2019-05-12T15:12:32-05:00 2018-06-30 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2017-07-01 231534300 HOLY REDEEMER HEALTH SYSTEM HOLY 2158561114 667 WELSH RD HUNTINGDON VALLEY PA 19006 RUSSELL R WAGNER EXECUTIVE VP, TREASURER 2158561114 2019-05-12 1 SETH BRODY CPA P01586423 2156433900 67.137.57.251 2019-05-12 16:31:01 ED P 9EB2786B3EC6AF35018D7997716D9ABE495A2698 D73E359738BDAD79C2EC8539ABD5DE3741BC0024 2017 2019-02-21 02:37:17Z HOLY REDEEMER HOSPITAL RUSSELL R WAGNER 12265 TOWNSEND RD STE 100 PHILADELPHIA PA 19154 310511251 0 X WWW.HOLYREDEEMER.COM X 1956 PA TO PROVIDE HOLISTIC HEALTHCARE THROUGH HOSPITAL, LONG-TERM CARE AND HOMECARE SERVICES 17 15 3235 539 3750113 0 1697888 1261006 283058285 292292048 7750675 16611128 12485550 176635 304992398 310340817 95365 82777 0 0 162006751 161701501 0 0 2522537 119380497 139958142 281482613 301742420 23509785 8598397 486919259 522935523 261053643 279425857 225865616 243509666 X AS A CATHOLIC HEALTH SYSTEM, ROOTED IN THE TRADITION OF THE SISTERS OF THE HOLY REDEEMER, WE CARE, COMFORT AND HEAL, FOLLOWING THE EXAMPLE OF JESUS, PROCLAIMING THE HOPE GOD OFFERS IN THE MIDST OF HUMAN STRUGGLE. 0 0 144567786 82777 189081530 HEALTHCARE -- HOLY REDEEMER HOSPITAL IS A 263-BED HOSPITAL WITH A STAFF OF MORE THAN 500 PHYSICIANS. WE ALSO PROVIDE COMPREHENSIVE OUTPATIENT COMMUNITY-BASED DIAGNOSTICS, HOME HEALTH SERVICES, AND REHABILITATION PROGRAMS THAT BRING COMPASSION AND CARING DIRECTLY INTO THE COMMUNITY. OUR PHYSICIANS AND SURGEONS ARE WELL KNOWN FOR THEIR EXPERTISE AND HAVE EARNED THE HOSPITAL AN OUTSTANDING REPUTATION FOR MEDICAL EXCELLENCE. WE PROVIDE AN EXCELLENT SERVICE IN CARDIOLOGY, ONCOLOGY, ORTHOPEDICS, OBSTETRICS, PEDIATRICS, DIAGNOSTICS AND REHABILITATION SERVICES, AND EMERGENCY CARE FROM PEDIATRIC TO GERIATRIC. THE HOSPITAL'S PATIENT ADMISSIONS OR CASES FOR THE YEAR WERE 9,806, FOR A TOTAL PATIENT SERVICE DAYS OF 51,188. THERE WERE 5,646 SURGICAL CASES PERFORMED, BOTH INPATIENT AND OUTPATIENT. 155,828 DIAGNOSTIC AND REHABILITATIVE OUTPATIENT SERVICE CASES WERE PERFORMED. 58890192 0 64950790 LIFECARE -- OUR LONG TERM CARE FACILITIES, HOLY REDEEMER LAFAYETTE AND HOLY REDEEMER SAINT JOSEPH MANOR, PROVIDES SERVICES TO OLDER ADULTS AT DIFFERENT LEVELS OF CARE. THE LAFAYETTE IS A WONDERFUL OPTION FOR ADULTS WHO DESIRE TO MAINTAIN AN INDEPENDENT LIFESTYLE WITH THE ADDED ASSURANCE THAT MEDICAL, SOCIAL AND RELIGIOUS SERVICES ARE AVAILABLE. THE FACILITY OFFERS 241 LOVELY PRIVATE RENTAL APARTMENTS SET ON A BEAUTIFUL CAMPUS ADJACENT TO THE WOODS OF PENNYPACK PARK. FIFTY-SIX PERSONAL CARE UNITS ARE ALSO AVAILABLE, AND THE LAFAYETTE'S 120-BED LONG TERM CARE FACILITY PROVIDES A SEAMLESS TRANSITION IF THE NEED FOR SKILLED NURSING CARE ARISES. THE LAFAYETTE IS ALSO A SITE FOR HOLY REDEEMER'S OUTPATIENT REHABILITATION CENTER, WHICH OFFERS SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY. SAINT JOSEPH MANOR HAS BEEN PROVIDING COMPASSIONATE NURSING AND ASSISTED LIVING CARE TO OLDER ADULTS SINCE 1937. THE MANOR OFFERS 64 PERSONAL CARE UNITS, AND 296 LONG TERM CARE SKILLED NURSING SERVICES AND A DEMENTIA UNIT. ADJACENT TO HOLY REDEEMER HOSPITAL AND MEDICAL CENTER, RESIDENTS HAVE CONVENIENT ACCESS TO PHYSICIANS, DIAGNOSTIC AND EMERGENCY SERVICES. BOTH THE MANOR AND LAFAYETTE ARE MEDICARE AND MEDICAID CERTIFIED. TOTAL OCCUPANCY IN BOTH FACILITIES EQUATE TO 95.5% IN NURSING, 78.4% IN PERSONAL CARE, AND 81.7% IN INDEPENDENT. 32487854 0 34509615 HOMECARE -- THE FOLLOWING SERVICES ARE PROVIDED: (1) SPECIALIZED NURSING CARE, (2) THERAPY, (3) LIFEASSESS PROGRAM, (4) HEARTASSESS PROGRAM, (5) BREATHE EASY PROGRAM, AND (6) TELEMONITORING.(1) SPECIALIZED NURSING CARE DELIVERED BY OUR HIGHLY-TRAINED NURSING STAFF WITH A COMPASSIONATE APPROACH.(2) THERAPY SERVICES BY OUR SPECIALIZED REHABILITATION THERAPISTS WHO OFFER A VARIETY OF THERAPIES TO MEET THE UNIQUE NEEDS OF EACH PATIENT.(3) LIFEASSESS PROGRAM, A COMPREHENSIVE ASSESSMENT, EDUCATION, SUPPORT AND REHABILITATION PROGRAM THAT IDENTIFIES AND TREATS OLDER ADULTS WHO ARE AT RISK FOR FOUR OF THE MOST COMMON GERIATRIC SYNDROMES - DEPRESSION, DEMENTIA, FALLS RISK AND INCONTINENCE - ALLOWING THEM TO LIVE SAFELY AT HOME.(4) HEARTASSESS PROGRAM, DESIGNED TO IMPROVE QUALITY OF LIFE FOR HEART FAILURE PATIENTS BY HELPING THEM FOCUS ON THE MOST IMPORTANT ASPECTS OF MANAGING THEIR HEART FAILURE AT HOME. PATIENTS ARE TAUGHT SYMPTOM AND MEDICATION MANAGEMENT AND ARE ASSIGNED HOME HEALTH CARE NURSES TO HELP WITH MEDICATIONS, DIET, DISEASE MANAGEMENT AND ASSISTING WITH LIFESTYLE CHANGES.(5) BREATHE EASY PROGRAM, ALLOWS PATIENTS WHO SUFFER FROM CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) TO BETTER MANAGE THEIR CONDITION AT HOME, IMPROVING THEIR OVERALL QUALITY OF LIFE.(6) TELEMONITORING, AN ADVANCED SYSTEM AVAILABLE TO REMOTELY MONITOR VITAL INFORMATION, SUCH AS BLOOD PRESSURE, HEART RATE, WEIGHT AND BLOOD OXYGEN LEVELS FOR CARDIAC PATIENTS OR ANY PATIENTS WHO NEED ADDITIONAL SUPERVISION. RESULTS ARE AUTOMATICALLY TRANSMITTED TO A HOMECARE NURSE WHO WILL PERFORM TRIAGE TO DETERMINE AN APPROPRIATE PLAN OF ACTION.THE HOSPICE DIVISION PROVIDES PAIN RELIEF AND SYMPTOM CONTROL APPROPRIATE TO CLINICAL GOALS. PSYCHOLOGICAL AND SPIRITUAL PAINS ARE AS SIGNIFICANT AS PHYSICAL PAIN. ADDRESSING ALL THREE REQUIRES THE SKILLS OF AN INTERDISCIPLINARY TEAM. THE HOLY REDEEMER HOSPICE TEAM IS GUIDED BY THE NEEDS AND WISHES OF THE PATIENT AND FAMILY AND INCLUDES THEM AS IMPORTANT MEMBERS OF THE CARE TEAM. THE INTEGRATED, MULTI-DISCIPLINARY GROUP INCLUDES: PATIENT AND FAMILY, PATIENT'S PERSONAL PHYSICIAN, HOSPICE MEDICAL DIRECTOR, SPECIALLY TRAINED NURSES, MEDICAL SOCIAL WORKERS, PASTORAL COUNSELORS, HOME HEALTH AIDES, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, COMPLEMENTARY THERAPISTS, VOLUNTEERS, AND BEREAVEMENT COUNSELORS AVAILABLE TO ASSIST WITH THE GRIEVING PROCESS. A COMPLEMENTARY (OR ALTERNATIVE) THERAPY PROGRAM OFFERS HOLISTIC SOLUTIONS FOR PATIENTS AND FAMILIES. HOLY REDEEMER ALSO OFFERS PALLIATIVE CARE SERVICES WHICH AIM TO PROVIDE COMFORT AND IMPROVE QUALITY OF LIFE AT ANY TIME DURING THE COURSE OF A SERIOUS ADVANCED ILLNESS, OFTEN AT THE SAME TIME AS A CURATIVE OR LIFE PROLONGING TREATMENTS. THE SUPPORT AND EDUCATION PROVIDED BY THE PALLIATIVE CARE TEAM ALSO PROVIDES MUCH NEEDED BENEFITS FOR FAMILY MEMBERS AND CAREGIVERS AND ASSISTS THE PATIENT AND FAMILY TO BETTER UNDERSTAND AND COPE WITH THE ILLNESS, AND IN MAKING CHOICES FOR CARE.THE SUPPORT AT HOME SERVICE PROVIDES PRACTICAL SUPPORT, PEACE OF MIND AND A SAFE AND SOUND ENVIRONMENT. SERVICES INCLUDE PERSONAL CARE, MEAL PREPARATION, LAUNDRY/LIGHT HOUSEKEEPING, ERRANDS AND LOCAL TRANSPORTATION, MOBILITY AND EXERCISE MANAGEMENT, COMPANIONSHIP AND SOCIALIZATION, MEDICATION MANAGEMENT, WELLNESS, AND HEALTH MAINTENANCE. HOMECARE NURSING ADMISSIONS FOR THE FISCAL YEAR WERE 5,337 AND PERFORMED A TOTAL OF 124,896 SERVICE/VISITS IN PATIENTS' HOMES. HOSPICE SERVICE DAYS WERE 49,208 SERVED ON A TOTAL OF 1,129 PATIENTS. 235945832 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 530 0 3235 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 X 17 15 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 PA NJ X HOLY REDEEMER CORPORATE FINANCE 2158561114 12265 TOWNSEND RD STE 100 PHILADELPHIA PA 19154 CHARLOTTE MCKINES BOARD MEMBER 1.00 0.00 X 0 0 0 ELLYN ITO BOARD MEMBER 1.00 1.00 X 0 0 0 GUY MCELWAIN JR MD BOARD MEMBER 1.00 0.00 X 0 0 0 HYLAND JOHNS BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES LYNCH BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES PAUL BOARD MEMBER 1.00 5.00 X 0 0 0 JOSEPH GARVIN BOARD MEMBER;EMERITUS AS OF APR 2018 1.00 0.00 X 0 0 0 K KULTAR SINGH BOARD MEMBER 1.00 7.00 X 0 0 0 MARC CRESPI BOARD MEMBER 1.00 6.00 X 0 0 0 ROBERT WECKENMAN BOARD MEMBER 1.00 1.00 X 0 0 0 ROBYN WALSH BOARD MEMBER 1.00 0.00 X 0 0 0 RONALD BROOKS MD BOARD MEMBER 1.00 0.00 X 0 0 0 S NICHOLAS LEZZI BOARD MEMBER 1.00 4.00 X 0 0 0 TIMOTHY ABELL BOARD MEMBER 1.00 0.00 X 0 0 0 BETH DEPREE MD BOARD MEMBER 1.00 40.00 X 0 375493 20517 WILLIAM SASSO ESQ CHAIRMAN 1.00 6.00 X X 0 0 0 MICHAEL B LAIGN BOARD MEMBER, PRESIDENT 23.00 17.00 X X 840702 0 18880 RUSSELL R WAGNER TREASURER, EXECUTIVE VP 23.00 17.00 X 434862 0 83804 DONALD F FRIEL ASSISTANT TREASURER, EXECUTIVE VP 29.00 11.00 X 360383 0 75240 CECILLE SHOCKET VP ADMINISTRATION 20.00 20.00 X 62176 62176 14110 DOLORES TORSITANO CORPORATE SECRETARY 25.00 15.00 X 84600 0 16534 CATHERINE EGAN SENIOR VP, CHIEF ADMIN OFFICER 40.00 0.00 X 319863 0 49102 MARIAN THALLNER SENIOR VP WOMEN'S/CHILDREN'S HEALTH 20.00 20.00 X 153103 153104 67322 DONALD FOX VP HOMECARE 34.00 8.00 X 262814 0 41438 CHARLES THOMAS STRIDE VP, CIO 40.00 0.00 X 232651 0 33699 JOSEPH CASSIDY RN VP HUMAN RESOURCES 40.00 0.00 X 223996 0 24990 GEORGE HAMILTON VP FINANCE 33.00 7.00 X 223881 0 8456 SUSAN HUROWITZ VP 40.00 0.00 X 223465 0 37478 KAREN RENSON RN VP, CHIEF QUALITY/SAFETY OFFICER 40.00 0.00 X 197209 0 41988 ANNE CATINO VP HOSPITAL 40.00 0.00 X 188987 0 28496 RANDIE OBERLANDER DIRECTOR OF PHARMACY 40.00 0.00 X 174450 0 27576 JACK DEMPSTER VP CONSTRUCTION-FACILITIES 40.00 1.00 X 172413 0 20815 ROBERT HEINEMAN VP HOMECARE - LEFT MAY 2018 6.00 34.00 X 205731 0 21152 ROBIN FRANKWICH GROUP VP LIFECARE - LEFT DEC 2017 40.00 0.00 X 167580 0 21142 ROSEANNE SILVESTRI VP 40.00 0.00 X 160292 0 13518 ROBERT FARRINGTON VP REVENUE CYCLE - LEFT JUN 2018 40.00 0.00 X 151800 0 12887 WILLIAM GROSS VP DEVELOPMENT 40.00 0.00 X 181960 0 20190 ROBERT HAYES JR PHYSICAL THERAPIST 40.00 0.00 X 171648 0 37726 KAREN PRICE OWEN VP MARKETING 40.00 0.00 X 150387 0 423 CHRISTOPHER NIWINSKI VP FINANCE 40.00 0.00 X 141982 0 508 PAMELA SNASHALL VP CORPORATE DEVELOPMENT 40.00 0.00 X 136625 0 9087 DENISE COLLINS FORMER EXECUTIVE VP - LEFT JAN 2015 40.00 0.00 X 172403 0 6683 5795963 590773 753761 91 1 1 0 MORRISON MANAGEMENT SPECIALISTS 2400 YORKMONT RD CHARLOTTE NC 28217 FOOD SERVICES 5586010 GENESIS REHABILITATION SERVICES PO BOX 821322 PHILADELPHIA PA 191821322 REHAB SERVICES 3171006 WM STEELE & SONS CO 1630 PENLLYN BLUE BELL PK BLUE BELL PA 19422 CONSTRUCTION 1477592 HSC BUILDERS & CONSTRUCTION MANAGE 304 NEW MILL LN EXTON PA 19341 CONSTRUCTION 1422893 CLARK SERVICES GROUP PO BOX 52593 PHILADELPHIA PA 19115 CLEANING SERVICES 1062812 54 157548 1103458 37920 1261006 PATIENT REVENUE HOSPITAL 622000 599817516 599817516 REVENUE - SNF & RESIDENTIAL 623000 98458178 98458178 HOME CARE REVENUE 621610 34315380 34315380 ALL OTHER OPERATING REVENUE 541900 32132727 31164741 967986 MANAGEMENT FEES 713940 2782127 2782127 -475213880 -475213880 292292048 6804210 6804210 9755668 51250 0 0 9755668 51250 9806918 9806918 336810 157548 170434 166376 166376 OTHER NON-OPERATING REVENUE 900099 10259 10259 10259 310340817 288541935 3750113 16787763 75827 75827 6950 6950 5443495 1337794 3877421 228280 130216433 109769687 20147114 299632 1659452 1574984 82326 2142 14413776 10816595 3497756 99425 9968345 7962236 1945402 60707 4537727 4536724 1003 1565574 394709 1170865 144000 1033 142967 15981779 7811382 8138370 32027 506021 -1207 503325 3903 8007186 4902007 2550145 555034 4038476 4038476 6658589 5267244 1050339 341006 1419068 42105 1376963 951189 208675 664989 77525 3755640 3295713 459927 6502770 6461939 34198 6633 17750938 15048571 2683302 19065 4926834 4510645 355392 60797 MEDICAL SUPPLIES 23791345 23204365 418775 168205 MAINTENANCE/HOUSEHOLD 11649860 9567343 2045703 36814 DIETARY SUPPLIES 5924731 5895569 13384 15778 DRUGS/PHARMACEUTICALS 5924605 5899846 24759 15921810 7355096 8051150 515564 301742420 235945832 63274051 2522537 195033 114262 12517637 5126821 900743 759891 30157657 29386741 2360115 2390897 3635208 4533361 377088309 253003824 121598034 124084485 182707926 172205165 13639748 13960123 119207158 170373777 486919259 522935523 44920026 41481391 700000 700000 133699768 127635583 2000000 81733849 107608883 261053643 279425857 X 215324578 232430216 6937159 7334870 3603879 3744580 225865616 243509666 486919259 522935523 X 8598397 -3784953 12830606 X 0 1 X 1 1 1 X 3753069 -454958 3298111 3590433 142339 20297 3753069 3779424 62675 81670 333336 3590433 3253633 687836 4623 166668 3779424 3493905 6000 87064 333336 3253633 0.00000 1.00000 0.00000 0 0 3207884 3207884 239801473 159034803 80766670 3230562 1614441 1616121 123212362 92354580 30857782 7636028 7636028 124084485 DUE FROM AFFILIATES 162846132 RESIDENT ESCROW FUND 922076 DEFERRED FINANCING COSTS 1534847 OTHER ASSETS 5070722 170373777 PENSION FUND PAYABLE 32299815 DUE TO AFFILIATES 57527610 CAPITAL LEASES 6176125 SELF-INSURANCE LIABILITY 9953231 RESIDENT FUND ESCROW 1652102 107608883 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE INTENDED TO BE USED TO: 1. PROVIDE EDUCATIONAL SCHOLARSHIPS FOR HEALTH SYSTEM EMPLOYEES AND VOLUNTEERS IN HEALTH RELATED STUDIES 2. PROVIDE FOR OUTSTANDING CARE AND SUPPORT SERVICES TO PATIENTS AT THE CANCER CENTER AT HOLY REDEEMER 3. PROVIDE SUPPORT FOR CARDIOPULMONARY PREVENTION HEALTH AND FITNESS PROGRAMS OF HOLY REDEEMER 4. PROVIDE CAREGIVER SUPPORT FOR HOME HOSPICE CARE 5. PROVIDE SUPPORT FOR THE COST OF THE MAINTENANCE OF CHAPELS THROUGHOUT THE HOLY REDEEMER HEALTH SYSTEM 6. PROVIDE SUPPORT FOR SURGICAL PROGRAMS PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. GOLF CLASSIC 227500 227500 56114 19396 WINE AUCTION 216810 107500 109310 9000 15063 714 29429 17792 7822 1 50048 50048 11595 1969 1540 494358 157548 336810 9000 26658 58797 29429 17792 28758 170434 166376 1 1 1 X 400.000000000000 1 X 1 1 0 1 1 2955978 1607583 1348395 0.00460 18378866 13727538 4651328 0.01590 21334844 15335121 5999723 0.02050 1037490 658030 379460 0.00130 1226752 451843 774909 0.00260 2264242 1109873 1154369 0.00390 23599086 16444994 7154092 0.02440 1 3963421 0 62265610 72069403 -9803793 X 1 1 1 1 HOLY REDEEMER HOSPITAL 1648 HUNTINGDON PIKE MEADOWBROOK PA 19046 WWW.HOLYREDEEMER.COM 083901 X X X X X HOLY REDEEMER HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 1 1 1 X SEE PART V, SECTION C X 1 15 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X 1 X 0 X X X X 1 X 0 0 HOLY REDEEMER HOSPITAL PART V, SECTION B, LINE 5: IN CONDUCTING THE RECENT (2015-2016) CHNA, INPUT FROM THE COMMUNITY SERVED BY THE HOSPITAL FACILITY WERE TAKEN INTO ACCOUNT IN TWO WAYS: FIRST FROM REPRESENTATIVES OF THE COMMUNITY, AND ALSO FROM THE PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC), A PUBLIC HEALTH INSTITUTE. PHMC USES BEST PRACTICES TO IMPROVE COMMUNITY HEALTH THROUGH DIRECT SERVICE, PARTNERSHIP, INNOVATION, POLICY, RESEARCH, TECHNICAL ASSISTANCE, AND A PREPARED WORKFORCE. PUBLIC HEALTH MANAGEMENT CORPORATION (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. IN 2013, PHMC COMPLETED 28 COMMUNITY HEALTH NEEDS ASSESSMENTS FOR SOUTHEASTERN PENNSYLVANIA NON-PROFIT HOSPITALS, AND HAS BEEN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY SINCE 1972. PHMC'S COMMUNITY HEALTH DATA BASE IS UNIQUELY QUALIFIED TO PROVIDE COMPREHENSIVE SERVICES TO NOT-FOR-PROFIT HOSPITALS. IT IS THE ONLY PUBLIC HEALTH INSTITUTE IN PENNSYLVANIA, HAS MANY YEARS' EXPERIENCE COLLABORATING WITH HEALTH CARE STAKEHOLDERS, AND CAN FACILITATE THE PARTICIPATION OF THESE DIVERSE GROUPS AS REQUIRED BY THE ACA. PHMC STAFF ARE PUBLIC HEALTH EXPERTS WHO HAVE CONDUCTED MANY SERVICES OVER THE PAST TWENTY YEARS FOR HOSPITALS, HEALTH DEPARTMENTS, FOUNDATIONS, AND OTHER NON-PROFITS. PHMC'S SERVICE QUALIFICATIONS ALSO INCLUDE DEVELOPING AND MAINTAINING THE SOUTHEASTERN PENNSYLVANIA COMMUNITY HEALTH DATA BASE. THE CHDB PROVIDES AN UNMATCHED SET OF INFORMATION ON LOCAL COMMUNITY HEALTH NEEDS THAT CAN BE USED TO DEVELOP FOCUSED FINDINGS SUPPORTED BY RELIABLE DATA. THESE DATA CAN ALSO BE USED IN DEVELOPING PRIORITIES AND RATIONALES FOR STRATEGIC PLANS THAT ARE ACA COMPLIANT. THE BIENNIAL SEPA HOUSEHOLD HEALTH SURVEY COLLECTS INFORMATION ON MORE THAN 13,000 RESIDENTS (CHILDREN, ADULTS, AND SENIORS) LIVING IN THE FIVE-COUNTY SEPA REGION. THE SURVEY IS THE LONGEST RUNNING COMMUNITY HEALTH SURVEY IN THE UNITED STATES, AS WELL AS ONE OF THE LARGEST REGIONAL SURVEYS OF ITS KIND.DATA ACQUISITION AND ANALYSIS:BOTH PRIMARY AND SECONDARY AND QUANTITATIVE AND QUALITATIVE DATA WERE OBTAINED AND ANALYZED FOR THIS NEEDS ASSESSMENT. 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. QUANTITATIVE INFORMATION FROM: THE 2013 AMERICAN COMMUNITY SURVEY, AND 2015 AND 2020 NIELSEN-CLARITAS POP-FACTS; PENNSYLVANIA HEALTH DEPARTMENT VITAL STATISTICS ON BIRTHS, DEATHS, COMMUNICABLE DISEASES, AND CANCER INCIDENCE (2008-2012 AND 2009-2012); PHMC'S 2015 SOUTHEASTERN PENNSYLVANIA HOUSEHOLD HEALTH SURVEY; 2015 COUNTY HEALTH ROADMAPS & RANKINGS FOR BUCKS, DELAWARE, MONTGOMERY, AND PHILADELPHIA COUNTIES WERE ANALYZED FOR THE HOSPITALS' SERVICE AREA USING THE STATISTICAL PROGRAM FOR SOCIAL SCIENCES (SPSS). A TOTAL OF 1,274 INTERVIEWS WERE CONDUCTED WITH ADULTS RESIDING IN THE HOSPITAL'S SERVICE AREA, INCLUDING 369 ADULTS AGE 60 AND OVER AND 443 HOUSEHOLDS WITH A SELECTED CHILD UNDER THE AGE OF 18. PHMC SOUTHEASTERN PENNSYLVANIA HOUSEHOLD HEALTH SURVEY:HOLY REDEEMER RECEIVED INPUT ON THE NEEDS OF THE COMMUNITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS FROM PHMC'S 2015 SOUTHEASTERN PENNSYLVANIA HOUSEHOLD HEALTH SURVEY. THE SURVEY QUESTIONNAIRE EXAMINES HEALTH STATUS AND UTILIZATION OF, AND ACCESS TO, HEALTH CARE AMONG ADULTS AND CHILDREN IN THE FIVE COUNTY AREA OF BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA COUNTIES. THE SURVEY WAS CONDUCTED THROUGH TELEPHONE INTERVIEWS WITH PEOPLE 18 YEARS OF AGE AND OLDER LIVING IN 10,018 HOUSEHOLDS IN SOUTHEASTERN PENNSYLVANIA. OF THIS TOTAL SAMPLE OF 10,018 ADULTS, 1,274 ADULT SURVEY RESPONDENTS LIVED IN HOLY REDEEMER HOSPITAL'S SERVICE AREA AND PARTICIPATED IN THE SURVEY. THESE 1,274 HOUSEHOLDS ALSO INCLUDED 369 ADULTS AGE 60 AND OVER AND 443 HOUSEHOLDS WITH AT LEAST ONE CHILD UNDER THE AGE OF 18. A TOTAL OF 2,009 CELL PHONE INTERVIEWS WERE CONDUCTED WITH ADULTS IN THE FIVE COUNTY AREA. CELL PHONE RESPONDENTS RECEIVED THE SAME SURVEY QUESTIONNAIRE AS LANDLINE RESPONDENTS.THE SURVEY INCLUDES MANY QUESTIONS THAT HAVE BEEN ADMINISTERED AND TESTED IN NATIONAL AND LOCAL HEALTH SURVEYS:NATIONAL CENTER FOR HEALTH STATISTICS (NCHS) FOR THE NATIONAL HEALTH INTERVIEW SURVEY (NHIS);THE BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS);THE CALIFORNIA WOMEN'S HEALTH SURVEY;THE SOCIAL CAPITAL COMMUNITY BENCHMARK SURVEY (KENNEDY SCHOOL OF GOVERNMENT, HARVARD UNIVERSITY); ANDTHE SURVEY ON CHILDHOOD OBESITY (KAISER FAMILY FOUNDATION/SAN JOSE MERCURY NEWS).HOUSEHOLDS IN EACH OF THE FIVE COUNTIES WERE SELECTED TO GUARANTEE REPRESENTATION FROM ALL GEOGRAPHIC AREAS AND FROM ALL POPULATION SUBGROUPS. WHEN NEEDED, THE INTERVIEWS WERE CONDUCTED IN SPANISH. THE SURVEY WAS ADMINISTERED FOR PHMC BY ABT/SRBI, INC., A RESEARCH FIRM IN NEW YORK CITY, BETWEEN DECEMBER 2014 AND MARCH 2015. THE FINAL SAMPLE OF INTERVIEWS IS REPRESENTATIVE OF THE POPULATION IN EACH OF THE FIVE COUNTIES SO THAT THE RESULTS CAN BE GENERALIZED TO THE POPULATIONS OF THESE COUNTIES. WITHIN EACH SELECTED HOUSEHOLD WITH MORE THAN ONE ELIGIBLE ADULT, THE LAST BIRTHDAY METHOD WAS USED TO SELECT THE ADULT WHO LAST HAD A BIRTHDAY AS THE RESPONDENT FOR THE INTERVIEW (WITH THE EXCEPTION OF THE CELL PHONE SAMPLE). IN HOUSEHOLDS WITH CHILDREN, THE CHILD UNDER AGE 18 WHO MOST RECENTLY HAD A BIRTHDAY WAS SELECTED AS THE SUBJECT OF THE CHILD INTERVIEW. THE SURVEY INCORPORATES OVER-SAMPLES OF PEOPLE AGES 60-74 AND 75 AND OLDER TO PROVIDE A SUFFICIENT NUMBER OF INTERVIEWS FOR SEPARATE ANALYSES OF THE RESPONSES OF PEOPLE IN THESE SUBGROUPS. INFORMATION FROM THE SURVEY WAS ANALYZED FOR THE COMMUNITY AS A WHOLE AND FOR THE UNINSURED, MEDICALLY UNDERSERVED, POOR, ETHNIC AND RACIAL MINORITIES, CHILDREN, AND OLDER ADULTS. THE RESULTS OF THE SURVEY WERE TAKEN INTO ACCOUNT IN IDENTIFYING THE SIZE AND LOCATION OF THESE MEDICALLY UNDERSERVED POPULATIONS, THEIR UNMET HEALTH CARE NEEDS, AND ANY BARRIERS THEY ENCOUNTER TO ACCESSING SERVICES. PRIORITIES AMONG THESE NEEDS WERE ESTABLISHED BY COMPARING THE RESULTS OF THE 2015 HHS TO HEALTH PEOPLE 2020 BENCHMARKS, EXISTING RESOURCES, AND THE HOSPITAL'S EXISTING PROGRAMS AND MISSION.COMMUNITY MEETINGS AND INTERVIEWSTHE HOSPITAL SOLICITED AND TOOK INTO ACCOUNT INPUT FROM PERSONS OR ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IT SERVES, INCLUDING: LOCAL CITY AND COUNTY HEALTH DEPARTMENTS FROM EACH OF THE FIVE COUNTIES IN SEPA; MEMBERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS; AND WRITTEN COMMENTS RECEIVED ON THE MOST RECENT SERVICE AND IMPLEMENTATION STRATEGY. HOLY REDEEMER SOLICITED AND TOOK INTO ACCOUNT INPUT FROM PERSONS OR ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IT SERVES. IN GENERAL, INPUT WAS RECEIVED ON THE UNMET HEALTH CARE NEEDS, EXISTING HEALTH CARE RESOURCES, AND SPECIAL NEEDS OF MINORITY AND MEDICALLY UNDERSERVED POPULATIONS. THE COMMUNITY MEETING WAS GUIDED BY A SET OF WRITTEN QUESTIONS THAT FOCUSED ON PARTICIPANTS' PERCEPTIONS OF THE MOST IMPORTANT PHYSICAL AND BEHAVIORAL HEALTH PROBLEMS IN THE AREA, PROGRAMS THAT SUCCESSFULLY ADDRESS THESE ISSUES, GAPS IN SERVICES, BARRIERS TO CARE, VULNERABLE AND UNDERSERVED POPULATIONS, AND HOW TO BEST REACH INDIVIDUALS IN THE COMMUNITY. THIS INPUT WAS SOLICITED FROM 31 SERVICE AREA COMMUNITY REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE SERVICE AREA. POTENTIAL PARTICIPANTS FOR THE MEETINGS WERE INVITED BY MAIL OR ELECTRONIC MAIL TO ATTEND THE MEETING.THE INPUT WAS RECEIVED AT THE COMMUNITY MEETING ON JUNE 23, 2015 AT WESLEY ENHANCED LIVING PENNYPACK PARK, LOCATED IN NORTHEAST PHILADELPHIA, AND IN INTERVIEWS WITH THE DEPUTY HEALTH COMMISSIONER OF THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH ON SEPTEMBER 8, 2015 AND WITH THE MONTGOMERY COUNTY HEALTH DEPARTMENT ON NOVEMBER 3, 2015. ANYONE WHO COULD NOT ATTEND WAS INVITED TO SEND WRITTEN COMMENTS AT ANY TIME. THE COMMUNITY MEMBERS ATTENDING THE MEETING REPRESENTED THE ORGANIZATIONS LISTED BELOW, AND INCLUDED LOCAL GOVERNMENT, PUBLIC HEALTH EXPERTS, AND MEMBERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. HOLY REDEEMER HOSPITAL PART V, SECTION B, LINE 6A: THE HOSPITAL WORKS WITH PHMC TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA). CURRENTLY, PHMC IS CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS FOR THE FOLLOWING HOSPITALS AND HEALTH SYSTEMS IN SEPA:CROZER KEYSTONE HEALTH SYSTEMDOYLESTOWN HOSPITALEINSTEIN HEALTHCARE NETWORKGRAND VIEW HEALTHMAIN LINE HEALTHMERCY HEALTH SYSTEM EASTST. MARY MEDICAL CENTERTEMPLE UNIVERSITY HEALTH SYSTEMTHE CHILDREN'S HOSPITAL OF PHILADELPHIAUNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM HOLY REDEEMER HOSPITAL PART V, SECTION B, LINE 6B: OTHER (NON-HOSPITAL) ORGANIZATIONS: AMERICAN CANCER SOCIETY, SOUTHEAST REGION, EAST CENTRAL DIVISIONDEER MEADOWS RETIREMENT COMMUNITY (6)FRIENDSHIP PHARMACYMERCY HOME HEALTH, MISSION INTEGRATIONNAZARETH HOSPITAL (6)HOLY REDEEMER HEALTH SYSTEM (2)ARTHRITIS FOUNDATIONKLEINLIFE, COMMUNITY SERVICESST. JOHN'S LUTHERAN CHURCH OF MAYFAIRNAZARETH HOSPITAL'S PATIENT & FAMILY ADVOCACY COUNCILBOULEVARD SDA CHURCHCORA SERVICESWESLEY ENHANCED LIVING, PROFESSIONAL AND COMMUNITY RELATIONSVITAS INNOVATIVE HOSPICE CARECHESTER SENIOR CENTERST. JEROME SCHOOLTEMPLE BETH AMI SYNAGOGUECATHOLIC COMMUNITY SERVICESLOCAL GOVERNMENTJAMES KENNEDY, OFFICE OF U.S. REPRESENTATIVE BRENDAN T. BOYLEPHILADELPHIA FIRE DEPARTMENT, COMMUNITY RISK REDUCTIONPHILADELPHIA POLICE DEPARTMENT, 7TH DISTRICT, COMMUNITY RELATIONSTOM HOLROYD, OFFICE OF CITY COUNCILMAN BOBBY HENONPUBLIC HEALTH EXPERTSPHILADELPHIA DEPARTMENT OF PUBLIC HEALTHMONTGOMERY COUNTY DEPARTMENT OF PUBLIC HEALTH HOLY REDEEMER HOSPITAL PART V, SECTION B, LINE 11: PRIORITIZATION:SIMILAR TO ITS PRIORITIZATION PROCESS WITH THE 2013 CHNA, HOLY REDEEMER'S CHNA STEERING COMMITTEE MET AND DISCUSSED EACH IDENTIFIED NEED INCLUDING THE IMPACT OF THIS NEED ON THE COMMUNITY, WHAT IT WILL TAKE TO MAKE AN IMPACT ON THE NEED, THE ABILITY OF HOLY REDEEMER TO MAKE AN IMPACT, AND WHAT RESOURCES AND COLLABORATIVE EFFORTS ARE ALREADY AVAILABLE IN THE COMMUNITY. BESIDES THE UNMET NEEDS LISTED BELOW, THE COMMITTEE ALSO DISCUSSED, AND INCLUDED, A HEALTHY LIVING CATEGORY. COMMITTEE MEMBERS AGAIN CHOSE THREE CRITERIA ON WHICH TO BASE PRIORITIZATION OF THE IDENTIFIED NEEDS. THESE CRITERIA INCLUDED: 1) MAGNITUDE OF THE PROBLEM, 2) ALIGNMENT WITH HOLY REDEEMER'S STRATEGIC PLAN, AND 3) AVAILABILITY OF HOLY REDEEMER RESOURCES TO MAKE AN IMPACT.THIS PRIORITIZATION PROCESS RESULTED IN THE FOLLOWING FOUR CATEGORIES WHICH WILL BE ADDRESSED IN HOLY REDEEMER'S IMPLEMENTATION PLAN FOR 2016-2018.PRENATAL CARE - INCREASING THE PERCENT OF WOMEN WHO OBTAIN PRENATAL CARE IN THE FIRST TRIMESTER.MENTAL HEALTH - BEHAVIORAL & SUBSTANCE ABUSEACCESS TO CARE - PRIMARY CAREHEALTHY LIVING - THIS CATEGORY WILL INCLUDE NUTRITION, EXERCISE, SCREENINGS, SMOKING CESSATION, ETC., ALL OF WHICH WILL IMPACT THE PREVENTION, IDENTIFICATION AND MANAGEMENT OF CANCER, CORONARY HEART DISEASE, HYPERTENSION, DIABETES, ASTHMA, BEING OVERWEIGHT AND OBESE, AS WELL AS OTHER HEALTH CONDITIONS.THERE WERE NEEDS IDENTIFIED THAT HOLY REDEEMER DID NOT CHOOSE TO ADDRESS. WHILE IMPORTANT TO THE COMMUNITY AND THE HOSPITAL, THEY WERE NOT CHOSEN BASED ON THE PRIORITIZATION PROCESS AND ARE BEING ADDRESSED ALREADY IN THE COMMUNITY. ACCESS TO CARE - DENTAL - HOLY REDEEMER DOES NOT PROVIDE DENTAL SERVICES AND DOES NOT HAVE THE FINANCIAL RESOURCES TO BEGIN A PROGRAM. DENTAL EMERGENCIES ARE SEEN IN OUR EMERGENCY ROOM. PATIENTS ARE REFERRED TO THE AVAILABLE DENTAL CLINICS AND PROGRAMS. AREA DENTAL CLINICS INCLUDE ABINGTON MEMORIAL HOSPITAL, UNIVERSITY OF PENNSYLVANIA DENTAL SCHOOL, AND TEMPLE UNIVERSITY DENTAL SCHOOL AMONG OTHERS. EMERGENCY ROOM STAFF AND SOCIAL WORKERS HAVE A LIST OF DENTAL CLINICS AVAILABLE FOR EMERGENCY AND NON-EMERGENCY CASES. FALLS IN THE HOME - THROUGH ITS HOME CARE DEPARTMENT, HOLY REDEEMER PROVIDES IDENTIFICATION AND PREVENTION ASSISTANCE TO OLDER ADULTS WHO ARE AT RISK FOR FALLING IN THEIR HOME. IMPLEMENTATION PLANS WILL BE DEVELOPED BASED ON THIS PRIORITIZATION.UNMET NEEDS:THE UNMET HEALTH CARE NEEDS FOR THE HOLY REDEEMER CHNA WERE IDENTIFIED BY USING SECONDARY DATA FINDINGS IN COMPARING THE HEALTH STATUS, ACCESS TO CARE, HEALTH BEHAVIORS, AND UTILIZATION OF SERVICES FOR RESIDENTS OF THE IDENTIFIED SERVICE AREA TO RESULTS FOR MONTGOMERY, BUCKS AND PHILADELPHIA COUNTIES, AS WELL AS SOUTHEASTERN PENNSYLVANIA (SEPA), THE STATE OF PENNSYLVANIA AND THE HEALTHY PEOPLE 2020 GOALS FOR THE NATION. INPUT FROM COMMUNITY MEETING PARTICIPANTS AND PUBLIC HEALTH DEPARTMENT OFFICIALS WERE ALSO USED TO FURTHER IDENTIFY AND PRIORITIZE UNMET NEEDS, LOCAL PROBLEMS WITH ACCESS TO CARE, AND POPULATIONS WITH SPECIAL HEALTH CARE NEEDS. ADDITIONALLY, TESTS OF STATISTICAL SIGNIFICANCE WERE CONDUCTED ON ALL HOUSEHOLD HEALTH SURVEY DATA COMPARING THE RESULTS OF RESIDENTS IN THE SERVICE AREA WITH RESIDENTS LIVING IN THE REMAINDER OF SEPA. THE FOLLOWING ARE THE MAJOR FINDINGS OF THIS ASSESSMENT:PRENATAL CARE - ALMOST ONE-THIRD OF WOMEN IN THE HOLY REDEEMER SERVICE AREA (31%) RECEIVE PRENATAL CARE BEGINNING AFTER THE FIRST TRIMESTER OR HAVE NO PRENATAL CARE, WHICH DOES NOT MEET THE HP 2020 GOAL OF 22.1%.CANCER RELATED DEATHS - IN THE SERVICE AREA, CANCER IS THE LEADING CAUSE OF DEATH (177 PER 100,000; REPRESENTING 1,230 DEATHS ANNUALLY). THIS DOES NOT MEET THE HEALTHY PEOPLE 2020 GOAL OF 161. LUNG CANCER REPRESENTS THE HIGHEST CANCER MORTALITY RATE (47; 320) FOLLOWED BY BREAST (23; 91), AND PROSTATE (18; 52) CANCER.CANCER SCREENINGS - APPROXIMATELY 24,300 WOMEN AGES 21 TO 65 IN THE SERVICE AREA (14%) DID NOT RECEIVE A PAP TEST IN THE PAST THREE YEARS. THIS DOES NOT MEET THE HEALTHY PEOPLE 2020 GOAL FOR CERVICAL CANCER SCREENINGS OF 93% OR HIGHER. MORE THAN ONE IN FIVE WOMEN AGED 50-74 DID NOT HAVE A MAMMOGRAM IN THE PAST TWO YEARS (22% OR 12,500). THIS PERCENTAGE DOES NOT MEET THE HEALTHY PEOPLE 2020 GOAL FOR SCREENING MAMMOGRAPHY OF 81.1% OR HIGHER.CORONARY HEART DISEASE & HIGH BLOOD PRESSURE SCREENING - THIS IS THE SECOND LEADING CAUSE OF DEATH WITH A MORTALITY RATE OF 111, WHICH DOES NOT MEET THE HP2020 GOALS OF 103. ONE-QUARTER OF ADULTS IN THE HOLY REDEEMER SERVICE AREA (26%, OR 135,200 ADULTS) HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE. THIS AGE ADJUSTED PERCENTAGE MEETS THE HEALTHY PEOPLE 2020 GOAL OF 27%. HOWEVER, MORE THAN ONE HALF OF OLDER ADULTS (56%) HAVE BEEN DIAGNOSED WITH HIGH BLOOD PRESSURE AND 5% OF THOSE ON MEDICATION DO NOT TAKE IT REGULARLY.SMOKING PREVENTION, INTERVENTION AND CESSATION - CIGARETTE SMOKING IS ASSOCIATED WITH MANY HEALTH CONDITIONS AND DISEASES SUCH AS CERTAIN CANCERS AND HEART DISEASE. IN ADDITION, SMOKING IS STRONGLY CORRELATED WITH CHRONIC HEALTH CONDITIONS SUCH AS LUNG CANCER, ONE OF THE LEADING CAUSES OF DEATH IN THE SERVICE AREA. THE PERCENTAGE OF ADULTS WHO SMOKE IN THE SERVICE AREA (19%) DOES NOT MEET THE HEALTHY PEOPLE 2020 GOAL OF 12% OR FEWER. IN ADDITION, THE PERCENTAGES OF SMOKERS WHO HAVE TRIED TO QUIT IN THE PAST YEAR (63%) DOES NOT MEET THE HEALTHY PEOPLE 2020 GOAL OF 80% OR HIGHER. CONCERNS WERE RAISED IN COMMUNITY MEETINGS ABOUT TOBACCO USE, PARTICULARLY AMONG PREGNANT WOMEN AND PARENTS OF NEWBORNS.OVERWEIGHT AND OBESITY - BEING OVERWEIGHT OR OBESE IS CORRELATED WITH CERTAIN DISEASES SUCH AS HEART DISEASE, CERTAIN CANCERS, AND HIGH BLOOD PRESSURE. IN THE SERVICE AREA, ALMOST THREE IN TEN (29%) ADULTS ARE OBESE AND NEARLY FOUR IN TEN (38%) ARE OVERWEIGHT. ABOUT 11,800 CHILDREN IN THE SERVICE AREA (17%) ARE CLASSIFIED AS OBESE, AND 19% ARE OVERWEIGHT. COMMUNITY MEETING ATTENDEES LISTED OBESITY AS ONE OF THE LEADING ISSUES IN THE SERVICE AREA.NUTRITION - IN THE HOLY REDEEMER SERVICE AREA, 79% OF ADULTS DO NOT EAT 4-5 SERVINGS OF FRUIT AND VEGETABLES DAILY. THIS IS HIGHER THAN SEPA AS A WHOLE (77%). ATTENDEES ALSO DISCUSSED CONCERNS ABOUT MALNUTRITION, EVEN AMONG CHILDREN WHO ARE CONSUMING ENOUGH CALORIES, AND NOT ENOUGH FOOD PANTRIES FOR THOSE EXPERIENCING FOOD INSECURITY.EXERCISE - PARTICIPANTS IN COMMUNITY MEETINGS NOTED THAT DIET AND EXERCISE WERE OF PARTICULAR CONCERN IN CHILDREN, NOTING THAT SOME AREAS ARE NOT SAFE FOR THEM TO PLAY OUTSIDE ALONE. ONE-QUARTER OF ADULTS IN THE SERVICE AREA (DO NOT PARTICIPATE IN ANY EXERCISE, AND MORE THAN HALF (52%) EXERCISE FEWER THAN THREE TIMES EACH WEEK, BOTH OF WHICH ARE HIGHER THAN SEPA (22% AT ALL.)DIABETES - 53,800 ADULTS (13%) HAVE BEEN DIAGNOSED WITH DIABETES. THIS IS COMPARABLE TO THE PERCENTAGE ACROSS SEPA (13%). OF NOTE IS THAT MORE THAN ONE IN FIVE OLDER ADULTS AGE 60+ IN THE SERVICE AREA (22%) HAS DIABETES; THIS REPRESENTS 28,000 OLDER ADULTS.ASTHMA - ONE IN FIVE CHILDREN (19%) IN THE SERVICE AREA HAS BEEN DIAGNOSED WITH ASTHMA; THIS REPRESENTS 21,700 CHILDREN AND IS HIGHER THAN THE RATE IN BUCKS AND MONTGOMERY COUNTIES (16% AND 15%, RESPECTIVELY). IN PHILADELPHIA, 22% OF CHILDREN HAVE BEEN DIAGNOSED WITH ASTHMA. ALSO, ACROSS THE SERVICE AREA, ABOUT 64,900 ADULTS (16%) HAVE BEEN DIAGNOSED WITH ASTHMA.MENTAL HEALTH (BEHAVIORAL AND SUBSTANCE ABUSE) - APPROXIMATELY 16% OF ADULTS IN THE SERVICE AREA HAVE BEEN DIAGNOSED WITH A MENTAL HEALTH CONDITION. THIS IS LESS THAN THE SEPA REGION AT 18%, BUT MORE THAN MONTGOMERY COUNTY (14%). OF THOSE WITH A MENTAL HEALTH CONDITION, 42% ARE NOT CURRENTLY RECEIVING TREATMENT FOR THE CONDITION. MANY COMMENTS WERE MADE ABOUT MENTAL HEALTH SERVICES BY COMMUNITY MEMBERS INCLUDING NOTING DEPRESSION AS ONE OF THE LEADING HEALTH ISSUES IN THE SERVICE AREA, AND LISTED CONCERNS ABOUT SUICIDE AND SELF-HARM AMONG TEENS. ACCESSING MENTAL AND BEHAVIORAL HEALTH CARE IN THE SERVICE AREA CAN BE A CHALLENGE (DIFFICULTY SCHEDULING APPOINTMENTS, COMORBID CONDITIONS, AFFORDABILITY, AND STIGMA AS BARRIERS.) QUALITY AND THE PUSHING OF MEDICATION WITHOUT THERAPY WERE CONCERNS. ALSO, A LACK OF ADDICTION PREVENTION SERVICES AND OVER-RELIANCE ON EMERGENCY DEPARTMENTS ARE CONCERNS. COMMUNITY MEMBERS ALSO COMMENTED ON DEPRESSION AND SOCIAL ISOLATION OF THE ELDERLY. ABOUT 14% OF THE OLDER ADULTS 60+ IN THE SERVICE AREA HAVE FOUR OR MORE SIGNS OF DEPRESSION ON THE CES-D 10 ITEM DEPRESSION SCALE. THIS IS GREATER THAN SEPA (12%).ACCESS TO CARE - PRIMARY CARE - IN THE HOLY REDEEMER SERVICE AREA, 15% OF ADULTS DO NOT HAVE A REGULAR SOURCE OF PRIMARY CARE THEY CAN CONSULT IF THEY ARE ILL OR HAVE A QUESTION ABOUT THEIR HEALTH. THIS IS GREATER THAN SEPA (13%), BUT LESS THAN THE HP2020 (26%). ATTENDEES AT COMMUNITY MEETINGS NOTED THAT THE COST OF COPAYS AND DEDUCTIBLES MAKES ACCESSING HEALTHCARE DIFFICULT FOR MIDDLE-INCOME SERVICE AREA RESIDENTS. HOLY REDEEMER HOSPITAL PART V, SECTION B, LINE 16J: NOTE TO LINE 16-I: WRITTEN PAPER COPIES IN OTHER LANGUAGES ARE CURRENTLY IN PROCESS. THE ORGANIZATION PROVIDES INTERPRETER SERVICES. SCHEDULE H, PART V, SECTION B, LINES 7A & 10A: THE HOSPITAL FACILITY'S WEBSITE WHERE THE CHNA REPORT AND MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY ARE POSTED IS:HTTPS://WWW.HOLYREDEEMER.COM/MAIN/COMMUNITYHEALTHNEEDSASSESSMENT.ASPX SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C: THE HOSPITAL FACILITY'S WEBSITE WHERE THE FAP, FAP APPLICATION AND FAP PLAIN LANGUAGE SUMMARY ARE POSTED IS:HTTPS://WWW.HOLYREDEEMER.COM/MAIN/CHARITYCAREPOLICY.ASPX 5 2 - HOLY REDEEMER ST JOSEPH MANOR 1616 HUNTINGDON PIKE MEADOWBROOK PA 19046 SKILLED NURSING FACILITY 3 - HOLY REDEEMER LAFAYETTE 8580 VEREE ROAD PHILADELPHIA PA 19111 SKILLED NURSING FACILITY 4 - HOLY REDEEMER HOMECARE (VNA-PA) 12265 TOWNSEND ROAD PHILADELPHIA PA 19154 HOME CARE NURSING 5 - HOLY REDEEMER HOSPICE 12265 TOWNSEND ROAD PHILADELPHIA PA 19154 HOSPICE CARE 6 - HOLY REDEEMER SUPPORT AT HOME 12265 TOWNSEND ROAD PHILADELPHIA PA 19154 HOME CARE SUPPORT SERVICES PART I, LINE 7: AS REPORTED IN THE INCOME STATEMENT AND REFLECTED IN THE FINANCIAL ASSISTANCE AND COMMUNITY SERVICE SECTION OF THE AUDITOR'S REPORT FOOTNOTE #3 -- HOLY REDEEMER PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF THE FINANCIAL ASSISTANCE SERVICE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES AND PROVIDES PROGRAMS FOR THE COMMUNITY. CRITERIA FOR FINANCIAL ASSISTANCE CONFORM TO THE PROVISIONS OF THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES, SOCIAL ACCOUNTABILITY BUDGET, A PROCESS FOR PLANNING AND REPORTING COMMUNITY SERVICE IN A TIME OF FISCAL CONSTRAINT. HOLY REDEEMER MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF FINANCIAL ASSISTANCE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FORGONE, BASED ON ESTABLISHED RATES, FOR SERVICES AND SUPPLIES FURNISHED UNDER FINANCIAL ASSISTANCE AND COMMUNITY SERVICES POLICIES, THE ESTIMATED COST OF THOSE SERVICES AND SUPPLIES AND STATISTICS QUANTIFYING THE LEVEL OF FINANCIAL ASSISTANCE AND COMMUNITY SERVICE. HOLY REDEEMER ESTIMATES ITS DIRECT AND INDIRECT COSTS OF PROVIDING FINANCIAL ASSISTANCE FOR EACH ENTITY BY EITHER CALCULATING A COST PER CHARGEABLE UNIT AND APPLYING TO CHARGES FORGONE, A COST-TO-CHARGE RATIO BY COMPARING THE PER-DIEM RATE FROM THE MOST RECENTLY FILED COST REPORT TO THE GROSS BILL RATE, OR DIRECT EXPENSES RECORDED UNDER SPECIFIC COST CENTERS. BENEFITS FOR THE POOR INCLUDE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTH CARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. BENEFITS FOR THE BROADER COMMUNITY INCLUDE SERVICES PROVIDED TO OTHER NEEDY POPULATIONS THAT MAY NOT QUALIFY AS POOR BUT THAT NEED SPECIAL SERVICES AND SUPPORT. EXAMPLES INCLUDE MATERNITY ASSISTANCE PROGRAMS, HEALTH EVALUATIONS, AND SOCIAL SERVICES. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES WERE FOR EMPLOYEE PROGRAMS; NEGATIVE MARGINS EXISTED FOR PEDIATRIC REHABILITATION SERVICES, COUNSELING SERVICES AND UNDER-FUNDED PROGRAMS (GRANT SUPPORTED) FOR COMMUNITY HEALTH SERVICES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,340,911. PART II, COMMUNITY BUILDING ACTIVITIES: HOLY REDEEMER IS AN ACTIVE PARTICIPANT IN THE HEALTH AND WELLBEING OF OUR COMMUNITY. FROM REGIONAL HEALTH AND SAFETY TASK FORCE PARTICIPATION, YOUTH EDUCATION AND SCREENINGS TO INTERACTIVE EVENTS THAT PROMOTE HEALTH, HOLY REDEEMER BRINGS OUR MISSION TO CARE, COMFORT, AND HEAL TO OUR COMMUNITY. SINCE 1924 WHEN THE SISTERS OF THE HOLY REDEEMER (SPONSOR OF THE HOLY REDEEMER HEALTH SYSTEM) SETTLED IN HUNTINGDON VALLEY, PA, HOLY REDEEMER HAS BEEN COMMITTED TO HELPING WOMEN AND THEIR CHILDREN AND THE ELDERLY, AND TO FULFILL THAT COMMITMENT HAS DEVELOPED A TRANSITIONAL HOUSING PROGRAM FOR HOMELESS WOMEN AND THEIR CHILDREN, EDUCATION PROGRAMS FOR EXPECTANT PARENTS, HEALTH SERVICES DELIVERED IN THE HOME FOR HOMEBOUND SENIORS, AND EVEN A PARTICIPATORY COMMUNITY GARDENING PROGRAM THAT PROMOTES NUTRITION AND ECOLOGY. HOLY REDEEMER STAFF, VOLUNTEERS, PHYSICIANS AND NURSES EDUCATE COMMUNITY MEMBERS, PATIENTS, AND RESIDENTS ABOUT HOW TO CARE FOR THEMSELVES AND PROVIDE PREVENTATIVE HEALTH INFORMATION TO SENIORS, WOMEN, CHILDREN AND TEENS, ENCOURAGING BEHAVIORS THAT MAY LEAD TO MAJOR IMPROVEMENTS IN PHYSICAL AND EMOTIONAL HEALTH. WE CONDUCT HEALTH FAIRS AND SCREENINGS IN THE COMMUNITY. COMMUNITY SERVICE PROGRAMS AND ACTIVITIES ARE AIMED AT IMPROVING THE GENERAL HEALTH AND WELLBEING OF THE COMMUNITY AS A WHOLE. HOLY REDEEMER LEADERS VOLUNTEER HUNDREDS OF HOURS ON LOCAL NON-PROFIT ORGANIZATION BOARDS CONTRIBUTING TO COMMUNITY DEVELOPMENT AND ENHANCEMENT ACTIVITIES, AS WELL AS WORK FORCE AND HEALTH IMPROVEMENT INITIATIVES. HOLY REDEEMER ALSO PRODUCES AND MAILS QUARTERLY "LIFELINKS" NEWSLETTER TO 80,000 HOUSEHOLDS IN SOUTHEASTERN PENNSYLVANIA TO ASSIST COMMUNITY MEMBERS WITH EASY TO READ, ACTIONABLE HEALTH AND WELLNESS INFORMATION. PART III, LINE 2: THE AMOUNT REPORTED WAS THE ACTUAL BAD DEBT WRITTEN-OFF FROM SELF-PAY CLASS OF ACCOUNTS IN IN-PATIENT, OUT-PATIENT AND EMERGENCY SERVICES MULTIPLIED BY THE "COST-TO-CHARGE RATIO" TO ARRIVE AT CALCULATED COST OF SERVICES THAT WERE FOREGONE. PART III, LINE 4: HOLY REDEEMER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE UNWILLINGNESS OR INABILITY OF PATIENTS TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING SPECIFIC ACCOUNTS AND HISTORICAL DATA AND TRENDS. PATIENT ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND HOLY REDEEMER CEASES COLLECTION EFFORTS. LOSSES HAVE BEEN CONSISTENT WITH MANAGEMENT'S EXPECTATIONS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, HOLY REDEEMER ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH MAJOR PAYER SOURCE OF REVENUE FOR THE PURPOSE OF ESTIMATING THE APPROPRIATE AMOUNTS OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR BAD DEBTS. DATA IN EACH MAJOR PAYER SOURCE ARE REGULARLY REVIEWED TO EVALUATE THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES RELATING TO SERVICES PROVIDED TO PATIENTS HAVING THIRD PARTY COVERAGE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A CORRESPONDING PROVISION FOR BAD DEBTS ARE ESTABLISHED FOR AMOUNTS OUTSTANDING LONGER THAN 120 DAYS AND FOR THIRD-PARTY PAYERS EXPERIENCING FINANCIAL DIFFICULTIES; FOR RECEIVABLES RELATING TO SELF-PAY PATIENTS, A PROVISION FOR BAD DEBTS IS MADE IN THE PERIOD SERVICES ARE RENDERED BASED ON EXPERIENCE INDICATING THE INABILITY OR UNWILLINGNESS OF PATIENTS TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACTUAL WRITE-OFFS ARE CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS, AND THE PROVISION FOR BAD DEBTS IS REFLECTED AS A REDUCTION OF NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. PART III, LINE 8: MEDICARE REVENUE AND COST WERE DETERMINED FROM THE ACCOUNTING SYSTEM FOR ALL DIVISIONS OF THIS BUSINESS UNIT - HOLY REDEEMER HEALTH SYSTEM. THE SHORTFALL OR LOSS FROM THE TREATMENTS AND SERVICES RENDERED TO MEDICARE RECIPIENTS SHOULD BE TREATED AS COMMUNITY BENEFIT. PART III, LINE 9B: THE FORMAL WRITTEN FINANCIAL ASSISTANCE POLICY CONTAINS SPECIFIC CRITERIA THAT MUST BE MET IN ORDER TO BE DEEMED ELIGIBLE. THE PATIENT IS RESPONSIBLE FOR PROVIDING HOLY REDEEMER WITH ALL NECESSARY INFORMATION IN ORDER TO MAKE AN INFORMED DECISION AS TO THE AMOUNT OF FINANCIAL ASSISTANCE THAT MAY BE OFFERED. SCHEDULE H, PART III, LINES 2, 5 AND 6: THE AMOUNTS REPORTED IN THIS SECTION OF SCHEDULE H PERTAINS ONLY TO THE BUSINESS OF THE REPORTING FACILITY HOLY REDEEMER HOSPITAL. PART VI, LINE 2: AS AN ORGANIZATION, WE HAVE CONTINUALLY ASSESSED THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE USING THE PHMC COMMUNITY HEALTH DATA BASE, TRACKING THE COMMUNITY'S HEALTH STATUS, AS WELL AS OTHER PERTINENT STATISTICS. THE PURPOSE OF THE NEEDS ASSESSMENT IS TO IDENTIFY AND PRIORITIZE COMMUNITY HEALTH NEEDS SO THAT THE HOSPITAL CAN DEVELOP STRATEGIES AND IMPLEMENTATION PLANS THAT BENEFIT THE PUBLIC AS WELL AS SATISFY THE REQUIREMENTS OF THE AFFORDABLE CARE ACT. PART VI, LINE 3: HOLY REDEEMER ENGAGES AN EXTERNAL CONSULTANT TO ASSIST PATIENTS WITH OBTAINING MEDICAL ASSISTANCE FROM THE STATE OF PENNSYLVANIA. THIS FUNCTION BEGINS IN THE EMERGENCY DEPARTMENT AND CONTINUES IF THE PATIENT IS ADMITTED. IF THE PATIENT IS DISCHARGED FROM THE EMERGENCY DEPARTMENT, EVERY EFFORT IS MADE TO ASSIST THE PATIENT ONCE THEY RETURN HOME. WHILE AN INPATIENT, THE PATIENT WILL RECEIVE A VISIT(S) FROM THE FINANCIAL COUNSELOR TO ASSIST IN THE COMPLETION OF THE APPLICATION NECESSARY FOR MEDICAID. A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE EVEN IF THEY ARE NOT ELIGIBLE FOR MEDICAL ASSISTANCE. THE PATIENT WOULD BE MADE AWARE OF THIS PROCESS ONCE A DETERMINATION HAS BEEN MADE AT THE STATE LEVEL. A PATIENT MAY CONTACT OUR CUSTOMER SERVICE CENTER ANYTIME TO REQUEST ASSISTANCE WITH PAYING THEIR PATIENT LIABILITIES. HOLY REDEEMER HEALTH SYSTEM EXTENDS CHARITY TO THOSE THAT MEET CRITERIA USING A FORMULA AT 400% OF THE FEDERAL POVERTY LEVEL. A FINANCIAL ASSISTANCE APPLICATION MUST BE COMPLETED BEFORE DETERMINATION CAN BE MADE AS IT RELATES TO EXTENDING FINANCIAL ASSISTANCE, ALTHOUGH PRESUMPTIVE FINANCIAL ASSISTANCE IS EXTENDED USING EXTERNAL SOURCES FOR VERIFICATION OF PATIENT'S INCOME AND PERCENTAGE OF FEDERAL POVERTY LEVEL. PART VI, LINE 4: HOLY REDEEMER HEALTH SYSTEM'S SERVICE AREA INCLUDES PHILADELPHIA, MONTGOMERY, AND BUCKS COUNTIES IN SOUTHEASTERN PENNSYLVANIA. THE HOLY REDEEMER HOMECARE AND HOSPICE IN NEW JERSEY ALSO SERVES ELEVEN COUNTIES IN NEW JERSEY INCLUDING CAPE MAY, ATLANTIC, OCEAN, CAMDEN, GLOUCESTER, SALEM, CUMBERLAND, MONMOUTH, MIDDLESEX, SOMERSET AND UNION COUNTIES. THE SYSTEM PROVIDES SERVICES FOR OVER 5.2 MILLION PEOPLE THROUGHOUT THE PRIMARY, SECONDARY AND NEW JERSEY SERVICE AREAS. THE SOUTHEASTERN PENNSYLVANIA MARKET (PRIMARY AND SECONDARY SERVICE AREAS) INCLUDES AREAS SERVED BY THE HOLY REDEEMER HOSPITAL AND MEDICAL CENTER, HOLY REDEEMER SAINT JOSEPH MANOR, HOLY REDEEMER LAFAYETTE, AND HOLY REDEEMER HOME CARE AND HOSPICE SERVICES. PRIMARY SERVICE AREA: IN PENNSYLVANIA, THE SYSTEM PRIMARILY SERVES EASTERN MONTGOMERY COUNTY, SOUTHEASTERN BUCKS COUNTY AND NORTHEASTERN PHILADELPHIA COUNTY. THE PRIMARY SERVICE AREA ("PSA") IS COMPRISED OF FIVE ZIP CODES IN MONTGOMERY COUNTY, FIVE ZIP CODES IN BUCKS COUNTY AND TEN ZIP CODES IN PHILADELPHIA COUNTY. THE TOTAL POPULATION OF HOLY REDEEMER HEALTH SYSTEM'S SERVICE AREA INCREASED TO APPROXIMATELY 531,146 RESIDENTS IN 2015 FROM 530,146 RESIDENTS IN 2013. IN THE HOLY REDEEMER SERVICE AREA, 18-44 YEAR OLDS MAKE UP 34% OF THE POPULATION AND IS PREDICTED TO DECLINE BY 1% INTO 2020. THE 18-44 YEAR OLD AGE GROUP IN MONTGOMERY COUNTY MAKES UP A SIMILAR PERCENTAGE OF THE POPULATION (33%) AND IS FOLLOWING THE SAME GROWTH TREND AS THE HOLY REDEEMER SERVICE AREA. 27% OF THE SERVICE AREA RESIDENTS ARE BETWEEN THE AGES OF 45-65. THIS PERCENTAGE HAS NOT CHANGED SINCE 2013, BUT BY 2020 IS PREDICTED TO DECREASE BY 1%. 22% OF THE HOLY REDEEMER SERVICE AREA RESIDENTS ARE CHILDREN AGED 0-17. THIS PERCENTAGE HAS NOT CHANGED SINCE 2013 AND IS PREDICTED TO HOLD STEADY INTO 2020. THE 65+ POPULATION MAKES UP 18% OF THE OVERALL POPULATION IN 2015, AND IS THE ONLY AGE GROUP IN THE SERVICE AREA PREDICTED TO INCREASE IN SIZE BY 1% BY 2020. OF THE TOTAL SERVICE AREA POPULATION, THE MAJOR RACE CATEGORIES INCLUDE WHITE NON-HISPANIC WHICH MAKES UP 69%, 11% BLACK, 9% LATINO, AND 8% ASIAN. THE AVERAGE HOUSEHOLD INCOME OF THE SERVICE AREA IS $56,920 IN 2015, AN INCREASE FROM 2013'S $54,776. THE MEDIAN HOUSEHOLD INCOME IN HOLY REDEEMER'S SERVICE AREA IS PREDICTED TO GROW TO $59,851 BY 2020. MONTGOMERY COUNTY'S MEDIAN INCOME IS AT $80,561. OVER 63 PERCENT OF THE POPULATION HAS A HIGH SCHOOL DEGREE, AND AN ADDITIONAL ONE-QUARTER HAVE A COLLEGE DEGREE OR MORE, AND 13% OF THE RESIDENTS HAVE LESS THAN A HIGH SCHOOL DEGREE. APPROXIMATELY 89% OF THE SERVICE AREA'S RESIDENTS ARE EMPLOYED AND 11% ARE UNEMPLOYED. NEARLY ONE-QUARTER OF FAMILIES (23%) IN THE HOLY REDEEMER SERVICE AREA ARE LIVING WITH INCOMES 150% BELOW THE POVERTY LEVEL. 14% OF FAMILIES WITH CHILDREN AND 9% OF FAMILIES WITHOUT CHILDREN IN THE HOLY REDEEMER SERVICE AREA ARE LIVING IN POVERTY IN 2015. PART VI, LINE 5: HOLY REDEEMER PROVIDES THE FOLLOWING SERVICES TO OUR COMMUNITY:ALL ACTIVITIES ARE FREE UNLESS OTHERWISE NOTED.SUPPORT GROUPS*BUCKS COUNTY BREAST FRIENDS SUPPORT GROUPS FOR ALL STAGES*NEW MEMBERS, GENERAL MEMBERS, AND YOUNG MEMBERS*META FRIENDS FOR MEN AND WOMEN WITH STAGE IV BREAST CANCER*UNITE, INC. GRIEF SUPPORT FOLLOWING THE LOSS OF A BABY *INFANT MEMORIAL ANNUAL INTERFAITH SERVICE FOR THOSE WHO HAVE EXPERIENCED MISCARRIAGE, STILLBIRTH OR DEATH OF AN INFANT.*HEALING COMPANIONS BEREAVEMENT SUPPORT GROUP FOR ADULTS GRIEVING THE LOSS OF A LOVED ONE IN A SAFE, SUPPORTIVE ATMOSPHERE.*TREE OF LIGHTS BEREAVEMENT AND MEMORIAL SERVICES FOR HOSPICE FAMILIES. MULTIPLE LOCATIONS IN PA AND NEW JERSEY.EDUCATIONAL EVENTS*DIABETES SELF-MANAGEMENT CLASSES, OFFERED SEVERAL TIMES PER YEAR. (COST GENERALLY COVERED BY HEALTH INSURANCE.)*HEART HEALTHY EXPO EDUCATES ABOUT HEART DISEASE AND WOMEN, HELD ANNUALLY AT NESHAMINY MALL.*LOOK GOOD...FEEL BETTER TEACHES BEAUTY TECHNIQUES TO WOMEN WHO ARE ACTIVELY UNDERGOING CANCER TREATMENT*AARP DRIVER SAFETY PROGRAM*CHILDBIRTH EDUCATION CLASSES *FAMILY & FRIENDS CPR PROVIDED EVERY MONTH - ($25 PER PERSON)*FITNESS CENTER OFFERING WEIGHT MANAGEMENT AND EXERCISE PROGRAMS*SMOKING CESSATION PROGRAMSCOMMUNITY INTERACTION AND EDUCATIONAL OUTREACH*AMERICAN DIABETES ASSOCIATION'S TOUR DE CURE*AMERICAN HEART ASSOCIATION HEART WALK*HEART HEALTHY EXPO*LADIES OF PORT RICHMOND FREE FOLLOW UP SCREENING*SHINE A LIGHT ON LUNG CANCER EVENT*VARIOUS CORPORATE AND COMMUNITY HEALTH FAIRSSCREENINGS*BLOOD PRESSURE SCREENINGS AT EVENTS THROUGHOUT THE REGION*BODY MASS INDEX MEASUREMENT AND INFORMATION PROVIDED AT EVENTS IN THE COMMUNITY*DEPRESSION AND ANXIETY SCREENINGS*MAMMOGRAMS OFFERED FREE TO UNINSURED WOMEN FOUR TIMES PER YEARPUBLICATION*LIFELINKS, OUR COMMUNITY MAGAZINE, IS PUBLISHED QUARTERLY, DISTRIBUTED TO 80,000 HOUSEHOLDS, AND FOCUSES ON HEALTH AND WELLNESS INFORMATION AND THE NUMEROUS EVENTS ASSOCIATED WITH HOLY REDEEMER HOSPITAL. TOPICS COVERED INCLUDE PREGNANCY, CARDIOVASCULAR HEALTH, BREAST CANCER, LUNG CANCER, HOLISTIC HEALTH, DIABETES, AND SENIOR HEALTH.DIGITAL RESOURCES (UPDATED THREE TIMES A WEEK)*HEALTHLINK: BEGINNING IN OCTOBER 2014, HOLY REDEEMER BEGAN PUBLISHING A HEALTH NEWS SITE WITH NEARLY DAILY UPDATES. THE SITE PROVIDES CONSUMER HEALTH AND WELLNESS INFORMATION ON DIVERSE TOPICS SUCH AS ORTHOPEDICS, SENIOR LIVING, HOSPICE CARE, WOMEN'S HEALTH, DIABETES AND MORE. THIS SITE ALSO INCORPORATES THE FORMER CARING WITH CONFIDENCE: SUPPORT FOR END OF LIFE CAREGIVERS' SITE AND THE AGING WELL, A BLOG SITE FOCUSING ON SENIOR HEALTH AND LIVING. THIS CONTENT-RICH ONLINE COMMUNITY INCLUDES INFORMATIONAL POSTS, FACT SHEETS, WEB RESOURCES, AND A FORUM OUR COMMUNITY. *HEALTH LIBRARY ON WWW.HOLYREDEEMER.COM*WWW.FACEBOOK.COM/HOLYREDEEMERHEALTH POSTS HEALTH INFORMATION, CURRENT EVENTS RELATED TO HEALTHCARE, AND COMMUNITY EDUCATIONAL EVENTS.CHARITABLE ACTIVITIES*DRUEDING CENTER-HOLY REDEEMER SPONSORS DRUEDING CENTER, A TRANSITIONAL HOUSING PROGRAM AND COMPREHENSIVE TREATMENT PROGRAM FOR HOMELESS WOMEN AND THEIR CHILDREN. A COMPLETE REPORT IS AVAILABLE ON DRUEDING CENTER'S WEBSITE, WWW.DRUEDINGCENTER.ORG. *FOOD PANTRIES-HOLY REDEEMER HEALTH SYSTEM SPONSORS THREE FOOD PANTRIES: GREEN LIGHT FOOD PANTRY AT DRUEDING CENTER, PHILADELPHIA; FOOD PANTRY OF PA IN NORTHEAST PHILADELPHIA, AND HOLY REDEEMER'S FOOD PANTRY OF NJ IN SWAINTON, NJ. PART VI, LINE 6: HOLY REDEEMER IS INVOLVED WITH SEVERAL COMMUNITY PARTNERS:1. ABINGTON COMMUNITY TASKFORCE-ORGANIZATIONS SUPPORTING A CARING COMMUNITY-THIS ORGANIZATION IS A COALITION OF PARENTS AND STUDENTS, AS WELL AS ABINGTON- AND ROCKLEDGE- BASED REPRESENTATIVES FROM EDUCATIONAL, RELIGIOUS, SOCIAL SERVICES, RECREATIONAL, CIVIC AND LAW ENFORCEMENT ORGANIZATIONS WITH A MISSION TO CREATE A RESPONSIBLE, CARING AND SAFE COMMUNITY. THE FOCUS OF ACT HAS BEEN TO PROMOTE HEALTHY YOUTH ACTIVITIES, TO INCREASE AWARENESS AMONG CITIZENS ABOUT THESE ACTIVITIES IN THE COMMUNITY AND GIVE RECOGNITION TO OUTSTANDING PARTNERSHIPS IN ABINGTON. HOLY REDEEMER HAS BEEN INVOLVED WITH ACT ON SEVERAL INITIATIVES SUCH AS THE ANNUAL TEEN FORUM, IN-SERVICES, TEAM BUILDING AND COMMUNITY ACTIVITIES.2. HOLY REDEEMER & ST. HILARY OF POITIERS COMMUNITY GARDEN PROJECT-THE SECOND GRADE CLASS OF A LOCAL GRADE SCHOOL, ST HILARY OF POITIERS, THEIR PRINCIPAL, AND TEACHER PARTICIPATE IN A SCHOOL GARDEN PROGRAM. THE PROGRAM INCLUDES CLASSROOM EDUCATION WITH A HOLY REDEEMER DIETITIAN, GARDEN VISITS AND PLANTING IN THE SISTERS OF THE HOLY REDEEMER'S GARDEN. PLANTING INCLUDES SUMMER FRUIT VARIETIES AND GARDEN VEGETABLES, HERBS AND FLOWERS. THE CURRICULUM INCLUDES CARE OF ENVIRONMENT, HEALTHY EATING, AND SHARING THE GARDEN PRODUCE WITH THOSE WHO DON'T HAVE ACCESS TO HEALTHY FOODS.3. HEALING CONSCIOUSNESS FOUNDATIONHEALING CONSCIOUSNESS FOUNDATION - A NON-PROFIT ORGANIZATION WAS FOUNDED BY BREAST CANCER SURGEON, DR. BETH BAUGHMAN DUPREE. DR. DUPREE IS ALSO MEDICAL DIRECTOR OF HOLY REDEEMER'S BREAST HEALTH PROGRAM, WORKING TOGETHER TO PROVIDE A HOLISTIC APPROACH TO HEALING.4. AARP-HOLY REDEEMER WORKS WITH AARP TO PROVIDE SAFE DRIVING CLASSES FOR SENIORS EVERY MONTH. PART VI, LINE 7, REPORTS FILED WITH STATES PA,NJ 1 THE PHILADELPHIA FOOD TRUST 1617 JFK BLVD STE 900 PHILADELPHIA PA 19103 232678383 501(C)(3) 65000 0 SUPPORT FOR OPERATION AND FOOD INVENTORY FOR FEEDING THE NEEDY IN THE COMMUNITY SERVED. 1 0 SCHOLARSHIP/EDUCATIONAL TUITION ASSISTANCE 2 6950 0 PART I, LINE 2: THE ORGANIZATION HAS A POLICY AND SETS QUALIFYING CRITERIA FOR AWARDING GRANTS TO APPLICANTS. GRANT AWARDS ARE MONITORED BY THE ORGANIZATION BY MAINTAINING RECORDS OF AWARD RECIPIENTS, AMOUNT OF THE GRANT AND DISBURSEMENT OF THE AWARD. DISBURSEMENT ARE MADE ONLY AFTER REVIEW OF THE RECIPIENTS SCHOOL ENROLLMENT, TUITION INVOICES AND COMPLETION OF THEIR RESPECTIVE COURSES. X X X X X X 0 0 0 0 0 0 0 0 0 BETH DEPREE MD BOARD MEMBER 0 375493 0 0 0 0 0 0 0 20517 0 396010 0 0 MICHAEL B LAIGN BOARD MEMBER, PRESIDENT 817520 0 0 0 23182 0 0 0 18880 0 859582 0 47184 0 RUSSELL R WAGNER TREASURER, EXECUTIVE VP 415737 0 0 0 19125 0 64545 0 19259 0 518666 0 73840 0 DONALD F FRIEL ASSISTANT TREASURER, EXECUTIVE VP 341093 0 0 0 19290 0 52335 0 22905 0 435623 0 66410 0 CATHERINE EGAN SENIOR VP, CHIEF ADMIN OFFICER 300160 0 0 0 19703 0 47700 0 1402 0 368965 0 47429 0 MARIAN THALLNER SENIOR VP WOMEN'S/CHILDREN'S HEALTH 152536 152536 0 0 567 568 22378 22378 11283 11283 186764 186765 19430 19430 DONALD FOX VP HOMECARE 261999 0 0 0 815 0 18833 0 22605 0 304252 0 41096 0 CHARLES THOMAS STRIDE VP, CIO 232296 0 0 0 355 0 18918 0 14781 0 266350 0 0 0 JOSEPH CASSIDY RN VP HUMAN RESOURCES 222848 0 0 0 1148 0 21450 0 3540 0 248986 0 30526 0 GEORGE HAMILTON VP FINANCE 204840 0 0 0 19041 0 0 0 8456 0 232337 0 50375 0 SUSAN HUROWITZ VP 222119 0 0 0 1346 0 19078 0 18400 0 260943 0 0 0 KAREN RENSON RN VP, CHIEF QUALITY/SAFETY OFFICER 178179 0 0 0 19030 0 7200 0 34788 0 239197 0 17521 0 ANNE CATINO VP HOSPITAL 187957 0 0 0 1030 0 9105 0 19391 0 217483 0 13852 0 RANDIE OBERLANDER DIRECTOR OF PHARMACY 174450 0 0 0 0 0 16946 0 10630 0 202026 0 0 0 JACK DEMPSTER VP CONSTRUCTION-FACILITIES 171744 0 0 0 669 0 0 0 20815 0 193228 0 0 0 ROBERT HEINEMAN VP HOMECARE - LEFT MAY 2018 187310 0 0 0 18421 0 4872 0 16280 0 226883 0 39353 0 ROBIN FRANKWICH GROUP VP LIFECARE - LEFT DEC 2017 167580 0 0 0 0 0 4400 0 16742 0 188722 0 0 0 ROSEANNE SILVESTRI VP 159405 0 0 0 887 0 0 0 13518 0 173810 0 0 0 ROBERT FARRINGTON VP REVENUE CYCLE - LEFT JUN 2018 151000 0 0 0 800 0 12458 0 429 0 164687 0 0 0 WILLIAM GROSS VP DEVELOPMENT 181820 0 0 0 140 0 10730 0 9460 0 202150 0 0 0 ROBERT HAYES JR PHYSICAL THERAPIST 171297 0 300 0 51 0 17273 0 20453 0 209374 0 0 0 KAREN PRICE OWEN VP MARKETING 150000 0 0 0 387 0 0 0 423 0 150810 0 0 0 DENISE COLLINS FORMER EXECUTIVE VP - LEFT JAN 2015 170806 0 0 0 1597 0 0 0 6683 0 179086 0 0 0 A MONTGOMERY COUNTY HIGHER EDUC & HEALTH AUTHORITY 232447147 613603TA7 2014-10-30 46320000 SEE EXPLANATION IN SCHEDULE O. 0 0 0 B MONTGOMERY COUNTY HIGHER EDUC & HEALTH AUTHORITY 232447147 613603VQ9 2016-10-01 70915000 SEE EXPLANATION IN SCHEDULE O. 0 0 0 A 46320000 4394863 41068673 856464 1 0 1 1 B 81569966 1058236 503125 30000000 50008605 1 0 0 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 1 0 0 0 0 0 B 1 0 0 0 0 0 A 0 B 0 PART V: WE ARE CURRENTLY REVIEWING. PART I, LINE A, COLUMN F: THE SERIES 2014A BONDS WERE ISSUED TO FINANCE THE COSTS OF THE CURRENT REFUNDING OF ALL OF THE AUTHORITY'S OUTSTANDING HEALTH CARE REVENUE BONDS, THE 1997 SERIES A (HOLY REDEEMER HEALTH SYSTEM) BONDS WHICH WERE ORIGINALLY ISSUED BY THE AUTHORITY TO FINANCE AND REFINANCE THE COSTS OF VARIOUS CAPITAL PROJECTS FOR THE BENEFIT OF TWO PENNSYLVANIA NON-PROFIT CORPORATIONS - HOLY REDEEMER HEALTH SYSTEM, TAX ID#23-1534300 ("HRHS"), THIS FILING ORGANIZATION, AND HR PHYSICIAN SERVICES, TAX ID#23-2696460 ("HRPS")- WHICH ARE PART OF AN INTEGRATED HEALTH AND SOCIAL SERVICE DELIVERY SYSTEM. THE PROCEEDS FROM THE SALE OF THE SERIES 2014A BONDS, TOGETHER WITH OTHER AVAILABLE FUNDS OF THE HRHS AND HRPS, WILL BE USED TO: (1) CURRENTLY REFUND ALL OF THE OUTSTANDING SERIES 1997 BONDS; (2) FUND A DEPOSIT TO THE DEBT SERVICE RESERVE FUND ESTABLISHED UNDER THE BOND INDENTURE IN AN AMOUNT SUFFICIENT TO SATISFY THE RESERVE FUND REQUIREMENT THEREUNDER UPON ISSUANCE OF THE SERIES 2014A BONDS; AND (3) PAY CERTAIN COSTS RELATED TO THE ISSUANCE OF THE SERIES 2014A BONDS. PART I, LINE B, COLUMN F: THE SERIES 2016A BONDS, TOGETHER WITH OTHER AVAILABLE FUNDS OF THE BORROWERS, WERE ISSUED TO: (1) FINANCE THE COSTS OF THE CURRENT REFUNDING OF ALL OF THE AUTHORITY'S OUTSTANDING MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY REVENUE BONDS, (HOLY REDEEMER HEALTH SYSTEM) SERIES 2006A (THE "CALLABLE SERIES 2006 BONDS"), WHICH BONDS WERE ORIGINALLY ISSUED BY THE AUTHORITY TO FINANCE AND REIMBURSE THE COSTS OF VARIOUS CAPITAL PROJECTS FOR THE BENEFIT OF TWO PENNSYLVANIA NON-PROFIT CORPORATIONS - HOLY REDEEMER HEALTH SYSTEM, TAX ID#23-1534300 ("HRHS") AND HR PHYSICIAN SERVICES, TAX ID#23-2696460, NOW DOING BUSINESS AS HOLY REDEEMER PHYSICIAN AND AMBULATORY SERVICES ("HRPAS") AND, TOGETHER WITH HRHS, REFERRED TO HEREIN AS THE "BORROWERS", WHICH ARE PART OF AN INTEGRATED HEALTH AND SOCIAL SERVICE DELIVERY SYSTEM; (2) FINANCE THE COST OF CERTAIN CAPITAL IMPROVEMENTS TO FACILITIES FOR THE BENEFIT OF THE BORROWERS AS FURTHER DESCRIBED HEREIN; AND (3) PAY CERTAIN COST AND EXPENSES INCURRED IN CONNECTION WITH THE ISSUANCE AND SALE OF THE SERIES 2016A BONDS. X 3 37920 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): THE FIGURE IN THIS COLUMN REPRESENTS THE NUMBER OF DONORS. FORM 990, PART I, ITEM C DBA: HOLY REDEEMER HOMECARE DBA: HOLY REDEEMER HOSPICE DBA: HOLY REDEEMER LAFAYETTE DBA: HOLY REDEEMER MEDICAL MESSAGING DBA: HOLY REDEEMER MULTICARE SERVICES DBA: HOLY REDEEMER ST. JOSEPH MANOR DBA: HOLY REDEEMER SUPPORT AT HOME DBA: HOLY REDEEMER THRIFT STORE DBA: MULTICARE FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER SHALL BE HOLY REDEEMER MINISTRIES (HRM), A RELATED PENNSYLVANIA CORPORATION DESIGNATED AS A 501(C)(3) PUBLIC CHARITY BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION A, LINE 7A HRM HAS THE RESERVED POWER TO APPOINT ALL VOTING DIRECTORS TO THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B HRM SHALL HAVE ADDITIONAL RESERVED POWERS AS OUTLINED IN THE FILING ORGANIZATION'S BYLAWS, INCLUDING BUT NOT LIMITED TO THE AUTHORITY TO: AMEND OR REPEAL THE GOVERNING DOCUMENTS, RATIFY AND/OR REMOVE THE OFFICERS OF THE BOARD OF DIRECTORS WITH OR WITHOUT CAUSE, APPOINT AND/OR REMOVE THE PRESIDENT OF THE ORGANIZATION, AND APPROVE ALL BOARD-APPROVED ANNUAL CONSOLIDATED OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND ALL ACCOMPANYING SCHEDULES (HEREIN FORM 990) IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND THEN A PDF IS PROVIDED TO MANAGEMENT FOR REVIEW. THE PDF IS PUBLISHED ON A SECURE INTERNAL WEBSITE. MEMBERS AND OFFICERS OF THE GOVERNING BODY ARE NOTIFIED BY EMAIL, AND EACH ARE ISSUED AN INDIVIDUAL ACCESS CODE TO RETRIEVE THE FORM 990. THEY ARE GIVEN TWO WEEKS TO REVIEW, QUESTION, AND COMMENT ON THE FORM 990 AND THEN THE RETURN IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE SUBJECT TO THE TERMS OF THE CONFLICT OF INTEREST (COI) POLICY. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS, AND ENFORCES COMPLIANCE TO THE COI POLICY BY REQUIRING THAT ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ANNUALLY REVIEW, ACKNOWLEDGE AND SIGN A COI POLICY STATEMENT. THE POLICY STATEMENT REQUIRES DISCLOSURE TO THE BOARD OF DIRECTORS ANY INTERESTS THAT COULD GIVE RISE TO A CONFLICT. THE INDEPENDENT BOARD MEMBERS ARE RESPONSIBLE FOR DETERMINING IF A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT. IF AN ACTUAL CONFLICT IS IDENTIFIED THE INDIVIDUAL(S) IN CONFLICT SHALL RECUSE THEMSELVES FROM BOTH THE DELIBERATION AND VOTE ON ANY CONFLICTED MATTER, EXCEPT FOR THEIR ABILITY TO PRESENT FACTUAL EVIDENCE TO THE BOARD AS DEEMED NECESSARY FOR THE DELIBERATION. FORM 990, PART VI, SECTION B, LINE 15 THE HRHS BOARD OF TRUSTEES, THROUGH THE COMMITTEE THAT OVERSEES EXECUTIVE AND PHYSICIAN COMPENSATION, PERIODICALLY ENGAGES THE SERVICES OF INTEGRATED HEALTHCARE STRATEGIES, A CONSULTING FIRM WITH EXPERTISE IN HEALTH CARE EXECUTIVE COMPENSATION, TO REVIEW THE EXTERNAL MARKET DATA. THE MARKET DATA PROVIDES COMPARABLE COMPENSATION LEVELS BASED ON GEOGRAPHY, REVENUE SIZE AND OTHER FACTORS TO DETERMINE A MARKET RANGE FOR EACH EXECUTIVE. THE RESULT OF THEIR FINDINGS ARE SHARED DIRECTLY WITH THE GOVERNANCE AND LEADERSHIP COMMITTEE OF THE HRHS BOARD OF TRUSTEES. THE DELIBERATION AND FINAL DECISION ARE TIMELY DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES. THIS PROCESS LAST TOOK PLACE IN 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUESTS. INDIVIDUALS MAKING A REQUEST IN PERSON SHALL RECEIVE A COPY IMMEDIATELY UPON COMPLETING A FORMAL REQUEST FORM; THE FORM ONLY ASKS THE INDIVIDUAL TO IDENTIFY THEMSELVES, PROVIDE THEIR ADDRESSES AND SIGN THE FORM. ALL WRITTEN REQUESTS (MAIL OR EMAIL) FROM INDIVIDUALS, FOUNDATIONS OR GOVERNING AGENCIES ARE HONORED WITHIN 30 DAYS OF RECEIPT. IN ADDITION, THE HRHS CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE ON DAC BONDS QUARTERLY REPORT. NOTICE OF THE ANNUAL PUBLIC MEETING OF THE ORGANIZATION IS ADVERTISED IN LOCAL NEWSPAPERS. FORM 990, PART XI, LINE 9: PENSION CURTAILMENT 5,110,746. CHANGE IN PENSION LIABILITY 7,759,357. EQUITY TRANSFER -39,497. 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