2022-05-16T09:37:17-05:00 2021-06-30 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2020-07-01 231352174 DOYLESTOWN HOSPITAL % ELIZABETH SEEBER DOYL 2153452242 595 WEST STATE STREET DOYLESTOWN PA 18901 ELIZABETH SEEBER CFO 2153452484 2022-05-12 true ELIZABETH SEEBER 000000000 Scott J Mariani P00642486 9738989494 2022-05-12 2 2020 2022-09-23 18:48:47Z JAMES L BREXLER FACHE 595 WEST STATE STREET DOYLESTOWN PA 18901 371914445 false X WWW.DOYLESTOWNHEALTH.ORG X 1923 PA DOYLESTOWN HEALTH SYSTEM ("SYSTEM") CONTINUOUSLY IMPROVES THE QUALITY OF LIFE AND PROACTIVELY ADVOCATES FOR THE HEALTH AND WELL BEING OF THE INDIVIDUALS WE SERVE. 21 16 3297 517 0 0 18257839 23670814 299557295 336780600 4568189 6753041 4160981 4709990 326544304 371914445 130241 122173 0 0 156728997 169383477 0 0 0 159728543 176719485 316587781 346225135 9956523 25689310 514208069 589210227 399021475 439155630 115186594 150054597 X DOYLESTOWN HEALTH SYSTEM ("SYSTEM") CONTINUOUSLY IMPROVES THE QUALITY OF LIFE AND PROACTIVELY ADVOCATES FOR THE HEALTH AND WELL BEING OF THE INDIVIDUALS WE SERVE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. true false 240944004 122173 336780600 EXPENSES INCURRED IN PROVIDING EMERGENCY AND MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 240944004 true true false true false false false false false true true false true true true true false true false false false false false false false false true true true false true true false false false false false false false false true false false false false false false true true true false false true X 977 1 true 3297 true false false false false false false false false false false true false X 21 16 false false false false true true true true true false false true true true true true true true true true true PA X ELIZABETH SEEBER 2153452484 595 WEST STATE STREET DOYLESTOWN PA 18901 X SCOTT S LEVY MD DIRECTOR - VP & CMO 55.0 0.0 X X 2120745 0 28254 JAMES L BREXLER FACHE DIRECTOR - PRESIDENT & CEO 55.0 0.0 X X 1044776 0 214354 RICHARD D LANG VP & CHIEF INFORMATION OFFICER 55.0 0.0 X 893484 0 46098 JOHN B REISS JD VP & GENERAL COUNSEL 55.0 0.0 X 603910 0 10972 DANIEL L UPTON VP & CFO (RETIRED 02/2021) 55.0 0.0 X 544052 0 27997 BARBARA A HEBEL VP & CHIEF HUMAN RES. OFFICER 55.0 0.0 X 454119 0 28694 ELEANOR WILSON RN MSN MHA FORMER OFFICER 0.0 0.0 X 428187 0 12537 PATRICIA A STOVER RN DIRECTOR - VP & CNO 55.0 0.0 X X 397642 0 10985 SHERI PUTNAM VP STRATEGIC INITIATIVES 55.0 0.0 X 372253 0 8308 LAURA K WORTMAN VP & CHIEF DEVELOPMENT OFFICER 55.0 0.0 X 339154 0 31533 MARY ELLEN PELLETIER MD DIRECTOR 55.0 0.0 X 0 304787 34601 MATTHEW F COSTELLO SENIOR EXEC DIR HOSPITAL OPS 55.0 0.0 X 298768 0 21158 MARIA SANTANGELO EXEC DIR - PINE RUN COMMUNITY 55.0 0.0 X 267838 0 13646 STEVEN DAY JR DIRECTOR - RISK SERVICES 55.0 0.0 X 235904 0 32303 ELIZABETH SEEBER VP & CFO (EFF. 02/2021) 55.0 0.0 X 224968 0 26706 JOHN MITCHELL VP, CARDIOVASCULAR & SURG SVCS 55.0 0.0 X 228497 0 13746 ANTHONY J PACK PA PHYSICIAN ASSISTANT 55.0 0.0 X 206207 0 32655 KIERAN CODY MD DIRECTOR 5.0 0.0 X 11250 0 0 JOAN PARLEE CHAIR - DIRECTOR 8.0 19.0 X X 0 0 0 BEVERLY HARVEY VICE CHAIR/TREAS - DIRECTOR 6.0 8.0 X X 0 0 0 NICOLE BOYTIN DIRECTOR 3.0 0.0 X 0 0 0 MARIANNE E CHABOT DIRECTOR 3.0 9.0 X 0 0 0 PATRICK COUNIHAN DIRECTOR 3.0 3.0 X 0 0 0 HELEN HAMMES DIRECTOR 3.0 9.0 X 0 0 0 JOYCE HANSON DIRECTOR 3.0 6.0 X 0 0 0 SANDY HOMEL DIRECTOR 3.0 3.0 X 0 0 0 BRIAN MCLEOD DIRECTOR 3.0 0.0 X 0 0 0 CHRISTOPHER NARDO DIRECTOR 3.0 0.0 X 0 0 0 MAE O'BRIEN DIRECTOR 3.0 0.0 X 0 0 0 LILLIAN O'CONNOR DIRECTOR 3.0 3.0 X 0 0 0 PHILLIP PAINO DIRECTOR 3.0 0.0 X 0 0 0 BARBARA ANN PRICE DIRECTOR 3.0 14.0 X 0 0 0 MARGUERITE QUINN DIRECTOR 3.0 0.0 X 0 0 0 FRED SCHEA CPA CMA DIRECTOR 3.0 0.0 X 0 0 0 BEVERLY COLLER CAMPBELL DIRECTOR (TERMED) 3.0 8.0 X 0 0 0 PATRICIA GORSKY DIRECTOR (TERMED) 3.0 3.0 X 0 0 0 CAROLYN KOZAKOWSKI DIRECTOR (TERMED) 3.0 0.0 X 0 0 0 SARA MOYER DIRECTOR (TERMED) 3.0 6.0 X 0 0 0 CORY H SCHROEDER DIRECTOR (TERMED) 3.0 6.0 X 0 0 0 CHRISTINA THOMPSON DIRECTOR (TERMED) 3.0 3.0 X 0 0 0 8671754 304787 594547 181 true true false NORWOOD-MCMANUS II 375 TECHNOLOGY DRIVE MALVERN PA 19355 CONSTRUCTION 19013322 GORSKI ENGINEERING 1 IRON BRIDGE DRIVE COLLEGEVILLE PA 19426 ENGINEERING 3761586 PARLEE TATEM RADIOLOGIC ASSOCIATE PO BOX 892 DOYLESTOWN PA 18901 MEDICAL 3707255 DOYLESTOWN ANESTHESIA ASSOCIATES PO BOX 30 DOYLESTOWN PA 18901 MEDICAL 3497987 MORRISON MANAGEMENT SPECIALISTS 1500 LIBERTY RIDGE DRIVE SUITE 210 WAYNE PA 190875583 DINING/FOOD SERVICE 1875126 57 3689968 19545845 435001 23670814 NET PATIENT SERVICE REVENUE 622110 310524878 310524878 PINE RUN RESIDENT & ENTRY FEES 623110 13965118 13965118 OTHER HEALTHCARE RELATED REVENUE 622110 12290604 12290604 336780600 3078002 3078002 0 0 1264305 1264305 0 1264305 1264305 3675039 3675039 3675039 3675039 0 0 0 0 0 0 0 0 0 CHILDRENS VILLAGE 624410 2214680 2214680 CAFETERIA/DIETARY 722514 1046119 1046119 GARAGE 812930 184886 184886 3445685 371914445 336780600 11463031 X 122173 122173 0 0 0 7290416 5606579 1683837 0 139289142 106860226 32428916 4316577 3447456 869121 7503041 5992341 1510700 10984301 8772667 2211634 189311 122499 66812 163152 105572 57580 582324 376809 205515 19974 19974 0 481286 481286 41497285 27860121 13637164 0 1097010 709851 387159 8512203 5508056 3004147 344674 223031 121643 0 8007930 5181752 2826178 265434 171756 93678 0 47563 30777 16786 9022836 991649 8031187 0 24374139 15225064 9149075 12059871 7803672 4256199 MEDICAL SUPPLIES 53918351 34889357 19028994 0 PATIENT FOOD & NOURISHMENTS 3230271 2090236 1140035 0 DUES,SUBSCRIPTIONS&LICENSES 1445402 935287 510115 0 REPAIRS & MAINTENANCE 699616 452706 246910 0 10760853 6963107 3797746 346225135 240944004 105281131 0 10025 9899 40374939 38395453 558991 558991 33172436 39466611 0 0 0 0 0 0 8294570 9793799 3519126 4447694 622707514 343072759 262733127 279634755 0 0 0 0 145195608 139346519 0 0 20349247 77556506 514208069 589210227 87254465 90311943 0 0 24981133 27818015 196299847 190918924 0 0 0 0 18894408 16255000 0 0 71591622 113851748 399021475 439155630 X 86054384 121409927 29132210 28644670 115186594 150054597 514208069 589210227 X 25689310 5747141 3431552 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 19974 19974 false false SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA 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 $19,974 FOR THE FISCAL YEAR ENDED JUNE 30, 2021. 16950823 16950823 255606110 109731739 145874371 87642384 38614773 49027611 232880550 183643937 49236613 29627647 11082310 18545337 279634755 CASH & CASH EQUIVALENTS 482463 F DOMESTIC FIX INC MUTUAL FUNDS 35365873 F DOMESTIC EQUITY MUTUAL FUDNS 20376629 F INT'L EQUITIES MUTUAL FUNDS 19341838 F INT'L FIXED INC MUTUAL FUNDS 27900634 F ALTERNATIVE INVESTMENTS 6704604 F BENEFICIAL INTEREST IN DHF 28622328 F OTHER INVESTMENTS 552150 F 139346519 DUE FROM AFFILIATED ENTITIES 20361549 RIGHT OF USE ASSET 42216102 OTHER ASSETS 14978855 77556506 0 DUE TO THIRD PARTY PAYORS 50479742 INTEREST RATE SWAPS 13014539 RIGHT OF USE LIABILITY 44836296 OTHER LIABILITIES 5521171 113851748 X SCHEDULE D, PART X AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE FINANCIAL STATEMENTS OF DOYLESTOWN HOSPITAL FOR THE YEAR ENDED JUNE 30, 2021. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2021 THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): A TAX POSITION IS RECOGNIZED OR DERECOGNIZED BY THE CORPORATION BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CORPORATION DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. ALL ORGANIZATIONS ARE AFFILIATES WITHIN THE SYSTEM. THE SYSTEM ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE SYSTEM'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2021 THAT REPORTS THE SYSTEM'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): A TAX POSITION IS RECOGNIZED OR DERECOGNIZED BY THE SYSTEM BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. true true X true X 250. true X true true true false false 1481832 1481832 0.00430 19020847 9765922 9254925 0.02670 20502679 9765922 10736757 0.03100 5291917 359592 4932325 0.01430 254092 254092 0.00070 24284600 12684812 11599788 0.03350 860461 780394 80067 0.00020 37514 37514 0.00010 30728584 13824798 16903786 0.04880 51231263 23590720 27640543 0.07980 true 6516538 1614850 91577566 94327788 -2750222 X true true DOYLESTOWN PET ASSOCIATES LLC MEDICAL SERVICES 0.49 0.51 DOYLESTOWN HEALTH- CARE PARTNERSHIP INTEGRATIVE HEALTHCARE NTWK 0.5 0.5 1 1 DOYLESTOWN HOSPITAL 595 WEST STATE STREET DOYLESTOWN PA 18901 WWW.DOYLESTOWNHEALTH.ORG 300401 X X X 1 DOYLESTOWN HOSPITAL 1 false false true X X X X X X X X X 18 true false true true X WWW.DOYLESTOWNHEALTH.ORG X true 18 true WWW.DOYLESTOWNHEALTH.ORG false true X 250. 400. X X X true true X X X true X WWW.DOYLESTOWNHEALTH.ORG X WWW.DOYLESTOWNHEALTH.ORG X WWW.DOYLESTOWNHEALTH.ORG X X X X X X true X false X X X X X true X false false SCHEDULE H, PART V, SECTION B; QUESTION 5 IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") THE HOSPITAL FACILITY DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE ORGANIZATION. THE ORGANIZATION'S CHNA WAS COMPLETED USING A DATA AND PARTNERSHIP DRIVEN APPROACH TO INFORM ITS DEVELOPMENT. AS PART OF THIS PROCESS, DOYLESTOWN HOSPITAL CONTRACTED WITH PUBLIC HEALTH MANAGEMENT CORPORATION'S ("PHMC") RESEARCH & EVALUATION GROUP ("REG"), TO COLLECT AND ANALYZE DATA, AS WELL AS ENGAGE THE COMMUNITY RESIDENTS AND KEY STAKEHOLDERS SERVING THE COMMUNITY. MULTIPLE DATA SOURCES AND A VARIETY OF DATA COLLECTION METHODS WERE USED TO COMPREHENSIVELY CHARACTERIZE THE POPULATIONS AND INFORM UNDERSTANDING OF COMMUNITY HEALTH NEEDS. DATA SOURCES INCLUDED: - THE 2018 SOUTHEASTERN PENNSYLVANIA HOUSEHOLD HEALTH SURVEY ("SEPA HHS"), THE R&E GROUP DEVELOPED AND HAS FIELDED THE SEPA HHS FOR THE PAST 35 YEARS. THE 2018 SEPA HHS WAS ADMINISTERED TO 7,501 HOUSEHOLDS, USING A RANDOM-DIGIT DIAL PHONE SURVEY METHOD, ACROSS MONTGOMERY, CHESTER, DELAWARE, PHILADELPHIA, AND BUCKS COUNTIES. THE SEPA HHS PROVIDES A UNIQUE AND COMPREHENSIVE SOURCE OF HEALTH-RELATED DATA, SOLELY FOCUSED ON THE SEPA REGION. ADDITIONALLY, THE SEPA HHS OFFERS UNIQUE INSIGHTS INTO THE LOCAL HEALTH AND SOCIAL SERVICES ISSUES AND LANDSCAPES, AND INCLUDES QUESTIONS UNAVAILABLE FROM OTHER SOURCES. IT IS THE PRINCIPAL DATA SOURCE FOR THE ORGANIZATION'S CHNA REPORT. IN-DEPTH SURVEY METHODOLOGY AND ACCOMPANYING DOCUMENTATION CAN BE FOUND AT HTTP://WWW.CHDBDATA.ORG. - 2018 UNITED STATES CENSUS DATA ESTIMATES PROVIDED BY CLARITAS POP-FACTS PREMIER PROVIDED A PICTURE OF THE SOCIOECONOMIC AND DEMOGRAPHIC CHARACTERISTICS OF DOYLESTOWN HOSPITAL'S SERVICE AREA. CENSUS-BASED DEMOGRAPHIC DATA ARE DERIVED FROM 2018 CLARITAS POP-FACTS PREMIER AND PROCESSED BY PHMC. CLARITAS POP-FACTS PREMIER IS A PROPRIETARY DATABASE COMPRISED OF DEMOGRAPHIC DATA ADAPTED FROM THE U.S. CENSUS, AMERICAN COMMUNITY SURVEY (ACS) AND OTHER KNOWN AND HIGHLY UTILIZED DATA SOURCES, SUCH AS RESIDENTIAL DATA FROM THE U.S. POSTAL SERVICE, UTILITY COMPANIES AND MARKETING FIRMS. - VITAL STATISTICS DATA FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH DETAILS TRENDS IN LEADING CAUSES OF DEATH, CANCER INCIDENCE, AND BIRTH OUTCOMES. VITAL STATISTICS IN SEPA ARE FOR THE ENTIRE REGION AND DOES NOT EXCLUDE DOYLESTOWN SERVICE AREA ZIP CODES. - COMMUNITY FORUM DATA FROM KEY COMMUNITY MEMBERS AND CONSTITUENTS WAS ALSO COLLECTED FROM STAKEHOLDERS IN THE DOYLESTOWN HOSPITAL SERVICE AREA. DOYLESTOWN HOSPITAL STAFF IDENTIFIED A LIST OF POTENTIAL PARTICIPANTS BASED ON THEIR KNOWLEDGE AND INVOLVEMENT IN THE COMMUNITY. THEMATIC AND DESCRIPTIVE ANALYSIS OF DATA ELUCIDATED ADDITIONAL, UNIQUE HEALTH-RELATED BARRIERS, NEEDS, RESOURCES, AND STRENGTHS OF PROMINENT POPULATION SUBGROUPS FOR EXAMPLE, OTHERWISE LIMITED IN SCOPE OR UNABLE TO BE CAPTURED BY BROADBAND, QUANTITATIVE MEANS. - THE CHNA ALSO INCORPORATES BROAD MEASURES RELATED TO HEALTH AND WELL-BEING, INCLUDING HEALTHY PEOPLE 2020 GOALS, AS A COMPARATOR FOR FINDINGS FROM SECONDARY DATA ANALYSES, AND TO ASSIST WITH PRIORITIZATION OF HEALTH NEEDS IN THE COMMUNITY. SCHEDULE H, PART V, SECTION B; QUESTION 6B DOYLESTOWN HOSPITAL ENGAGED PUBLIC HEALTH MANAGEMENT CORPORATION ("PHMC") TO HELP CONDUCT ITS 2016 CHNA. PHMC IS A 501(C)(3) NON-PROFIT CORPORATION FOUNDED IN 1972. PHMC SERVES AS A FACILITATOR, DEVELOPER, INTERMEDIARY, MANAGER, ADVOCATE, INNOVATOR, AND RESEARCHER IN THE FIELD OF PUBLIC HEALTH. THE RESEARCH & EVALUATION GROUP (R&E GROUP) AT PHMC HAS EXTENSIVE EXPERIENCE WORKING IN APPLIED RESEARCH AND EVALUATION OF HEALTH SERVICES, PUBLIC HEALTH, SOCIAL SERVICES, AND EDUCATION SYSTEMS IN THE SOUTHEASTERN PENNSYLVANIA REGION. WITH MORE THAN 50 SUCCESSFULLY COMPLETED CHNA'S SINCE 2013, R&E GROUP BRINGS A WEALTH OF EXPERTISE AND CONTENT KNOWLEDGE TO THE CHNA PROCESS. R&E GROUP DEVELOPS CHNAS IN PARTNERSHIP WITH OUR CLIENTS, USING A NUMBER OF DATA-ORIENTED APPROACHES, TO BEST INTEGRATE SECONDARY AND PRIMARY DATA IN ORDER TO DESCRIBE THE MOST PRESSING HEALTH-RELATED NEEDS OF HOSPITALS' SERVICE POPULATIONS. THE ORGANIZATION LEVERAGES DATA TO PRODUCE ACTIONABLE CHNAS THAT DETAIL THE HEALTH-RELATED CHARACTERISTICS, REAL WORLD IMPLICATIONS, AND COMMUNITY HEALTH NEEDS OF HOSPITALS' COMMUNITIES. SCHEDULE H, PART V, SECTION B; QUESTION 7 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED WITHIN THE SYSTEM'S WEBSITE: www.doylestownhealth.org/about-us/community-health-needs-assessment SCHEDULE H, PART V, SECTION B; QUESTION 10 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED WITHIN THE SYSTEM'S WEBSITE: www.doylestownhealth.org/about-us/community-health-needs-assessment SCHEDULE H, PART V, SECTION B; QUESTION 11 BASED ON OUR HOSPITAL'S STRENGTHS AND THE OUTCOMES OF THE CHNA, IT HAS PRIORITIZED FIVE KEY AREAS FOR INTERVENTION DURING THE NEXT THREE-YEAR PERIOD (FY 2019-2021): 1. HEALTH BEHAVIORS 2. MENTAL HEALTH 3. SCREENINGS 4. OLDER ADULT HEALTH 5. ACCESS TO CARE PRIORITIZING COMMUNITY HEALTH NEEDS ----------------------------------- WHILE THE OVERALL HEALTH INDICATORS COMPARED FAVORABLY WITH LOCAL AND REGIONAL NORMS, AND THE NATIONAL HEALTHY PEOPLE 2020 GOALS, THE ISSUES IDENTIFIED ABOVE WERE MENTIONED IN THE ASSESSMENT AS POTENTIAL AREAS FOR INTERVENTION AND IMPROVEMENT. ADDITIONALLY, SPECIFIC DEMOGRAPHICAL COMMUNITY FORUMS WERE HELD IN CONJUNCTION WITH THE ASSESSMENT TO IDENTIFY PRIORITY HEALTH CONCERNS FOR PEDIATRIC, GENERAL, AND SENIOR POPULATIONS. ON-GOING COMMUNITY FORUMS WILL INCREASE THE COMMUNITY PARTNERSHIPS TO STRATEGICALLY HONE IN ON KEY HEALTH OBJECTIVES TO INCREASE EFFECTIVENESS AND OUTCOMES. A SYSTEM-WIDE STRATEGIC PLANNING PROCESS TOOK PLACE IN JUNE 2013, WHICH IDENTIFIED KEY STRATEGIC DRIVERS TOWARD THE GOAL OF REMAINING RELEVANT AND INDISPENSABLE TO OUR COMMUNITY AND THE MARKETPLACE. THE FOLLOWING CHNA IMPLEMENTATION PLAN IS DESIGNED TO WORK IN CONJUNCTION WITH THE STRATEGIC PLAN TO MEET IDENTIFIED GAPS IN OUR COMMUNITY. AS OF JULY 2019, DOYLESTOWN HOSPITAL ADOPTED A REALLOCATION OF RESOURCES THAT CREATED A UNIFIED APPROACH IN ADDRESSING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THROUGH THIS REALLOCATION PROCESS, A UNIFIED DEPARTMENT; STRATEGIC INNOVATIONS AND OUTREACH WAS DEVELOPED TO EXECUTIVE ALL LEVELS OF THE COMMUNITY HEALTH NEEDS IN A DIRECTED FOCUS TO CREATE CONSISTENCY AND EFFICIENCY THROUGHOUT THE HEALTH SYSTEM. THROUGH THIS TEAM, COLLABORATION AMONG HEALTH SYSTEM SERVICE PROVIDERS WILL BE COORDINATED TO DRIVE COMMUNITY HEALTH CHANGE. OVER THE COURSE OVER THE NEXT THREE YEARS, THE FIVE KEY FOCUS AREAS LISTED ABOVE WHICH WERE IDENTIFIED IN THE 2019 CHNA WILL BE CORE FOCUS AREAS FOR THE HEALTH SYSTEM. PLEASE REFER TO THE ORGANIZATION'S IMPLEMENTATION STRATEGY WHICH IS MADE WIDELY AVAILABLE ON ITS WEBSITE FOR AN IN-DEPTH DESCRIPTION OF THE METHODS, GOALS AND PLANS IN PLACE TO ADDRESS THE NEEDS IDENTIFIED WITHIN THE ORGANIZATION'S MOST RECENTLY CONDUCTED CHNA. THERE WERE SOME ADDITIONAL UNMET NEEDS MENTIONED IN THE CHNA THAT WE WILL NOT ADDRESS DIRECTLY, BECAUSE THEY ARE ALREADY BEING ADDRESSED BY OTHER HEALTH CARE PROVIDERS, GOVERNMENT SERVICES AND/OR OTHER LOCAL HEALTH SERVICE AGENCIES. SOME OF THESE UNMET NEEDS ARE ALSO BEYOND THE MISSION AND POTENTIAL FOR DIRECT IMPACT BY THE HOSPITAL. SCHEDULE H, PART V, SECTION B; QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE: www.doylestownhealth.org/patients-and-visitors/billing-and-finance. WITHIN THAT PAGE, SELECT "FINANICAL ASSISTANCE", WHICH CAN BE FOUND ON THE LEFT-HAND SIDE OF THE PAGE. 4 PINE RUN COMMUNITY 777 FERRY ROAD DOYLESTOWN PA 18901 SENIOR LIVING - INDEPENDENT NURSING HOME; ASSISTED LIVING DOYLESTOWN HOSPITAL SURGERY CENTER 847 EASTON ROAD SUITE 1400 WARRINGTON PA 18974 OUTPATIENT SURGERY CENTER DOYLESTOWN RADIOLOGY GROUP LP 1240 OLD YORK ROAD WARMINSTER PA 18974 MRI SCANS DH HEALTH & WELLNESS CENTER INC 847 EASTON ROAD WARRINGTON PA 18976 WELLNESS CENTER & DIAGNOSTIC HOSPITAL STUDIES SCHEDULE H, PART I, LINE 3C PROVIDING HEALTHCARE FOR ALL COMMUNITY MEMBERS WAS ONE OF THE PRINCIPLE GOALS OF THE VILLAGE IMPROVEMENT ASSOCIATION (VIA), THE WOMEN'S CLUB THAT FOUNDED DOYLESTOWN HOSPITAL. THE VIA TRADITION OF ENSURING ACCESS TO HEALTHCARE FOR ALL COMMUNITY MEMBERS CONTINUES TODAY. PATIENTS SHOULD NEVER AVOID SEEKING CARE BECAUSE THEY THINK THEY CANNOT AFFORD IT. DOYLESTOWN HOSPITAL HONORS THE VIA'S ORIGINAL PROMISE TODAY FOR ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. TO HELP THOSE WHO ARE UNISURED OR UNDERINSURED, DOYLESTOWN HOSPITAL OFFERS THE HEALTHCARE FINANCIAL ASSISTANCE PROGRAM. THIS PROGRAM OFFERS A VARIETY OF ASSISTANCE, COUNSELING AND FINANCING OPTIONS TO HELP EASE THE WORRY ABOUT HEALTHCARE COSTS. EVEN FOR PATIENTS WHO DO NOT QUALIFY FOR FREE HEALTHCARE SERVICES, DOYLESTOWN HOSPITAL PROVIDES OPTIONS TO HELP WITH HEALTHCARE COSTS. IN THESE SITUATIONS, FINANCIAL COUNSELORS HELP TO DETERMINE THE AVAILABLE OPTIONS (FINANCING, SLIDING SCALE AND CHARITY CARE ALLOWANCES TO REDUCE THE PATIENT BALANCE). A VARIETY OF FACTORS AND CRITERIA ARE CONSIDERED: - PATIENT/GUARANTOR HAS NO GOVERNMENTAL INSURANCE OR COVERAGE UNDER THE AFFORDABLE CARE ACT (INSURANCE PLANS PROVIDED THROUGH THE EXCHANGE) OR PRIVATE INSURANCE COVERAGE FOR MEDICALLY NECESSARY SERVICES. - PATIENT/GUARANTOR HAS EXHAUSTED ANY INSURANCE BENEFITS AND HAS BECOME MEDICALLY INDIGENT. - CIRCUMSTANCES HAVE CHANGED THAT CAUSED THE PATIENT/GUARANTOR TO NO LONGER HAVE THE MEANS TO PAY AN EXISTING LIABILITY, EITHER CURRENT OR DELINQUENT. - SLIDING SCALE FINANCIAL ASSISTANCE DISCOUNTS ARE PROVIDED BASED ON FAMILY SIZE, INCOME LEVEL, BALANCE DUE IN PROPORTION TO INCOME AFTER RECONCILIATION WITH PUBLIC OR PRIVATE INSURERS. - PATIENTS WITH FAMILY INCOME AT OR BELOW 100% OF THE PUBLISHED POVERTY GUIDELINES ARE SCREENED FOR ELIGIBILITY FOR MEDICAID BASED ON CURRENT STATE OR EXCHANGE ELIGIBILITY CRITERIA. - PATIENTS WHOSE FAMILY INCOME IS BETWEEN 100% AND 250% OF THE PUBLISHED POVERTY GUIDELINES WILL HAVE BALANCES REDUCED FOR FULL FINANCIAL ASSISTANCE (FREE CARE). - PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 251% AND 400% OF THE PUBLISHED FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR DISCOUNTED SERVICE ACCORDING TO ANNUAL SLIDING SCALE DISCOUNT MODEL. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED THROUGH THE USE OF AN OUTSIDE SERVICE PROVIDING A HEALTHCARE CREDIT REPORT. PRESUMPTIVE ELIGIBILITY MAY ALSO BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: STATE FUNDED PRESCRIPTION PROGRAMS; HOMELESS OR RECEIVING CARE FROM A HOMELESS CLINIC; PARTICIPATION IN WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM; FOOD STAMP ELIGIBILITY; SUBSIDIZED SCHOOL LUNCH PROGRAM; ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED; LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS VALID ADDRESS; PATIENT IS DECEASED WITH NO KNOWN ESTATE; ELIGIBILITY FOR ANN SILVERMAN COMMUNITY HEALTH CLINIC FREE HEALTHCARE. - UNINSURED PATIENTS IDENTIFIED AS QUALIFYING FOR DISCOUNTED CHARGES FOR MEDICALLY NECESSARY SERVICES WILL BE GRANTED A SELF-PAY DISCOUNT FROM TOTAL CHARGES IF NOT COVERED BY A THIRD PARTY. THE SELF-PAY DISCOUNT ENSURES THE PATIENT RESPONSIBILITY WILL NOT EXCEED AMOUNTS GENERALLY BILLED TO PATIENTS COVERED BY INSURANCE. THE STANDARD SELF-PAY DISCOUNT IS BASED ON AN AVERAGE OF THE NEGOTIATED RATES FOR PREVALENT COMMERCIAL INSURANCE CARRIERS. ADDITIONAL DISCOUNTS MAY BE APPLIED FOR UNDERINSURED PATIENTS AFTER APPLICABLE INSURANCE PAYMENTS AND CO-PAYMENTS ARE RECEIVED, IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. FINANCIAL COUNSELING IS OFFERED AT THE TIME OF SERVICE, IF POSSIBLE, AND ALL UNINSURED PATIENTS RECEIVE INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM AS WELL AS INFORMATION REGARDING INSURANCE PLANS AVAILABLE THROUGH THE EXCHANGE. UNINSURED DISCOUNTS AND SLIDING SCALE ALLOWANCES ARE GRANTED AS APPROPRIATE, AT THE TIME OF SERVICE, OR AFTERWARD. THE HOSPITAL ENSURES A PRACTICE OF ASSISTING PATIENTS WITH COMPLETING APPLICATIONS FOR INSURANCE THROUGH THE EXCHANGE AS REQUESTED. FINANCIAL INFORMATION SUBMITTED FOR ELIGIBILITY FOR SUBSIDIZED COVERAGE UNDER THE AFFORDABLE CARE ACT IS CONSIDERED. SCHEDULE H, PART I, LINE 6A NOT APPLICABLE. SCHEDULE H, PART I, LINE 7 COMMUNITY BENEFIT AMOUNTS WERE CALCULATED USING A COST ACCOUNTING SYSTEM. HOSPITAL PROVIDED DIAGNOSTIC AND THERAPEUTIC SERVICES ORDERED BY THE ANN SILVERMAN CLINIC ARE HANDLED THROUGH THE CHARITY CARE POLICY. SCHEDULE H, PART II COMMUNITY BUILDING IS AT THE CORE OF DOYLESTOWN HOSPITAL'S MISSION. IT IS THE ONLY HOSPITAL IN THE U.S. FOUNDED AND GOVERNED BY A WOMEN'S CLUB, VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN ("VIA"). THROUGHOUT ITS MORE THAN 100-YEAR HISTORY, THE VIA HAS BEEN A LEADER IN COMMUNITY ADVOCACY. THE GROUP FOUNDED DOYLESTOWN HOSPITAL IN 1923. DOYLESTOWN HOSPITAL IS ACTIVELY ENGAGED WITH MANY COMMUNITY ORGANIZATIONS THAT PROMOTE THE HEALTH AND WELL BEING OF THE POPULATION, FROM BIRTH TO DEATH. IN 1994, DOYLESTOWN HOSPITAL, ALONG WITH MEMBERS OF ITS MEDICAL STAFF, ESTABLISHED THE ANN SILVERMAN COMMUNITY HEALTH CLINIC TO SERVE THE NEEDS OF THE UNINSURED IN OUR COMMUNITY. DOYLESTOWN HEALTH SYSTEM EMPLOYEES ARE ENCOURAGED TO VOLUNTEER IN THEIR NEIGHBORHOODS. THE HOSPITAL ALSO PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION PROGRAMS AND OUTREACH SESSIONS FOR PATIENTS AND MEMBERS OF THE COMMUNITY AS A WHOLE. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. FOR ADDITIONAL INFORMATION PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. SCHEDULE H, PART III, LINES 2, 3 & 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM THE FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES, AND NET OF ACCOUNTS SUBSEQUENTLY IDENTIFIED FOR PRESUMPTIVE ELIGIBILITY FOR FREE CARE. AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF DOYLESTOWN HOSPITAL FOR THE YEAR ENDED JUNE 30, 2021. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS THAT ADDRESSES THE ORGANIZATION'S PATIENT ACCOUNTS RECEIVABLE AND PATIENT SERVICE REVENUE METHODOLOGY: PATIENT ACCOUNTS RECEIVABLE --------------------------- PATIENT ACCOUNTS RECEIVABLE ARE RECORDED WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS, WHICH HAVE THE UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYORS FOR RETROACTIVE ADJUSTMENTS, ARE RECORDED AS RECEIVABLES SINCE THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE RECORDED AS A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE. PATIENT SERVICE REVENUE ----------------------- THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYORS, INCLUDING COMMERCIAL INSURANCE CARRIERS AND HEALTH MAINTENANCE ORGANIZATIONS, WHICH PROVIDE PAYMENTS AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, CAPITATED PAYMENTS, REIMBURSED COSTS, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNTS THAT REFLECT THE CONSIDERATION TO WHICH THE HOSPITAL IS EXPECTED TO BE ENTITLED TO IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING MANAGED CARE ORGANIZATIONS AND GOVERNMENT PROGRAMS, I.E., MEDICARE AND MEDICAID), AND OTHERS AND THEY INCLUDE VARIABLE CONSIDERATION FOR RETROACTIVE ADJUSTMENTS DUE TO SETTLEMENT OF FUTURE AUDITS, REVIEWS, AND INVESTIGATIONS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, AND INVESTIGATIONS. GENERALLY, PATIENTS AND THIRD-PARTY PAYORS ARE BILLED SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED OR SHORTLY AFTER DISCHARGE. PATIENT SERVICE REVENUE IS RECOGNIZED IN THE PERIOD IN WHICH THE PERFORMANCE OBLIGATIONS ARE SATISFIED UNDER CONTRACTS BY TRANSFERRING SERVICES TO PATIENTS. PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED. THE HOSPITAL RECOGNIZES REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL EXPECTED CHARGES. THE HOSPITAL BELIEVES THAT THIS METHOD PROVIDES AN APPROPRIATE DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF PERFORMANCE OBLIGATIONS BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATIONS. GENERALLY, PERFORMANCE OBLIGATIONS ARE SATISFIED OVER TIME RELATED TO PATIENTS RECEIVING INPATIENT ACUTE CARE SERVICES. THE HOSPITAL MEASURES PERFORMANCE OBLIGATIONS FROM ADMISSION TO THE POINT WHEN THERE ARE NO FURTHER SERVICES REQUIRED FOR THE PATIENT, WHICH IS GENERALLY THE TIME OF DISCHARGE. THE HOSPITAL RECOGNIZES REVENUES FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME, WHICH GENERALLY RELATE TO PATIENTS RECEIVING OUTPATIENT SERVICES, WHEN: (1) SERVICES ARE PROVIDED; AND (2) WHEN IT IS BELIEVED THE PATIENT DOES NOT REQUIRE ADDITIONAL SERVICES. SCHEDULE H, PART III, LINE 8 MEDICARE COSTS WERE DERIVED USING THE HOSPITAL'S MEDICARE COST REPORT. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBTS ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDED ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE", A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,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. THIS ORGANIZATION BELIEVES THAT 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") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA INDICATED 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 87 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%. - 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 ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND TO 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 BELIEVE 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 THE HOSPITAL'S 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 "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 EMBRACE THEIR MISSION AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING HOSPITAL INVOICES ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALI SCHEDULE H, PART III, LINE 9B IT IS THE POLICY OF DOYLESTOWN HOSPITAL TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. ADDITIONALLY, THE ORGANIZATION IS COMMITTED TO BILLING PATIENTS AND INSURANCE CARRIERS IN A MANNER THAT IS IN COMPLIANCE WITH ALL STATE, LOCAL AND FEDERAL REGULATIONS. FOR ACCOUNTS DETERMINED TO BE "SELF-PAYACCOUNTS WITH BALANCES AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES REASONABLE AND CUSTOMARY EFFORTS TO COLLECT PATIENT BALANCES, INCLUDING CONTACT BY TELEPHONE, LETTER AND ACCOUNT STATEMENTS. THE FACILITY HAS A FINANCIAL ASSISTANCE POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE INSURANCE COVERAGE AND ASSISTANCE PROGRAMS AVAILABLE. THIS IS ACCOMPLISHED THROUGH SIGNAGE, NOTICES ON PATIENT STATEMENTS, AND FINANCIAL COUNSELING. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A FINANCIAL COUNSELOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE PROVIDED WITH INFORMATION REGARDING OTHER OPTIONS. UNINSURED PATIENTS IDENTIFIED AS QUALIFYING FOR DISCOUNTED CHARGES FOR MEDICALLY NECESSARY SERVICES WILL BE GRANTED A STANDARD UNINSURED DISCOUNT FROM TOTAL CHARGES IF NOT COVERED BY A THIRD PARTY. ADDITIONAL DISCOUNTS MAY BE APPLIED FOR UNDERINSURED PATIENTS AFTER APPLICABLE INSURANCE PAYMENTS AND CO-PAYMENTS ARE RECEIVED. AT THE TIME OF THE PATIENT VISIT AND AS 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 SUPPLEMENTAL SECURITY INCOME; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR INSURANCE THROUGH THE ACA EXCHANGE FOR FUTURE SERVICES NEEDED; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE DOYLESTOWN HOSPITAL FINANCIAL ASSISTANCE PROGRAM; - CASH, CHECK, CREDIT CARD; - DISCOUNTS; AND - INTEREST-FREE PAYMENT PLANS. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE INTERNAL REVENUE CODE SECTION 501(R) COMMUNITY HEALTH NEEDS ASSESSMENT INFORMATION OUTLINED IN THIS FORM 990, SCHEDULE H, PART V, DOYLESTOWN HOSPITAL CONDUCTS REGULAR REVIEWS OF HEALTHCARE UTILIZATION IN ITS SERVICE AREA FOR BOTH CLINICAL QUALITY AND TO DETERMINE PATIENT PREFERENCES. CURRENT DATA ON SERVICE LINE UTILIZATION (CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS, ETC.) IS USED TO FORECAST HEALTHCARE NEEDS, TO ESTIMATE PROJECTED INPATIENT AND OUTPATIENT ACTIVITY, AND TO PLAN FOR CAPITAL AND STAFF RESOURCES TO BETTER MEET THE NEEDS OF OUR PATIENTS. REAL-TIME REVIEWS OF QUALITY INDICATORS HELP TO IMPROVE SYSTEMS AND PROCESSES. PATIENT AND VISITOR FEEDBACK, ALONG WITH QUARTERLY REVIEWS OF PATIENT SATISFACTION AND EXPERIENCE SURVEYS FOR EACH UNIT OF THE HOSPITAL, ARE INSTRUMENTAL IN PROCESS AND QUALITY IMPROVEMENT INITIATIVES. EVERY TWO YEARS, DOYLESTOWN HOSPITAL CONDUCTS A SURVEY OF COMMUNITY MEMBERS, MEDICAL STAFF AND HOSPITAL BOARD MEMBERS AS PART OF ITS MEDICAL STAFF DEVELOPMENT PLAN. RESPONSES TO THE SURVEY ARE THE BASIS FOR IDENTIFYING GAPS IN SPECIALIST AND/OR PRIMARY CARE MEDICAL SERVICES. THE SURVEYS HELP GUIDE THE MEDICAL STAFF DEVELOPMENT COMMITTEE IN REVIEWING APPLICATIONS FOR MEMBERSHIP, AND DIRECT RECRUITING EFFORTS FOR SPECIALTIES IDENTIFIED BY THE SURVEY RESPONDENTS. IN ADDITION, DOYLESTOWN HOSPITAL COOPERATES CLOSELY WITH THE BUCKS COUNTY DEPARTMENT OF HEALTH AND COMMUNITY PHYSICIANS TO MONITOR THE HEALTH NEEDS OF THE POPULATION. AMONG THE MANY COMMUNITY HEALTH ORGANIZATIONS THE HOSPITAL WORKS WITH AND SUPPORTS IS THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP, A COLLABORATION OF THE SEVEN HOSPITALS IN BUCKS COUNTY, ALONG WITH THE COUNTY HEALTH DEPARTMENT, BUCKS COUNTY MEDICAL SOCIETY, CENTRAL BUCKS SCHOOL DISTRICT AND BUCKS COUNTY AREA AGENCY ON AGING. DOYLESTOWN HOSPITAL WAS A FOUNDING MEMBER OF THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP. SCHEDULE H, PART VI; QUESTION 3 IN AN EFFORT TO INFORM AND EDUCATE PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE, THE HOSPITAL FACILITY DOES THE FOLLOWING: 1) THE FINANCIAL ASSITANCE POLICY IS INCLUDED ON THE ORGANIZATION'S WEBSITE FOR ANYONE TO VIEW. 2) PAPER COPIES ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE IN AT VARIOUS AREAS THROUGHOUT THE HOSPITAL FACILITY WHICH INCLUDE EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS AND PATIENT BILLING AND FINANCIAL SERVICES OFFICE. 3) SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS/REGISTRATION DEPARTMENTS AND PATIENT BILLING AND FINANCIAL SERVICES OFFICE THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. 4) THE ORGANIZATION ALSO MAKES REASONABLE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. ADDITIONALLY, ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A FINANCIAL COUNSELOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES, AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS AS IDENTIFIED. SCHEDULE H, PART VI; QUESTION 4 DOYLESTOWN HOSPITAL SERVES A GEOGRAPHIC AREA THAT SPANS RURAL AND SUBURBAN TOWNSHIPS AND DENSELY POPULATED TOWNS. IT IS SITUATED IN DOYLESTOWN TOWNSHIP, ON THE BORDER WITH DOYLESTOWN BOROUGH, THE BUCKS COUNTY SEAT OF GOVERNMENT. BUCKS COUNTY IS AMONG THE MOST POPULATED AND FASTEST GROWING COUNTIES IN PENNSYLVANIA. DOYLESTOWN HOSPITAL'S PRIMARY SERVICE AREA POPULATION SIZE IS ESTIMATED AT 371,362 RESIDENTS AND THE SECONDARY SERVICE AREA AT 441,771 RESIDENTS. FOR THIS CHNA REPORT, THE SERVICE AREA, ALSO REFERRED TO AS THE DOYLESTOWN HOSPITAL COMMUNITY, INCLUDES 45 ZIP CODES IN BUCKS AND MONTGOMERY COUNTIES SEPARATED INTO A PRIMARY AND SECONDARY MARKET AREA. ZIP CODES IN THE PRIMARY SERVICE AREA INCLUDE: 18913, 18933, 18902, 18923, 18949, 18926, 18921, 18901, 18912, 18963, 18947, 18950,18920, 18972, 18928, 18914, 18934, 18938, 18916, 18925, 18953, 18942, 18917, 18931, 18911, 19454, 18915, 18927, 18962,18944, 19446, 18940, 18943, 18946, 18980, 18956, 18922, 18930, 19040, 18974, 18976, 19044, 18929, 18954 ZIP CODES IN THE SECONDARY SERVICE AREA INCLUDE: 18951,18960, 18966, 18964, 19002, 18969, 19438, 19053, 18077, 19090, 19067, 19006, 19047, 19020, 19001, 19038, 18910, 18977, 18054 THE FOLLOWING COMMUNITY DEMOGRAPHICS WERE REPORTED IN THE ORGANIZATION'S MOST RECENTLY COMPLETED CHNA: DEMOGRAPHIC CHARACTERISTICS =========================== POPULATION SIZE --------------- THE ESTIMATED POPULATION SIZE OF THE DOYLESTOWN PRIMARY SERVICE AREA IS 371,362 AND 441,771 FOR THE SECONDARY SERVICE AREA. THE ESTIMATED POPULATION OF DOYLESTOWN PRIMARY SERVICE AREA INCREASED BETWEEN 2010 AND 2018 BY ABOUT 3%, WHILE THE DOYLESTOWN SECONDARY SERVICE AREA POPULATION NEGLIGIBLY DECREASED (-0.2%). AMONG ALL AGE GROUPS, THE OLDER ADULT (OA) POPULATION (65+ YEARS OLD) IS PROJECTED TO INCREASE SUBSTANTIALLY BY 2023: - 16% FOR THE DOYLESTOWN PRIMARY SERVICE - 14% FOR THE SECONDARY SERVICE AREA AGE/GENDER ---------- THE AGE BREAKDOWN IN THE DOYLESTOWN PRIMARY AND SECONDARY SERVICE AREAS IS COMPARABLE. TWENTY PERCENT OF RESIDENTS IN DOYLESTOWN PRIMARY SERVICE AREA ARE BETWEEN 0-17 YEARS OLD, 19% ARE 18-34 YEARS OLD, 42% ARE 35-64 YEARS OLD AND 19% ARE 65+ YEARS OLD. LIKEWISE, GENDER IS SIMILAR FOR DOYLESTOWN PRIMARY (49% MALES; 51% FEMALES), DOYLESTOWN SECONDARY (49% MALES; 52% FEMALES) AND SEPA REGION (48% MALES; 52% FEMALES). RACE/ETHNICITY -------------- RACIALLY AND ETHNICALLY, THERE ARE SOME DIFFERENCES BETWEEN DOYLESTOWN PRIMARY SERVICE AREA AND DOYLESTOWN SECONDARY SERVICE AREA; HOWEVER, THE POPULATION IS HOMOGENOUS WHEN COMPARED TO THE SEPA REGION.28 THE MAJORITY OF RESIDENTS IN THE DOYLESTOWN PRIMARY AND SECONDARY SERVICE AREAS IDENTIFY AS WHITE (87% AND 84%, RESPECTIVELY). DOYLESTOWN PRIMARY SERVICE AREA HAS FEWER RESIDENTS THAT IDENTIFY AS BLACK (3%) COMPARED TO DOYLESTOWN SECONDARY SERVICE AREA (6%). SEVEN PERCENT OF DOYLESTOWN PRIMARY SERVICE AREA RESIDENTS IDENTIFY AS ASIAN, 3% IDENTIFY AS "OTHER RACE4% IDENTIFY AS LATINO ETHNICITY. SIX PERCENT OF DOYLESTOWN SECONDARY SERVICE AREA RESIDENTS IDENTIFY AS ASIAN, 4% IDENTIFY AS "OTHER" RACE AND 5% IDENTIFY AS LATINO ETHNICITY. THE SEPA REGION HAS MORE MINORITY RESIDENTS, NOTABLY BLACK (22%) AND LATINO (9%). SOCIOECONOMIC INDICATORS ======================== SOCIOECONOMIC CHARACTERISTICS SUCH AS EDUCATIONAL ATTAINMENT, EMPLOYMENT, AND INCOME IMPACT HEALTH STATUS AND ACCESS TO CARE. HIGH LEVELS OF EDUCATIONAL ATTAINMENT ARE RELATED TO INCREASED HEALTH LITERACY, HEALTHIER BEHAVIORS, AND IMPROVED HEALTH STATUS. EMPLOYMENT AND INCOME AFFECT INSURANCE STATUS AND THE ABILITY TO PAY OUT-OF-POCKET FOR HEALTH CARE EXPENSES. OVERALL, DOYLESTOWN SERVICE AREA RESIDENTS HAVE HIGHER EDUCATIONAL ATTAINMENT, LOWER UNEMPLOYMENT, LESS FAMILIES IN POVERTY AND GREATER HOUSEHOLD INCOME COMPARED TO SEPA. THERE ARE SOME DIFFERENCES IN SOCIOECONOMIC CHARACTERISTICS BETWEEN THE DOYLESTOWN PRIMARY AND SECONDARY SERVICE AREAS. INCOME AND POVERTY ------------------ THE MEDIAN HOUSEHOLD INCOME IN 2018 WAS: - $100,424 IN THE DOYLESTOWN PRIMARY SERVICE AREA - $90,353 IN THE DOYLESTOWN SECONDARY SERVICE AREA - $70,807 IN THE SEPA REGION THE PERCENTAGE OF FAMILIES LIVING IN POVERTY WITH CHILDREN AND WITHOUT CHILDREN IN DOYLESTOWN PRIMARY SERVICE AREA IN 2018 WAS 5% AND 2%, RESPECTIVELY. IN DOYLESTOWN SECONDARY SERVICE AREA, 6% OF FAMILIES WITH CHILDREN LIVED IN POVERTY AND 3% OF FAMILIES WITHOUT CHILDREN LIVED IN POVERTY. COMPARATIVELY, 16% OF FAMILIES WITH CHILDREN LIVED IN POVERTY AND 5% OF FAMILIES WITHOUT CHILDREN LIVED IN POVERTY IN THE SEPA REGION. EMPLOYMENT ---------- IN 2018, 5% OF RESIDENTS IN DOYLESTOWN PRIMARY SERVICE AREA WERE UNEMPLOYED, 6% OF RESIDENTS IN DOYLESTOWN SECONDARY SERVICE AREA WERE UNEMPLOYED, AND 8% OF RESIDENTS IN THE REMAINDER SEPA REGION WERE UNEMPLOYED. EDUCATION --------- FORTY-SEVEN PERCENT OF DOYLESTOWN PRIMARY SERVICE AREA RESIDENTS HAVE AT LEAST A COLLEGE DEGREE, COMPARED TO 42% OF RESIDENTS IN THE SECONDARY SERVICE AREA AND 37% IN THE REMAINDER SEPA REGION. SCHEDULE H, PART VI; QUESTION 5 DOYLESTOWN HOSPITAL IS DEVOTED TO THE COMMUNITY WE SERVE; THE ORGANIZATION SPONSORS AND COORDINATES MANY CHARITABLE AND HEALTH PROMOTION ACTIVITIES. COMMUNITY OUTREACH PROGRAMS INCLUDE: - PROVIDING SPACE FOR AMERICAN RED CROSS BLOOD DRIVES AND BI-MONTHLY PLATELET DONATIONS; - PARTICIPATION IN THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP), WHICH IS AN ADULT HEALTH CLINIC AVAILABLE TO PATIENTS THROUGHOUT THE COUNTY; - PARTICIPATION IN CB CARES, A COMMUNITY COALITION FOR YOUTH; OPERATION OF A DAY CARE CENTER; - SUPPORT OF THE ANN SILVERMAN COMMUNITY HEALTH CLINIC; - ROUTINE COMMUNITY EDUCATION PROGRAMS AND CLASSES; - MENTAL HEALTH SCREENINGS; - SPONSORSHIP OF WOMEN'S PROGRAMS AND EDUCATIONAL SCHOLARSHIPS; HOSPICE AND BEREAVEMENT PROGRAMS; - THE DOYLESTOWN CLINICAL NETWORK; - SPONSORSHIP OF COMMUNITY ORGANIZATIONS AND EVENTS; - THE VIAL OF LIFE PROGRAM AND - COMMUNITY ACCESS TO DH MEDICAL LIBRARY. EDUCATIONAL PROGRAMS INCLUDE: - LIFESTYLE, DRIVER SAFETY AND HEALTH LECTURES; - BREAST CANCER EDUCATION AND SUPPORT GROUPS; - PROSTATE CANCER SUPPORT GROUPS AND EDUCATION; - PREVENTION PROGRAMS FOR HIGH SCHOOL STUDENTS; - NUTRITION EDUCATION PROGRAMS; - STUDENT INTERNSHIP PROGRAMS FOR RADIOLOGY, EXERCISE PHYSIOLOGY, AND OTHER HEALTH SCIENCE/TECHNOLOGY FIELDS; - SMOKING CESSATION CLASSES; - ALZHEIMER'S CAREGIVER TRAINING; - MATERNITY AND PARENTING PROGRAMS INCLUDE WELL BABY EDUCATION; HEALTHY BEGINNINGS PROGRAM FOR PRENATAL HEALTH; BREASTFEEDING AND CHILDBIRTH CLASSES AND - CHILD DEVELOPMENT AND SIBLING AND GRANDPARENT CLASSES. SCHOOL AGE ACTIVITIES INCLUDE: - PARENTING AND BABYSITTING EDUCATION; - EMERGENCY DEPARTMENT CLINICS AND - SUPPORT FOR CB CARES FORTY ASSESTS PROJECT. MORE THAN 25 SUPPORT GROUPS ARE PROVIDED FREE MEETING SPACE, AND HOSPITAL STAFF SERVES AS LEADERS FOR MANY OF THE GROUPS (E.G., BEREAVEMENT, AUTISM, ALATEEN, LYME DISEASE, DIABETES). LEADERSHIP ACTIVITIES INCLUDE MANAGEMENT VOLUNTEERS WHO SERVE FOR VARIOUS COMMUNITY ORGANIZATIONS (E.G., GILDA'S CLUB, DELAWARE VALLEY COLLEGE). TEACHING PROGRAMS SUPORT MEDICAL, NURSING, ALLIED HEALTH AND HOSPITAL MANAGEMENT PROGRAMS, SUPPORTING MORE THAN TWENTY COLLEGES AND UNIVERSITIES. IN ADDITION, THE HOSPITAL CONDUCTS A NUMBER OF HEALTH SCREENINGS AND IMMUNIZATIONS THROUGHOUT THE YEAR FOR COMMUNITY MEMBERS. EACH OF THESE PROGRAMS IS DESCRIBED MORE FULLY IN THE COMMUNITY BENEFIT STATEMENT IN SCHEDULE O. THESE EFFORTS ARE NOT NECESSARILY PART OF THE PATIENT AND FAMILY EXPERIENCE DURING HOSPITAL ENCOUNTERS, BUT SERVE TO SUPPORT THE NEEDS FOR HEALTH AND GROWTH FOR INDIVIDUALS IN THE COMMUNITY. SCHEDULE H, PART VI; QUESTION 6 NOT-FOR-PROFIT VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN AND CONTROLLED ENTITIES: VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN --------------------------------------------- VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN ("THE ASSOCIATION") IS A NOT-FOR-PROFIT HOLDING COMPANY BASED IN DOYLESTOWN, PENNSYLVANIA. AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, THE ASSOCIATION 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 BUCKS AND MONTGOMERY, PENNSYLVANIA AND HUNTERDON AND MERCER, NEW JERSEY. THE ASSOCIATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE ASSOCIATION ENSURES THAT DOYLESTOWN HEALTH SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. DOYLESTOWN HOSPITAL ------------------- THE MISSION OF DOYLESTOWN HOSPITAL IS TO CONTINUOUSLY IMPROVE THE QUALITY OF LIFE AND PROACTIVELY ADVOCATE FOR THE HEALTH AND WELL-BEING OF THE INDIVIDUALS IT SERVES. DOYLESTOWN HOSPITAL INCLUDES THE OPERATIONS OF TWO DIVISIONS: DOYLESTOWN HOSPITAL (THE "HOSPITAL") AND PINE RUN RETIREMENT COMMUNITY ("PINE RUNTHE "COMMUNITY") (COLLECTIVELY, THE "CORPORATION"). THE TWO DIVISIONS OPERATE WITHIN A SINGLE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE HOSPITAL IS A 239-BED ACUTE CARE FACILITY, LOCATED IN DOYLESTOWN, BUCKS COUNTY, PENNSYLVANIA, AND PROVIDES HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY. PINE RUN CONSISTS OF A 90-BED SKILLED NURSING FACILITY AND 40-BED PERSONAL CARE FACILITY (THE "HEALTH CENTER") AND 290 INDEPENDENT LIVING UNITS (THE "VILLAGE") ON 43 ACRES OF LAND IN DOYLESTOWN, BUCKS COUNTY; AND A 106-BED PERSONAL CARE FACILITY ("LAKEVIEW") LOCATED ON A SEPARATE, APPROXIMATELY 7 ACRE CAMPUS IN DOYLESTOWN, BUCKS COUNTY, PENNSYLVANIA. PURSUANT TO ITS CHARITABLE PURPOSES, THE HOSPITAL PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, THE HOSPITAL OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS AND THOSE COVERED UNDER THE ACA PLANS; 2. OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL RESTS WITH ITS BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS OF THE DOYLESTOWN HEALTH FOUNDATION. EACH BOARD IS COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. DOYLESTOWN HEALTH FOUNDATION ---------------------------- DOYLESTOWN 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 DOYLESTOWN HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. VIA AFFILIATES (D/B/A DOYLESTOWN HEALTH PHYSICIANS) --------------------------------------------------- DOYLESTOWN HEALTH PHYSICIANS IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF DOYLESTOWN HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. DOYLESTOWN HEALTH AND WELLNESS CENTER, INC. ------------------------------------------- DOYLESTOWN HEALTH AND WELLNESS CENTER, INC. IS AN ENTITY OWNED BY DOYLESTOWN HEALTH FOUNDATION. THIS ORGANIZATION IS CURRENTLY INACTIVE. COVERED BRIDGE RECIPROCAL RISK RETENTION GROUP ---------------------------------------------- COVERED BRIDGE RECIPROCAL RISK RETENTION GROUP IS an entity owned by Doylestown Hospital. This organization provides risk retention insurance services. DH PHYSICIANS AMBULATORY SERVICES --------------------------------- DH PHYSICIANS AMBULATORY SERVICES IS AN ENTITY OWNED BY VIA AFFILIATES (D/B/A DOYLESTOWN HEALTH PHYSICIANS). THIS ORGANIZATION ENGAGES IN HEALTHCARE SERVICES WHICH ARE HIGH QUALITY AND COST EFFECTIVE FOR THE BENEFIT OF THE COMMUNITY AND IN SUPPORT OF THE CHARITABLE PURPOSES OF THE HEALTHCARE SYSTEM. SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA. THE COMMONWEALTH OF PENNSYLVANIA DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT. true BUCKS COUNTY CHILDREN'S MUSEUM 500 UNION SQUARE DRIVE NEW HOPE PA 18938 030600738 501(C)(3) 10000 PROGRAM SUPPORT ANN SILVERMAN COMMUNITY HEALTH CLINIC 595 WEST STATE STREET DOYLESTOWN PA 18901 232892823 501(C)(3) 40000 PROGRAM SUPPORT CANCER SUPPORT COMMUNITY OF PHILADELPHIA 4100 CHAMOUNIX DR PHILADELPHIA PA 19131 232657403 501(C)(3) 34445 PROGRAM SUPPORT THE LEUKEMIA & LYMPHOMA SOCIETY INC 3 INTERNATIONAL DRIVE RYE BROOK NY 10573 135644916 501(C)(3) 7500 PROGRAM SUPPORT 4 SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTER AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X true true X X X X X false true false false false false false true false SCOTT S LEVY MD DIRECTOR - VP & CMO 677095 0 0 0 1443650 0 8080 0 20174 0 2148999 0 212590 0 JAMES L BREXLER FACHE DIRECTOR - PRESIDENT & CEO 838813 0 64000 0 141963 0 189161 0 25193 0 1259130 0 0 0 RICHARD D LANG VP & CHIEF INFORMATION OFFICER 374229 0 0 0 519255 0 44978 0 1120 0 939582 0 95499 0 JOHN B REISS JD VP & GENERAL COUNSEL 483299 0 0 0 120611 0 9914 0 1058 0 614882 0 0 0 DANIEL L UPTON VP & CFO (RETIRED 02/2021) 492667 0 0 0 51385 0 6405 0 21592 0 572049 0 0 0 BARBARA A HEBEL VP & CHIEF HUMAN RES. OFFICER 359294 0 0 0 94825 0 9975 0 18719 0 482813 0 0 0 ELEANOR WILSON RN MSN MHA FORMER OFFICER 301805 0 0 0 126382 0 7738 0 4799 0 440724 0 0 0 PATRICIA A STOVER RN DIRECTOR - VP & CNO 329822 0 0 0 67820 0 3982 0 7003 0 408627 0 0 0 SHERI PUTNAM VP STRATEGIC INITIATIVES 342408 0 0 0 29845 0 7329 0 979 0 380561 0 0 0 LAURA K WORTMAN VP & CHIEF DEVELOPMENT OFFICER 287267 0 15000 0 36887 0 17751 0 13782 0 370687 0 0 0 MARY ELLEN PELLETIER MD DIRECTOR 0 275794 0 8815 0 20178 0 9928 0 24673 0 339388 0 0 MATTHEW F COSTELLO SENIOR EXEC DIR HOSPITAL OPS 298054 0 0 0 714 0 5954 0 15204 0 319926 0 0 0 MARIA SANTANGELO EXEC DIR - PINE RUN COMMUNITY 266801 0 0 0 1037 0 4463 0 9183 0 281484 0 0 0 STEVEN DAY JR DIRECTOR - RISK SERVICES 235415 0 0 0 489 0 7408 0 24895 0 268207 0 0 0 ELIZABETH SEEBER VP & CFO (EFF. 02/2021) 224210 0 0 0 758 0 7546 0 19160 0 251674 0 0 0 JOHN MITCHELL VP, CARDIOVASCULAR & SURG SVCS 227405 0 0 0 1092 0 5553 0 8193 0 242243 0 0 0 ANTHONY J PACK PA PHYSICIAN ASSISTANT 205459 0 0 0 748 0 7283 0 25372 0 238862 0 0 0 CORE FORM, PART VII AND SCHEDULE J IN ACCORDANCE WITH FORM 990 RULES, REGULATIONS AND INSTRUCTIONS, TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM EACH INDIVIDUAL'S 2020 FORMS W-2. SCHEDULE J, PART I; QUESTION 1A THE ORGANIZATION'S PRESIDENT/CEO RECEIVED A HOUSING ALLOWANCE DURING THE YEAR WHICH WAS TAXABLE FOR REPORTING PURPOSES. SCHEDULE J, PART I; QUESTION 4B The amount reflected in Schedule J, Part II, Column B(iii) for the following individuals includes current year vesting in a deferred compensation plan, as the amounts were no longer subject to a substantial risk of complete forfeiture. The amounts outlined herein were included in each individual's 2020 form w-2, box 5, as taxable medicare wages: Scott S. Levy, M.D., $1,303,364 and Richard D. Lang, $442,937. THE DEFERRED COMPENSATION AMOUNTS INCLUDED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES L. BREXLER, FACHE, $179,783; RICHARD D. LANG, $35,003 AND LAURA K. WORTMAN, $7,776. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2020 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. SCHEDULE J, PART II; COLUMN F The amounts reported in Schedule J, Part II, Column (F) include vested benefits in a deferred compensation plan as these amounts were no longer subject to a substantial risk of complete forfeiture. These amounts were reported as deferred compensation on prior years' Forms 990 and are now being reported again on this year's Form 990. These have been treated as taxable income and reported on each individual's Form W-2, Box 5, as taxable Medicare wages. A DOYLESTOWN HOSPITAL AUTHORITY 264834726 261333EG9 2013-04-01 29047755 SEE SCHEDULE K, PART VI false false false B DOYLESTOWN HOSPITAL AUTHORITY 264834726 2013-04-01 60400000 SEE SCHEDULE K, PART VI false false false C DOYLESTOWN HOSPITAL AUTHORITY 264834726 261333FB9 2016-10-13 57117007 SEE SCHEDULE K, PART VI false false false D DOYLESTOWN HOSPITAL AUTHORITY 264834726 261333FB9 2016-10-13 14469823 SEE SCHEDULE K, PART VI false false false A 0 0 29047755 0 0 28463938 531900 50312 0 0 1605 0 2013 true false true true B 0 0 60400000 0 0 60085565 314435 0 0 0 0 0 2013 true false true true C 0 0 57117017 0 1607734 6020198 729515 0 0 48759559 0 0 2016 true true true true D 0 0 14469823 0 0 0 195409 0 0 0 14274414 0 2016 true true true true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true D false false true true false 0 false false false true A false false false true false false 0 false 0 false true B false false false true true true PNC BANK 24. false false false 0 false true C false false false true false false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true SCHEDULE K SCHEDULE K, PART I; COLUMN F THE PROCEEDS OF 2013 SERIES A AND SERIES B TAX-EXEMPT BOND ISSUANCE WERE USED TO REFUND ALL OF THE OUTSTANDING 1998A AND 2008B BONDS. CERTAIN PROCEEDS OF THE BONDS WILL ALSO GO TOWARD CAPITAL IMPROVEMENTS FOR THE HOSPITAL. THE PROCEEDS OF 2016 SERIES A AND SERIES B TAX-EXEMPT BOND ISSUANCE WERE USED TO REFUND ALL OF THE OUTSTANDING 2008A BONDS AND A PARKING GARAGE MORTGAGE. CERTAIN PROCEEDS OF THE BONDS WILL ALSO GO TOWARD CAPITAL IMPROVEMENTS FOR THE HOSPITAL. THE PROCEEDS OF THE 2019 SERIES A TAX-EXEMPT BOND ISSUANCE WERE USED TO REFUND A PORTION OF THE SERIES 2013A BONDS AND TO FUND CAPITAL IMPROVEMENTS FOR THE HOSPITAL. SCHEDULE K, PART IV; QUESTION 2 THE REBATE COMPUTATION FOR THE 2013 SERIES A AND SERIES B TAX-EXEMPT BOND ISSUANCES WAS LAST PERFORMED ON AUGUST 21, 2018. THE REBATE COMPUTATION FOR THE 2016 SERIES A AND SERIES B TAX-EXEMPT BOND ISSUANCES WAS LAST PERFORMED ON JANUARY 2, 2019. A DOYLESTOWN HOSPITAL AUTHORITY 264834726 261333FR4 2019-11-13 63414596 SEE SCHEDULE K, PART VI false false false A 0 0 63414596 0 0 5487294 1018382 0 0 56908920 0 0 2019 false false false true A false false true true false 0 false false false true A false false false true false false 0 false 0 false true A true JILL A STOVER FAMILY MEMBER OF DIRECTOR 97273 EMPLOYEE false CORE FORM, PART III; QUESTION 2 EFFECTIVE FOR THE POLICY YEAR BEGINNING JULY 1, 2021, DOYLESTOWN HOSPITAL HAS FORMED COVERED BRIDGE RECIPROCAL RISK RETENTION GROUP; A RELATED ORGANIZATION FOR THE PRIMARY LAYER OF MEDICAL PROFESSIONAL AND GENERAL LIABILITIES, WITH LIMITS OF $500,000 PER CLAIM AND $2,500,000 ANNUAL AGGREGATE. THE ENTITY WAS FORMED DURING THE FISCAL YEAR ENDING JUNE 30, 2021. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS DOYLESTOWN HEALTH BACKGROUND ============================ DOYLESTOWN HEALTH ORIGINATED WITH THE VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN (VIA), FOUNDED IN 1895 WITH THE HEALTH AND BEAUTY OF THE DOYLESTOWN COMMUNITY ITS PRIMARY CONCERNS. THE VIA ESTABLISHED A VISITING NURSE SERVICE IN 1916, AND OPENED THE FIRST DOYLESTOWN EMERGENCY AND MATERNITY HOSPITAL IN 1923. THE ORIGINAL 8-BED HOSPITAL WAS EXPANDED TO 14 BEDS AND REPLACED WITH A NEW 25-BED FACILITY IN 1939 THAT WAS SUBSEQUENTLY EXPANDED TO 129 BEDS. THE HOSPITAL MOVED TO ITS CURRENT LOCATION IN 1975 AND OCCUPIES 62 ACRES AND 611,000 SQUARE FEET OF BUILDINGS. IT IS LICENSED FOR 271 BEDS. IN 1986, A CORPORATE RESTRUCTURING ESTABLISHED DOYLESTOWN HOSPITAL AS A SUBSIDIARY CORPORATION OF THE NEWLY-CREATED DOYLESTOWN HEALTH FOUNDATION D/B/A DOYLESTOWN HEALTH, WHICH IS GOVERNED BY THE VIA. SEVERAL OTHER ENTITIES WERE ADDED OVER THE YEARS WITH DOYLESTOWN HOSPITAL REMAINING THE FLAGSHIP OF DOYLESTOWN HEALTH. COLLECTIVELY, DOYLESTOWN HEALTH IS COMPRISED OF THE FOLLOWING: DOYLESTOWN HOSPITAL, WHICH INCLUDES: - PINE RUN RETIREMENT COMMUNITY - PINE RUN HEALTH CENTER - PINE RUN LAKEVIEW PERSONAL CARE - DOYLESTOWN HOSPITAL HOME HEALTH CARE - DOYLESTOWN HOSPITAL HOSPICE - DOYLESTOWN HOSPITAL OUTPATIENT TESTING FACILITIES AT THE HEALTH AND WELLNESS CENTER - HEALTH CONNECTIONS BY DOYLESTOWN HOSPITAL - HEALTHCARE CONCIERGE SERVICES AT THE WARMINSTER SHOPRITE - CHILDREN'S VILLAGE - EARLY CHILDHOOD EDUCATION PROGRAM - VIA AFFILIATES D/B/A DOYLESTOWN HEALTH PHYSICIANS AND ITS SUBSIDIARY CORPORATION, DH PHYSICIANS AMBULATORY SERVICES, WHICH ALSO OWNS THE DOYLESTOWN HEALTH URGENT CARE CENTER - CB CARES, IN PARTNERSHIP WITH THE CENTRAL BUCKS SCHOOL DISTRICT AND THE CENTRAL BUCKS YMCA. TODAY, UNDER THE DOYLESTOWN HEALTH BANNER, WE GATHER ALL ELEMENTS OF OUR HEALTH SYSTEM TO EXPAND BEYOND EPISODIC CARE TO COMMUNITY HEALTH AND A CONTINUUM OF COORDINATED CARE, FROM BIRTH TO END-OF-LIFE. IN PARTNERSHIP WITH OVER 425 PHYSICIANS ON THE HOSPITAL'S MEDICAL STAFF, DOYLESTOWN HEALTH HAS EARNED NATIONAL RECOGNITION FOR THE DELIVERY OF HIGH-QUALITY, COMPLEX HEALTH CARE WHILE PROMOTING WELLNESS IN THE COMMUNITIES WE SERVE. DOYLESTOWN HEALTH FOUNDATION ---------------------------- THE DOYLESTOWN HEALTH FOUNDATION D/B/A DOYLESTOWN HEALTH SERVES AS BOTH THE GOVERNING BODY AND FUNDRAISING ARM OF DOYLESTOWN HOSPITAL AND VIA AFFILIATES D/B/A DOYLESTOWN HEALTH PHYSICIANS. ITS BOARD OF TRUSTEESS INCLUDE OFFICERS OF THE VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN, SERVING EX OFFICIO, TRUSTEES APPOINTED BY THE VIA PRESIDENT AND CERTAIN OTHERS, WHO INCLUDE LEADERS FROM THE VIA, THE COMMUNITY, AND DOYLESTOWN HOSPITAL, INCLUDING PHYSICIANS. DOYLESTOWN HEALTH PROMOTES WELLNESS AND TREATS ILLNESS THROUGH CONNECTIVITY WITH ALL PARTS OF ITS COMPREHENSIVE HEALTH SYSTEM. MEMBERS OF THE EXECUTIVE COMMITTEE OF THE FOUNDATION'S BOARD OF TRUSTEES CONSTITUTE THE MEMBERS OF THE HOSPITAL AND OF DH PHYSICIANS. EACH CORPORATION GOVERNED BY DOYLESTOWN HEALTH (WITH THE EXCEPTION OF DOYLESTOWN HEALTH & WELLNESS CENTER, INC.) ARE PENNSYLVANIA NONPROFIT CORPORATIONS WHICH HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE EXEMPT FROM THE PAYMENT OF FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE, AS AMENDED, BY REASON OF BEING AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE. EACH CORPORATION GOVERNED BY DOYLESTOWN HEALTH HAS ITS OWN BOARD OF TRUSTEES WHICH IS RESPONSIBLE FOR ESTABLISHING POLICIES AND PLANNING FOR THAT CORPORATION, UNDER THE GOVERNANCE OF THE FOUNDATION. DOYLESTOWN HOSPITAL ------------------- AS THE FLAGSHIP OF DOYLESTOWN HEALTH, DOYLESTOWN HOSPITAL HAS THE LONGEST HISTORY AND MOST DIVERSE COMPONENTS TO MEET ITS MISSION TO CONTINUOUSLY IMPROVE THE QUALITY OF LIFE AND PROACTIVELY ADVOCATE FOR THE HEALTH AND WELLBEING OF THE INDIVIDUALS WE SERVE. AS A VALUES-BASED ORGANIZATION, DOYLESTOWN HOSPITAL MAKES A PUBLIC COMMITMENT TO SEVEN CORE SERVICE VALUES: 1) WE SERVE THE COMMUNITY; 2) WE STRIVE FOR EXCELLENCE IN OUR SERVICES AND PROGRAMS; 3) WE RESPECT THE DIGNITY AND PRIVACY OF ALL; 4) WE PROVIDE VALUE THROUGH HIGH-QUALITY, ACCESSIBLE SERVICES; 5) WE SEEK INNOVATION AND INTEGRATION FOR CONTINUOUS IMPROVEMENT; 6) WE ARE COMPASSIONATE; AND 7) WE ARE COMMITTED TO THE HEALTH AND WELLNESS EDUCATION OF OUR COMMUNITY. THE HOSPITAL HOLDS BOARD MEMBERS, A MEDICAL STAFF OF 425 PHYSICIANS IN OVER 50 SPECIALTIES, 2,200 ASSOCIATES AND NEARLY 600 VOLUNTEERS ACCOUNTABLE FOR INCORPORATING THESE VALUES INTO POLICIES, BEHAVIORS, CLINICAL PRACTICES AND MANAGEMENT DECISIONS. DOYLESTOWN HOSPITAL HAS EARNED NATIONAL RECOGNITION FOR QUALITY AND PATIENT EXPERIENCE FOR OVERALL PERFORMANCE AS WELL AS A VARIETY OF SERVICES. DOYLESTOWN HOSPITAL WAS NAMED ONE OF THE "TOP HOSPITALS" IN THE U.S. BY THE LEAPFROG GROUP IN 2016 AND 2017. DOYLESTOWN HOSPITAL WAS AMONG THE TOP 50 CARDIOVASCULAR HOSPITALS RATED BY IBM WATSON HEALTH IN 2019 AND 2020. DOYLESTOWN HOSPITAL CONSISTENTLY PLACES AMONG THE REGIONAL LEADERS IN HOSPITAL RANKINGS DEVELOPED BY US NEWS & WORLD REPORT, AND NEWSWEEK. AREAS OF CLINICAL EMPHASIS AND QUALITY RECOGNITION INCLUDE CARDIOVASCULAR SERVICES, EMERGENCY MEDICINE, ONCOLOGY, MATERNAL-CHILD HEALTH, ORTHOPEDICS, INTERVENTIONAL RADIOLOGY, GASTROENTEROLOGY, UROLOGY, STROKE INTERVENTION, GENERAL SURGERY AND ENDOVASCULAR SURGERY. THE HOSPITAL CONTAINS SEVERAL DEDICATED UNITS, INCLUDING THE WOODALL CENTER FOR HEART AND VASCULAR CARE, VIA MATERNITY CENTER, ORTHOPEDIC INSTITUTE, CANCER INSTITUTE AND DELLA-PENNA PEDIATRIC CENTER. THE EMERGENCY DEPARTMENT, EXPANDED IN 2010, TREATS MORE THAN 31,000 PATIENTS ANNUALLY AND HOUSES THE WOODALL CHEST PAIN CENTER AND THE CERTIFIED PRIMARY STROKE CENTER. OUTPATIENT SERVICES INCLUDING IMAGING AND LABORATORY AND HEALTH CONNECTIONS. A PARTNERSHIP WITH THE COWHEY FAMILY SHOPRITE IN WARMINSTER PROVIDES CONSUMER HEALTHCARE INFORMATION AND EDUCATION. ACCESS TO WORLD-CLASS TREATMENTS THROUGH BOTH INPATIENT AND OUTPATIENT MEDICAL RESEARCH AND CLINICAL TRIALS IS AVAILABLE FOR A VARIETY OF CONDITIONS. DOYLESTOWN HOSPITAL ENHANCES THE SERVICES IT OFFERS IN THE COMMUNITY THROUGH SEVERAL PARTNERSHIPS FOR SPECIALTY CARE, INCLUDING THE SIDNEY KIMMEL CANCER NETWORK, PENN RADIATION THERAPY, CHILDREN'S HOSPITAL OF PHILADELPHIA FOR NEO-NATAL INTENSIVE CARE, AND TEMPLE HEALTH FOR AIR TRANSPORT. THE DOYLESTOWN HEALTHCARE PARTNERSHIP IS A CLINICALLY- AND FINANCIALLY-INTEGRATED NETWORK OF CARE. THIS JOINT VENTURE BETWEEN THE HOSPITAL AND PHYSICIAN OWNERS HAS MORE THAN 400 PARTICIPATING PHYSICIANS AND OTHER CARE PROVIDERS ENGAGED IN VALUE-BASED CONTRACTING. IT IS A PARTICIPANT WITH THE HOSPITAL IN THE COMMUNITY CARE COLLABORATIVE OF PA AND NJ, AN ACCOUNTABLE CARE ORGANIZATION WHICH IS AMONG THE MOST SUCCESSFUL IN THE NATION. PINE RUN COMMUNITY ------------------ DOYLESTOWN HOSPITAL ACQUIRED THE PINE RUN COMMUNITY IN 1992 TO ENHANCE ITS COMMITMENT TO THE OLDER POPULATION. PINE RUN COMMUNITY OFFERS A CONTINUUM OF SERVICES AT ITS FACILITIES WHICH INCLUDES 291 INDEPENDENT LIVING UNITS ("THE VILLAGE") ON 43 ACRES OF LAND IN DOYLESTOWN TOWNSHIP; A 90-BED SKILLED NURSING FACILITY AND 40-BED PERSONAL CARE FACILITY (THE GARDEN), AND A 106-BED PERSONAL CARE FACILITY (LAKEVIEW), LOCATED ON A SEPARATE, 7.5 ACRE CAMPUS NEAR THE HOSPITAL. THE VILLAGE, LOCATED APPROXIMATELY THREE MILES FROM THE HOSPITAL, CONSISTS OF GARDEN COTTAGES SET IN CLUSTERS AND A MULTI-UNIT APARTMENT BUILDING, AS WELL AS A COMMUNITY CENTER, DINING ROOM, STORE, LIBRARY, FITNESS CENTER, POOL AND OTHER AMENITIES. MAINTENANCE, SECURITY, HOUSEKEEPING, UTILITIES, DINING, RECREATIONAL, CULTURAL, TRANSPORTATION AND FITNESS SERVICES ARE PROVIDED FOR THE VILLAGERS. THE HEALTH CENTER, LOCATED ON THE SAME CAMPUS AS THE VILLAGE, PROVIDES TRANSITIONAL CARE, SKILLED NURSING CARE AND COMPREHENSIVE THERAPY PROGRAMS; A PERSONAL CARE ALZHEIMER'S/DEMENTIA PROGRAM FOR THOSE WITH IMPAIRED MEMORY IS LOCATED ON THE 5TH FLOOR OF THE HEALTH CENTER; LONG-TERM CARE FOR RESIDENTS REQUIRING ON-GOING CARE; SHORT-TERM RESPITE CARE TO ALLOW HOME-BASED CARE GIVERS TO TAKE A VACATION OR TRIP; AND HOSPICE CARE FOR END-OF-LIFE CARE. LAKEVIEW, A PERSONAL CARE FACILITY, WAS PURCHASED BY DOYLESTOWN HOSPITAL IN 1998 AND ADDED TO THE PINE RUN FAMILY OF FACILITIES. IT OFFERS PERSONAL CARE ACCOMMODATIONS IN PRIVATE ROOMS AND COMPANION SUITES, WITH SUPPORTIVE SERVICES AND ENHANCED PROGRAMMING FOR THOSE WITH MEMORY IMPAIRMENT. THIS PERSONAL CARE RESIDENCE IS THREE AND A HALF (3.5) MILES FROM THE PINE RUN VILLAGE, AND TWO BLOCKS FROM THE MAIN HOSPITAL. LAKEVIEW PROVIDES 24 HOUR NURSING CARE. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS DOYLESTOWN HOSPITAL VISITING NURSE/HOSPICE ------------------------------------------ THE ORIGINAL HEALTH SERVICE OF DOYLESTOWN HEALTH, VISITING NURSE/HOSPICE IS A CRITICAL COMPONENT IN THE CONTINUUM OF CARE, FROM BIRTH TO END-OF-LIFE. THE DOYLESTOWN HOSPITAL HOME HEALTH TEAM IS COMPRISED OF SKILLED PROFESSIONALS IN NURSING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, AND MEDICAL SOCIAL WORK, WORKING TOGETHER TO DELIVER HIGH QUALITY HOME CARE SERVICES. THE HOSPICE TEAM OFFERS HIGH QUALITY CARE DESIGNED TO PROVIDE SENSITIVITY AND SUPPORT FOR PEOPLE WHO ARE TERMINALLY ILL. OUR GOAL IS TO ENABLE INDIVIDUALS TO LIVE AS FULLY AND COMFORTABLY AS POSSIBLE AT HOME OR IN A HOME-LIKE SETTING SUCH AS A CARE FACILITY. WE ARE COMMITTED TO PROVIDING EXCELLENCE IN EVERY ASPECT OF CARE TO THOSE WHO PLACE THEIR TRUST IN US. THE HOSPICE PHILOSOPHY BELIEVES THAT THROUGH APPROPRIATE CARE, PATIENTS AND FAMILIES WILL BE FREE TO ATTAIN A DEGREE OF PHYSICAL, MENTAL AND SPIRITUAL PREPARATION FOR DEATH THAT IS COMFORTING TO THEM. VIA AFFILIATES (D/B/A DOYLESTOWN HEALTH PHYSICIANS) --------------------------------------------------- THE MAJORITY OF PHYSICIANS ON THE DOYLESTOWN HOSPITAL MEDICAL STAFF ARE INDEPENDENT PRACTITIONERS. DOYLESTOWN HEALTH PHYSICIANS IS A SUBSIDIARY OF THE FOUNDATION THAT EMPLOYS PHYSICIANS FOR NECESSARY COMMUNITY-BASED SERVICES THAT MIGHT NOT OTHERWISE BE AVAILABLE. DOYLESTOWN HEALTH PHYSICIANS INCLUDE SEVERAL PRIMARY CARE PRACTICES, HOSPITALISTS, GENERAL SURGEONS, HEART AND VASCULAR SURGEONS, CARDIOLOGISTS, NEUROLOGISTS, UROLOGISTS, GASTERENTEROLOGISTS, GYNECOLOGIC ONCOLOGISTS AND OTHERS. DOYLESTOWN HEALTH COMMUNITY BENEFIT ACTIVITIES ============================================== DOYLESTOWN HEALTH IS DEVOTED TO THE COMMUNITY IT SERVES, AND IT SPONSORS AND COORDINATES MANY CHARITABLE ACTIVITIES, WHICH, DESCRIBED IN THE NARRATIVE BELOW, IDENTIFIES WHAT IS DONE DAILY BY THE HEALTH SYSTEM'S ASSOCIATES AND VOLUNTEERS. COMMUNITY OUTREACH & BENEFIT ACTIVITIES --------------------------------------- 1) AMERICAN RED CROSS DONATION: THE HOSPITAL PROVIDES SPACE ON A MONTHLY BASIS FOR A BLOOD DONATION PROGRAM CONDUCTED BY THE AMERICAN RED CROSS THAT BENEFITS PATIENTS AND THE COMMUNITY. 2) BUCKS COUNTY CHILDREN'S MUSEUM: DOYLESTOWN HEALTH CONTINUES TO OFFER A VARIETY OF CHILD-FRIENDLY EDUCATIONAL PROGRAMS AT THE MUSEUM, INCLUDING PRESENTATIONS ON DENTAL HEALTH, SUMMER SAFETY, THE FIVE SENSES AND MORE. DOYLESTOWN HEALTH'S EXHIBIT, "HOSPITAL," OPENED IN MAY 2015 AND CONTINUES TO ATTRACT AREA FAMILIES TO EXPERIENCE A DOCTOR'S VISIT, EXPLORE AN AMBULANCE AND LEARN ABOUT THE HOSPITAL ENVIRONMENT WITH HANDS-ON ACTIVITIES. 3) BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP: THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP) IS A COLLABORATIVE EFFORT AMONG DOYLESTOWN HOSPITAL AND THE OTHER FIVE HOSPITALS IN THE COUNTY, ALSO INCLUDING THE BUCKS COUNTY MEDICAL SOCIETY AND THE BUCKS COUNTY DEPARTMENT OF HEALTH. THIS COLLABORATION WORKS TO IDENTIFY GAPS IN HEALTH SERVICES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. PROGRAM EFFORTS INCLUDE; COVID-19 COLLABORATION, ADVANCE CARE PLANNING, AND TOBACCO & VAPING CESSATION AND ADVOCACY. ADDITIONALLY, BCHIP HAS IDENTIFIED MENTAL HEALTH IS A PRIORITY AND SUPPORTS THE BCARES PROGRAM TO IMPROVE SERVICES FOR PATIENTS WITH SUBSTANCE ABUSE DISORDER. 4) CB CARES: BOTH THE DOYLESTOWN HOSPITAL AND THE DOYLESTOWN HEALTH FOUNDATION SUPPORT THE TEAM WITH BOARD MEMBERS WHO PROVIDE LEADERSHIP, FUNDRAISING AND HUMAN RESOURCE SKILLS. 5) CBTV: DOYLESTOWN HEALTH AND CENTRAL BUCKS SCHOOLS CONTINUE THEIR PARTNERSHIP PRODUCING HEALTH MATTERS WITH DOYLESTOWN HEALTH, AN EDUCATIONAL PROGRAM FEATURING EXPERT GUESTS FROM DOYLESTOWN HEALTH, THE SCHOOL DISTRICT AND THE COMMUNITY. THE SHOW BRINGS TO LIGHT TIMELY TOPICS OF INTEREST TO LOCAL FAMILIES, AND IS PRODUCED AND FILMED BY STUDENTS STUDYING BROADCASTING AT CB SOUTH HIGH SCHOOL, WHO ALSO ACT AS CO-HOSTS AND HELP DEVELOP QUESTIONS FOR THE PANEL OF GUESTS. RECENT TOPICS INCLUDE HEALTH CAREERS AND DANGERS OF VAPING. 6) CHILDREN'S VILLAGE DAY CARE SUBSIDIES: CHILDREN'S VILLAGE PROVIDES ON-SITE DAY CARE AND WELCOMES CHILDREN FROM LOW-INCOME FAMILIES IN THE AREA THAT ARE ELIGIBLE FOR CHILD-CARE SUBSIDIES. 7) ANN SILVERMAN COMMUNITY HEALTH CLINIC: THE MISSION OF THE CLINIC IS TO PROVIDE NO COST MEDICAL CARE, DENTAL CARE AND SOCIAL SERVICES TO LOW-INCOME (250% OF POVERTY OR BELOW), UNINSURED MEMBERS OF OUR COMMUNITY. THE CLINIC SERVES ALL AGES AND PROVIDES CARE FOR THE ENTIRE FAMILY THROUGH MORE THAN 270 PROFESSIONAL, MEDICAL, MENTAL HEALTH, DENTAL AND SOCIAL SERVICE VOLUNTEERS AND A SMALL PAID STAFF. THE HOSPITAL PROVIDES THE CLINIC WITH OFFICES AND EXAM ROOMS. THE FOUNDATION ASSISTED IN SOME OF THE HEALTH NEEDS OF THE PATIENTS THAT GO BEYOND THE RESOURCES OF THE CLINIC WITH CONTRIBUTIONS OF OTHER DONATIONS INCLUDING MEDICAL LAB TESTING, AS WELL AS SENIOR MANAGEMENT'S TIME CONTRIBUTING TO THE CLINIC'S BOARD. 8) COMMUNITY OUTREACH AND EDUCATION CALENDAR: DOYLESTOWN HOSPITAL PUBLISHES AN EDUCATIONAL CALENDAR AND EDUCATIONAL NEWSLETTERS, WHICH ARE DISTRIBUTED ELECTRONICALLY. THE CALENDARS AND EDUCATIONAL NEWSLETTERS LIST COMMUNICATIONS RELATED TO HEALTH EDUCATION PROGRAMS AND CLASSES. ADVERTISEMENTS ARE IN LOCAL NEWSPAPERS WHICH INFORM THE COMMUNITY MEMBERS ABOUT UPCOMING HEALTH EDUCATION CLASSES, PHYSICIAN LECTURES, SUPPORT GROUPS AND OTHER HEALTH EDUCATION ACTIVITIES. IN ADDITION, DOYLESTOWN HOSPITAL PUBLISHES A REGULAR BLOG, INSTAGRAM, LINKEDIN, TWITTER AND FACEBOOK POSTS ON A VARIETY OF TOPICS PROVIDED BY THE HOSPITAL AND OTHERS. 9) DARKNESS TO LIGHT TRAINING: DOYLESTOWN HEALTH PROVIDED FREE TRAINING FOR ASSOCIATES AND COMMUNITY ON HOW TO BE A LEADER IN ENDING CHILD SEXUAL ABUSE AND USE BEHAVIOR CHANGE TO PROTECT THE CHILDREN. 10) MEDICAID APPLICATION PREPARATION FOR ALL UNINSURED PA RESIDENTS: DOYLESTOWN HOSPITAL OFFERS ALL UNINSURED PA RESIDENTS THE OPTION OF FILING A MEDICAID APPLICATION. HRSI IS THE HOSPITAL'S VENDOR AND THEY HELP OUR PATIENTS THROUGH THE PROCESS. THE HOSPITAL IS CHARGED $475/APPLICATION, IF THE APPLICANT OBTAINS ELIGIBILITY. 11) LENAPE VALLEY HEALTH FOUNDATION: THIS ORGANIZATION PROVIDES PSYCHIATRIC COVERAGE AND CLINICAL SUPERVISION FOR CRISIS UNIT PATIENTS AND PSYCHIATRIC CONSULTATION SERVICES IN THE HOSPITAL'S EMERGENCY DEPARTMENT. 12) FOUNDATION FUND RAISING PROGRAM: THE FOUNDATION'S FUND-RAISING PROGRAM REQUESTS UNRESTRICTED GIFTS FOR THIS FISCAL YEAR THAT ENABLE DOYLESTOWN HOSPITAL TO CONTINUE ITS MISSION OF A RESPONSIVE, HEALING ENVIRONMENT FOR PATIENTS AND THEIR FAMILIES. GIFTS BENEFIT MANY DEPARTMENTS OF THE HOSPITAL, ESPECIALLY THE HEART INSTITUTE, HOSPICE AND THE CANCER CENTER. SPECIAL EVENTS INCLUDED A SILENT AUCTION TO BENEFIT THE CANCER AND HOSPICE PROGRAMS, A HEART BRUNCH, AND A GOLF OUTING. THE PLANNED GIVING PROGRAM WAS SUCCESSFUL, INCLUDING THE GROWTH OF THE CHARITABLE GIFT ANNUITY PROGRAM. 13) HOSPICE PROGRAM SUPPORT: THE HOSPICE PROGRAM PROVIDES CAREGIVERS FOR RESPITE CARE IN THE HOMES OF TERMINALLY ILL PATIENTS, AND CONTACTED BEREAVED PEOPLE OVER THE PHONE THROUGHOUT THE YEAR AFTER THE DEATH OF A LOVED ONE. 14) BEREAVEMENT SUPPORT: THE BEREAVEMENT SUPPORT PROGRAM PROVIDES SUPPORT FOR BEREAVED AND HOSPICE FAMILIES. THERE ARE VARIOUS TYPES OF BEREAVEMENT SUPPORT GROUPS THAT TAKE PLACE MONTHLY IN ORDER TO MEET THE NEEDS OF ALL TYPES OF LOSSES. THESE PROGRAMS ARE OFFERED ALL YEAR ROUND AND HAVE A CHAPLAIN AND OTHER PROFESSIONAL STAFF IN ATTENDANCE. 15) "HOW TO COPE" PROGRAMS: EVENTS WERE HELD AT VARIOUS CHURCHES AND ORGANIZATIONS TO DISCUSS TOPICS OF COPING WITH THE LOSS OF A LOVED ONE AT THE HOLIDAYS, "WHO AM I NOWHAVING CONVERSATIONS BEFORE THE CRISIS. 16) PULSE LINE: A PHONE LINE THAT IS DEDICATED FOR COMMUNITY INFORMATION, REGISTRATION AND REFERRAL. HOSPITAL STAFF SCREEN APPLICANTS AND REFER PATIENTS TO PRIMARY CARE AND SPECIALIST PHYSICIANS. THEY ALSO REFER ELIGIBLE PATIENTS TO THE FREE CLINIC OF DOYLESTOWN. 17) THE DOYLESTOWN HEALTH ELECTRONIC MEDICAL RECORD SYSTEM INCORPORATES A COMPLETE PATIENT RECORD FOR BOTH INPATIENT AND OUTPATIENT CARE AND IS EASILY ACCESSIBLE BY COMMUNITY HEALTHCARE PROVIDERS TO IMPROVE THE QUALITY OF CARE FOR MEMBERS OF THE COMMUNITY. 18) SCHOLARSHIP ASSISTANCE: 25 SCHOLARSHIPS ARE SUPPORTED BY THE FOUNDATION THROUGH RESTRICTED GIFTS. THESE SCHOLARSHIPS ARE AWARDED TO MEN AND WOMEN PURSUING NURSING, ALLIED HEALTH, PARAMEDIC, AND OTHER TRAINING. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 19) COMMUNITY BUSINESS SPONSORSHIPS: THROUGHOUT THE YEAR, DOYLESTOWN HOSPITAL MADE CASH DONATIONS TO ASSIST LOCAL NON-PROFITS AND CULTURAL ORGANIZATIONS PROVIDING PROGRAMS AND ACTIVITIES THAT IMPROVE AND/OR ENHANCE THE OVERALL QUALITY OF LIFE FOR THE GREATER CENTRAL BUCKS COMMUNITY. WE BELIEVE THAT ONE WAY TO KEEP COMMUNITY MEMBERS SAFE, HEALTH AND VIBRANT IS BY SUPPORTING THE NUMEROUS COMMUNITY AND NON-PROFIT BUSINESS GROUPS THAT ARE THE FABRIC OF OUR COMMUNITY AND BY PARTICIPATING IN SPECIAL PROGRAMS AND EVENTS THAT BENEFIT A BROAD SPECTRUM OF COMMUNITY RESIDENTS. 20) VISITING NURSE PROGRAM FREE SUPPORT: THE VISITING NURSES MADE VISITS TO FAMILIES WITHOUT INSURANCE. CLINICS WERE HELD AT THE CENTER SQUARE TOWERS, YORKTOWNE MANOR AND BUCKINGHAM SPRINGS, WHICH ARE ALL SENIOR LIVING COMPLEXES. 21) HOSPICE PROGRAMS: MAILINGS AND TELEPHONE CONTACT TO OTHER COMMUNITY SERVICE ORGANIZATIONS, SUCH AS BEELONG ADULT DAY SERVICES, BAYADA NURSES IN HATBORO & BUCKS COUNTY OFFICE, THE MANOR AT YORKTOWN, TO NAME A FEW, AS WELL AS HEALTHCARE ORGANIZATIONS TO OFFER INFORMATION AND EDUCATION REGARDING "END OF LIFEHOSPICE PROGRAMS. 22) LIBRARY SERVICES AT DOYLESTOWN HOSPITAL: THE HOSPITAL HAS AN EXTENSIVE LIBRARY THAT IS OPEN TO USERS FROM THE COMMUNITY, OTHER THAN MEDICAL STAFF, ASSOCIATES AND VOLUNTEERS OF THE HOSPITAL. PHYSICIANS THAT HAVE PRIVILEGES AT THE HOSPITAL AS WELL AS HONORARY/EMERITUS MEDICAL STAFF MAKE UP THE LARGEST GROUP OF USERS. 23) CLOTHING DONATION: DOYLESTOWN HOSPITAL SET UP A "TREE OF WARMTH" WHICH BROUGHT TOGETHER WARM GLOVES, HATS, SCARVES AND MORE FOR THE WOMEN AND CHILDREN AT "A WOMAN'S PLACE." EDUCATIONAL PROGRAMS -------------------- 1) LIFESTYLE LECTURES: THIS WAS A SERIES OF 300 INFORMAL EDUCATIONAL LECTURES OFFERED TO THE COMMUNITY BY MEMBERS OF THE MEDICAL STAFF, HEALTH EDUCATORS AND DIETICIANS. THE HOSPITAL COORDINATED THE PROGRAM, WHICH HELPED OVER 2,000 COMMUNITY MEMBERS. 2) COMMUNITY LECTURES: THE HOSPITAL PROVIDED SPEAKERS FOR VARIOUS COMMUNITY GROUPS AND ORGANIZATIONS. ORGANIZATIONS INCLUDED PLACES OF WORSHIP, FIRE DEPARTMENTS, ROTARY CLUBS, LIBRARIES, SENIOR CENTERS, LOCAL PARKS, AND MORE. PRESENTERS FOR EVENTS UTILIZED BOTH STAFF AND PHYSICIANS. THESE PROGRAMS IMPROVED THE COMMUNITY'S HEALTH AND QUALITY OF LIFE THROUGH EDUCATION. 3) PARTICIPATION AT COMMUNITY EVENTS: PROVIDED EDUCATION MATERIALS AND PEOPLE TO STAFF TABLE EVENTS FOR FREQUENT HELD BY COMMUNITY. EVENTS INCLUDE, BUT ARE NOT LIMITED TO, CONGRESS SENIOR EXPOS, COMMUNITY DAY WELLNESS FAIRS, FRATERNAL HEALTH EVENTS, CHAMBER HEALTH EVENTS, AND MORE. 4) MENTAL HEALTH SERIES: DOYLESTOWN HEALTH PROVIDES MENTAL HEALTH EDUCATION AND MONTHLY SERIES TO COMMUNITY MEMBERS TO INCREASE AWARENESS OF MENTAL HEALTH RESOURCES. BY ALLOWING QUESTIONS AND ANSWERS AT THE END, THESE EVENTS PROVIDE FREE TIME WITH PSYCHIATRISTS AND PHYSICIANS WHO TREAT MENTAL HEALTH WHICH ALLOWS MORE PERSONAL QUESTIONS TO BE ANSWERED. THIS IMPROVES AND MEETS THE COMMUNITY HEALTH NEEDS BY INCREASING KNOWLEDGE AND GETTING COMMUNITY MEMBERS SET UP WITH PROVIDERS TO START TREATMENT. 5) BREAST CANCER SUPPORT GROUP: PROVIDED OPPORTUNITIES FOR EDUCATIONAL AND EMOTIONAL SUPPORT FOR BREAST CANCER SURVIVORS AND THEIR FAMILIES. ADDITIONAL PROGRAMS SPONSORED BY THE HOSPITAL FOR CANCER SUPPORT WERE FOUR CANCER EDUCATIONAL PROGRAMS (PSYCHOLOGICAL SUPPORT PROGRAM, BREAST CANCER AND EMOTIONAL SUPPORT PROGRAM, NUTRITION PROGRAM AND "BASKET BINGO". 6) LOOK GOOD, FEEL BETTER: THIS PROGRAM PROVIDED SUPPORT AND RESOURCES FOR CANCER PATIENTS UNDERGOING CHEMOTHERAPY. 7) NUTRITION PRESENTATIONS: PROGRAMS WERE HELD THROUGHOUT THE YEAR TO PROVIDE EDUCATION ON NUTRITION TO PROMOTE OPTIMAL HEALTH AND DIABETES AWARENESS. LOCATIONS INCLUDED: SEVERAL CHURCHES, SENIOR COMMUNITIES, HIGH SCHOOLS AND VARIOUS WOMEN'S AND MEN'S GROUPS, MENU EVALUATION FOR YORKTOWN MANOR, HEALTH FAIR DISPLAYS FOR YMCA AND MANY LOCAL ELEMENTARY SCHOOLS. 8) STROKE SUPPORT GROUP: THIS MONTHLY PROGRAM ADDRESSES ISSUES AND THE STRUGGLES THAT FACE STROKE SURVIVORS AND THEIR FAMILIES. 9) JOINT REPLACEMENT PREOP EDUCATION: THIS PROGRAM IS PRESENTED 9 TIMES THROUGH THE YEAR. THIS LECTURE ADDRESSES ISSUES AND CONCERNS AS WELL AS WHAT TO EXPECT BOTH PRE & POST OP AND DISCHARGE OF A JOINT REPLACEMENT. 10) WALK WITH A DOC: COMMUNITY MEMBERS PARTICIPATE IN MONTHLY PROGRAMS THAT INCLUDE SHORT HEALTH LECTURES BY VARIOUS PHYSICIANS FOLLOWED BY AN ENERGIZING WALK AROUND THE DOYLESTOWN HOSPITAL CAMPUS. WALKS CONTINUE YEAR-ROUND, WITH SPECIAL EVENTS IN JANUARY AND FEBRUARY (AMERICAN HEART MONTH). THE PROGRAMS HELP MOTIVATE INDIVIDUALS TO CONTINUE EXERCISE FOR BETTER HEALTH AND GIVE THE COMMUNITY A CHANCE TO TALK TO THE PHYSICIAN PRESENTING. 11) INTEGRATIVE PROGRAMS: INTEGRATIVE THERAPIES, LIKE ACUPUNCTURE, IN CONJUNCTION WITH TRADITIONAL MEDICINE IN THE TREATMENT OF CANCER, IMPROVE PATIENTS' OVERALL PHYSICAL AND EMOTIONAL WELL BEING AND CAN HELP THEM MANAGE THE SIDE EFFECTS OF CANCER TREATMENT. THESE SERVICES ARE PROVIDED BY A LICENSED AND CERTIFIED THERAPIST. 12) STUDENT INTERNSHIP SUMMER PROGRAM: THIS PROGRAM WITH STUDENTS OF THE GYNEDD MERCY CARDIOVASCULAR TECHNOLOGY PROGRAM, BUCKS AND MONTGOMERY COUNTY COMMUNITY COLLEGES NURSING PROGRAM AND KETTERING COLLEGE ECHO PROGRAM AND OTHER LOCAL SCHOOL PROGRAM. THE STUDENTS SPEND 2 WEEKS OBSERVING PROCEDURES IN CARDIAC SERVICES, ECHO AND THE CATH LAB TO HELP THEM DECIDE WHERE THEY WOULD LIKE TO FOCUS THEIR EDUCATIONAL/CAREER AND EDUCATION. THE HOSPITAL ALSO HAS 3 STUDENTS FROM TEMPLE UNIVERSITY IN THE PHYSICAL THERAPY DEPARTMENT OF REHAB COMPLETE THEIR EDUCATIONAL REQUIREMENTS THROUGH OBSERVATION. 13) STUDENT INTERNSHIP RADIOLOGY PROGRAM: STUDENTS FROM BUCKS & MONTGOMERY COUNTY COMMUNITY COLLEGE'S RADIOLOGIC TECHNOLOGY PROGRAM, ATTEND THE HOSPITAL'S DEPARTMENT OF RADIOLOGY ON A ROTATION BASIS. STUDENTS LEARN CLINICAL SKILLS THAT ARE IMPORTANT TO THEIR EDUCATIONAL PROCESS. RADIOGRAPHERS AT THE HOSPITAL SERVE AS CLINICAL INSTRUCTORS FOR THE STUDENTS ON A ONE TO ONE RATIO. 14) ALLIED HEALTH RCIS COLLEGE INTERN PROGRAM: STUDENTS WORK WITH A DOYLESTOWN HOSPITAL CARDIAC REHAB ASSOCIATE, DEVELOPING THEIR SKILLS SUCH AS READING PHYSICIAN REPORTS, COLLECTING INFORMATION FOR FIRST VISIT PATIENTS, ASSESSING SKILLS, DOCUMENTING MEDS, EXERCISE EVALUATIONS, EVALUATING OUTCOMES AND DISCHARGING PATIENTS. FOR THE STUDENT COLLEGE TRAINING, THIS IS A MANDATORY CLINICAL EXPERIENCE PROGRAM. 15) SMOKING CESSATION PROGRAM: PROGRAMS WERE HELD IN CONJUNCTION WITH BCHIP AND USED CDC RESOURCES "CLEARING THE AIR". INDIVIDUALS WERE GIVEN HELP IN QUITTING THE HABIT OF SMOKING. THIS WAS IN-PERSON AND VIRTUAL. 16) PEDIATRIC OUTREACH PROGRAM: PROGRAMS WERE HELD THROUGHOUT THE COMMUNITY TO EDUCATE CENTRAL BUCKS NURSING STUDENTS, DOYLESTOWN STUDENTS FROM PRE-KINDERGARTEN THROUGH THE SECOND GRADE AND THE LOCAL BROWN TROOP BADGE PROGRAM. THESE TOPICS PROVIDED INFORMATION RANGING FROM CHILDREN'S NUTRITION, CHILDHOOD OBESITY, PROTECTING YOURSELF FROM THE SUN, SUMMER SAFETY AS WELL AS FIRST AID, HOUSEHOLD SAFETY AND POISION PREVENTION, DENTAL HEALTH, HAND HYGIENE AND DRUG OVERDOSE PROGRAMS. 17) PINE RUN INTERN PROGRAM: THIS INTERNSHIP PROGRAM HAS STUDENTS FROM TEMPLE UNIVERSITY. THESE STUDENTS ARE THERAPEUTIC RECREATION MAJORS AND ARE HERE TO OBSERVE AND BE EDUCATED ON THIS FIELD OF STUDY WORKING AT THE PINE RUN COMMUNITY. 18) PINE RUN PROGRAMS: PINE RUN SPONSORS NUMEROUS COMMUNITY LECTURES IN ITS "DOC TALES" SERIES. THESE FREE PHYSICIAN LECTURES HAVE EXPLORED TOPICS INCLUDING BREAST CANCER AWARENESS, BLOOD PRESSURE CONTROL, DISEASES OF THE CHEST, MEMORY WORKSHOPS AND COMMON EYE PROBLEMS. PINE RUN HOLDS AN ANNUAL ART SHOW IN THE SPRING AND THE ANNUAL FALL FESTIVAL BRINGS FAMILIES AND COMMUNITY MEMBERS TO THE PINE RUN CAMPUS FOR A VARIETY OF FAMILY-FRIENDLY SEASONAL ACTIVITIES. MATERNITY AND PARENTING ACTIVITIES ---------------------------------- 1) BABY WELL: THIS PROGRAM EDUCATED PARENTS ON HOW TO CARE FOR THEIR NEWBORN. 2) HEALTHY BEGINNINGS PROGRAM: THIS IS A PROGRAM TO BRING PRENATAL HEALTH TO THE UNDERSERVED IN THE COMMUNITY. THIS IS PRIMARILY PEOPLE WITHOUT THE ABILITY TO PAY OR THOSE WHO HAVE NOT YET ENROLLED OR WHO ARE ENROLLED IN MEDICAID. MUCH OF OUR PROGRAM DEALS WITH HIGH RISK PATIENTS AND THOSE WITH SUBSTANCE ABUSE PROBLEMS. THERE IS A PHYSICIAN, A SOCIAL WORKER AND A DIETICIAN, AS WELL AS TWO NURSES WHO RUN THE PROGRAM. 3) BREASTFEEDING EDUCATION: THIS PROGRAM PROVIDES AN INCREASED UNDERSTANDING OF THE BENEFITS OF BREASTFEEDING, WHICH LEADS TO IMPROVED NUTRITION/HEALTH OF INFANTS THAT WERE HELD THROUGHOUT THE YEAR. 4) CHILDBIRTH CLASSES: A PROGRAM TEACHING THE HOW-TOS OF CHILDBIRTH SERVED THROUGH 24 COURSES SERIES EVERY DAY OF THE WEEK EXCEPT FRIDAY. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 5) CHILD DEVELOPMENT: THIS PROGRAM WAS IN COOPERATION WITH THE CENTRAL BUCKS SCHOOL DISTRICT. HIGH SCHOOL STUDENTS TOURED THE LDRP UNIT. THEY VIEWED AND DISCUSSED FAMILY'S ADMISSION FROM BIRTHING ROOM TO POSTPARTUM ROOM TO THE NURSERY. DISCUSSIONS WERE HELD ON NEWBORNS AND BASIC DEVELOPMENT, INCLUDING ICN & TYPES OF INFANTS ADMITTED AT DOYLESTOWN HOSPITAL. 6) GRAND PARENTING CLASSES: THIS PROGRAM PREPARED GRANDPARENTS-TO-BE ON HOW TO BE SUPPORT THEIR CHILDREN AS THEY START THEIR OWN FAMILY. 7) PRENATAL REFRESHER CLASSES: THIS PROGRAM REFRESHED PARENTS-TO-BE, WHO ALREADY HAVE DELIEVERED OTHER CHILDREN, ON THE CHILDBIRTH EXPERIENCE. 8) SIBLING EDUCATION CLASSES: A PROGRAM DESIGNED TO LESSEN A CHILD'S FEELINGS OF ANXIETY AND JEALOUSY. SCHOOL AGE ACTIVITIES --------------------- 1) PARENTING AND BABYSITTING EDUCATION: THIS IS A COOPERATIVE PROGRAM WITH CHILD, HOME AND COMMUNITY, INC. THE HOSPITAL PROVIDED FOR THE EDUCATIONAL COURSE. 2) SCHOOL DISTRICT PROGRAMS: DOYLESTOWN HOSPITAL WORKS WITH CENTRAL BUCKS HIGH SCHOOLS TO WELCOME TOPPS AND WORK-BASED LEARNING SPECIAL NEEDS STUDENTS TO EXPERIENCE JOBS WITHIN THE HOSPITAL'S DINING SERVICES. THE GOAL IS TO PREPARE THE STUDENTS FOR EMPLOYMENT ONCE OUT OF SCHOOL. 3) TEDDY BEAR CLINICS: CHILDREN IN THE COMMUNITY WERE EXPOSED TO THE EMERGENCY DEPARTMENT AND AMBULANCE IN A FUN ENVIRONMENT. THE EXPERIENCE TAUGHT THEM TO NOT BE FRIGHTENED IN THE EVENT THEY MAY NEED EMERGENCY SERVICES. 4) FOCUS ON MOTHERHOOD: FAMILY HOME AND COMMUNITY CHILDBIRTH CLASSES FOR TEEN PARENTS MEET AT C.V. EVERY MONDAY EVENING TO PREPARE FOR CHILDBIRTH. INSTRUCTION IS ALSO PROVIDED FOR INFANT CARE, HEALTH & NUTRITIONAL AND LIFE SKILLS. 5) BEREAVEMENT GROUP MEETINGS: SPACE IS PROVIDED MONTHLY FOR THESE MEETINGS. LEADERSHIP ACTIVITIES --------------------- THE HOSPITAL PRESIDENT/CEO DEVOTED HIS TIME TO COMMUNITY BENEFIT ACTIVITIES INCLUDING, BUT NOT LIMITED TO, THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP, ANN SILVERMAN COMMUNITY HEALTH CLINIC, CHAMBER OF COMMERCE, HOSPITAL ASSOCIATION OF PA, CHRIST'S HOME, AND DELAWARE VALLEY UNIVERSITY. THE VICE-PRESIDENT OF DEVELOPMENT WAS ALSO INVOLVED IN CONTRIBUTING TIME AND EFFORTS THAT BENEFIT THE COMMUNITY BY SUPPORTING THE FOLLOWING ALIGNED CHARITIES: VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN (VIA), AMA CHHROI FOUNDATION OF HOPE, DOYLESTOWN HISTORICAL SOCIETY, MERCER MUSEUM, MICHENER MUSEUM, CENTRAL BUCKS CHAMBER OF COMMERCE, ANN SILVERMAN COMMUNITY HEALTH CLINIC, AND VARIOUS FUNDRAISERS AND COMMUNITY EVENTS ACROSS THE COUNTY. 1) LUNG CANCER PREVENTION - GREAT AMERICAN SMOKEOUT: THIS PROGRAM PROVIDES INFORMATION ON THE PREVENTION OF LUNG CANCER AND THE DAMAGE SMOKING HAS ON YOUR HEALTH. INFORMATION WAS PROVIDED THROUGH BROCHURES, WEB ASSISTED PROGRAMS WERE INTRODUCED AND TOLL FREE RESOURCES WERE ALSO PROVIDED. 2) I CAN COPE: THIS PROGRAM WAS AN EDUCATIONAL SERIES THAT ADDRESSED TOPICS SUCH AS CANCER AND TREATMENT, MANAGING SIDE EFFECT, EMOTIONAL CONCERNS, FATIGUE AND ENERGY CONSERVATION AND PROPER NUTRITION. DOYLESTOWN HOSPITAL'S MANAGERS ALSO CONTRIBUTE THEIR LEADERSHIP AND EXPERTISE TO A VARIETY OF COMMUNITY BOARDS, AGENCIES, AND PROJECTS, WHICH INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: - ADVOCACY SPEECHES - AMERICAN CANCER SOCIETY - AMERICAN HERITAGE FCU - AMERICAN RED CROSS BLOOD DRIVE - ANN SILVERMAN COMMUNITY HEALTH CLINIC - BUCKS CO. HOSPITAL DECON TASK FORCE - BUCKS CO. QUALITY CHILD CARE COALITION - BUCKS CO. MH/MR ADVISORY BOARD - BOYS SCOUTS OF AMERICA - BUCKS COUNTY HOUSING GROUP - BUCKS CO. HEALTH IMPROVEMENT PARTNERSHIP - CB CHAMBER OF COMMERCE - CENTRAL BUCKS MINISTERIUM - CB CHRISTIAN WOMEN'S CLUB - CHILD, HOME AND COMMUNITY, INC. - CENTRAL BUCKS FAMILY YMCA - CB CARES - COMMUNITY OUTREACH CENTER - DELAWARE VALLEY UNIVERSITY SENIOR EDUCATION - DISCOVER DOYLESTOWN - DOYLESTOWN ATHLETIC ASSOCIATION - DOYLESTOWN BUSINESS & COMMUNITY ALLIANCE - DVHC BOARD AND COMMITTEES - FAMILY CAREGIVERS OF SENIORS - FRIENDS OF PEACE VALLEY NATURE CENTER - GREATER MONTGOMERY COUNTY CHAMBER OF COMMERCE - GWYNEDD MERCY ADVISORY COMMITTEE - HEALTH AND HOUSING TASK FORCE - HERITAGE CONSERVANCY - LENAPE VALLEY SHRINER'S CLUB - LITERACY ACADEMY OF BC IU - MARCH OF DIMES - MIDDLE BUCKS INSTITUTE OF TECH. ADVISORY - PROFESSIONALS WORKING WITH SENIORS - SENIORS AND FAMILIES COMMITTEE - SPRINGFIELD TOWNSHIP (SUPERVISOR/PLANNING) TEACHING PROGRAMS ----------------- DOYLESTOWN HOSPITAL SUPPORTS MEDICAL, NURSING, ALLIED HEALTH, AND HOSPITAL MANAGEMENT PROGRAMS. THE FOLLOWING IS A LIST OF SCHOOLS THAT SENT STUDENTS TO THE HOSPITAL FOR PRACTICUMS, CLINICAL ROTATIONS, AND/OR PRECEPTORSHIPS: - ARCADIA UNIVERSITY - BLOOMSBURG UNIVERSITY - BUCKS COUNTY COMMUNITY COLLEGE - CHAMBERLAIN COLLEGE OF NURSING - DREXEL UNIVERSITY/HAHNEMANN COLLEGE - EASTERN MENNONITE COLLEGE - GWYNEDD MERCY UNIVERSITY - HARCUM COLLEGE - ITHACA COLLEGE - LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE - LASALLE UNIVERSITY - MCPHS UNIVERSITY - MONTGOMERY COUNTY COMMUNITY COLLEGE - PENN STATE UNIVERSITY - PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE - ROBERT MORRIS UNIVERSITY - SALUS UNIVERSITY - SOUTH CAROLINA COLLEGE OF PHARMACY - STARR TECHNICAL INSTITUTE - ST FRANCIS UNIVERSITY - SUNY DELHI - TEMPLE UNIVERSITY - THOMAS JEFFERSON UNIVERSITY - UNIVERSITY OF DELAWARE - UNIVERSITY OF PENNSYLVANIA - UNIVERSITY OF THE SCIENCES - UNIVERSITY OF ST FRANCIS - UPPER BUCKS TECHNICAL INSTITUTE - WIDENER UNIVERSITY DOYLESTOWN HOSPITAL SERVED AS A CLINICAL ROTATION SITE FOR MEDICINE, PHYSICIAN ASSISTANT, ENTRY AND ADVANCED NURSING LEVELS, PHARMACY, RADIOLOGIC TECHNOLOGY, CARDIAC SERVICES AND EXERCISE PHYSIOLOGY. ALL PATIENT CARE AREAS WERE UTILIZED IN THE EDUCATION OF THESE STUDENTS. PRE-MED VOLUNTEER PROGRAM: THIS PROGRAM HAS BEEN DEVELOPED BY THE HOSPITAL MEDICAL STAFF AND VOLUNTEER DEPARTMENT. IT IS A TEN-WEEK PROGRAM STARTING IN LATE MAY. IT IS SUPERVISED BY THE HOSPITAL'S DIRECTOR OF VOLUNTEER SERVICES AND IS COORDINATED WITH A SPECIAL SEMINAR PROGRAM CONDUCTED BY THE DOYLESTOWN HOSPITAL'S MEDICAL STAFF TO INTRODUCE THE STUDENTS TO SELECTED PHASES OF A MEDICAL CAREER. STUDENTS PARTICIPATING IN THE PROGRAM ARE EXPECTED TO GIVE THE HOSPITAL A MINIMUM OF 100 HOURS OF VOLUNTEER TIME IN VARIOUS PATIENT RELATED SERVICES DURING THE COURSE. THE AIM OF THE PROGRAM IS TO GIVE PRE-MEDICAL STUDENTS FIRST-HAND HOSPITAL EXPERIENCE TO ACQUAINT THEM WITH A TOTAL COMMUNITY HOSPITAL PICTURE. THIS PROGRAM BRINGS INTO FOCUS THE WORK AND RESPONSIBILITY OF THE PHYSICIAN IN A MODERN HOSPITAL COMPLEX. OUTSIDE GROUP ROOM USAGE ------------------------ THE HOSPITAL PROVIDES FREE SPACE FOR MEETINGS TO THE FOLLOWING OUTSIDE GROUPS WITH A CHARITABLE MISSION: - ANN SILVERMAN FAMILY HEALTH COMMUNITY CLINIC - BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP HEALTH SCREENINGS & IMMUNIZATIONS --------------------------------- THE HOSPITAL CONDUCTS HEALTH SCREENS AND SUPPORTED IMMUNIZATIONS FOR VARIOUS COMMUNITY MEMBERS. 1) HEALTH SCREENINGS: VARIOUS COMMUNITY INDIVIDUALS BENEFITED FROM HEALTH SCREENINGS DOYLESTOWN PROVIDED FOR FREE OR LOW COST. THESE SCREENINGS INCLUDED BLOOD PRESSURE SCREENINGS, CHOLESTEROL AND GLUCOSE SCREENINGS, AND BIOMETRIC SCREENINGS. THESE ACTIVITIES IMPROVES THE HEALTH OF THE COMMUNITY IN GENERAL, SPECIFIC GROUPS OF PEOPLE, HELPS CONTAIN HEALTHCARE COSTS AND/OR IMPROVES THE QUALITY OF LIFE FOR ALL MEMBERS OF OUR COMMUNITY. THEY ALSO PROVIDE THE COMMUNITY AN OPPORTUNITY TO GAIN KNOWLEDGE ON PHYSICIANS WHO MAY BE ABLE TO ASSIST THEIR MEDICAL CARE. 2) SKIN CANCER SCREENING: THIS PROGRAM SCREENED PATIENTS WITH VOLUNTEER MEDICAL, NURSING AND CLERICAL. 3) PROSTATE CANCER SCREENINGS: THIS PROGRAM SCREENED PATIENTS WITH VOLUNTEER MEDICAL, NURSING AND CLERICAL STAFF. 4) LUNG CANCER SCREENINGS: THIS PROGRAM SCREENED PATIENTS WITH VOLUNTEER MEDICAL, NURSING AND CLERICAL STAFF. 5) CANCER RISK SCREENINGS: THIS PROGRAM SCREENED PATIENTS WITH VOLUNTEER MEDICAL, NURISNG AND CLERICAL STAFF. 6) FALL RISK SCREENINGS: THIS PROGRAM SCREENED PATIENTS WITH VOLUNTEER MEDICAL, NURSING AND CLERICAL STAFF. 7) INFLUENZA IMMUNIZATIONS: DOYLESTOWN HOSPITAL PROVIDED MULTIPLE COMMUNITY FLU SHOT CLINICS. VACCINES WERE PROVIDED BY DOYLESTOWN STAFF. MAJOR COMMUNITY LOCATIONS WERE USED TO VARY AVAILABILITY TO THE COMMUNITY. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SUPPORT GROUP & SELF-HELP PROGRAMS ---------------------------------- SUPPORT GROUPS ARE OFFERED AT NO CHARGE TO THE COMMUNITY, AND A MEMBER OF THE HOSPITAL STAFF LEADS MANY. THE FOLLOWING IS A LIST OF THE GROUPS THAT HELD REGULAR MEETINGS AT THE HOSPITAL: - ALCOHOLICS ANONYMOUS - BEREAVEMENT - BREAT FEEDING - CADUCEUS - COSLAA - FIBROMYALGIA/CHRONIC FATIGUE - HEART FAILURE - ICD (IMPLANTABLE DEFIBRILLATOR) - PARKINSONS - PREGNANCY LOSS - PROSTATE CANCER - RESOLVE INFERTILITY - SCLERODERMA - SLAA - STROKE VOLUNTEER PROGRAMS ------------------ DOYLESTOWN HOSPITAL ENJOYS THE GENEROUS CONTRIBUTION OF TIME AND TALENT FROM COMMUNITY VOLUNTEERS, STARTING AT THE MIMIMUM AGE OF 15. VOLUNTEER OPPORTUNITIES BENEFIT THE COMMUNITY BY PROVIDING, FOR MANY COMMUNITY MEMBERS, A PLACE TO GO OR A WAY TO FEEL NEEDED, THUS PREVENTING A VARIETY OF SOCIAL PROBLEMS. THE VOLUNTEER PROGRAM ALLOWS SOME MEMBERS OF THE COMMUNITY TO HELP OTHERS, NOT THROUGH THEIR DOLLARS BUT THROUGH THEIR DONATED TIME. IN ADDITION, THE HOSPITAL IS A PLACE FOR COMMUNITY MEMBERS TO REACH OUT TO HELP FRIENDS AND NEIGHBORS OR TO FULFILL COURT-MANDATED COMMUNITY SERVICE OBLIGATIONS AS VOLUNTEERS. VOLUNTEERS SIGNIFICANTLY ENHANCE PATIENT AND FAMILY SUPPORT IN THE FOLLOWING SERVICE CATEGORIES: - ADDRESSING AND COLLATING - CANCER INSTITUTE - CHILDREN'S VILLAGE - DIETARY MENU - EMERGENCY DEPARTMENT - GIFT SHOP/CART - HOSPITALITY CART - HOSPICE - INFORMATION DESKS - MAIL OR MESSENGER - PASTORAL CARE - ANIMAL ASSISTED THERAPY - RADIOLOGY INFORMATION DESK - SNACK BAR - SURGERY WAITING AREA - PATIENT TRANSPORT - INTERVENTIONAL RADIOLOGY - CARDIAC REHAB - PULMONARY REHAB - MEDICAL RESEARCH - VIA MATERNITY CENTER - "NO ONE DIES ALONE" PROGRAM BECAUSE THE HOSPITAL WANTS TO PROVIDE EXCEPTIONAL OPPORTUNITIES FOR COMMUNITY MEMBERS TO OFFER TIME AND TALENT TO SUPPORT THE VIA'S MISSION TO EXCELLENT LOCAL HEALTHCARE, SALARIES WERE BUDGETED FOR RECRUITMENT, ORIENTATION, MANAGEMENT, RETENTION AND RECOGNITION OF VOLUNTEERS IN PATIENT TRANSPORT, THE GIFT SHOP, AND THROUGHOUT THE PATIENT SERVICES AREAS. FINANCIAL ASSISTANCE TO COMMUNITY MEMBERS ----------------------------------------- DOYLESTOWN HOSPITAL AND THE PINE RUN COMMUNITY PROVIDES FREE MEDICAL CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UNREIMBURSED CHARGES FROM MEDICAL ASSISTANCE PROGRAMS ON BEHALF OF PATIENTS THAT MEET THE HOSPITAL'S FINANCIAL ASSISTANCE CRITERIA ARE ALSO CONSIDERED FINANCIAL ASSISTANCE. ADDENDUM: DOYLESTOWN HOSPITAL PROGRAM AND SERVICES ================================================== - ASSOCIATE HEALTH SERVICES - BEHAVIORAL HEALTH SERVICE (EAP & CRISIS SERVICES) - CARDIAC AND NEUROLOGICAL SERVICES (DIAGNOSTIC CARDIAC CATHETERIZATION, NON-INVASIVE DIAGNOSTIC TESTING SERVICES, INTERVENTIONAL CARDIOLOGY PROCEDURES AND EPS STUDIES: PACEMAKERS, DEVICE IMPLANTATION, ABLATION) - CARDIOVASCULAR SURGERY (CABG, VALVE REPLACEMENTS/REPAIRS) - CRITICAL CARE UNITS (MED/SURG CRITICAL CARE, CARDIOVASCULAR CRITICAL CARE) - DIABETES EDUCATION (INPATIENT AND OUTPATIENT): NUTRITION EDUCATION AND COUNSELING - EMERGENCY SERVICES (CRISIS INTERVENTION, OBSERVATION/HOLDING UNIT, SANE (SEXUAL ASSAULT NURSE EXAMINER) PROGRAM, DOMESTIC VIOLENCE) - ENDOSCOPY (GASTROENTEROLOGY, PULMONOLOGY) - ENTEROSTOMAL THERAPY (INPATIENT AND OUTPATIENT, NURSING HOME CONSULTATION, WOUND MANAGEMENT AND CONTINENCE CARE) - FOOD AND NUTRITION SERVICES (WEIGHT MANAGEMENT CLASSES: ADULTS AND CHILDREN, NUTRITIONAL ASSESSMENT AND COUNSELING AND PATIENT MEAL SERVICES) - GENERAL MEDICINE (ALLERGIC DISEASES, CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, FAMILY MEDICINE, GASTROENTEROLOGY, INFECTIOUS DISEASE, INTERNAL MEDICINE, HEMATOLOGY, OBSTETRICS & GYNECOLOGY, NEPHROLOGY, NEUROLOGY, ONCOLOGY, PATHOLOGY, PEDIATRICS, PHYSICAL MEDICINE/REHABILITATION, PSYCHIATRY, PULMONARY AND RHEUMATOLOGY) - HEMODIALYSIS - INFECTION CONTROL - IV THERAPY (PICC - PERIPHERALLY INSERTED CENTRAL CATHETER) - LABORATORY SERVICES (AUTODONATION, BLOOD BANK, CHEMISTRY, CYTOLOGY, HEMATOLOGY, HISTOLOGY/PATHOLOGY, MICROBIOLOGY, URINALYSIS) - MAGNETIC RESONANCE IMAGING (MRI) - MATERNITY SERVICES (ANTENATAL TESTING, BABY BRACELETS: MATERNAL/INFANT VISITING NURSE, LABOR AND DELIVERY, MATERNAL/CHILD CARE, NEONATOLOGY, PRENATAL TESTING, POST-PARTUM CARE, PREPARED CHILDBIRTH EDUCATION, SPECIAL CARE NURSERY (LEVEL II) AND WELL BABY NURSERY) - MEDICAL RESEARCH (CLINICAL TRIALS) - ONCOLOGY (INPATIENT AND OUTPATIENT AND OUTPATIENT INFUSION SERVICES) - PASTORAL CARE SERVICES (LAY CHAPLAIN) - PHARMACY - RADIOLOGY SERVICES (CT SCANNER, PET/CT SCANNER, DIAGNOSTIC RADIOLOGY, INVASIVE AND SPECIAL PROCEDURES, NUCLEAR MEDICINE AND ULTRASOUND) - REHABILITATION SERVICES (INPATIENT AND OUTPATIENT, BRAIN INJURY, CARDIAC REHABILITATION, COGNITIVE REMEDIATION, ELECTROMYOGRAPHY, LYMPHEDEMA THERAPY, HAND THERAPY, NERVE CONDUCTION STUDIES, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY AND SWALLOWING TEST) - RESPIRATORY SERVICES (PULMONARY FUNCTION TESTING AND PULMONARY REHAB) - CASE MANAGEMENT/SOCIAL SERVICES (PSYCHOSOCIAL ASSESSMENTS, COUNSELING, COMPLEX DISCHARGE PLANNING, CRISIS INTERVENTION, FINANCIAL COUNSELING, ADOPTION OPTIONS COUNSELING, PATIENT AND FAMILY EDUCATION, INFORMATION AND REFERRAL) - SURGICAL SERVICES (INPATIENT AND OUTPATIENT, ACUPUNCTURE, COSMETIC DENTISTRY, GENERAL NERVE BLOCKS, OB/GYN, OPHTHALMOLOGY, ORAL/MAXILLOFACIAL, ORTHOPEDICS, OTOLARYNGOLOGY, PEDIATRIC DENTISTRY, PLASTIC SURGERY, POST-ANESTHESIA CARE UNIT, PRE-ADMISSION TESTING, SAME DAY SURGERY (NERVE BLOCKS), UROLOGY, VASCULAR) - TELEMETRY / PROGRESSIVE CARE - VISITING NURSE/HOME CARE (ADULT AND INFANTS (UP TO 1 YEAR) SKILLED HOME HEALTH SERVICES, NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SOCIAL SERVICES, HOME HEALTH AIDES, BABY BRACELETS (MATERNAL/INFANT VISITING NURSE), COMPREHENSIVE HOSPICE PROGRAM) - WOMEN'S DIAGNOSTIC CENTER (BONE DENSITOMETRY, MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY) CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS IMPACT OF COVID-19 ------------------ DOYLESTOWN HEALTH IS AN INDEPENDENT, COMPREHENSIVE HEALTHCARE SYSTEM, PROVIDING HOSPITAL INPATIENT CARE AND OUTPATIENT SERVICES; HOME CARE AND HOSPICE; SKILLED NURSING CARE; ASSISTED LIVING; PHYSICIAN PRACTICE; AND WELLNESS EDUCATION, CONNECTED TO MEET THE HEALTH NEEDS OF ALL MEMBERS OF THE LOCAL AND REGIONAL COMMUNITY. LIKE MANY HEALTHCARE PROVIDERS ACROSS THE UNITED STATES, DOYLESTOWN HEALTH (DH) CONTINUES TO RESPOND TO THE ON-GOING COVID-19 PANDEMIC. WE ACTIVATED OUR EMERGENCY OPERATIONS PLAN ON TUESDAY, MARCH 17, 2020 AND THE INCIDENT COMMAND STRUCTURE CONTINUES TO MEET ON A REGULAR BASIS TO ASSESS THE CHANGING SITUATION AND DIRECT RESPONSES. PREPARATIONS FOR THIS CRISIS BEGAN IN JANUARY 2020, INCLUDING RESEARCH AND MONITORING OF NATIONAL EXPERT SOURCES; SCREENING IN OUR EMERGENCY ROOM AND BOARD EDUCATION. FROM THE START, OUR HIGHEST PRIORITY HAS BEEN, AND CONTINUES TO BE, PROTECTING THE SAFETY OF OUR PATIENTS AND THE DH ASSOCIATES WHO SERVE THEM. AS A RESULT, DOYLESTOWN HEALTH EXPERIENCED A DRAMATIC DECLINE IN PATIENT VISITS, ADMISSIONS, MEDICAL AND SURGICAL PROCEDURES, BEGINNING IN LATE MARCH 2020 THROUGH LATE MAY 2020; PATIENT ACTIVITY CONTINUED AT A SLOWER PACE THROUGH THE YEAR ENDING JUNE 30, 2021. DOYLESTOWN HEALTH INCURRED A SIGNIFICANT DECLINE IN PATIENT SERVICE REVENUE AS WELL AS ADDITIONAL COSTS ASSOICATED WITH MANAGING THE RESPONSE. FINANCIAL RESULTS FOR THE YEARS ENDED JUNE 30, 2021 AND 2020 REFLECT A HEALTH SYSTEM THAT SET ASIDE NORMAL OPERATIONS TO RESPOND TO THE EMERGENCY. DOYLESTOWN HEALTH DEDICATED THE WHOLE OF ITS RESOURCES TO MANAGING THE PUBLIC HEALTH EMERGENCY. DOYLESTOWN HEALTH EMERGENCY OPERATIONS HAVE INCLUDED THE FOLLOWING PROACTIVE STEPS TO MITIGATE RISK AND IMPROVE PATIENT CARE SINCE THE INCEPTION OF THE PANDEMIC IN MARCH 2020: - FULL COOPERATION WITH LOCAL, STATE AND FEDERAL OFFICIALS. - PROACTIVE COLLABORATION WITH AREA HOSPITALS AND HEALTH SYSTEMS. - IMMEDIATE AND ON-GOING IMPLEMENTATION OF CDC GUIDELINES FOR PROTECTING PATIENTS AND STAFF FROM EXPOSURE. - REVISION OF POLICIES AND PROCEDURES AT THE HOSPITAL, PINE RUN COMMUNITY AND PHYSICIAN PRACTICES TO MINIMIZE EXPOSURE RISK. - ONE OF THE FIRST HOSPITALS IN THE REGION TO LIMIT VISITORS. - POSTPONING ALL DISCRETIONARY SURGERIES AND PROCEDURES AS WELL AS ALL NON-EMERGENT DIAGNOSTIC AND THERAPEUTIC SERVICES (MARCH 2020 THROUGH MAY 2020). - THE FIRST HOSPITAL IN BUCKS COUNTY TO ESTABLISH DRIVE-THROUGH TESTING. - SCREENING OF EVERYONE ENTERING BUILDINGS ACROSS THE HEALTH SYSTEM. - ATTENTION ON RATIONING RESOURCES TO ENSURE ADEQUATE PERSONAL-PROTECTIVE EQUIPMENT. - USE OF TELE-MEDICINE ACROSS THE DOYLESTOWN HEALTH NETWORK. - FOCUS ON EXPANDING BED CAPACITY IN PREPARATION FOR POTENTIAL SURGE. - MASKING ALL ASSOCIATES AHEAD OF OTHER FACILITIES TO MINIMIZE HEALTHCARE WORKERS FROM CONTRACTING THE VIRUS AND DIMINISH THE SPREAD. - OPENING OF A 20-BED MOBILE MASH UNIT, TO ACCOMMODATE ADDITIONAL COVID-19 RELATED VOLUME. - EXPANSION OF BIO-DECONTAMINATION TECHNOLOGY. - DEDICATED NURSING UNITS FOR THOSE PATIENTS IN NEED OF COVID-19 CARE. - RE-ALLOCATION OF BEDS IN PREPARATION FOR SURGE OF CORONAVIRUS PATIENTS. - CLOSE MONITORING OF CASH RESERVES AND PROACTIVE EFFORTS TO SUPPORT LIQUIDITY. - EFFORTS WITH VENDORS TO ENSURE ADEQUATE SUPPLIES AND TO EXTEND PAYMENT TERMS. - APPLICATION FOR INTERIM AND ADVANCED PAYMENT FROM MEDICARE; APPEALS TO INCLUDE OTHER THIRD PARTY INSURANCE COMPANIES. - KNOWLEDGE EXPANSION AND APPLICATION TO ALL FINANCIAL SUPPORT AND RESOURCES AVAILABLE AT FEDERAL, STATE AND LOCAL LEVELS. - PREPARATION TO REPORT FINANCIAL IMPACT TO GOVERNMENT OFFICIALS AND TO OBTAIN PUBLIC ASSISTANCE. - EXPANSION OF WORKING CAPITAL LINE OF CREDIT. - EVERY INDIVIDUAL DH ASSOCIATE IS ESSENTIAL; DH HAS PRESERVED INCOME AND BENEFITS FOR OUR WORKFORCE, SO THAT WE ARE WELL PREPARED FOR ANY KIND OF SURGE OF COVID-19 PATIENTS AND RAMP UP TO RESPOND TO A SIGNIFICANT VOLUME OF DEFERRED CARE AS A RESULT OF THIS EPIDEMIC. - RE-DEPLOYMENT OF ASSOCIATES FOR COVID-19 RESPONSE DUTIES THROUGHOUT THE HEALTH SYSTEM. - USE OF LOW-WORKLOAD POLICIES FOR ASSOCIATES TO ELECT PTO OR TIME OFF WITHOUT PAY. - TECHNOLOGY AND SECURITY TO ACCOMMODATE THE POSSIBLE NEED FOR STAFF TO WORK AT HOME. - FULL ENDORSEMENT OF THE HOSPITAL AND FOUNDATION BOARDS, IN SUPPORT OF DIRECTION AND STRATEGY. - CONTINUED CONSTRUCTION FOR THE CLARK CRITICAL CARE PAVILION AND AMBULATORY CENTER. FOLLOWING THE INITIAL PREVALENCE OF THE COVID-19 VIRUS IN THE COMMUNITY, THE FOCUS HAS BEEN TO RE-ESTABLISH AND CONTINUE HEALTHCARE SERVICES IN A MANNER SAFE FOR PATIENTS AND ASSOCIATES. THE HOSPITAL WAS ABLE TO MAINTAIN NORMAL OPERATINS DURING THE PEAK OF INPATIENT CASES (NOVEMBER 2020 TO FEBRUARY 2021), WITH OVERALL ACTIVITY MAINTAINED AT 85% TO 95% OF PRE-COVID LEVELS. PINE RUN OCCUPANCY HAS CONTINUED AT LOW LEVELS. THE EXTENSIVE LOSSES WILL NOT BE OFFSET BY PENT UP DEMAND. AT THIS TIME, DOYLESTOWN HOSPITAL, PINE RUN COMMUNITY AND DOYLESTOWN HEALTH PHYSICIANS ARE CURRENTLY CARING FOR, MONITORING OR EXAMINING PERSONS AFFECTED BY COVID-19. THE CONTINUED TREATMENT OF PATIENTS WITH THIS DISEASE HAS RESULTED IN HIGHER COSTS OF SALARIES, SUPPLIES AND PHARMACEUTICALS. BECAUSE OF THE UNCERTAINTY AND EVOLVING NATURE OF THE PANDEMIC, THE FULL IMPACT ON DOYLESTOWN HEALTH'S FINANICAL POSITION AND OPERATINGS (INCLUDING REGULATORY REQUIREMENTS, FEDERAL AND STATE FUNDING, REDUCED REVENUE STREAM, CONSTRAINTS ON OPERATIONS, HIGHER COST OF RESOURCES) CANNOT BE FULLY DETERMINED AT THIS TIME. THE PREPARATIONS AND RESPONSE OF DOYLESTOWN HEALTH ASSOCIATES HAS BEEN REMARKABLE AND AMAZING. ALONG WITH THE SENIOR LEADERSHIP TEAM, JIM BREXLER, CEO HAS CONTINUOUSLY BEEN IN COMMUNICATION WITH THE HOSPITAL AND FOUNDATION BOARDS OF TRUSTEES, DH MANAGERS, ASSOCIATES AND THE COMMUNITY. AS AN OFFICER OF THE HOSPITAL ASSOCIATION OF PA AND A DELEGATE TO THE AHA REGIONAL POLICY BOARD, MR. BREXLER HAS BEEN INTIMATELY INVOLVED WITH DEVELOPMENT OF POLICY RELATED TO FINANCIAL SUPPORT TO THE HEALTHCARE COMMUNITY. "WE HAVE ESTABLISHED PROCESSES AND TAKEN ALL APPROPRIATE MEASURES TO ENSURE THE SAFETY OF BOTH OUR PATIENTS AND STAFF. WE ARE WORKING CLOSELY WITH THE MEDICAL STAFF TO CARE FOR THOSE PATIENTS THAT REQUIRE SERVICES DURING THIS CHALLENGING TIME, AND WE ARE OPEN AND READY TO CARE FOR ALL PATIENTS AND ENSURE THE SAFETY OF THE INSTITUTIONAL ENVIRONMENT AND THE PROTECTION OF OUR COMMUNITY AND STAFF." FOR CURRENT UPDATES DOYLESTOWN HEALTH EFFORTS RELATED TO CORONAVIRUS, PLEASE VISIT WWW.DOYLESTOWNHEALTH.ORG. CORE FORM, PART V; QUESTION 1B THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FORM 990 REPORTS THAT ONE FORM W-2G WAS FILED WITH THE INTERNAL REVENUE SERVICE ("IRS"). THIS ORGANIZATION PREPARES AND ISSUES FORMS W-2G ON BEHALF OF DOYLESTOWN HEALTH FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, TO INDIVIDUALS FOR GAMBLING WINNINGS, WHERE APPLICABLE, AND FILES THE FORM W-2G WITH THE IRS. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 DOYLESTOWN HEALTH FOUNDATION ("THE FOUNDATION") GOVERNS DOYLESTOWN HOSPITAL AND THE FOUNDATION IS GOVERNED BY THE VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN. THEREFORE, THE VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. ALL ORGANIZATIONS ARE AFFILIATES WITHIN THE SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF DIRECTORS, FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE ORGANIZATION'S FINANCE COMMITTEE HAS THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("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 WITHIN THE ORGANIZATION AND SYSTEM ("INTERNAL WORKING GROUP") 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 INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP 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 INTERNAL WORKING GROUP AND ITS FINANCE COMMITTEE FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING A COPY TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS AND FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. ALL ORGANIZATIONS ARE AFFILIATES WITHIN THE SYSTEM. THE ORGANIZATION AND SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT-OF-INTEREST POLICY. ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE CHIEF ACCOUNTING OFFICER AND REVIEWED ON A YEARLY BASIS WITH THE CHIEF COMPLIANCE OFFICER. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. ALL ORGANIZATIONS ARE AFFILIATES WITHIN THE SYSTEM. THE FOUNDATION'S BOARD OF DIRECTORS 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 & CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT & 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 AND SYSTEM TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT & CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT & 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 DIRECTORS 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 INCLUDING THE PRESIDENT & CHIEF EXECUTIVE OFFICER AND VICE PRESIDENT & 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. CORE FORM, PART VI, SECTION B; QUESTION 16 THE ORGANIZATION HAS A JOINT VENTURE POLICY THAT IS IN FULL COMPLIANCE WITH INTERNAL REVENUE SERVICE RULES AND REGULATIONS ON JOINT VENTURE POLICIES AND DISCLOSURES WITH RESPECT TO FEDERAL FORM 990. IN ADDITION, THE ORGANIZATION'S BOARD OF DIRECTORS IS INVOLVED IN EVERY DECISION WITH RESPECT TO JOINT VENTURES IN WHICH IT PARTICIPATES FOR WHICH IT DRAFTS SPECIFIC BOARD RESOLUTIONS FOR THESE MATTERS. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII AND SCHEDULE J SCOTT S. LEVY, M.D. IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL-TIME BASIS. DR. LEVY IS EMPLOYED AND RECEIVES A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH DOYLESTOWN HOSPITAL (EIN: 23-1352174). THIS ORGANIZATION FILED A 2020 FEDERAL FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO DR. LEVY'S COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VII, SECTION A, COLUMNS A & B THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. ALL ORGANIZATIONS ARE AFFILIATES WITHIN THE SYSTEM. THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS INCLUDE: - CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS - $6,107,812; - TRANSFER TO VIA AFFILIATES; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($13,000,000); - ACCRUED RETIREMENT COSTS - ($3,927,888); - OTHER CHANGES IN ACCRUED RETIREMENT BENEFITS - $11,920,766; AND - INCREASE IN INTEREST IN DONOR RESTRICTED NET ASSETS OF DOYLESTOWN HEALTH FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $2,330,862. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. ALL ORGANIZATIONS ARE AFFILIATES WITHIN THE SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE FISCAL YEARS ENDED JUNE 30, 2021 AND JUNE 30, 2020; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF DOYLESTOWN HOSPITAL FOR THE FISCAL YEARS ENDED JUNE 30, 2021 AND JUNE 30, 2020; RESPECTIVELY. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS OF THIS ORGANIZATION. THE DOYLESTOWN HOSPITAL FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. ALL ORGANIZATIONS ARE AFFILIATES WITHIN THE SYSTEM. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:17296098 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:8933655 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:8551113 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:3891443 FORM 990 PART IX LINE 11G DESCRIPTION:PROCESSING FEES TOTAL FEES:1335818 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:855606 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:633552 DOYLESTOWN HEALTH FOUNDATION 595 WEST STATE STREET DOYLESTOWN PA 18901 232368196 FUNDRAISING PA 501(C)(3) 509(A)(1) VIAD false VILLAGE IMPROVEMENT ASSN OF DOYLESTOWN 595 WEST STATE STREET DOYLESTOWN PA 18901 232368200 HEALTHCARE PA 501(C)(3) 509(A)(1) NA false VIA AFFILIATES DBA DH PHYSICIANS 595 WEST STATE STREET DOYLESTOWN PA 18901 232368197 HEALTHCARE PA 501(C)(3) 509(A)(3) DHF false DOYLESTOWN SURGERY CENTER LLC 11221 ROE AVE LEAWOOD KS 66211 834549561 SURGERY CENTER PA DOYLESTOWN HOSP RELATED -2485534 4850454 false 0 true 0.51000 DOYLESTOWN HEALTH AND WELLNESS CTR INC 595 WEST STATE STREET DOYLESTOWN PA 18901 233022645 INACTIVE PA NA C CORP. false COVERED BRIDGE RECIPROCAL RISK RETENTION 146 FAIRCHILD STREET SUITE 135 CHARLESTON SC 29492 871236417 FINANCIAL VEHICLE SC DOYLESTOWN HOSP C CORP. 0 1125000 1.00000 true DH PHYSICIANS AMBULATORY SERVICES 595 WEST STATE STREET DOYLESTOWN PA 18901 812885619 MEDICAL SERVICES PA NA C CORP. false false false true true true false false false false false false true false true true false true true true DOYLESTOWN HEALTH FOUNDATION C 3689968 COST SCHEDULE R, PART V THIS ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THE SYSTEM ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.