2011-05-12T08:18:20-05:00 2010-06-30 990 2009-07-01 232826045 Jeanes Hospital JEAN 2157283306 3509 N Broad Street No 936 Philadelphia PA 19140 Gerald P Oetzel 2157283306 2011-05-12 2009 2016-02-24 21:20:13Z Gerald P Oetzel 3509 N Broad Street No 936 Philadelphia PA 19140 160252195 0 X www.jeanes.com X 1996 PA In furtherance of the mission of Temple University Health System, the mission of Jeanes Hospital is to maintain and enhance the quality of life for individuals in the communities we serve. We emphasize the Quaker belief that in each person there resides a spirit that creates a common bond among us all. Our health care services include maintenance and enhancement of health, which quickens the spirit and enhances the vitality of our lives. 7 6 1276 285 150237 0 170196 504851 140859996 149596971 1421666 680678 -1174545 4034061 141277313 154816561 8400000 4000000 0 65353058 72371528 0 0 73512678 77144577 147265736 153516105 -5988423 1300456 131668057 132376365 79642228 83765765 52025829 48610600 Jeanes Hospital's mission statement, as approved by its board of directors and executiveship is:In furtherance of the mission of Temple University Health System, the mission of Jeanes Hospital is to maintain and enhance the quality of life for individuals in the communities we serve. We emphasize the Quaker belief that in each person there resides a spirit that creates a common bond among us all. Our health care services include maintenance and enhancement of health, which quickens the spirit and enhances the vitality of our lives. 0 0 18797000 0 19319000 The Cardiovascular program at Jeanes Hospital provides healthcare servicesaimed at preventing, diagnosing, and treating cardiovascular diseases. Cardiovascular diseases are the leading cause of death in the United States. The services provided by Jeanes Hospital target the full range of conditions related to the heart and vascular system, including congestive heart failure, hypertension, and narrowing of the arteries and peripheral disease. The services are provided to both inpatients and outpatients.Cardiovascular services at Jeanes Hospital span the continuum of heart care. Included are open heart surgery, diagnostic and interventional cardiac catheterization, electrophysiology studies, stress testing, echocardiograms, IKGs, holter monitor tests and cardiopulmonary rehab. The hospital's vascular services provide both open and closed vascular procedures in surgery, cath lab and vascular lab. 11256000 0 13525000 Gastroenterology/Digestive Disease. Jeanes Hospital gives patients the most advanced, safest and proven medical and surgical treatments primarily focused on the gastrointestinal tract. The services offered by Jeanes Hospital under this specialty are: surgical weight loss, colorectal surgery, nutritional counseling, and gastroenterology and hepatology services aimed at treating patients with disorders of the esophagus, liver, gall bladder and stomach. Services are provided to both inpatients and outpatients. 8753000 0 10065000 Pulmonary. Jeanes Hospital provides comprehensive pulmonary complex medical and rehabilitation programs for patients with acute and chronic pulmonary conditions. Services provided range from inpatient ventilation management and weaning, to outpatient pulmonary rehabilitation delivered by an interdisciplinary team of highly trained and board certified pulmonologists, respiratory therapists and nurses. 92436786 4000000 106687971 In concert with cardiovascular, digestive and pulmonary services at Jeanes Hospital, a full continuum of additional services creates a comprehensive medical and surgical center for our community and its physicians. Services range from diagnostic to therapeutic, medical to surgical, and outpatient to critical care. Here is a roster of some of the more prominent services at Jeanes Hospital: General Medicine consists of diagnosis, management and non-surgical treatment of disease processes. Emergency Services are available to the community 24 hours a day for patients who suffer illness or injury. We have a full range of ambulatory diagnostic testing, including path lab services and radiology. Diagnostic imaging services include general X-ray, digital mammography, ultrasound, MRI, CT, interventional imaging and nuclear medicine. Advanced technology MRI, CT and PET scanning are available at Jeanes Hospital for critical diagnoses. Services, both medical and surgical, are available for disorders of the ears, nose, throat and eyes. Women's health services at Jeanes Hospital include screening and diagnostic digital mammography, ultrasound services, breast surgery, fertility services and a compendium of gynecological surgical services. Orthopaedics at Jeanes Hospital ranges from conservative treatment to high acuity surgery. Surgery includes tertiary-level joint replacement procedures and rehab, and spine procedures. Neurosurgery services at Jeanes Hospital offers an alternative to orthopaedics for spine surgery patients. General surgery encompasses an array of interventional procedures for our patients, including oncologic, vascular, gastrointestinal, bariatric surgeries, etc. In step with surgical trends, Jeanes Hospital offers more and more minimally-invasive alternatives such as laparoscopic surgery. Dermatology and plastic surgery both have a full-time presence at Jeanes Hospital. Anesthesiologists on the Jeanes Hospital medical staff offer a formal pain management program for chronic pain patients, including interventional procedures. A hospitalist program was established at Jeanes Hospital, allowing physicians to rely on specially trained inpatient coverage while tending to their practices more efficiently. Additional services include urology, nephrology, neurology, infectious disease, psychiatry and psychology, podiatry, rheumatology, and endocrinology. 92436786 4000000 106687971 131242786 1 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 1 88 0 1 1276 1 1 1 0 0 0 0 0 0 0 0 7 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X X Gerald P Oetzel 2157283306 3509 N Broad Street No 936 Philadelphia PA 19140 Joseph Evans 2.00 X X 0 0 0 Francis Devlin 2.00 X 0 0 0 R Thomas Unkefer 2.00 X 0 0 0 Carol-Ashton-Hergenhan 2.00 X 0 0 0 David G Kraynik 2.00 X 0 0 0 Edmond F Notebaert 2.00 X 0 2583333 0 Dr Thomas L Lewis 2.00 X 0 0 0 Linda J Grass 50.00 X X 296961 0 11381 Beth C Koob 2.00 X 0 383115 52785 Sharon J Anderson 41.20 X 55804 0 14630 Betty McAdams 1.00 X 0 90217 13750 Gerald P Oetzel 50.00 X X 217698 0 25153 Robert H Lux 2.00 X 0 458041 53686 Thomas AK Queenan 2.00 X 0 194823 35837 Andrea McCoy 50.00 X 234923 0 24982 Denise Frasca 50.00 X 157707 0 21311 Stephanie Kao 40.00 X 196903 0 9604 Khang Pham 47.80 X 173095 0 7751 Richard Creech 40.00 X 363463 0 0 John Woodward 40.00 X 171344 0 0 Frank Shipp 50.00 X 156300 0 13267 Joseph W Marshall III 0.00 X 0 421968 25876 2024198 4131497 310013 68 1 1 0 Temple University Health System 3509 N Broad Street Room 936 Philadelphia PA 19140 Related organization services 10217317 Siemens Medical Solutions USA P O Box 7777 W3580 Philadelphia PA 19175 IT equipment service maintenance 3890173 Temple University Hospital 3509 N Broad Street Room 936 Philadelphia PA 19140 Faculty support, lab 2037682 Executive Health Resources CSS PC 7032 Collection Center Drive Chicago IL 60693 Clinical staffing 1546867 Fox Chase Anesthesiology Associates PC 7600 Central Avenue Philadelphia PA 19111 Anesthesiology 1351341 31 874 141294 58774 303909 68361 504851 Net patient service re 900099 145211224 145067159 144065 Rental income 532000 3837964 3837964 Cafeteria income 722210 413864 413864 Service revenue 900099 133919 132769 1150 149596971 305059 305059 85808 12162 73646 73646 73646 5799091 5423472 375619 375619 375619 Income from other invs 523000 3539286 5022 3534264 Snack shop income 722210 364605 364605 Commissions from phone 517000 56484 56484 40 40 3960415 154816561 149451756 150237 4709717 4000000 4000000 1103945 706151 397794 57098881 48705522 8393359 1384440 1068511 315929 8705052 6806275 1898777 4079210 3147816 931394 7470796 7470796 -366802 -366802 212211 212211 16992859 11024352 5968507 10850 3616 7234 26317924 24931233 1386691 94559 72981 21578 1293623 1005517 288106 53869 45613 8256 18934 7036 11898 2359808 2388793 -28985 7743418 5990266 1753152 5084946 5084946 Equipment Repair/Mainte 3792878 2992142 800736 Bad Debt 2999000 2999000 Taxes 2709830 2704823 5007 355874 87397 268477 153516105 131242786 22273319 0 2927716 4124610 26334200 27140884 3819650 3761302 1254986 1152512 144462343 111102085 38922432 33360258 14929452 18392449 6847881 7163425 36631740 37280925 131668057 132376365 33473181 37819511 54523 51558 142349 143204 1195377 968305 44776798 44783187 79642228 83765765 X 38869184 34637761 275181 271930 12881464 13700909 52025829 48610600 131668057 132376365 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 12963338 1646133 826251 13783220 16733256 -2840933 928985 12963338 0.00000 1.00000 0.00000 1 0 25275 25275 1694471 88136965 69632278 20199158 318 299 19 51283970 38821242 12462728 3321344 2648266 673078 33360258 TIFF Absolute Return Pool II 7163425 F 7163425 Jeanes Physicians' Office Building Partnership 887900 GMO Forestry Fund 6b, LP 231713 Private Advisors Distressed Opportunities Fund, LP 1132337 Private Advisors Small Company Buyout Fund II, LP 1706688 Peak Select Partners, LP 1701104 Sanderson International Value Fund 4764434 FCOI II Holdings, LP 3149659 Forester Partners, LP 5356804 MREP 2008 Distressed Co-Investment Fund, LP 614838 Commonwealth DCED grant and accumulated interest 124 Self insurance asset TU malpractice 1176202 Self insurance asset TU Workers' Compensation 2182749 Jeanes P.O.B. Debt Service Reserve Fund 256484 Assets Limited As To Use -- Other, General 156003 Assets Limited As To Use -- Temporarily Restricted Funds 238070 Assets Limited As To Use -- Permanently Restricted Funds 75000 Assets Held in Trust -- Anna T. Jeanes Trust 11840280 Assets Held in Trust -- Maude E.M. Boggs Trust 1559697 Assets Held in Trust -- Edith Scot Paschall Trust 200118 Assets Held in Trust -- John E. Holcomb Trust 25314 Cash value of life insurance policy 25407 37280925 Long-term debt, inter-company 40488020 Estimated retoactive adjustment, third party payers 1969252 Due to affiliated companies 2325791 Interest on DCED grant, payable to Commonwealth 124 44783187 Part IV, Line 2b: Jeanes Physicians' Office Building Partnership established with Jeanes Hospital an escrowed vacancy reserve fund to secure partnership obligations under a reimbursement and indemnification agreement. Part V, Line 4: Description of Intended Use of Endowment Funds: Use of the endowments will vary depending on the nature of the restrictions imposed by the donors. If an endowment is restricted as to purpose, the organization will use the endowment for the permitted purpose. If the endowment is restricted as to time, the organization draws income but accumulates principal. 1 1 X 1 X 1 X 1 1 0 0 1617 2196751 0 2196751 0.01460 12910 18901073 14351328 4549745 0.03020 14527 21097824 14351328 6746496 0.04480 72734 285 72449 0.00050 1120698 361212 759486 0.00500 0 0 1193432 361497 831935 0.00550 14527 22291256 14712825 7578431 0.05030 28235 4757 23478 0.00020 28235 4757 23478 0.00020 1 2999000 359880 32105789 35144019 -3038230 X 1 1 Jeanes Hospital

7600 Central Avenue Philadelphia PA 191112442

X X X X Home health care Part I, Line 3c: N/A Part I, Line 7: A ratio of cost to charges derived from Worksheet 2 was used in determining the amounts reported on Part I, lines 7a through 7d. The amounts are reported at cost and include both direct and indirect costs. Direct costs include salaries, employee benefits, supplies, and other costs that are directly attributable to the services. These direct costs would not exist if the service or program did not exist. Indirect costs are expenses not directly attributable to the service or programs but are included in the calculation of costs for total charity care and means-tested government programs. These costs include but are not limited to human resources, finance departments, insurance, support departments and overhead expenses.$2,999,000 of bad debt expense included on Form 990, Part IX, line 25, column (a) was subtracted for purposes of calculating the percentages in Schedule H, Part I, column (f). Part I, Line 7f: $2,999,000 of bad debt expense included on Form 990, Part IX, line 25, column (a) was subtracted for purposes of calculating the percentages in Schedule H, Part I, column (f). Part III, Line 4: The ratio of cost to charge method is used in determining the amounts reported on lines 2 and 3. The amounts on lines 2 and 3 are reported at cost and include both direct and indirect costs. Direct costs include salaries, employee benefits, supplies, and other costs that are directly attributable to the service and that would not exist if the service or program did not exist. Indirect costs are costs not attributed to the services or programs that are included in the calculation of costs for community benefit. These costs include but are not limited to human resources, finance departments, insurance, support departments and overhead expenses. Part III, Line 8: As a response to efforts to improve the health and quality of life of people living in the community, Jeanes Hospital provided $3,038,230 in unreimbursed services to patients enrolled in Medicare programs. Jeanes Hospital believes that the Medicare shortfall of $3,038,230 should be treated as a communuity benefit since it has a clear mission to serving and improving the health status of the elderly. Today, approximately 70% of all patients treated at Jeanes Hospital are over the age of 65 and if Jeanes should cease to exist, this shortfall would have to be absorbed by another hospital provider in the Jeanes community. In addition, Jeanes Hospital is designated as a Medicare Disproportionate Share Hospital (DSH). DSH hosopitals are "safety net" hospitals because they serve predominantly low-income communities and have a substantial number of Medicare patients that also qualify for Medicaid coverge. The associated costs with providing care to these patients are frequently not covered by government sponsored programs. Part III, Line 9b: Jeanes Hospital's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for charity care. If an account does not qualify for charity care or qualifies for only a charity care discount, the normal billing process of four (4) statements over a span of at least 120 days will occur. If no patient response is received, a write-off request form will be completed by the collection specialist and submitted for proper signature authority for agency referral. Once approved, the account will be transferred to the Bad Debt Financial Class log. The account will be forwarded to the collection agency for additional collection effort. Part VI, Line 2: In assessing community needs, Jeanes Hospital uses comprehensive sets of internal and external data sources. Externally, we rely largely on health data compiled by federal, state, city and community-based health organizations, including the following:. Community health assessment survey results from the Public Health Management Corporation (PHMC), including data on chronic health conditions, adult asthma, arthritis, diabetes, blood pressure, cholesterol, mental health, smoking, adult obesity, exercise, colonoscopies and PAP exams, mammograms and clinical breast exams.. Disease rate data from the United States Center for Disease Control;. Market data and quality assessments from the Pennsylvania Health Care Cost Containment Council (PHC4);. Philadelphia Department of Public Health, including the Philadelphia Vital Statistics Report, the Philadelphia Vital Statistics Report by Census Tract and Zip Code Report; the annual Health Center Service Area Report; and the Taking Philadelphia's Temperature report.. Medpar data from the Centers for Medicare and Medicaid Services (CMS);. Care Science Quality Manager from Premier, and. Other data from the Pennsylvania Department of Health,Delaware Valley Healthcare Council, etc. Internally, we rely on the following sources:. Collaboration of Medical School and Hospital leadership;. Consensus discussion with key clinical providers;. Performance Improvement , Risk Management and Patient Safety outcomes;. Historic, service line specific utilization data, and. Organizational community risk assessments (Infection Control, Environment of Care, Emergency Management, Fire Safety Management, Disaster Response).In addition to data sources, we have had assembled a community advisory board for the past two decades that reflects the needs and opinions of our service area. That board meets quarterly and they are used on an ad-hoc basis to represent the community we serve. Also, Jeanes Hospital launched a new "speakers' bureau" seminar series, which gives us the opportunity to survey hundreds of neighbors regarding health topics they are most interested in. Part VI, Line 3: The Financial Counselors assigned to Jeanes Hospital screen all uninsured and underinsured patients (including those with high deductibles and co-pays) who are hospitalized or require elective outpatient hospital services to determine their eligibility for government funded medical insurance coverage such as Medicaid, CHIP, and Adult Basic. Patients that meet the qualifications for these programs are assisted by financial counseling staff throughout each step of the application process. Medicaid applications are submitted by Jeanes Hospital on the patients' behalf and tracked until final determination. Patients who do not qualify for government-funded programs are screened for Temple University Health System's Charity Care/Self Pay program to determine their eligibility for free or reduced cost care. Temple's Charity Care/Self Pay discounting policy is not restricted to Emergency Department patients, but is available to inpatients and outpatients as well.Patients who contact the Hospital's Business Office concerning bills they have received that they cannot afford to pay are also screened for Charity Care eligibility. The Financial Counseling Staff at Jeanes Hospital also offers assistance in obtaining supplemental coverage as well as prescription drug benefits. Patients are informed of Temple's Financial Services, and direction on how to access these services, through the following means:Posters in plain view at inpatient, outpatient and emergency registration areas and billing offices;Patient discharge summaries, billing invoices and vendor collection notices; Hospital website. Part VI, Line 4: Jeanes Hospital's service area consists of the following zip codes: 19027, 19111, 19115, 19116, 19120, 19124, 19135, 19136, 19149 and 19152. This is an area with a high percentage of poor and undereducated population.A. Population and Population GrowthThe total population in Jeanes' service area has declined over the past decade and is projected to slightly increase by 0.1% from 2010 to 2015. In contrast, the total U.S. population has grown over the past decade, and is projected to grow by 4.1% over the next five years. B. Age DistributionApproximately 25% of the total population within Jeanes' service area is under the age of 18, 4% less than the overall average for the United States (24%). 21% of the Jeanes service area population is age 18-34, 8% less than the national average of 23%. 38% of the Jeanes service area population is age 35-64, consistent with the national average. 15% of the Jeanes service area population is over 65 years old, which is 11% higher than the national average of 13%.The average age of the Jeanes service area is projected to increase slightly over the next five years. Under 18 population is projected to increase by only 0.1% from 2010 to 2015. The 65 and over population is projected to increase from 61,949 in 2010 to 64,704 in 2015, a projected increase of 4%.C. Education LevelIn 2010, the population in the Jeanes service area consisted of 58% with high school education or less, a rate approximately 32% higher than the national average of 44%. The Jeanes service area population consists of 42% with education beyond high school, approximately 25% lower than the national average of 56%.D. Unemployment and Household IncomeUnemployment In Jeanes' service area, 6.8% of the total population was unemployed in 2010, compared to the national unemployment rate of 9.7%.Household IncomeApproximately 57% of households in the Jeanes service area earn less than $50,000 per year, approximately 19% greater than the national average of 48%. 43% of Jeanes service area households earn over $50,000 per year, which is approximately 17% lower than the national average of 52%.E. Population Below Federal Poverty LevelBased upon the 2000 US Census data, there are 3 out of the total 10 zip codes within the Jeanes service area that the percentage of population living under the Federal poverty level is greater than the national level of 12.4%.F. Race/EthnicityIn Jeanes' service area, 57% of the total population is White, approximately 13% lower than the national level of 65%. Black are the second largest population in Jeanes' service area, comprising 19% of the population, compared to the national average of 12%. The percentage of Hispanics is consistent with the nation level of 16%. Asian & Pacific is approximately 7% of the total population, 59% greater than the national average of 4.5%.G. Payer Mix in 2009Approximately 67% of people in the Jeanes service area are covered by either Medicaid or Medicare; 31% for Medicaid and 36% for Medicare. This represents approximately 96% higher than the national average of 16% for Medicaid, and approximately 153% higher than the national level of 14% for Medicare. Part VI, Line 5: Jeanes Hospital engaged in a number of community building activities during the fiscal year. These activities included the following:Blood Drives. Jeanes Hospital worked closely with the American Red Cross to support its mission of providing a safe and reliable blood supply that helps ensure quality outcomes and save lives. Jeanes helped collect 236 pints of blood. Related net expense: $20,529.Haiti Relief. Jeanes Hospital collected 50 pairs of crutches and 20 walkers to send to Haiti after the earthquake. Jeanes also raised $4,757 in cash to support victims. The cash assistance was divided equally between the American Red Cross and Partners-In-Health. The latter is an organization of medical professionals who were in Haiti working to treat the sick and injured victims of the earthquake. Related expense, net of the cash raised: $1,445.Other Activities. Related net expense: $1,004. These activities included: School supplies collection for Feast of Justice St. John's Community Food Cupboard;Provision of educational materials at the Annual National Night Out with the Fox Chase Town Watch;Children's books collection for Fair Hill Neighborhood Schools;Food and gifts collection for Feast of St. John's Community Food Cupboard;Participation in Cheltenham/Rockledge Rotary Club's rose sale for the benefit of the Rotary's Polio Plus program;Provision of educational materials at a 2009 tournament hosted by Cheltenham Little League;Sponsorship of Delaware Valley Stroke Council's 2010 Strides for Stroke Walk/Run;Participation in Susan G. Komen Annual Breast Cancer Race for the Cure;Toys collection in support of the U.S.M.C.'s Toys for Tots program;Gifts collection for families from local church communities;Gifts collection for residents of the Philadelphia Protestant Home;Gifts collection for needy children, in support of the Salvation Army's Angel Tags program. Part VI, Line 6: Jeanes Hospital is a nonprofit corporation whose mission is to be the destination for all who need ambulatory, inpatient acute, surgical and home care in Northeast Philadelphia and surrounding areas, by combining the compassionate nature of a Quaker-founded community hospital with the advanced capabilities of an academic medical center. Jeanes Hospital achieves this by espousing the following ideals: Create an extraordinary experience for everyone who enters our facilities for any reason; provide equal access to care for patients without regard to race, creed, religion, color, national origin, sex, sexual preference or ability to pay; make safety and continuous quality improvement a primary endeavor; promote the basic values of our Quaker heritage, to include kindness, equality and peace; combine the individual strengths of our hospital, medical staff, and health system; devote manpower and budgetary resources to provide health screenings, vaccinations and health education opportunities to our community; ensure that emotional, cultural and spiritual needs are met; provide a work environment that attracts, retains and develops the best employees; maintain a position of leadership in our community; value the wisdom of our board members, community and foundation liaisons, physician leaders and volunteers; use evidence-based research to understand the health needs of our community and respond accordingly, and espouse the core principles and stated values of the Temple University Health System.In addition to open medical staff, community board and reinvesting, Jeanes Hospital promotes the health of the community via: Free educational opportunities for the community An arrangement with a diabetes education organization to offer on- campus education recognized by the American Diabetes Association Quality programs that produce safer health care provisions, evidenced by: Safety discussions first on every agenda Center of Excellence status in Bariatric surgery Applying for Center of Excellence in Orthopaedics 100% compliance with stroke core measures Compliance with "National Patient Safety Goals" Measurable reductions in: Clostridium Difficile Central line associated blood stream infections Pressure ulcers Use of restraints Expense management and supply chain initiatives helping maintain vigilance in cost containment, including energy deregulation provisions and waste stream monitoring Conducting a semi-annual health needs assessment survey and a bi-annual consumer awareness survey Maintaining a rigorous home health program despite economic hardship Construction of a quarter-mile walking trail for employee and community wellness, with a growing "workplace wellness" initiative for employees, volunteers and doctors. Part VI, Line 7: Temple University Hospital is a member of the Temple University Health System, Inc. (TUHS). Consistent with its mission to provide access to the highest quality of health care in both the community and academic setting, Temple University Hospital supports Temple University and its Health Sciences Center academic programs by providing the clinical environment and service to support the highest quality teaching and training programs for health care students and professionals, and to support the highest quality research programs. The missions of other members of the Temple University Health System similarly advance the health system's goals, as follows: Jeanes Hospital's mission is to maintain and enhance the quality of life for individuals in the communities it serves; the Temple Health System Transport Team, Inc.'s mission is to provide the highest level of critical care transport services available in the mid-Atlantic region, and Temple Physicians, Inc.'s mission is to provide the highest quality of clinical care as well as to support the System's clinical, administrative and corporate activities. 1 Temple University Health System 3509 N Broad Street Room 936 Philadelphia PA 19140 232825881 501(c)(3) 4000000 0 N/A N/A General support 1 0 Other Information: Part IV: Grants were made only for tax-exempt purposes to related organizations under common control. Grants are subject to review by the governing bodies and management of the related organizations and the organization which is their common parent. 1 X 1 0 0 0 0 0 0 0 0 Edmond F Notebaert 0 2583333 0 0 0 0 0 0 0 0 0 2583333 0 0 Linda J Grass 290961 0 0 0 6000 0 4779 0 6602 0 308342 0 0 0 Beth C Koob 0 364627 0 0 0 18488 0 32544 0 20241 0 435900 0 0 Gerald P Oetzel 206629 0 0 0 11069 0 9550 0 15603 0 242851 0 0 0 Robert H Lux 0 445346 0 0 0 12695 0 32544 0 21142 0 511727 0 0 Thomas AK Queenan 0 194281 0 0 0 542 0 21098 0 14739 0 230660 0 0 Andrea McCoy 234923 0 0 0 0 0 10857 0 14125 0 259905 0 0 0 Denise Frasca 156406 0 1000 0 301 0 7038 0 14273 0 179018 0 0 0 Stephanie Kao 196903 0 0 0 0 0 8871 0 733 0 206507 0 0 0 Khang Pham 171295 0 0 0 1800 0 2450 0 5301 0 180846 0 0 0 Richard Creech 363463 0 0 0 0 0 0 0 0 0 363463 0 0 0 John Woodward 171344 0 0 0 0 0 0 0 0 0 171344 0 0 0 Frank Shipp 146932 0 6000 0 3368 0 0 0 13267 0 169567 0 0 0 Joseph W Marshall III 0 0 0 70000 0 351968 0 0 0 25876 0 447844 0 0 Part I, Line 4a Joseph W. Marshall, III also served as Chief Executive Officer of Temple University Health System, Inc. and was paid a severance by the Health System upon his termination from that role. His severance payment was $447,844. Krupsha Michael Brother to Sharon J. Anderson, Asst Secretary of Jeanes Hospital 70944 Employee at Jeanes Hospital 0 Lux Kathleen Daughter to Robert H. Lux, Asst Treasurer of Jeanes Hospital 30071 Employee at Jeanes Hospital 0 X Equipment (sleep lab), furniture and furnishings 1 41490 Cost less accumulated depreciation X Equipment (emergency preparedness) 1 26871 Cost less accumulated depreciation 0 1 0 Method for Determining Number of Contributors: Part I, Column (b): Jeanes Hospital is reporting a number (2) of collective contributions from Temple East, Inc., a related organization. Form 990, Part VI, Section A, line 6 The sole member of the organization is Temple University Health System. Form 990, Part VI, Section A, line 7a The member has the power to appoint and remove the organization's Board of Directors. Form 990, Part VI, Section A, line 7b The approval of the member is required for any of the following actions by the organization: a) any dissolution or liquidation; b) any merger; c) any amendments to the Articles of Incorporation; d) any amendments to the Bylaws regarding the member, the number of Directors, quorum or voting requirements; e) the sale, pledge, lease (but only a lease from the organization of substantially all of the organization's real property), or other transfer of the assets of the organization other than transactions occuring in the ordinary course of business; f) any decision resulting in the organization's ceasing to provide appropriate sites for Temple University School of Medicine for comprehensive tertiary acute care services through the organization; g) any decision to merge with, acquire, or enter into an affiliation with medical schools or medical school hospitals other than the University's; h) the deletion of any clinical programs that are needed for the accrediation of Temple University School of Medicine; i) the adoption of the organization's annual capital and operating budgets; j) the issuance or assumption of any indebtedness in excess of Five Hundred Thousand Dollars ($500,000), and k) the execution of any contract providing for the management of the organization. Form 990, Part VI, Section B, line 11 After review by management and outside tax counsel, the 990 and 990-T (if any) are posted to the website of the Secretary's Office. Each Board Member is contacted and provided with the web address. A Board Member without internet access is provided a paper copy to review. The website and paper mailing have an overview of the 990 and 990-T preparation process and internal reviews. Each Board Member is asked to review the 990 and 990-T within 2 weeks and contact the Chief Financial Officer about any questions. In addition to the above process, the Audit Committee is provided a copy and the 990 and 990-T are reviewed at a regularly scheduled meeting. Form 990, Part VI, Section B, line 12c The Office of the Secretary provides each director and officer with copies of the conflicts of interest policy and a disclosure statement to be completed on an annual basis. The Office of the Secretary reviews the completed disclosure statements which are then reviewed in summary format by a committee of the Board of Directors and any recommended actions presented to the full Board of Directors. In addition to completing the annual disclosure statement, directors and officers must disclose potential or actual conflicts on an ongoing basis as matters arise. All disclosures are evaluated and a determination of whether a conflict exists is made by the Board or a committee of the Board. All employees are subject to a conflicts of interest policy that is monitored by the Office of the Secretary. Form 990, Part VI, Section B, line 15 There is a compensation committee that reviews and approves all total compensation of executive / key personnel at Temple University Health System through an evaluation performed by an external compensation expert before the compensation is approved. Form 990, Part VI, Section C, line 19 The Unaudited Internal Financial Statements of the Temple University Health System and certain of its related organizations are distributed and made available to the public at the end of each quarter as per the System's Continuing Disclosure Agreement (Series of 2007 Bond Issue) through the Digital Assurance Corp (DAC), the Municipal Services Reporting Board's EMMA disclosure site and the Health System's financial web site. The Annual Audited Financial Statements are also released to the public in the same manner. To the extent required by applicable law, the organization makes its governing documents available to the public upon request. Form 990 Part VII, Column (B): Average hours per week Certain directors and officers of the organization who are listed on Form 990, Part VII also serve as directors or officers of related organizations. Each director and officer who is a volunteer typically works a total of 2 hours per week for the organization and related organizations. Each director, officer, key employee, or other person listed on Form 990, Part VII who is an exempt full-time employee of the organization or a related organization typically works a total of 50 hours per week for the organization and related organizations. Community Benefit Report Jeanes Hospital is a nonprofit corporation whose mission is to be the destination for all who need ambulatory, inpatient acute, surgical and home care in Northeast Philadelphia, eastern Montgomery County and southern Bucks County, by combining the compassionate nature of a Quaker-founded community hospital with the advanced capabilities of an academic medical center. Jeanes Hospital achieves this by espousing the following ideals: Create an extraordinary experience for everyone who enters our facilities for any reason; provide equal access to care for patients without regard to race, creed, religion, color, national origin, sex, sexual preference or ability to pay; make safety and continuous quality improvement a primary endeavor; promote the basic values of our Quaker heritage, to include kindness, equality and peace; combine the individual strengths of our hospital, medical staff, and health system; devote manpower and budgetary resources to provide health screenings, vaccinations and health education opportunities to our community; ensure that everyone's emotional, cultural and spiritual needs are met; provide a work environment that attracts, retains and develops the best employees; maintain a position of leadership in our community; value the wisdom of our board members, community and foundation liaisons, physician leaders, and volunteers; use evidence-based research to understand the health needs of our community and respond accordingly, and espouse the core principals and stated values of the Temple University Health System. Jeanes Hospital has 176 licensed beds, providing a comprehensive range of medical, surgical, emergency and outpatient services. It has been a member of the Temple University Health System since 1996, and therefore is home to several Temple physician practices, high acuity tertiary-level surgical services like heart surgery and spine surgery, and specialty departments such as bone marrow transplantation. Jeanes Hospital's service area includes the following zip codes: 19111, 19152, 19149, 19120, 19115, 19012 comprise the hospital's primary service area; 19124, 19136, 19116, 19126, 19114, 19154, 19006, 19027, 19046, 19095 comprise the hospital's secondary service area; and 19001, 19038, 19040, 19090 comprise the hospital's target growth areas. Of these zip codes, seven of them present Jeanes Hospital with 24% to 49% Medical Assistance in their payer mix. Jeanes Hospital's notable achievements in recent years include: 2010 Surgical Review Corp. "Center of Excellence" for bariatric surgery, in conjunction with the American Society for Metabolic and Bariatric Surgery; 2010 Independence Blue Cross "Blue Distinction Center" for cardiac care, bariatric surgery and spine surgery; American Heart Association / American Stroke Association's "Get With the Guidelines" Gold-Plus level distinction; Joint Commission Certified Primary Stroke Center; 2008 Hospital of Choice Award from the American Alliance of Healthcare Providers for outstanding customer service delivery (one of ten nationwide); 2008 PA Department of Community and Economic Development Grant for $20,000 to complete the Jeanes Community Walking Trail project; 2007 Spirit of Excellence Award from Penn-Jersey Region American Red Cross for Donor Recruitment and Outstanding Leadership; 2006 VHA Leadership Award for Clinical Excellence; 2005 VHA Certificate of Excellence for ICU; 2005 DVHC Medication Safety Award; 2005 Press Ganey Success Story for achieving 98th percentile in physician satisfaction, and Two 2003 Press Ganey Compass Awards for patient satisfaction (inpatient and emergency). Jeanes Hospital has a robust community outreach endeavor year after year, including but not limited to: Community Classroom, providing free community education seminars with physician faculty, focusing on health, wellness and safety topics; Jeanes Community Grant, awarding funds to service area non-profits for champion programs in health, wellness and safety; Quarterly blood drives for the American Red Cross, open to employees, medical staff and community; A vital volunteer program that gives teenagers and the elderly opportunities to part of the Jeanes Hospital mission, saving the hospital roughly $800,000 a year in employee expenses to help keep health care costs down; An active committee to heighten awareness of the multi-cultural diversity in our service area, and the opportunities that provides in the application of service excellence; A walking trail with exercise equipment, that is open 24/7 for everybody's wellness opportunities, including employees, patients and the community-at-large; Annual Senior Health Care & Fire Prevention Presentation, in concert with other local organizations; Various niche programs, including Jeanes Arthritis Group, Jeanes Hospital Bereavement Support Group, Jeanes Annual Prostate Cancer Screening, and more, and Various employee-driven altruistic initiatives, including food drives, clothing drives, book drives, toy drives, disaster relief drives, etc. Temple University Of The Commonwealth System of Higher Education 300 Sullivan Hall 1330 W Berks Stre Philadelphia PA 19122 231365971 Education PA 501(c)(3) Line 2 N/A Temple University Health System Inc 3509 N Broad Street 9th Floor-TUCMC Philadelphia PA 19140 232825881 Health Care PA 501(c)(3) Line 11a, I N/A Temple University Health System Foundation Inc 3509 N Broad Street 9th Floor-TUCMC Philadelphia PA 19140 232916108 Health Care PA 501(c)(3) Line 11a, I N/A Temple University Hospital Inc 3509 N Broad Street 9th Floor-TUCMC Philadelphia PA 19140 232825878 Health Care PA 501(c)(3) Line 3 N/A Jeanes Hospital Auxiliary 7600 Central Avenue Philadelphia PA 19111 231917776 Health Care PA 501(c)(3) Line 9 Temple East Inc 3509 N Broad Street 9th Floor-TUCMC Philadelphia PA 19140 232547305 Health Care PA 501(c)(3) Line 11a, I N/A Temple East Real Estate Inc 3509 N Broad Street 9th Floor-TUCMC philadelphia PA 19140 201776524 Health Care PA 501(c)(3) Line 11a, I N/A Temple Physicians Inc 3509 N Broad Street 9th Floor-TUCMC Philadelphia PA 19140 232790607 Health Care PA 501(c)(3) Line 9 N/A Temple Health System Transport Team Inc 3509 N Broad Street 9th Floor-TUCMC Philadelphia PA 19140 755084023 Health Care PA 501(c)(3) Line 9 N/A Episcopal Hospital 3509 N Broad Street 9th Floor-TUCMC Philadelphia PA 19140 231365351 Health Care PA 501(c)(3) Line 11a, I N/A Greater Philadelphia Health Services III Corp dba Temple Continuing Care 3509 N Broad Street 9th Floor-TUCMC Philadelphia PA 19140 232989581 Health Care PA 501(c)(3) PF N/A Anna T Jeanes Foundation 7600 Central Avenue Philadelphia PA 19111 232203406 Health Care PA 501(c)(3) Line 11c, III-FI N/A TUHS Insurance Company LTD 3509 N Broad Street 9th Floor - TUC Philadelphia PA 19140 Malpractice Insurance BD N/A Fortress Properties Trust co Fortress Properties Inc 3 Village Road Suite 100 Horsham PA 19044 266241201 Trust for the benefit of Temple University Hospital, Inc. PA N/A T 1 1 1 0 0 1 1 0 1 0 1 1 1 1 1 1 0 1 Jeanes Hospital Auxiliary A 943 Jeanes Hospital Auxiliary C 50547 Jeanes Hospital Auxiliary M 0 Jeanes Hospital Auxiliary P 74787