2016-05-16T10:22:37-05:00 2015-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-07-01 465338502 ALBERT EINSTEIN HEALTHCARE NETWORK GROUP LETTER RULING % STEVEN NEARING ALBE 2154566760 5501 OLD YORK ROAD PHILADELPHIA PA 19141 BARRY R FREEDMAN CEO 2154566760 2016-05-10 true ERIC M MCNEIL P00460263 2673303000 2014 2016-08-17 19:52:53Z BARRY R FREEDMAN 5501 OLD YORK ROAD PHILADELPHIA PA 19141 1149454907 true true 5949 X www.einstein.edu X see schedule O 48 37 9219 462 0 18514612 20905846 1047116522 1086105284 45561129 39555742 4166285 2228268 1115358548 1148795140 0 0 0 0 598189993 606512600 0 0 0 489919705 572210674 1088109698 1178723274 27248850 -29928134 1356457632 1322357938 841027839 911765161 515429793 410592777 X SEE SCHEDULE O false false 742981576 768183307 AEHN GROUP IS LICENSED TO OPERATE 721 ACUTE CARE BEDS. TERTIARY CARE IS PROVIDED THROUGH THREE LOCATIONS, ITS MAIN CAMPUS IN NORTH PHILADELPHIA, ITS CAMPUS AT ELKINS PARK AND ITS CAMPUS AT MONTGOMERY COUNTY. IN ADDITION, ITS MAIN CAMPUS OPERATES A 24-HOUR LEVEL I TRAUMA CENTER WITH AN OPEN ADMISSIONS POLICY PROVIDING EMERGENCY SERVICES TO THE COMMUNITY. 145285872 131343784 AEHN GROUP PROVIDES HEALTH AND HEALING SERVICES TO THE COMMUNITIES IT SERVES AND TRAINS PHYSICIANS TO BE ACCOMPLISHED LEADERS THROUGH SCHOLARLY ACTIVITY, EXCELLENCE IN TEACHING AND PARTICIPATION IN RESEARCH. 85602412 114709193 AEHN GROUP IS LICENSED TO OPERATE 197 REHABILITATION BEDS. REHABILITATION SERVICES ARE PROVIDED IN A 17-BED SETTING ON ITS MAIN CAMPUS AND 50-BED SETTING AT FOUR OTHER HOSPITALS AND IN A 130-BED SETTING AT THE ELKINS PARK LOCATION. 34918563 36834000 BEHAVIORAL HEALTH SERVICES 29557599 27745000 PRIMARY CARE SERVICES 9941000 7290000 SKILLED NURSING SERVICES 4754660 PAYMENTS TO AFFILIATES 79171822 71869000 1053041682 true true false false false false false false false true true false false true true false false true false false false false false false true false true true false false true true false false false false false false false true false false true true false false false true true true true false true 610 0 true 9219 true false false false false false false false false false false X 48 37 false false false false true true true true true false false true true true true true true true true true true AL AK AZ AR CA CO CT DC GA IL KS KY ME MD MA MI MN MS MO NH NJ NM NY NC ND OH OK OR PA RI SC TN UT VA WA WV WI X STEVEN NEARING 2154566760 5501 OLD YORK ROAD PHILADELPHIA PA 19141 X Susan Bernini COO Albert Einstein Medical Ct 4.0 40.0 X X 0 1219656 254431 Barry Freedman President and CEO 4.0 40.0 X X 0 2046660 478906 Frank S James MD Trustee 40.0 0.0 X 272107 0 69361 David Greenspan MD Trustee 40.0 0.0 X 333024 0 51037 David Jaspen DO Trustee 40.0 0.0 X 413220 0 42200 Arnold Cohen MD Trustee 40.0 0.0 X 394241 0 52266 Carl Chudnofsky MD Trustee 40.0 0.0 X 535660 0 59751 Richard Fine MD Trustee 40.0 0.0 X 626216 0 88104 Alberto Esquenazi MD Trustee 40.0 0.0 X 627149 0 79931 Scott Melnick MD Trustee 2.0 40.0 X 0 127117 50389 Janis Rubin MD Trustee 4.0 40.0 X 0 213522 28618 Steven Berk Esq Trustee 2.0 0.0 X 0 0 0 Richard C Sheerr Trustee 2.0 0.0 X 0 0 0 Bruce W Koch Chairperson - AEMC/BELMONT 4.0 0.0 X 0 0 0 Lewis I Gantman Chairperson - EMCM 4.0 0.0 X 0 0 0 Clifford D Schlesinger Esq Chairperson - EPPI/ECHA 4.0 0.0 X 0 0 0 John E F Corson Vice Chairperson/Treas EMCM 4.0 0.0 X 0 0 0 Geoffrey M Duffine Esq Vice Chairperson EMCM 4.0 0.0 X 0 0 0 Arnold M Katz Trustee 2.0 0.0 X 0 0 0 Alison Korman Feldman Secretary - EMCM 4.0 0.0 X 0 0 0 Joanne Fishman Esq Secretary - EPPI / ECHA 4.0 0.0 X 0 0 0 Susan Kline Klehr Secretary - AEMC/BELMONT 4.0 0.0 X 0 0 0 Matthew S Levitties Treasurer - AEMC/BELMONT 4.0 0.0 X 0 0 0 Marina Kats Esq Treasurer - EPPI/ECHA 4.0 0.0 X 0 0 0 Mina P Fader Trustee 2.0 0.0 X 0 0 0 John P Korman Trustee 2.0 0.0 X 0 0 0 Jay B Minkoff Trustee 2.0 0.0 X 0 0 0 Richard A Wolfson Trustee 2.0 0.0 X 0 0 0 Carole S Ben-Maimon MD Trustee 2.0 0.0 X 0 0 0 Joshua S Gross Trustee 2.0 0.0 X 0 0 0 Ellen Kraftsow-Kogan Trustee 2.0 0.0 X 0 0 0 Joe M Melendez Trustee 2.0 0.0 X 0 0 0 Shawn N Orenstein Trustee 2.0 0.0 X 0 0 0 Eric Raymond Trustee 2.0 0.0 X 0 0 0 Barbara E Black Trustee 2.0 0.0 X 0 0 0 Michael L Feinman Trustee 2.0 0.0 X 0 0 0 Joan L Goldstein Trustee 2.0 0.0 X 0 0 0 Robert B Isard Trustee 2.0 0.0 X 0 0 0 Steven J Kessler Trustee 2.0 0.0 X 0 0 0 Judith H Kramer Trustee 2.0 0.0 X 0 0 0 Madalyn Rovinsky Trustee 2.0 0.0 X 0 0 0 Judith K Trichon Trustee 2.0 0.0 X 0 0 0 Paul H Weiss Esq Trustee 2.0 0.0 X 0 0 0 Andrew B Cantor Esq Trustee 2.0 0.0 X 0 0 0 Cary W Toner Trustee 2.0 0.0 X 0 0 0 Luther E Weaver III Esq Trustee 2.0 0.0 X 0 0 0 Gregory H Stein Trustee 2.0 0.0 X 0 0 0 JILL POWELL TRUSTEE 2.0 0.0 X 0 0 0 Mollie Becker Assistant Secretary 4.0 40.0 X 0 82540 24477 David Ertel CFO - Assistant Treaurer 4.0 40.0 X 0 630681 46918 Penny Rezet Chief Legal Officer/Asst Sec'y 4.0 40.0 X 0 513622 53433 Michael Stern VP - Healthcare Svcs 40.0 0.0 X 297337 0 26406 Craig Sieving VP - Facilities 40.0 0.0 X 222254 0 33578 Cynthia M DeGrandpre VP - Healthcare Svcs 40.0 0.0 X 295312 0 73729 Sharon Bergen COO - Belmont 40.0 0.0 X 283971 0 87572 Luann Trainer COO - Einstein Phys & Einstein 40.0 0.0 X 358069 0 51463 Ruth Lefton COO - Moss/Einstein Elkins Prk 40.0 0.0 X 427016 0 38678 Beth Duffy COO- EMCM 4.0 40.0 X 0 698174 38324 Gerard Blaney VP - Finance / Asst. Treas. 4.0 40.0 X 0 596822 68966 Richard Cuming Chief Nursing Officer 40.0 0.0 X 252118 0 22885 Dennis Pfleiger Vice President - EMCM 40.0 0.0 X 181989 0 24645 Patricia Modafferi Vice President - EMCM 40.0 0.0 X 171119 0 3463 Terence S Matalon MD Physician - Chair of Radiology 40.0 0.0 X 893725 0 68385 John Handal MD Physician - Ortho Spine Srgry 40.0 0.0 X 959794 0 74085 Mark Kotapka MD Physician -Chair Neurosurgery 40.0 0.0 X 1188016 0 67293 Victor Navarro MD Physician - Chair Transplant 40.0 0.0 X 1041726 0 38533 Mark Anderson MD Physician - Chair CT Surgery 40.0 0.0 X 1780431 0 42056 11554494 6128794 2139883 899 false true false AMN Healthcare PO Box 910738 DALLAS TX 75319 Temporary Services 4368186 Thomas Jefferson University Hospita 111 S 11th Street PHILADELPHIA PA 19107 Lab & Repair Service 6899924 MModal Services PO BOX 538504 ATLANTA GA 30353 Transcription Svc 4579600 Sykes Enterprises 6000 Feldwood Rd COLLEGE PARK GA 50049 Call Center Svcs 2429181 Aramark Healthcare Technologies 12483 Collections Center Drive CHICAGO IL 60693 Tech Maintenance Svc 2105920 93 X 6526 1897786 12431639 6569895 1565197 20905846 ACUTE CARE SERVICES 900099 768183307 768183307 SPECIALTY CARE SERVICES 900099 131343784 131343784 REHABILITATION SERVICES 900099 114709193 114709193 PSYCHIATRIC SERVICES 900099 36834000 36834000 PRIMARY CARE SERVICES 900099 27745000 27745000 7290000 7290000 1086105284 17101042 17101042 0 0 2426896 2426896 0 2426896 2426896 22454700 22454700 22454700 22454700 461139 1897786 659767 -198628 -198628 0 0 0 1148795140 1086105284 41784010 0 0 0 0 6495781 6495781 0 504425169 494375629 10049540 15302348 15302348 46837946 46837946 33451356 33150580 300776 111569469 111569469 64897 64897 0 0 0 620000 620000 75566345 73182120 2384225 208816 188101 20715 148907694 148634008 273686 6871283 6869884 1399 0 16898412 16872056 26356 1772637 1708257 64380 0 307606 229144 78462 24223214 24223214 4754660 4754660 49307332 49226176 81156 26698964 26698964 PHILADELPHIA HOSP ASSMNT 92683907 92683907 FEES, LICENSES, DUES, BOOKS 1897997 1851737 46260 MEMBERSHIP DUES 1443867 1328863 115004 BOOKS AND PERIODICALS 889442 818598 70844 7524132 6924812 599320 1178723274 1053041682 125681592 0 7686973 -1473187 36169653 60168556 7399038 6599038 141285731 167159054 0 0 0 0 0 0 16999708 19600667 3506415 5805326 1170326545 623746820 549430029 546579725 379888700 309304796 0 0 33186026 32774662 0 0 180905359 175839301 1356457632 1322357938 210686064 265678428 0 0 5879998 5667405 431926435 479254461 0 0 0 0 14944708 2438825 0 0 177590634 158726042 841027839 911765161 X 388259475 289795195 82219644 76398901 44950674 44398681 515429793 410592777 1356457632 1322357938 X -29928134 -37227426 -37681456 X false false true true X 2 ALBERT EINSTEIN MEDICAL CENTER 231396794 3 true 0 0 BELMONT CENTER FOR COMPREHENSIVE TREATEMENT 231352200 3 true 0 0 2 0 0 true false false false false false false false false false false false false false false true false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART I REASON FOR PUBLIC CHARITY STATUS ALBERT EINSTEIN MEDICAL CENTER IS A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). BELMONT CENTER FOR COMPREHENSIVE TREATMENT IS A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). EINSTEIN COMMUNITY HEALTH ASSOCIATES IS A TYPE I SUPPORTING ORGANIZATION THAT IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR SECTION 509(A)(2). EINSTEIN MEDICAL CENTER MONTGOMERY IS A HOSPITAL OR A COOPERATIVE HOSPITAL SERVICE ORGANIZATION DESCRIBED IN SECTION 170(B)(1)(A)(III). EINSTEIN PRACTICE PLAN, INC. IS A TYPE I SUPPORTING ORGANIZATION THAT IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS DESCRIBED IN SECTION 509(A)(1) OR SECTION 509(A)(2). SCHEDULE A, PART I, LINE 11G EINSTEIN COMMUNITY HEALTH ASSOCIATES AND EINSTEIN PRACTICE PLAN, INC. SUPPORT THE FOLLOWING ORGANIZATIONS: ALBERT EINSTEIN MEDICAL CENTER BELMONT CENTER FOR COMPREHENSIVE TREATMENT RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 127169000 2691000 -1188000 7877000 120795000 115831000 3653000 11281000 3596000 127169000 104673000 7178000 7977000 3997000 115831000 0.36850 0.63150 true false 55739000 55739000 693616820 344332820 349284000 404847000 279414000 125433000 16123725 16123725 546579725 NON CONTROLLED TRUST ASSETS 34647735 RECOVERABLE PROF LIABILITY 33887000 DEFERRED FINANCING COSTS 4428409 SUPP 457 RETIREMENT PLAN 18824582 DUE FROM AFFILIATES 84051575 175839301 0 PROFESSIONAL LIABILITY 135523760 457 PLAN LT LIABILITY 18824582 LONGTERM ARO ASBESTOS LIABILIT 4377700 158726042 SCHEDULE D, PART IV, LINE 4 ENDOWMENT FUNDS ENDOWMENTS - TRUE ENDOWMENT FUNDS ESTABLISHED BY DONOR GIFTS AND MAINTAINED TO PROVIDE A PERMANENT SOURCE OF INCOME, GENERALLY STIPULATING THAT THE PRINCIPAL MUST BE INVESTED AND KEPT INTACT PERPETUALLY WHILE THE INCOME GENERATED MAY BE USED BY THE ORGANIZATION. PERPETUAL TRUSTS - THESE ARE FUNDS HELD BY OUTSIDE TRUSTEES IN TRUST ACCOUNTS FOR WHICH AEMC IS NAMED AS BENEFICIARY. THE DISTRIBUTIONS FROM THESE FUNDS SUPPORT THE OPERATIONS OF THE ORGANIZATION. TEMPORARILY RESTRICTED FUNDS - USED FOR PURPOSES SPECIFIED BY DONORS. SCHEDULE D, PART X, LINE 2, FIN 48 DISCLOSURE NO ADJUSTMENTS TO THE FINANCIAL STATEMENTS WERE REQUIRED AS A RESULT OF THE IMPLEMENTATION OF FIN 48. 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X X X true true X X X true X www.einstein.edu X X X X X true X false X X X X true X false false PART V, LINE 5 DURING FISCAL YEAR 2013, EINSTEIN HEALTH CARE NETWORK ENGAGED THE SERVICES OF PUBLIC HEALTH MANAGEMENT CORPORATION, (PHMC), A PRIVATE NON-PROFIT PUBLIC HEALTH INSTITUTE, TO PROVIDE A COMMUNITY HEALTH NEEDS ASSESSMENT. THE PURPOSE OF THE NEEDS ASSESSMENT WAS 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. PHMC COLLABORATED WITH THE PARTICIPATING HOSPITALS TO IDENTIFY INDIVIDUALS LIVING AND/OR WORKING IN THE COMMUNITIES IN THE HOSPITALS' SERVICE AREAS WHO COULD PROVIDE INPUT TO THE NEEDS ASSESSMENT AS COMMUNITY MEMBERS, PUBLIC HEALTH EXPERTS, AND AS LEADERS OR PERSONS WITH KNOWLEDGE OF UNDERSERVED RACIAL MINORITIES, LOW INCOME RESIDENTS, AND/OR THE CHRONICALLY ILL. THE PARTICIPATING HOSPITALS AND PHMC WORKED TOGETHER TO OBTAIN MEETING VENUES, CONTACT POTENTIAL PARTICIPANTS, AND ENCOURAGE ATTENDANCE. MEETING PARTICIPANTS WERE NOT COMPENSATED. INPUT FROM THE COMMUNITY MEETING PARTICIPANTS, INCLUDING COUNTY AND LOCAL HEALTH DEPARTMENT OFFICIALS AND PUBLIC HEALTH EXPERTS, WAS USED TO FURTHER IDENTIFY AND PRIORITIZE UNMET NEEDS, LOCAL PROBLEMS WITH ACCESS TO CARE, AND POPULATIONS WITH SPECIAL HEALTH CARE NEEDS. QUALITATIVE INFORMATION FROM THE COMMUNITY MEETING WAS ANALYZED BY IDENTIFYING AND CODING THEMES COMMON TO PARTICIPANTS, AND ALSO THEMES THAT WERE UNIQUE. THIS INFORMATION WAS ORGANIZED INTO MAJOR TOPIC AREAS RELATED TO HEALTH STATUS, ACCESS TO CARE, SPECIAL POPULATION NEEDS, UNMET NEEDS, AND HEALTH CARE PRIORITIES. IN ADDITION THE INPUT RECEIVED FROM THE PARTICIPANTS WAS UTILIZED TO ENHANCE CURRENT SERVICES TO THE COMMUNITIES AND IN THE DEVELOPMENT AND EXECUTION OF THE IMPLEMENTATION STRATEGY. (PLEASE VISIT OUR WEBSITE TO VIEW OUR CHNA REPORT. A LIST OF THE NAMES, TITLES, ORGANIZATIONS, AND AREA OF EXPERTISE OF COMMUNITY MEETING PARTICIPANTS, CAN BE FOUND IN APPENDIX A). PART V, LINE 6A THE HOSPITALS' CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: ABINGTON HEALTH ARIA HEALTH BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP THE CHILDREN'S HOSPITAL OF PHILADELPHIA CROZER-KEYSTONE HEALTH SYSTEM EINSTEIN HEALTHCARE NETWORK HOLY REDEEMER JEFFERSON HEALTH SYSTEM MAGEE REHABILITATION HOSPITAL MAIN LINE HEALTH MERCY HEALTH SYSTEM OF SEPA PENN MEDICINE (UPHS) ST. MARY MEDICAL CENTER TEMPLE UNIVERSITY HEALTH SYSTEM PART V LINE 11 THE COMMUNITY NEEDS IDENTIFIED WITHIN THE MOST RECENTLY CONDUCTED CHNA ARE BEING ADDRESSED TRHOUGH THE ACTIVIITES IDENTIFIED WITHIN THE IMPLEMENTATION STRATEGY INCLUDED WITH THIS RETURN. PART V, LINE 13B THE HOSPITAL FACILITIES DID NOT USE FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE, FPG IS NOT AEHN'S BASIS FOR EXTENDING DISCOUNTED CARE. DISCOUNTED CARE IS EXTENDED TO ALL PATIENTS WHO ARE UNINSURED REGARDLESS OF THEIR INCOME LEVEL UNDER AEHN'S UNINSURED DISCOUNT POLICY. THE PURPOSE OF UNINSURED DISCOUNTED CARE IS TO REDUCE HOSPITAL CHARGES TO AN AMOUNT THAT IS COMPARABLE TO WHAT IS RECEIVED FROM GOVERNMENT AND INSURANCE COMPANY PAYERS. TO THIS END, AN UNINSURED DISCOUNT FEE SCALE HAS BEEN ESTABLISHED. THE RATES IN THIS FEE SCALE HAVE BEEN ESTABLISHED AT AMOUNTS COMPARABLE TO AMOUNTS RECEIVED FROM THIRD PARTY PAYERS FOR A VARIETY OF SERVICES. SUCH AMOUNTS ARE GENERALLY SET AT RATES HIGHER THAN MEDICAL ASSISTANCE PAYMENT RATES AND LOWER THAN COMMERCIAL PAYMENT RATES. PART V, LINE 16I THE HOSPITAL FACILITIES HAVE A PATIENT FINANCIAL COUNSELING PROCESS THAT BEGINS AT THE POINT OF ADMISSION, OR FOR MANY SCHEDULED SERVICES, PRIOR TO ADMISSION. FINANCIAL COUNSELORS PRESENT AND DISCUSS THE FACILITIES FINANCIAL ASSISTANCE POLICIES ("CHARITY CARE" AND "UNINSURED DISCOUNTS"). AT THE POINT A FINANCIAL COUNSELOR DETERMINES A PATIENT IS UNINSURED AND DOESN'T QUALIFY FOR MEDICAL ASSISTANCE, SSI OR OTHER FINANCIAL AID PROGRAMS, THE COUNSELOR WORKS WITH THE PATIENT TO COMPLETE A CHARITY CARE APPLICATION. IF A PATIENT DOESN'T QUALIFY FOR CHARITY CARE, THE COUNSELOR WILL MAKE AFFORDABLE PAYMENT ARRANGEMENTS BASED UPON THE DISCOUNTED RATES OF THE SELF PAY FEE SCHEDULE. SIMILARLY, IN FOLLOW-UP TO THE FACILITIES POSTED "EMTALA", (EMERGENCY TREATMENT AND ACTIVE LABOR ACT) POLICY IN THE E.U., FINANCIAL COUNSELORS WILL PRESENT AND DISCUSS THE FACILITIES FINANCIAL ASSISTANCE POLICIES TO PATIENTS ADMITTED FROM THE E.U. PRIOR TO THEIR INPATIENT DISCHARGE. FINANCIAL COUNSELORS WILL ASSIST PATIENTS WITH CHARITY CARE APPLICATIONS OR IN MAKING AFFORDABLE PAYMENT ARRANGEMENTS BASED UPON DISCOUNTED RATES OF THE SELF PAY FEE SCHEDULE. PART V, LINE 22D THE AMOUNT CHARGED UNINSURED PATIENTS IS BASED UPON A "SELF-PAY" FEE SCHEDULE THAT INCLUDES PRICES FOR THE MOST COMMONLY REQUESTED AND PERFORMED SERVICES. THOSE PRICES ARE: 1.INPATIENT SERVICES - 150% OF THE SPECIFIC PENNSYLVANIA MEDICAL ASSISTANCE DRG RATE. 2.OUTPATIENT SERVICES - 200% OF THE PENNSYLVANIA MEDICAL ASSISTANCE GLOBAL OUTPATIENT FEE SCHEDULE. 3.OUTPATIENT SURGICAL PROCEDURES - 100% OF THE SPECIFIC LOCAL BLUE CROSS PPO AMBULATORY SURGICAL FEE SCHEDULE BASED ON THE PRIMARY SURGICAL ICD-9 PROCEDURE CODE. 4.EMERGENCY ROOM SERVICES - PHILA/EP CAMPUS $150 ALL INCLUSIVE (HOSPITAL AND PHYSICIAN SERVICES). EMCM $300 ALL INCLUSIVE (HOSPITAL AND PHYSICIAN SERVICES). 5.PHYSICIAN SERVICES - 200% OF THE PENNSYLVANIA MEDICAL ASSISTANCE PROFESSIONAL FEE SCHEDULE. 31 1 Einstein Medical Center Elkins Park 60 East Township Line Road Elkins Park PA 19027 Hospital, General Medical & Surgical, Teaching, Research and ER-24 Hours 2 MossRehab Hospital 60 East Township Line Road Elkins Park PA 19027 Teaching, Research and Rehabilitation 3 Einstein Center One 9880 Bustleton Avenue philadelphia PA 19115 Outpatient 4 MossRehab 1200 W Tabor Road Philadelphia PA 19141 Teaching, Research and Rehabilitation 5 Einstein Medical Center Montgomery 609 West Germantown Pike East Norriton PA 19403 Outpatient 6 Willowcrest 5501 Old York Road Philadelphia PA 19141 Skilled Nursing 7 MossRehab Aria Hospital 4900 Frankford Avenue Philadelphia PA 19124 Teaching and Rehabilitation 8 MossRehab Doylestown Hospital 595 West State Street Doylestown PA 18901 Teaching and Skilled Nursing 9 MossRehab Aria Bucks County Campus 380 North Oxford Valley Road Langhorne PA 19047 Teaching and Rehabilitation 10 MossRehab Sacred Heart Hospital 421 West Chew Avenue Allentown PA 18102 Teaching and Rehabilitation 11 Einstein Medical Center Montgomery 700 W Germantown Pike East Norriton PA 19403 Outpatient - Womens Center 12 Einstein Home Health 1330 Powell Street Norristown PA 19401 Outpatient Home Health Serv 13 Moss Rehab 201 Old York Road Jenkintown PA 19046 Outpatient and Teaching 14Philadelphia Ctr for Human Develop 10360 Drummond Drive Philadelphia PA 19154 Outpatient and Teaching 15 MossRehab 9880 Bustleton Avenue Philadelphia PA 19115 Teaching and Rehabilitation 16 Einstein Medical Center Montgomery 633 E Germantown Pike Plymouth Meeting PA 19462 Outpatient Sleep Center 17 Einstein Montgomery Hospice 1330 Powell Street Norristown PA 19401 Hospice Services 18 MossRehab 1330 Powell Street Norristown PA 19401 Teaching and Rehabilitation 19 MossRehab 2400 Market Street Suite 15 Philadelphia PA 19103 Teaching and Rehabilitation 20 Einstein Medical Center Montgomery 100 Market Street Providence Town C Collegeville PA 19426 Outpatient 21 MossRehab 100 Market Street Providence Towne Collegeville PA 19426 Teaching and Rehabilitation 22 MossRehab 609 W Germantown Pike East Norriton PA 19403 Teaching and Rehabilitation 23 MossRehab Drucker Brain Injury Ctr 135 South Broad Street Woodbury NJ 08096 Teaching and Rehabilitation 24 MossRehab One Penn Boulevard Suite 158 Philadelphia PA 19144 Teaching and Rehabilitation 25 MossRehab 7198 Castor Avenue Philadelphia PA 19149 Teaching and Rehabilitation 26 Einstein Medical Center Philadelphia 8015 Frankford Avenue Philadelphia PA 19136 Teaching and Outpatient 27 MossRehab 633 East Germantown Pike Plymouth Meeting PA 19462 Teaching and Rehabilitation 28 MossRehab Drucker Brain Injury 35-37 Barber Avenue Woodbury NJ 08096 Teaching and Rehabilitation 29 Einstein Crisis Response Center One Penn Boulevard Philadelphia PA 19144 Outpaitent 30 Drucker Brain Injury Ctr Clubhouse 7612 Dungan Road Philadelphia PA 19111 Teaching and Rehabilitation 31 MossRehab 35-37 Barber Avenue Woodbury NJ 08096 Teaching and Rehabilitation ALBERT EINSTEIN MEDICAL CENTER SCHEDULE H, PART VI, LINE 1 REQUIRED DESCRIPTIONS: SCHEDULE H, PART I, LINES 3B AND 3C DID THE ORGANIZATION USE FPG TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE? THE ANSWER TO 3B IS "NO" BECAUSE FPG IS NOT AEHN'S BASIS FOR EXTENDING DISCOUNTED CARE. DISCOUNTED CARE IS EXTENDED TO ALL PATIENTS WHO ARE UNINSURED REGARDLESS OF THEIR INCOME LEVEL UNDER AEHN'S UNINSURED DISCOUNT POLICY. THE PURPOSE OF UNINSURED DISCOUNTED CARE IS TO REDUCE HOSPITAL CHARGES TO AN AMOUNT THAT IS COMPARABLE TO WHAT IS RECEIVED FROM GOVERNMENT AND INSURANCE COMPANY PAYERS. TO THIS END, AN UNINSURED DISCOUNT FEE SCALE HAS BEEN ESTABLISHED. THE RATES IN THIS FEE SCALE HAVE BEEN ESTABLISHED AT AMOUNTS COMPARABLE TO AMOUNTS RECEIVED FROM THIRD PARTY PAYERS FOR A VARIETY OF SERVICES. SUCH AMOUNTS ARE GENERALLY SET AT RATES HIGHER THAN MEDICAL ASSISTANCE PAYMENT RATES AND LOWER THAN COMMERCIAL INSURANCE PAYMENT RATES. SCHEDULE H, PART I, LINE 6A DID THE ORGANIZATION PREPARE A COMMUNITY BENEFIT REPORT DURING THE TAX YEAR? NO, The organization did not prepare a Community Health Needs Benefit Report in tax year 2014. A CHNA report was last conducted in 2012. It is readily avavailable to the public via our website. SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: FOR LINE 7F THE MEDICARE AND MEDICAID COST REPORTS ARE THE BASIS FOR THE COSTING METHODOLOGY USED IN REPORTING. SCHEDULE H, PART III, LINE 4 RATIONALE AND COSTING METHODOLOGY IN DETERMINING BAD DEBT: THE PROVISION FOR DOUBTFUL ACCOUNTS REPORTED ON LINE 2 IS EQUAL TO THE WRITE OFF OF UNCOLLECTED ACCOUNTS VALUED AT THE UNINSURED DISCOUNT FEE SCALE AMOUNT DUE FROM UNINSURED PATIENTS. THE PROVISION ALSO INCLUDES WRITE OFFS OF UNCOLLECTED DEDUCTIBLES AND COPAYMENTS DUE FROM INSURED PATIENTS UNDER THEIR INDIVIDUAL POLICIES. THE PROVISION, STATED AT THE AMOUNT EXPECTED TO BE COLLECTED FROM PATIENTS UNDER AEHN'S UNINSURED FEE SCALE, OR UNDER THE PATIENT'S INSURANCE POLICY, IS THE BASIS FOR REPORTING BAD DEBTS IN THE FINANCIAL STATEMENTS. THE AMOUNT EXPECTED TO BE COLLECTED APPROXIMATES COST THAT WOULD HAVE BEEN DETERMINED UNDER THE RATIO OF COSTS TO CHARGES METHODOLOGY. THIS IS THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2. RATIONALE FOR INCLUDING BAD DEBT IN COMMUNITY BENEFIT: AEHN HAS A SYSTEM-WIDE CHARITY CARE POLICY AND UNINSURED DISCOUNT POLICY. IT HAS DETAILED ADMINISTRATIVE PROCEDURES ESTABLISHED FOR QUALIFYING AND ENROLLING PATIENTS FOR CHARITY CARE OR UNINSURED DISCOUNTS. IT UTILIZES VARIOUS MECHANISMS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE (SCHEDULE H, PART VI, LINE 3 DISCUSSION). DESPITE AEHN'S BEST EFFORTS, PATIENTS WHO NEED SUBSIDIZED CARE MAY NEITHER SEEK CHARITY CARE ASSISTANCE NOR CHOOSE TO ENROLL IN PENNSYLVANIA'S MEDICAL ASSISTANCE PROGRAM. THE URGENCY OF SOME TREATMENTS, CERTAIN PROVISIONS IN FEDERAL REGULATIONS, AND MOST IMPORTANTLY, AEHN'S PREEMINENT MISSION TO PROVIDE CARE REGARDLESS OF ABILITY TO PAY, REQUIRES PATIENT CARE FIRST, REIMBURSEMENT SECOND. FOR THESE AND OTHER REASONS, AEHN BELIEVES A PORTION OF ITS BAD DEBT EXPENSE AS REPORTED ON PART III, LINE 3 REPRESENTS CHARITY CARE CONSISTENT WITH ITS CHARITABLE HEALTHCARE MISSION; HOWEVER IT IS NOT POSSIBLE AT THIS TIME TO MEASURE THIS. HFMA STATEMENT NO.15 RECOGNIZED THAT THE APPROPRIATE CLASSIFICATION OF CHARITY CARE AND BAD DEBT IS OFTEN DIFFICULT. CONSISTENT WITH THE PROVISIONS OF HFMA STATEMENT NO. 15, AND ALSO WITH INSTRUCTIONS TO SCHEDULE H PART I, BAD DEBT HAS NOT BEEN INCLUDED IN ANY MEASUREMENT OF CHARITY OR COMMUNITY BENEFIT COSTS. SCHEDULE H, PART III, LINE 8 COSTING METHODOLOGY TO DETERMINE MEDICARE ALLOWABLE COSTS: AEHN AND ITS CONSTITUENT ENTITIES THAT FILE COST REPORTS DETERMINE MEDICARE ALLOWABLE COSTS BASED ON THE MEDICARE PROVIDER REIMBURSEMENT MANUAL, SECTION HIM 15. EXTENT TO WHICH A MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF AEHN AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, AEHN PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER MEDICARE REIMBURSEMENT MEETS OR EXCEEDS THE COSTS INCURRED BY AEHN TO PROVIDE SERVICES. SIMILAR TO MEDICAID, PAYMENT RATES FOR MEDICARE ARE SET BY LAW RATHER THAN THROUGH A NEGOTIATION PROCESS AS WITH PRIVATE INSURERS. MEDICARE RATES ARE DETERMINED WITHIN THE CONTEXT OF ALL THE BUDGETARY NEEDS OF THE FEDERAL GOVERNMENT. MEDICARE PAYMENTS HAVE HISTORICALLY BEEN ESTABLISHED AT RATES BELOW THE COSTS OF PROVIDING CARE TO MEDICARE PATIENTS THOUGH HOW FAR BELOW VARIES OVER TIME AND BY SERVICE. THESE PAYMENT RATES HAVE GENERALLY BEEN BELOW THE COSTS OF PROVIDING CARE FOR MOST HOSPITALS RESULTING IN UNDERPAYMENTS FOR SERVICES. EACH YEAR MEDICARE IS SUPPOSED TO PROVIDE HOSPITALS AN INCREASE IN BOTH INPATIENT AND OUTPATIENT PAYMENTS TO ACCOUNT FOR INFLATION IN THE PRICES FOR GOODS AND SERVICES HOSPITALS MUST PURCHASE IN ORDER TO PROVIDE PATIENT CARE. HOWEVER RECENT INPATIENT RATE UPDATES HAVE BEEN SET BELOW THE RATE OF INFLATION AND ACTUALLY HAVE BEEN NEGATIVE AT TIMES. THIS CAN RESULT IN SHORTFALLS THAT GROW OVER TIME FOR MANY INSTITUTIONS. A COMPOUNDING ISSUE OCCURS WHEN A MEDICARE SHORTFALL GROWS TO SUCH AN EXTENT THAT IT JEOPARDIZES AN INSTITUTION'S ABILITY TO SERVE ITS COMMUNITIES. CURRENTLY, AEHN IS ABLE TO PROVIDE THE NECESSARY CLINICAL SERVICES WITHIN THE MARKETPLACE TO MEDICARE BENEFICIARIES AT CURRENT PAYMENT RATES. AS PER THE INSTRUCTIONS TO FORM 990, THE HOSPITAL FACILITIES (AEMC, BELMONT, EMCM) WITHIN THE GROUP RETURN DID NOT INCUR AN OVERALL SHORTFALL IN MEDICARE REIMBURSEMENT IN 2014. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS RECEIVING CHARITY CARE OR FINANCIAL ASSISTANCE: ONCE A PATIENT HAS BEEN IDENTIFIED AS QUALIFYING FOR CHARITY CARE NO COLLECTION ACTIONS ARE TAKEN. FOR PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE, AEHN OFFERS PAYMENT PLANS AS PART OF ITS COLLECTION POLICY. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: AEHN, ALONG WITH OTHER HOSPITALS AND HEALTH CARE NETWORKS IN THE GREATER DELAWARE VALLEY REGION, ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH COLLABORATION WITH PUBLIC AND PRIVATE AGENCIES IN DETERMINING THE COMMUNITY'S HEALTH NEEDS AND HOW BEST TO ADDRESS THEM. PLEASE VISIT OUR WEBSITE TO VIEW ADDITIONAL DETAILS WITHIN OUR CHNA REPORT. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: AEHN HOSPITALS AND PHYSICIAN PRACTICES INFORM AND EDUCATE PATIENTS AND ITS COMMUNITY IN GENERAL ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER AEHN'S OWN CHARITY CARE PROGRAM. PATIENTS ARE INFORMED OF THE AVAILABILITY OF CHARITY CARE AND ARE ASSISTED IN OBTAINING OTHER FINANCIAL ASSISTANCE IN VARIOUS WAYS: 1.) AEHN HOSPITALS AND PHYSICIAN PRACTICES HAVE SIGNAGE INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE IN PATIENT ACCESS AREAS. 2.) INFORMATIONAL BROCHURES ARE AVAILABLE IN PATIENT ACCESS LOCATIONS THAT EXPLAIN PAYMENT PLANS AND FINANCIAL ASSISTANCE PROGRAMS. ON - SITE FINANCIAL REPRESENTATIVES ARE AVAILABLE ON SITE TO DISCUSS FINANCIAL ASSISTANCE PROGRAMS. 3.) AEHN HOSPITALS APPLY FOR MEDICAID COVERAGE ON BEHALF OF PATIENTS WHERE APPROPRIATE. PATIENTS ARE ASSISTED IN APPLYING FOR CHARITY CARE IF THE MEDICAL ASSISTANCE APPLICATION IS DENIED AND THE PATIENT'S INCOME IS BELOW 200% OF FEDERAL POVERTY GUIDELINES ("FPG"). 4.) UNINSURED PATIENTS ARE CONTACTED FOR PAYMENT ARRANGEMENTS WHEN THEY ARE SCHEDULED FOR SERVICES. FINANCIAL ASSISTANCE IS OFFERED WHEN NO OTHER FORMS OF PAYMENT ARE AVAILABLE. 5.) WHEN PATIENTS CALL A CUSTOMER SERVICE REPRESENTATIVE, THEY ARE PROVIDED MORE INFORMATION ABOUT CHARITY CARE OR OTHER FORMS OF AVAILABLE FINANCIAL ASSISTANCE SPECIFIC TO THEM. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: ALBERT EINSTEIN MEDICAL CENTER - THE PRIMARY SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES IN THE CITY OF PHILADELPHIA AND MONTGOMERY COUNTY, PENNSYLVANIA: EINSTEIN MEDICAL CENTER PHILADELPHIA PRIMARY GEOGRAPHIC SERVICE AREAS 19120, 19138, 19141, 19144, 19111, 19114, 19115, 19116, 19124, 19135, 19136, 19137, 19149, 19152, 19154, 19118, 19119, 19128, 19129, 19150, 19012, 19027, 19038, 19046, 19095, 19126 EINSTEIN MEDICAL CENTER PHILADELPHIA PRIMARY COMMUNITY DEMOGRAPHICS POPULATION SIZE: THE TOTAL POPULATION OF EINSTEIN MEDICAL CENTER PHILADELPHIA'S SERVICE AREA INCREASED TO APPROXIMATELY 812,100 RESIDENTS IN 2010 FROM 806,800 RESIDENTS IN 2000. THE SERVICE AREA'S POPULATION IS PROJECTED TO CONTINUE INCREASING IN 2013 (TO 821,700 RESIDENTS) AND AGAIN IN 2018 (TO 835,400 RESIDENTS). DEMOGRAPHIC CHARACTERISTICS: AGE - IN THE SERVICE AREA, NEARLY ONE-QUARTER OF RESIDENTS ARE BETWEEN THE AGES OF 0-17, ALMOST FOUR IN TEN RESIDENTS ARE 18-44 (38%), MORE THAN ONE-QUARTER ARE 45-64 (26%), AND 14% ARE 65 OR OLDER. WHEN COMPARING TO 2000, THE SERVICE AREA SAW AN INCREASE IN RESIDENTS AGE 45-64. THERE ARE SOME VARIATIONS IN Albert Einstein Medical Center Continued MOSS REHAB SERVICE AREA - THE PRIMARY SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES IN THE CITY OF PHILADELPHIA PENNSYLVANIA: 19120, 19138, 19141, 19144, 19111, 19114, 19115, 19116, 19124, 19135, 19136, 19137, 19149, 19152, 19154, 19118, 19119, 19128, 19129, 19150 MOSS REHAB COMMUNITY DEMOGRAPHICS PHILADELPHIA POPULATION SIZE: THE TOTAL POPULATION OF MOSS REHAB'S SERVICE AREA INCREASED TO APPROXIMATELY 713,400 RESIDENTS IN 2010 FROM 706,700 RESIDENTS IN 2000. THE SERVICE AREA'S POPULATION IS ESTIMATED TO INCREASE IN 2013 (TO 722,800 RESIDENTS) AND AGAIN IN 2018 (TO 736,100 RESIDENTS). DEMOGRAPHIC CHARACTERISTICS: AGE - IN THE SERVICE AREA, JUST UNDER ONE-QUARTER OF RESIDENTS ARE BETWEEN THE AGES OF 0-17 (24%), NEARLY FOUR IN 10 ARE 18-44 (38%), ONE-QUARTER ARE 45-64 (25%), AND 13% ARE 65 AND OLDER. WHEN COMPARING TO 2000, THE SERVICE AREA SAW AN INCREASE IN THE PERCENTAGE OF RESIDENTS AGES 45-64 AND A DECREASE IN THE PERCENTAGE OF RESIDENTS AGES 65 AND OLDER. WHEN COMPARED TO BOTH SOUTHEASTERN PENNSYLVANIA (SEPA) AND PENNSYLVANIA AS A WHOLE, THE MOSS REHAB SERVICE AREA HAS A SLIGHTLY HIGHER PERCENTAGE OF RESIDENTS AGES 18-44, AND SLIGHTLY LOWER PERCENTAGES OF RESIDENTS AGES 45-64 AND 65 AND OLDER. GENDER - APPROXIMATELY 47% OF THE SERVICE AREA'S POPULATION IS MALE AND 53% ARE FEMALE; THESE PERCENTAGES ARE PROJECTED TO REMAIN STATIC THROUGH 2018 AND ARE COMPARABLE TO THE GENDER BREAKDOWNS OF BOTH SEPA AND PENNSYLVANIA AS A WHOLE. RACE/ETHNICITY - IN MOSS REHAB'S SERVICE AREA, 45% OF RESIDENTS IDENTIFY AS WHITE, MORE THAN ONE-THIRD IDENTIFY AS BLACK (35%), 12% IDENTIFY AS LATINO, 6% IDENTIFY AS ASIAN, AND 2% IDENTIFY AS ANOTHER RACE/ETHNICITY. THE SERVICE AREA SAW SOME CHANGES IN THE RACIAL/ETHNIC IDENTITY OF ITS POPULATION FROM 2010 WITH INCREASING PERCENTAGES OF NON-WHITE RESIDENTS-A TREND THAT IS ESTIMATED TO CONTINUE THROUGH 2018. THE RACIAL/ETHNIC COMPOSITIONS OF THE SERVICE AREA, SEPA, AND THE STATE DIFFER FROM ONE ANOTHER. THE PERCENTAGE OF WHITE RESIDENTS RANGES FROM 45% IN THE SERVICE AREA TO 64% IN SEPA AND 80% IN THE STATE AS A WHOLE, AND THE PERCENTAGE OF BLACK RESIDENTS RANGES FROM 10% IN THE STATE TO 22% IN SEPA AND 35% IN THE SERVICE AREA. LATINO ORIGIN - APPROXIMATELY 12% OF RESIDENTS IN THE SERVICE AREA IDENTIFY AS LATINO. ABOUT 7% OF RESIDENTS IN THE SERVICE AREA IDENTIFY AS PUERTO RICAN, APPROXIMATELY 3% IDENTIFY AS OF AN "OTHER" LATINO ORIGIN, AND LESS THAN 1% IDENTIFY AS CUBAN OR MEXICAN. THE SERVICE AREA'S LATINO POPULATION, PARTICULARLY THE PERCENTAGE OF PUERTO RICAN RESIDENTS, IS ESTIMATED TO INCREASE SLIGHTLY THROUGH 2018. THE PERCENTAGE OF PUERTO RICAN RESIDENTS IN THE SERVICE AREA IS HIGHER THAN IN BOTH SEPA AND THE STATE. ASIAN ORIGIN - IN THE SERVICE AREA, APPROXIMATELY 6% OF RESIDENTS IDENTIFY AS ASIAN. ABOUT 2% OF SERVICE AREA RESIDENTS IDENTIFY AS INDIAN, AND 1% OR FEWER IDENTIFY AS CAMBODIAN, CHINESE, FILIPINO, KOREAN, VIETNAMESE, OR SOME "OTHER" ASIAN ORIGIN. WHEN COMPARING THE SERVICE AREA TO BOTH SEPA AND PENNSYLVANIA, THERE IS LITTLE VARIATION IN THE PERCENTAGES OF RESIDENTS OF EACH ASIAN ORIGIN. LANGUAGE SPOKEN AT HOME - THE MAJORITY OF RESIDENTS IN THE SERVICE AREA SPEAK ENGLISH AT HOME (81%), 8% SPEAK SPANISH, 8% SPEAK AN "OTHER" LANGUAGE, AND 4% SPEAK AN ASIAN LANGUAGE. ASIDE FROM A HIGHER PERCENTAGE OF SPANISH SPEAKING RESIDENTS IN THE SERVICE AREA, THE DISTRIBUTION OF LANGUAGES SPOKEN IN THE HOME AMONG RESIDENTS IN THE SERVICE AREA LARGELY REFLECTS THE LANGUAGES SPOKEN IN SEPA AND THE STATE AS A WHOLE. SOCIOECONOMIC INDICATORS: EDUCATION - LESS THAN ONE-FIFTH OF RESIDENTS OF MOSS REHAB'S SERVICE AREA HAVE LESS THAN A HIGH SCHOOL DEGREE (18%), MORE THAN SIX IN 10 HAVE GRADUATED FROM HIGH SCHOOL (62%), AND SLIGHTLY MORE THAN ONE-FIFTH HAVE A COLLEGE DEGREE OR MORE (21%). THE SERVICE AREA SAW SOME IMPROVEMENT IN EDUCATIONAL ATTAINMENT FROM 2000. EDUCATIONAL ATTAINMENT IN THE SERVICE AREA IS LOWER THAN IN BOTH SEPA AND THE STATE AS A WHOLE. EMPLOYMENT - APPROXIMATELY 92% OF SERVICE AREA RESIDENTS ARE EMPLOYED AND 8% WERE UNEMPLOYED. THE PERCENTAGE OF THOSE WHO ARE UNEMPLOYED IS ESTIMATED TO RISE TO 14% IN 2013. EMPLOYMENT PERCENTAGES IN THE SERVICE AREA REFLECT THOSE OF RESIDENTS IN SEPA AND PENNSYLVANIA AS A WHOLE. POVERTY STATUS WHEN LOOKING AT POVERTY STATUS, MORE THAN ONE-TENTH OF FAMILIES WITHOUT CHILDREN (12%) AND NEARLY ONE-FIFTH OF FAMILIES WITH CHILDREN (17%) ARE LIVING IN POVERTY IN THE SERVICE AREA. BOTH OF THESE PERCENTAGES INCREASED FROM 2000 AND ARE ESTIMATED TO INCREASE AGAIN IN 2013. THE SERVICE AREA HAS GREATER PERCENTAGES OF FAMILIES WHO ARE LIVING IN POVERTY (BOTH FAMILIES WITH AND WITHOUT CHILDREN) WHEN COMPARED TO SEPA AND THE STATE AS A WHOLE. MEDIAN HOUSEHOLD INCOME - THE 2000 MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA WAS APPROXIMATELY $37,700, WHICH INCREASED TO AROUND $45,700 IN 2010. ALTHOUGH THERE WAS AN INCREASE IN THE MEDIAN HOUSEHOLD INCOME IN 2010, THIS NUMBER IS ESTIMATED TO DROP TO $40,800 IN 2013 AND REMAIN CONSISTENT IN 2018. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS LOWER THAN THAT OF SEPA AND PENNSYLVANIA AS A WHOLE. HOME OWNERSHIP NEARLY FOUR IN 10 RESIDENTS OF MOSS REHAB'S SERVICE AREA RENT THEIR HOME (39%) AND MORE THAN SIX IN 10 RESIDENTS OWN THEIR HOME (61%). THE PERCENTAGE OF RESIDENTS WHO OWN THEIR HOME IN THE SERVICE AREA IS LOWER THAN IN BOTH SEPA AND THE STATE AS A WHOLE. ALBERT EINSTEIN MEDICAL CENTER ELKINS PARK THE PRIMARY SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES IN THE CITY OF PHILADELPHIA AND MONTGOMERY COUNTY, PENNSYLVANIA: ALBERT EINSTEIN MEDICAL CENTER ELKINS PARK SERVICE AREA - 19120, 19138, 19141, 19144, 19111, 19114, 19115, 19116, 19124, 19135, 19136, 19137, 19149, 19152, 19154, 19118, 19119, 19128, 19129, 19150, 19012, 19027, 19038, 19046, 19095, 19126 ALBERT EINSTEIN MEDICAL CENTER ELKINS PARK COMMUNITY DEMOGRAPHICS: POPULATION SIZE - THE TOTAL POPULATION OF THE SERVICE AREA INCREASED TO APPROXIMATELY 812,100 RESIDENTS IN 2010 FROM 806,800 RESIDENTS IN 2000. THE SERVICE AREA'S POPULATION IS PROJECTED TO CONTINUE INCREASING IN 2013 (TO 821,700 RESIDENTS) AND AGAIN IN 2018 (TO 835,400 RESIDENTS). AGE - IN THE SERVICE AREA, NEARLY ONE-QUARTER OF RESIDENTS ARE BETWEEN THE AGES OF 0-17, ALMOST FOUR IN TEN RESIDENTS ARE 18-44 (38%), MORE THAN ONE-QUARTER ARE 45-64 (26%), AND 14% ARE 65 OR OLDER. WHEN COMPARING TO 2000, THE SERVICE AREA SAW AN INCREASE IN RESIDENTS AGE 45-64. THERE ARE SOME VARIATIONS IN THE PERCENTAGES OF RESIDENTS IN EACH AGE CATEGORY WHEN COMPARING THE SERVICE AREA, MONTGOMERY AND PHILADELPHIA COUNTIES, AND PENNSYLVANIA AS A WHOLE. THE SERVICE AREA, MONTGOMERY COUNTY, AND PENNSYLVANIA AS A WHOLE ARE EXPECTED TO EXPERIENCE CONTINUED TRENDING TOWARDS AN AGING POPULATION THROUGH 2018; LITTLE CHANGE IN RESIDENT AGE DISTRIBUTION IS ANTICIPATED FOR PHILADELPHIA COUNTY. GENDER - APPROXIMATELY 47% OF THE SERVICE AREA'S POPULATION IS MALE AND 53% IS FEMALE; THESE PERCENTAGES ARE PROJECTED TO REMAIN STATIC THROUGH 2018 AND ARE LARGELY COMPARABLE TO THE GENDER BREAKDOWN OF PHILADELPHIA AND MONTGOMERY COUNTIES, AS WELL AS PENNSYLVANIA AS A WHOLE. RACE/ETHNICITY - IN THE SERVICE AREA NEARLY ONE-HALF OF RESIDENTS ARE WHITE (46%), ONE-THIRD ARE BLACK (34%), ONE IN NINE ARE LATINO (11%), 6% ARE ASIAN, AND 3% IDENTIFY AS AN "OTHER" RACE/ETHNICITY. THE SERVICE AREA SAW SOME CHANGES IN THE RACIAL/ETHNIC IDENTITY OF ITS POPULATION FROM 2000. THE PERCENTAGE OF NON-WHITE RESIDENTS IS PROJECTED TO CONTINUE TO INCREASE IN 2013 AND 2018, WHILE THE PERCENTAGE OF WHITE RESIDENTS CONTINUES TO DECREASE. THE RACIAL/ETHNIC COMPOSITION THE SERVICE AREA, MONTGOMERY COUNTY, PHILADELPHIA COUNTY, AND PENNSYLVANIA AS A WHOLE ALL DIFFER FROM ONE ANOTHER. DESPITE THESE DIFFERENCES, THE CHANGES IN RACIAL/ETHNIC IDENTITY OF THE SERVICE AREA MIRROR THE CHANGES THAT ARE TAKING PLACE ON A COUNTY AND STATE LEVEL WITH AN INCREASING NON-WHITE POPULATION. LATINO ORIGIN - THE SERVICE AREA'S LATINO POPULATION HAS GROWN FROM 6% IN 2000 TO 11% IN 2010. RESIDENTS OF THE SERVICE AREA AS A WHOLE MOST COMMONLY IDENTIFY AS PUERTO RICAN (6%), AND 2% OR LESS OF RESIDENTS IDENTIFY AS CUBAN, MEXICAN, AND OF AN "OTHER" LATINO ORIGIN. THE PUERTO RICAN POPULATION IS PROJECTED TO CONTINUE INCREASING THROUGH 2018. THE PERCENTAGE OF PUERTO RICAN RESIDENTS IS HIGHEST IN THE SERVICE AREA, COMPARED TO MONTGOMERY COUNTY, PHILADELPHIA COUNTY, AND PENNSYLVANIA AS A WHOLE. ASIAN ORIGIN - ALSO IN THE SERVICE AREA, APPROXIMATELY 6% OF RESIDENTS IDENTIFY AS ASIAN. OF SERVICE AREA RESIDENTS, 1% OR FEWER IDENTIFY AS INDIAN, CAMBODIAN, CHINESE, FILIPINO, JAPANESE, KOREAN, VIETNAMESE, OR OF "OTHER" ASIAN ORIGIN. THE INDIAN AND CHINESE POPULATIONS IN THE SERVICE AREA ARE EXPECTED TO GROW IN 2013 AND 2018, WHILE THE PERCENTAGE OF ASIAN RESIDENTS OF ALL OTHER ORIGINS IS EXPECTED TO REMAIN STEADY. WHEN COMPARING THE ORIGIN OF ASIAN RESIDENTS, THERE IS LITTLE VARIATION BETWEEN THE SERVICE AREA, MONTGOMERY COUNTY, PHILADELPHIA COUNTY, AND PENNSYLVANIA AS A WHOLE. LANGUAGE SPOKEN AT HOME - T BELMONT CENTER FOR COMPREHENSIVE TREATMENT SCHEDULE H, PART VI, LINE 1 REQUIRED DESCRIPTIONS: SCHEDULE H, PART I, LINES 3B AND 3C DID THE ORGANIZATION USE FPG TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE? THE ANSWER TO 3B IS "NO" BECAUSE FPG IS NOT AEHN'S BASIS FOR EXTENDING DISCOUNTED CARE. DISCOUNTED CARE IS EXTENDED TO ALL PATIENTS WHO ARE UNINSURED REGARDLESS OF THEIR INCOME LEVEL UNDER AEHN'S UNINSURED DISCOUNT POLICY. THE PURPOSE OF UNINSURED DISCOUNTED CARE IS TO REDUCE HOSPITAL CHARGES TO AN AMOUNT THAT IS COMPARABLE TO WHAT IS RECEIVED FROM GOVERNMENT AND INSURANCE COMPANY PAYERS. TO THIS END, AN UNINSURED DISCOUNT FEE SCALE HAS BEEN ESTABLISHED. THE RATES IN THIS FEE SCALE HAVE BEEN ESTABLISHED AT AMOUNTS COMPARABLE TO AMOUNTS RECEIVED FROM THIRD PARTY PAYERS FOR A VARIETY OF SERVICES. SUCH AMOUNTS ARE GENERALLY SET AT RATES HIGHER THAN MEDICAL ASSISTANCE PAYMENT RATES AND LOWER THAN COMMERCIAL INSURANCE PAYMENT RATES. SCHEDULE H, PART I, LINE 6A DID THE ORGANIZATION PREPARE A COMMUNITY BENEFIT REPORT DURING THE TAX YEAR? NO, The organization did not prepare a Community Health Needs Benefit Report in tax year 2014. A CHNA report was last conducted in 2012. It is readily available to the public via our website. SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: FOR LINE 7F THE MEDICARE AND MEDICAID COST REPORTS ARE THE BASIS FOR THE COSTING METHODOLOGY USED IN REPORTING. SCHEDULE H, PART III, LINE 4 RATIONALE AND COSTING METHODOLOGY IN DETERMINING BAD DEBT: THE PROVISION FOR DOUBTFUL ACCOUNTS REPORTED ON LINE 2 IS EQUAL TO THE WRITE OFF OF UNCOLLECTED ACCOUNTS VALUED AT THE UNINSURED DISCOUNT FEE SCALE AMOUNT DUE FROM UNINSURED PATIENTS. THE PROVISION ALSO INCLUDES WRITE OFFS OF UNCOLLECTED DEDUCTIBLES AND COPAYMENTS DUE FROM INSURED PATIENTS UNDER THEIR INDIVIDUAL POLICIES. THE PROVISION, STATED AT THE AMOUNT EXPECTED TO BE COLLECTED FROM PATIENTS UNDER AEHN'S UNINSURED FEE SCALE, OR UNDER THE PATIENT'S INSURANCE POLICY, IS THE BASIS FOR REPORTING BAD DEBTS IN THE FINANCIAL STATEMENTS. THE AMOUNT EXPECTED TO BE COLLECTED APPROXIMATES COST THAT WOULD HAVE BEEN DETERMINED UNDER THE RATIO OF COSTS TO CHARGES METHODOLOGY. THIS IS THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2. RATIONALE FOR INCLUDING BAD DEBT IN COMMUNITY BENEFIT: AEHN HAS A SYSTEM-WIDE CHARITY CARE POLICY AND UNINSURED DISCOUNT POLICY. IT HAS DETAILED ADMINISTRATIVE PROCEDURES ESTABLISHED FOR QUALIFYING AND ENROLLING PATIENTS FOR CHARITY CARE OR UNINSURED DISCOUNTS. IT UTILIZES VARIOUS MECHANISMS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE (SCHEDULE H, PART VI, LINE 3 DISCUSSION). DESPITE AEHN'S BEST EFFORTS, PATIENTS WHO NEED SUBSIDIZED CARE MAY NEITHER SEEK CHARITY CARE ASSISTANCE NOR CHOOSE TO ENROLL IN PENNSYLVANIA'S MEDICAL ASSISTANCE PROGRAM. THE URGENCY OF SOME TREATMENTS, CERTAIN PROVISIONS IN FEDERAL REGULATIONS, AND MOST IMPORTANTLY, AEHN'S PREEMINENT MISSION TO PROVIDE CARE REGARDLESS OF ABILITY TO PAY, REQUIRES PATIENT CARE FIRST, REIMBURSEMENT SECOND. FOR THESE AND OTHER REASONS, AEHN BELIEVES A PORTION OF ITS BAD DEBT EXPENSE AS REPORTED ON PART III, LINE 3 REPRESENTS CHARITY CARE CONSISTENT WITH ITS CHARITABLE HEALTHCARE MISSION; HOWEVER IT IS NOT POSSIBLE AT THIS TIME TO MEASURE THIS. HFMA STATEMENT NO.15 RECOGNIZED THAT THE APPROPRIATE CLASSIFICATION OF CHARITY CARE AND BAD DEBT IS OFTEN DIFFICULT. CONSISTENT WITH THE PROVISIONS OF HFMA STATEMENT NO. 15, AND ALSO WITH INSTRUCTIONS TO SCHEDULE H PART I, BAD DEBT HAS NOT BEEN INCLUDED IN ANY MEASUREMENT OF CHARITY OR COMMUNITY BENEFIT COSTS. SCHEDULE H, PART III, LINE 8 COSTING METHODOLOGY TO DETERMINE MEDICARE ALLOWABLE COSTS: AEHN AND ITS CONSTITUENT ENTITIES THAT FILE COST REPORTS DETERMINE MEDICARE ALLOWABLE COSTS BASED ON THE MEDICARE PROVIDER REIMBURSEMENT MANUAL, SECTION HIM 15. EXTENT TO WHICH A MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF AEHN AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, AEHN PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER MEDICARE REIMBURSEMENT MEETS OR EXCEEDS THE COSTS INCURRED BY AEHN TO PROVIDE SERVICES. SIMILAR TO MEDICAID, PAYMENT RATES FOR MEDICARE ARE SET BY LAW RATHER THAN THROUGH A NEGOTIATION PROCESS AS WITH PRIVATE INSURERS. MEDICARE RATES ARE DETERMINED WITHIN THE CONTEXT OF ALL THE BUDGETARY NEEDS OF THE FEDERAL GOVERNMENT. MEDICARE PAYMENTS HAVE HISTORICALLY BEEN ESTABLISHED AT RATES BELOW THE COSTS OF PROVIDING CARE TO MEDICARE PATIENTS THOUGH HOW FAR BELOW VARIES OVER TIME AND BY SERVICE. THESE PAYMENT RATES HAVE GENERALLY BEEN BELOW THE COSTS OF PROVIDING CARE FOR MOST HOSPITALS RESULTING IN UNDERPAYMENTS FOR SERVICES. EACH YEAR MEDICARE IS SUPPOSED TO PROVIDE HOSPITALS AN INCREASE IN BOTH INPATIENT AND OUTPATIENT PAYMENTS TO ACCOUNT FOR INFLATION IN THE PRICES FOR GOODS AND SERVICES HOSPITALS MUST PURCHASE IN ORDER TO PROVIDE PATIENT CARE. HOWEVER RECENT INPATIENT RATE UPDATES HAVE BEEN SET BELOW THE RATE OF INFLATION AND ACTUALLY HAVE BEEN NEGATIVE AT TIMES. THIS CAN RESULT IN SHORTFALLS THAT GROW OVER TIME FOR MANY INSTITUTIONS. A COMPOUNDING ISSUE OCCURS WHEN A MEDICARE SHORTFALL GROWS TO SUCH AN EXTENT THAT IT JEOPARDIZES AN INSTITUTION'S ABILITY TO SERVE ITS COMMUNITIES. CURRENTLY, AEHN IS ABLE TO PROVIDE THE NECESSARY CLINICAL SERVICES WITHIN THE MARKETPLACE TO MEDICARE BENEFICIARIES AT CURRENT PAYMENT RATES. AS PER THE INSTRUCTIONS TO FORM 990, THE HOSPITAL FACILITIES (AEMC, BELMONT, EMCM) WITHIN THE GROUP RETURN DID NOT INCUR AN OVERALL SHORTFALL IN MEDICARE REIMBURSEMENT IN 2014. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS RECEIVING CHARITY CARE OR FINANCIAL ASSISTANCE: ONCE A PATIENT HAS BEEN IDENTIFIED AS QUALIFYING FOR CHARITY CARE NO COLLECTION ACTIONS ARE TAKEN. FOR PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE, AEHN OFFERS PAYMENT PLANS AS PART OF ITS COLLECTION POLICY. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: AEHN, ALONG WITH OTHER HOSPITALS AND HEALTH CARE NETWORKS IN THE GREATER DELAWARE VALLEY REGION, ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH COLLABORATION WITH PUBLIC AND PRIVATE AGENCIES IN DETERMINING THE COMMUNITY'S HEALTH NEEDS AND HOW BEST TO ADDRESS THEM. PLEASE VISIT OUR WEBSITE TO VIEW ADDITIONAL DETAILS WITHIN OUR CHNA REPORT. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: AEHN HOSPITALS AND PHYSICIAN PRACTICES INFORM AND EDUCATE PATIENTS AND ITS COMMUNITY IN GENERAL ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER AEHN'S OWN CHARITY CARE PROGRAM. PATIENTS ARE INFORMED OF THE AVAILABILITY OF CHARITY CARE AND ARE ASSISTED IN OBTAINING OTHER FINANCIAL ASSISTANCE IN VARIOUS WAYS: 1.) AEHN HOSPITALS AND PHYSICIAN PRACTICES HAVE SIGNAGE INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE IN PATIENT ACCESS AREAS. 2.) INFORMATIONAL BROCHURES ARE AVAILABLE IN PATIENT ACCESS LOCATIONS THAT EXPLAIN PAYMENT PLANS AND FINANCIAL ASSISTANCE PROGRAMS. ON - SITE FINANCIAL REPRESENTATIVES ARE AVAILABLE ON SITE TO DISCUSS FINANCIAL ASSISTANCE PROGRAMS. 3.) AEHN HOSPITALS APPLY FOR MEDICAID COVERAGE ON BEHALF OF PATIENTS WHERE APPROPRIATE. PATIENTS ARE ASSISTED IN APPLYING FOR CHARITY CARE IF THE MEDICAL ASSISTANCE APPLICATION IS DENIED AND THE PATIENT'S INCOME IS BELOW 200% OF FEDERAL POVERTY GUIDELINES ("FPG"). 4.) UNINSURED PATIENTS ARE CONTACTED FOR PAYMENT ARRANGEMENTS WHEN THEY ARE SCHEDULED FOR SERVICES. FINANCIAL ASSISTANCE IS OFFERED WHEN NO OTHER FORMS OF PAYMENT ARE AVAILABLE. 5.) WHEN PATIENTS CALL A CUSTOMER SERVICE REPRESENTATIVE, THEY ARE PROVIDED MORE INFORMATION ABOUT CHARITY CARE OR OTHER FORMS OF AVAILABLE FINANCIAL ASSISTANCE SPECIFIC TO THEM. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: BELMONT CENTER FOR COMPREHENSIVE TREATMENT - THE PRIMARY SERVICE AREA INCLUDES ALL OF THE CITY OF PHILADELPHIA, PENNSYLVANIA. BELMONT CENTER FOR COMPREHENSIVE TREATMENT COMMUNITY DEMOGRAPHICS: AREA POPULATION SIZE - THE TOTAL POPULATION OF THE SERVICE AREA INCREASED TO APPROXIMATELY 1,526,600 RESIDENTS IN 2010 FROM 1,518,100 RESIDENTS IN 2000. THE SERVICE AREA'S POPULATION IS ESTIMATED TO CONTINUE TO INCREASE THROUGH 2018. DEMOGRAPHIC CHARACTERISTICS: AGE - IN THE SERVICE AREA, MORE THAN ONE-FIFTH OF RESIDENTS ARE BETWEEN THE AGES OF 0-17 (23%), MORE THAN FOUR-IN-TEN ARE 18-44 (42%), NEARLY ONE-QUARTER ARE 45-64 (24%), AND 12% ARE 65 OR OLDER. WHEN COMPARING TO 2000, THE SERVICE AREA SAW SLIGHT DECREASES IN THE PERCENTAGES OF RESIDENTS AGES 0-17 AND 65 OR OLDER, AND SLIGHT INCREASES IN THE PERCENTAGES OF RESIDENTS AGES 18-44 AND 45-64. WHEN COMPARING TO THE SOUTHEASTERN PENNSYLVANIA REGION (SEPA) AND THE STATE, THE SERVICE AREA HAS A SLIGHTLY HIGHER PERCENTAGE OF RESIDENTS AGES 18-44 AND A SLIGHTLY LOWER PERCENTAGE OF RESIDENTS AGES 45-64. GENDER - APPROXIMATELY 47% OF THE SERVICE AREA IS MALE AND 53% FEMALE. THE EINSTEIN MEDICAL CENTER MONTGOMERY SCHEDULE H, PART VI, LINE 1 REQUIRED DESCRIPTIONS: SCHEDULE H, PART I, LINES 3B AND 3C DID THE ORGANIZATION USE FPG TO DETERMINE ELIGIBILITY FOR DISCOUNTED CARE? THE ANSWER TO 3B IS "NO" BECAUSE FPG IS NOT AEHN'S BASIS FOR EXTENDING DISCOUNTED CARE. DISCOUNTED CARE IS EXTENDED TO ALL PATIENTS WHO ARE UNINSURED REGARDLESS OF THEIR INCOME LEVEL UNDER AEHN'S UNINSURED DISCOUNT POLICY. THE PURPOSE OF UNINSURED DISCOUNTED CARE IS TO REDUCE HOSPITAL CHARGES TO AN AMOUNT THAT IS COMPARABLE TO WHAT IS RECEIVED FROM GOVERNMENT AND INSURANCE COMPANY PAYERS. TO THIS END, AN UNINSURED DISCOUNT FEE SCALE HAS BEEN ESTABLISHED. THE RATES IN THIS FEE SCALE HAVE BEEN ESTABLISHED AT AMOUNTS COMPARABLE TO AMOUNTS RECEIVED FROM THIRD PARTY PAYERS FOR A VARIETY OF SERVICES. SUCH AMOUNTS ARE GENERALLY SET AT RATES HIGHER THAN MEDICAL ASSISTANCE PAYMENT RATES AND LOWER THAN COMMERCIAL INSURANCE PAYMENT RATES. SCHEDULE H, PART I, LINE 6A DID THE ORGANIZATION PREPARE A COMMUNITY BENEFIT REPORT DURING THE TAX YEAR? NO, NO, The organization did not prepare a Community Health Needs Benefit Report in tax year 2014. A CHNA report was last conducted in 2012. It is readily available to the public via our website. SCHEDULE H, PART I, LINE 7 FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST: FOR LINE 7F THE MEDICARE AND MEDICAID COST REPORTS ARE THE BASIS FOR THE COSTING METHODOLOGY USED IN REPORTING. SCHEDULE H, PART III, LINE 4 RATIONALE AND COSTING METHODOLOGY IN DETERMINING BAD DEBT: THE PROVISION FOR DOUBTFUL ACCOUNTS REPORTED ON LINE 2 IS EQUAL TO THE WRITE OFF OF UNCOLLECTED ACCOUNTS VALUED AT THE UNINSURED DISCOUNT FEE SCALE AMOUNT DUE FROM UNINSURED PATIENTS. THE PROVISION ALSO INCLUDES WRITE OFFS OF UNCOLLECTED DEDUCTIBLES AND COPAYMENTS DUE FROM INSURED PATIENTS UNDER THEIR INDIVIDUAL POLICIES. THE PROVISION, STATED AT THE AMOUNT EXPECTED TO BE COLLECTED FROM PATIENTS UNDER AEHN'S UNINSURED FEE SCALE, OR UNDER THE PATIENT'S INSURANCE POLICY, IS THE BASIS FOR REPORTING BAD DEBTS IN THE FINANCIAL STATEMENTS. THE AMOUNT EXPECTED TO BE COLLECTED APPROXIMATES COST THAT WOULD HAVE BEEN DETERMINED UNDER THE RATIO OF COSTS TO CHARGES METHODOLOGY. THIS IS THE AMOUNT REPORTED IN PART III, SECTION A, LINE 2. RATIONALE FOR INCLUDING BAD DEBT IN COMMUNITY BENEFIT: AEHN HAS A SYSTEM-WIDE CHARITY CARE POLICY AND UNINSURED DISCOUNT POLICY. IT HAS DETAILED ADMINISTRATIVE PROCEDURES ESTABLISHED FOR QUALIFYING AND ENROLLING PATIENTS FOR CHARITY CARE OR UNINSURED DISCOUNTS. IT UTILIZES VARIOUS MECHANISMS TO INFORM AND EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE (SCHEDULE H, PART VI, LINE 3 DISCUSSION). DESPITE AEHN'S BEST EFFORTS, PATIENTS WHO NEED SUBSIDIZED CARE MAY NEITHER SEEK CHARITY CARE ASSISTANCE NOR CHOOSE TO ENROLL IN PENNSYLVANIA'S MEDICAL ASSISTANCE PROGRAM. THE URGENCY OF SOME TREATMENTS, CERTAIN PROVISIONS IN FEDERAL REGULATIONS, AND MOST IMPORTANTLY, AEHN'S PREEMINENT MISSION TO PROVIDE CARE REGARDLESS OF ABILITY TO PAY, REQUIRES PATIENT CARE FIRST, REIMBURSEMENT SECOND. FOR THESE AND OTHER REASONS, AEHN BELIEVES A PORTION OF ITS BAD DEBT EXPENSE AS REPORTED ON PART III, LINE 3 REPRESENTS CHARITY CARE CONSISTENT WITH ITS CHARITABLE HEALTHCARE MISSION; HOWEVER IT IS NOT POSSIBLE AT THIS TIME TO MEASURE THIS. HFMA STATEMENT NO.15 RECOGNIZED THAT THE APPROPRIATE CLASSIFICATION OF CHARITY CARE AND BAD DEBT IS OFTEN DIFFICULT. CONSISTENT WITH THE PROVISIONS OF HFMA STATEMENT NO. 15, AND ALSO WITH INSTRUCTIONS TO SCHEDULE H PART I, BAD DEBT HAS NOT BEEN INCLUDED IN ANY MEASUREMENT OF CHARITY OR COMMUNITY BENEFIT COSTS. SCHEDULE H, PART III, LINE 8 COSTING METHODOLOGY TO DETERMINE MEDICARE ALLOWABLE COSTS: AEHN AND ITS CONSTITUENT ENTITIES THAT FILE COST REPORTS DETERMINE MEDICARE ALLOWABLE COSTS BASED ON THE MEDICARE PROVIDER REIMBURSEMENT MANUAL, SECTION HIM 15. EXTENT TO WHICH A MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: CONSISTENT WITH THE CHARITABLE HEALTHCARE MISSION OF AEHN AND THE COMMUNITY BENEFIT STANDARD SET FORTH IN IRS REVENUE RULING 69-545, AEHN PROVIDES CARE FOR ALL PATIENTS COVERED BY MEDICARE. SUCH CARE IS PROVIDED REGARDLESS OF WHETHER MEDICARE REIMBURSEMENT MEETS OR EXCEEDS THE COSTS INCURRED BY AEHN TO PROVIDE SERVICES. SIMILAR TO MEDICAID, PAYMENT RATES FOR MEDICARE ARE SET BY LAW RATHER THAN THROUGH A NEGOTIATION PROCESS AS WITH PRIVATE INSURERS. MEDICARE RATES ARE DETERMINED WITHIN THE CONTEXT OF ALL THE BUDGETARY NEEDS OF THE FEDERAL GOVERNMENT. MEDICARE PAYMENTS HAVE HISTORICALLY BEEN ESTABLISHED AT RATES BELOW THE COSTS OF PROVIDING CARE TO MEDICARE PATIENTS THOUGH HOW FAR BELOW VARIES OVER TIME AND BY SERVICE. THESE PAYMENT RATES HAVE GENERALLY BEEN BELOW THE COSTS OF PROVIDING CARE FOR MOST HOSPITALS RESULTING IN UNDERPAYMENTS FOR SERVICES. EACH YEAR MEDICARE IS SUPPOSED TO PROVIDE HOSPITALS AN INCREASE IN BOTH INPATIENT AND OUTPATIENT PAYMENTS TO ACCOUNT FOR INFLATION IN THE PRICES FOR GOODS AND SERVICES HOSPITALS MUST PURCHASE IN ORDER TO PROVIDE PATIENT CARE. HOWEVER RECENT INPATIENT RATE UPDATES HAVE BEEN SET BELOW THE RATE OF INFLATION AND ACTUALLY HAVE BEEN NEGATIVE AT TIMES. THIS CAN RESULT IN SHORTFALLS THAT GROW OVER TIME FOR MANY INSTITUTIONS. A COMPOUNDING ISSUE OCCURS WHEN A MEDICARE SHORTFALL GROWS TO SUCH AN EXTENT THAT IT JEOPARDIZES AN INSTITUTION'S ABILITY TO SERVE ITS COMMUNITIES. CURRENTLY, AEHN IS ABLE TO PROVIDE THE NECESSARY CLINICAL SERVICES WITHIN THE MARKETPLACE TO MEDICARE BENEFICIARIES AT CURRENT PAYMENT RATES. AS PER THE INSTRUCTIONS TO FORM 990, THE HOSPITAL FACILITIES (AEMC, BELMONT, EMCM) WITHIN THE GROUP RETURN DID NOT INCUR AN OVERALL SHORTFALL IN MEDICARE REIMBURSEMENT IN 2014. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS RECEIVING CHARITY CARE OR FINANCIAL ASSISTANCE: ONCE A PATIENT HAS BEEN IDENTIFIED AS QUALIFYING FOR CHARITY CARE NO COLLECTION ACTIONS ARE TAKEN. FOR PATIENTS QUALIFYING FOR FINANCIAL ASSISTANCE, AEHN OFFERS PAYMENT PLANS AS PART OF ITS COLLECTION POLICY. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: AEHN, ALONG WITH OTHER HOSPITALS AND HEALTH CARE NETWORKS IN THE GREATER DELAWARE VALLEY REGION, ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH COLLABORATION WITH PUBLIC AND PRIVATE AGENCIES IN DETERMINING THE COMMUNITY'S HEALTH NEEDS AND HOW BEST TO ADDRESS THEM. PLEASE VISIT OUR WEBSITE TO VIEW ADDITIONAL DETAILS WITHIN OUR CHNA REPORT. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: AEHN HOSPITALS AND PHYSICIAN PRACTICES INFORM AND EDUCATE PATIENTS AND ITS COMMUNITY IN GENERAL ABOUT ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER AEHN'S OWN CHARITY CARE PROGRAM. PATIENTS ARE INFORMED OF THE AVAILABILITY OF CHARITY CARE AND ARE ASSISTED IN OBTAINING OTHER FINANCIAL ASSISTANCE IN VARIOUS WAYS: 1.) AEHN HOSPITALS AND PHYSICIAN PRACTICES HAVE SIGNAGE INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE IN PATIENT ACCESS AREAS. 2.) INFORMATIONAL BROCHURES ARE AVAILABLE IN PATIENT ACCESS LOCATIONS THAT EXPLAIN PAYMENT PLANS AND FINANCIAL ASSISTANCE PROGRAMS. ON - SITE FINANCIAL REPRESENTATIVES ARE AVAILABLE ON SITE TO DISCUSS FINANCIAL ASSISTANCE PROGRAMS. 3.) AEHN HOSPITALS APPLY FOR MEDICAID COVERAGE ON BEHALF OF PATIENTS WHERE APPROPRIATE. PATIENTS ARE ASSISTED IN APPLYING FOR CHARITY CARE IF THE MEDICAL ASSISTANCE APPLICATION IS DENIED AND THE PATIENT'S INCOME IS BELOW 200% OF FEDERAL POVERTY GUIDELINES ("FPG"). 4.) UNINSURED PATIENTS ARE CONTACTED FOR PAYMENT ARRANGEMENTS WHEN THEY ARE SCHEDULED FOR SERVICES. FINANCIAL ASSISTANCE IS OFFERED WHEN NO OTHER FORMS OF PAYMENT ARE AVAILABLE. 5.) WHEN PATIENTS CALL A CUSTOMER SERVICE REPRESENTATIVE, THEY ARE PROVIDED MORE INFORMATION ABOUT CHARITY CARE OR OTHER FORMS OF AVAILABLE FINANCIAL ASSISTANCE SPECIFIC TO THEM. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: EINSTEIN MEDICAL CENTER MONTGOMERY - THE PRIMARY SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES IN MONTGOMERY COUNTY, PENNSYLVANIA: EINSTEIN MEDICAL CENTER MONTGOMERY PRIMARY GEOGRAPHIC SERVICE AREA: 19428, 19403, 19401, 19406, 19405, 19426, 19462, 19422, 19444, 19446, 19454, 19468 EINSTEIN MEDICAL CENTER MONTGOMERY PRIMARY COMMUNITY DEMOGRAPHICS: AREA POPULATION SIZE - THE TOTAL POPULATION OF EINSTEIN MEDICAL CENTER MONTGOMERY'S SERVICE AREA INCREASED TO APPROXIMATELY 319,200 RESIDENTS IN 2010 FROM 294,700 RESIDENTS IN 2000. THE SERVICE AREA'S POPULATION IS ESTIMATED TO CONTINUE INCREASING IN 2014 AND 2018. DEMOGRAPHIC CHARACTERISTICS: AGE - IN THE SERVICE AREA, NEARLY ONE-QUARTER OF RESIDENTS ARE BETWEEN THE AGES OF 0-17 (23%), MORE THAN ONE-THIRD ARE 18-44 (36%), NEARLY THREE IN 10 ARE 45-64 (27%), AND 14% ARE 65 AND OLDER. WHEN COMPARING TO 2000, THE SERVICE AREA SAW A DECREASE IN THE PERCENTAGE OF RESIDENTS AGES 18-44 AND AN INCREASE IN THE PERCENTAGE OF RESIDENTS AGES 45-64. THE TREND TOWARD AN AGING POPULATION IN THE SERVICE AREA IS EXPECTED TO CONTINUE THROUGH 2018. COMPARED TO MONTGOMERY COUNTY, THE PE X false true false true false false false false false true false Terence S Matalon MD Physician - Chair of Radiology 862228 0 12500 0 18997 0 44075 0 24310 0 962110 0 0 0 John Handal MD Physician - Ortho Spine Srgry 941478 0 379 0 17937 0 46193 0 27892 0 1033879 0 0 0 Mark Kotapka MD Physician -Chair Neurosurgery 1166705 0 0 0 21311 0 36779 0 30514 0 1255309 0 0 0 Victor Navarro MD Physician - Chair Transplant 823276 0 200000 0 18450 0 12020 0 26513 0 1080259 0 0 0 Mark Anderson MD Physician - Chair CT Surgery 1546993 0 200000 0 33438 0 13294 0 28762 0 1822487 0 0 0 Michael Stern VP - Healthcare Svcs 273123 0 523 0 23691 0 7409 0 18997 0 323743 0 0 0 Craig Sieving VP - Facilities 206249 0 119 0 15886 0 6788 0 26790 0 255832 0 0 0 Cynthia M DeGrandpre VP - Healthcare Svcs 260229 0 5523 0 29560 0 43508 0 30221 0 369041 0 0 0 Sharon Bergen COO - Belmont 235267 0 24023 0 24681 0 66009 0 21563 0 371543 0 0 0 Luann Trainer COO - Einstein Phys & Einstein 322944 0 5499 0 29626 0 23576 0 27887 0 409532 0 0 0 Ruth Lefton COO - Moss/Einstein Elkins Prk 342299 0 50507 0 34210 0 25010 0 13668 0 465694 0 0 0 Beth Duffy COO- EMCM 0 362219 0 300507 0 35448 0 33381 0 4943 0 736498 0 0 Gerard Blaney VP - Finance / Asst. Treas. 0 399087 0 148523 0 49212 0 39735 0 29231 0 665788 0 0 Richard Cuming Chief Nursing Officer 211880 0 15297 0 24941 0 11248 0 11637 0 275003 0 0 0 Dennis Pfleiger Vice President - EMCM 170400 0 11500 0 89 0 0 0 24645 0 206634 0 0 0 Patricia Modafferi Vice President - EMCM 158059 0 13000 0 60 0 1794 0 1669 0 174582 0 0 0 David Ertel CFO - Assistant Treaurer 0 545369 0 40437 0 44875 0 27579 0 19339 0 677599 0 0 Penny Rezet Chief Legal Officer/Asst Sec'y 0 386496 0 88526 0 38600 0 26102 0 27331 0 567055 0 0 Susan Bernini COO Albert Einstein Medical Ct 0 523721 0 110500 0 585435 0 226894 0 27537 0 1474087 0 496618 Barry Freedman President and CEO 0 1130692 0 319809 0 596159 0 449999 0 28907 0 2525566 0 586873 Frank S James MD Trustee 264889 0 0 0 7218 0 48799 0 20562 0 341468 0 0 0 David Greenspan MD Trustee 326416 0 0 0 6608 0 23382 0 27655 0 384061 0 0 0 David Jaspen DO Trustee 403185 0 0 0 10035 0 13881 0 28319 0 455420 0 0 0 Arnold Cohen MD Trustee 375937 0 15000 0 3304 0 30659 0 21607 0 446507 0 0 0 Carl Chudnofsky MD Trustee 508681 0 16460 0 10519 0 32164 0 27587 0 595411 0 0 0 Richard Fine MD Trustee 597507 0 15000 0 13709 0 58847 0 29257 0 714320 0 0 0 Alberto Esquenazi MD Trustee 535372 0 79294 0 12483 0 50756 0 29175 0 707080 0 0 0 Scott Melnick MD Trustee 0 123981 0 0 0 3136 0 30671 0 19718 0 177506 0 0 Janis Rubin MD Trustee 0 211146 0 0 0 2376 0 11594 0 17024 0 242140 0 0 SCHEDULE J, PART I, LINE 1b LONG TERM DISABILITY BENEFITS ARE PROVIDED TO CERTAIN KEY EMPLOYEES. THESE EMPLOYEE'S WAGES ARE "GROSSED UP" AT THEIR INDIVIDUAL TAX RATES TO PROVIDE THE FULL VALUE OF THE BENEFIT SINCE THIS BENEFIT IS REFLECTED IN THEIR W2S AS TAXABLE WAGES. SCHEDULE J, PART I, LINE 4b BARRY FREEDMAN AND SUSAN BERNINI PARTICIPATE IN A 457 (F) SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN AND RECEIVED $586,873 AND $496,618 RESPECTIVELY, FROM SUCH PLAN. SCHEDULE J, PART I, LINE 7 THE ORGANIZATION HAS IN PLACE A PAY FOR PERFORMANCE PLAN WHERE CERTAIN EXECUTIVES MAY EARN A PERCENTAGE OF SUCH INDIVIDUAL EXECUTIVE'S BASE SALARY, DEPENDING UPON WHETHER HE OR SHE ACHIEVES INDIVIDUAL GOALS SET IN ADVANCE AND WHETHER THE ORGANIZATION MEETS A FINANCIAL PERFORMANCE THRESHOLD. THE ACTUAL PAYMENT MADE DEPENDS UPON WHETHER ALL OR A PORTION OF THE GOALS HAVE BEEN ACHIEVED IN THE TIME FRAME SPECIFIED. THE DECISION AS TO WHETHER INCENTIVE COMPENSATION IS AWARDED TO THE ELIGIBLE EXECUTIVES IS MADE BY THE COMPENSATION COMMITTEE. A Montgomery Cty Industrial Dev Authority 232245125 613612AS9 2015-06-24 478903514 Refinance 2009A and 2010 bond issu false false false A 0 0 478903514 0 0 419966544 4432140 0 0 11235687 11446731 31822484 false true false true A false true false false 0.01230 0.00000 0.01230 false false 0.00000 false false A false true false false false false 0 false 0 false false A true Part III 9 Amending written procedures Part III 9 - Management is in the process of amending the written procedures to include a section regarding remediation. Part IV 7 - Corrective action Part IV 7 -Management will establish written procedures to monitor the requirements of Section 148 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 22877529 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 10589863 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3328267 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2013988 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1804084 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1738368 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 989307 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 658475 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 658475 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 321223 EMPLOYEE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 294210 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 284667 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 281712 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 263131 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 185659 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 185139 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 123740 EMPLOYEE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 117132 PERFORMANCE OF SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 108457 PERFORMANCE OF SERVICES false SCHEDULE L, PART IV, COLUMN (A) ALBERT EINSTEIN HEALTHCARE NETWORK GROUP LETTER RULING PAID FOR THE PROVISION OF SERVICES FROM INDEPENDENT CONTRACTORS AND COMPENSATION TO EMPLOYEES, WHO ARE SUBSTANTIAL CONTRIBUTORS LISTED ON SCHEDULE B. DUE TO THE CONFIDENTIALITY OF THE DONORS LISTED ON SCHEDULE B, THE NAMES OF THE SUBSTANTIAL CONTRIBUTORS HAVE NOT BEEN DISCLOSED ON SCHEDULE L. X 4 0 Donor Valuation X 0 Donor Valuation X 24 1565197 Selling Price X 20 0 Donor Valuation X Miscellaneous 54 0 Donor Valuation false true false Schedule M, Part II, Supplemental Information The number of contributions are reported on Schedule M. The Group does not recognize Gifts-in-Kind (such as clothing, food, works of art,etc) within its financial statements, but does aknowledge these gifts to the donor. Only securities are reconized within the financial statements. FORM 990, PART I, LINE 1 - ORGANIZATIONS'S MISSION THE ORGANIZATION'S MISSION IS THE PROVISION OF COMPASSIONATE, HIGH QUALITY HEALTH CARE IN ORDER TO ELEVATE THE HEALTH STATUS OF THE PATIENTS IT SERVES IN SOUTHEASTERN PENNSYLVANIA, SOUTHERN NEW JERSEY AND DELAWARE. THE GROUP SERVES THESE INDIVIDUALS AND OTHERS WITH HEALTH CARE PROGRAMS AND SERVICES RANGING FROM COMMUNITY HEALTH EDUCATION AND PREVENTIVE MEDICINE TO COMPLEX AND SPECIALIZED CARE REQUIRING ADVANCED TECHNOLOGY AND HIGHLY EXPERT STAFF. THE GROUP ENTHUSIASTICALLY EMBRACES ITS SPECIAL RESPONSIBILITY TO THE MOST VULNERABLE RESIDENTS IN ITS PRIMARY SERVICE AREA AND TO THE MEMBERS OF THE JEWISH COMMUNITY. THE GROUP REFLECTS THE VALUES OF THE JEWISH COMMUNITY BY CARING FOR ANY PERSON REGARDLESS OF RACE, RELIGION, NATIONAL ORIGIN, OR THE ABILITY TO PAY. THE GROUP'S EDUCATIONAL COMMITMENT INCLUDES PROVIDING HEALTH EDUCATION TO THE COMMUNITY, AND TRAINING AND EDUCATING MEDICAL SCHOOL STUDENTS, GRADUATE AND PRACTICING PHYSICIANS, AND OTHER HEALTH CARE PROFESSIONALS. THE GROUP ALSO SUPPORTS CLINICAL RESEARCH FOR THE PURPOSE OF ENHANCING THE QUALITY OF PATIENT CARE AND ADVANCING THE SCIENCE OF MEDICINE. FORM 990, PART VI, SECTION A, LINES 6, 7A and 7B THE ALBERT EINSTEIN HEALTHCARE NETWORK IS A NOT-FOR-PROFIT CORPORATION THAT CONTROLS RELATED ORGANIZATIONS IN A HEALTH CARE DELIVERY SYSTEM SERVING THE GREATER DELAWARE VALLEY THROUGH SOLE MEMBERSHIP IN THOSE RELATED ORGANIZATIONS. THE ALBERT EINSTEIN HEALTHCARE NETWORK ("AEHN"), THE PARENT COMPANY, TOGETHER WITH ITS RELATED MEMBER ORGANIZATIONS, COMPRISES THE ALBERT EINSTEIN HEALTHCARE NETWORK ("NETWORK"). ALBERT EINSTEIN Healthcare Network Group IS A CONTROLLED ORGANIZATION THROUGH SOLE AEHN MEMBERSHIP. The entities included in the group filing are as follows: Albert Einstein Medical Center; EIN: 23-1396794 Belmont Center for Comprehensive Treatment; EIN: 23-1352200 Einstein Community Health Associates; EIN: 23-2760086 Einstein Medical Center Montgomery; 20-4193243 Einstein Practice Plan, Inc.; EIN: 23-2664784 FORM 990, PART III, Line 1 organizations mission AEHN GROUP IS LICENSED TO OPERATE 721 ACUTE CARE BEDS. TERTIARY CARE IS PROVIDED THROUGH THREE LOCATIONS, ITS MAIN CAMPUS IN NORTH PHILADELPHIA, ITS CAMPUS AT ELKINS PARK AND ITS CAMPUS AT MONTGOMERY COUNTY. IN ADDITION, ITS MAIN CAMPUS OPERATES A 24-HOUR LEVEL I TRAUMA CENTER WITH AN OPEN ADMISSIONS POLICY PROVIDING EMERGENCY SERVICES TO THE COMMUNITY. AEHN GROUP PROVIDES HEALTH AND HEALING SERVICES TO THE COMMUNITIES IT SERVES AND TRAINS PHYSICIANS TO BE ACCOMPLISHED LEADERS THROUGH SCHOLARLY ACTIVITY, EXCELLENCE IN TEACHING AND PARTICIPATION IN RESEARCH. AEHN GROUP IS LICENSED TO OPERATE 197 REHABILITATION BEDS. REHABILITATION SERVICES ARE PROVIDED IN A 17-BED SETTING ON ITS MAIN CAMPUS AND 50-BED SETTING AT FOUR OTHER HOSPITALS AND IN A 130-BED SETTING AT THE ELKINS PARK LOCATION. AEHN GROUP OPERATES AND MAINTAINS HOSPITALS AND CLINICAL FACILITIES FOR THE STUDY, DIAGNOSIS, CARE, TREATMENT, AND REHABILITATION OF PERSONS WITH MENTAL OR EMOTIONAL DISORDERS. AEHN GROUP PROVIDES EDUCATION AND COUNSELING OF SUCH PERSONS AND THEIR FAMILIES AND ENGAGES IN EDUCATIONAL AND RESEARCH PROGRAMS TO FACILITATE AND SUPPORT SUCH ACTIVITIES. AEHN GROUP OPERATES PSYCHIATRIC SERVICES IN A 147 BED HOSPITAL SETTING AND COUNSELING AND PSYCHIATRIC CARE IN VARIOUS OUTPATIENT AND PARTIAL HOSPITAL SETTINGS, FOR THE STUDY, DIAGNOSIS, CARE, TREATMENT, AND REHABILITATION OF PERSONS WITH MENTAL OR EMOTIONAL DISORDERS, AND THE EDUCATION AND COUNSELING OF SUCH PERSONS AND THEIR FAMILIES, AND TO ENGAGE IN EDUCATIONAL AND RESEARCH PROGRAMS TO FACILITATE AND SUPPORT SUCH ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED IN CONNECTION WITH ALBERT EINSTEIN HEALTHCARE NETWORK'S INDEPENDENT ACCOUNTING FIRM, PRICEWATERHOUSECOOPERS LLP AND IS REVIEWED INTERNALLY BY ALBERT EINSTEIN HEALTHCARE NETWORK'S MANAGEMENT. THE FORM 990 IS THEN PROVIDED TO THE AUDIT COMMITTEE OF THE GOVERNING BODY FOR REVIEW. AFTER REVIEW, BUT PRIOR TO FILING, THE RETURNS ARE ELECTRONICALLY MAILED TO THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 12C IN ACCORDANCE WITH ORGANIZATION POLICY, EACH MEMBER OF THE BOARD OF TRUSTEES, ALL KEY EMPLOYEES AND OFFICERS ARE REQUIRED ANNUALLY TO COMPLETE A COMPREHENSIVE CONFLICT OF INTEREST DISCLOSURE FOR REVIEW BY THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES AND ARE REQUIRED TO UPDATE SUCH DISCLOSURES IF THERE ARE ANY CHANGES. ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE DISCUSSED AND RESOLVED IN ACCORDANCE WITH SPECIFIC GUIDELINES AND REPORTED TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15A and 15B THE BOARD OF TRUSTEES HAS DELEGATED THE RESPONSIBILITY FOR COMPENSATION REVIEW TO THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. INDEPENDENT MEMBERS OF THE COMPENSATION COMMITTEE REVIEW AND APPROVE THE COMPENSATION FOR THE CEO AND ALL OTHER OFFICERS AND KEY EMPLOYEES OF ALBERT EINSTEIN HEALTHCARE NETWORK. THE COMPENSATION COMMITTEE REQUIRES THAT ONE OR MORE INDEPENDENT COMPENSATION EXPERTS REVIEW THE COMPENSATION OF ALL SUCH PERSONS TO DETERMINE THAT SUCH COMPENSATION IS APPROPRIATE AND REASONABLE AND SUCH INDEPENDENT EXPERT USES APPLICABLE COMPARABILITY DATA. THE COMMITTEE REVIEWS THE REPORTS OF THE INDEPENDENT EXPERTS IN DETAIL AND DOCUMENTS THE DATA REVIEWED, THE DELIBERATION AND DISCUSSION CONTEMPORANEOUSLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. Form 990, PART XI, Line 9 (35,789,613) Change in Pension Liability (1,729,043) Investment Impairment (162,800) Change in beneficial interest in perpetual trusts ------------ (37,681,456) ============ GHMC MANAGEMENT INC 5501 OLD YORK ROAD philadelphia PA 19141 232225809 HEALTHCARE PA 501(C)(3) 11A AEHN true MONTGOMERY HOSPITAL 5501 Old York Road Philadelphia PA 19141 231352193 HEALTHCARE PA 501(C)(3) 3 AEHN true MONTGOMERY HEALTH FOUNDATION 5501 Old York Road Philadelphia PA 19141 222456265 Hosp Support PA 501(C)(3) 11B AEHN true FORNANCE PHYSICIAN SERVICES INC 1330 Powell St Ste 509 Norristown PA 19401 232275991 HEALTHCARE PA 501(C)(3) 11A AEHN true MONTGOMERY HOSPITAL WORKERS COMPENSATION 5501 Old York Road Philadelphia PA 19141 232351775 HEALTHCARE PA 501(C)(3) 11A AEHN true BROADLINE RISK RETENTION GROUP 100 Bank St Burlington VT 05401 272583356 INSURANCE VT 501(C)(3) 11A AEHN true Albert Einstein Healthcare Network 5501 Old York Road Philadelphia PA 19141 232290323 HEALTHCARE PA 501(C)(3) 11C N/A false Einstein USPSugery Centers LLC 600 W Germantown Pike East Norriton PA 19403 800790232 MEDICAL SERVICES PA AEHN related -396291 -96498 false false 0.80000 EINSTEIN HEALTHCARE SYSTEMS INC 101 OLNEY AVENUE PHILADELPHIA PA 19120 232314938 HOLDING COMPANY PA AEHN C CORP 1490754 1.00000 true REHAB VENTURES INC 1200 W TABOR ROAD PHILADELPHIA PA 19141 232619394 holding company PA AEHNGROUP C CORP -120046 1681318 1.00000 true CMMC INC 1330 Powell St Suite 308 Norristown PA 19401 232256479 RENTAL PROPERT PA AEHN C CORP 130263 1490855 1.00000 true false true false false false false false false false true true true true false false false false false false FORNANCE PHYSICIAN SERVICES M 2033185 Cash FORNANCE PHYSICIAN SERVICES L 249264 Cash MONTGOMERY HOSPITAL K 298359 CASH CMMC Inc K 94459 CASH ALBERT EINSTEIN HEALTHCARE NETWORK M 109804101 CASH FORNANCE PHYSICIAN SERIVCES J 15480 CASH ALBERT EINSTEIN HEALTHCARE NETWORK K 121259 CASH ALBERT EINSTEIN HEALTHCARE NETWORK b 4754660 CASH Albert Einstein Medical Center 5501 Old York Road Philadelphia PA 191413018 231396794 ALBE BCCT Over Corp 5501 Old York Road Philadelphia PA 19141 231352200 ALBE Einstein Community Health Associate 5501 Old York Road Philadelphia PA 19141 232760086 ALBE Einstein Medical Center Montgomery 559 West Germantown Pike East Norriton PA 19403 204193243 ALBE Einstein Practice Plan Inc 5501 Old York Road Philadelphia PA 19141 232664784 ALBE