2019-05-14T18:48:30-05:00 2018-06-30 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2017-07-01 231352174 DOYLESTOWN HOSPITAL % DANIEL L UPTON DOYL 2153452242 595 WEST STATE STREET DOYLESTOWN PA 18901 DANIEL UPTON CFO 2153452242 2019-05-14 true Scott J Mariani P00642486 9738989494 148.77.36.74 22006220191345000238 2019-05-14 P 3EAB307D2E8AFAB6AF4FCC2E4D32CBEA4C05B2A0 B4F49B62ABB70139397F9A781BA9C9E9BE652F2C 2017 2019-02-21 02:37:17Z JAMES L BREXLER FACHE 595 WEST STATE STREET DOYLESTOWN PA 18901 315349316 false X WWW.DOYLESTOWNHEALTH.ORG X 1923 PA DOYLESTOWN HEALTH ("HEALTH SYSTEM") CONTINUOUSLY IMPROVES THE QUALITY OF LIFE AND PROACTIVELY ADVOCATES FOR THE HEALTH AND WELL BEING OF THE INDIVIDUALS WE SERVE. 21 15 3251 894 1672067 1719231 1478700 291429504 303540196 4131503 5424257 4515703 4828789 301795941 315271942 152469 207212 0 0 140851940 146664900 0 0 0 149817360 157311591 290821769 304183703 10974172 11088239 401580746 401889763 277207566 267311028 124373180 134578735 X DOYLESTOWN HEALTH ("HEALTH 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. false false 273778117 207212 305212263 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. 273778117 true true false true false false false false true true false true false true true true 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 242 0 true 3251 true true true false false false false false false false false false X 21 15 false false false false true true true true true false false true true true true true true true true true true PA X DANIEL L UPTON 2153452242 595 WEST STATE STREET DOYLESTOWN PA 18901 X JOAN PARLEE CHAIR - DIRECTOR 10.0 19.0 X X 0 0 0 BEVERLY COLLER CAMPBELL VICE CHAIR - DIRECTOR 6.0 0.0 X X 0 0 0 SARA MOYER SECRETARY - DIRECTOR 6.0 0.0 X X 0 0 0 BARBARA KIEFFER CPA TREASURER - DIRECTOR 8.0 3.0 X X 0 0 0 MARIANNE E CHABOT ASST SEC/ASST TREAS-DIRECTOR 7.0 3.0 X X 0 0 0 WILLIAM E BOGER CPA DIRECTOR 5.0 0.0 X 0 0 0 NICOLE BOYTIN DIRECTOR 3.0 0.0 X 0 0 0 JAMES L BREXLER FACHE DIRECTOR - PRESIDENT & CEO 55.0 0.0 X X 939503 0 287923 PATRICK COUNIHAN DIRECTOR 3.0 3.0 X 0 0 0 CAROLYN DELLA-RODOLFA DIRECTOR - EX-OFFICIO 3.0 3.0 X 0 0 0 PATRICIA GORSKY DIRECTOR 3.0 0.0 X 0 0 0 JOYCE HANSON DIRECTOR 3.0 9.0 X 0 0 0 CAROLYN KOZAKOWSKI DIRECTOR 3.0 0.0 X 0 0 0 SCOTT S LEVY MD DIRECTOR - VP & CMO 55.0 0.0 X X 612083 0 237935 ERIC A MARCHANT MD DIRECTOR 8.0 0.0 X 7500 0 0 MARY ELLEN PELLETIER DIRECTOR 55.0 0.0 X 0 329587 31771 PHILLIP PAINO DIRECTOR 5.0 0.0 X 0 0 0 FRED SCHEA CPA CMA DIRECTOR 5.0 0.0 X 0 0 0 CORY H SCHROEDER DIRECTOR 3.0 17.0 X 0 0 0 DENNIS WALSH DIRECTOR 3.0 0.0 X 0 0 0 ELEANOR WILSON RN MSN MHA DIRECTOR - VP & COO 55.0 0.0 X X 500281 0 24203 DANIEL L UPTON VP & CHIEF FINANCIAL OFFICER 55.0 0.0 X 473253 0 34520 JOHN B REISS JD VP & GENERAL COUNSEL 55.0 0.0 X 460549 0 14047 RICHARD D LANG VP & CHIEF INFORMATION OFFICER 55.0 0.0 X 355923 0 110583 BARBARA A HEBEL VP & CHIEF HUMAN RES. OFFICER 55.0 0.0 X 339244 0 71405 SHERI PUTNAM VP STRAT INIATIVES & INTEGRAT 55.0 0.0 X 309013 0 30867 LAURA K WORTMAN VP & CHIEF DEVELOPMENT OFFICER 55.0 0.0 X 255112 0 29891 PATRICIA A STOVER RN CHIEF NURSING OFF (EFF 04/18) 55.0 0.0 X 237437 0 15553 MATTHEW F COSTELLO SENIOR EXEC DIR HOSPITAL OPS 55.0 0.0 X 281072 0 33291 CATHLEEN Q STEWART EXEC DIR PINE RUN (TERM 02/18) 55.0 0.0 X 276489 0 56462 KENNETH COBURN MD DRPH FACP PRESIDENT/CEO - HQP 55.0 0.0 X 200002 0 4874 LOUIS IOBBI DIRECTOR PHARMACY 55.0 0.0 X 171600 0 21107 STEVEN DAY JR DIRECTOR - RISK SERVICES 55.0 0.0 X 215674 0 29818 ANTHONY J PACK PA PHYSICIAN ASSISTANT 55.0 0.0 X 199707 0 31058 ELIZABETH SEEBER CHIEF ACCOUNTING OFFICER 55.0 0.0 X 186065 0 24215 KENNETH GERACE BS LP CCP CHIEF PERFUSIONIST 55.0 0.0 X 161811 0 29843 FRANK J DOLL DIRECTOR-PATIENT ACCESS & PFS 55.0 0.0 X 161576 0 13690 6343894 329587 1133056 104 false true false NORWOOD - MCMANUS II 375 TECHNOLOGY DRIVE MALVERN PA 19355 CONTRACTING 10737412 PARLEE AND TATEM RADIOLOGY 595 W STATE STREET DOYLESTOWN PA 18901 MEDICAL 4145412 DOYLESTOWN ANESTHESIA ASSOCIATES 5039 SWAMP ROAD FOUNTAINVILLE PA 18923 MEDICAL 3680002 HEERY DESIGN 1717 ARCH STREET SUITE 3730 PHILADELPHIA PA 19103 CONTRACTING 1677178 DOYLESTOWN EMERGENCY ASSOCIATES 595 W STATE STREET DOYLESTOWN PA 18901 MEDICAL 1440905 75 X 695088 638222 145390 1478700 NET PATIENT SERVICE REVENUE 541900 278069837 278069837 PINE RUN RESIDENT & ENTRY FEES 541900 12522473 12522473 OTHER HEALTHCARE RELATED REVENUE 812300 12947886 12947886 303540196 4054347 4054347 0 0 861828 861828 0 861828 861828 1435084 12200 77374 1435084 -65174 1369910 1369910 0 0 0 0 0 0 0 0 0 CHILDRENS VILLAGE 900099 2335494 1672067 663427 CAFETERIA 900099 1097882 1097882 SNACK BAR 900099 221819 221819 311766 311766 3966961 315271942 303540196 1672067 8580979 X 207212 207212 0 0 0 6391723 5752551 639172 0 120399838 108359854 12039984 3802021 3421819 380202 6735862 6062275 673587 9335456 8401910 933546 184768 166291 18477 189960 170964 18996 444542 400088 44454 20452 18407 2045 0 415751 374176 41575 40114583 36103125 4011458 0 1663354 1497019 166335 7979032 7181129 797903 222671 200404 22267 0 7145409 6430868 714541 311738 280564 31174 0 126907 114216 12691 5431519 4888367 543152 0 21398928 19259035 2139893 5241532 4717379 524153 MEDICAL SUPPLIES 50900656 45810590 5090066 0 PATIENT FOOD & NOURISHMENTS 3441347 3097212 344135 0 DUES,SUBSCRIPTIONS&LICENSES 1141119 1027007 114112 0 REPAIRS & MAINTENANCE 848207 763386 84821 0 10089116 9072269 1016847 304183703 273778117 30405586 0 X 25313 19918 15410019 5676147 566991 556991 33208478 32277841 0 0 0 0 0 0 7596907 8919690 4258204 3555455 495097300 275827648 197525287 219269652 0 0 0 0 131355778 126117908 2317822 0 9315947 5496161 401580746 401889763 65869891 66853058 0 0 13665621 14306912 155243597 148067670 0 0 0 0 15255891 14851652 0 0 27172566 23231736 277207566 267311028 X 107883744 102088652 5021486 20711795 11467950 11778288 124373180 134578735 401580746 401889763 X 11088239 -346022 -536662 X X false true X true false X false false false false false false false false true 20452 20452 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 $20,452 FOR THE FISCAL YEAR ENDED JUNE 30, 2018. 16950823 16950823 170471979 89655258 80816721 68607692 25062440 43545252 193933576 152624217 41309359 45133230 8485733 36647497 219269652 LIMITED USE 367105 F INCOME; LIMITED USE 37733370 F EQUITIES; LIMITED USE 15733895 F EQUITIES; LIMITED USE 15859438 F FIXED INCOME; LIMITED USE 16780811 F LIMITED USE 5797988 F ORGANIZATION 32465033 F INVESTMENTS IN OTHER ENTITIES 1380268 F 126117908 0 PAYOR SETTLEMENTS 8082946 OTHER LIABILITIES 6132914 DUE TO AFFILIATED ENTITIES 799569 INTEREST RATE SWAPS 8216307 23231736 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, 2018. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2018 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; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT GOVERNING ENTITY OF DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION. 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, 2018 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 true true 3797 3107490 0 3107490 0.01020 10587 17836972 6878237 10958736 0.03600 0 0 0 0 0.00000 14384 20944462 6878237 14066226 0.04620 607028 4791586 515940 4275646 0.01410 557 1098101 0 1098101 0.00360 3529 26710459 22644082 4066376 0.01340 2440 884430 355479 528951 0.00170 0 199632 0 199632 0.00070 613554 33684208 23515501 10168706 0.03350 627938 54628670 30393738 24234932 0.07970 true 4217280 1001833 80836565 90239843 -9403278 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 15 true false true true X WWW.DOYLESTOWNHEALTH.ORG X true 15 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 REPRESENTS THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. ACCORDING TO THE 2016 CHNA PRIMARY, SECONDARY, QUANTITATIVE AND QUALITATIVE DATA WERE OBTAINED AND ANALYZED FOR THE CHNA. THIS WAS DONE BECAUSE OBTAINING INFORMATION FROM MULTIPLE SOURCES, KNOWN AS TRIANGULATION, HELPS PROVIDE CONTEXT FOR INFORMATION AND ALLOWS RESEARCHERS TO IDENTIFY RESULTS WHICH ARE CONSISTENT ACROSS MORE THAN ONE DATA SOURCE. THE ORGANIZATION'S CHNA WAS CONDUCTED BY PUBLIC HEALTH MANAGEMENT CORPORATION ("PHMC") WHICH IS FURTHER DESCRIBED IN OUR RESPONSE TO SCHEDULE H, PART V, SECTION B; QUESTION 6B. COMMUNITY MEETING & INTERVIEWS =============================== IN AN EFFORT TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY PHMC COLLABORATED WITH THE HOSPITAL FACILITY TO IDENTIFY INDIVIDUALS LIVING AND/OR WORKING IN THE COMMUNITIES IN THE HOSPITALS PRIMARY SERVICE AREA WHO COULD PROVIDE INPUT ON THE NEEDS ASSESSMENT AS COMMUNITY MEMBERS, PUBLIC HEALTH EXPERTS, AND AS LEADERS OR PERSONS WITH KNOWLEDGE OF UNDERSERVED RACIAL MINORITIES, LOW INCOME RESIDENTS, AND/OR THE CHRONICALLY ILL. THE HOSPITAL FACILITY AND PHMC WORKED TOGETHER TO OBTAIN A MEETING VENUE, CONTACT POTENTIAL PARTICIPANTS, AND ENCOURAGE ATTENDANCE. THEREAFTER INPUT FROM THE COMMUNITY MEETING PARTICIPANTS, INCLUDING COUNTY HEALTH DEPARTMENT OFFICIALS AND PUBLIC HEALTH EXPERTS, WAS USED TO FURTHER IDENTIFY AND PRIORITIZE UNMET NEEDS, LOCAL PROBLEMS WITH ACCESS TO CARE, AND POPULATIONS WITH SPECIAL HEALTHCARE NEEDS. DOYLESTOWN HOSPITAL ("DH") AND PHMC CONSULTED WITH 11 RESIDENTS AND SERVICE PROVIDERS IN AN IN-DEPTH COMMUNITY MEETING TO GAIN INPUT FOR IDENTIFYING COMMUNITY HEALTH NEEDS, DETERMINE WHICH WERE MOST SIGNIFICANT, AND PRIORITIZE THEM. THESE COMMUNITY MEMBERS INCLUDED LOCAL GOVERNMENT, PUBLIC HEALTH EXPERTS, AND MEMBERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. POTENTIAL PARTICIPANTS FOR THE MEETING WERE IDENTIFIED BY DH STAFF WORKING WITH PHMC, AND INVITED BY MAIL OR ELECTRONIC MAIL TO ATTEND THE MEETING. PHMC ALSO CONSULTED INDIVIDUALLY WITH MEMBERS OF THE LOCAL HEALTH DEPARTMENTS (BUCKS AND MONTGOMERY COUNTIES). WRITTEN COMMENTS WERE ALSO REQUESTED ON THE IMPACT OF DHS 2013 COMMUNITY HEALTH IMPROVEMENT PLAN. COMMUNITY REPRESENTATIVES INCLUDED THE FOLLOWING AGENCIES WHO SERVE THE MEDICALLY UNDERSERVED AND LOW INCOME AND MINORITY POPULATIONS: - THE CORNERSTONE CLUBS; - BUCKS COUNTY HEALTH IMPROVEMENT PROJECT; - BUCKS COUNTY COMMUNITY COLLEGE; - VITA EDUCATION SERVICES; - UNITED WAY OF BUCKS COUNTY; - CB CARES; - PENNRIDGE SCHOOL DISTRICT; AND - LENAPE VALLEY FOUNDATION. COMMUNITY MEETING PARTICIPANTS ALSO INCLUDED REPRESENTATIVES OF LOCAL GOVERNMENT: - BUCKS COUNTY AREA AGENCY ON AGING; AND - BUCKS COUNTY CHILDREN AND YOUTH. THE PUBLIC HEALTH EXPERTS LISTED BELOW SHARED INFORMATION IN INDIVIDUAL INTERVIEWS ON THE MOST IMPORTANT PUBLIC HEALTH CARE NEEDS, AND THEIR PRIORITIES FOR THE DOYLESTOWN HOSPITAL CHNA AREA. PUBLIC HEALTH EXPERTS: - MONTGOMERY COUNTY HEALTH DEPARTMENT; AND - BUCKS COUNTY HEALTH DEPARTMENT. QUALITATIVE INFORMATION FROM THE COMMUNITY MEETING WAS ANALYZED BY IDENTIFYING AND CODING THEMES COMMON TO PARTICIPANTS, AND ALSO THEMES THAT WERE UNIQUE. THIS INFORMATION WAS ORGANIZED INTO MAJOR TOPIC AREAS RELATED TO HEALTH STATUS, THE INFORMATION FROM THIS NEEDS ASSESSMENT WAS THEN USED BY THE HOSPITAL TO DEVELOP AN IMPLEMENTATION PLAN. 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 THAT WAS FOUNDED IN 1972 TO ADDRESS PROBLEMS IN THE ORGANIZATION AND DELIVERY OF HEALTH AND SOCIAL SERVICES. PHMC IS A PUBLIC HEALTH INSTITUTE THAT CREATES AND SUSTAINS HEALTHIER COMMUNITIES AND ENVISIONS A HEALTHY COMMUNITY FOR ALL. SCHEDULE H, PART V, SECTION B; QUESTION 7 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; 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 ORGANIZATIONS CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED WITHIN THE SYSTEM'S WEBSITE: WWW.DOYLESTOWNHEALTH.ORG/ABOUT-US/DOYLESTOWN-HOSPITAL-IN-THE-COMMUNITY SCHEDULE H, PART V, SECTION B; QUESTION 10 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; 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 ORGANIZATIONS IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED WITHIN THE SYSTEM'S WEBSITE: WWW.DOYLESTOWNHEALTH.ORG/ABOUT-US/DOYLESTOWN-HOSPITAL-IN-THE-COMMUNITY SCHEDULE H, PART V, SECTION B; QUESTION 11 THROUGHOUT THE CHNA PROCESS DOYLESTOWN HOSPITAL REALIZED THAT ITS SERVICE AREA HAS A HIGHER SOCIOECONOMIC PROFILE THAN THAT OF PENNSYLVANIA AS A WHOLE. EDUCATION AND MEDIAN HOUSEHOLD INCOME ARE HIGHER THAN BUCKS COUNTY AND SUBSTANTIALLY HIGHER THAN THE STATE OF PENNSYLVANIA. ACCESS TO CARE IN OUR SERVICE AREA WAS ALSO REPORTED TO EXCEED THE HEALTHY PEOPLE 2020 GOAL, AS WELL AS THE AVERAGE LEVELS FOR THE COUNTY AND STATE EXPERIENCE. OVERALL THE DOYLESTOWN HOSPITAL SERVICE AREA RANKS HIGHER ON ALMOST ALL THE MEASURED HEALTH METRICS THAN THE STATE OF PENNSYLVANIA AND FOR BUCKS COUNTY. THERE ARE A FEW EXCEPTIONS AND SEVERAL ISSUES THAT WHILE IMPROVED, REMAIN A CONCERN FOR OUR COMMUNITY. BASED ON OUR HOSPITALS STRENGTHS AND THE OUTCOMES OF THIS CHNA, WE HAVE PRIORITIZED SEVERAL AREAS FOR INTERVENTION DURING THE NEXT THREE-YEAR PERIOD (FY 2017-2019). 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 BELOW WERE MENTIONED IN THE CHNA AS POTENTIAL AREAS FOR INTERVENTION. AN ADDITIONAL PRIORITY TEST WAS IN RELATION TO OUR STRATEGIC PLANS. WE BEGAN A SYSTEM-WIDE STRATEGIC PLANNING PROCESS IN JUNE 2013, WHICH IDENTIFIED KEY STRATEGIC DRIVERS TOWARD THE GOAL OF REMAINING RELEVANT AND INDISPENSABLE TO OUR COMMUNITY AND THE MARKETPLACE. THE STRATEGIC PLAN IS IMPLEMENTED IN 100-DAY WORK CYCLES AND REVIEWED AND ADJUSTED ACCORDINGLY. OUR CHNA IMPLEMENTATION PLAN IS DESIGNED TO WORK IN CONJUNCTION WITH THE STRATEGIC PLAN TO MEET IDENTIFIED CARE GAPS IN OUR COMMUNITY. OUR PRIMARY FOCUS AREA AS IDENTIFIED IN THE CHNA WILL BE ON ADDITIONAL SUPPORT FOR CANCER AND HEART DISEASE PREVENTION PROGRAMS. INTERVENTIONS MENTIONED INCLUDE SMOKING CESSATION, NUTRITION COUNSELING AND DIABETES AWARENESS AND PHYSICAL ACTIVITY PROGRAMS. THE BELOW, WHICH CAN ALSO BE FOUND IN THE ORGANIZATIONS IMPLEMENTATION PLAN ON THE ORGANIZATION'S WEBSITE, IDENTIFIES THE ISSUES IDENTIFIED AND THE SPECIFIC PLANS DOYLESTOWN HOSPITAL HAS TO ADDRESS THE ISSUE. 1) ISSUE: ADDITIONAL SUPPORT FOR CANCER & HEART DISEASE PREVENTION PROGRAMS (INCLUDING SMOKING CESSATION & PREVENTION, NUTRITION COUNSELING AND PHYSICAL ACTIVITY PROGRAMS) SPECIFIC ACTION PLAN TO ADDRESS: AN ACTION PLAN WAS DEVELOPED FOR YEAR 1 AND IS TO BE REVIEWED AND REVISED FOR FY 2017-2018 IN CONJUNCTION WITH STRATEGIC PLAN UPDATES. THIS PLAN INCLUDES STRATEGIES FOR INCREASING RESOURCE AWARENESS VIA AMBULATORY SITE EXPANSION WITH INCREASED ACCESS POINTS TO THE HEALTH SYSTEM; EDUCATION AND PREVENTION MATERIALS IN COMMUNITY LOCATIONS, SOCIAL MEDIA AND TECHNOLOGY SOLUTIONS. 2) ISSUE: DECREASED PHYSICAL ACTIVITY (WHICH ALSO RELATES TO ADULT AND CHILDHOOD OBESITY AND OTHER CARDIOVASCULAR AND CANCER RISK FACTORS) SPECIFIC ACTION PLAN TO ADDRESS: AN ACTION PLAN WAS DEVELOPED FOR A COMMUNITY NUTRITION INITIATIVE TO PARTNER WITH COMMUNITY ORGANIZATIONS TO CREATE A HEALTHY EATING CULTURE FOR ADULTS AND CHILDREN, ENVISIONED AS A 3-YEAR SERIES OF PROGRAMS. 3) ISSUE: IMPROVED ACCESS TO PRIMARY AND URGENT CARE FOR UNINSURED AND UNDER-INSURED ADULTS AND CHILDREN, INCLUDING IMMIGRANT POPULATIONS. SPECIFIC ACTION PLAN TO ADDRESS: AS PART OF THE HOSPITALS STRATEGIC PLAN, AMBULATORY EXPANSION HAS BEEN IDENTIFIED AS A PRIORITY, WITH EXPANDED ACCESS TO PRIMARY AND URGENT CARE SITES. A PLAN IS UNDER DEVELOPMENT FOR ESTABLISHING NEW SITES IN AREAS WITH DEMONSTRATED NEED OVER THE NEXT 1-3 YEARS. INSURANCE STATUS IS ONE OF THE CONSIDERATIONS IN THE DEMOGRAPHIC ANALYSIS OF SITE LOCATION. IN THE INTERIM, WE WILL CONTINUE TO PARTICIPATE IN MANAGED MEDICAID PLANS AND TO SUPPORT THE ANN SILVERMAN FREE CLINIC FOR ACCESS BY UNINSURED OR UNDERINSURED RESIDENTS. BCHIP ALSO WORKS ON THIS ISSUE AT THE COUNTY LEVEL. 4) ISSUE: HEALTHCARE ACCESS (CONNECTING PATIENTS TO A PRIMARY PHYSICIAN, EDUCATION AND LITERACY AND NAVIGATING THE SYSTEM) SPECIFIC ACTION PLAN TO ADDRESS: WE ARE ESTABLISHING NEW PRIMARY CARE OUTPOSTS INCLUDING A NEW FOCUS ON INCREASING PATIENT AWARENESS OF THE PATIENT CENTERED MEDICAL HOME CONCEPT. WE ARE ALSO EXPANDING OUR COMMUNITY OUTREACH ASSETS, CONTINUING WITH A COMMUNITY-FACING HEALTH CONCIERGE AND DEDICATED PEDIATRIC OUTREACH/EDUCATION LIAISON. CONTINUED DEVELOPMENT OF SOCIAL MEDIA INITIATIVES TO RAISE AWARENESS 5) ISSUE: SUPPORTIVE SERVICES FOR OLDER ADULTS AGING IN PLACE SPECIFIC ACTION PLAN TO ADDRESS: WE WILL CONTINUE TO OFFER CONTINUING CARE RETIREMENT HOUSING OPTIONS, AS WELL AS HOME CARE; EXPANSION OF PRIMARY CARE MEDICAL SERVICES IN SENIOR COMMUNITIES IS CONTEMPLATED DURING THE NEXT THREE YEARS. 6) ISSUE: MENTAL HEALTHCARE, SUBSTANCE ABUSE TREATMENT, RECOVERY SUPPORT AND OTHER BEHAVIORAL HEALTHCARE INCLUDING SUICIDE PREVENTION AND OPIOID ABUSE SPECIFIC ACTION PLAN TO ADDRESS: WHILE THE HOSPITAL DOES NOT OFFER INPATIENT SERVICES FOR MENTAL/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE, ACUTE EPISODES ARE MANAGED THROUGH THE EMERGENCY DEPARTMENT IN CONJUNCTION WITH LENAPE VALLEY FOUNDATION. PARTICULAR CONCERNS ABOUT OPIOID ABUSE HAVE BEEN RAISED RECENTLY AND PLANS WILL BE MADE TO PARTNER WITH AND/OR SUPPORT COMMUNITY AGENCIES TO RAISE AWARENESS. WE ARE ALSO PILOTING MODELS FOR EMBEDDING BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE PRACTICE SITES THROUGH THE DOYLESTOWN HEALTHCARE PARTNERSHIP, OUR CLINICALLY INTEGRATED NETWORK. IMPLEMENTATION STRATEGY FOR PRIORITY HEALTH NEEDS ================================================= FOR OUR TOP PRIORITY HEALTH ISSUES OF ADDITIONAL SUPPORT FOR CANCER AND HEART DISEASE PREVENTION PROGRAMS, WE HAVE IDENTIFIED AT LEAST ONE INTERVENTION ACTIVITY TO ADDRESS IMPROVING THE HEALTH OF THE COMMUNITY. THE BELOW EXPLAINS EACH ACTIVITY, IDENTIFIES RESPONSIBILITY FOR IMPLEMENTATION/COLLABORATION AND LISTS REQUIRED RESOURCES FOR EXECUTION. PRIORITY ONE: HEALTH ISSUES --------------------------- 1) INCREASE HEALTH RESOURCES AWARENESS AND ACCESS ACTIVITY: VARIOUS EDUCATIONAL PROGRAMS, REFINE HEALTHCARE CONCIERGE PROGRAM; EXPAND AS APPROPRIATE TO INCLUDE ADDITIONAL LOCATIONS RESPONSIBILITY: DH, HEALTH CONNECTIONS AT SHOPRITE OF WARMINSTER, LOCAL HEALTH SERVICE ORGANIZATIONS OTHER RETAIL PARTNERS AS NEED WARRANTS RESOURCES: STAFFING, INPATIENT DEPARTMENTS, LOCAL HEALTH ORGANIZATIONS 2) HEART HEALTH SCREENINGS (BLOOD PRESSURE, WEIGHT, CHOLESTEROL) ACTIVITY: PERIODIC BLOOD PRESSURE, WEIGHT, CHOLESTEROL SCREENINGS AT HOSPITAL AND OUTREACH CENTERS RESPONSIBILITY: DH SATELLITE AT SHOPRITE WARMINSTER, CLINICAL DEPARTMENTS, EDUCATION DEPARTMENT RESOURCES: CLINICAL STAFF, FRIENDS OF THE HEART, COMMUNITY LOCATIONS, MONITORS AND SCALES, SUPPLIES 3) INCREASE HEALTH EDUCATION AND AWARENESS IN COMMUNITY SETTING AND SCHOOL ACTIVITY: PERIODIC HEALTH EDUCATION PROGRAMS ON SMOKING CESSATION, NUTRITION COUNSELING; DISPLAYS AND INFORMATION STATIONS AT COMMUNITY LOCATIONS. COMMUNITY NUTRITION INITIATIVE RESPONSIBILITY: EDUCATION DEPARTMENT, DH SATELLITE AT SHOPRITE, PEDIATRIC OUTREACH MANAGER, CLINICAL DEPARTMENTS, AREA HEALTH AGENCIES RESOURCES: TRAINING AND WORKSHOP MATERIALS, INSTRUCTORS, PARTNER WITH BCHIP, BUCKS COUNTY DEPT OF HEALTH, OTHER COMMUNITY AGENCIES INCLUDING UNITED WAY; LOCAL RESTAURANT COMMUNITY 4) CONTINUE TO INTEGRATE SOCIAL MEDIA AS EDUCATION TOOL ACTIVITY: EXPAND SOCIAL MEDIA PRESENCE WITH MESSAGING AND HEALTH PROMOTION REMINDERS (FACEBOOK, OTHER) RESPONSIBILITY: MARKETING, COMMUNITY RELATIONS, EDUCATION RESOURCES: COMMUNICATIONS STAFF, IT, WEB PARTNERS TARGET POPULATION AND GOALS =========================== POPULATIONS IN OUR FOCUS AREAS COULD BENEFIT FROM HEALTH IMPROVEMENT ACTIVITIES. WHILE HEALTHY INTERVENTIONS COULD BENEFIT THE WHOLE POPULATION, WE WILL FOCUS ON SPECIFIC POPULATION NEEDS FOR APPROPRIATE INTERVENTIONS. NOTE THAT THIS ASSESSMENT WAS BASED PRIMARILY ON SECONDARY DATA, AND IT WOULD BE IDEAL TO HAVE PRIMARY DATA SOURCES THAT WOULD ALLOW FOR MORE TARGETED INFORMATION COLLECTION. AS THIS PLAN EVOLVES, WE WILL SEEK FURTHER INFORMATION THAT WILL FACILITATE MORE TARGETED INTERVENTION METHODS. FOCUS ISSUE: HEART DISEASE PREVENTION ------------------------------------- TARGET POPULATION: ADULTS WITH HIGH BLOOD PRESSURE OR HYPERTENSION GOALS: INCREASE COMMUNITY AWARENESS OF HYPERTENSION; INCREASE % OF PEOPLE SCREENED FOR HYPERTENSION; CONDUCT SCREENINGS AT HEALTH CONNECTIONS SATELLITE AT SHOPRITE WARMINSTER AND AT OTHER OUTREACH LOCATIONS IN THE COMMUNITY TARGET POPULATION: SMOKERS GOALS: INCREASE AWARENESS OF SMOKING RISKS; INCREASE PARTICIPATION IN LOCAL SMOKING CESSATION PROGRAMS. TARGET POPULATION: ADULTS WHO ARE OVERWEIGHT OR OBESE GOALS: INCREASE COMMUNITY AWARENESS OF WEIGHT AND HEART DISEASE RELATIONSHIP; INCREASE ATTENDANCE AT NUTRITION PROGRAMS AND WORKSHOPS; INCREASE BMI SCREENING IN THE COMMUNITY. FOCUS ISSUE: CANCER PREVENTION ------------------------------ TARGET POPULATION: ADULTS WHO FIT CURRENT SCREENING GUIDELINES GOALS: INCREASE COMMUNITY AWARENESS OF CANCER SCREENING GUIDELINES TARGET POPULATION: WOMEN WHO HAVE NOT GOTTE SCHEDULE H, PART V, SECTION B; QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; 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 ORGANIZATIONS 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-VISTORS/PATIENT-RESOURCES/BILLING-AN D-FINANCE. WITHIN THAT PAGE, SELECT "FINANICAL ASSISTANCE PROGRAM", WHICH CAN BE FOUND ON THE LEFT HAND SIDE OF THE PAGE. DOYLESTOWN HOSPITAL, IN EVALUATING ITS COMPLIANCE WITH INTERNAL REVENUE CODE 501(R), DISCOVERED THAT CERTAIN DOCUMENTS WERE NOT TRANSLATED INTO ALL LIMITED ENGLISH PROFICIENCY LANGUAGES WITHIN ITS PRIMARY SERVICE AREA. UPON DISCOVERY OF THE ERROR, DOYLESTOWN HOSPITAL IMMEDIATELY EXERCISED DUE DILIGENCE AND TOOK THE PROPER MEASURES TO CORRECT THIS ERROR. ALL DOCUMENTS ARE NOW POSTED ON THE WEBSITE IN ALL REQUIRED LANGUAGES. THIS ERROR IS CONSIDERED A "MINOR AND INADVERTENT OMISSION AND ERROR" IN ACCORDANCE WITH SECTION 5.03 OF INTERNAL REVENUE PROCEDURE 2015-21. THIS SECTION PROVIDES THAT "UNDER 1.501(R)-2(B), A HOSPITAL FACILITY'S OMISSION OR ERROR WITH RESPECT TO THE REQUIREMENTS OF 1.501(R)-3 THROUGH 1.501(R)-6 WILL NOT BE CONSIDERED A FAILURE TO MEET A REQUIREMENT OF 501(R) IF SUCH OMISSION OR ERROR WAS MINOR AND EITHER INADVERTENT OR DUE TO REASONABLE CAUSE AND THE CAUSE AND ARE CORRECTED IN ACCORDANCE WITH 1.501(R)-2(B) ARE NOT CONSIDERED FAILURES TO MEET A REQUIREMENT OF 501(R), HOSPITAL ORGANIZATIONS DO NOT NEED TO USE THE CORRECTION AND DISCLOSURE PROCEDURES DESCRIBED IN THIS REVENUE PROCEDURE FOR SUCH OMISSIONS AND ERRORS." 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 ANNUALLY, DOYLESTOWN HEALTH RELEASES A REPORT "THE FACES OF DOYLESTOWN HEALTH" WHICH INCLUDES, BUT IS NOT LIMTIED TO, STATISTICAL HIGHLIGHTS, FINANCIAL HIGHLIGHTS AND COMMUNITY BENEFIT INFORMATION. THIS REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE: WWW.DOYLESTOWNHEALTH.ORG. 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 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, 2018. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS THAT ADDRESSES THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS METHODOLOGY AND CHARITY CARE: ALLOWANCE FOR DOUBTFUL ACCOUNTS ------------------------------- THE CORPORATION PROVIDES AN ALLOWANCE FOR ESTIMATED LOSSES RESULTING FROM UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE IS DETERMINED BY ANALYZING HISTORICAL DATA AND TRENDS. ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE RESERVE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND THE CORPORATION CEASES COLLECTION EFFORTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE CORPORATION RECORDS A PROVISION FOR BAD DEBTS ON THE BASIS OF ITS PAST EXPERIENCE. THE CORPORATION HAS NOT EXPERIENCED SIGNIFICANT CHANGES IN WRITE-OFF TRENDS. CHARITY CARE ------------ THE CORPORATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UNREIMBURSED CHARGES FROM MEDICAL ASSISTANCE PROGRAMS ON BEHALF OF PATIENTS THAT MEET THE CORPORATIONS CHARITY CARE CRITERIA ARE ALSO CONSIDERED CHARITY CARE. THE CORPORATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, AND ESTABLISHES RESERVES FOR THESE AMOUNTS. ACCORDINGLY, SUCH AMOUNTS ARE NOT REPORTED AS REVENUE IN THE ACCOMPANYING STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. SCHEDULE H, PART III, LINE 8 MEDICARE COSTS WERE DERIVED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM. 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 INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE", A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "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 GENER SCHEDULE H, PART III, LINE 9B ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE BUT, RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF DOYLESTOWN HOSPITAL TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. ADDITIONALLY, THE ORGANIZATION IS 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 ORGANIZATIONS 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. THE FOLLOWING COMMUNITY DEMOGRAPHICS WERE REPORTED IN THE ORGANIZATIONS 2016 CHNA: DEMOGRAPHIC CHARACTERISTICS =========================== POPULATION SIZE --------------- NEARLY 370,000 PEOPLE LIVE IN THE DOYLESTOWN HOSPITAL CHNA AREA, AND THAT NUMBER WILL INCREASE SLIGHTLY IN THE NEXT FIVE YEARS TO 376,600. THE POPULATION OF THE AREA INCREASED BETWEEN 2013 AND 2015 FROM 366,100 TO 369,500. THE POPULATION IS PREDICTED TO INCREASE FURTHER TO 376,600 BY 2020, REPRESENTING A 2.9% INCREASE IN POPULATION SINCE 2013. THIS GROWTH RATE IS FASTER THAN THE 0.04% INCREASE PREDICTED FOR BUCKS COUNTY AS A WHOLE BETWEEN 2013 AND 2020, FROM 627,600 TO 631,000. AGE --- THREE OUT OF TEN RESIDENTS OF THE DOYLESTOWN HOSPITAL CHNA AREA (31%) ARE BETWEEN THE AGES OF 45-65 (115,800) AND 30% OF RESIDENTS ARE BETWEEN THE AGES OF 18-44 YEARS (110,900). TWENTY-ONE PERCENT OF THE POPULATION ARE CHILDREN BETWEEN THE AGES OF 0-17 (79,100), AND 17% ARE OLDER ADULTS AGE 65 OR OLDER (63,700). THE POPULATION OF 45-65 YEAR OLDS IS PREDICTED TO DECLINE SLIGHTLY FROM 31% OF THE POPULATION TO 30% BY 2020. CHILDREN ARE THE ONLY OTHER AGE GROUP IN THE AREA PREDICTED TO DECREASE IN SIZE, FROM 21% TO 20% OF THE POPULATION BY 2020. THE 65+ AGE GROUP IS PREDICTED TO INCREASE IN SIZE FROM THE CURRENT 17% OF THE POPULATION TO 20% BY 2020. RACE/ETHNICITY -------------- THE DH CHNA AREA IS VERY RACIALLY AND ETHNICALLY HOMOGENEOUS. THE OVERWHELMING MAJORITY OF DOYLESTOWN HOSPITAL CHNA RESIDENTS ARE WHITE (86%); ONLY 3% ARE BLACK. SIX PERCENT OF RESIDENTS ARE ASIAN, 4% ARE LATINO, AND 2% IDENTIFY AS "OTHER". THIS PATTERN IS SIMILAR TO THE PATTERN IN BUCKS COUNTY AS A WHOLE. THE PERCENTAGE OF RESIDENTS WHO IDENTIFY AS ASIAN IS EXPECTED TO INCREASE FROM 6% TO 7% BY 2020. THE PERCENTAGE OF RESIDENTS WHO IDENTIFY AS WHITE IS PREDICTED TO DECREASE FROM 86% TO 84% BY 2020. LANGUAGE SPOKEN AT HOME ----------------------- THE LARGE MAJORITY OF RESIDENTS WITHIN THE DOYLESTOWN HOSPITAL CHNA AREA (88%) SPEAK ENGLISH AT HOME. THREE PERCENT SPEAK AN ASIAN LANGUAGE, 2% SPEAK SPANISH AND 6% SPEAK AN "OTHER" LANGUAGE. THE DOYLESTOWN HOSPITAL CHNA AREA HAS A RELATIVELY SIMILAR LANGUAGE PATTERN TO BUCKS COUNTY AS A WHOLE, WHERE 89% OF THE POPULATION SPEAKS ENGLISH AT HOME, 3% SPEAK SPANISH, 2% SPEAK AN ASIAN LANGUAGE, AND 7% SPEAK ANOTHER LANGUAGE. SOCIOECONOMIC INDICATORS ======================== EDUCATION --------- A MAJORITY OF THE DOYLESTOWN HOSPITAL CHNA AREA RESIDENTS AGE 25 AND OVER (50%) ARE HIGH SCHOOL GRADUATES, AND AN ADDITIONAL 45% HAVE A COLLEGE DEGREE OR MORE. FIVE PERCENT OF RESIDENTS DID NOT GRADUATE FROM HIGH SCHOOL. THE EDUCATIONAL ATTAINMENT OF RESIDENTS IN THE DOYLESTOWN HOSPITAL CHNA AREA HAS REMAINED FAIRLY STABLE OVER TIME, AND IS PROJECTED TO REMAIN SIMILAR TO THE CURRENT LEVELS THROUGH 2020. THE DOYLESTOWN HOSPITAL CHNA AREA HAS A SIMILAR PATTERN OF EDUCATIONAL ATTAINMENT AS BUCKS COUNTY AS A WHOLE. EMPLOYMENT ---------- THE OVERWHELMING MAJORITY OF RESIDENTS AGE 16 AND OVER IN THE DOYLESTOWN HOSPITAL CHNA AREA (93%) ARE EMPLOYED; 7% ARE UNEMPLOYED. THE EMPLOYMENT STATUS OF RESIDENTS CLOSELY MIRRORS EMPLOYMENT PATTERNS IN BUCKS COUNTY AS A WHOLE AND HAS REMAINED FAIRLY STABLE SINCE 2013. POVERTY STATUS -------------- FIVE PERCENT OF FAMILIES IN THE DOYLESTOWN HOSPITAL CHNA AREA WITH CHILDREN AND 3% WITHOUT CHILDREN ARE LIVING IN POVERTY. THIS REPRESENTS APPROXIMATELY 3,200 FAMILIES IN POVERTY IN THE DH CHNA AREA. FAMILY POVERTY RATES ARE SLIGHTLY LOWER THAN FOR BUCKS COUNTY AS A WHOLE. MEDIAN HOUSEHOLD INCOME ----------------------- OVERALL, THE MEDIAN HOUSEHOLD INCOME IN THE DOYLESTOWN HOSPITAL CHNA AREA IS $84,967. THIS REPRESENTS A VERY MINIMAL INCREASE FROM 2013 WHEN IT WAS $84,402 AND IT IS PREDICTED TO GROW TO $89,380 BY 2020. THE MEDIAN HOUSEHOLD INCOME IN THE DOYLESTOWN HOSPITAL CHNA AREA IS HIGHER (BY ABOUT $9,000 IN 2015) THAN IN BUCKS COUNTY AS A WHOLE. HOME OWNERSHIP -------------- MORE THAN THREE-QUARTERS OF THE DOYLESTOWN HOSPITAL CHNA AREA RESIDENTS (78%) OWN THEIR HOME; 22% OF RESIDENTS RENT. THIS PATTERN IS SIMILAR TO BUCKS COUNTY AS A WHOLE, WHERE 77% OF RESIDENTS OWN THEIR HOMES AND 23% RENT. SCHEDULE H, PART VI; QUESTION 5 THE VIA AND DOYLESTOWN HEALTH ARE 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 VIA") IS A NOT-FOR-PROFIT HOLDING COMPANY BASED IN DOYLESTOWN, PENNSYLVANIA. AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, THE VIA 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 VIA 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 VIA 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 OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. IT 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. IT OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. IT 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 HOSPITAL ------------------- DOYLESTOWN HOSPITAL ("DH") IS A 232-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN DOYLESTOWN, BUCKS COUNTY, PENNSYLVANIA. DH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, DH 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, DH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. PINE RUN RETIREMENT COMMUNITY ----------------------------- PINE RUN RETIREMENT COMMUNITY IS A DIVISION WITHIN DOYLESTOWN HOSPITAL AND OPERATES JOINTLY AS A SINGLE 501(C)(3) TAX-EXEMPT ORGANIZATION. PINE RUN INCLUDES 296 INDEPENDENT LIVING UNITS, A 90-BED NURSING FACILITY AND A 40-BED PERSONAL CARE FACILITY AT ITS MAIN CAMPUS AND AN ADDITIONAL 106-BED PERSONAL CARE FACILITY ON A SEPARATE CAMPUS, BOTH LOCATED IN BUCKS COUNTY, PENNSYLVANIA. 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) --------------------------------------------------- VIA AFFILIATES ("DH 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. 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 HEALTH CARE IMPROVEMENT FOUNDATION 1801 MARKET STREET ROOM 710 PHILADELPHIA PA 19103 232152039 501(C)(3) 30000 PROGRAM SUPPORT CENTRAL BUCKS FAMILY YMCA 2500 LOWER STATE ROAD DOYLESTOWN PA 18901 231903158 501(C)(3) 20929 PROGRAM SUPPORT BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 232862339 501(c)(3) 20000 CNTY WIDE HLTH NEEDS MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVENUE WHITE PLAINS PA 10605 131846366 501(C)(3) 10000 PROGRAM SUPPORT BUCKS COUNTY HEALTH IMPROVEMENT 41 UNIVERSITY DRIVE SUITE 300 NEWTOWN PA 18940 232862339 501(C)(3) 20000 PROGRAM SUPPORT BUCKS COUNTY CHAMBER OF COMMERCE 252 SWAMP ROAD 23 DOYLESTOWN PA 18901 232657403 501(C)(3) 10200 PROGRAM SUPPORT ANN SILVERMAN COMMUNITY HEALTH CLINIC 595 WEST STATE STREET DOYLESTOWN PA 18901 232892823 501(C)(3) 42000 PROGRAM SUPPORT CANCER SUPPORT COMMUNITY OF PHILADELPHIA 4100 CHAMOUNIX DRIVE WEST FAIRMOUNT PHILADELPHIA PA 19131 232657403 501(C)(3) 30082 PROGRAM SUPPORT BUCKS COUNTY CHAMBER OF COMMERCE 252 SWAMP ROAD 23 DOYLESTOWN PA 18901 231886403 501(C)(3) 10200 PROGRAM SUPPORT LENAPE VALLEY FOUNDATION 500 North West Street DOYLESTOWN PA 18901 231914438 501(C)(3) 19002 PROGRAM SUPPORT 10 0 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 X X X X false true false false false false false true false JAMES L BREXLER FACHE DIRECTOR - PRESIDENT & CEO 781842 0 64000 0 93661 0 259615 0 28308 0 1227426 0 0 0 SCOTT S LEVY MD DIRECTOR - VP & CMO 590983 0 0 0 21100 0 214077 0 23858 0 850018 0 0 0 MARY ELLEN PELLETIER DIRECTOR 0 244225 0 4500 0 80862 0 8797 0 22974 0 361358 0 0 ELEANOR WILSON RN MSN MHA DIRECTOR - VP & COO 469422 0 7712 0 23147 0 12919 0 11284 0 524484 0 0 0 DANIEL L UPTON VP & CHIEF FINANCIAL OFFICER 441258 0 10000 0 21995 0 13854 0 20666 0 507773 0 0 0 JOHN B REISS JD VP & GENERAL COUNSEL 438070 0 0 0 22479 0 13213 0 834 0 474596 0 0 0 RICHARD D LANG VP & CHIEF INFORMATION OFFICER 335510 0 0 0 20413 0 94285 0 16298 0 466506 0 0 0 BARBARA A HEBEL VP & CHIEF HUMAN RES. OFFICER 318357 0 0 0 20887 0 53687 0 17718 0 410649 0 0 0 SHERI PUTNAM VP STRAT INIATIVES & INTEGRAT 287838 0 0 0 21175 0 6080 0 24787 0 339880 0 0 0 LAURA K WORTMAN VP & CHIEF DEVELOPMENT OFFICER 235913 0 0 0 19199 0 11215 0 18676 0 285003 0 0 0 PATRICIA A STOVER RN CHIEF NURSING OFF (EFF 04/18) 236570 0 0 0 867 0 6643 0 8910 0 252990 0 0 0 MATTHEW F COSTELLO SENIOR EXEC DIR HOSPITAL OPS 280498 0 0 0 574 0 7385 0 25906 0 314363 0 0 0 CATHLEEN Q STEWART EXEC DIR PINE RUN (TERM 02/18) 185092 0 20000 0 71397 0 46547 0 9915 0 332951 0 0 0 KENNETH COBURN MD DRPH FACP PRESIDENT/CEO - HQP 200002 0 0 0 0 0 4874 0 0 0 204876 0 0 0 LOUIS IOBBI DIRECTOR PHARMACY 171006 0 0 0 594 0 4183 0 16924 0 192707 0 0 0 STEVEN DAY JR DIRECTOR - RISK SERVICES 215202 0 0 0 472 0 6786 0 23032 0 245492 0 0 0 ANTHONY J PACK PA PHYSICIAN ASSISTANT 199323 0 0 0 384 0 6976 0 24082 0 230765 0 0 0 ELIZABETH SEEBER CHIEF ACCOUNTING OFFICER 185338 0 0 0 727 0 6502 0 17713 0 210280 0 0 0 KENNETH GERACE BS LP CCP CHIEF PERFUSIONIST 161480 0 0 0 331 0 4319 0 25524 0 191654 0 0 0 FRANK J DOLL DIRECTOR-PATIENT ACCESS & PFS 160673 0 0 0 903 0 3952 0 9738 0 175266 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 2017 FORM W-2 AND FORM 1099-MISC; IF APPLICABLE. SCHEDULE J, PART I; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") AS THESE AMOUNTS 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 2017 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES L. BREXLER, FACHE, $250,807; SCOTT S. LEVY, M.D., $205,918; ELEANOR WILSON, RN, MSN, MHA, $3,701; DANIEL L. UPTON, $4,500; JOHN B. REISS, JD, $4,400; RICHARD D. LANG, $85,757; BARBARA A. HEBEL, $44,379; LAURA K. WORTMAN, $3,931 AND CATHLEEN Q. STEWART, $44,555. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2017 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2017 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. 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 0 0 2016 true true true true A false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true C false false true true false 0.00000 0.00000 0.00000 false false 0.00000 false true D false false true true false 0.00000 0.00000 0.00000 false false 0.00000 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. 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. KELLY BREXLER FAMILY MEMBER OF DIRECTOR 65424 EMPLOYEE false KRISTIN MOYER FAMILY MEMBER OF DIRECTOR 69551 EMPLOYEE false JILL A STROVER FAMILY MEMBER OF OFFICER 91220 EMPLOYEE false 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 232 BEDS. IN 1986, A CORPORATE RESTRUCTURING ESTABLISHED DOYLESTOWN HOSPITAL AS A SUBSIDIARY CORPORATION OF THE NEWLY-CREATED DOYLESTOWN HEALTH FOUNDATION, BOTH 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 SURGERY CENTER AND OUTPATIENT TESTING FACILITIES AT THE HEALTH AND WELLNESS CENTER - HEALTH CONNECTIONS BY DOYLESTOWN HOSPITAL HEALTHCARE CONCIERGE SERVICES AT THE WARMINSTER SHOPRITE - DOYLESTOWN HEALTH PHYSICIANS AND ITS SUBSIDIARY CORPORATION, DH PHYSICIANS AMBULATORY SERVICES - CHILDRENS VILLAGE EARLY CHILDHOOD EDUCATION PROGRAM - CB CARES, IN PARTNERSHIP WITH THE CENTRAL BUCKS SCHOOL DISTRICT 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 OUR 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 SERVES AS BOTH THE GOVERNING BODY AND FUNDRAISING ARM OF DOYLESTOWN HEALTH. ITS MEMBERS ARE APPOINTED BY THE VIA AND INCLUDE LEADERS FROM THE VIA, THE COMMUNITY, AND THE HEALTH SYSTEM. DOYLESTOWN HEALTH PROMOTES WELLNESS AND TREATS ILLNESS THROUGH CONNECTIVITY WITH ALL PARTS OF THE COMPREHENSIVE HEALTH SYSTEM. MEMBERS OF THE EXECUTIVE COMMITTEE OF THE FOUNDATIONS BOARD OF DIRECTORS CONSTITUTE, APPOINT AND ELECT THE MEMBERS OF THE HOSPITAL BOARD OF DIRECTORS. EACH MEMBER OF DOYLESTOWN HEALTH (WITH 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 IN THE CODE. EACH MEMBER OF DOYLESTOWN HEALTH HAS ITS OWN BOARD OF DIRECTORS WHICH IS RESPONSIBLE FOR ESTABLISHING POLICIES AND PLANNING FOR THE UNIT, 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 ALL MEMBERS OF THE COMMUNITY; 2) WE STRIVE FOR EXCELLENCE IN OUR SERVICES AND PROGRAMS; 3) WE RESPECT THE DIGNITY OF EVERY MEMBER OF THE COMMUNITY; 4) WE PROVIDE VALUE THROUGH HIGH-QUALITY, LOW-COST 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 435 PHYSICIANS IN 50 SPECIALTIES, 2,200 ASSOCIATES AND NEARLY 1,000 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 56 "TOP HOSPITALS" IN THE U.S. BY THE LEAPFROG GROUP IN DECEMBER 2016. THE HOSPITAL WAS AMONG THE "100 BEST" IN THE NATION FOR HEART AND ORTHOPEDIC CARE, ACCORDING TO BECKERS HOSPITAL REVIEW. 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 RICHARD A. REIF HEART INSTITUTE, VIA MATERNITY CENTER, ORTHOPEDIC INSTITUTE, CANCER INSTITUTE AND DELLA-PENNA PEDIATRIC CENTER. THE EMERGENCY DEPARTMENT, EXPANDED IN 2010, TREATS MORE THAN 44,000 PATIENTS ANNUALLY AND HOUSES THE WOODALL CHEST PAIN CENTER AND THE CERTIFIED PRIMARY STROKE CENTER. OUTPATIENT IMAGING AND LABORATORY SERVICES ARE AVAILABLE ON THE HOSPITAL CAMPUS AND THE HEALTH & WELLNESS CENTER. 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, CHILDRENS 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 WITH MORE THAN 275 PHYSICIANS, THE HOSPITAL AND OTHER CARE PROVIDERS ENGAGE IN VALUE-BASED CONTRACTING AND IS A PARTICIPANT IN THE COMMUNITY CARE COLLABORATIVE OF PA AND NJ, AN ACCOUNTABLE CARE ORGANIZATION. 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 296 INDEPENDENT LIVING UNITS (THE VILLAGE) ON 42 ACRES OF LAND IN DOYLESTOWN TOWNSHIP; A 107-BED SKILLED NURSING FACILITY AND 40-BED PERSONAL CARE FACILITY (THE HEALTH CENTER), AND A 107-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, 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 FOR SHORT-STAY NURSING AND REHABILITATION RESIDENTS, WITH SKILLED NURSING CARE AND COMPREHENSIVE THERAPY PROGRAMS; A PERSONAL CARE ALZHEIMERS/DEMENTIA PROGRAM FOR THOSE WITH IMPAIRED MEMORY; LONG-TERM CARE FOR RESIDENTS REQUIRING ON-GOING CUSTODIAL 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 SUITES 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. 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, MEDICAL SOCIAL WORK AND NUTRITIONAL CONSULTATIONS, WORKING TOGETHER TO DELIVER HIGH QUALITY HOME CARE SERVICES. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 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. DOYLESTOWN HOSPITAL SURGERY CENTER ---------------------------------- THE DOYLESTOWN HOSPITAL SURGERY CENTER, LOCATED AT THE HEALTH & WELLNESS CENTER IN WARRINGTON, IS A FULLY-EQUIPPED, MULTI-SPECIALTY, SAME-DAY SURGERY FACILITY. THERE ARE FOUR STATE-OF-THE-ART OPERATING ROOMS AND A TREATMENT ROOM FOR LESS INVASIVE PROCEDURES. VIA AFFILIATES (DBA 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 OR INCLUDED IN THE MISSION OF OTHER SYSTEM ENTITIES. DOYLESTOWN HEALTH PHYSICIANS INCLUDE SEVERAL PRIMARY CARE PRACTICES, GENERAL SURGEONS, CARDIOLOGISTS, NEUROLOGISTS AND UROLOGISTS. 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 SYSTEMS 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 CHILDRENS 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 HEALTHS EXHIBIT, "HOSPITAL," OPENED IN MAY 2015 AND CONTINUES TO ATTRACT AREA FAMILIES TO EXPERIENCE A DOCTORS 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. BCHIP ADDRESSES: MATERNAL AND CHILD HEALTH ISSUES, MENTAL HEALTH CONCERNS, COORDINATION OF HEALTH PROMOTION AND PREVENTION (NOTABLY TOBACCO AND CARDIOVASCULAR RISK REDUCTION), SUPPORTS CHIP ENROLLMENT, DOMESTIC VIOLENCE PREVENTION AND PROVIDES ADULT HEALTH AND DENTAL CLINICS FOR UNDERSERVED POPULATIONS. 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 CHILDHOOD OBESITY, CONCUSSION, SLEEP AND TEEN DEPRESSION. 6) CHILDRENS VILLAGE DAY CARE SUBSIDIES: CHILDRENS VILLAGE, ON-SITE DAY CARE, 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 THE UTILIZATION OF MORE THAN 230 PROFESSIONAL, MEDICAL, MENTAL HEALTH, DENTAL AND SOCIAL SERVICE VOLUNTEERS AND A SMALL PAID STAFF. THE HOSPITAL PROVIDED THE CLINIC WITH OFFICES AND EXAM ROOMS AT A NOMINAL CHARGE. THE FOUNDATION ASSISTED IN SOME OF THE HEALTH NEEDS OF THE PATIENTS THAT GO BEYOND THE RESOURCES OF THE CLINIC WITH A CONTRIBUTION. OTHER DONATIONS INCLUDE MEDICAL LAB TESTING, AS WELL AS SENIOR MANAGEMENTS TIME CONTRIBUTING TO THE CLINICS BOARD. 8) COMMUNITY EDUCATION CALENDAR: DOYLESTOWN HOSPITAL PUBLISHED A QUARTERLY CALENDAR AND EDUCATIONAL NEWSLETTERS, WHICH ARE DISTRIBUTED TO 336,000 HOUSEHOLDS. THIS CALENDARS AND EDUCATIONAL NEWSLETTERS LISTS 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, TWITTER AND FACEBOOK POSTS ON A VARIETY OF TOPICS. 9) DOYLESTOWN HEALTH CONNECTIONS: THIS IS A COLLABORATIVE PROGRAM BETWEEN DOYLESTOWN HEALTH AND COMMUNITY PARTNERS, SUCH AS THE COWHEY FAMILY (SHOPRITE OF WARMINSTER) HEALTH CONNECTIONS IS AN IN-STORE HEALTH RESOURCE CENTER CREATED TO BENEFIT THE COMMUNITY. THIS CONVENIENT LOCATION MAKES HEALTH INFORMATION ACCESSIBLE AND PERSONAL FOR THE PREVENTION OF ILLNESS, AND HELPS RESIDENTS FIND THE APPROPRIATE CARE WHEN THE NEED ARISES. THE GOAL OF HEALTH CONNECTIONS IS TO MOTIVATE THE COMMUNITY TO ADOPT HEALTHIER LIFESTYLES. 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 HOSPITALS 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 UNIT PATIENTS AND PSYCHIATRIC CONSULTATION SERVICES IN THE HOSPITALS EMERGENCY DEPARTMENT. 12) FOUNDATION FUND RAISING PROGRAM: THE FOUNDATION'S FUND RAISING PROGRAM REQUESTED UNRESTRICTED GIFTS FOR THIS FISCAL YEAR THAT WOULD ENABLE DOYLESTOWN HOSPITAL TO CONTINUE ITS MISSION OF A RESPONSIVE, HEALING ENVIRONMENT FOR PATIENTS AND THEIR FAMILIES. GIFTS BENEFITED 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 PROVIDED 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 PROVIDED 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: THERE WERE EVENTS 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 SCREENED APPLICANTS AND REFERRED PATIENTS WITH PRIMARY CARE AND SPECIALIST PHYSICIANS. THEY ALSO REFERRED ELIGIBLE PATIENTS TO THE FREE CLINIC OF DOYLESTOWN. 17) DOYLESTOWN CLINICAL NETWORK (DCN): THE DCN FACILITATES SEAMLESS TRANSFER OF CLINICAL INFORMATION PROVIDER-TO-PROVIDER TO IMPROVE THE QUALITY OF CARE FOR MEMBERS OF THE DOYLESTOWN COMMUNITY. 18) SCHOLARSHIP ASSISTANCE: 41 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 BUSINESSES, NON-PROFITS AND CULTURAL ORGANIZATIONS PROVIDE 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 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) LIBERTY 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) ADAM HEALTH ENCYLOPEDIA: HEALTH INFORMATION IS THE 3RD MOST POPULAR SEARCH ON THE INTERNET. THE HOSPITAL HAS AN EXTENSIVE HEALTH LIBRARY ON ITS WEBSITE WITH OVER 4,000 HEALTH AND WELLNESS ARTICLES AND COVERS OVER 1,500 MEDICAL TOPICS. THE SITE HAS REFERENCE INDEX AND INTERACTIVE TOOLS. 24) 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) CANCER SURVIVOR DAY: THIS EVENT WAS HELD BY DOYLESTOWN HOSPITAL FOR ALL CANCER SURVIVORS AND THEIR FAMILY AND FRIENDS. IT WAS INTENDED TO PROVIDE PYSCHOLOGICAL SUPPORT AND A NETWORKING EXPERIENCE WITH OTHER SURVIVORS AND CONNECT SURVIVORS WITH COMMUNITY RESOURCES. OVER 220 PEOPLE ATTENDED THE EVENT. VOLUNTEER HOURS INCLUDED PHYSICIANS, NURSING, CLERICAL STAFF ATTENDING. 2) LIFESTYLE LECTURES: THIS WAS A SERIES OF INFORMAL EDUCATIONAL LECTURES OFFERED TO THE COMMUNITY BY MEMBERS OF THE MEDICAL STAFF. THE HOSPITAL COORDINATED THE PROGRAM, WHICH HELPED OVER 2,000 COMMUNITY MEMBERS. 3) DRIVER SAFETY PROGRAM: THIS WAS A COOPERATIVE PROGRAM WITH AARP THAT FOLLOWS THEIR RULES FOR PARTICIPATION. WE PROVIDE ROOM FOR 151 PARTICIPANTS AND 12 CLASSES. 4) COMMUNITY LECTURES: THE HOSPITAL PROVIDED SPEAKERS FOR VARIOUS COMMUNITY GROUPS AND ORGANIZATIONS. PRESENTERS FOR EVENTS UTILIZED BOTH STAFF AND PHYSICIANS. THESE PROGRAMS IMPROVED THE COMMUNITY'S HEALTH AND QUALITY OF LIFE THROUGH EDUCATION. 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) MAN TO MAN PROSTATE CANCER SUPPORT GROUP EDUCATION: THIS MONTHLY PROGRAM ADDRESSES ISSUES AND THE STRUGGLES THAT FACE PROSTATE CANCER SURVIVORS AND THEIR FAMILIES. 7) LOOK GOOD, FEEL BETTER: THIS PROGRAM PROVIDED SUPPORT AND RESOURCES FOR CANCER PATIENTS UNDERGOING CHEMOTHERAPY. 8) 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, TWO 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. 9) STROKE SUPPORT GROUP: THIS MONTHLY PROGRAM ADDRESSES ISSUES AND THE STRUGGLES THAT FACE STROKE SURVIVORS AND THEIR FAMILIES. 10) 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. 11) WALK WITH A DOC:. THESE MONTHLY PROGRAMS HAVE BEEN POPULAR EVER SINCE, WITH COMMUNITY MEMBERS BENEFITING FROM 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. 12) 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. 13) 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. 14) STUDENT INTERNSHIP RADIOLOGY PROGRAM: 8 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. 15) 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. 16) SMOKING CESSATION PROGRAM: PROGRAMS WERE HELD USING CDC RESOURCES "CLEARING THE AIR". 50 INDIVIDUALS WERE GIVEN HELP IN QUITTING THE HABIT SMOKING. 17) 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. 18) PINE RUN INTERN PROGRAM: THIS INTERNSHIP PROGRAM HAS 60 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. 19) 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 196 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 MOSTLY THE ONES 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. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 4) CHILDBIRTH CLASSES: A PROGRAM TEACHING THE HOW-TOS OF CHILDBIRTH SERVED THROUGH 24 COURSES SERIES EVERY DAY OF THE WEEK EXCEPT FRIDAY. 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 NEARLY 10 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) GIRL SCOUTS: THE HOSPITLA PROVIDED MEETING SPACE FOR 2 GIRL SCOUT TROOPS. 5) BUCKS COUNTY DOWN SYNDROME: SPACE WAS PROVIDED FOR MONTHLY MEETINGS AT CHILDREN'S VILLAGE FOR THE BUCKS COUNTY DOWN SYNDROME GROUP. 6) 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. 7) BEREAVEMENT GROUP MEETINGS: SPACE IS PROVIDED MONTHLY FOR THESE MEETINGS AT C.V. LEADERSHIP ACTIVITIES --------------------- THE HOSPITAL PRESIDENT/CEO DEVOTED $30,000 WORTH OF 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, DELAWARE VALLEY HEALTHCARE COUNCIL, MARCH OF DIMES, HOSPITAL ASSOCIATION OF PA, CHRIST'S HOME, DELAWARE VALLEY UNIVERSITY, SHRINERS AND BUCKS COUNTY BOYS CLUB. THE VICE-PRESIDENT OF DEVELOPMENT WAS ALSO INVOLVED IN CONTRIBUTING TIME TO ACTIVITIES THAT BENEFIT THE COMMUNITY INCLUDING: ANN SILVERMAN COMMUNITY HEALTH CLINIC, CB CARES, THE AMERICAN RED CROSS, THE CENTRAL BUCKS CHAMBER OF COMMERCE AND THE DOYLESTOWN BUSINESS AND COMMUNITY ALLIANCE. 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) CANCER SURVIVOR DAY: DOYLESTOWN HEALTH'S CANCER INSTITUTE HOSTED A SPECIAL PROGRAM IN HONOR OF NATIONAL CANCER SURVIVORS DAY TO CELEBRATE SURVIVORSHIP AND THOSE WHO HAVE SUPPORTED THEM ALONG THE WAY. DR. DON THOMAS, ASTRONAUT AND AUTHOR OF ORBIT OF DISCOVERY, PRESENTED THE PROGRAM. "OVERCOMING OBSTACLES AND REACHING FOR THE STARS." THE EVENT WAS FREE AND OPEN TO THE PUBLIC. 3) 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 COLLEGE SENIOR EDUCATION - DOYLESTOWN ATHLETIC ASSOCIATION - DOYLESTOWN BUSINESS & COMMUNITY ALLIANCE - DVHC BOARD AND COMMITTEES - FAMILY CAREGIVERS OF SENIORS - FRIENDS OF PEACE VALLEY NATURE CENTER - 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 - 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 AUTISM SUPPORT COALITION - BUCKS COUNTY INTERMEDIATE UNIT - BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP - BUCKS COUNTY MEDICAL SOCIETY - LENAPE VALLEY FOUNDATION - NATIONAL ALLIANCE FOR THE MENTALLY ILL HEALTH SCREENINGS & IMMUNIZATIONS --------------------------------- THE HOSPITAL CONDUCTS HEALTH SCREENS AND SUPPORTED IMMUNIZATIONS FOR VARIOUS COMMUNITY MEMBERS. 1) HEALTH SCREENINGS: VARIOUS INDIVIDUALS BENEFITED FROM HEALTH SCREENS. 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. 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 A COMMUNITY FLU SHOT CLINIC. VACCINES WERE PROVIDED BY THE BUCKS COUNTY HEALTH DEPARTMENT. 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: - ALATEEN - ALCOHOLICS ANONYMOUS - ALZHEIMER'S DISEASE - ARTHRITIS - AUGUSTINE FELLOWSHIP - AUTISM - BETTER BREATHERS CLUB - BLINDNESS - BREAST CANCER - BUILDING THE FAMILY - CADUCEUS - DIABETES - DOWN'S SYNDROME INTEREST - EATING DISORDERS ANONYMOUS - FIBROMYALGIA - GAMBLERS ANONYMOUS - ICD (IMPLANTABLE DEFIBRILLATOR) - INSULIN PUMP - LOW VISION - LYME DISEASE - LYMPHEDEMA - MULTIPLE SCLEROSIS - NTM (NONTUBERCULOUS MYCOBACTERIUM) - NURSING MOTHERS - OVEREATERS ANONYMOUS - PARKINSON'S DISEASE - PREGNANCY LOSS - PROSTATE CANCER - PULMONARY HYPERTENSION - SCLERODERMA - 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 STATE OF 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 VI, SECTION A; QUESTIONS 6 & 7 VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN ("VIAD") IS THE SOLE MEMBER OF THIS ORGANIZATION. VIAD HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT GOVERNING ENTITY OF DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION. 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; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT GOVERNING ENTITY OF DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION. 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 EXECUTIVE ASSISTANT TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION WHO GATHERS, INVENTORIES AND FILES THE COMPLETED QUESTIONNAIRES. THEREAFTER, A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS IS PREPARED AND REVIEWED BY THE ORGANIZATION'S CHIEF ACCOUNTING OFFICER AND PRESIDENT & CHIEF EXECUTIVE OFFICER. THIS SUMMARY IS THEN PRESENTED TO THE ORGANIZATION'S BOARD OF DIRECTORS WHO REVIEWS AND MAKES DECISIONS ON HOW TO HANDLE CONFLICTS OF INTEREST AND ASSOCIATED MITIGATING BEHAVIOR TO BE TAKEN BY THE ORGANIZATION IF NECESSARY. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT GOVERNING ENTITY OF DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION. 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, SECTION A, COLUMNS A & B THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT GOVERNING ENTITY OF DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION. 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 DOYLESTOWN HEALTH; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS INCLUDE: - CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS - $3,516,127; - NET TRANSFERS TO DOYLESTOWN HEALTH FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($20,001,201) - OTHER CHANGES IN ACCRUED RETIREMENT BENEFITS - ($27,185); - INCREASE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF DOYLESTOWN HEALTH FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $15,665,259; AND - INCREASE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF DOYLESTOWN HEALTH FOUNDATION; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $310,338. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT GOVERNING HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT GOVERNING ENTITY OF DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION. 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, 2018 AND JUNE 30, 2017; 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, 2018 AND JUNE 30, 2017; 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. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:14096576 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:10447606 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:7700726 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:5013260 FORM 990 PART IX LINE 11G DESCRIPTION:PROCESSING FEES TOTAL FEES:1144008 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:1147903 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEES TOTAL FEES:564504 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 HOSPITAL HLTH & WELLNESS CTR 595 WEST STATE STREET DOYLESTOWN PA 18901 233022645 INACTIVE 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 695088 COST DOYLESTOWN HEALTH FOUNDATION L 758134 COST DOYLESTOWN HEALTH FOUNDATION R 20530060 COST VIA AFFILIATES DBA DH PHYSICIANS D 328560 COST SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT GOVERNING ENTITY OF DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION. ALL ORGANIZATIONS ARE AFFILIATES WITHIN THE SYSTEM. THIS ORGANIZATION ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.