACHEOSTOMY CARE AND MONITOR IV'S. BECAUSE OF THE HIGH LEVEL OF SKILLED CARE PROVIDED BY AMH'S STAFF, EVEN INDIVIDUALS UNABLE TO PERFORM THE MOST BASIC DAILY FUNCTIONS CAN LIVE AT HOME WITH THE SUPPORT AND ASSISTANCE OF AMHHC. TYPES OF CARE ------------- AS THE LENGTH OF HOSPITAL STAYS DECLINES FOR INDIVIDUALS WHO HAVE UNDERGONE JOINT REPLACEMENTS, AMPUTATIONS AND STROKES, SUPERVISED THERAPY AT HOME HAS GROWN IN IMPORTANCE. AMHHC NURSES AND THERAPISTS MAP OUT A PROGRAM OF CONSISTENT, COORDINATED, CROSS-DISCIPLINARY CARE THAT IS NECESSARY FOR SUCCESSFUL REHABILITATION. VISITING AMHHC STAFF ANSWER QUESTIONS, CLARIFY PHYSICIAN INSTRUCTIONS, MONITOR FOR INFECTIONS AND PROVIDE THE NECESSARY PHYSICAL AND OCCUPATIONAL THERAPY. TO EASE THE TRANSITION TO HOME, AMHHC STAFF ALSO WORK CLOSELY WITH FAMILY MEMBERS AND OTHER HEALTHCARE PROFESSIONALS TO BE SURE CAREGIVERS UNDERSTAND HOW TO ADMINISTER MEDICATIONS AND MAKE PATIENTS' HOMES MORE ACCESSIBLE AND MANEUVERABLE. ASSISTING PATIENTS IN RETIREMENT AND ASSISTED-LIVING FACILITIES AMHHC OFFERS RESIDENTS OF RETIREMENT HOMES AND ASSISTED-LIVING FACILITIES THE SAME ARRAY OF SERVICES PROVIDED TO ALL THEIR PATIENTS. AMHHC NURSES COLLABORATE WITH FACILITIES MANAGERS IN PROVIDING MEDICAL AND THERAPEUTIC SUPPORT TO ENABLE RESIDENTS TO FUNCTION INDEPENDENTLY FOR AS LONG AS POSSIBLE. SERVICES FOR CHRONIC ILLNESS ---------------------------- IN THE PAST 20 YEARS, LIFE EXPECTANCIES FOR CHRONICALLY ILL PATIENTS HAVE LENGTHENED DRAMATICALLY. AS THEY AGE, THESE PATIENTS PRESENT UNPRECEDENTED CHALLENGES TO HEALTHCARE PROVIDERS TO FIND NEW WAYS TO MANAGE LONG-TERM ILLNESS AND DISABILITY WHILE MINIMIZING UNSCHEDULED HOSPITALIZATION. AMHHC NURSES COLLABORATE WITH PRIMARY CARE PHYSICIANS TO ENSURE THAT DISABLED INDIVIDUALS RECEIVE THE THERAPY AND EDUCATION AT HOME THAT CAN IMPROVE THEIR QUALITY OF LIFE AND PREVENT DEVASTATING SETBACKS. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III HOSPICE CARE ------------ AMHHC'S INPATIENT AND AT-HOME HOSPICE PROGRAM PROVIDES THE COORDINATION AND ATTENTION TO INDIVIDUAL NEEDS THAT RELIEVE MANY DAY-TO-DAY STRESSES. IT ALLOWS PATIENTS AND THEIR FAMILIES TO ENHANCE THE TIME THEY HAVE TOGETHER. WHEN THE TERMINALLY ILL ARE DISCHARGED TO THEIR HOMES, A MULTIDISCIPLINARY AMHHC TEAM PROVIDES THE CLINICAL SKILLS, PERSONAL CARE AND COMPASSION THAT MAKE FINAL DAYS MORE MANAGEABLE. PALLIATIVE CARE MAY INCLUDE ADMINISTERING MEDICATION, PROVIDING PERSONAL CARE, ASSISTING WITH PAIN MANAGEMENT AND REFERRING PATIENTS AND FAMILIES FOR COUNSELING FOR DEPRESSION AND ANXIETY. AMHHC'S GRIEF SUPPORT GROUP CONTINUES TO HELP FAMILY AND CAREGIVERS. AMHHC ALSO PROVIDES A 19-BED INPATIENT HOSPICE PROGRAM ON ITS WARMINSTER CAMPUS. THIS PROGRAM IS UNIQUE TO THE AREA AND DRAWS PATIENTS AND FAMILIES FROM THROUGOUT THE REGION. THE HOME-LIKE SETTING PROVIDES A COMFORTABLE ATMOSPHERE SO THAT FAMILIES CAN SPEND TIME WITH THEIR LOVED ONES. QUALITY OF CARE AND PATIENT SATISFACTION ARE PRIORITIES ------------------------------------------------------- AMHHC STAFF MEMBERS ROUTINELY MONITOR PATIENT AND PHYSICIAN SATISFACTION LEVELS AS AN ONGOING PERFORMANCE IMPROVEMENT PROCESS. AMHHC IS CERTIFIED BY MEDICARE FOR HOME HEALTH AND HOSPICE CARE AND ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. A VALUABLE COMMUNITY ASSET -------------------------- AMHHC STRIVES TO PROVIDE SUPERIOR CARE TO PATIENTS IN MONTGOMERY, BUCKS AND PHILADELPHIA COUNTIES. LAST YEAR IN FY10, MORE THAN 235 AMHHC, AIDES, SOCIAL WORKERS AND THERAPISTS MADE MORE THAN 143,000 HOME HEALTH AND HOSPICE VISITS TO OVER 9,600 PATIENTS. VOLUNTEERS ARE AN IMPORTANT PART OF THE AMHHC AND HOSPICE TEAM. THE AMHHC DEPARTMENT OFFERS TRAINING PROGRAMS FOR PEOPLE WHO WISH TO WORK AS VOLUNTEERS WITH PATIENTS OR IN THE AMHHC OFFICE. 12. COMPREHENSIVE WOUND HEALING CENTER THE COMPREHENSIVE WOUND HEALING CENTER, LOCATED AT THE ABINGTON HEALTH CENTER - SCHILLING CAMPUS IN WILLOW GROVE AND AT THE ABINGTON HEALTH CENTER - WARMINSTER CAMPUS, PROVIDES TREATMENT FOR NON-HEALING AND PROBLEM WOUNDS. PROBLEM WOUNDS ARE COMMON AMONG DIABETICS AND INDIVIDUALS WITH A RANGE OF OTHER MEDICAL CONDITIONS, SUCH AS RADIATION TISSUE DAMAGE, THAT INTERFERE WITH THE BODY'S NATURAL HEALING PROCESS. THE CENTER'S STAFF PROVIDES STATE-OF-THE-ART TOPICAL TREATMENT OPTIONS, ADJUNCTIVE THERAPIES, NON-INVASIVE DIAGNOSTIC STUDIES, WOUND DEBRIDEMENT, NUTRITIONAL SUPPORT, PRESSURE RELIEF DEVICES FOR PRESSURE WOUNDS, COMPRESSION THERAPY, HYPERBARIC OXYGEN THERAPY AND PHYSICAL THERAPY. 13. INTEGRATIVE MEDICINE WHETHER CALLED ALTERNATIVE, COMPLEMENTARY OR INTEGRATIVE MEDICINE, THESE NON-TRADITIONAL SERVICES ARE OFFERED TO INPATIENTS AND OUTPATIENTS AT AMH. INTEGRATIVE MEDICINE SERVICES AT AMH INCLUDE ACUPUNCTURE, MASSAGE THERAPY, A FIBROMYALGIA PROGRAM, MIND-BODY INTEGRATION GROUP AND REIKI SPECIALISTS. THE ABINGTON FITNESS INSTITUTE OFFERS CLASSES THROUGHOUT THE YEAR IN YOGA, PILATES, T'AI CHI AND OTHER FITNESS PROGRAMS FOR BOTH HEALTHY PEOPLE AND FOR PEOPLE RECOVERING FROM HEART DISEASE, CANCER, OR OTHER CONDITIONS. 14. THE DIABETES CENTER THE DIABETES CENTER AT AMH IS COMMITTED TO PROVIDING COMPREHENSIVE DIABETES EDUCATION AND COUNSELING SERVICES FOR ALL ASPECTS OF DIABETES MANAGEMENT. ITS PROGRAMS ARE RECOGNIZED FOR EXCELLENCE BY THE AMERICAN DIABETES ASSOCIATION. BOTH GROUP CLASSES AND INDIVIDUAL SESSIONS ARE OFFERED. THE DIABETES CENTER USES A TEAM APPROACH FOR EDUCATION AND COUNSELING, WITH THE PATIENT AS THE KEY MEMBER OF THE TEAM. REGISTERED NURSES AND REGISTERED DIETITIANS, WHO ARE ALSO CERTIFIED DIABETES EDUCATORS, ARE DEDICATED TO HELPING EACH PERSON GAIN CONTROL OF THEIR DIABETES WHILE MAINTAINING AN OPTIMAL STATE OF HEALTH AND WELL BEING. TOGETHER, THE TEAM DESIGNS AN INDIVIDUALIZED PLAN THAT MATCHES PATIENT'S LIFESTYLES AND EDUCATIONAL NEEDS. NUTRITION COUNSELING FOR DIABETES: ONE OR MORE PRIVATE SESSIONS WITH A REGISTERED DIETITIAN SPECIALIZING IN DIABETES MANAGEMENT. INDIVIDUAL FOOD PREFERENCES AND LIFESTYLE ARE INCORPORATED INTO MEAL PLANNING STRATEGIES THAT HELP INDIVIDUALS IMPROVE BLOOD GLUCOSE CONTROL. ADDITIONAL EDUCATIONAL SERVICES INCLUDE: INSULIN SYRINGE PREPARATION AND SELF-INJECTION, GESTATIONAL DIABETES MANAGEMENT, INSULIN PUMP INITIATION AND CONTINUOUS GLUCOSE SENSOR EVALUATION. 15. INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY AT AMH'S INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY, PATIENTS RECEIVE THE LATEST SURGICAL TREATMENTS WITH LIFETIME FOLLOW-UP. WEIGHT LOSS SURGERY IS NOT A MAGIC BULLET, BUT IT'S THE FIRST IMPORTANT STEP, THE BEGINNING OF A LIFELONG COMMITMENT THAT LEADS TO A MUCH HEALTHIER BODY AND LIFESTYLE. AMH OFFERS ITS PATIENTS A COMPREHENSIVE APPROACH TO WEIGHT LOSS THAT FEATURES A FULL RANGE OF SERVICES, INCLUDING ONGOING SUPPORT, COUNSELING, AN EXERCISE PROGRAM AND A NUTRITION PLAN. THE PROGRAM WAS DESIGNATED A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE SURGICAL REVIEW CORPORATION, WHICH IS RECOGNIZED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. THE INSTITUTE HAS ALSO BEEN DESIGNATED A BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY (SM) BY THE BLUE CROSS AND BLUE SHIELD COMPANIES. 16. MEDICAL SCREENINGS AMH PROVIDES NUMEROUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING THE FOLLOWING: - BREAST HEALTH SCREENINGS FOR UNDERSERVED MINORITIES - PROSTATE CANCER SCREENINGS - BLOOD PRESSURE SCREENINGS (COMMUNITY-BASED, INCLUDING THREE AREA MALL LOCATIONS AND MULTIPLE SITES AT LOCAL FOOD STORES) - PAP TEST FOR UNDERSERVED WOMEN IN THE KOREAN COMMUNITY - MEMORY SCREENINGS - DEPRESSION SCREENINGS - SKIN CANCER SCREENINGS -HEART AND STROKE RISK ASSESSMENTS -FALLS RISK ASSESSMENTS DURING FISCAL YEAR 2010 AMH PROVIDED NO-FEE SCREENING PROGRAMS TO APPROXIMATELY 1,707 INDIVIDUALS AT A COST TO AMH OF APPROXIMATELY $10,477. PLEASE NOTE THAT THE AFOREMENTIONED LIST OF SCREENING PROGRAMS IS NOT AN ALL-INCLUSIVE LIST. 17. CLOSING THE GAP CLOSING THE GAP: EXPANDING MINORITY HEALTH OPTIONS IS A MAJOR INITIATIVE OF AMH. THE INITIATIVE WAS LAUNCHED IN 2004 IN RESPONSE TO A NATIONAL CALL TO ACTION TO ADDRESS THE HEALTH NEEDS OF SPECIFIC RACIAL AND ETHNIC POPULATIONS EXPERIENCING PERSISTENT GAPS IN HEALTHCARE AND HEALTH OUTCOMES. HEALTH PROGRAMS UNDER CLOSING THE GAP ARE DESIGNED TO REACH POPULATIONS AFFECTED BY THE UNEQUAL INCIDENCE OF A NUMBER OF ILLNESSES, DISEASE AND DISABILITY. PROGRAMMING HAS SERVED OVER 1,362 RESIDENTS. FISCAL YEAR 2010 PROGRAMS WERE HELD AT MANY VENUES, INCLUDING: - A HEALTH CENTER IN A MEDICALLY UNDERSERVED PART OF THE COMMUNITY TO PROVIDE PREVENTIVE MEDICINE, HEALTH EDUCATION AND SCREENINGS, AS WELL AS DIRECT MEDICAL SERVICES TO COMMUNITY MEMBERS. - THE CHELTENHAM SQUARE MALL - THE CENTER FOR ASIAN HEALTH - BETHEL DELIVERANCE INTERNATIONAL CHURCH - COMMUNITY FAIRS IN CHELTENHAM, CRESTMONT AND WILLOW GROVE IN FISCAL YEAR 2010, AMH PROVIDED 45 PROGRAMS FOR THE UNDER-SERVED IN ITS COMMUNITY, REACHING 2,962 INDIVIDUALS AT A COST OF $10,026. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III COMMUNITY SUPPORT, ACTIVITIES AND PROGRAMS ========================================== OUTLINED BELOW ARE A NUMBER OF AMH COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW AMH BENEFITS THE SURROUNDING COMMUNITY IN FURTHERING ITS CHARITABLE TAX-EXEMPT PURPOSES. COMMITTED TO PROVIDING HIGH-QUALITY HEALTHCARE SERVICES TO PATIENTS IN A COMPASSIONATE AND CARING MANNER, AMH IS ALSO A REGIONAL LEADER IN HEALTH EDUCATION. ITS DEDICATED, PROFESSIONAL STAFF WORKS HARD AT AMH'S MISSION OF DELIVERING A FULL RANGE OF MEDICAL, SURGICAL, OBSTETRICAL, NEWBORN, PEDIATRIC, GERIATRIC, ONCOLOGICAL AND PSYCHIATRIC SERVICES TO RESIDENTS OF EASTERN AND CENTRAL MONTGOMERY, LOWER AND CENTRAL BUCKS, AND NORTH AND NORTHEAST PHILADELPHIA AREAS. EXAMPLES OF THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - SPONSORSHIP OF MEETINGS AND FREE SPACE TO COMMUNITY GROUPS. - CHILD PSYCHIATRIC SERVICES, CRISIS INTERVENTION AND EVALUATION FOR STUDENTS IN LOCAL SCHOOL DISTRICTS. IN ADDITION, THE SAFE HARBOR PROGRAM, WHICH IS A GRIEF SUPPORT GROUP FOR CHILDREN, TEENS, YOUNG ADULTS AND FAMILIES. IN FISCAL YEAR 2010, THERE WERE 168 CHILDREN AND TEENS SERVING 105 PARENTS/CAREGIVERS. - VOLUNTEERS: 1,507 MEMBERS OF THE COMMUNITY CONTRIBUTED 118,367 HOURS TO SERVE THE HEALTHCARE NEEDS OF THEIR NEIGHBORS. THE VALUE OF THIS CONTRIBUTION IS APPROXIMATELY $2,220,000 WHICH IS RETURNED TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND WELLNESS PROGRAMS. -NEW IN FISCAL YEAR 2010, AMH PROVIDED MISSION AND SERVICE LEAVE FOR 44 EMPLOYEES GIVING OVER 767 HOURS OR $43,789 OF SERVICE. - ELDERMED: FREE SENIOR MEMBERSHIP PROGRAM FOR PEOPLE OVER AGE 50; PROVIDES INSURANCE CLAIMS ASSISTANCE/COUNSELING, EDUCATION, SCREENINGS, AND COMMUNITY RESOURCES CENTER. THIS PROGRAM OFFERED 43 EDUCATIONAL PROGRAMS AND OTHER EVENTS SERVING 9,406 SENIORS IN OUR COMMUNITY. - ELDERHELP: FREE HOTLINE FOR SENIOR CITIZENS (1,380 CALLS IN FY10). - PROFESSIONAL TRAINING: OPERATE AND SUBSIDIZE TUITIONS FOR THE DIXON SCHOOL OF NURSING, SCHOOL OF RADIOLOGIC TECHNOLOGY AND NUCLEAR MEDICINE, GRADUATE STUDENTS IN CLINICAL PASTORAL EDUCATION, AND SUPPORT SCHOLARSHIP PROGRAMS FOR LOCAL STUDENTS IN RESPIRATORY THERAPY, RADIATION THERAPY AND NUCLEAR MEDICINE. - EDUCATION OF PARAMEDICS IN EASTERN MONTGOMERY COUNTY. - THE CASE MANAGEMENT/SOCIAL WORK DEPARTMENT SPONSORS A PROGRAM THAT PROVIDES FOOD, CLOTHING, TOYS AND NECESSITIES TO NEEDY FAMILIES IN THE COMMUNITY DURING THE HOLIDAY SEASON. - IN FISCAL YEAR 2010 THE MULLER CENTER ALLOCATED $3,366 TO PROVIDE TAXI SERVICE, SUBSIDIZES FIVE VANS FOR TRANSPORTATION TO AND FROM HOSPITAL FOR PROCEDURES [FY10 $106,760 SERVING 7,805 TRIPS] AND PAID $19,898 TO PROVIDE MEDICATIONS TO INDIGENT PATIENTS. - SOCIAL WORK SPENDS $2,000 FOR LEGAL FEES FOR GUARDIANSHIPS FOR INDIGENT PATIENTS. - PROVIDING A FREE PHYSICIAN REFERRAL SERVICE TO THE COMMUNITY FOR THOSE MEMBERS WHO ARE IN NEED OF PHYSICIAN SERVICES. CALLERS CAN OBTAIN COMPREHENSIVE INFORMATION ABOUT AMH PHYSICIANS INCLUDING SPECIALTY, OFFICE HOURS, TYPES OF INSURANCE ACCEPTED, ETC. VARIOUS MATERNITY CLASSES INCLUDING BABY CARE BASICS, BREASTFEEDING, BREASTFEEDING/BABY CARE BASICS COMBO CLASS, CHILDBIRTH PREPARATION, CHILDBIRTH REFRESHER AND OB/GYN CENTER CHILDBIRTH PREPARATION. TOTAL CLASSES GIVEN DURING FISCAL YEAR 2010 WERE 352 WITH A TOTAL OF 2,008 ATTENDEES. AMH, IN ADDITION TO THOSE OUTLINED ABOVE, OFFERS NUMEROUS OTHER COMMUNITY PROGRAMS AND ACTIVITIES INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: - CAREER EXPLORATION - ANNUAL PEDIATRIC PROGRAM START - HEALTH ADVENTURES - PRE-MED VOLUNTEER PROGRAM - SEWING PROGRAM - BARIATRIC INFO SESSIONS - BEREAVEMENT SUMMER CAMP - ANIMAL ASST. THERAPY - SUPPORT IN BEREAVEMENT - CASE MANAGEMENT CAB SERVICE - PRESCRIPTION MEDICATIONS - HOSPITAL HOLIDAY PROGRAM - GENERAL CANCER SUPPORT GROUP - BREAST CANCER SUPPORT GROUP - IN THE LOOKING GLASS - LOOK GOOD, FEEL BETTER - WIG BANK - BABY SUPPORT - MEDICAL BENEFIT ASSISTANCE - SAILL (STOP ABUSE IN LATER LIFE) PROGRAM - DOMESTIC VIOLENCE PROJECT - VAN SERVICE - MULLER CENTER - VAN AND AMBULANCE SERVICE - DIFFICULT DISCHARGE TEAM - ELDERMED - VAN SERVICE - CREEKWOOD - VAN SERVICE - AHC-WARMINSTER CAMPUS - AMERICAN RED CROSS BLOOD DRIVES (7) - AMERICAN RED CROSS BLOOD DONOR CENTER (13) - INFANT BURIAL ASSISTANCE - SEXUAL ASSAULT NURSE EXAMINER PROGRAM - SUSAN PROGRAM AMH EDUCATIONAL PROGRAMS ======================== AMH WAS FOUNDED AS A TEACHING HOSPITAL AND BELIEVES THAT EDUCATING THE PUBLIC AS WELL AS FUTURE GENERATIONS OF MEDICAL PROFESSIONALS IS AN IMPORTANT PART OF ITS MISSION TO SERVE ITS COMMUNITY'S COMPLETE HEALTHCARE NEEDS. COMMUNITY HEALTH SERVICES -------------------------- AMH'S GOAL IS TO PLAN, DEVELOP, IMPLEMENT AND EVALUATE PROGRAMS TO EDUCATE CONSUMERS ABOUT HEALTH PROMOTION AND DISEASE PREVENTION. AMH COMMUNITY HEALTH SERVICES DEPARTMENT SPONSORS HEALTH EDUCATION SEMINARS AND FREE OR LOW-COST SCREENINGS, SUPPORT/SELF-HELP AND AWARENESS GROUPS, INFORMATION AND REFERRAL, SMOKING CESSATION CLASSES, PARENTING EDUCATION AND MUCH MORE. DURING FISCAL YEAR 2010 AMH PROVIDED A BROAD RANGE OF COMMUNITY HEALTH EDUCATION SEMINARS INCLUDING VARIOUS EDUCATION CLASSES, FREEDOM FROM SMOKING, BABYSITTING CLASSES, COMPUTER CLASSES AND SIBLING PREPARATION. HEALTH EDUCATION CLASSES WERE OFFERED TO 12,187 COMMUNITY RESIDENTS AT A COST OF $21,073. RESIDENT TRAINING PROGRAMS -------------------------- SINCE AMH FIRST OPENED ITS DOORS IN 1914, IT HAS BUILT AND MAINTAINED AN OUTSTANDING REPUTATION AS ONE OF THE LEADING TEACHING HOSPITALS IN THE PHILADELPHIA AREA - A UNIQUE COMBINATION OF AN ACADEMIC MEDICAL CENTER IN A COMMUNITY HOSPITAL SETTING. A COMMITMENT TO PROVIDING EXCEPTIONAL PATIENT CARE HAS EARNED AMH RECOGNITION AS A MAJOR REGIONAL TEACHING FACILITY THAT OFFERS A FULL SPECTRUM OF CLINICAL EXPERIENCES AND A RIGOROUS ACADEMIC PROGRAM. AMH HAS IN ITS PROGRAM EACH YEAR MORE THAN 110 RESIDENTS IN FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, SURGERY AND DENTISTRY. RESIDENTS ROTATING FROM UNIVERSITY CENTERS IN ORTHOPAEDIC SURGERY, PLASTIC SURGERY, UROLOGY AND NEUROSURGERY ADD TO THE ACADEMIC ENVIRONMENT. ALL TRAINING PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. DIXON SCHOOL OF NURSING ----------------------- AMH ALSO OPERATES THE DIXON SCHOOL OF NURSING, OFFERING DAY, EVENING AND WEEKEND PROGRAMS. MANY STUDENTS ROTATE THROUGH THE SCHOOL GAINING THE KNOWLEDGE AND EXPERTISE NECESSARY TO BECOME NURSES ABLE TO PROVIDE QUALITY HEALTHCARE SERVICES TO ALL INDIVIDUALS. FOCUSED OUTREACH HAS IMPROVED RECRUITMENT OF MINORITY STUDENTS. SCHOOL OF RADIOLOGIC TECHNOLOGY ------------------------------- THE SCHOOL OF RADIOLOGIC TECHNOLOGY PROVIDES EACH STUDENT WITH BOTH THE KNOWLEDGE AND SKILLS NEEDED TO MEET AND/OR EXCEED THE MINIMUM ENTRY-LEVEL REQUIREMENTS TO PERFORM RADIOLOGIC TECHNOLOGY. UPON SUCCESSFUL COMPLETION, THE GRADUATE TECHNOLOGIST WILL BE ABLE TO PERFORM AS AN EFFECTIVE, COMPETENT ENTRY-LEVEL RADIOGRAPHER. WILMER MEMORIAL MEDICAL LIBRARY ------------------------------- A COLLECTION OF MEDICAL, NURSING, AND CONSUMER BOOKS AND JOURNALS ARE AVAILABLE AT THE WILMER MEMORIAL MEDICAL LIBRARY. OPEN WEEKDAYS FROM 9 TO 4:30 FOR COMMUNITY MEMBERS AND OFFERING WEB ACCESS. AMH'S WEBSITE PROVIDES A COMPREHENSIVE ARRAY OF HEALTH INFORMATION THROUGH ITS "ADAM" HEALTH RESOURCE LIBRARY. THE WEBSITE ALSO POSTS A CALENDAR OF EVENTS NOTIFYING THE COMMUNITY REGARDING ITS MANY HEALTH EDUCATION AND SCREENING PROGRAMS. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III GRADUATE PROGRAM FACULTY ------------------------ MORE THAN 1,922 RESIDENTS HAVE TRAINED AT AMH, AND MANY HAVE REMAINED ON THE STAFF FOLLOWING THEIR RESIDENCY OR TAKEN SUBSPECIALTY TRAINING. 51 RESIDENTS GRADUATED JUNE 30, 2010. AMH SUPPORTS PLACEMENT OPPORTUNITIES IN ALL PROGRAMS, AND HAS ENABLED RESIDENTS TO OBTAIN ADVANCED GRADUATE TRAINING. AMH HAS A TEACHING ASSOCIATION WITH TEMPLE UNIVERSITY SCHOOL OF MEDICINE AND DREXEL UNIVERSITY MEDICAL SCHOOL. MANY OF AMH'S PHYSICIANS SERVE ON THE FACULTIES OF THE PHILADELPHIA MEDICAL SCHOOLS AND ARE INVOLVED IN CONDUCTING RESEARCH AND PUBLISHING REGULARLY. AN ACTIVE PROGRAM OF CONTINUING MEDICAL EDUCATION OFFERS OPPORTUNITIES FOR PHYSICIANS AND OTHER MEDICAL STAFF TO GAIN THE MOST CURRENT KNOWLEDGE IN THEIR SPECIALTIES. COMMUNITY HEALTH EDUCATION PROGRAMS ----------------------------------- AMH PROVIDES NUMEROUS LECTURES, SEMINARS AND OTHER EDUCATIONAL PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - START: HEALTHY WALKS IN THE COMMUNITY - BABYSITTING WORKSHOP - STROKE TRAINING PROGRAM - ASK THE PEDIATRICIAN - BASIC COMPUTER SKILLS - PEDIATRIC DENTAL CARE - ARTHRITIS FAIR - BLOODLESS MEDICINE AND SURGERY SEMINARS - PROSTATE SCREENING AND EDUCATION - ASCEND - MANAGING EPILEPSY - USING COUMADIN SAFELY - MAKE GOOD NUTRITION A PART OF YOUR LIFE - INTERMEDIATE HEALTHCARE INTERNET - GO RED - WEDNESDAYS FOR WOMEN PROGRAM - HEALTHY HEART SERIES - BLOOD PRESSURE - HEALTHY HEART SERIES - CHOLESTEROL - HEALTHY HEART SERIES - ATRIAL FIBRILLATION - EPILEPSY: DIAGNOSTIC AND UPDATE - CAR SEAT SAFETY - WEIGH TO GO - CHILDHOOD WEIGHT MANAGEMENT PROGRAM - HEALTHY COOKING CLASS - THEY WHY & HOW OF SAFE EXERCISE - SMOKING CESSATION PROGRAM - DIABETES EDUCATION - INJURY PREVENTION - COLORECTAL AND BREAST CANCER PREVENTION - STROKE AND BREAST CANCER PREVENTION - BREAST CANCER EDUCATION - CARDIOVASCULAR DISEASE PREVENTION - CVD EDUCATION - CAREGIVERS PROGRAM - BREAST CANCER SCREENING FOR KOREAN WOMEN - YOUR HEALTHY WEIGHT PROGRAM - FAMILY HEALTH DAY - BLACK MALE DEVELOPMENT SYMPOSIUM - COLON CANCER EDUCATION - WOMEN'S NIGHT OUT - ASIAN WOMEN'S BREAST HEALTH PROGRAM - HEALTHY NUTRITION - WHAT TO EXPECT WHEN YOU GO TO THE ER - TOMMY TRAUMA FOR PRE-SCHOOLERS - SUMMER SAFETY - SUMMER SAFETY FOR TEENS - GENERAL SAFETY - LEARNING TO CARE - BUS AND GENERAL SAFETY - ENCARE - HEART FAILURE AND DIABETES MANAGEMENT - CONFUSION AND DELIRIUM AMONG THE ELDERLY - EARLY IDENTIFICATION OF DEMENTIA - SUSAN PROGRAM - BEYOND BREAST CANCER OTHER AMH COMMUNITY EVENTS, ACTIVITIES AND PROGRAMS =================================================== PARENTING EDUCATION ------------------- AS PART OF ITS CONTINUING EFFORT TO PROMOTE FAMILY EDUCATION, AMH IS A FOUNDING SPONSOR OF THE CENTER FOR PARENTING EDUCATION. THE CENTER PROVIDES A PLACE FOR PARENTS TO LEARN AND PRACTICE ESSENTIAL SKILLS NEEDED FOR HEALTHY PARENTING IN TODAY'S WORLD. THESE EDUCATIONAL TOOLS ARE PROVIDED THROUGH A VARIETY OF INFORMATIVE WORKSHOPS AS WELL AS DISCUSSION GROUPS, KNOWN AS PLAY 'N SHARE. DURING THESE WEEKLY SESSIONS, PARENTS ARE ABLE TO SHARE THEIR PARENTING CONCERNS AMONGST THEMSELVES AND TWO TRAINED PARENTING EDUCATORS WHILE THEIR CHILDREN PLAY. ONLINE WORKSHOPS ALSO ARE AVAILABLE. EACH OF AMH'S SERVICES HAS ONE GOAL IN MIND...TO HELP COMMUNITY MEMBERS LIVE HEALTHIER LIVES. AMH RECOGNIZES THAT A HEALTHY DIET AND ACTIVE LIFESTYLE CAN HELP REDUCE THE RISK OF DISEASE, PREVENT COMPLICATIONS ASSOCIATED WITH PRE-EXISTING CONDITIONS, AND INCREASE ENERGY -- AS WELL AS ENHANCE SELF-IMAGE AND GENERAL SENSE OF WELL-BEING. COMMUNITY BENEFIT STATEMENT ADDENDUM SCHEDULE H, PART VI; QUESTION 7 SUPPLEMENT NOT-FOR-PROFIT ABINGTON HEALTH AND AFFILIATES ENTITIES ABINGTON HEALTH ABINGTON HEALTH ("AH") IS A NOT FOR PROFIT HOLDING COMPANY BASED IN ABINGTON, PENNSYLVANIA. AH IS THE SOLE CORPORATE MEMBER OF A NUMBER OF NOT FOR-PROFIT ENTITIES AS OUTLINED HEREIN. AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, AH STRIVES TO CONTINUALLY DEVELOP AND OPERATE AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES A COMPREHENSIVE SPECTRUM OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE RESIDENTS OF PENNSYLVANIA COUNTIES INCLUDING EASTERN MONTGOMERY, PORTIONS OF BUCKS AND PHILADELPHIA COUNTIES, PENNSYLVANIA. ABINGTON HEALTH IS AN ORGANIZATION WHICH CURRENTLY HAS AN APPLICATION PENDING WITH THE INTERNAL REVENUE SERVICE FOR TAX-EXEMPTION PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AH ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. ABINGTON HEALTH HOSPITALS INCLUDE: ABINGTON MEMORIAL HOSPITAL AND LANSDALE HOSPITAL CORPORATION. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH OPERATE AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF ABINGTON HEALTH. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY WHO ALL VOLUNTEER THEIR TIME AND TALENTS; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. ABINGTON MEMORIAL HOSPITAL ABINGTON MEMORIAL HOSPITAL ("AMH") IS A 665-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN ABINGTON, MONTGOMERY COUNTY, PENNSYLVANIA. AMH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, AMH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. LANSDALE HOSPITAL CORPORTATION LANSDALE HOSPITAL CORPORATION ("LHC") IS A 125-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN LANSDALE, MONTGOMERY COUNTY, PENNSYLVANIA. LHC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, LHC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, LHC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ABINGTON HEALTH FOUNDATION ABINGTON HEALTH FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF ABINGTON MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. OTHER PROGRAM SERVICES CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTION 4 DURING THE FISCAL YEAR ENDED JUNE 30, 2010 A NEW NOT-FOR-PROFIT CORPORATION WAS CREATED WITH THE NAME ABINGTON HEALTH. ABINGTON HEALTH, A TAX-EXEMPT INTERNAL REVENUE CODE 501(C)(3) ORGANIZATION, IS THE SOLE CORPORATE MEMBER OF ABINGTON MEMORIAL HOSPITAL. PRIOR TO THE CREATION OF ABINGTON HEALTH THE SOLE CORPORATE MEMBER OF ABINGTON MEMORIAL HOSPITAL WAS ABINGTON MEMORIAL HOSPITAL FOUNDATION; A RELATED TAX-EXEMPT INTERNAL REVENUE CODE 501(C)(3) ORGANIZATION. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ABINGTON HEALTH ("AH") IS THE SOLE MEMBER OF THIS ORGANIZATION. AH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES 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 WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING OF THE FORM 990 WITH THE IRS. IN ADDITION, THE AUDIT AND COMPLIANCE COMMITTEE OF ABINGTON MEMORIAL HOSPITAL ("AMH") REVIEWED THE FORM 990 IN DETAIL PRIOR TO THE FORM 990 BEING MADE AVAILABLE TO THE GOVERNING BODY. THE AMH BOARD OF TRUSTEES HAS DELEGATED TO ITS AUDIT AND COMPLIANCE COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE 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 AMH AUDIT AND COMPLIANCE COMMITTEE AND THEREAFTER TO THIS ORGANIZATION'S BOARD OF TRUSTEES. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES ABINGTON MEMORIAL HOSPITAL ("AMH"). THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, 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 AMH'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND REVIEWS THIS SUMMARY WITH AMH'S VP OF LEGAL AFFAIRS/GENERAL COUNSEL. THIS SUMMARY IS THEN GIVEN TO A SUB-COMMITTEE OF AMH'S AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW. THEREAFTER, THE SUB COMMITTEE OF THE AUDIT AND COMPLIANCE COMMITTEE OF AMH REVIEWS AND MAKES DECISIONS ON HOW TO HANDLE CONFLICTS OF INTEREST AND ASSOCIATED MITIGATING BEHAVIOR TO BE TAKEN BY THE ORGANIZATION IF APPLICABLE. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES ABINGTON MEMORIAL HOSPITAL ("AMH"). THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER AND VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER AND VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER AND VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. 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 AND FOR THEIR POSITION WITHIN THE ABINGTON HEALTH AND AFFILIATES INTEGRATED HEALTHCARE DELIVERY SYSTEM; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. AUDITED FINANCIAL STATEMENTS CORE FORM, PART XI; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS ABINGTON HEALTH. AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM 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. AMH'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. 2009 BOND ISSUE SCHEDULE K, PART I; COLUMN C THE FOLLOWING ARE CUSIP NUMBERS FOR THE 2009 BOND ISSUANCE: 613604VH7; 613604VJ3; 613604VK0; 613604VL8; 613604VM6; 613604VN4; 613604VP9; 613604VQ7; 613604VR5; 613604VS3; 613604VT1; 613604VU8 AND 613604VV6. TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V; QUESTION 2 AFFILIATES ARE GENERALLY CHARGED COST FOR SERVICES RENDERED. ABINGTON HEALTH FOUNDATION 1200 OLD YORK ROAD ABINGTON PA 19001 232188052 FUNDRAISING PA 501(C)(3) 509(A)(1) AH LANSDALE HOSPITAL CORPORATION 100 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 263359979 HEALTH SVCS. PA 501(C)(3) HOSPITAL AH ABINGTON HEALTH 1200 OLD YORK ROAD ABINGTON PA 19001 271243803 SUPPORTING PA 501(c)(3) 509(A)(3) NA false false true true false false false false false false false false false false false false false false ABINGTON HEALTH FOUNDATION C 402405 LANSDALE HOSPITAL CORPORATION D 700771