2018-05-21T13:42:16-05:00 2017-06-30 990 2016-07-01 232825878 Temple University Hospital Inc TEMP 2157074533 3509 N Broad Street No 936 Philadelphia PA 19140 Gerald P Oetzel Chief Financial Officer 2157073743 2018-05-11 2016 2022-09-23 18:48:47Z Gerald P Oetzel 3509 N Broad Street Philadelphia PA 19140 1192904847 0 X www.tuh.templehealth.org X 1995 PA Our mission is to support Temple University and its Health Sciences Center academic programs by providing the clinical environment and service to support the highest quality teaching and training programs for health care students and professionals, and to support the highest quality research programs. 18 16 5226 170 0 0 2428799 6581836 1029474152 1110770678 3484261 4181501 -82460 -544276 1035304752 1120989739 22457276 25974003 0 0 454461284 484722040 0 0 598772 561691635 637363653 1038610195 1148059696 -3305443 -27069957 757933321 737213221 576502650 543471713 181430671 193741508 X See Schedule OOur mission is to support Temple University and its Health Sciences Center academic programs by providing the clinical environment and service to support the highest quality teaching and training programs for health care students and professionals, and to support the highest quality research programs. 0 0 995926787 25974003 1110227829 See Schedule OTemple University Hospital was founded in 1892 as "Samaritan Hospital," with the mission of caring for patients with limited incomes and ensuring access to medical care in its surrounding neighborhoods. As the chief academic teaching hospital of the Lewis Katz School of Medicine of Temple University, Temple University Hospital (TUH) is a 722-bed non-profit acute care hospital that provides a comprehensive range of medical services to its low-income communities, and a broad spectrum of secondary, tertiary, and quaternary care to patients throughout Southeastern Pennsylvania and beyond. TUH is accredited as an Adult Level 1 Trauma Center by the Pennsylvania Trauma Systems Foundation.In addition to its main campus in North Philadelphia, TUH includes its Episcopal and Northeastern campuses, both of which are in economically distressed areas within three miles of the TUH main and medical school campus. As our chief clinical teaching site, TUH is staffed by over 400 physicians of Temple University Physicians, our faculty-based practice plan, as well as physician scientists from our affiliated Fox Chase Cancer Center and our community-based Temple Physicians, Inc. Temple physicians represent 17 academic departments including subspecialties in emergency medicine, oncology, gastroenterology, obstetrics, gynecology, orthopedics, neurosurgery, neurology, general and specialty surgery and psychiatry. Temple physicians also staff important clinics that address major public health concerns, such as the Comprehensive Neuroaids Center at Temple University, which is dedicated to improving the public health impact of bench-to clinic research associated with HIV-induced neurological diseases and cognitive disorders.Temple's nationally renowned physicians offer state of the art treatment options for patients with complex medical problems, some of whom were previously considered untreatable. Using sophisticated technologies and personalized treatments, Temple physicians are working to alter the course of serious disease. In over a dozen research centers, our faculty is speeding the transformation of fundamental scientific discoveries into practical therapies that may one day dramatically improve human health.The Fox Chase-Temple Bone Marrow Transplant Program, a formal affiliation between Fox Chase Cancer Center and TUH, is an example of this type of transformative medicine. Since its inception in 1988, the program has performed over 1,500 transplants, and has participated in countless research studies to promote life-saving treatment modalities. In addition to the academic mission, The Temple Center for Population Health, LLC, (TCPH) promotes and supports the population health efforts of TUH and North Philadelphia. We align our efforts with the goals of the United States Department of Health and Human Services' three-part aim of achieving better care for patients, better health for our communities, and lower costs through health care system improvement.The TCPH mission is to attain a sustainable model of health care delivery through clinical and business integration, community engagement, and academic distinction to promote healthy populations. The TCPH includes an extensive network of Patient Centered Medical Homes (24 in the community based Temple Physicians Inc. practice and 3 in the Temple University Physician practices); chronic disease management programs for high risk populations utilizing nurse navigators; an extensive inpatient and outpatient community health worker program, peer coaching, and a central access center for appointment scheduling and acute care follow-up. The TCPH ambulatory performance improvement platform provides the infrastructure on which outpatient clinics can continue to achieve better care, smarter spending and healthier communities. The TCPH collaborates closely with TUH to assure smooth transitions of care, access to community resources and management of value-based purchasing. All Temple physicians, whether faculty or community based, care for patients covered by Medicaid in both the inpatient and outpatient setting. About 86% of our inpatients are covered by government programs: 40% by Medicare and 46% by Medicaid. Patients who are dually eligible for both Medicare and Medicaid comprise about 52% of our Medicare inpatient base. Approximately 50% of our total inpatient cases include a behavioral health diagnosis.TUH serves as a critical access point for vital public health services. Last year we handled more than 135,000 patients in our Emergency Department; about 11,000 patients in our Psychiatric Crisis Response Center; 2,300 discharges from our inpatient Behavioral Health unit; 557 victims of gun and stab violence in our Trauma Unit, the highest number in Pennsylvania; and more than 300 patients in our Burn Center. We delivered about 2,650 babies, of whom 88% were covered by Medicaid. TUH is an indispensable provider of health care in the largest city in America without a public hospital. Within our immediate zip codes, about 40% of individuals live below the federal poverty level, and within our larger 14 zip code service area, about 30% of individuals live below the federal poverty level. Among Pennsylvania's full-service safety-net providers, Temple University Hospital serves the greatest volume and highest percentage of patients covered by Medicaid.Temple University Hospital's Episcopal Campus provides a recovery oriented behavioral health treatment program, offering a welcoming approach and hope for those whose lives have been affected by mental illness and/or co-occurring disorders. It serves adults, age 18 or older, experiencing severe psychiatric symptoms that markedly impair their capacity to function adequately within the community. Many diagnosed with psychiatric plus one or more substance/alcohol disorders. Almost half have one or both diagnosis of hypertension and or diabetes. Many have multiple co-existing medical illnesses. Patients often present with difficult medical issues including severe burns, leg trauma due to suicide attempts, pregnant patients, advanced cancer, and orthopedic injuries. Temple University Hospital takes great pride in the broad array of community services that we provide to our economically challenged neighborhoods and the Southeast Pennsylvania region. Below is a summary of this year's programs and activities that advance the health of people and the quality of life in our communities:TEMPLE HEALTH FEST. Temple University Hospital conducted a comprehensive health festival for its immediate community with the goal of building trust and breaking down barriers to care. Programming including a physician-led TED style talk on cancer, nutritious cooking demonstration, 20+ interactive educational stations on a variety of health issues with physicians, nurses, social workers, dieticians, financial counselors, community health workers and other professionals. TEMPLE HEALTH FORCE. Health professionals from across Temple University Hospital's departments engaged in numerous outreach activities with government offices and community-based organizations. These include free health screenings and education on cancer, behavioral health, substance abuse, burn prevention, childbirth education and yoga instruction for expecting moms, diabetes care, smoking cessation, LGBTQ health, stroke prevention and other topics.SOCIAL SUPPORTS. Our Social workers connected 14,480 people with community-based social services, including free transportation legal services, clothing, pharmaceuticals, co-pays and medical supplies to our most destitute to ease their transition to home after discharge or outpatient treatment. We also provide support facility us for the charitable purpose of providing early learning for low-income children with autism and disabilities.CONNECTING PATIENTS WITH FINANCIAL RESOURCES. Temple employs 38 Financial Counselors dedicated to helping uninsured and under-insured patients obtain medical coverage. This team processes about 6,000 applications annually. VIOLENCE PREVENTION AND INTERVENTION. Philadelphia leads the nation's 10 largest cities in homicides per capita. Three police districts with the highest number of shootings fall within our footprint. Under the leadership of our department of surgery, our Trauma Unit conducts a number of programs that address the financial, emotional and societal costs of gun violence in Philadelphia. Our Cradle to Grave program works with at-risk youth to break the cycle of gun violence, reaching more than 1,200 this year. Since its inception, Cradle-to-Grave connected with more than 12,000 middle and high school students and youth from alternative schools and the Juvenile Justice Center of Philadelphia. Fighting Chance teaches residents in high violence neighborhoods to administer first aid to victims until first responders arrive. Safe Bet provides gun locks to families to reduce accidental shootings. Turning Point, with a focus on survivors, helps change attitudes toward gun violence and encourages victims to alter their paths.INVESTING IN HEALTH PROFESSIONS EDUCATION. Temple provides a significant investment in the education and training of the next professional healthcare workforce to benefit the broader community. This includes part of the cost of training more than 500 residents and fellows in over 45 teaching programs. Our residents and fellows are involved in various efforts that directly impact the community, including our Cradle to Grave program, our HIV clinic, and other community outreach initiatives. The exposure that our Residents receive caring for our diverse, low-income community helps Temple address health disparities while developing our nation's future physicians. INVESTING IN OUR HOSPITAL WORKFORCE. Temple University Hospital is committed to building local workforce and improving skills sets needed to deliver quality healthcare. This involves comprehensive training and education to help workers living in our community adapt and improve skills to enable them to participate in a changing healthcare workplace. About half the students are union members and half from the general community, including laid-off workers and Welfare recipients. Career pathways include nursing, behavioral health, allied health, childcare, health IT. Education services include GED classes and testing as well as ESL and safety instruction. Also, through our Community Health Worker Program, we work in partnership with TU Center for Social Policy, District Council 1199c Training and Upgrade Fund and Philadelphia Workforce Development Corporation to develop job skills for unemployed individuals living in our community while achieving the national goals of improving healthcare quality, improving the health of our communities, and reducing the cost of quality care.FOSTERING VOLUNTEERISM. Temple University Hospital's "At Your Service" volunteer intern program connected undergraduate students who engage in pro-active non-clinical rounding on inpatient and outpatient units and interact with patients and families. Volunteer interns gain familiarity with hospital settings while enhancing the experience of patients and visitors. Total volunteer hours logged last year was 14,924 serving 65,614 patients. Members of Temple University Hospital's Board of Directors are comprised of dedicated volunteers from diverse backgrounds who offer expertise and govern the organization without compensation. Similarly, Temple University Hospital's executive team routinely participates in not-for-profit community health and social service organizations, as volunteer members of their boards-of-directors, and as participants in their outreach services. EMPLOYEE COMMUNITY ENGAGEMENT. Temple University Hospital conducts numerous engagement activities throughout the year, including collections for new coats and clothing, holiday gifts, food, and school supplies to benefit low income families living in our communities. We are particularly proud of the support that we provide to local public schools, including Bethune and Kenderton Elementary Schools and Simon Gratz High School where many families have limited resources to purchase warm weather clothing and school supplies for young children. PROMOTING MULTI-CULTURAL SERVICES. With an investment of about $1.8 million, Temple University Health System has credentialed 17 Dual Role Interpreters, 166 Language Proficient Physicians, 31 language proficient RNs and 172 Language Proficient Bilingual Staff. Our team of 397 language proficient staff also includes 9 dedicated medical interpreters, a manger and a director.PATIENT FAMILY ADVISORY COUNCILS. Under the leadership of Temple University Hospital's Office of Patient Experience, we implemented the six (6) Temple Physician Incorporated (TPI) PFACs and the Temple Heart and Vascular Institute (THVI) PFAC. The goals of these committees are to engage a diverse group of community stakeholders for the purpose of collaboration and information sharing founded dignity and respect. The initial goals of the committee were to evaluate patient satisfaction and patient education in each council's location and to develop priorities for the purpose of action planning. The committees are currently developing the action steps to address their priorities with the full support of Temple Health leadership. EMERGENCY PREPAREDNESS AND RESEARCH This program helps ensure our staff and hospital facilities are prepared to continue to provide safe, quality patient care even under the most austere conditions. We work on many levels, both inside and outside the Temple Health System, educating our communities about the importance of personal preparedness. Temple's Emergency Preparedness and Research Program is a critical link in the federal, state, and local disaster response plans. 995926787 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 0 0 1 317 0 1 5226 1 0 0 0 0 0 1 1 0 0 0 0 X 18 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Maricar Collins 2157077855 2450 W Hunting Park Ave Philadelphia PA 19129 Jane Scaccetti Chair 2.00 4.00 X X 0 0 0 John W Meacham Vice Chair 2.00 0.00 X X 0 0 0 George Corson Jr Director 2.00 1.00 X 0 0 0 Dr Solomon Luo Director 2.00 8.00 X 0 0 0 Samuel M Lehrer Director 2.00 0.00 X 0 0 0 Dr Donald Parks Director 2.00 2.00 X 0 0 0 Dr Eugene M Smolens Director 2.00 0.00 X 0 0 0 Herbert E Long Jr Director 2.00 0.00 X 0 0 0 Margaret Cobb Director 2.00 0.00 X 0 0 0 Jane Cameron Miller Director 2.00 0.00 X 0 0 0 Jerome Kline Director 2.00 0.00 X 0 0 0 Charles Lockyer Jr Director 2.00 5.00 X 0 0 0 Michael Bradshaw Director 2.00 0.00 X 0 0 0 Dr Neil Theobald Director 2.00 48.00 X 0 1361221 53968 Dr Richard Englert Director 2.00 48.00 X 0 471393 69107 Patrick J O'Connor Director 2.00 2.00 X 0 0 0 Dr Larry Kaiser Director 2.00 48.00 X 0 1896003 22874 Janet Yeomans Director 2.00 0.00 X 0 0 0 Shirley Coker Director 2.00 0.00 X 0 0 0 Rebecca Rakoski Isbill Director 2.00 0.00 X 0 0 0 Dr Verdi DiSesa President & CEO 37.00 13.00 X 0 1065366 42694 Beth Koob Secretary 3.00 47.00 X 0 620104 80155 Betty McAdams Asst Secretary 2.00 48.00 X 0 107897 23620 Charna Wright Asst Secretary 2.00 48.00 X 0 55440 15492 Gerald Oetzel Treasurer 50.00 0.00 X 356888 0 54389 Maricar Collins Asst Treasurer 1.00 49.00 X 0 190069 33734 Herbert P White Asst Treasurer 2.00 48.00 X 0 319606 37293 Rose Nolan COO 50.00 0.00 X 409882 0 27882 Kathleen Barron Executive Director 48.00 2.00 X 375359 0 22790 Craig Menta AHD Finance of TUH/EHC 50.00 0.00 X 250086 0 13802 Betty Craig Chief Nursing Officer 50.00 0.00 X 331129 0 41926 Herbert Cushing Chief Medical Officer 50.00 0.00 X 408242 0 39814 Steven Carson VP Clinical Integration 50.00 0.00 X 348382 0 24790 Shidong Li Chief Physician 50.00 0.00 X 266013 0 51098 Karen Javie COO of THVI 50.00 0.00 X 270395 0 32003 Joseph McComb Medical Director 50.00 0.00 X 306639 0 35466 Howard Rudnick Medical Director 50.00 0.00 X 266622 0 21999 John Kastanis Former President & CEO 47.00 3.00 X 147346 0 7537 Joseph G Klos Former Asst Treasurer 1.00 49.00 X 0 164833 10472 3736983 6251932 762905 933 1 1 0 Temple University 400 Carnell Hall 1803 N Broad Stre Philadelphia PA 19121 Physicians, Purchased Services 124179498 Temple University Health System 2450 West Hunting Park Avenue Philadelphia PA 19129 Purchased Services, Related Organization 46675356 FASTSTAFF LLC PO Box 911452 Denver CO 802911452 Staffing Agency, Purchased Services 11117821 The Chartis Group 27308 Network Place Chicago IL 60673 Healthcare Consulting Services 8633388 HCTec Partners LLC 4605 E Galbraith Road Suite 200 Cincinnati OH 45236 Purchased Services, Healthcare Workforce 4409258 108 1233869 230841 68690 5048436 74754 6581836 Patient Service Revenue 622110 1088534644 1088534644 Parking Fees 812930 5106504 5106504 Rent from Tax Exempt Affiliates 531120 3727665 3727665 Cafeteria Sales 722210 3657172 3657172 9744693 9744693 1110770678 4403103 4403103 70647226 247355 70732919 383264 -85693 -135909 -221602 -221602 254649 1233869 798925 -544276 -544276 1120989739 1110770678 0 3637225 X 25974003 25974003 2633147 2633147 365501255 345131127 20370128 24978774 23577485 1401289 64221495 60313632 3907863 27387369 25860248 1527121 5156386 4557614 598772 750616 47755 702861 220185 220185 13286 13202 84 242420292 165259594 77160698 3328422 89872 3238550 209902365 208414794 1487571 13992688 13321143 671545 23016177 19274758 3741419 1210627 1045335 165292 382493 362567 19926 19223614 19122922 100692 27995067 27699512 295555 26823712 26823712 Tax Assessment 40138852 17497930 22640922 Equipment Rental and Ma 17506058 15638423 1867635 Other Expenses 5282813 458773 4824040 1148059696 995926787 151534137 598772 45551882 42151830 151700 3101859 223961655 224238981 22610104 22018504 649825535 433175480 222690600 216650055 96448898 72417424 32879750 36327748 113638732 120306820 757933321 737213221 125754133 98239666 10850331 14233498 439898186 430998549 576502650 543471713 X 148965772 156522476 2401537 2291006 30063362 34928026 181430671 193741508 757933321 737213221 X -27069957 12168949 27211845 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30063362 4864665 34928027 31377656 -1314294 30063362 31333008 44648 31377656 27258955 768426 3305627 31333008 24828490 2430465 27258955 1.00000 0 0 4603971 4603971 319670568 203292261 116378307 323290310 229011093 94279217 2260686 872126 1388560 216650055 Self Insurance Assets 32618239 Assets Held in Perpetual Trust 33481149 Due From Affiliated Companies 33648480 Other Assets 20558952 120306820 Self Insurance Program Liability 76788446 Unfunded Post Retirement Benefit Obligation 27383113 Other Liability General 34141014 Temple University Revenue Bonds 228426894 Other Liabilities 64259082 430998549 Part V, Line 4: The endowment funds will be used for capital purposes, maintenance of the Liacouras Garden, appreciation awards to "Non-Professional" Employees and to cover the cost of unreimbursed care for the prevention and treatment of crippling diseases in children. Gala 1488518 1233869 254649 209167 260693 183497 145568 1488518 1233869 254649 209167 260693 183497 145568 798925 -544276 1 1 X 1 X 1 X 1 1 1 0 0 19132522 19132522 0.01670 178318 463354426 422441406 40913020 0.03560 178318 482486948 422441406 60045542 0.05230 303 51748 832446 832446 0.00070 45 109770623 29693152 80077471 0.06980 2 133821 47047194 20306738 26740456 0.02330 7821702 7821702 0.00680 350 185569 165471965 49999890 115472075 0.10060 350 363887 647958913 472441296 175517617 0.15290 32 94437 1390389 80793 1309596 0.00110 1 4000 829526 829526 0.00070 33 98437 2219915 80793 2139122 0.00180 1 16864000 159574727 172485309 -12910582 X 1 1 4 1 Temple University Hospital Inc 3509 North Broad Street Philadelphia PA 19140 http://tuh.templehealth.org 200701 X X X X X A 2 Temple Univ Hosp Episcopal Hospital 3509 North Broad Street Philadelphia PA 19125 http://tuh.templehealth.org 200701 X X X X A 3 Temple Univ Hosp Bone Marrow Jeanes 7600 Central Avenue Philadelphia PA 19111 http://tuh.templehealth.org 200701 X X X A 4 Northeastern Ambulatory Care Center 2301 East Allegheny Avenue Philadelphia PA 19134 http://tuh.templehealth.org 200701 X X X A Facility Reporting Group A 0 0 1 X X X X X X X X X 15 1 0 0 1 X https://tuh.templehealth.org/content/community_health_information.htm X 1 15 1 https://tuh.templehealth.org/content/community_health_information.htm 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X http://tuh.templehealth.org X http://tuh.templehealth.org X http://tuh.templehealth.org X X X X X X X 1 X 0 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: Temple University Hospital, Inc, - Facility 2: Temple Univ. Hosp @ Episcopal Hospital, - Facility 3: Temple Univ. Hosp Bone Marrow @ Jeanes, - Facility 4: Northeastern Ambulatory Care Center Group A-Facility 1 -- Temple University Hospital, Inc Part V, Section B, line 5: In conducting its CHNA, Temple University Hospital took into account input from representatives of the community served by its facility, including those with special knowledge or expertise in public health. Our processes, as well as the persons with whom Temple University Hospital consulted are set forth on pages 13 to 15, as well as Appendix A of the CHNA, which is posted in plain view on the hospital's website at http://tuh.templehealth.org/content/community_health_information.htm. As noted in the CHNA, Temple University Hospital held three community meetings at its facilities, which included 19 community leaders. Its CHNA also included feedback obtained in four external community CHNA community meetings that were conducted by the Public Health Management Corporation on behalf of Temple University Hospital and other Philadelphia area hospital providers. Group A-Facility 1 -- Temple University Hospital, Inc Part V, Section B, line 11: Temple University Hospital is addressing most of the needs identified in the CHNA. Some needs, such as dental care, however, are not among the clinical service that is provided by our hospital. To address cancer care, we are working in partnership with our affiliated Fox Chase Cancer Center. Although the federal government and HHS-funded Marketplace Navigators are in a better position to address needs of the uninsured, our Financial Services Department continues to provide services for our patients and families, and is partnering with community stakeholders as our resources allow. All unmet needs are identified in our CHNA Implementation strategy, which is posted in plain view on our hospital's website at http://tuh.templehealth.org/content/community_health_information.htm. Our approach to unmet needs is explained in Section 10 of that report. Group A-Facility 1 -- Temple University Hospital, Inc Part V, Section B, line 16j: Temple University Hospital participates with the Pennsylvania Department of Health in connection with development of its State Innovation model as well as with the Pennsylvania Department of Human Services in its efforts to improve health outcomes and efficiency of care delivery in North Philadelphia. Group A-Facility 2 -- Temple Univ. Hosp @ Episcopal Hospital Part V, Section B, line 5: In conducting its CHNA, Temple University Hospital took into account input from representatives of the community served by its facility, including those with special knowledge or expertise in public health. Our processes, as well as the persons with whom Temple University Hospital consulted are set forth on pages 13 to 15, as well as Appendix A of the CHNA, which is posted in plain view on the hospital's website at http://tuh.templehealth.org/content/community_health_information.htm. As noted in the CHNA, Temple University Hospital held three community meetings at its facilities, which included 19 community leaders. Its CHNA also included feedback obtained in four external community CHNA community meetings that were conducted by the Public Health Management Corporation on behalf of Temple University Hospital and other Philadelphia area hospital providers. Group A-Facility 2 -- Temple Univ. Hosp @ Episcopal Hospital Part V, Section B, line 11: Temple University Hospital is addressing most of the needs identified in the CHNA. Some needs, such as dental care, however, are not among the clinical service that is provided by our hospital. To address cancer care, we are working in partnership with our affiliated Fox Chase Cancer Center. Although the federal government and HHS-funded Marketplace Navigators are in a better position to address needs of the uninsured, our Financial Services Department continues to provide services for our patients and families, and is partnering with community stakeholders as our resources allow. All unmet needs are identified in our CHNA Implementation strategy, which is posted in plain view on our hospital's website at http://tuh.templehealth.org/content/community_health_information.htm. Our approach to unmet needs is explained in Section 10 of that report. Group A-Facility 2 -- Temple Univ. Hosp @ Episcopal Hospital Part V, Section B, line 16j: Temple University Hospital participates with the Pennsylvania Department of Health in connection with development of its State Innovation model as well as with the Pennsylvania Department of Human Services in its efforts to improve health outcomes and efficiency of care delivery in North Philadelphia. Group A-Facility 3 -- Temple Univ. Hosp Bone Marrow @ Jeanes Part V, Section B, line 5: In conducting its CHNA, Temple University Hospital took into account input from representatives of the community served by its facility, including those with special knowledge or expertise in public health. Our processes, as well as the persons with whom Temple University Hospital consulted are set forth on pages 13 to 15, as well as Appendix A of the CHNA, which is posted in plain view on the hospital's website at http://tuh.templehealth.org/content/community_health_information.htm. As noted in the CHNA, Temple University Hospital held three community meetings at its facilities, which included 19 community leaders. Its CHNA also included feedback obtained in four external community CHNA community meetings that were conducted by the Public Health Management Corporation on behalf of Temple University Hospital and other Philadelphia area hospital providers. Group A-Facility 3 -- Temple Univ. Hosp Bone Marrow @ Jeanes Part V, Section B, line 11: Temple University Hospital is addressing most of the needs identified in the CHNA. Some needs, such as dental care, however, are not among the clinical service that is provided by our hospital. To address cancer care, we are working in partnership with our affiliated Fox Chase Cancer Center. Although the federal government and HHS-funded Marketplace Navigators are in a better position to address needs of the uninsured, our Financial Services Department continues to provide services for our patients and families, and is partnering with community stakeholders as our resources allow. All unmet needs are identified in our CHNA Implementation strategy, which is posted in plain view on our hospital's website at http://tuh.templehealth.org/content/community_health_information.htm. Our approach to unmet needs is explained in Section 10 of that report. Group A-Facility 3 -- Temple Univ. Hosp Bone Marrow @ Jeanes Part V, Section B, line 16j: Temple University Hospital participates with the Pennsylvania Department of Health in connection with development of its State Innovation model as well as with the Pennsylvania Department of Human Services in its efforts to improve health outcomes and efficiency of care delivery in North Philadelphia. Group A-Facility 4 -- Northeastern Ambulatory Care Center Part V, Section B, line 5: In conducting its CHNA, Temple University Hospital took into account input from representatives of the community served by its facility, including those with special knowledge or expertise in public health. Our processes, as well as the persons with whom Temple University Hospital consulted are set forth on pages 13 to 15, as well as Appendix A of the CHNA, which is posted in plain view on the hospital's website at http://tuh.templehealth.org/content/community_health_information.htm. As noted in the CHNA, Temple University Hospital held three community meetings at its facilities, which included 19 community leaders. Its CHNA also included feedback obtained in four external community CHNA community meetings that were conducted by the Public Health Management Corporation on behalf of Temple University Hospital and other Philadelphia area hospital providers. Group A-Facility 4 -- Northeastern Ambulatory Care Center Part V, Section B, line 11: Temple University Hospital is addressing most of the needs identified in the CHNA. Some needs, such as dental care, however, are not among the clinical service that is provided by our hospital. To address cancer care, we are working in partnership with our affiliated Fox Chase Cancer Center. Although the federal government and HHS-funded Marketplace Navigators are in a better position to address needs of the uninsured, our Financial Services Department continues to provide services for our patients and families, and is partnering with community stakeholders as our resources allow. All unmet needs are identified in our CHNA Implementation strategy, which is posted in plain view on our hospital's website at http://tuh.templehealth.org/content/community_health_information.htm. Our approach to unmet needs is explained in Section 10 of that report. Group A-Facility 4 -- Northeastern Ambulatory Care Center Part V, Section B, line 16j: Temple University Hospital participates with the Pennsylvania Department of Health in connection with development of its State Innovation model as well as with the Pennsylvania Department of Human Services in its efforts to improve health outcomes and efficiency of care delivery in North Philadelphia. Part I, Line 7: As set forth in the Charity Care Policy adopted effective 7/1/2014, it is the policy of Temple University Health System to provide all necessary urgent and emergent care to patients without regard to their ability to pay for such care. Given this mission and within the guidelines of prudent business management, it is further the policy of Temple University Health System (TUHS) that an orderly and controlled system for the write-off of all types of Bad Debt and Charity Care balances is in effect to insure maximum collections. All patients have the option to apply for the hospital's Charity Care Program. The guiding principles behind this policy are to treat all patients equally, with dignity and respect, to serve the emergency healthcare needs of everyone in the community, to assist patients who cannot pay and to balance appropriate financial assistance for patients with fiscal responsibility. Patients and their families have a responsibility to assist TUHS the hospital in qualifying them for financial assistance. TUH Inc.'s cost to charge ratio for Part 1, lines 7a through 7d is derivedby total expenses divided by the total gross charges. Part I, Line 7g: Temple University Hospital invested nearly $27 million to subsidize critical health care services needed in our community. This includes support for our outpatient emergency, acute care and psychiatric services, as well the inpatient psychiatric services on our Episcopal Campus. These physical and mental health services are critical to the health and welfare of our vulnerable communities. Part II, Community Building Activities: Temple University Hospital engages in numerous community building activities throughout the year. These are activities, separate from our "community health improvement" activities that advance the health or safety of the neighborhoods we serve.COMMUNITY SUPPORT:(1)Violence Prevention and Intervention. Under the leadership of our department of surgery, our Trauma Unit conducts a number of programs that address the financial, emotional and societal costs of gun violence in Philadelphia. Our Cradle to Grave program works with at-risk youth to break the cycle of gun violence, reaching more than 1,200 this year. Since its inception, Cradle-to-Grave connected with more than 12,000 middle and high school students and youth from alternative schools and the Juvenile Justice Center of Philadelphia. Fighting Chance teaches residents in high violence neighborhoods to administer first aid to victims until first responders arrive. Safe Bet provides gun locks to families to reduce accidental shootings. Turning Point, with a focus on survivors, helps change attitudes toward gun violence and encourages victims to alter their paths.(2)Emergency Preparedness and Research. This program helps make sure that our staff and hospital facilities are prepared to continue to provide safe, quality patient care under the most austere conditions. We ensure that our staff and facilities are prepared for disasters and other emergencies by working within the hospital and in the communities we serve. This Program is a critical link in the federal, state and local disaster response plans. Our Emergency Preparedness Department is involved in three local committees, including the North Philadelphia Emergency Healthcare Support Zone, the Regional Hospital Subcommittee; and the Emergency Support Function-8 Work Group. These committees are focused on creation of drills, policy development, and continuing education.(3)Safe-T Program. In addition to the personal education about newborn care and safety, all families will receive a Safe Sleeper kit complete with a sleep-safe baby box, layette items such as fleece and cotton clothing, sheets and blanket, a baby book, (English and Spanish language), diapers, a thermometer, nasal aspirator, baby wash, smoke detectors (provided by the Philadelphia Fire Department) and educational materials and resource referral. 4,950 people served last year.(4)Philadelphia MOM. Temple University Hospital assists the Philadelphia Department of Health in providing early interventions for healthy newborns. After identification at Temple University Hospital, city social workers make home visitations through the child's 6th birthday to ensure that they have access to healthcare and educational resources. (5)Blood Drives. Temple University Hospital works closely with the American Red Cross to support its mission of providing a safe and reliable blood supply that helps ensure quality outcomes and save lives. This year, Temple helped collect 403 pints of blood from employees and physicians.(6)At Your Service. Temple University Hospital's volunteer intern program connected undergraduate students who engage in pro-active non-clinical rounding on inpatient and outpatient units and interact with patients and families. Volunteer interns gain familiarity with hospital settings while enhancing the experience of patients and visitors. Total volunteer hours logged last year was 14,924 serving 65,614 patients.(7)Temple Center for Population Health. Serves as an interface with federal, state and local agencies and with community based organizations to collaborate on initiatives to improve the health of our low-income, diverse, medically complex population. This program served more than 2,000 community members last year.(8) Southeast Pennsylvania Collaborative Opportunities to Advance Community Health (COACH) initiative. In partnership with the U.S. Department of Health & Human Services, Philadelphia Department of Health and the Healthcare Improvement Foundation, Temple helps address food insecurity. In selected clinical settings, a member of our hospital staff asks patients about their access to sufficient food. If a patient indicates food insecurity, we refer the patient to community resources for SNAP food assistance, food banks and other needs.(9) Employee Community Engagement. Temple University Hospital conducts numerous engagement activities throughout the year, including collections for new coats and clothing, holiday gifts, food, and school supplies to benefit low income families living in our communities. We are particularly proud of the support that we provide to local public schools, including Bethune and Kenderton Elementary Schools and Simon Gratz High School where many families have limited resources to purchase warm weather clothing and school supplies for young children. (10) Temple University Hospital partners with the LKSOM Block by Block program to establish partnerships to increase research participation while improving community health.(11) Caregivers Group provides orientation to welcome new patient and caregivers and provide education and support to patients and families post-transplant.(12) Leadership Summit. This is a forum to introduce undergraduate and graduate students to enhance professional career development in healthcare administration.(13) Addressing Philadelphia's Opioid Epidemic. Temple Health is working closely with the Philadelphia Department of Behavioral Health and Disability Services (DBGIDS) Office of Addiction Services (AOS), the single county authority, to address our city's opioid epidemic. We have been a key partner with the City as it develops strategies addressing the opioid epidemic, with two members serving on the Mayor's Task Force Services Access & Best Treatment Committee. Temple Health and the City are working together to strengthen services on Temple University Hospital's Episcopal Campus, which is situated at the epicenter of the opioid crisis.(14) Support for Early Learning. Provide facility use for charitable purpose of providing early learning for low-income children with autism and disabilities.WORKFORCE DEVELOPMENT:(1)Investment in Community's Healthcare Workforce. The purpose of this program is to build local workforce and improve skills sets needed to deliver quality healthcare. This involves comprehensive training and education to help workers living in our community adapt and improve skills to enable them to participate in a changing healthcare workplace. About half the students are union members and half from the general community, including laid-off workers and Welfare recipients. Career pathways include nursing, behavioral health, allied health, childcare, health IT. Education services include GED classes and testing as well as ESL and safety instruction.(2)Community Health Worker Program: Work in partnership with TU Center for Social Policy, District Council 1199c Training and Upgrade Fund and Philadelphia Workforce Development Corporation to develop job skills for unemployed individuals living in our community while achieving the national goals of improving healthcare quality, improving the health of our communities, and reducing the cost of quality care.Part III, Line 2:Bad debt expense is calculated based on the product of monthly gross charges and a rolling six month average of the ratio of bad debt transfers to gross charges. This ratio is derived by dividing the cumulative bad debt transfers with discharge dates between 12 to 18 months prior to each closing month by the corresponding gross charges in the same 12 to 18 month period. Part III, Line 8: Community Benefit as in Charity Care is when estimated cost of providing services is in excess of payments received. In 2017, the cost of providing services to the Medicare population was $12,910,582 higher than revenue. Medicare allowable cost was based on cost apportionment derived from the Medicare Cost Report. The Medicare shortfall carried by TUH provides a community benefit because it benefits a charitable class, the elderly. Part III, Line 9b: Temple University Hospital's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for charity care. If a patient does not qualify for charity care or qualifies for only a charity care discount, the normal billing process of four (4) statements over a span of at least 120 days will occur. If no patient response is received, a write-off request form will be completed by the collection specialist and submitted for proper signature authority for agency referral. Once approved, the account will be transferred to the Bad Debt Financial Class logged. The account will be forwarded to the collection agency for additional collection effort. Collection vendors are required to include in their collection notifications notice that TUH provides free and/or reduced price care to persons who qualify, that TUH provides assistance in applying for and obtaining government funded insurance, and that patients can contact TUH's Financial Services Department for assistance. Part VI, Line 2: In addition to the formal community needs assessment described in Part V Section B, Temple University Hospital further assesses community health needs using comprehensive sets of internal and external data sources. Externally, we rely largely on health data compiled by federal, state, city and community based health organizations, including the following: United States Center for Disease Control: https://www.cdc.gov/DataStatistics/Pennsylvania Department of Health -http://www.statistics.health.pa.gov/Pages/default.aspx#.WoIMY1Qo6Un Pennsylvania and County Health Profiles- http://www.statistics.health.pa.gov/HealthStatistics/VitalStatistics/CountyHealthProfiles/Documents/County_Health_Profiles_2015.pdf Pennsylvania Health Care Cost Containment Council (PHC4) - http://www.phc4.org/reports/utilization/inpatient/Pennsylvania Crime Reporting Data: http://ucr.psp.state.pa.us/UCR/ComMain.asp Philadelphia Department of Public Health, including the Philadelphia Vital Statistics Report, the Philadelphia Vital Statistics Report by Census Tract and Zip Code Report; the annual Health Center Service Area Report; the Maternal and Child Family Health Data Watch, the Report on Selected Maternal & Child Health Indicators for the City of Philadelphia, 1995-2005 and the Taking Philadelphia's Temperature report. http://www.phila.gov/health/Commissioner/DataResearch.html County Health rankings: http://www.countyhealthrankings.org/app/pennsylvania/2017/overview City Data: http://www.city-data.com/Centers for Medicare and Medicaid Services (CMS) Medpar data. https://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/LimitedDataSets/MEDPARLDSHospitalNational.html Maternity Care Coalition - http://maternitycarecoalition.org/research/#publications-and-reports Vizient (University Healthcare Consortium) Clinical Database Current literature on evolving health care delivery issues and care delivery models.Participation in the Southeast Pennsylvania Collaborative Opportunities to Advance Community Health (COACH) initiative in partnership with the U.S. Department of Health & Human Services, Philadelphia Department of Health and the Healthcare Improvement Foundation. Internally, we rely on the following sources:Collaboration of Medical School and Hospital leadership Consensus discussion with key clinical providers and community service organizations Performance Improvement, Risk Management and Patient Safety outcomes.Feedback from community members of our board of directors and routine interaction with neighborhood community organizations.Historic, service line specific utilization data Organizational community risk assessments (Infection Control, Environment of Care, Emergency Management, Fire Safety Management, Disaster Response).Feedback from our various Patient and Family Advisory Councils (PFAC), including the separate Temple Physicians, Inc. PFACs connected with six separate practice locations in our community and the PFAC of the Temple University Hospital Hearth and Vascular Institute. These groups are organized under the Temple University Hospital's Department of Patient Experience.In addition to data sources, we also work closely with local government offices and not-for-profit community-based health and social services organizations and actively participate in local, regional and state level workgroups to address specific needs of vulnerable populations.As the primary safety net hospital serving Philadelphia and its surrounding counties, Temple University Hospital maintains strong relationships with area community Health Centers, including the City of Philadelphia Department of Human Services, including its Health Centers and many Federally Qualified Health Centers (FQHCs). These partnerships enable Temple University Hospital to coordinate care delivery in both the inpatient and outpatient settings.In Woman's Health Temple University Hospital collaborates with three FQHCs, Esperanza Community Health Center, Maria Del los Santos Health Center, and Greater Philadelphia Health Action to provide Obstetrical Care. Through this partnership community physicians are integrated with the Temple faculty and community practices to provide a full range of obstetrical services for their patients. In addition, TUH participates with the City of Philadelphia MOM Program. This early intervention program consists of frequent phone calls and home visits to encourage mothers to have their babies immunized on schedule and to participate in needed developmental and educational services. The program seeks to fill the gap between children's need for services and mothers' ability to assure their children's participation in those services.Temple University Hospital also works closely with our community partners to provide for adult health services. The Public Health Management Corporation operates a clinic adjacent to the TUH Emergency Department. The physicians of Esperanza Community Health Center maintain staff privileges and provide continuity of care for their patients at TUH. The group participates in the Temple University Internal Medicine Residency Programs. Maria Delos Santos Health Center and Greater Philadelphia Health Action provide outpatient services and refer patients to TUH for inpatient care.TUH also maintains a close relationship with City of Philadelphia Health Department, its District Health Centers and the Police and Fire Departments. TUH works closely with the city to provide for aftercare following hospitalization and often expedites needed specialty care and diagnostic evaluations.Representatives of Temple University Hospital serve on several health-and safety related boards and committees of the City of Philadelphia, including the Health Department, the Mayor's Task Force to Combat the Opioid Epidemic, the Philadelphia Task Force on Sports-Based Youth Development and the Fire Commissioner's Medical Advisory Board. Part VI, Line 3: 37 Financial Counselors assigned to Temple University Hospital screen all uninsured and underinsured patients (including those with high deductibles and co-pays) who are hospitalized or require elective outpatient hospital services to determine their eligibility for government funded medical insurance coverage such as Medicaid and CHIP. Patients that meet the qualifications for these programs are assisted by financial counseling staff throughout each step of the application process. Medicaid applications are submitted by TUH on the patient's behalf and tracked until final determination. Patients who do not qualify for government-funded programs are screened for Temple University Health System's Charity Care program to determine their eligibility for free or reduced cost care. Temple's Charity Care discounting policy is not restricted to Emergency Department patients, but is available to inpatients and outpatients as well.Patients who contact the Hospital's Business Office concerning bills they have received that they cannot afford to pay are also screened for Charity Care eligibility. The Financial Counseling Staff at Temple University Hospital also offers assistance in obtaining supplemental coverage as well as prescription drug benefits. Patients are informed of Temple's Financial Services, and direction on how to access these services, through the following means:Posters in plain view at inpatient, outpatient and emergency registration areas and billing offices;Patient discharge summaries, billing invoices and vendor collection notices; and Hospital website. Part VI, Line 4: Temple University Hospital's (TUH) service area consists of the following zip codes: 19111, 19120, 19121, 19122, 19124, 19125, 19132, 19133, 19134, 19138, 19140, 19141, 19144, and 19149. The Service Area's population has a disproportionally high percentage of poor and non-college educated compared to the City, State, and Nation.Our immediate service area is reflected in the City of Philadelphia's 2017 Community Health Assessment, and is represented mainly by the City's North, Lower North and Riverward Planning Districts. These planning districts have the highest incidents of death before age 75, the lowest life expectancy, the poorest health, highest smoking-attributable mortality rate, highest levels of obesity related to sugary drinks, highest level of cardiovascular disease, highest level of HIV diagnosis, highest cancer-related mortality rate, the highest number of rat complaints, the highest number of homicides, the highest number of adults diagnosed with mental health condition, and the highest level of opioid-related mortality rates.A. Population and Population GrowthThe TUH Service Area's population 5-year growth rate has been revised down to 1.9%, which is slightly less than the City, but much greater than the State. However, the Service Area, City overall, and State lag well behind the Nation's growth rate of 3.5%.B. Age DistributionThe TUH Service Area's age distribution reveals an overall younger population (0 - 34) than the City, State or Nation; especially the 0 - 17 year olds. While the 35 - 64 & 65+ year range is 3 to 4 points lower for TUH and the City compared to the State and Nation. C. Education LevelIn 2012, the population in the TUH service area consisted of 63.9% with high school education or less, a rate 50% higher than the national average of 42.6%. The TUH service area population consists of 36.1% with education beyond high school, approximately 37% less than the national average of 57.4%. It appears that the TUH Service Area's education level has shown no improvement in percentage of those who have a level beyond high school; however, there is a micro trend of an increase of those completing high school and a decrease in people with no high school degree. D. Unemployment and Household IncomeUnemployment Employment rates are steadily rising; however, in the city of Philadelphia, 6.6% of the total population were unemployed in November 2015, higher than the state unemployment rate of 5.0% and the national unemployment rate of 5.0%. Unemployment figures have returned to their prerecession levels and Philadelphia's unemployment rate remains considerably higher than the surrounding counties and also higher than the State or Nation. But not reflected in those numbers are the underemployed and those out of the job market which remains stubborn. (Source: Bureau of Labor Statistics, US Department of Labor; Pennsylvania Department of Labor)Household Income 71% of households in the TUH service area earn less than $50,000 per year, approximately 45% greater than the national average of 47%. 29% of TUH service area households earn over $50,000 per year, far less than the national average of 51.1%.E. Population Below Federal Poverty LevelApproximately 29.6% of the population living within Temple University Hospital's service area live at or below the federal poverty level. This is greater than the Philadelphia County, Pennsylvania and National averages, respectively, at 21.2%; 9.3% and 11.5%.F. Race/EthnicityIn TUH's service area, 47.0% of the total population is Black, nearly four times the national level of 12.0%. Hispanics are the second largest population in TUH's service area, comprising 24.0% of the population, compared to the national average of 18.0%. The percentage of White Non-Hispanic population of 21.0% is lower than the national average of 62.0%.G. Payer Mix Approximately 77% of cases in the Temple University Hospital service area were covered by either Medicaid or Medicare: 47.0% for Medicaid, and 29.9% for Medicare. Part VI, Line 5: In addition to the Community Building activities described in Section V above, Temple University hospital organized or participated as a key partner in a number of community health improvement activities. These activities are free to the community, subsidized by Temple University Hospital, do not generate a patient bill, and are carried out for the sole purpose of improving community health.TUH is an indispensable provider of health care in the largest city in America without a public hospital. Among Pennsylvania's full-service safety-net providers, Temple University Hospital serves the greatest volume and highest percentage of patients covered by Medicaid. About 86% of our inpatients are covered by government programs: 40% by Medicare and 46% by Medicaid. Temple University Hospital is located in a medically underserved area. Its Episcopal campus is located in a federally designated Empowerment Zone.During our FYE June 30, 2017, Temple University Hospital engaged in over 300 programs and events serving more than 51,000 people. Below are selected highlights.(1)Temple Health Fest. Temple University Hospital conducted a comprehensive health festival for its immediate community with the goal of building trust and breaking down barriers to care. Programming including a physician-led TED style talk on cancer, nutritious cooking demonstration, 20+ interactive educational stations on a variety of health issues with physicians, nurses, social workers, dieticians, financial counselors, community health workers and other professionals. (2)Temple Health Force. Health professionals from across Temple University Hospital's departments engaged in numerous outreach activities with government offices and community-based organizations. These include free health screenings and education on cancer, behavioral health, substance abuse, burn prevention, childbirth education and yoga instruction for expecting moms, diabetes care, smoking cessation, LGBTQ health, stroke prevention and other topics.(3)Social Supports. Our Social workers connected 14,480 people with community-based social services, including free transportation legal services, clothing, pharmaceuticals, co-pays and medical supplies to our most destitute to ease their transition to home after discharge or outpatient treatment.In addition to the above, Temple University Hospital offers a number of culturally competent services to augment our ability to provide access to high quality care and improve outcomes for our patients and their caregivers.(1) Financial Services. Working within and beyond our hospital walls, our team of 38 Financial Counselors are dedicated to helping uninsured and underinsured patients obtain medical coverage.(2) Multi-Cultural Services. With a budget of about $1.8 million, Temple University Health System has credentialed 17 Dual Role Interpreters, 166 Language Proficient Physicians, 31 language proficient RNs and 172 Language Proficient Bilingual Staff. Our team of 397 language proficient staff also includes 9 dedicated medical interpreters, a manager and a director.(3) Patient Family Advisory Councils (PFACS). Under the leadership of Temple University Hospital's Office of Patient Experience, we implemented the six (6) Temple Physicians Incorporated (TPI) PFACs and the Temple Heart and Vascular Institute (THVI) PFAC. The goals of these committees are to engage a diverse group of community stakeholders for the purpose of collaboration and information sharing founded dignity and respect. The initial goals of the committee were to evaluate patient satisfaction and patient education in each council's location and to develop priorities for the purpose of action planning. The committees are currently developing the action steps to address their priorities with the full support of Temple Health leadership. Part VI, Line 6: Temple University Hospital is a member of the Temple University Health System, Inc. (TUHS). It is the chief clinical teaching site for the Temple University School of Medicine. Consistent with its mission to provide access to the highest quality of health care in both the community and academic setting, Temple University Hospital supports Temple University and its Health Sciences Center academic programs by providing the clinical environment and service to support the highest quality teaching and training programs for health care students and professionals, and to support the highest quality research programs. The missions of other members of the Temple University Health System similarly advance the health systems goals, as follows: Jeanes Hospital's mission is to maintain and enhance the quality of life for individuals in the communities it serves; the hospital of the Fox Chase Cancer Center is devoted solely to cancer treatment, research, and prevention; the Temple Health System Transport Team, Inc. mission is to provide the highest level of critical care transport services available in the mid-Atlantic region; The Institute for Cancer Research, Fox Chase Cancer Center Medical Group and Fox Chase Network's mission is to prevail over cancer, marshalling heart and mind in bold scientific discovery, pioneering prevention and compassionate care; and, Temple Physicians, Inc., (TPI) mission is to provide the highest quality of clinical care as well as to support the clinical, administrative and corporate activities of the Temple University Health System. 1 Temple University of the Commonwealth of Higher Education 1109 Wachman Hall 1805 North Broad Street Philadelphia PA 19122 231365971 501(c)(3) 7821703 General Support Temple University Health System 3509 North Broad Street Philadelphia PA 19140 232825881 501(c)(3) 18116000 General Support Health Care Improvement Foundation 1801 Market Street Suite 710 Philadelphia PA 19103 232152039 501(c)(3) 30000 Grant Support The Hospital and Health System Association of PA 30 North Third Street Suite 600 Harrisburg PA 17101 251767436 501(c)(6) 5000 Grant Support 4 0 Part I, Line 2: Grants were made only for tax-exempt purposes and were mostly to related organizations. X X 1 0 0 0 0 0 0 0 0 Dr Neil Theobald Director 0 718303 0 0 0 642918 0 35118 0 18850 0 1415189 0 0 Dr Richard Englert Director 0 417504 0 25000 0 28889 0 55531 0 13576 0 540500 0 0 Dr Larry Kaiser Director 0 1691803 0 200000 0 4200 0 0 0 22874 0 1918877 0 0 Dr Verdi DiSesa President & CEO 0 940366 0 125000 0 0 0 29118 0 13576 0 1108060 0 0 Beth Koob Secretary 0 488246 0 104269 0 27589 0 49791 0 30364 0 700259 0 0 Gerald Oetzel Treasurer 328238 0 25000 0 3650 0 26500 0 27889 0 411277 0 0 0 Maricar Collins Asst Treasurer 0 190069 0 0 0 0 0 9785 0 23949 0 223803 0 0 Herbert P White Asst Treasurer 0 282242 0 20171 0 17193 0 11925 0 25368 0 356899 0 0 Rose Nolan COO 380281 0 29601 0 0 0 15517 0 12365 0 437764 0 0 0 Kathleen Barron Executive Director 326566 0 25602 0 23191 0 11925 0 10865 0 398149 0 0 0 Craig Menta AHD Finance of TUH/EHC 202217 0 20000 0 27869 0 9225 0 4577 0 263888 0 0 0 Betty Craig Chief Nursing Officer 298709 0 24002 0 8418 0 14975 0 26951 0 373055 0 0 0 Herbert Cushing Chief Medical Officer 378242 0 30000 0 0 0 11925 0 27889 0 448056 0 0 0 Steven Carson VP Clinical Integration 299801 0 21173 0 27408 0 11925 0 12865 0 373172 0 0 0 Shidong Li Chief Physician 266013 0 0 0 0 0 24815 0 26283 0 317111 0 0 0 Karen Javie COO of THVI 144110 0 12688 0 113597 0 6861 0 25142 0 302398 0 0 0 Joseph McComb Medical Director 306639 0 0 0 0 0 11925 0 23541 0 342105 0 0 0 Howard Rudnick Medical Director 266622 0 0 0 0 0 10422 0 11577 0 288621 0 0 0 John Kastanis Former President & CEO 109632 0 0 0 37714 0 5508 0 2029 0 154883 0 0 0 Joseph G Klos Former Asst Treasurer 0 121681 0 0 0 43152 0 5550 0 4922 0 175305 0 0 Part I, Line 4a Karen Javie (Former COO of THVI) received $126,638 of severance payments. Kathleen Lux Daughter of Robert Lux, TUHS CFO 76349 Employment 0 Laurie Parks Daughter of Donald Parks, Governor 129329 Employment 0 Acclara (formerly Sirrus) Substantial Contributor 1464993 Consulting Services 0 Ballard Spahr LLP Substantial Contributor 499969 Legal Services 0 Elwyn Specialty Care Substantial Contributor 218240 Medical Supplies 0 Southeastern PA Oral Surgery Substantial Contributor 291957 Professional Services 0 General Electric Healthcare Substantial Contributor 6477680 Equipment Leasing 0 X 1725 FMV X 25 20899 FMV X Trips 11 21010 FMV X Dining/Wine Pairing 37 16705 FMV X Outings/Consults 7 7300 FMV X Tickets/Memberships 14 7115 FMV 0 1 1 Part I, Line 32b: Temple University Institutional Advancement department manages the Gala. Form 990, Part VI, Section A, line 1 Pursuant to the organization's bylaws, the Executive Committee consists of no less than seven members of the Board, including the President of Temple University, the Chair, the Vice Chair, and the Chairs of the Standing Committees. The Executive Committee is authorized to act for the Board between its regular meetings. Form 990, Part VI, Section A, line 6 The sole member of the organization is Temple University Health System, Inc. The member has the power to appoint and remove the organization's Board of Governors. The approval of the member is required for any of the following actions by the organization: (a)any dissolution or liquidation; (b)any merger; (c)any amendments to the Articles of Incorporation; (d)any amendments to the Bylaws regarding the member, the number of Governors, quorum or voting requirements; (e)the sale, pledge, lease (but only a lease from the organization of substantially all of the organization's real property), or other transfer of the assets of the organization other than transactions occurring in the ordinary course of business; (f)any decision resulting in the organization's ceasing to provide appropriate sites for Temple University School of Medicine for comprehensive tertiary acute care services through the organization; (g)any decision to merge with, acquire, or enter into an affiliation with medical schools or medical school hospitals other than the University's; (h)the deletion of any clinical programs that are needed for the accreditation of Temple University School of Medicine or the Temple University School of Podiatric Medicine; (i)the adoption of the organization's annual capital and operating budgets; (j)the issuance or assumption of any indebtedness in excess of Two Million Five Hundred Thousand Dollars ($2,500,000); and (k)the execution of any contract providing for the management of the organization. Form 990, Part VI, Section A, line 7a See Part VI Section A Line 6 Statement above Form 990, Part VI, Section A, line 7b See Part VI Section A Line 6 Statement above Form 990, Part VI, Section B, line 11b After review by management and outside tax counsel, the 990 and 990T (if any) are posted to the website of the Secretary's Office. Each Board Member is contacted and provided with the web address. A Board Member without internet access is provided a paper copy to review. The website and paper mailing have an overview of the 990 and 990T preparation process and internal reviews. Each Board Member is asked to review the 990 and 990T within 2 weeks and contact the Chief Financial Officer about any questions. In addition to the above process, the Audit Committee is provided a copy and the 990 and 990T are reviewed at a regularly scheduled meeting. Form 990, Part VI, Section B, line 12c The Office of the Secretary provides each director and officer with copies of the conflicts of interest policy and a disclosure statement to be completed on an annual basis. The Office of the Secretary reviews the completed disclosure statements which are then reviewed in summary format by a committee of the Board of Directors and any recommended actions presented to the full Board of Directors. In addition to completing the annual disclosure statement, directors and officers must disclose potential or actual conflicts on an ongoing basis as matters arise. All disclosures are evaluated and a determination of whether a conflict exists is made by the Board or a committee of the Board. All employees are subject to a conflicts of interest policy that is monitored by the Office of the Secretary. Form 990, Part VI, Section B, line 15 There is a compensation committee that reviews and approves all total compensation of executive/key personnel at Temple University Health System through an evaluation performed by an external compensation expert before the compensation is approved. Form 990, Part VI, Section C, line 19 The Unaudited Internal Financial Statements of the Temple University Health System and certain of its related organizations are distributed and made available to the public at the end of each quarter as per the System's Continuing Disclosure Agreement through the Digital Assurance Corp (DAC), the Municipal Services Reporting Board's EMMA disclosure site and the Health Systems financial web site. The Annual Audited Financial Statements are also released to the public in the same manner. To the extent required by applicable law, the organization makes its governing documents available to the public upon request. Form 990, Part IX, line 11g Corporate Charge: Program service expenses 0. Management and general expenses 46,675,356. Fundraising expenses 0. Total expenses 46,675,356. Healthcare Professional: Program service expenses 136,579,314. Management and general expenses 1,643,762. Fundraising expenses 0. Total expenses 138,223,076. Professional Fees: Program service expenses 9,112,018. Management and general expenses 14,679,438. Fundraising expenses 0. Total expenses 23,791,456. Purchased Services: Program service expenses 19,568,262. Management and general expenses 14,162,142. Fundraising expenses 0. Total expenses 33,730,404. Form 990, Part XI, line 9: Other Comprehensive Pension Income 22,347,180. Net Unrealized Gain on Beneficial Interest 4,864,665. Rounding Temple University of the Commonwealth System of Higher Ed 300 Sullivan Hall 1330 W Berks St Philadelphia PA 19122 231365971 Education PA 501c3 Line 2 N/A 0 Temple University Health System Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232825881 Health Care PA 501c3 Line 12a, I Temple University of the Commonwealth 0 Temple University Health System Foundation Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232916108 Health Care PA 501c3 Line 12a, I Temple University Hospital Inc 1 Jeanes Hospital 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232826045 Health Care PA 501c3 Line 3 Temple University Health System Inc 0 Jeanes Hospital Auxiliary 7601 Central Avenue Philadelphia PA 19111 231917776 Health Care PA 501c3 Line 10 Jeanes Hospital 0 Temple Physicians Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 232790607 Health Care PA 501c3 Line 10 Temple University Health System Inc 0 Temple Health System Transport Team Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 753084023 Health Care PA 501c3 Line 10 Temple University Health System Inc 0 Episcopal Hospital 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19140 231365351 Health Care PA 501c3 Line 12a, I Temple University Hospital Inc 1 Temple University Hospital Auxiliary 2450 West Hunting Park Avenue Philadelphia PA 19129 236390560 Health Care PA 501c3 Line 12c, III-FI 0 American Ongologic Hospital 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19129 231352156 Health Care PA 501c3 Line 3 Temple University Health System Inc 0 Fox Chase Cancer Center Medical Group 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19129 454540585 Health Care PA 501c3 Line 3 American Oncologic Hospital 0 Fox Chase Network Inc 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19129 232467337 Health Care PA 501c3 Line 12b, II American Oncologic Hospital 0 Institute for Cancer Research 3509 N Broad Street Room 936 c/o TU Philadelphia PA 19129 236296135 Health Care DE 501c3 Line 4 American Oncologic Hospital 0 TUHS Insurance Company LTD 3509 N Broad Street 9th Floor-TUCMC Philadelphia PA 19140 981203189 Reinsurance BD Temple University Health System 0 Fox Chase LTD 3509 N Broad Street 9th Floor-TUCMC Philadelphia PA 19140 232396731 Healthcare PA American Oncologic Hospital C 0 0 1 1 1 0 0 1 0 0 1 1 1 1 1 1 1 1 0 1 Episcopal Hospital K 2127288 Negotiated Rate Episcopal Hospital O 1428084 Actual Hours Worked Episcopal Hospital Q 815385 Actual Cost