Jeanes Hospital: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Jeanes Hospital (EIN 23-2826045)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201411349349302106
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T09:24:11-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232826045EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Jeanes HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJEANNameControl
Phone2157283306Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13509 N Broad Street No 936AddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19140ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRaymond LeftonName
TitleCFO & TreasurerTitle
Phone2157283306Phone
Date Signed2014-05-14DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRaymond LeftonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13509 N Broad Street No 936AddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19140ZIPCode
FieldValueIRS element (for citing)
Gross Receipts153832882GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.jeanes.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTo maintain and enhance the quality of life for individuals in the communities we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees1206TotalNbrEmployees
Total Nbr Volunteers317TotalNbrVolunteers
Total Gross UBI281257TotalGrossUBI
Net Unrelated Business Txbl Income32277NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2906425ContributionsGrantsPriorYear
Contributions Grants Current Year1683274ContributionsGrantsCurrentYear
Program Service Revenue Prior Year156404815ProgramServiceRevenuePriorYear
Program Service Revenue CY144531428ProgramServiceRevenueCY
Investment Income Prior Year2234272InvestmentIncomePriorYear
Investment Income Current Year4906230InvestmentIncomeCurrentYear
Other Revenue Prior Year910495OtherRevenuePriorYear
Other Revenue Current Year115963OtherRevenueCurrentYear
Total Revenue Prior Year162456007TotalRevenuePriorYear
Total Revenue Current Year151236895TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3809050GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY7013350GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year74879917SalariesEtcPriorYear
Salaries Etc Current Year76177882SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year130640TotalFundrsngExpCurrentYear
Other Expense Prior Year92833658OtherExpensePriorYear
Other Expenses Current Year82532098OtherExpensesCurrentYear
Total Expenses Prior Year171522625TotalExpensesPriorYear
Total Expenses Current Year165723330TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9066618RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-14486435RevenuesLessExpensesCY
Total Assets BOY117835737TotalAssetsBOY
Total Assets EOY107394779TotalAssetsEOY
Total Liabilities BOY99183763TotalLiabilitiesBOY
Total Liabilities EOY97615651TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18651974NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9779128NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionJeanes Hospital's mission statement, as approved by its board of directors and executives is:In furtherance of the mission of Temple University Health System, the mission of Jeanes Hospital is to maintain and enhance the quality of life for individuals in the communities we serve. We emphasize the Quaker belief that in each person there resides a spirit that creates a common bond among us all. Our health care services include maintenance and enhancement of health, which quickens the spirit and enhances the vitality of our lives.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16270970Expense
Revenue14469004Revenue
DescriptionThe Cardiovascular program at Jeanes Hospital provides healthcareservices aimed at preventing, diagnosing, and treating cardiovascular diseases.Cardiovascular diseases are the leading cause of death in the UnitedStates. The services provided by Jeanes Hospital target the full rangeof conditions related to the heart and vascular system, includingcongestive heart failure, hypertension, and narrowing of the arteriesand peripheral disease. The services are provided to both inpatientsand outpatients.Cardiovascular services at Jeanes Hospital span the continuum of heartcare. Included are open heart surgery, diagnostic and interventional cardiac catheterization, electrophysiology studies, stress testing,cardiac and thoracic surgery, echocardiograms, EKGs, holter monitortests and cardiopulmonary rehab. The hospital's vascular servicesprovide both open and closed vascular procedures in surgery, cath laband vascular lab. Jeanes Hospital is the recipient of the AmericanHeart Association's Stroke Gold Plus Quality Achievement Award.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense9947232Expense
Revenue10147398Revenue
DescriptionGastroenterology/Digestive Disease. Jeanes Hospital gives patients themost advanced, safest and proven medical and surgical treatmentsprimarily focused on the gastrointestinal tract. The services offeredby Jeanes Hospital under this specialty are: surgical weight loss,colorectal surgery, nutritional counseling, and gastroenterology andhepatology services aimed at treating patients with disorders of theesophagus, liver, gall bladder and stomach. Services are provided toboth inpatients and outpatients.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense13784320Expense
Revenue11678482Revenue
DescriptionPulmonary. Jeanes Hospital provides comprehensive pulmonary complexmedical and rehabilitation programs for patients with acute and chronicpulmonary conditions. Services provided range from inpatientventilation management and weaning, to outpatient pulmonaryrehabilitation delivered by an interdisciplinary team of highly trainedand board certified pulmonologists, respiratory therapists and nurses.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense110866441Expense
Grants7013350Grants
Revenue108236544Revenue
DescriptionIn concert with cardiovascular, digestive and pulmonary services at Jeanes Hospital, a full continuum of additional services creates a comprehensive medical and surgical center for our community and its physicians. Services range from diagnostic to therapeutic, medical to surgical, and outpatient to critical care. Here is a roster of some of the more prominent services at Jeanes Hospital:General Medicine consists of diagnosis, management and non-surgical treatment of disease processes.Emergency Services are available to the community 24 hours a day for patients who suffer illness or injury.We have a full range of ambulatory diagnostic testing, including path lab services and radiology. Diagnostic imaging services include general X-ray, digital mammography, ultrasound, MRI, CT, interventional imaging and nuclear medicine. Advanced technology MRI, CT and PET scanning are available at Jeanes Hospital for critical diagnoses. Services, both medical and surgical, are available for disorders of the ears, nose, throat and eyes. Women's health services at Jeanes Hospital include screening and diagnostic digital mammography, ultrasound services, breast surgery, fertility services and a compendium of gynecological surgical services.Orthopaedics at Jeanes Hospital ranges from conservative treatment to high acuity surgery. Surgery includes tertiary-level joint replacement procedures and rehab, and spine procedures.Neurosurgery services at Jeanes Hopsital offers an alternative to orthopaedics for spine surgery patients. General surgery encompasses an array of interventional procedures for our patients, including oncologic, vascular, gastrointestinal, bariatric surgeries, etc. In step with surgical trends, Jeanes Hospital offers more and more minimally-invasive alternatives such as laparoscopic surgery.Dermatology and plastic surgery both have a full-time presence at Jeanes Hospital.Anesthesiologists on the Jeanes Hospital medical staff offer a formal pain management program for chronic pain patients, including interventional procedures. A hospitalist program was established at Jeanes Hospital, allowing physicians to rely on specially trained inpatient coverage while tending to their practices more efficiently. Additional services include urology, nephrology, neurology, infectious disease, psychiatry and psychology, podiatry, rheumatology, and endocrinology.Community Benefit Overview:Jeanes Hospital takes great pride in the broad array of community services that we provide to our surrounding neighborhoods. Founded in 1928 by virtue of a bequest in the Will of Philadelphia Quaker leader Anna T. Jeanes, we continue her vision of serving as the destination for those who need ambulatory, inpatient, surgical, and home care in Northeast Philadelphia by combining the compassionate nature of a Quaker founded community hospital with the advanced capabilities of an academic medical center. Jeanes Hospital is firmly committed to advancing the health of people and quality of life in our communities. Below is a summary of some of the programs and activities operated in our FYE June 30, 2013 of which we are most proud.Reaching out to the Community. Jeanes reached more than 7,300 seniors, adults, and children, providing free health screenings; support groups for patients and families dealing with disease; immunization for flu; stroke awareness, and other topics, and many other outreach activities. Wellness Track: Jeanes offers a safe, park-like walking trail for community members to enjoy healthy outdoor exercise. Increasingly, we are hosting some of our community education sessions outdoors on this track, where cardiologists and other health professionals explain firsthand the need to stay fit and healthy. Food, Book, Clothing, and Toy Drive: Reflecting the compassion of our Quaker heritage, Jeanes employees contributed food, new coats, toys and financial contributions to support low income families living in our communities. We partnered with Salvation Army, Feast of Justice, local food banks, churches and other community organizations on these initiatives.Blood Drives: In partnership with the American Red Cross, Jeanes collected more than 72 productive pints of blood. Health & Wellness Education: More than 400 community members joined our Community Classroom series, which focused on stroke awareness, arthritis, osteoporosis, healthy diet, exercise, stress, cancer, and other topics of interest to our community. Investing in Health Professions Education. Jeanes helps provide the education and training necessary to develop a professional healthcare workforce to benefit the broader community. Fostering Volunteerism. A majority of the members of Jeanes Hospitals Board of Directors is comprised of local volunteers who offer expertise and govern the organization without compensation. Similarly, members of Jeanes Hospitals executive staff routinely participate in not-for-profit community health and social service organizations, as members of their boards-of-directors and in partnership with their outreach services. Fueling our Communitys Economic Engine. Jeanes employed nearly 1,000 people and paid $78 million in salaries and benefits. For every $1.00 of hospital employee compensation, about $.92 additional compensation is spent elsewhere in the community (about $72 million) million). For every job at Jeanes Hospital, about 1.2 additional jobs are generated elsewhere (about 1,200 spin-off jobs).Reducing the Government Burden. In 2013, Jeanes Hospital incurred more than $6.7 million in charity care expenses. In addition, Jeanes Hospital maintains strong affiliations with government and community organizations to help ensure access to care for our vulnerable population.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp110866441TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt7013350TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev108236544TotalOfOtherProgramServiceRev
Total Program Service Expense150868963TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
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Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
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Deductible Non Cash Contributions0DeductibleNonCashContributions
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Terminated0Terminated
Partial Liquidation0PartialLiquidation
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Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096112NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1206NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
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Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Raymond LeftonBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2157077766TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13509 N Broad Street Room 936AddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19140ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Joseph Evans
Chair2.002.00X000
Dr Thomas Lewis
Vice Chair2.000.00X000
Francis Devlin
Director2.000.00X000
Larry Kaiser MD
Director2.0048.00X0150457620624
Charles Lockyer
Director2.002.00X000
Martin Ogletree
Director2.000.00X000
David Kraynik
Director2.000.00X000
Lewis Gould
Director2.006.00X000
Robert Taylor
Director2.000.00X000
Verdi DisSesa MD
Ex Officio - Non Voting3.0047.00X082087344901
Paul Karlin MD
Ex Officio - Non Voting5.0045.00X032050642302
Eleanor Reinhardt
Ex Officio - Non Voting2.000.00X000
Linda Grass
President & CEO48.002.0036283007171X
Beth Koob
Secretary3.0047.00052808188175X
Anne Rudloff
Asst Secretary50.000.0054870021283X
Betty McAdams
Asst Secretary2.0048.0008058822822X
Ray Lefton
Treasurer / CFO50.000.00001269X
Robert Lux
Asst Treasurer3.0047.000604747129704X
Thomas Albenesi
Treasurer / CFO25.0025.00041978347740X
Andrea McCoy
Chief Medical Officer50.000.00281864041462X
Denise Frasca
AHD - Patient Services50.000.00180018035283X
Stephanie Kao
Medical Director50.000.00198321027736X
John Woodward
Physician50.000.0020996200X
Frank Shipp
AHD50.000.00161141015968X
Joseph Schofield
AHD50.000.0018643606483X
Hardik Patel
AHD50.000.0016232106534X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1797763TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4279154TotalReportableCompFrmRltdOrgs
Total Other Compensation559457TotalOtherCompensation
Number Individuals GT100 K56NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Temple University Health System
3509 N Broad Street Room 936PhiladelphiaPA19140Related organization services9946745
Temple University Hospital
3509 N Broad Street Room 936PhiladelphiaPA19140Faculty support, lab5497240
Temple Physicians Inc
3509 N Broad Street Room 936PhiladelphiaPA19140Related organization services4817987
Temple University of the Commonwealth Sy
300 Sullivan Hall 1330 W Berks StPhiladelphiaPA19122Related organization services4613566
Synthes USA Sales LLC
PO Box 8538-662PO Box 8538-662PhiladelphiaPA19171Medical Products310834
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Number Of Contractors GT100 K10NumberOfContractorsGT100K
Related Organizations110358RelatedOrganizations
Government Grants1555289GovernmentGrants
All Other Contributions17627AllOtherContributions
Total Contributions1683274TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net patient svc revenue622110139222871138980422242449
Rental income53200044405194440519
Snack shop income722210532437532437
Cafeteria income722210279180279180
Service revenue6221105570755707

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column714TotalRevenueColumn
Related Or Exempt Function Income714RelatedOrExemptFunctionIncome
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Total Program Service Revenue144531428TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column3488724TotalRevenueColumn
Exclusion$3,488,724ExclusionAmount

Gross Rents GrossRents

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Real77155Real

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Real0Real

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Real77155Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

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Total Revenue Column77155TotalRevenueColumn
Exclusion$77,155ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

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Other Revenue Misc OtherRevenueMisc

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Total Revenue Column38808TotalRevenueColumn
Unrelated Business Revenue38808UnrelatedBusinessRevenue
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Total Other Revenue38808TotalOtherRevenue

Total Revenue TotalRevenue

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Total Revenue Column151236895TotalRevenueColumn
Related Or Exempt Function Income144288979RelatedOrExemptFunctionIncome
Unrelated Business Revenue281257UnrelatedBusinessRevenue
Exclusion$4,983,385ExclusionAmount
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Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total7013350Total
Program Services7013350ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total1050620Total
Management And General1050620ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

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Program Services54579575ProgramServices
Management And General2860257ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

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Total3755596Total
Program Services3504347ProgramServices
Management And General251249ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

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Total9665266Total
Program Services8941489ProgramServices
Management And General723777ManagementAndGeneral

Payroll Taxes PayrollTaxes

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Total4266568Total
Program Services3981135ProgramServices
Management And General285433ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

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Management And General5376545ManagementAndGeneral
Fundraising130640Fundraising

Fees For Services Legal FeesForServicesLegal

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Total171856Total
Management And General171856ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Management And General61788ManagementAndGeneral

Fees For Services Other FeesForServicesOther

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Program Services19594294ProgramServices
Management And General5059826ManagementAndGeneral

Advertising Advertising

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Program Services364296ProgramServices
Management And General5730ManagementAndGeneral

Office Expenses OfficeExpenses

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Total25901541Total
Program Services25451540ProgramServices
Management And General450001ManagementAndGeneral

Information Technology InformationTechnology

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Total4737822Total
Program Services4426911ProgramServices
Management And General310911ManagementAndGeneral

Occupancy Occupancy

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Management And General-2346117ManagementAndGeneral

Travel Travel

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Program Services82916ProgramServices
Management And General15083ManagementAndGeneral

Conferences Meetings ConferencesMeetings

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Total11766Total
Program Services11542ProgramServices
Management And General224ManagementAndGeneral

Interest Interest

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Total2718181Total
Program Services2718181ProgramServices

Depreciation Depletion DepreciationDepletion

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Total6188912Total
Program Services6188912ProgramServices

Insurance Insurance

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Total581577Total
Program Services581733ProgramServices
Management And General-156ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Tax assessment expense55088145508814
Equipment rental and ma33222212848456473765
Loss on Disposal of Fix42811037449353617

All Other Expenses AllOtherExpenses

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Total559306Total
Program Services639988ProgramServices
Management And General-80682ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

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Total165723330Total
Program Services150868963ProgramServices
Management And General14723727ManagementAndGeneral
Fundraising130640Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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BOY799082BOY
EOY1640443EOY

Accounts Receivable AccountsReceivable

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BOY24531748BOY
EOY22365056EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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BOY3393028BOY
EOY3771529EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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BOY1271367BOY
EOY972535EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis127037205LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec100333580LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY30618478BOY
EOY26703625EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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BOY12930312BOY
EOY24248947EOY

Investments Other Securities InvestmentsOtherSecurities

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BOY23608469BOY
EOY6565712EOY

Other Assets Total OtherAssetsTotal

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BOY20683253BOY
EOY21126932EOY

Total Assets TotalAssets

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BOY117835737BOY
EOY107394779EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

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BOY50312692BOY
EOY43729665EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY48750BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY163244BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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BOY469600BOY
EOY200959EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY48189477BOY
EOY53685027EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY99183763BOY
EOY97615651EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

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BOY3197629BOY
EOY-6701877EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

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BOY198858BOY
EOY186211EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15255487BOY
EOY16294794EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18651974BOY
EOY9779128EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

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BOY117835737BOY
EOY107394779EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-14486435ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-1339231ReconciliationUnrealizedInvest
Reconcilation Other Changes6952820ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance15256626BeginningOfYearBalance
Investment Earnings Or Losses1158051InvestmentEarningsOrLosses
Other Expenditures118646OtherExpenditures
End Of Year Balance16296031EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance15864051BeginningOfYearBalance
Investment Earnings Or Losses152637InvestmentEarningsOrLosses
Other Expenditures760061OtherExpenditures
End Of Year Balance15256627EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13783220BeginningOfYearBalance
Investment Earnings Or Losses2801550InvestmentEarningsOrLosses
Other Expenditures720719OtherExpenditures
End Of Year Balance15864051EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12963338BeginningOfYearBalance
Investment Earnings Or Losses1646133InvestmentEarningsOrLosses
Other Expenditures826251OtherExpenditures
End Of Year Balance13783220EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance16733256BeginningOfYearBalance
Investment Earnings Or Losses-2840933InvestmentEarningsOrLosses
Other Expenditures928985OtherExpenditures
End Of Year Balance12963338EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis12775InvestmentCostOrOtherBasis
Book Value12775BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis138504InvestmentCostOrOtherBasis
Other Cost Or Other Basis78685425OtherCostOrOtherBasis
Depreciation62538277Depreciation
Book Value16285652BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1145856OtherCostOrOtherBasis
Depreciation169473Depreciation
Book Value976383BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis45282122OtherCostOrOtherBasis
Depreciation36227832Depreciation
Book Value9054290BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1772523OtherCostOrOtherBasis
Depreciation1397998Depreciation
Book Value374525BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26703625TotalOfBookValueLandBuildings

Other Securities OtherSecurities (8 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TIFF Absolute Return Pool II2257957F
P2 Capital Fund Ltd731174F
GMO Forestry Fund 6b, LP20437F
Pvt Advisors DO Fund, LP330325F
PvtAdv SmCoBO Fund II, LP1268563F
FCOI II Holdings, LP547944F
Forester Partners LP383189F
MREP 2008 Distressed Co-Investment Fund, LP1026123F
FieldValueIRS element (for citing)
Total Of Book Value Securities6565712TotalOfBookValueSecurities

Other Assets OtherAssets (11 entries)

DescriptionDescriptionBook ValueBookValue
Jeanes Physicians' Office Building Partnership1004977
Self insurance asset TU malpractice2257355
Self insurance asset TU Workers' Compensation1251130
Assets Limited As To Use -- Other, General13264
Assets Limited As To Use -- Temporarily Restricted Funds278369
Assets Limited As To Use -- Permanently Restricted Funds75000
Assets Held in Trust -- Anna T. Jeanes Trust14079841
Assets Held in Trust -- Maude E.M. Boggs Trust1884238
Assets Held in Trust -- Edith Scot Paschall Trust226371
Assets Held in Trust -- John E. Holcomb Trust28844
Cash value of life insurance policy27543
FieldValueIRS element (for citing)
Total Book Value Other Assets21126932TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Long-term debt, inter-company$46,739,528
Estimated retroactive adj, 3rd party payers$1,253,238
Due to affiliated companies$5,692,261
FieldValueIRS element (for citing)
Total Of Amounts53685027TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
ExplanationPart IV, line 2b: Jeanes Physicians' Office Building Partnership established with Jeanes Hospital an escrowed vacancy reserve fund to secure partnership obligations under a reimbursement and indemnification agreement. Part V, line 4: Use of the endowments will vary depending on the nature of the restrictions imposed by the donors. If an endowment is restricted as to purpose, the organization will use the endowment for the permitted purpose. If the endowment is restricted as to time, the organization draws income but accumulates principal.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3197757TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3197757NetCommunityBenefitExpense
Percent Of Total Expense0.01930PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense17544868TotalCommunityBenefitExpense
Direct Offsetting Revenue14024331DirectOffsettingRevenue
Net Community Benefit Expense3520537NetCommunityBenefitExpense
Percent Of Total Expense0.02120PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense20742625TotalCommunityBenefitExpense
Direct Offsetting Revenue14024331DirectOffsettingRevenue
Net Community Benefit Expense6718294NetCommunityBenefitExpense
Percent Of Total Expense0.04050PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs54NumberOfActivitiesOrPrograms
Persons Served7371PersonsServed
Total Community Benefit Expense159298TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense159298NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1947003TotalCommunityBenefitExpense
Direct Offsetting Revenue742468DirectOffsettingRevenue
Net Community Benefit Expense1204535NetCommunityBenefitExpense
Percent Of Total Expense0.00730PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs54NumberOfActivitiesOrPrograms
Persons Served7371PersonsServed
Total Community Benefit Expense2106301TotalCommunityBenefitExpense
Direct Offsetting Revenue742468DirectOffsettingRevenue
Net Community Benefit Expense1363833NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs54NumberOfActivitiesOrPrograms
Persons Served7371PersonsServed
Total Community Benefit Expense22848926TotalCommunityBenefitExpense
Direct Offsetting Revenue14766799DirectOffsettingRevenue
Net Community Benefit Expense8082127NetCommunityBenefitExpense
Percent Of Total Expense0.04880PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense9500TotalCommunityBuildingExpense
Net Community Building Expense9500NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense9500TotalCommunityBuildingExpense
Net Community Building Expense9500NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,421,714BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare33096499AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare39716918CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6620419MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Jeanes HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line17600 Central AvenueAddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code191112442ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours
OtherHome health careOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Jeanes HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
Other Needs AddressedXOtherNeedsAddressed
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 7: Part 1, Line 7Costing methodologyA ratio of cost to charges derived from Worksheet 2 was used in determining the amounts reported on Part I, lines 7a through 7d. The amounts are reported at cost and include both direct and indirect costs. Direct costs include salaries, employee benefits, supplies, and other costs that are directly attributable to the services. These direct costs would not exist if the service or program did not exist. Indirect costs are expenses not directly attributable to the service or programs but are included in the calculation of costs for total charity care and means-tested government programs. These costs include but are not limited to human resources, finance departments, insurance, support departments and overhead expenses.
Part I, L7 Col(f): Per the financials, accounts receivable are written off against the allowance for doubtful accounts when management determines that recovery is unlikely and the Health System ceases collection efforts.
Part II: Community Building ActivitiesIn addition to the extensive community health improvement services quantified in Schedule H, Part I and described more fully in Schedule O, Jeanes Hospital also engages in a number of community building activities. These include periodic blood drives held in partnership with the American Red Cross, as well as our promotion of healthy diet and exercise, including our new Farms to Family partnership with Common Market. While this program was started during our FYE June 30, 2014, expenses for planning and implementation were incurred during this reporting tax year.
Part III, Line 4: The ratio of cost to charge method is used in determining the amounts reported on lines 2 and 3. The amounts on lines 2 and 3 are reported at cost and include both direct and indirect costs. Direct costs include salaries, employee benefits, supplies, and other costs that are directly attributable to the service and that would not exist if the service or program did not exist. Indirect costs are costs not attributed to the services or programs that are included in the calculation of costs for community benefit. These costs include but are not limited to human resources, finance departments, insurance, support departments and overhead expenses.
Part III, Line 8: As a response to efforts to improve the health and quality of life of people living in the community, Jeanes Hospital provided $6,620,419 in unreimbursed services to patients enrolled in Medicare programs. Jeanes Hospital believes that the Medicare shortfall of $6,620,419 should be treated as a community benefit since it has a clear mission to serving and improving the health status of the elderly. For the nine months ended March 31, 2013, approximately 56% of all inpatients treated at Jeanes Hospital were over the age of 65 and if Jeanes should cease to exist, this shortfall would have to be absorbed by another hospital provider in the Jeanes community. In addition, Jeanes Hospital is designated as a Medicare Disproportionate Share Hospital (DSH). DSH hospitals are "safety net" hospitals because they serve predominantly low-income communities and have a substantial number of Medicare patients that also qualify for Medicaid coverage. The associated costs with providing care to these patients are frequently not covered by government sponsored programs.
Part III, Line 9b: Jeanes Hospital's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for charity care. If an account 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 submittted for proper signature authority for agency referral. Once approved, the account will be transferred to the Bad Debt Financial Class log . The account will be forwarded to the collection agency for additional collection effort.
Part V, Section B, Line 6i: As a member of the Temple University Health System, Jeanes Hospital participated in the development of the Pennsylvania Statewide Innovation Model lead by the Pennsylvania Department of Health. Through the Health system, Jeanes also participated in the Philadelphia Department of Health's Policy Working Group, which is focused on building a data-related public health infrastructure to address specific health needs such as hypertension, adult immunization, and cancer screening.Jeanes Hospital
Part V, Section B, Line 7: Jeanes is addressing many 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 Departments 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 hospitals website at http://www.jeanes.com/content/community_health_information.htm. Our approach to unmet needs is explained in Section 7 of that report.Jeanes Hospital
Part V, Section B, Line 18e: Jeanes Hospital made no such efforts in relation to Line 17.Jeanes Hospital
Part V, Section B, Line 20d: Jeanes Hospital used a multiple of two times the base Medicaid rate.Jeanes Hospital
Please note the last needs assessment for Jeanes Hospital was done in FY 2013. However, 2013 could not be entered into the system due to fiscal year and calender year differences. As such, 2012 was entered in the line.Needs Assessment Tax YearPart V, Section B, Line 2
Part VI, Line 2: Needs assessmentIn assessing community needs, Jeanes Hospital uses comprehensive sets of internal and external data sources. Externally, we rely largely on health data compiled by federal, state, and community-based health organizations, including the following: Community health assessment survey results from the Public Health Management Corporation (PHMC), including data on chronic health con- ditions, adult asthma, arthritis, diabetes, blood pressure, cholesterol, mental health, smoking, adult obesity, exercise, colonoscopies and PAP exams, mammograms and clinical breast exams; Disease rate data from the United States Center for Disease Control; Market data and quality assessments from the Pennsylvania Health Care Cost Containment Council (PHC4); Philadelphia Department of Public Health, including: the Philadelphia Vital Statistics Report, the Philadelphia Vital Statistics by Census Tract and Zip Code Report, the annual Health Center Service Area Report, and the Taking Philadelphia's Temperature report; Medpar data from the Centers for Medicare and Medicaid Services (CMS); Care Science Quality Manager from Premier; Other data from the Pennsylvania Department of Health, Delaware Valley Healthcare Council, etc.Internally, we rely on the following sources: Collaboration of Medical School and Hospital leadership; Consensus discussion with key clinical providers; Performance Improvement, Risk Management and Patient Safety outcomes; Historic, service line specific utilization data; Organizational community risk assessments (Infection Control, Environ- ment of Care, Emergency Management, Fire Safety Management, Disaster Response);In addition to data sources, we have assembled a community advisory board,for the past two decades, that reflects the needs and opinions of our service area. That board meets quarterly and it is used on an ad-hoc basis to represent the community we serve.
Part VI, Line 3: The Financial Counselors assigned to Jeanes 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 byfinancial counseling staff throughout each step of the applicationprocess. Medicaid applications are submitted by Jeanes Hospital on thepatients' behalf and tracked until final determination.Patients who do not qualify for government-funded programs are screenedfor Temple University Health System's Charity Care/Self Pay program todetermine their eligibility for free or reduced cost care.The Charity Care/Self Pay discounting policy is not restricted toEmergency Department patients, but is available to inpatients andoutpatients as well.Patients who contact the Hospital's Business Office concerning bills theyhave received that they cannot afford to pay are also screened for CharityCare eligibility.The Financial Counseling Staff at Jeanes Hospital also offers assistancein obtaining supplemental coverage as well as prescription drug benefits.Patients are informed of our financial services, and direction on howto access these services, through the following means:Posters in plain view at inpatient, outpatient and emergencyregistration areas and billing offices;Patient discharge summaries, billing invoices and vendor collectionnotices;Hospital website.
Part VI, Line 4: Jeanes Hospital Service Area Community ProfileJeanes Hospital service area consists of the following zip codes: 19027, 19111, 19115, 19116, 19120, 19124, 19135, 19136, 19149 and 19152. This is an area with a high percentage of poor and undereducated population.A. Population and Population Growth The total population in Jeanes' service area has slightly increased over the past decade and is projected to increase by 1.2% from 2012 to 2017. In contrast, the total U.S. population has grown over the past decade, and is projected to grow by 3.9% over the next five years.B. Age Distribution Approximately 25% of the total population within Jeanes' service area is under the age of 18, consistent with the national average. 25.3% of the Jeanes service area population is age 18-34, 9.1% higher than the national average of 23.2%. 36.4% of the Jeanes service area population is age 35-64, 7.9% lower than the national average. 13.1% of the Jeanes service area population is over 65 years old, which is 1.7% higher than the national average of 12.9%. The average age of the Jeanes service area is projected to increase slightly over the next five years. Under 18 population is projected to increase by 2.1% from 2012 to 2017. The 65 and over population is projected to increase from 77,599 in 2012 to 82,065 in 2017, a projected increase of 5.8%.C. Education Level In 2012, the population in the Jeanes service area consisted of 61.0% with high school education or less, a rate approximately 40% higher than the national average of 43.7%. The Jeanes service area population consists of 39.0% with education beyond high school, approximately 31% lower than the national average of 56.3%.D. Unemployment and Household Income Unemployment In the city of Philadelphia, 10.6% of the total population were unemployed in 2011, approximately 34% higher than the state unemployment rate of 7.9% and 18% higher than the national unemployment rate of 9.0%.(Source: Bureau of Labor Statistics, US Department of Labor) Household Income Approximately 63% of households in the Jeanes service area earn less than $50,000 per year, approximately 24% greater than the national average of 50.4%. 37.3% of Jeanes service area households earn over $50,000 per year, which is approximately 25% lower than the national average of 49.6%.E. Population Below Federal Poverty Level There are 5 out of the total 10 zip codes within the Jeanes service area that the percentage of population living under the Federal poverty level is greater than the national level of 15.1%.F. Race/Ethnicity In Jeanes' service area, 40.5% of the total population is White, approximately 36% lower than the national level of 62.8%. Black is the second largest population in Jeanes' service area, comprising 27.2% of the population, compared to the national average of 12.3%. The percentage of Hispanics is 31.5% greater than the national level of 17.0%. Asian & Pacific is approximately 8% of the total population, 50.9% greater than the national average of 5.0%.G. Payer Mix in 2011 Approximately 72% of people in the Jeanes service area are covered by either Medicaid or Medicare; 35% for Medicaid and 37% for Medicare. This represents over twice the national average of 16.5% for Medicaid, and over two times of the national level of 15.2% for Medicare.
Part VI, Line 5: Promotion of community healthJeanes Hospital is a nonprofit corporation that strives to be the destination for all who need ambulatory, inpatient acute, surgical and home care in Northeast Philadelphia and surrounding areas, by combining the compassionate nature of a Quaker-founded community hospital with the advanced capabilities of an academic medical center. Jeanes Hospital achieves this by espousing the following ideals: Create an extraordinary experience for everyone who enters our facilities for any reason; provide equal access to care for patients without regard to race, creed, religion, color, national origin, sex or sexual preference; make safety and continuous quality improvement a primary endeavor; promote the basic values of our Quaker heritage, to include kindness, equality and peace; combine the individual strengths of our hospital, medical staff, and health system; devote manpower and budgetary resources to provide health screenings, vaccinations and health education opportunities to our community; ensure that emotional, cultural and spiritual needs are met; provide a work environment that attracts, retains and develops the best employees; maintain a position of leadership in our community; value the wisdom of our board members, community and foundation liaisons, physician leaders and volunteers; use evidence-based research to understand the health needs of our community and respond accordingly, and espouse the core principles and stated values of the Temple University Health System.In addition to open medical staff, community board and reinvesting, Jeanes Hospital promotes the health of the community via: Free educational opportunities for the community; An arrangement with a diabetes education organization to offer on- campus education;
Part VI, Line 6: Affiliated health care systemThe mission of the Temple University Health System, Inc. is to provide access to the highest quality of health care in both the community and academic settings. In furtherance of the mission of the Temple University Health System, the mission of Jeanes Hospital is to maintain and enhance the quality of life for individuals in the communities we serve. We emphasize the Quaker belief that in each person there resides a spirit that creates a common bond among us all. Jeanes' health care services include maintenance and enhancement of health, which quickens the spirit and enhances the vitality of our lives. The missions of other members of the Temple University Health System similarly advance its goals: 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 professionals and to support the highest quality research programs; the Temple Health System Transport Team, Inc.'s mission is to provide the highest level of critical care transport services available in the mid-Atlantic region, and Temple Physicians, Inc.'s mission is to provide the highest quality of clinical care as well as to support the System's clinical, administrative, and corporate activities.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Temple University Health SystemBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13509 N Broad Street Room 936AddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19140ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient232825881EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant7000000AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantGeneral supportPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationThe over $5,000 grant was made only for tax-exempt purposes to a related organization under common control. This grant is subject to review by the governing bodies and management of the related organizations.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Larry Kaiser MD
Director013847090100000019867000206240152520000
Verdi DisSesa MD
Ex Officio - Non Voting07458730007500000044901086577400
Paul Karlin MD
Ex Officio - Non Voting02894480306220436012500029802036280800
Linda Grass
President & CEO3166600401700600000071710370001000
Beth Koob
Secretary0401883099096027102033212054963061625600
Robert Lux
Asst Treasurer04441070136573024067052995076709073445100
Thomas Albenesi
Treasurer / CFO036600803500001877509616038124046752300
Andrea McCoy
Chief Medical Officer256628025236000125000289620323326000
Denise Frasca
AHD - Patient Services16308901648004490111870240960215301000
Stephanie Kao
Medical Director198244000770129010148350226057000
John Woodward
Physician1522870005767500000209962000
Frank Shipp
AHD1495550775903827000159680177109000
Joseph Schofield
AHD109525000769110554709360192919000
Hardik Patel
AHD16183504860000065340168855000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 1Pursuant to the organization's bylaws, the Executive Committee consists of no less than five members of the Board, including 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 6The 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 Directors. 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 directors, 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 acute care services; (g) any decision to merge with, acquire, or enter into an affiliation with a medical school other than Temple University's or a medical school hospital other than Temple University Hospital, Inc.; (h) the deletion of any clinical programs that are needed for the accreditation of Temple University School of Medicine; (i) the adoption of the organization's annual capital and operating budgets; (j) the issuance or assumption of any indebtedness in excess of five hundred thousand ($500,000), and (k) the execution of any contract providing for the management of the organization.
Form 990, Part VI, Section A, line 7aPlease refer to the response for question 6
Form 990, Part VI, Section A, line 7bPlease refer to the response for question 6
Form 990, Part VI, Section B, line 11After review by management and outside tax counsel, the 990 and 990-T (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 990-T preparation process and internal reviews. Each Board Member is asked to review the 990 and 990-T 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 990-T are reviewed at a regularly scheduled meeting.
Form 990, Part VI, Section B, line 12cThe 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 15There 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 19The 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 (Series of 2007 Bond Issue) through the Digital Assurance Corp (DAC), the Municipal Services Reporting Board's EMMA disclosure site and the Health System's 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 11gAgency: Program service expenses 371,634. Management and general expenses 0. Fundraising expenses 0. Total expenses 371,634. TU & TUHS Salary Charges: Program service expenses 5,522,854. Management and general expenses 532,255. Fundraising expenses 0. Total expenses 6,055,109. Professional Fees: Program service expenses 8,792,736. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,792,736. Service Contracts: Program service expenses 179,543. Management and general expenses 4,184. Fundraising expenses 0. Total expenses 183,727. Purchased Services: Program service expenses 4,727,527. Management and general expenses 1,035,730. Fundraising expenses 0. Total expenses 5,763,257. Corporate Charge: Program service expenses 0. Management and general expenses 3,487,657. Fundraising expenses 0. Total expenses 3,487,657.Other Fees
Form 990, Part XI, line 9:Adjustment to funded status of pension liability 5,913,565. Fair Value Change of Permanently Restricted Trust 1,039,306. Rounding -51.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Temple University of the Commonwealth System
300 Sullivan Hall 1330 W Berks StPhiladelphiaPA19122231365971EducationPA501c3Line 2N/A0
Temple University Health System Inc
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140232825881Health CarePA501c3Line 11a, I0Temple University of the Commonwealth System
Temple University Health System Foundation Inc
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140232916108Health CarePA501c3Line 11a, I0Temple University Hospital Inc
Temple University Hospital Inc
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140232825878Health CarePA501c3Line 30Temple University Health System Inc
Jeanes Hospital Auxiliary
7600 Central AvenuePhiladelphiaPA19111231917776Health CarePA501c3Line 91Jeanes Hospital
Temple East Inc
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140232547305Health CarePA501c3Line 11a, I0Temple University Hospital Inc
Temple East Real Estate Inc
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140201776524Health CarePA501c3Line 11a, I0Temple University Hospital Inc
Temple Physicians Inc
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140232790607Health CarePA501c3Line 90Temple University Health System Inc
Temple Health System Transport Team Inc
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140753084023Health CarePA501c3Line 90Temple University Health System Inc
Episcopal Hospital
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140231365351Health CarePA501c3Line 11a, I0Temple University Hospital Inc
Anna T Jeanes Foundation
7600 Central AvenuePhiladelphiaPA19111232203406Health CarePA501c3Line 11d, III-ON/A0
American Oncologic Hospital
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140231352156Health CarePA501c3Line 30Temple University Health System Inc
Institute for Cancer Research
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140236296135Health CareDE501c3Line 40American Oncologic Hospital
Fox Chase Cancer Medical Group
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140454540585Health CarePA501c3Line 30American Oncologic Hospital
Fox Chase Network Inc
3509 N Broad Street Room 936 c/o TUPhiladelphiaPA19140232467337Health CarePA501c3Line 11b, II0American Oncologic Hospital

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntity
TUHS Insurance Company LTD
3509 N Broad Street 9th Floor - c/oPhiladelphiaPA19140Malpractice insuranceBDTemple University Health System Inc0
Fox Chase Ltd
333 Cottman AvenuePhiladelphiaPA19111AOH0PAC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Jeanes Hospital AuxiliaryBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionType
Amount Involved95434AmountInvolved
Method Of Amt DeterminationCash receivedMethodOfAmtDetermination

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