DOYLESTOWN HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: DOYLESTOWN HOSPITAL (EIN 23-1352174)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201411359349304636
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T11:24:00-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WITHUMSMITHBROWN PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	465 SOUTH STREET SUITE 200	AddressLine1
City	MORRISTOWN	City
State	NJ	State
ZIP Code	07960	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	231352174	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DOYLESTOWN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% DANIEL L UPTON	InCareOfName
Name Control	DOYL	NameControl
Phone	2153452242	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	595 WEST STATE STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	DOYLESTOWN	City
State	PA	State
ZIP Code	18901	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES BREXLER	Name
Title	CFO	Title
Phone	9738989494	Phone
Date Signed	2014-05-02	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	9738989494	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JIM BREXLER FACHE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	595 WEST STATE STREET	AddressLine1
City	DOYLESTOWN	City
State	PA	State
ZIP Code	18901	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	310942945	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.DH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1923	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE A RESPONSIVE HEALING ENVIRONMENT FOR PATIENTS AND THEIR FAMILIES, AND TO IMPROVE THE QUALITY OF LIFE FOR ALL MEMBERS OF THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	2173	TotalNbrEmployees
Total Nbr Volunteers	890	TotalNbrVolunteers
Total Gross UBI	1535294	TotalGrossUBI
Net Unrelated Business Txbl Income	-61315	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2456000	ContributionsGrantsPriorYear
Contributions Grants Current Year	1307212	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	232701993	ProgramServiceRevenuePriorYear
Program Service Revenue CY	251928118	ProgramServiceRevenueCY
Investment Income Prior Year	-7809233	InvestmentIncomePriorYear
Investment Income Current Year	8974705	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2647750	OtherRevenuePriorYear
Other Revenue Current Year	3364370	OtherRevenueCurrentYear
Total Revenue Prior Year	229996510	TotalRevenuePriorYear
Total Revenue Current Year	265574405	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	667255	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	42185	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	115816946	SalariesEtcPriorYear
Salaries Etc Current Year	124560677	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	115208435	OtherExpensePriorYear
Other Expenses Current Year	124949995	OtherExpensesCurrentYear
Total Expenses Prior Year	231692636	TotalExpensesPriorYear
Total Expenses Current Year	249552857	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1696126	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	16021548	RevenuesLessExpensesCY
Total Assets BOY	316755181	TotalAssetsBOY
Total Assets EOY	311521717	TotalAssetsEOY
Total Liabilities BOY	229767869	TotalLiabilitiesBOY
Total Liabilities EOY	217062535	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	86987312	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	94459182	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROVIDE A RESPONSIVE HEALING ENVIRONMENT FOR PATIENTS AND THEIR FAMILIES, AND TO IMPROVE THE QUALITY OF LIFE FOR ALL MEMBERS OF THE COMMUNITY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	111655920	Expense
Grants	0	Grants
Revenue	108476844	Revenue
Description	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 13,231 INPATIENTS FOR A TOTAL OF 56,003 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	57076585	Expense
Grants	0	Grants
Revenue	90623557	Revenue
Description	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OUTPATIENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 179,595 PATIENT ENCOUNTERS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	15623215	Expense
Grants	0	Grants
Revenue	17474423	Revenue
Description	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 36,074 EMERGENCY DEPARTMENT PATIENTS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	40246070	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	42185	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	36888588	TotalOfOtherProgramServiceRev
Total Program Service Expense	224601790	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	267	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2173	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DANIEL L UPTON	NamePerson
Telephone Number	2153452242	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	595 WEST STATE STREET	AddressLine1
City	DOYLESTOWN	City
State	PA	State
ZIP Code	18901	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
CAROLYN DELLA RODOLFA
CHAIR - DIRECTOR	20.0	X	X	0	0	0
JOAN PARLEE
VICE CHAIR - DIRECTOR	6.0	X	X	0	0	0
SARA MOYER
SECRETARY - DIRECTOR	3.0	X	X	0	0	0
BARBARA KIEFFER CPA
TREASURER - DIRECTOR	6.0	X	X	0	0	0
BEVERLY COLLER CAMPBELL
ASST SEC/ASST TREASURER - DIR	3.0	X	X	0	0	0
WILLIAM E BOGER CPA
DIRECTOR	3.0	X		0	0	0
JAMES BREXLER
DIRECTOR - PRES/CEO (EFF 1/21)	55.0	X	X	0	0	0
MARIANNE E CHABOT
DIRECTOR	20.0	X		0	0	0
STEPHEN CHADWICK
DIRECTOR	3.0	X		0	0	0
BETTY DIEM
DIRECTOR	3.0	X		0	0	0
BRUCE DERRICK MD
DIRECTOR	55.0	X		0	367047	14972
GREGORY GALLANT MD
DIRECTOR	3.0	X		0	0	0
PATRICIA GORSKY
DIRECTOR	3.0	X		0	0	0
CAROLYN KOZAKOWSKI
DIRECTOR	3.0	X		0	0	0
SCOTT S LEVY MD
DIRECTOR - VP/CMO	55.0	X	X	387766	0	153789
LINDA MCILHINNEY
DIRECTOR	10.0	X		0	0	0
BRIAN MCLEOD
DIRECTOR	3.0	X		0	0	0
RICHARD A REIF
DIRECTOR - PRES/CEO (7/1-1/31)	55.0	X	X	468135	171642	41069
DENNIS WALSH
DIRECTOR	3.0	X		0	0	0
DAVID WERRETT
DIRECTOR	3.0	X		0	0	0
ELEANOR WILSON RN MSN MHA
DIRECTOR - VP/COO	55.0	X	X	330949	0	42466
DANIEL L UPTON
CHIEF FINANCIAL OFFICER	55.0		X	319266	0	201633
RICHARD LANG
VP INFORMATION MANAGEMENT	55.0		X	238223	0	94728
BARBARA A HEBEL
VP HUMAN RESOURCES	55.0		X	226879	0	73228
LINDA A FELT
VP DEVELOPMENT	55.0		X	188371	0	14324
CATHLEEN Q STEWART
EXECUTIVE DIRECTOR PINE RUN	55.0			211358	0	40398	X
LOUIS IOBBI
DIRECTOR PHARMACY	55.0			157252	0	17430	X
JOHN M MITCHELL
DIRECTOR HEART CENTER	55.0			206291	0	24366		X
STEVEN DAY JR
DIRECTOR OF RISK SERVICES	55.0			195313	0	17430		X
ELIZABETH SEEBER
CHIEF ACCOUNTING OFFICER	55.0			153472	0	22166		X
KENNETH COBURN
CEO - HEALTH QUALITY PARTNERS	55.0			150010	0	4443		X
PATRICIA A STOVER
EXECUTIVE DIRECTOR - NURSING	55.0			149433	0	22529		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3382718	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	538689	TotalReportableCompFrmRltdOrgs
Total Other Compensation	784971	TotalOtherCompensation
Number Individuals GT100 K	53	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
PARLEE AND TATEM RADIOLOGICAL ASSOC
595 WEST STATE STREET	DOYLESTOWN	PA	18901	MEDICAL	4266331
DOYLESTOWN ANESTHESIA ASSOCIATES
5039 SWAMP ROAD	FOUNTAINVILLE	PA	18923	MEDICAL	3854568
JOHN FORD BUILDERS
621 HARLEYSVILLE PIKE	HARLEYSVILLE	PA	19438	CONTRACTING	2943018
JOHN S MCMANUS INC
PO BOX 418	CHESTER HEIGHTS	PA	19017	CONTRACTING	2368479
MORRISON MANAGEMENT SPECIALISTS
955 CHESTERBROOK BLVD	CHESTERBROOK	PA	19087	DINING SERVICES	2260429

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	43	NumberOfContractorsGT100K
Info In Schedule O Part VIII	X	InfoInScheduleOPartVIII
Related Organizations	70214	RelatedOrganizations
Government Grants	557000	GovernmentGrants
All Other Contributions	679998	AllOtherContributions
Total Contributions	1307212	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPITAL DIVISION	900099	216488926	216488926
PINE RUN DIVISION	900099	17959635	17959635
RADIOLOGY GROUP	900099	1101459	1101459
OTHER HEALTHCARE RELATED REVENUE	900099	16378098	16378098

Field	Value	IRS element (for citing)
Total Program Service Revenue	251928118	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7283930	TotalRevenueColumn
Exclusion	$7,283,930	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	247166	TotalRevenueColumn
Exclusion	$247,166	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	731331	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	731331	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	731331	TotalRevenueColumn
Exclusion	$731,331	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	46797649	Securities
Other	14500	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	45363388	Securities
Other	5152	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1434261	Securities
Other	9348	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1443609	TotalRevenueColumn
Exclusion	$1,443,609	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
CHILDRENS VILLAGE	900099	2288863	1535294	$753,569
SNACK BAR	722514	185744		$185,744
CAFETERIA	722515	158432		$158,432

Field	Value	IRS element (for citing)
Total Other Revenue	2633039	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	265574405	TotalRevenueColumn
Related Or Exempt Function Income	251928118	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1535294	UnrelatedBusinessRevenue
Exclusion	$10,803,781	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	42185	Total
Program Services	42185	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3207265	Total
Program Services	2886539	ProgramServices
Management And General	320726	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	96714435	Total
Program Services	87042990	ProgramServices
Management And General	9671445	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2967233	Total
Program Services	2670510	ProgramServices
Management And General	296723	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	14516348	Total
Program Services	13064714	ProgramServices
Management And General	1451634	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7155396	Total
Program Services	6439856	ProgramServices
Management And General	715540	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	437097	Total
Program Services	393387	ProgramServices
Management And General	43710	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	276150	Total
Program Services	248535	ProgramServices
Management And General	27615	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	24587	Total
Program Services	22129	ProgramServices
Management And General	2458	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	160375	Total
Program Services	144338	ProgramServices
Management And General	16037	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	33247551	Total
Program Services	29922795	ProgramServices
Management And General	3324756	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1814737	Total
Program Services	1633263	ProgramServices
Management And General	181474	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10306340	Total
Program Services	9275706	ProgramServices
Management And General	1030634	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	66640	Total
Program Services	59976	ProgramServices
Management And General	6664	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2082844	Total
Program Services	1874560	ProgramServices
Management And General	208284	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	418331	Total
Program Services	376498	ProgramServices
Management And General	41833	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	6428014	Total
Program Services	5785213	ProgramServices
Management And General	642801	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	15722379	Total
Program Services	14150141	ProgramServices
Management And General	1572238	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4521721	Total
Program Services	4069549	ProgramServices
Management And General	452172	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	34769882	31292894	3476988
UTILITIES	4309368	3878431	430937
REAL ESTATE TAXES	876157	788541	87616
DUES & SUBSCRIPTIONS	839521	755569	83952

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	8648301	Total
Program Services	7783471	ProgramServices
Management And General	864830	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	249552857	Total
Program Services	224601790	ProgramServices
Management And General	24951067	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	959	BOY
EOY	2350	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	27420213	BOY
EOY	11461917	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	25939174	BOY
EOY	25535986	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5269354	BOY
EOY	5876027	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1315422	BOY
EOY	1827619	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	375580642	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	203899569	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	170187356	BOY
EOY	171681073	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	71543939	BOY
EOY	78717615	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	2857426	BOY
EOY	2953100	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	12221338	BOY
EOY	13466030	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	316755181	BOY
EOY	311521717	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	61672827	BOY
EOY	56514613	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	6010187	BOY
EOY	7306282	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	143829572	BOY
EOY	139436519	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	18255283	BOY
EOY	13805121	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	229767869	BOY
EOY	217062535	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	72461667	BOY
EOY	79132804	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4302250	BOY
EOY	4576555	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10223395	BOY
EOY	10749823	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	86987312	BOY
EOY	94459182	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	316755181	BOY
EOY	311521717	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	16021548	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	2339498	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-10889176	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$24,587	OtherActivitiesAmount
Total Lobbying Expenditures IIB	24587	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITIES	Identifier
Return Reference	SCHEDULE C, PART II-B; LINE 1I	ReturnReference
Explanation	THE ORGANIZATION IS A MEMBER OF THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $24,587 DURING THE FISCAL YEAR ENDED JUNE 30, 2013.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15276375	OtherCostOrOtherBasis
Book Value	15276375	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	142821909	OtherCostOrOtherBasis
Depreciation	48064344	Depreciation
Book Value	94757565	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21771190	OtherCostOrOtherBasis
Depreciation	13125867	Depreciation
Book Value	8645323	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	192998523	OtherCostOrOtherBasis
Depreciation	142709358	Depreciation
Book Value	50289165	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2712645	OtherCostOrOtherBasis
Book Value	2712645	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	171681073	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (7 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
LIMITED USE	49451	F
USE	56967658	F
DEBT SERVICE FUND RESERVE FUND		F
LIMITED USE	6031251	F
CONSTRUCTION FUND; LIMITED USE	247130	F
ORGANIZATION	14535724	F
INVESTMENTS IN OTHER ENTITIES	886401	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	78717615	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
PAYOR SETTLEMENTS	$1,038,537
OTHER LIABILITIES	$2,434,330
DUE TO AFFILIATED ENTITIES	$333,860
INTEREST RATE SWAPS	$9,998,394

Field	Value	IRS element (for citing)
Total Of Amounts	13805121	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	267727359	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2339498	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	2339498	RevenueNotRptdF990
Revenue Subtotal	265387861	RevenueSubtotal
Investment Expenses Not Included	160375	InvestmentExpensesNotIncluded
Other Revenues Not Included	26169	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	186544	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	265574405	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	249392482	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	249392482	ExpensesSubtotal
Investment Expenses Not Included2	160375	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	160375	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	249552857	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE	SCHEDULE D, PART X	AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF DOYLESTOWN HOSPITAL FOR THE YEARS ENDED JUNE 30, 2013 AND JUNE 30, 2012; RESPECTIVELY. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE INCLUDED IN THE ORGANIZATION'S YEAR ENDED JUNE 30, 2013 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48: A TAX POSITION IS RECOGNIZED OR DERECOGNIZED BY THE CORPORATION BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CORPORATION DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE MATERIAL UNCERTAIN TAX POSITIONS.
RECONCILIATION OF REV PER AUDITED FINANCIAL STATMENTS WITH REV PER RETURN	SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VII, LINE 12, BUT NOT INCLUDED ON LINE 1: - TEMPORARILY RESTRICTED CONTRIBUTIONS; $26,169.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	0	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2650411	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2650411	NetCommunityBenefitExpense
Percent Of Total Expense	0.01060	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8668488	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4823550	DirectOffsettingRevenue
Net Community Benefit Expense	3844938	NetCommunityBenefitExpense
Percent Of Total Expense	0.01540	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11318899	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4823550	DirectOffsettingRevenue
Net Community Benefit Expense	6495349	NetCommunityBenefitExpense
Percent Of Total Expense	0.02600	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6025149	TotalCommunityBenefitExpense
Direct Offsetting Revenue	256596	DirectOffsettingRevenue
Net Community Benefit Expense	5768553	NetCommunityBenefitExpense
Percent Of Total Expense	0.02310	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	908732	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	908732	NetCommunityBenefitExpense
Percent Of Total Expense	0.00360	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15254067	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14702638	DirectOffsettingRevenue
Net Community Benefit Expense	551429	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	871690	TotalCommunityBenefitExpense
Direct Offsetting Revenue	602027	DirectOffsettingRevenue
Net Community Benefit Expense	269663	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	111834	TotalCommunityBenefitExpense
Direct Offsetting Revenue	270	DirectOffsettingRevenue
Net Community Benefit Expense	111564	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23171472	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15561531	DirectOffsettingRevenue
Net Community Benefit Expense	7609941	NetCommunityBenefitExpense
Percent Of Total Expense	0.03040	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	34490371	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20385081	DirectOffsettingRevenue
Net Community Benefit Expense	14105290	NetCommunityBenefitExpense
Percent Of Total Expense	0.05640	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$4,194,302	BadDebtExpenseAmount
Amount Attributable To	919894	AmountAttributableTo
Amount Reimbursed By Medicare	62414220	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	65194492	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2780272	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (6 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership
DOYLESTOWN RADIOLOGY

GROUP LP
RADIOLOGY SERVICES	0.51000	0.49000
DOYLESTOWN PET

ASSOCIATES LLC
MEDICAL SERVICES	0.49000	0.51000
PAVILION I MOB LLC
MEDICAL OFFICE BUILDING	0.23300	0.35010	0.05000
PAVILION II MOB LLC
MEDICAL OFFICE BUILDING	0.25500

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DOYLESTOWN HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	595 WEST STATE STREET	AddressLine1
City	DOYLESTOWN	City
State	PA	State
ZIP Code	18901	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.DH.ORG	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Facility Reporting Group	1	FacilityReportingGroup

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	DOYLESTOWN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	13	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	true	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	true	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	4	NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
PINE RUN COMMUNITY
777 FERRY ROAD	DOYLESTOWN	PA	18901	SENIOR LIVING - INDEPENDENT NURSING HOME; ASSISTED LIVING
DOYLESTOWN HOSPITAL SURGERY CENTER
847 EASTON ROAD SUITE 1400	WARRINGTON	PA	18974	OUTPATIENT SURGERY CENTER
DOYLESTOWN RADIOLOGY GROUP LP
1240 OLD YORK ROAD	WARMINSTER	PA	18974	MRI SCANS
DH HEALTH & WELLNESS CENTER INC
847 EASTON ROAD	WARRINGTON	PA	18976	WELLNESS CENTER & DIAGNOSTIC HOSPITAL STUDIES

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FINANCIAL ASSISTANCE ELIGIBILITY	SCHEDULE H, PART I, LINE 3C	THE MISSION OF DOYLESTOWN HOSPITAL IS TO PROVIDE A RESPONSIVE, HEALING ENVIRONMENT FOR OUR PATIENTS AND THEIR FAMILIES, AND TO IMPROVE THE QUALITY OF LIFE FOR ALL MEMBERS OF OUR COMMUNITY. PROVIDING HEALTHCARE FOR ALL COMMUNITY MEMBERS WAS ONE OF THE PRINCIPLE GOALS OF THE VILLAGE IMPROVEMENT ASSOCIATION (V.I.A.), THE WOMEN'S CLUB THAT FOUNDED DOYLESTOWN HOSPITAL. THE V.I.A. TRADITION OF ENSURING ACCESS TO HEALTHCARE FOR ALL COMMUNITY MEMBERS CONTINUES TODAY. PATIENTS SHOULD NEVER AVOID SEEKING CARE BECAUSE THEY THINK THEY CANNOT AFFORD IT. DOYLESTOWN HOSPITAL HONORS THE V.I.A.'S ORIGINAL PROMISE TODAY FOR ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. TO HELP THOSE WHO ARE UNISURED OR UNDERINSURED, DOYLESTOWN HOSPITAL OFFERS THE HEALTHCARE FINANCIAL ASSISTANCE PROGRAM. THIS PROGRAM OFFERS A VARIETY OF ASSISTANCE, COUNSELING AND FINANCING OPTIONS TO HELP EASE THE WORRY ABOUT HEALTHCARE COSTS. EVEN FOR PATIENTS WHO DO NOT QUALIFY FOR FREE HEALTHCARE SERVICES, DOYLESTOWN HOSPITAL PROVIDES OPTIONS TO HELP WITH HEALTHCARE COSTS. IN THESE SITUATIONS, FINANCIAL COUNSELORS HELP TO DETERMINE THE AVAILABLE OPTIONS (FINANCING, SLIDING SCALE AND CHARITY CARE ALLOWANCES TO REDUCE THE PATIENT BALANCE). A VARIETY OF FACTORS AND CRITERIA ARE CONSIDERED: - PATIENT/GUARANTOR HAS NO GOVERNMENTAL OR PRIVATE INSURANCE COVERAGE FOR MEDICALLY NECESSARY SERVICES. - PATIENT/GUARANTOR HAS EXHAUSTED ANY INSURANCE BENEFITS AND HAS BECOME MEDICALLY INDIGENT. - CIRCUMSTANCES HAVE CHANGED THAT CASUED THE PATIENT/GUARANTOR TO NO LONGER HAVE THE MEANS TO PAY AN EXISTING LIABILITY, EITHER CURRENT OR DELINQUENT. - SLIDING SCALE FINANCIAL ASSISTANCE DISCOUNTS ARE PROVIDED BASED ON FAMILY SIZE, INCOME LEVEL, BALANCE DUE IN PROPORTION TO INCOME AFTER RECONCILIATION WITH PUBLIC OR PRIVATE INSURERS. - PATIENTS WITH FAMILY INCOME AT OR BELOW 100% OF THE PUBLISHED POVERTY GUIDELINES ARE SCREENED FOR ELIGIBILITY FOR MEDICAID BASED ON CURRENT STATE ELIGIBILITY CRITERIA. - PATIENTS WHOSE FAMILY INCOME IS BETWEEN 100% AND 200% OF THE PUBLISHED POVERTY GUIDELINES WILL HAVE BALANCES REDUCED FOR FULL FINANCIAL ASSISTANCE (FREE CARE). - PATIENTS WHOSE FAMILY INCOME FALLS BETWEEN 201% AND 1000% OF THE PUBLISHED FEDERAL POVERTY GUIDELINES WILL BE ELIGIBLE FOR DISCOUNTED SERVICE ACCORDING TO ANNUAL SLIDING SCALE DISCOUNT MODEL. - PATIENTS WHO APPEAR ELIGIBLE FOR CHARITY CARE BUT FOR WHOM THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE DUE TO A LACK OF SUPPORTING DOCUMENTATION MAY BE GRANTED UP TO 100% WRITE-OFF OF THE ACCOUNT BALANCE. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED THROUGH THE USE OF AN OUTSIDE SERVICE PROVIDING A HEALTHCARE CREDIT REPORT. PESUMPTIVE ELIGIBILITY MAY ALSO BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: STATE FUNDED PRESCRIPTION PROGRAMS; HOMELESS OR RECEIVING CARE FROM A HOMELESS CLINIC; PARTICIPATION IN WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM; FOOD STAMP ELIGIBILITY; SUBSIDIZED SCHOOL LUNCH PROGRAM; ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED; LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS VALID ADDRESS; PATIENT IS DECEASED WITH NO KNOWN ESTATE; ELIGIBILITY FOR ANN SILVERMAN COMMUNITY HEALTH CLINIC FREE HEALTHCARE. - UNINSURED PATIENTS IDENTIFIED AS QUALIFYING FOR DISCOUNTED CHARGES FOR MEDICALLY NECESSARY SERVICES WILL BE GRANTED A SELF-PAY DISCOUNT FROM TOTAL CHARGES IF NOT COVERED BY A THIRD PARTY. THE SELF-PAY DISCOUNT ENSURES THE PATIENT RESPONSIBILITY APPROXIMATES THE AMOUNTS GENERALLY BILLED TO PATIENTS WITH INSURANCE (IN ACCORDANCE WITH THE AFFORDABLE CARE ACT AND IRS GUIDELINES AS DOCUMENTED IN INTERNAL REVENUE CODE 501(R)). ADDITIONAL DISCOUNTS MAY BE APPLIED FOR UNDERINSURED PATIENTS AFTER APPLICABLE INSURANCE PAYMENTS AND CO-PAYMENTS ARE RECEIVED, IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. FINANCIAL COUNSELING IS OFFERED AT THE TIME OF SERVICE, IF POSSIBLE, AND ALL UNINSURED PATIENTS RECEIVE INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM. UNINSURED DISCOUNTS AND SLIDING SCALE ALLOWANCES ARE GRANTED AS APPROPRIATE, AT THE TIME OF SERVICE, OR AFTERWARD. THE ORGANIZATION PREPARES AND ISSUES AUDITED FINANCIAL STATEMENTS. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION. CHARITY CARE THE CORPORATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. UNREIMBURSED CHARGES FROM MEDICAL ASSISTANCE PROGRAMS ON BEHALF OF PATIENTS THAT MEET THE HOSPITAL'S CHARITY CARE CRITERIA ARE ALSO CONSIDERED CHARITY CARE. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, AND ESTABLISHES RESERVES FOR THESE AMOUNTS. ACCORDINGLY, SUCH AMOUNTS ARE NOT REPORTED AS REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE HOSPITAL'S CHARITY CARE POLICY ARE SUMMARIZED IN THE FOLLOWING TABLE: YEAR ENDED JUNE 30, 2013 2012 UNREIMBURSED CHARGES FROM MEDICAL ASSISTANCE PROGRAMS $4,631,956 $ 5,208,201 FREE CARE AND FINANCIAL ASSISTANCE 2,650,411 2,705,387 -------------- ------------- $7,282,367 $ 7,913,588
COMMUNITY BENEFIT REPORT	SCHEDULE H, PART I, LINE 6A	PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST	SCHEDULE H, PART I, LINE 7	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART VIII, SECTION 2A, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $3,674,766. COMMUNITY BENEFIT AMOUNTS WERE CALCULATED USING A COST ACCOUNTING SYSTEM. NO COSTS RELATING TO SUBSIDIZED HEALTHCARE SERVICES ARE ATTRIBUTABLE TO ANY PHYSICIAN CLINICS OR PRACTICES.
COMMUNITY BUILDING ACTIVITIES	SCHEDULE H, PART II	COMMUNITY BUILDING IS AT THE CORE OF DOYLESTOWN HOSPITAL'S MISSION. IT IS THE ONLY HOSPITAL IN THE U.S. OWNED AND OPERATED BY A WOMEN'S CLUB, THE VILLAGE IMPROVEMENT ASSOCIATION. THROUGHOUT ITS MORE THAN 100-YEAR HISTORY, THE V.I.A. HAS BEEN A LEADER IN COMMUNITY ADVOCACY. THE GROUP FOUNDED DOYLESTOWN HOSPITAL IN 1923. IN RECENT YEARS, DOYLESTOWN HOSPITAL, ALONG WITH MEMBERS OF ITS MEDICAL STAFF, ESTABLISHED THE ANN SILVERMAN COMMUNITY HEALTH CLINIC TO SERVE THE NEEDS OF THE UNINSURED IN OUR COMMUNITY. MORE THAN 11,000 PATIENT ENCOUNTERS WERE GRANTED FINANCIAL ASSISTANCE DURING FY 2012. DOYLESTOWN HOSPITAL IS ACTIVELY ENGAGED WITH MANY COMMUNITY ORGANIZATIONS THAT PROMOTE THE HEALTH AND WELL BEING OF THE POPULATION, FROM BIRTH TO DEATH. HOSPITAL EMPLOYEES ARE ENCOURAGED TO VOLUNTEER IN THEIR NEIGHBORHOODS. THE HOSPITAL ALSO PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION PROGRAMS AND OUTREACH SESSIONS FOR PATIENTS AND MEMBERS OF THE COMMUNITY AS A WHOLE. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTH CARE PROFESSIONALS.
BAD DEBT EXPENSE	SCHEDULE H, PART III, LINE 4	BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM THE FINANCIAL STATEMENTS, NET OF ACCOUNTS WRITTEN OFF AT CHARGES, AND NET OF ACCOUNTS SUBSEQUENTLY IDENTIFIED FOR PRESUMPTIVE ELIGIBILITY FOR FREE CARE.
MEDICARE SHORTFALL	SCHEDULE H, PART III, LINE 8	MEDICARE COSTS WERE DERIVED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBTS ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS SHOULD BE INCLUDED ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUAL'S IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE", A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE," AND PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE: IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR IT. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY, AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVE[D]" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY TREAS. REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE, EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL, AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THIS ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDBALE ON THE FORM 990, SCHEUDLE H, PART I. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA POSITION. AS OUTLINED IN THE AHA LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES HOSPITALS ONLY 92 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10-YEAR LOW AT NEGATIVE 5.4%. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED "DUAL ELIGIBLES." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND TO INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO BELIEVE THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR THE HOSPITAL'S CHARITY CARE OR FINANCIAL ASSISTANCE PROGRAMS. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING HOSPITAL INVOICES ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. - THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THA
DEBT COLLECTION POLICY	SCHEDULE H, PART III, LINE 9B	ACCOUNTS CONSIDERED TO BE CHARITY CARE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF DOYLESTOWN HOSPITAL AND ITS RELATED ENTITIES TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE OR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE 'SELF-PAY" AND/OR ACCOUNTS WITH BALANCES AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES REASONABLE AND CUSTOMARY EFFORTS TO COLLECT PATIENT BALANCES, INCLUDING CONTACT BY TELEPHONE, LETTER AND/OR ACCOUNT STATEMENTS. NO LESS THAN 90 DAYS FROM THE FIRST BILLING NOTICE SENT TO A PATIENT, POTENTIAL BAD DEBT ACCOUNTS ARE REVIEWED BY AN ACCOUNT REPRESENTATIVE, AND A PRE-COLLECTION LETTER/FINAL NOTICE IS MAILED TO THE PATIENT/GUARANTOR AS APPROPRIATE. AFTER 15 DAYS, ANY ACCOUNTS OVER $15 WITH NO RESPONSE ARE PLACED WITH A CONTRACTED OUTSIDE COLLECTION AGENCY. THE FACILITY ALSO HAS A FINANCIAL ASSISTANCE POLICY TO ASSURE PATIENTS ARE PROVIDED WITH CHARITY CARE ASSISTANCE DETERMINED BY STATE AND FEDERAL REGULATIONS. IT IS THE POLICY TO INFORM ALL PATIENTS DEEMED SELF-PAY OF THE APPROPRIATE ASSISTANCE PROGRAMS AVAILABLE. THIS IS ACCOMPLISHED THROUGH SIGNAGE, NOTICES ON PATIENT STATEMENTS, AND FINANCIAL COUNSELING. PATIENTS APPLYING FOR CHARITY CARE ASSISTANCE WILL BE FINANCIALLY SCREENED BY A FINANCIAL COUNSELOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. PATIENTS NOT ELIGIBLE FOR CHARITY CARE WILL BE PROVIDED WITH INFORMATION REGARDING OTHER OPTIONS. UNINSURED PATIENTS IDENTIFIED AS QUALIFYING FOR DISCOUNTED CHARGES FOR MEDICALLY NECESSARY SERVICES WILL BE GRANTED A 50% UNINSURED DISCOUNT FROM TOTAL CHARGES IF NOT COVERED BY A THIRD PARTY. ADDITIONAL DISCOUNTS MAY BE APPLIED FOR UNDERINSURED PATIENTS AFTER APPLICABLE INSURANCE PAYMENTS AND CO-PAYMENTS ARE RECEIVED. AT THE TIME OF THE PATIENT VISIT AND AS PART OF THE REGISTRATION PROCESS AT THE FACILITY, THE FOLLOWING OPTIONS ARE MADE AVAILABLE TO PATIENTS: - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR MEDICAL ASSISTANCE INCLUDING MEDICAID AND SUPPLEMENTAL SECURITY INCOME - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE DOYLESTOWN HOSPITAL FINANCIAL ASSISTANCE PROGRAM - CASH, CHECK, CREDIT CARD - PROMPT PAY DISCOUNTS - INTEREST-FREE PAYMENT PLANS
FACILITY POLICIES AND PRACTICES	SCHEDULE H, PART V, SECTION B	REFER TO ABOVE SECTION FOR DESCRIPTION OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
NEEDS ASSESSMENT	SCHEDULE H, PART VI; QUESTION 2	DURING FY 2013, DOYLESTOWN HOSPITAL COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH THE BUCKS COUNTY HEALTH IMPROVEMENT INITIATIVE AND THE HOSPITAL ASSOCIATION OF PENNSYLVANIA. A FULL COPY OF THE ASSESSMENT IS AVAILABLE ON THE HOSPITAL WEBSITE WWW.DH.ORG/COMMUNITY. IN ADDITION, THE DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION BOARDS ADOPTED A CHNA IMPLEMENTATION PLAN IN SEPTEMBER 2013. A FULL COPY OF THE IMPLEMENTATION PLAN IS ALSO ATTACHED. AS A ROUTINE, DOYLESTOWN HOSPITAL CONDUCTS REGULAR REVIEWS OF HEALTHCARE UTILIZATION IN ITS SERVICE AREA FOR BOTH CLINICAL QUALITY AND TO DETERMINE PATIENT PREFERENCES. CURRENT DATA ON SERVICE LINE UTILIZATION (CARDIOLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS, ETC.) IS USED TO FORECAST HEALTHCARE NEEDS, TO ESTIMATE PROJECTED INPATIENT AND OUTPATIENT ACTIVITY, AND TO PLAN FOR CAPITAL AND STAFF RESOURCES TO BETTER MEET THE NEEDS OF OUR PATIENTS. REAL-TIME REVIEWS OF QUALITY INDICATORS HELP TO IMPROVE SYSTEMS AND PROCESSES. PATIENT AND VISITOR FEEDBACK, ALONG WITH QUARTERLY REVIEWS OF PATIENT SATISFACTION AND EXPERIENCE SURVEYS FOR EACH UNIT OF THE HOSPITAL, ARE INSTRUMENTAL IN PROCESS AND QUALITY IMPROVEMENT INITIATIVES. EVERY TWO YEARS, DOYLESTOWN HOSPITAL CONDUCTS A SURVEY OF COMMUNITY MEMBERS, MEDICAL STAFF AND HOSPITAL BOARD MEMBERS AS PART OF ITS MEDICAL STAFF DEVELOPMENT PLAN. RESPONSES TO THE SURVEY ARE THE BASIS FOR IDENTIFYING GAPS IN SPECIALIST AND/OR PRIMARY CARE MEDICAL SERVICES. THE SURVEYS HELP GUIDE THE MEDICAL STAFF DEVELOPMENT COMMITTEE IN REVIEWING APPLICATIONS FOR MEMBERSHIP, AND DIRECT RECRUITING EFFORTS FOR SPECIALTIES IDENTIFIED BY THE SURVEY RESPONDENTS. IN ADDITION, DOYLESTOWN HOSPITAL COOPERATES CLOSELY WITH THE BUCKS COUNTY DEPARTMENT OF HEALTH AND COMMUNITY PHYSICIANS TO MONITOR THE HEALTH NEEDS OF THE POPULATION. AMONG THE MANY COMMUNITY HEALTH ORGANIZATIONS THE HOSPITAL WORKS WITH AND SUPPORTS IS THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP, A COLLABORATION OF THE SEVEN HOSPITALS IN BUCKS COUNTY, ALONG WITH THE COUNTY HEALTH DEPARTMENT, BUCKS COUNTY MEDICAL SOCIETY, CENTRAL BUCKS SCHOOL DISTRICT AND BUCKS COUNTY AREA AGENCY ON AGING. DOYLESTOWN HOSPITAL WAS A FOUNDING MEMBER OF THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	SCHEDULE H, PART VI; QUESTION 3	CHARITY CARE SIGNS ARE POSTED THROUGHOUT THE FACILITY, MAINLY IN PATIENT REGISTRATION AREAS. SIGNS ARE POSTED IN BOTH ENGLISH AND SPANISH. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A FINANCIAL COUNSELOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES, AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS AS IDENTIFIED.
COMMUNITY INFORMATION	SCHEDULE H, PART VI; QUESTION 4	DOYLESTOWN HOSPITAL SERVES A GEOGRAPHIC AREA THAT SPANS RURAL AND SUBURBAN TOWNSHIPS AND DENSELY POPULATED TOWNS. IT IS SITUATED IN DOYLESTOWN TOWNSHIP, ON THE BORDER WITH DOYLESTOWN BOROUGH, THE BUCKS COUNTY SEAT OF GOVERNMENT. BUCKS COUNTY IS AMONG THE MOST POPULATED AND FASTEST GROWING COUNTIES IN PENNSYLVANIA, WITH APPROXIMATELY 630,000 RESIDENTS. THE POPULATION IS PREDOMINANTLY CAUCASIAN (90%) WITH THE REMAINING 10% DIVIDED APPROXIMATELY EQUALLY AMONG AFRICAN AMERICAN, ASIAN AND HISPANIC RESIDENTS. ABOUT 5% OF FAMILIES WITH CHILDREN LIVE BELOW THE FEDERAL POVERTY LEVEL.
PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI; QUESTION 5	THE V.I.A. HEALTH SYSTEM IS DEVOTED TO THE COMMUNITY IT SERVES AND SPONSORS AND COORDINATES MANY CHARITABLE AND HEALTH PROMOTION ACTIVITIES. COMMUNITY OUTREACH PROGRAMS INCLUDE: - PROVIDING SPACE FOR AMERICAN RED CROSS BLOOD DRIVES AND BI-MONTHLY PLATELET DONATIONS; - PARTICIPATION IN THE BUCKS COUNTY HEALTH IMPROVEMENT PARTNERSHIP (BCHIP), WHICH IS AN ADULT HEALTH CLINIC AVAILABLE TO PATIENTS THROUGHOUT THE COUNTY; - PARTICIPATION IN CB CARES, A COMMUNITY COALITION FOR YOUTH; OPERATION OF A DAY CARE CENTER; - SUPPORT OF THE ANN SILVERMAN COMMUNITY HEALTH CLINIC; - ROUTINE COMMUNITY EDUCATION PROGRAMS AND CLASSES; - MENTAL HEALTH SCREENINGS; - SPONSORSHIP OF WOMEN'S PROGRAMS AND EDUCATIONAL SCHOLARSHIPS; HOSPICE AND BEREAVEMENT PROGRAMS; - THE DOYLESTOWN CLINICAL NETWORK; - SPONSORSHIP OF COMMUNITY ORGANIZATIONS AND EVENTS; - THE VIAL OF LIFE PROGRAM AND - COMMUNITY ACCESS TO DH MEDICAL LIBRARY. EDUCATIONAL PROGRAMS INCLUDE: - LIFESTYLE, DRIVER SAFETY AND HEALTH LECTURES; - BREAST CANCER EDUCATION AND SUPPORT GROUPS; - PROSTATE CANCER SUPPORT GROUPS AND EDUCATION; - PREVENTION PROGRAMS FOR HIGH SCHOOL STUDENTS; - NUTRITION EDUCATION PROGRAMS; - STUDENT INTERNSHIP PROGRAMS FOR RADIOLOGY, EXERCISE PHYSIOLOGY, AND OTHER HEALTH SCIENCE/TECHNOLOGY FIELDS; - SMOKING CESSATION CLASSES; - ALZHEIMER'S CAREGIVER TRAINING; - MATERNITY AND PARENTING PROGRAMS INCLUDE WELL BABY EDUCATION; HEALTHY BEGINNINGS PROGRAM FOR PRENATAL HEALTH; BREASTFEEDING AND CHILDBIRTH CLASSES AND - CHILD DEVELOPMENT AND SIBLING AND GRANDPARENT CLASSES. SCHOOL AGE ACTIVITIES INCLUDE: - PARENTING AND BABYSITTING EDUCATION; - EMERGENCY DEPARTMENT CLINICS AND - SUPPORT FOR CB CARES FORTY ASSESTS PROJECT. MORE THAN 25 SUPPORT GROUPS ARE PROVIDED FREE MEETING SPACE, AND HOSPITAL STAFF SERVE AS LEADERS FOR MANY OF THE GROUPS (E.G., BEREAVEMENT, AUTISM, ALATEEN, LYME DISEASE, DIABETES). LEADERSHIP ACTIVITIES INCLUDE MANAGEMENT VOLUNTEERS WHO SERVE FOR VARIOUS COMMUNITY ORGANIZATIONS (E.G., GILDA'S CLUB, DELAWARE VALLEY COLLEGE). TEACHING PROGRAMS SUPORT MEDICAL, NURSING, ALLIED HEALTH AND HOSPITAL MANAGEMENT PROGRAMS, SUPPORTING MORE THAN TWENTY COLLEGES AND UNIVERSITIES. IN ADDITION, THE HOSPITAL CONDUCTS A NUMBER OF HEALTH SCREENINGS AND IMMUNIZATIONS THROUGHOUT THE YEAR FOR COMMUNITY MEMBERS. EACH OF THESE PROGRAMS IS DESCRIBED MORE FULLY IN THE COMMUNITY BENEFIT STATEMENT IN SCHEDULE O. THESE EFFORTS ARE NOT NECESSARILY PART OF THE PATIENT AND FAMILY EXPERIENCE DURING HOSPITAL ENCOUNTERS, BUT SERVE TO SUPPORT THE NEEDS FOR HEALTH AND GROWTH FOR INDIVIDUALS IN THE COMMUNITY.
AFFILIATED HEALTHCARE SYSTEM	SCHEDULE H, PART VI; QUESTION 6	NOT-FOR-PROFIT VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN AND CONTROLLED ENTITIES: VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN ("THE V.I.A. ") IS A NOT-FOR-PROFIT HOLDING COMPANY BASED IN DOYLESTOWN, PENNSYLVANIA. AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, THE V.I.A. STRIVES TO CONTINUALLY DEVELOP AND OPERATE AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES A COMPREHENSIVE SPECTRUM OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE RESIDENTS OF PENNSYLVANIA COUNTIES INCLUDING BUCKS AND MONTGOMERY, PENNSYLVANIA AND HUNTERDON AND MERCER, NEW JERSEY. THE V.I.A. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THE V.I.A. ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. DOYLESTOWN HOSPITAL OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. IT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. IT OPERATE AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. IT MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF THE SYSTEM. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. DOYLESTOWN HOSPITAL DOYLESTOWN HOSPITAL ("DH") IS A 247-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN DOYLESTOWN, BUCKS COUNTY, PENNSYLVANIA. DH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, DH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, DH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. DOYLESTOWN HEALTH FOUNDATION DOYLESTOWN HEALTH FOUNDATION IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF DOYLESTOWN HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. V.I.A. AFFILIATES V.I.A. AFFILIATES IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF DOYLESTOWN HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PINE RUN RETIREMENT COMMUNITY PINE RUN RETIREMENT COMMUNITY IS A DIVISION WITHIN DOYLESTOWN HOSPITAL AND OPERATES JOINTLY AS A SINGLE INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PINE RUN INCLUDES A 127-BED NURSING FACILITY AND 40-BED PERSONAL CARE FACILITY, 107 ASSISTED LIVING BED FACILITY AND 300 INDEPENDENT LIVING UNITS IN BUCKS COUNTY, PENNSYLVANIA. FOR-PROFIT VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN AND CONTROLLED ENTITIES: DOYLESTOWN HEALTH & WELLNESS CENTER A FOR-PROFIT ENTITY WHOSE SOLE SHAREHOLDER IS DOYLESTOWN HEALTH FOUNDATION. THE ORGANIZATION IS LOCATED IN WARRINGTON, BUCKS COUNTY, PENNSYLVANIA. THE ORGANIZATION LEASES SPACE TO AN UNRELATED ENTITY WHICH OPERATES A FITNESS CENTER. DOYLESTOWN RADIOLOGY GROUP, LP A PENNSYLVANIA LIMITED PARTNERSHIP THAT OPERATES A FREESTANDING MRI FACILITY IN HARTSVILLE, PENNSYLVANIA. DOYLESTOWN HOSPITAL HAS A 51% OWNERSHIP INTEREST. SURGERY CENTER IS OPERATED AS A DEPARTMENT OF THE HOSPITAL.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	595 WEST STATE STREET	AddressLine1
City	DOYLESTOWN	City
State	PA	State
ZIP Code	18901	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	232368197	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	42185	AmountOfCashGrant
Purpose Of Grant	PROGRAM SUPPORT	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	GRANT FUND MONITORING	Identifier
Return Reference	SCHEDULE I, PART I, QUESTION 2	ReturnReference
Explanation	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTER AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRUCE DERRICK MD
DIRECTOR	0	367047	0	0	0	0	0	0	0	14972	0	382019	0	0
SCOTT S LEVY MD
DIRECTOR - VP/CMO	386417	0	0	0	1349	0	135300	0	18489	0	541555	0	0	0
RICHARD A REIF
DIRECTOR - PRES/CEO (7/1-1/31)	457902	171642	0	0	10233	0	24500	0	16569	0	509204	171642	0	0
ELEANOR WILSON RN MSN MHA
DIRECTOR - VP/COO	327674	0	0	0	3275	0	24500	0	17966	0	373415	0	0	0
DANIEL L UPTON
CHIEF FINANCIAL OFFICER	317483	0	0	0	1783	0	182392	0	19241	0	520899	0	0	0
RICHARD LANG
VP INFORMATION MANAGEMENT	237487	0	0	0	736	0	71333	0	23395	0	332951	0	0	0
BARBARA A HEBEL
VP HUMAN RESOURCES	225987	0	0	0	892	0	55739	0	17489	0	300107	0	0	0
LINDA A FELT
VP DEVELOPMENT	187263	0	0	0	1108	0	5620	0	8704	0	202695	0	0	0
CATHLEEN Q STEWART
EXECUTIVE DIRECTOR PINE RUN	211067	0	0	0	291	0	33486	0	6912	0	251756	0	0	0
LOUIS IOBBI
DIRECTOR PHARMACY	156382	0	0	0	870	0	3186	0	14244	0	174682	0	0	0
JOHN M MITCHELL
DIRECTOR HEART CENTER	205468	0	0	0	823	0	5675	0	18691	0	230657	0	0	0
STEVEN DAY JR
DIRECTOR OF RISK SERVICES	195313	0	0	0	0	0	3186	0	14244	0	212743	0	0	0
ELIZABETH SEEBER
CHIEF ACCOUNTING OFFICER	153180	0	0	0	292	0	4677	0	17489	0	175638	0	0	0
KENNETH COBURN
CEO - HEALTH QUALITY PARTNERS	150010	0	0	0	0	0	4443	0	0	0	154453	0	0	0
PATRICIA A STOVER
EXECUTIVE DIRECTOR - NURSING	149024	0	0	0	409	0	4563	0	17966	0	171962	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMPENSATION INFORMATION	PART VII AND SCHEDULE J	TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM EACH INDIVIDUAL'S 2012 FORM W-2 AND FORM 1099-MISC; IF APPLICABLE.
COMPENSATION INFORMATION	SCHEDULE J, PART 1; QUESTION 4B	THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: SCOTT S. LEVY, M.D., $110,800; DANIEL L. UPTON, $157,892; RICHARD LANG, $47,280; BARBARA HEBEL, $32,100; AND CATHLEEN Q. STEWART, $27,200.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
DOYLESTOWN HOSPITAL AUTHORITY
A	264834726	261333DX3	2008-04-01	64004953	REFUND SERIES 1998B&C	false	false	false
DOYLESTOWN HOSPITAL AUTHORITY
B	264834726	261333DZ8	2013-04-01	29047755	REFINANCING OF CAP EXP/REFUND	false	false	false
DOYLESTOWN HOSPITAL AUTHORITY
C	264834726	261333EG9	2013-04-01	60400000	REFINANCING OF CAP EXP/REFUND	false	false	false
TELFORD INDUSTRIAL DEVELOPMENT AUTHORITY
D	232253252		2008-12-30	8000000	MORTGAGE/CONSTRUCTION LOAN	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	64004953	6031250	1158725	0	56814978	2008	true	false	true	true
B	29047755	0	531900	50312	28465543	2013	true	false	true	true
C	60400000	0	314435	0	60085565	2013	true	false	true	true
D	8000000	0	136990	0	7863030	2010	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	true	true	false	false	false	false	true
B	false	false	true	true	false	false	false	false	true
C	false	false	true	true	false	false	false	false	true
D	false	false	false		false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
0
A	false	false	false	true	false	false	true	ROYAL BANK OF CANADA	14.	true	false	true
0
B	false	false	false	true	false	false	false	0			false	true
PNC BANK
C	false	false	false	true	true	true	false	0			false	true	24.	false	false
0
D	false	false	false	true	false	false	false	0			false

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true
D	true

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	PAVILION I MOB	NamePerson

Field	Value	IRS element (for citing)
Relationship	COMPANY - LEVY(5% MEMBER)	Relationship
Amount Of Transaction	782440	AmountOfTransaction
Description Of Transaction	RENT	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV	ReturnReference
Explanation	SCOTT S. LEVY, M.D. IS A TRUSTEE OF THE ORGANIZATION AND IS A 5% MEMBER OF PAVILION I MOB. THE ORGANIZATION UTILIZED THE SERVICES OF PAVILION I MOB DURING 2012. TOTAL FEES PAID TO PAVILION I MOB WERE $782,440. RENT PAID TO PAVILION I MOB IS AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
COMMUNITY BENEFIT STATEMENT	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	V.I.A. Health System Background =============================== The Village Improvement Association ("V.I.A.") was founded in 1895 with the health and beauty of the community of Doylestown as its primary concerns. In response to community needs, the Visiting Nurse service was established in 1916, and in 1923 Doylestown Hospital was opened, making the V.I.A. the only Women's Club in the country to own and operate a community hospital. In 1986, a corporate restructuring created the V.I.A. Health System and the Doylestown Health Foundation and the V.I.A. Affiliates. Restructuring enabled the V.I.A. and Doylestown Hospital to operate more efficiently and with greater diversification. In its 118th year, the V.I.A. oversees the operations of the system of affiliated health corporations. The purposes of the V.I.A. have been consistent throughout its history: - to encourage and promote public health work in general. - to improve the health and welfare of the residents of Doylestown and greater Central Bucks County. - to provide food, clothing, shelter, medical and surgical care and nursing to the indigent of the community without charge, insofar as hospital resources will permit. - to own, manage, support, and maintain a visiting nurse service and community hospital for the benefit of all persons. - to raise funds for and to receive and hold all property that may be given to the Association to accomplish its mission. For the fiscal year ending 6/30/13 the V.I.A. Health System accounts for three tax-exempt affiliates in this narrative: Doylestown Health Foundation, Doylestown Hospital, and the V.I.A. Affiliates. Described below are the charitable missions of these entities. V.I.A. HEALTH SYSTEM MISSIONS ============================= DOYLESTOWN HEALTH FOUNDATION ---------------------------- The mission of the Foundation has four main points: assessment of community needs, communication of those needs and the System's response to them, solicitation of funds to support the response, and the accountability to the community for both the management of the funds and the response to the needs. DOYLESTOWN HOSPITAL ------------------- Doylestown Hospital is a comprehensive 238-bed medical center serving families throughout Bucks and Montgomery Counties and Western New Jersey. The Medical Staff includes more than 420 physicians in more than 40 specialty areas. Doylestown Hospital is one of the 100 best hospitals in the U.S., according to the Thomson Reuters 100 Top Hospitals study released in 2012. The Heart Institute of Doylestown Hospital is a regional center of excellence for cardiology and cardiac surgery and was named one of the Top 50 cardiovascular hospitals in the nation (Thomson Reuters 2012). Areas of clinical emphasis also include emergency medicine, oncology, maternal-child health, orthopedics, interventional radiology, gastroenterology, urology, general surgery and robotic surgery. Doylestown Hospital's mission is to "provide a responsive, healing environment for our patients and their families and to improve the quality of life for all members of our community." These community members include the vulnerable, the disenfranchised, those in need of health education, and those uninsured or underinsured persons who depend on us for care. DOYLESTOWN HOSPITAL IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. MOREOVER, DOYLESTOWN HOSPITAL OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. IT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. IT OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. IT MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF THE SYSTEM. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. As a values-based organization, Doylestown Hospital has made a public commitment to five core values: Service, Enthusiasm, Respect, Value and Excellence. The hospital holds Board members, Medical staff, and paid and unpaid staff accountable for incorporating these values into policies, behaviors, clinical practices and management decisions. The five core values guide Doylestown Hospital's response to community needs: 1. SERVICE - Anticipate the healthcare needs of the community, either by adding programs or services, or offer opportunities for health education or screening, and assure that the hospital responds to those needs in a timely fashion. These needs are determined through the hospital's strategic planning efforts, which are in turn guided by the hospital's mission statement. 2. ENTHUSIASM - Doylestown Hospital strives to sustain within its staff the inspiration that first compelled them to healthcare-related work and a commitment to the job of serving our patients. 3. RESPECT - Doylestown Hospital welcomes and provides care to all members of the community, without regard for race, religion, sex, sexual orientation, color, national origin, or ability to pay. All the medical, surgical, and program services listed on Addendum A are provided to everyone who comes to Doylestown Hospital for care, including those unable to pay for these services. 4. VALUE - As a result of its commitment to keep cost and quality in proper perspective, Doylestown Hospital provides many programs and services at no charge, because the community expects, needs, and deserves this contribution of healthcare resources to its overall good health. In the fiscal year ending 6/30/13, over 30,000 community members took advantage of community benefit activities, including free health promotion events, screenings, health education programs, and other outreach efforts. 5. EXCELLENCE - Doylestown Hospital promises the community it will strive for the BEST possible customer service, patient care, and technology that meet or exceed the community's expectations. It also promises faithfulness to its heritage and assure that every decision reflects a commitment to the values. PINE RUN COMMUNITY ------------------ In 1992 Doylestown Hospital enhanced its commitment to the older adult population in the Central Bucks County area by acquiring the Pine Run Community. Pine Run operates as a division of Doylestown Hospital with the following mission: "Pine Run Community is committed to and passionate about seniors, and we are dedicated to being an exceptional retirement community. By focusing on a spectrum of wellness for everyone in our continuum, we will enhance the quality of life throughout the region." Pine Run serves the surrounding community as a non-profit continuing care retirement community by offering a continuum of services at its facilities which include 296 apartments (the Village), a 127-bed skilled nursing facility and 40-bed personal care facility (the Health Center), and a 107-bed personal care facility (Lakeview), located on a separate, 7.5 acre campus in Doylestown. Pine Run strives to be a progressive, resident-focused community, full of vitality and enthusiasm, promoting independence and wellness. Through a culture of wellness, Pine Run is dedicated to the promotion of holistic care and services for Villagers and Residents. The Village, located approximately 3 miles from the Hospital, consists of garden cottages set in clusters and a multi-unit apartment building, as well as a community center, dining room, store, library, and other amenities. Maintenance, security, housekeeping, utilities, dining, recreational, cultural, transportation and fitness services are provided for the Villagers. The Health Center, located on the same campus as the Village, provides transitional care for short-stay nursing and rehabilitation residents, with skilled nursing care and comprehensive therapy programs; a personal care Alzheimer's/Dementia Program for those with impaired memory; long-term care for residents requiring on-going custodial care; short-term respite care to allow home-based care givers to take a vacation or trip; and hospice care for end of life care.
COMMUNITY BENEFIT STATEMENT CONTINUED	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Lakeview, a personal care facility, was purchased by Doylestown Hospital in 1998 and added to the Pine Run family of facilities. It offers personal care accommodations in private suites and companion suites, with supportive services and enhanced programming for those with memory impairment. This personal care residence is three and a half (3.5) miles from the Pine Run Village, and two blocks from the main hospital. V.I.A. AFFILIATES ----------------- The Affiliates was reactivated in 1994 to bring to the residents of the Central Bucks community necessary community-based services that may not otherwise be available or included in the mission of other system entities. In order to meet the needs of community members, the V.I.A. Affiliates has been involved with a number of initiatives. V.I.A. Affiliates exists to support the SERVICE core value of Doylestown Hospital. Doylestown Hospital has been designated as a Blue Distinction Center for Knee and Hip Replacement, as well as receiving two prestigious technology awards, and also is among the top 5% in the nation for patient safety. DOYLESTOWN RANKED AMONG 100 TOP HOSPITALS ========================================= Doylestown Hospital is one of the best 100 hospitals in the U.S. according to the Thomson Reuters 100 Top Hospitals study released April 16. The annual study evaluates hospitals based on their overall organizational performance. "The Thomson Reuters 100 Top Hospital rating is a wonderful affirmation of the quality of care we consistently deliver and the culture of patient safety that we all have worked so hard to achieve," said Rich Reif, President and CEO of the hospital. "I could not be more proud of, or excited for, every Associate, member of our Medical Staff and hospital Volunteer." To conduct the 100 Top Hospitals study, Thomson Reuters researchers evaluated 2,886 short-term, acute-care, non-federal hospitals. They used public information - Medicare cost reports, Medicare Provider Analysis and Review (MedPAR) data, and core measures and patient satisfaction data from the Centers for Medicare and Medicaid Services (CMS) HospitalCompare website. Hospitals do not apply, and winners do not pay to market this honor. There are 10 areas of study: Mortality Medical complications Patient safety Average patient stay Expenses Profitability Patient satisfaction Adherence to clinical standards of care Post-discharge mortality Readmission rates for heart attack, heart failure and pneumonia In November 2011, Thomson Reuters named Doylestown Hospital among the Top 50 Cardiovascular Hospitals in the U.S. for 2012. That recognition came on the heels of another national honor: DH's 30-day mortality rate for heart attack was tied for fourth best in the nation according to data on the CMS HospitalCompare website (August 2011). DOYLESTOWN HOSPITAL RECEIVES PRESS GANEY AWARD FOR PATIENT SATISFACTION ======================================================================= Doylestown Hospital is proud to announce it has been named a 2012 Summit Award winner by Press Ganey Associates, Inc. The Summit Award recognizes top-performing facilities that sustain the highest levels of patient satisfaction performance for three consecutive years. The Press Ganey Summit Award is one of the health care industry's most coveted symbols of achievement. Doylestown Hospital is one of only 100 organizations to receive this prestigious honor for patient satisfaction in 2012, and one of only 24 Emergency Departments be recognized. Press Ganey partners with more than 10,000 health care facilities, including more than half of all U.S. hospitals, to measure and improve the patient experience. Doylestown Hospital's new, 55,756-square foot Emergency Department (ED) opened with 41 beds in April 2010. A collaborative team of physicians, nurses, hospital administrators and patients, aided by experts in emergency department design, designed an ED that focuses on how care should be delivered, not how it is traditionally delivered. Various efficiencies promote faster movement through the system, reducing the time that patients spend in the ED. In working to improve systems, the main area of focus was the impact of wait time on patient care and satisfaction. Several protocols were initiated to move the Emergency Department visitor out of the "waiting room" as soon as possible and into a treatment room. These included: instituting standing order sets for the treatment of most common ED complaints to expedite the delivery of care, and empowering nursing staff to initiate the order sets within their scope of practice before the patient is seen by a physician. Finally, all physicians in the ED adopted the same standards for patient communication and visibility. Electronic medical records consolidate and coordinate charting. A "tracker board" is plainly visible to staff to monitor who is next to be seen, the amount of wait time and the acuity of the patient. To improve communication, staff members carry cell phones with speed-dial connectivity. "Our model of care is completely patient-centered," said Lawrence Brilliant, MD, Medical Director, Emergency Department. "With support from the staff, physicians and Administration, we have been able to create an environment from the ground up that focuses on patient experience and the way care should be delivered to ensure the best and safest possible experience for each patient." "We are proud to partner with Doylestown Hospital," said Patrick T. Ryan, CEO of Press Ganey. "Achieving this level of excellence in patient satisfaction reflects the organization's commitment to delivering outstanding service and quality. Doylestown Hospital's efforts benefit patients in the community and will lead to improved patient experience." THE RICHARD REIF HEART INSTITUTE OF DOYLESTOWN HOSPITAL ======================================================= The Richard A. Reif Heart Institute of Doylestown Hospital is not only a regional leader in cardiac care, but one of the 50 Top Cardiovascular Hospitals in the nation, according to a study of more than 1,000 U.S. hospitals by Thomson Reuters (2012). Doylestown is ranked #2 in the United States for 30-day heart attack mortality, as reported by the federal government. Also, patients experiencing a heart attack are more likely to survive at Doylestown Hospital than any other hospital in Pennsylvania. For the second year in a row, Doylestown's outcomes place the hospital in the elite upper echelon of quality care providers. Whether you need emergency cardiac care, treatment for a chronic condition or help managing risk factors for heart disease, the experts at The Richard A. Reif Heart Institute of Doylestown Hospital are dedicated to providing the highest level of quality care and patient safety. The name "Richard A. Reif Heart Institute of Doylestown Hospital" honors the legacy of long-time President and CEO Richard Reif, who recently retired after 23 years of leading the growth of the hospital's heart program. Reif became Chief Executive Officer of Doylestown Hospital in June 1989. Under his leadership, the hospital and its staff have received special recognition from a variety of organizations related to patient care and the management of the hospital and its nationally recognized cardiac program. When it comes to life-saving heart attack care and survival after a heart attack, it doesn't get much better than Doylestown Hospital. Doylestown is ranked #2 in the United States for 30-day heart attack mortality, as reported by the federal government. Also, patients experiencing a heart attack are more likely to survive at Doylestown Hospital than any other hospital in Pennsylvania. For the second year in a row, Doylestown's outcomes place the hospital in the elite upper echelon of quality care providers. Data on the 30-day mortality rate for patients with acute myocardial infarction (heart attack) was posted by the Centers for Medicare and Medicaid (CMS) services at its HospitalCompare web site (www.hospitalcompare.hhs.gov). The results are for a three-year period - July 1, 2008 - June 30, 2011 - and can be found under the "Outcome Measures" tab.
COMMUNITY BENEFIT STATEMENT CONTINUED	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	According to Michael Mooradd, MD, FACC, cardiologist and past president of the Medical Staff, "This ranking is the result of a great deal of teamwork at Doylestown Hospital. It represents superior care that starts with distinguished ambulance crews assessing and transmitting EKGs directly to our ER even before the patient arrives. It continues through to our accredited Chest Pain Center as physicians and nurses in our ER further assess and stabilize the patient while a team dedicated to the treatment of heart attack patients rapidly assembles in the catheterization lab. The goal has been to minimize the "door-to-balloon" time, which dramatically increases the likelihood of an outstanding outcome. And the follow-up care patients receive in our specialized cardiac care units completes the process and ensures a high recovery rate among heart attack patients. This complex and superb teamwork directed toward rapid assessment and better treatment has made us one of the very top providers in the nation for each of the past two years." DOYLESTOWN HOSPITAL IS 2ND IN THE NATIONAL AND BEST IN PA FOR HEART ATTACK SURVIVAL =================================================================== The 30-day mortality rate for heart attack patients is 10.4% at Doylestown Hospital; the national average is 15.5%, according to CMS. The mortality rate takes into account not only the life-saving care provided before and during emergency angioplasty, but also the superior care a patient receives after the event and even after they return home. This ranking affirms the hospital's designation as a Top 50 Cardiovascular Hospital for 2012 by Thomson Reuters. That study examined the performance of more than 1,000 hospitals by analyzing outcomes for patients with heart failure and heart attacks and for those who received coronary bypass surgery and percutaneous coronary interventions such as angioplasties. "Doylestown Hospital has a team approach to the care of heart attack patients," says Steven Guidera, MD, cardiologist with The Heart Institute of Doylestown Hospital. "Our team consists of physicians, nurses, cardiovascular specialists, therapists and administrators. Each member of the team has a clearly defined role and makes meaningful contributions to the care of our heart attack patients. We constantly evaluate our processes and make refinements with the goal of continuous quality improvement. This recognition acknowledges the hard work of men and women from throughout our hospital family." DOYLESTOWN HOSPITAL RECEIVES STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD ======================================================================= Doylestown Hospital Receives American Heart Association's Get with the Guidelines-Stroke Gold Plus Quality Achievement Award. Award demonstrates Doylestown Hospital's commitment to quality care for stroke patients. Doylestown Hospital has received the Get With The Guidelines-Stroke Gold Plus Quality Achievement Award from the American Heart Association. The award recognizes Doylestown Hospital's commitment and success in implementing a higher standard of care by ensuring that stroke patients receive treatment according to nationally accepted guidelines. Get With The Guidelines-Stroke helps Doylestown Hospital's staff develop and implement acute and secondary prevention guideline processes to improve patient care and outcomes. The program provides hospitals with a web-based patient management tool, best practice discharge protocols and standing orders, along with a robust registry and real-time benchmarking capabilities to track performance. The quick and efficient use of guideline procedures can improve the quality of care for stroke patients and may reduce disability and save lives. Doylestown Hospital is a certified Primary Stroke Center that offers the highest quality care to its stroke patients. Doylestown Hospital has developed a comprehensive system for rapid diagnosis and treatment of stroke patients admitted to the emergency department. This includes always being equipped to provide brain imaging scans, having neurologists available to conduct patient evaluations and using clot-busting medications when appropriate. "This achievement represents a tremendous amount of teamwork that begins as soon as a stroke alert is issued," said Doylestown Hospital neurologist Abraham Ashkenazi, MD. "The quality of the care spans the continuum from the assessment of the doctors and nurses in the ER all the way to the clinicians in rehab. Our goal is to provide the best diagnosis, treatment and follow-up care to ensure the stroke patient has the best quality of life possible." "Recent studies show that patients treated in hospitals participating in the American Heart Association's Get With The Guidelines-Stroke program receive a higher quality of care and may experience better outcomes," said Lee H. Schwamm, M.D., chair of the Get With The Guidelines National Steering Committee and director of the TeleStroke and Acute Stroke Services at Massachusetts General Hospital in Boston, Mass. "The Doylestown Hospital team is to be commended for their commitment to improving the care of their patients." Following Get With The Guidelines-Stroke treatment guidelines, patients are started on aggressive risk-reduction therapies including the use of medications such as tPA, antithrombotics and anticoagulation therapy, along with cholesterol-reducing drugs and smoking cessation counseling. These are all aimed at reducing death and disability and improving the lives of stroke patients. Hospitals must adhere to these measures at a set level for a designated period of time to be eligible for the achievement awards. "Doylestown Hospital is dedicated to making our care for stroke patients among the best in the country. The American Heart Association's Get With The Guidelines-Stroke program helps us to accomplish this goal," said Doylestown Hospital's Stroke Program Coordinator, Brooke Kearins, CRNP. "This recognition demonstrates that we are on the right track and we're very proud of our team." According to the American Heart Association/American Stroke Association, stroke is one of the leading causes of death and serious, long-term disability in the United States. On average, someone suffers a stroke every 40 seconds; someone dies of a stroke every four minutes; and 795,000 people suffer a new or recurrent stroke each year. DOYLESTOWN HOSPITAL CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE ==================================================================== The Doylestown Hospital Center for Wound Healing and Hyperbaric Medicine provides specialized treatment for chronic or non-healing wounds. When wounds persist, a specialized approach is required for healing. Typically, a wound that does not respond to normal medical care within 30 days is considered a problem or chronic wound. The Doylestown Hospital Center for Wound Healing and Hyperbaric Medicine offers state-of-the-art treatments including negative pressure wound therapy, bio-engineered tissues, biosynthetic dressings and hyperbaric oxygen therapy. If you suffer from a chronic or non-healing wound, you or your doctor may contact The Doylestown Hospital Center for Wound Healing and Hyperbaric Medicine. The Center will promptly work with you and your doctor to deliver the following: - Advanced therapies. - Proven clinical protocols. - An individualized, comprehensive plan of care that brings you the most appropriate and effective treatments for your specific needs. - Assessment and ongoing care by our highly skilled team of wound care specialists, including a case manager who will oversee every aspect of your treatment. - Education for you and your family to help healing happen at home, including materials and resources related to prevention, nutrition, hygiene, and more. - Ongoing communication and collaboration with you and your doctor so that you and your doctor remain informed about your progress. V.I.A. MATERNITY CENTER ======================= The birth experience at Doylestown Hospital is family-centered, and our caring staff makes every "birthday" as special as possible. Our state-of-the-art facilities and neonatal affiliation with Children's Hospital of Philadelphia place the very finest maternity and pediatric care right in the heart of our community. Approximately 1,300 babies are born every year at Doylestown Hospital, rated among the best in the region for maternity care by HealthGrades(tm). We provide services from pregnancy through birth for mothers and newborns, for the most common deliveries to neonatal intensive care services. We are equipped and ready to care for families with higher than normal risk related to multiple births, maternal age and medical risk factors.
COMMUNITY BENEFIT STATEMENT CONTINUED	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Doylestown Hospital is pleased to meet the needs of new moms by offering all private rooms in our Maternity Center. The V.I.A. Maternity Center features a 32-bed maternity unit that includes 10 Labor, Delivery & Recovery rooms; 22 private post-partum rooms (with private bathrooms), and a Jacuzzi room for mothers in labor. Our maternity team will work with you to personalize your birth experience and provide the finest care for you and your baby. NATIONAL STUDY PLACES DOYLESTOWN HOSPITAL'S CARDIAC SERVICES BEST IN BUCKS COUNTY ==================================================================== Doylestown Hospital is the top rated hospital in Bucks County for overall cardiac care, according to a comprehensive annual study released today by HealthGrades, the leading independent healthcare ratings organization. The HealthGrades study analyzes tens of millions of patients' outcomes - specifically, mortality and complication rates - at the nation's 5,000 hospitals. Patients highly value independent information on hospital quality performance. And in light of recent health reform measures, demand for this information is only likely to increase. In a recent survey of visitors to HealthGrades.com related to hospital quality, 94% ranked quality outcomes and ratings as very important compared to reputation (89%), volume (78%), and location (58%). Doylestown Hospital stands committed to a culture of quality and transparency and is proud of the results that its cardiac program has achieved. Doylestown Hospital received HealthGrades highest rating - 5-stars - for both coronary interventional procedures as well as treatment of heart attacks. This is not the first year the hospital scored high; in fact it has sustained the top ratings for four consecutive years. In this year's HealthGrades study, no other hospital in Bucks County received the 5-star rating for treatment of heart attacks. "Our goal is to provide care of the highest quality with the best possible outcomes for our patients," says Chief Medical Officer Scott Levy, MD. "Acknowledgement of our achievements by HealthGrades certainly helps validate the work we do." According to the Thirteenth Annual HealthGrades Hospital Quality in America study top-rated hospitals had a 53% lower mortality rate than the U.S. national average for 17 procedures and diagnoses ranging from bypass surgery to treatment for heart attack. When the top-rated hospitals were compared to the poorest performers, there was an even greater quality gap: a 72% lower risk of mortality. Doylestown Hospital is an accredited Chest Pain Center with protocols in place to offer the highest level of care for cardiac symptoms. The Heart Institute of Doylestown Hospital is a leader in primary (emergency) angioplasty, the treatment of choice to open blocked coronary arteries during a heart attack. At 62.5 minutes, Doylestown Hospital's Door-to-Balloon time (the time from patient arrival to when the artery is opened) is consistently superior to national averages, and well below the suggested benchmark of 90 minutes. "The key to our success is a multidisciplinary approach to the treatment of heart attack," says Executive Director of Cardiovascular Services John Mitchell. "This involves close collaboration between the Emergency Department, Cath Lab, physicians and nurses. Every member of the team has the same goal of providing successful, patient-centered care." HEALTHGRADES HOSPITAL QUALITY RATINGS ------------------------------------- HealthGrades' hospital ratings and awards reflect the track record of patient outcomes at hospitals in the form of mortality and complication rates. HealthGrades rates hospitals independently based on data that hospitals submit to the federal government. No hospital can opt in or out of being rated, and no hospital pays to be rated. For 26 procedures and treatments, HealthGrades issues star ratings that reflect the mortality and complication rates for each category of care. Hospitals receiving a 5-star rating have mortality or complication rates that are better than anticipated, to a statistically significant degree. A 3-star rating means the hospital performs as expected. One-star ratings indicate the hospital's mortality or complication rates in that procedure or treatment are statistically higher than average. Because the risk profiles of patient populations at hospitals are not alike, HealthGrades risk-adjusts the data to allow for equal comparisons. DOYLESTOWN HOSPITAL HAS RECEIVED THE WOMEN'S CHOICE AWARD FROM WOMENCERTIFIED DISTINGUISHING IT AS ONE OF THE 2012 AMERICA'S BEST HOSPITALS FOR PATIENT EXPERIENCE ================================================================= The award is based on robust criteria that consider female patient satisfaction and what women say they want from a hospital including quality physician communications, responsiveness of nurses and support staff, cleanliness and trusted referrals from other women. WomenCertified represents the collective voice of female consumers and is a trusted referral source for top businesses and brands identified as meeting the needs and preference of women. "We are honored to receive the Women's Choice Award recognizing Doylestown Hospital as one of the Top 100 hospitals for Patient Experience," says Doylestown Hospital President & CEO Richard A. Reif. "We especially appreciate the fact that our female patients have selected us for this award. Doylestown Hospital has the unique distinction of being founded and still run by a women's civic organization, the Village Improvement Association. Being selected for this award by women affirms our commitment to providing the best experience possible as they rely on us for quality health services for themselves and their families." Women make or influence more than 90 percent of health care decisions for themselves and their families, according to a study published by the American Academy of Family Physicians. The Women's Choice Award signals that a hospital meets high standards regarding a woman's preferences, and the distinction allows women to make an informed decision about where to go for care for themselves or their family. "Doylestown Hospital's selection by WomenCertified as one of America's Best 100 Hospitals for Patient Experience differentiates it from other choices in the area," explains Delia Passi, CEO and founder of WomenCertified, and former publisher of Working Woman and Working Mother magazines. "Women have many choices when it comes to health care and they set the standard for customer service. Women's Choice Award recipients have demonstrated extraordinary service in meeting the needs of women and their families, and represent the smart choice for women." Hospitals qualify for this highly selective annual list based on an in-depth proprietary scoring process. The scoring incorporates a national, standardized survey of patients' perspectives of hospital care reported by the U.S. Department of Health and Human Services (Hospital Consumer Assessment of Healthcare Providers and Systems) and an analysis that weighs criteria identified as the most important to women for patient satisfaction. Additionally, the scoring incorporates WomenCertified's in-depth research on customer satisfaction among women, including a joint study on customer satisfaction by gender conducted with the Wharton School of the University of Pennsylvania. The 100 best scores in four hospital size categories determine the Award winners. WomenCertified accepts absolutely no payment in exchange for placement on the list. "Recognizing the best hospitals nationwide that are women-friendly and align with women's identified preferences is important to our mission at WomenCertified, where women help other women with tough, consumer decisions," Passi concludes. "Most importantly, when a woman sees the Women's Choice Award at her local hospital, she'll know the hospital values her experience as a critical component of her and her loved one's care." DOYLESTOWN HOSPITAL RECEIVES PRESS GANEY AWARD FOR PATIENT SATISFACTION ======================================================================= Doylestown Hospital is proud to announce it has been named a 2012 Summit Award winner by Press Ganey Associates, Inc. The Summit Award recognizes top-performing facilities that sustain the highest levels of patient satisfaction performance for three consecutive years. The Press Ganey Summit Award is one of the health care industry's most coveted symbols of achievement. Doylestown Hospital is one of only 100 organizations to receive this prestigious honor for patient satisfaction in 2012, and one of only 24 Emergency Departments be recognized. Press Ganey partners with more than 10,000 health care facilities, including more than half of all U.S. hospitals, to measure and improve the patient experience.
COMMUNITY BENEFIT STATEMENT CONTINUED	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Doylestown Hospital's new, 55,756-square foot Emergency Department (ED) opened with 41 beds in April 2010. A collaborative team of physicians, nurses, hospital administrators and patients, aided by experts in emergency department design, designed an ED that focuses on how care should be delivered, not how it is traditionally delivered. Various efficiencies promote faster movement through the system, reducing the time that patients spend in the ED. In working to improve systems, the main area of focus was the impact of wait time on patient care and satisfaction. Several protocols were initiated to move the Emergency Department visitor out of the "waiting room" as soon as possible and into a treatment room. These included: instituting standing order sets for the treatment of most common ED complaints to expedite the delivery of care, and empowering nursing staff to initiate the order sets within their scope of practice before the patient is seen by a physician. Finally, all physicians in the ED adopted the same standards for patient communication and visibility. Electronic medical records consolidate and coordinate charting. A "tracker board" is plainly visible to staff to monitor who is next to be seen, the amount of wait time and the acuity of the patient. To improve communication, staff members carry cell phones with speed-dial connectivity. "Our model of care is completely patient-centered," said Lawrence Brilliant, MD, Medical Director, Emergency Department. "With support from the staff, physicians and Administration, we have been able to create an environment from the ground up that focuses on patient experience and the way care should be delivered to ensure the best and safest possible experience for each patient." "We are proud to partner with Doylestown Hospital," said Patrick T. Ryan, CEO of Press Ganey. "Achieving this level of excellence in patient satisfaction reflects the organization's commitment to delivering outstanding service and quality. Doylestown Hospital's efforts benefit patients in the community and will lead to improved patient experience." DOYLESTOWN RECOGNIZED FOR INNOVATIVE USE OF TECHNOLOGY FOR SAFER PATIENT CARE ======================================================================= Doylestown Hospital has received two prestigious awards for its use of technology. Doylestown is among an elite group of 85 hospitals across the nation to be recognized with the Healthcare Information and Management Systems Society (HIMSS) EMR Stage 6 Award. Doylestown Hospital is the only Philadelphia-area hospital to receive this award. EMR Stage 6 marks significant progress toward achieving a full EMR (Electronic Medical Record. As a Stage 6 hospital, Doylestown does full electronic medication management; is well on its way with CPOE (Computerized Physician Order Entry) with about 32% of inpatient orders are currently generated through CPOE; has full PACS (digital radiology images) and online clinical decision support. The next, and highest, stage according is HIMSS EMR Stage 7; Doylestown is expected to reach this level in about a year or so. Doylestown Hospital has also received a Microsoft Health Users Group (MS-HUG) Innovation Award in the area of HIE (Health Information Exchange) and Interoperability for its work on the Doylestown Clinical Network. This network ties together the EMR systems of the hospital and community physicians. The hospital has 185 physicians on the NextGen network, which automatically transfers a patient's EMR to specialists and the hospital. Of those, more than 50 are active EMR users. There are about 400,000 patients in our community enrolled in this network. The ultimate goal is to safely and efficiently share a patient's health information throughout the healthcare continuum. V.I.A. HEALTH SYSTEM COMMUNITY BENEFIT ACTIVITIES ================================================= The V.I.A. Health System is devoted to the community it serves, and it sponsors and coordinates many charitable activities, which, described in the narrative below, identifies what is done daily by the health system's Associates and volunteers. COMMUNITY OUTREACH & BENEFIT ACTIVITIES --------------------------------------- American Red Cross Donation: The Hospital provides space on a weekly basis for a blood donation program conducted by the American Red Cross that benefits patients and the community. Hospital space is valued at $15,000. Bucks County Health Improvement Partnership: The Bucks County Health Improvement Partnership (BCHIP) is a collaborative effort among Doylestown Hospital and the other five hospitals in the county, also including the Bucks County Medical Society and The Bucks County Department of Health. BCHIP addresses: maternal and child health issues, mental health concerns, coordination of health promotion and prevention (notably tobacco and cardiovascular risk reduction), supports CHIP enrollment, domestic violence prevention and provides adult health and dental clinics for underserved populations. The Foundation contributed $20,000 to a common fund, from which these projects were supported. CB Cares: Both the Doylestown Hospital and the Doylestown Health Foundation support the Team with Board members who provide leadership, fundraising and human resource skills. The value of space, utilities, phone, computer and cleaning services were donated for FY2013 for a total of $17,844. Children's Village Day Care Subsidies: Children's Village, on-site day care, welcomes children from low-income families in the area that are eligible for child-care subsidies. $13,482 was written off for this. Ann Silverman Community Health Clinic: The mission of the Clinic is to provide free medical care, dental care and social services to any eligible person who seeks its help. The target population is low income, underinsured or uninsured people in the greater Central Bucks County area. The hospital provided the Clinic with offices and exam rooms at a nominal charge. The Foundation assisted in some of the health needs of the patients that go beyond the resources of the Clinic with a contribution of $40,000. Other donations included pharmaceuticals and medical testing, as well as senior management's time contributing to the Clinic's Board. During FY12-13 there were 2,396 visits to the medical program for 738 individual adults and children. There were 793 treatment visits and 203 hygiene visits for the dental program for 245 adults and children. There were 1,151 visits provided through the Social Service Program including 453 eligibility appointments and 197 medical insurance applications. There were 410 prescriptions filled from donated samples and 381 applications completed or Prescription Assistance Programs, as well as 74 free mammograms at a cost to the Hospital of $60,720. Community Education Calendar: Doylestown Hospital published a quarterly calendar which is distributed to 87,500 households. This calendar lists communications related to health education programs and classes. The approximate cost of this publication is $300,636. Advertisements are in local newspapers which inform the community members about upcoming health education classes, physician lectures, support groups and other health education activities. In addition, Doylestown Hospital publishes three disease specific newsletters which offer wellness and prevention information to patients who have been diagnosed with or are concerned about heart disease (Cardiac Connection), osteoporosis, breast cancer, menopause and other women's health issues (Her Health) and cancer (Concierge). More than 246,000 people receive this information through a mailing to their homes. An additional 2,500 e-newsletters are also sent. The cost to produce and distribute these newsletters was $182,790. Health Connections by Doylestown Hospital: This is a collaborative program between Doylestown Hospital and the Cowhey Family (ShopRite of Warminster). Health Connections by Doylestown Hospital is an in-store health resource center created to benefit the community. This convenient location makes health information accessible and personal for the prevention of illness, and helps residents find the appropriate care when the need arises. The goal of Health connections is to motivate the community to adopt healthier lifestyles. The cost of supplies, staffing and monthly promotions was $27,677.
COMMUNITY BENEFIT STATEMENT CONTINUED	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Medicaid Application Preparation for all Uninsured PA Residents: Doylestown Hospital offers all uninsured PA residents the option of filing a Medicaid application. HRSI is the Hospital's vendor and they help our patients through the process. The Hospital is charged $ 475/application, if the applicant obtains eligibility. HRIS has successfully obtained eligibility for 180 uninsured patients. For this process, the Hospital paid HRSI $85,500, staff time cost incurred of $28,975. Cost of Trans Union Monthly fees totally $79,572 for the fiscal year. Lenape Valley Health Foundation: This organization provides psychiatric coverage and clinical supervision for Unit Patients and psychiatric consultation services in the Hospital's Emergency Department. This is a cost to the hospital of $53,597. Foundation Fund Raising Program: The Foundation's fund raising program requested unrestricted gifts for this fiscal year that would enable Doylestown Hospital to continue its mission of a responsive, healing environment for patients and their families. Gifts benefited many departments of the hospital, especially the Heart Institute, Hospice and the Cancer Center. Special events included a silent auction to benefit the Cancer and Hospice programs, a Heart Brunch, and a golf outing. The Planned Giving program was successful, including the growth of the charitable gift annuity program. Hospice Program Support: The Hospice Program provided caregivers for respite care in the homes of terminally ill patients, and contacted bereaved people over the phone throughout the year after the death of a loved one. This program is valued at $5,107. Bereavement Support: The Bereavement Support Program provided support for bereaved and hospice families. There are various types of bereavement support groups that take place monthly in order to meet the needs of all types of losses. These programs are offered all year round and have a Chaplain and other professional staff in attendance. The Hospital served 1,100 community members, at a value of $27,762. "How to Cope" Programs: There were events held at various churches and organizations to discuss topics of coping with the loss of a loved one at the Holidays, "Who am I now" and having conversations before the crisis, valued at $10,953. Pulse Line: A phone line that is dedicated for community information, registration and referral. Hospital staff screened applicants and referred patients with primary care and specialist physicians. They also referred eligible patients to the Free Clinic of Doylestown. Estimated staff time was 1,040 hours (20 hours/week for 2 operators) valued at $25,114. Doylestown Clinical Network (DCN): The DCN facilitates seamless transfer of clinical information provider-to-provider to improve the quality of care for members of the Doylestown Community. There is an estimated 12,510 hours of paid Associate time. An estimated cost of $241,500 for phone lines, maintenance, depreciation, etc. and an estimated cost of $53,185 for Administration. An estimate of direct offsetting revenue of $51,500. The outcome for the community is the serving of approximately 475,000 persons. Collaboration occurred between Doylestown Hospital and the Bucks County Physician Hospital Alliance (BCPHA). Scholarship Assistance: 41 scholarships are supported by the Foundation through restricted gifts. These scholarships, totaling $40,750 are awarded to men and women pursuing nursing, allied health, paramedic, and other training. Ben Wilson Senior Center Newsletter: Four times a year a staff member from Community relations assists with the preparation of a newsletter for the Ben Wilson Senior Center in Warrington by supplying health and wellness information and editorial oversight. We then print 3,000 copies at a value of $215. Staff time of 12 hours/issue valued at a total of $290, for the four issues. Community Business Sponsorships: Throughout the year, Doylestown Hospital has made cash donations to assist local businesses, non-profits and cultural organizations provide programs and activities that improve and/or enhance the overall qualify of life for the greater Central Bucks Community. We believe that one way to keep community members safe, health and vibrant is by supporting the numerous community and business groups that are the fabric of our community and by participating in special programs and events that benefit a broad spectrum of community residents. The total amount donated for sponsorships is $147,478. Visiting Nurse Program Free Support: The Visiting Nurses made visits to families without insurance. Clinics were held at the Center Square Towers, Yorktowne Manor and Buckingham Springs, which are all senior living complexes. 45 hours were donated at a cost of $4,831. Hospice Programs: Mailings and telephone contact to other community service organizations, such as Beelong Adult Day Services, Bayada Nurses in Hatboro & Bucks County Office, The Manor at Yorktown, to name a few, as well as healthcare organizations to offer information and education regarding "End of Life" and Hospice Programs. 50 paid hours and 10 donated hours at a cost of $5,032 plus refreshments and handouts at a cost of $75. Library Services at Doylestown Hospital: The Hospital has an extensive library that is open to users from the community, other than Medical Staff, Associates and Volunteers of the Hospital. Physicians that have privileges at the Hospital as well as Honorary/Emeritus Medical Staff make up the largest group of users. At a cost to the Hospital of $83,274. Healthy e-Cooking Show: The Hospital has an ongoing program that has an online database of over 600 healthy recipes and nutritional information along with videos. These are accessible through Doylestown Hospital's website. This access to the community helps with information on obesity, diabetes, cardiovascular disease and all dietary links. This information is available to help promote healthy eating habits. At a cost to the Hospital of 48 paid professional hours at a cost of $3,781 and an annual license fee of $ 16,500. Adam Health Encyclopedia: Health information is the 3rd most popular search on the internet. The Hospital has an extensive health library on its website with over 4,000 health and wellness articles and covers over 1,500 medical topics. The site has reference index and interactive tools. At a cost to the Hospital of 20 paid professional hours at a cost of $ 880 and an annual license fee of $ 17,500. Food Shelter Donation: Doylestown Hospital donated 50 cartons of food to New Britain Baptist Church and Doylestown Food Bank to be distributed to local families in need. The cost to the Hospital was $24,000. EDUCATIONAL PROGRAMS -------------------- Cancer Survivor Day: This event was held by Doylestown Hospital for all cancer survivors and their family and friends. It was intended to provide psychological support and a networking experience with other survivors and connect survivors with community resources. Over 250 people attended the event. Volunteer hours included physicians, nursing, clerical staff attending for a total of $ 1,107. Lifestyle Lectures: This was a series of informal educational lectures offered to the community by members of the medical staff. The hospital coordinated the program, which helped 143 community members. $1,010 in physician time was donated. $1,010 in physician time was donated. hospital coordinated the program, which helped 143 community members. $1,010 in physician time was donated. Driver Safety Program: This was a cooperative program with AARP that follows their rules for participation. We provide room for 245 participants and 11 classes, which amounted to $1,250 in hospital donated costs. Community Lectures: The Hospital provided speakers for various community groups and organizations. Presenters for events utilized both staff and physicians. The value of staff and volunteer time and resources was $23,530 and the session helped 1,872 community individuals. These programs improved the community's health and quality of life through education. Breast Cancer Support Group: Provided opportunities for educational and emotional support for breast cancer survivors and their families. The Hospital provided education to 240 persons per month at a cost of $2,441. Additional programs sponsored by the Hospital for cancer support were four cancer educational programs (Psychological Support Program, Breast Cancer and Emotional Support Program, Nutrition Program and "Basket Bingo". Costs incurred for these events were $6,012.
COMMUNITY BENEFIT STATEMENT CONTINUED	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Man to Man Prostate Cancer Support Group Education: This monthly program addresses issues and the struggles that face prostate cancer survivors and their families. 180 persons served per month at a cost of $2,054. Look Good, Feel Better: This program provided support and resources for cancer patients undergoing chemotherapy. 60 individuals attended and $709 was the value of staff and volunteer time and resources. Nutrition Presentations: Programs were held throughout the year to provide education on nutrition to promote optimal health and Diabetes Awareness. Locations included: several churches, senior communities, two High Schools and various women's' and men's' groups, menu evaluation for Yorktown Manor, health fair displays for YMCA and many local elementary schools. Over 2,100 were educated with these programs. 95 hours of staff time spent at a cost of $7,372 to the hospital. The Art of Caring for Yourself - A Woman's Night Out: This program was presented for the community, at the Michener Art Museum, which included a light dinner, health displays and creative inspiration by nationally acclaimed artist, writer and musicians LisaBeth Weber. The speaker discussed many topics featuring emotional health as well as physical well-being. 100 women attended at a cost of $14,830. Love Your Heart: This program was presented for the community to make everyone aware that heart disease is still the #1 killer for both men and women. 450 attended and a cost to the Hospital of $9,740. Cancer Roadmap - Q&A for the Newly Diagnosed Patient: This program describes the process to the newly cancer diagnosed. There is a one-on-one with an oncology nurse, social worker and volunteer survivor to discuss a treatment plan, expectations and available resources for positive coping. There were 4 individuals who attended, and a cost of $139. I Can Cope: This program was an educational series that addressed topics such as cancer and treatment, managing side effect, emotional concerns, fatigue and energy conservation and proper nutrition. 20 persons were served at a cost of $656. Student Internship Summer Program: This program with Students of the Gwynedd Mercy Cardiovascular Technology Program and Bucks County Community College Nursing Program. The students spend 2 weeks observing procedures in Cardiac Services, Echo and the Cath Lab to help them decide where they would like to focus their educational/career and education. The value of this program is $165,883 for support staff, physicians and professional staff time. Student Internship Radiology Program: 6 students from Abington Memorial Hospital School of Radiologic Technology attend the Hospital's Department of Radiology on a rotation basis. Students learn clinical skills that are important to their educational process. Radiographers at the Hospital serve as clinical instructors for the students on a one to one ratio. Doylestown Hospital does not receive a financial reward for this agreement. The cost of this program to the Hospital is $119,067. There is also an intern program for 1 student with the Ultrasound Department. The cost of this program is $22,284. Allied Health RCIS College Intern Program: Students work with a Doylestown Hospital Cardiac Rehab Associate, developing their skills such as reading physician reports, collecting information for first visit patients, assessing skills, documenting meds, exercise evaluations, evaluating outcomes and discharging patients. For the student college training, this is a mandatory clinical experience program. The cost of this program to the hospital is $480,388. Smoking Cessation Program: Programs were held using CDC Resources "Cleaning the Air". 128 individuals were given help in quitting the habit smoking. The hospital's overall contribution is valued at $1,448. Pine Run Programs: These programs were held at Pine Run for the community, including a Wellness Food Drive, donated school bags to the Bucks County Intermediate Unit, as well as distributing Bibles and Prayer Materials. Staff and handout materials were valued at $8,237. MATERNITY AND PARENTING ACTIVITIES ---------------------------------- Baby well: This program educated 208 parents on how to care for their newborn. $5,021 in staff time was devoted towards 20 community programs. Healthy Beginnings Program: This is a program to bring prenatal health to the underserved in the Community. This is mostly the ones without the ability to pay or those who have not yet enrolled or who are enrolled in Medicaid. Much of our program deals with high risk patients and those with substance abuse problems. There is a Physician, a social worker and a dietician, as well as two nurses who run the program. The cost of this program was $456,882. Breastfeeding Education: This program provides an increased understanding of the benefits of breastfeeding, which leads to improved nutrition/health of infants. 150 individuals attended the 23 lectures that were held throughout the year. The cost to the hospital is about $3,937. Childbirth Classes: A program teaching the how-tos of childbirth served 432 people at a cost of $21,964 to the hospital through 23 courses series every day of the week except Friday. Tours of the Birthing Center were also given at a cost to the hospital of $1,255. Teen Parenting Education: This is a cooperative program with Child, Home and Community, Inc. The hospital provided room for the educational course. 66 individuals were given free Childbirth instruction and 52 attended a support group called Building the Family. $4,600 is the value of the meeting space. Child Development: This program was in cooperation with the Central Bucks School District. High school students toured the LDRP Unit. They viewed and discussed family's admission from birthing room to postpartum room to the nursery. Discussions were held on newborns and basic development, including ICN & types of infants admitted at Doylestown Hospital. The program was presented on two dates, with 160 participants, including 1 teacher at a value of $7,317. Grand parenting Classes: This program prepared grandparents-to-be on how to be support their children as they start their own family. 40 individuals attended the course, with a cost to the Hospital of $2,492 for the 9 classes. Prenatal Refresher Classes: This program refreshed nearly 20 parents-to-be, who already have delivered other children, on the childbirth experience. $2,452 in staff time was devoted to this for 6 classes during the year. Sibling Education Classes: A program designed to lessen a child's feelings of anxiety and jealousy. There were 47 participants in 5 classes during the year at a cost to the Hospital of $2,724. SCHOOL AGE ACTIVITIES --------------------- Parenting and Babysitting Education: This is a cooperative program with Child, Home and Community, Inc. The hospital provided room for the educational course. 89 individuals were given babysitting instruction at a cost of $300 to the Hospital. Service Learning & Career Academy: The Service Learning Career Academy is a joint project between the V.I.A. Health System and the three High Schools in the Central Bucks School District. In collaboration with the Consumer and Family Sciences course, the hospital's day care center provides students with hands-on experience to enhance learning of child development theory. In addition, hospital professional staff and CB faculty jointly designed a curriculum for Advanced Placement Biology Students, Advanced Health Students and Anatomy Physiology Students, who spend class time on-site at the hospital to obtain the practical application of class content. Over 200 students participated in this program where $22,000 in hospital staffs time and other costs. Teddy Bear Clinics: Children in the community were exposed to the Emergency Department and ambulance in a fun environment. The experience taught them to not be frightened in the event they may need emergency services. Over 200 children came through the Teddy Bear Clinic at the hospital. Donated materials and staff time is valued at $2,840. Girl Scouts: The hospital provided meeting space for 2 Girl Scout Troops. Meeting space was valued at $5,400. Bucks County Downs Syndrome: Space was provided for monthly meetings at Children's Village for the Bucks County Downs Syndrome group. Meeting space was valued at $750. Focus on Motherhood: Family Home and Community Childbirth classes for Teen Parents meet at C.V. every Monday evening to prepare for childbirth. Instruction is also provided for infant care, health & nutritional and life skills. Meeting space is valued at $2,400 annually. Bereavement Group Meetings: Space is provided monthly for these meetings at C.V. and is valued at $5,400.
COMMUNITY BENEFIT STATEMENT CONTINUED	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	LEADERSHIP ACTIVITIES --------------------- The Hospital President/CEO devoted $22,000 worth of his time to community benefit activities including, but not limited to, the Bucks County Health Improvement Partnership, Ann Silverman Community Health Clinic, Health Quality Partners, Delaware Valley Healthcare Council and Gilda's Club. The Vice-President of Development was also involved in contributing time to activities that benefit the community including: Ann Silverman Community Health Clinic, CB Cares, The American Red Cross, the Central Bucks Chamber of Commerce and the Doylestown Business and Community Alliance. Doylestown Hospital's managers also contribute their leadership and expertise to a variety of community boards, agencies, and projects. During 2012-2013, a value of $100,000 in manager's time was given, often during work time, to help some of the following community organizations: Advocacy Speeches American Cancer Society American Heritage FCU American Red Cross Blood Drive Ann Silverman Community Health Clinic Bucks Co. Hospital Decon Task Force Bucks Co. Quality Child Care Coalition Bucks Co. MH/MR Advisory Board Boys Scouts of America Bucks County Housing Group Bucks Co. Health Improvement Partnership CB Chamber of Commerce Central Bucks Ministerium CB Christian Women's Club Child, Home and Community, Inc. Central Bucks Family YMCA CB Cares Community Outreach Center Delaware Valley College Senior education Doylestown Athletic Association Doylestown Business & Community Alliance DVHC Board and Committees Family Caregivers of Seniors Friends of Peace Valley Nature Center Gilda's Club Gwynedd Mercy Advisory Committee Health and Housing Task Force Heritage Conservancy Lenape Valley Shriner's Club Literacy Academy of BC IU March of Dimes Middle Bucks Institute of Tech. Advisory Professionals Working with Seniors Springfield Township (Supervisor/Planning) TEACHING PROGRAMS ----------------- Doylestown Hospital supports medical, nursing, allied health, and hospital management programs. The following is a list of schools that sent students to the hospital for practicums, clinical rotations, and/or preceptorships: Abington Hospital School of Radiology Arcadia University Aria Health Bucks County Community College DeSales University Drexel University/Hahnemann College East Stroudsburg University Gwynedd Mercy College LaSalle University Montgomery County Community College Nazareth Hospital Philadelphia College of Osteopathic Medicine Salus University Sanford Brown Institute Springfield College Starr Technical Institute Temple University University of Delaware University of Pennsylvania University of South Carolina Upper Bucks Technical Institute Doylestown Hospital served as a clinical rotation site for medicine, physician assistant, entry and advanced nursing levels, pharmacy, radiologic technology, cardiac services and exercise physiology. All patient care areas were utilized in the education of these students. The costs of teaching the 575 students were at least $457,125. Pre-Med Volunteer Program: This program has been developed by the Hospital Medical Staff and Volunteer Department. It is a ten-week program starting in late May. It is supervised by the Hospital's Director of Volunteer Services and is coordinated with a special seminar program conducted by the Doylestown Hospital's Medical Staff to introduce the students to selected phases of a medical career. Students participating in the program are expected to give the Hospital a minimum of 100 hours of volunteer time in various patient related services during the course. The aim of the program is to give pre-medical students first-hand hospital experience to acquaint them with a total community hospital picture. This program brings into focus the work and responsibility of the physician in a modern hospital complex. We had 13 students in this program. Time of six physicians, four nurse educators, volunteer services and materials cost the hospital $ 48,706. OUTSIDE GROUP ROOM USAGE ------------------------ The hospital provides free space for meetings to the following outside groups with a charitable mission. There were 137 individuals benefitted at a cost of $5,000: Ann Silverman Family Health Community Clinic Bucks County Autism Support Coalition Bucks County Intermediate Unit Bucks County Health Improvement Partnership Bucks County Medical Society Lenape Valley Foundation National Alliance for the Mentally Ill HEALTH SCREENINGS & IMMUNIZATIONS --------------------------------- The hospital conducts health screens and supported immunizations for various community members. HEALTH SCREENINGS During the year, 732 individuals benefited from health screens. Staff time donated to this effort is estimated at $9,064. Activity improves the health of the community in general, specific groups of people, helps contain healthcare costs and/or improves the quality of life for all members of our community. The following is a list of health screening and immunization activities: Skin Cancer Screening: This program screened 65 Patients with volunteer medical, nursing and clerical staff totaling $4,130. Prostate Cancer Screenings: This program screened 337 patients with volunteer medical, nursing and clerical staff totaling $2,868. Stroke Risk Screenings: This program screened 330 patients with volunteer medical, nursing and clerical staff totaling $2,066. INFLUENZA IMMUNIZATIONS Doylestown Hospital provided a community flu shot clinic in the fall of 2011. The value of this time to serve 232 individuals was $1,000. Vaccines were provided by the Bucks County Health Department. Vaccines were provided by the Bucks County Health Department. SUPPORT GROUPS & SELF-HELP PROGRAMS ----------------------------------- Support groups are offered at no charge to the community, and a member of the hospital staff leads many. 833 conference room hours and 162 professional hours of support were provided to more than 3,200 community members. This amounted to $48,560 donated in space and professional staff time and hospital materials. The following is a list of the groups that held regular meetings at the hospital: - Alcoholics Anonymous - Alateen - Better Breathers Club - NTM (Nontuberculous Mycobacterium) - CADUCEUS - EATING DISORDERS ANONYMOUS - FIBROMYALGIA - AUTISM - INSULIN PUMP - LYMPHEDEMA - NURSING MOTHERS - PARKINSON'S DISEASE - PROSTATE CANCER - STROKE - PULMONARY HYPERTENSION - ALZHEIMER'S DISEASE - AUGUSTINE FELLOWSHIP - BREAST CANCER - DOWN'S SYNDROME INTEREST - BUILDING THE FAMILY - LOW VISION - GAMBLERS ANONYMOUS - ICD (IMPLANTABLE DEFIBRILLATOR) - LYME DISEASE - MULTIPLE SCLEROSIS - OVEREATERS ANONYMOUS - PREGNANCY LOSS - SCLERODERMA - BLINDNESS - DIABETES VOLUNTEER PROGRAMS ------------------ Doylestown Hospital enjoys the generous contribution of time and talent from community volunteers, starting at the minimum age of 15. Volunteer opportunities benefit the community by providing, for many community members, a place to go or a way to feel needed, thus preventing a variety of social problems. The Volunteer program allows some members of the community to help others, not through their dollars but through their donated time. In addition, the hospital is a place for community members to reach out to help friends and neighbors or to fulfill court-mandated community service obligations as volunteers. Throughout the year, 890 volunteers contributed 124,302 hours of service to their community through opportunities in every hospital department. Volunteers significantly enhance patient and family support in the following service categories: Addressing and Collating, Cancer Institute, Children's Village, Dietary Menu, Emergency Department, Fall Risk Companion, Gift Shop/Cart, Healing Arts Program, Hospitality Cart, Hospice, Information Desks, Mail or Messenger, Pastoral Care, Animal Assisted Therapy, Radiology Information Desk, Snack Bar, Surgery Waiting area, Patient Transport, LDRP (Labor & Delivery) and our "No One Dies Alone" program. In total, $107,051 worth of meals was given to our volunteers free of charge. Because the hospital wants to provide exceptional opportunities for community members to offer time and talent to support the V.I.A.'s mission to excellent local healthcare, $476,000 in salaries was budgeted for recruitment, orientation, management, retention and recognition of volunteers in patient transport, the gift ship, and throughout the patient services areas.
COMMUNITY BENEFIT STATEMENT CONTINUED	CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	CHARITY CARE TO COMMUNITY MEMBERS --------------------------------- Doylestown Hospital and The Pine Run Community provides free medical care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Unreimbursed charges from Medical Assistance programs on behalf of patients that meet the hospital's charity care criteria are also considered charity care. The Fiscal Year 2013 total for charity care is $7,282,367. SUMMARY OF TOTAL COMMUNITY BENEFIT CONTRIBUTION COMMUNITY OUTREACH AND BENEFIT ACTIVITIES $ 1,634,020 EDUCATIONAL PROGRAMS $ 868,157 MATERNITY AND PARENTING ACTIVITIES $ 486,680 SCHOOL AGE ACTIVITIES $ 39,090 LEADERSHIP ACTIVITIES $ 122,000 TEACHING PROGRAMS $ 505,831 OUTSIDE GROUP ROOM USAGE $ 5,000 HEALTH SCREENINGS AND IMMUNIZATIONS $ 10,064 SUPPORT AND SELF-HELP PROGRAMS $ 48,560 VOLUNTEER PROGRAMS $ 583,051 CHARITY CARE TO COMMUNITY MEMBERS $ 7,282,367 Community Support: $11,231,832 - Programs and services that were coordinated and sponsored by either the hospital and/or the Foundation and were directly paid for or came at a cost to the either hospital and/or foundation. $ 352,988 - Programs and services that were coordinated and sponsored by either the hospital and/or the Foundation but did not incur additional expenses to the hospital and/or foundation. Total: $11,584,820 ADDENDUM: A DOYLESTOWN HOSPITAL STATEMENT OF PROGRAM AND SERVICES FISCAL YEAR 2012-2013 ======================================================================== - ASSOCIATE HEALTH SERVICES - BEHAVIORAL HEALTH SERVICES - EAP - CRISIS SERVICES - CARDIAC AND NEUROLOGICAL SERVICES - DIAGNOSTIC CARDIAC CATHETERIZATION - NON-INVASIVE DIAGNOSTIC TESTING SERVICES - INTERVENTIONAL CARDIOLOGY PROCEDURES - EPS STUDIES (PACEMAKERS, DEVICE IMPLANTATION, ABLATION) - CARDIOVASCULAR SURGERY - CABG - VALVE REPLACEMENTS/REPAIRS - CRITICAL CARE UNITS - MED/SURG CRITICAL CARE - CARDIOVASCULAR CRITICAL CARE - DIABETES EDUCATION (INPATIENT AND OUTPATIENT) - NUTRITION EDUCATION AND COUNSELING - EMERGENCY SERVICES - CRISIS INTERVENTION - OBSERVATION/HOLDING UNIT - SANE (SEXUAL ASSAULT NURSE EXAMINER) PROGRAM - DOMESTIC VIOLENCE - ENDOSCOPY - GASTROENTEROLOGY - PULMONOLOGY - ENTEROSTOMAL THERAPY (INPATIENT AND OUTPATIENT) - NURSING HOME CONSULTATION - WOUND MANAGEMENT - CONTINENCE CARE - FOOD AND NUTRITION SERVICES - WEIGHT MANAGEMENT CLASSES (ADULTS AND CHILDREN) - NUTRITIONAL ASSESSMENT AND COUNSELING - PATIENT MEAL SERVICES - GENERAL MEDICINE - ALLERGIC DISEASES - CARDIOLOGY - DERMATOLOGY - ENDOCRINOLOGY - FAMILY MEDICINE - GASTROENTEROLOGY - INFECTIOUS DISEASE - INTERNAL MEDICINE - HEMATOLOGY - OBSTETRICS & GYNECOLOGY - NEPHROLOGY - NEUROLOGY - ONCOLOGY - PATHOLOGY - PEDIATRICS - PHYSICAL MEDICINE/REHABILITATION - PSYCHIATRY - PULMONARY - RHEUMATOLOGY - HEMODIALYSIS - INFECTION CONTROL - IV THERAPY - PICC (PERIPHERALLY INSERTED CENTRAL CATHETER) - LABORATORY SERVICES - AUTODONATION - BLOOD BANK - CHEMISTRY - CYTOLOGY - HEMATOLOGY - HISTOLOGY/PATHOLOGY - MICROBIOLOGY - URINALYSIS - MAGNETIC RESONANCE IMAGING (MRI) - MATERNITY SERVICES - ANTENATAL TESTING - BABY BRACELETS (MATERNAL/INFANT VISITING NURSE) - LABOR AND DELIVERY - MATERNAL/CHILD CARE - NEONATOLOGY - PRENATAL TESTING - POST-PARTUM CARE - PREPARED CHILDBIRTH EDUCATION - SPECIAL CARE NURSERY (LEVEL II) - WELL BABY NURSERY - MEDICAL RESEARCH - CLINICAL TRIALS - ONCOLOGY (INPATIENT AND OUTPATIENT) - OUTPATIENT INFUSION SERVICES - PASTORAL CARE SERVICES - LAY CHAPLAIN - PHARMACY - RADIOLOGY SERVICES - CT SCANNER - PET/CT SCANNER - DIAGNOSTIC RADIOLOGY - INVASIVE AND SPECIAL PROCEDURES - NUCLEAR MEDICINE - ULTRASOUND - REHABILITATION SERVICES (INPATIENT AND OUTPATIENT) - BRAIN INJURY - CARDIAC REHABILITATION - COGNITIVE REMEDIATION - ELECTROMYOGRAPHY - LYMPHEDEMA THERAPY - HAND THERAPY - NERVE CONDUCTION STUDIES - OCCUPATIONAL THERAPY - PHYSICAL THERAPY - PSYCHOLOGY - SPEECH THERAPY - SWALLOWING TEST - RESPIRATORY SERVICES - PULMONARY FUNCTION TESTING - PULMONARY REHAB - CASE MANAGEMENT/SOCIAL SERVICES - PSYCHOSOCIAL ASSESSMENTS - COUNSELING - COMPLEX DISCHARGE PLANNING - CRISIS INTERVENTION - FINANCIAL COUNSELING - ADOPTION OPTIONS COUNSELING - PATIENT AND FAMILY EDUCATION - INFORMATION AND REFERRAL - SURGICAL SERVICES (INPATIENT AND OUTPATIENT) - ACUPUNCTURE - COSMETIC - DENTISTRY - GENERAL - NERVE BLOCKS - SURGICAL SERVICES CONTINUED - OB/GYN - OPHTHALMOLOGY - ORAL/MAXILLOFACIAL - ORTHOPEDICS - OTOLARYNGOLOGY - PEDIATRIC DENTISTRY - PLASTIC SURGERY - POST-ANESTHESIA CARE UNIT - PRE-ADMISSION TESTING - SAME DAY SURGERY (NERVE BLOCKS) - UROLOGY - VASCULAR - TELEMETRY / PROGRESSIVE CARE - VISITING NURSE/ HOME CARE - ADULT AND INFANTS (UP TO 1 YEAR) SKILLED HOME HEALTH SERVICES - NURSING - PHYSICAL THERAPY - OCCUPATIONAL THERAPY - SPEECH THERAPY - SOCIAL SERVICES - HOME HEALTH AIDES - BABY BRACELETS (MATERNAL/INFANT VISITING NURSE) - COMPREHENSIVE HOSPICE PROGRAM - WOMEN'S DIAGNOSTIC CENTER - BONE DENSITOMETRY - MAMMOGRAPHY - STEREOTACTIC BREAST BIOPSY
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN ("VIAD") IS THE SOLE MEMBER OF THIS ORGANIZATION. VIAD HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION A; QUESTION 11B	THE ORGANIZATION IS AN AFFILIATE IN THE VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN AND CONTROLLED ENTITIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF DIRECTORS, FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE ORGANIZATION'S FINANCE COMMITTEE HAS THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION AND THE SYSTEM TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND ITS FINANCE COMMITTEE FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING A COPY TO EACH MEMBER OF DOYLESTOWN HOSPITAL'S GOVERNING BODY, ITS BOARD OF DIRECTORS.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE EXECUTIVE ASSISTANT TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, WHO GATHERS, INVENTORIES AND FILES THE COMPLETED QUESTIONNAIRES. THEREAFTER A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS IS PREPARED AND REVIEWED BY THE ORGANIZATION'S CHIEF ACCOUNTING OFFICER AND PRESIDENT/CHIEF EXECUTIVE OFFICER. THIS SUMMARY IS THEN PRESENTED TO THE ORGANIZATION'S BOARD OF DIRECTORS WHO REVIEWS AND MAKES DECISIONS ON HOW TO HANDLE CONFLICTS OF INTEREST AND ASSOCIATED MITIGATING BEHAVIOR TO BE TAKEN BY THE ORGANIZATION IF NECESSARY.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION B; QUESTION 16	THE ORGANIZATION HAS A JOINT VENTURE POLICY THAT IS IN FULL COMPLIANCE WITH INTERNAL REVENUE SERVICE RULES AND REGULATIONS ON JOINT VENTURE POLICIES AND DISCLOSURES WITH RESPECT TO FEDERAL FORM 990. IN ADDITION, THE ORGANIZATION'S BOARD OF DIRECTORS IS INVOLVED IN EVERY DECISION WITH RESPECT TO JOINT VENTURES IN WHICH IT PARTICIPATES FOR WHICH IT DRAFTS SPECIFIC BOARD RESOLUTIONS FOR THESE MATTERS.
DISCLOSURE INFORMATION	CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA.
COMPENSATION INFORMATION DISCLOSURE	CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.
COMPENSATION INFORMATION DISCLOSURE	CORE FORM, PART VII AND SCHEDULE J	Jim Brexler, the current President/Chief Executive Officer of the organization began his employment on January 21, 2013. He is included in Part VII of the Core Form of the Form 990; however, please note that there is no compensation reported for Mr. Brexler as he did not receive a 2012 Form W-2. In accordance with Internal Revenue Service Form 990 rules and regulations, this organization's Form 990, which has a fiscal year-end of June 30, 2013, reflects compensation paid for the 2012 calendar year. Accordingly, compensation paid to Mr. Brexler in 2013 will be reflected on the organization's Form 990 for the fiscal year-end June 30, 2014.
RELATED HOURS DISCLOSURE	CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS AN AFFILIATE IN THE VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN AND CONTROLLED ENTITIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON THIs FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN AND CONTROLLED ENTITIES; NOT SOLELY THIS ORGANIZATION.
BALANCE SHEET RESTATEMENT	CORE FORM, PART X	CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO PRIOR YEAR BALANCES IN ORDER TO CONFORM TO THE CURRENT YEAR PRESENTATION. THE ORGANIZATION RESTATED THE JUNE 30, 2012 BALANCES ON CORE FORM, PART X TO REFLECT THESE RECLASSIFICATIONS. THIS RESTATEMENT DID NOT REQUIRE A CHANGE TO THE ORGANIZATION'S NET ASSETS OR FUND BALANCES AND, THEREFORE, THE ORGANIZATION REASONABLY DECIDED NOT TO AMEND ITS PRIOR YEAR FORM 990.
OTHER CHANGES IN NET ASSETS	CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS INCLUDE: - EQUITY DISTRIBUTION; ($60,000); - CHANGES IN ACCRUED PENSION; $7,364,932; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS; ($24,930); - INCREASE IN INTEREST IN NET ASSETS OF DOYLESTOWN HEALTH FOUNDATION, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION; PERMANENTLY RESTRICTED; $526,428; - EQUITY TRANSFER TO DOYLESTOWN HEALTH FOUNDATION, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($18,968,672); AND - OTHER CHANGES IN NET ASSETS - $273,066.
AUDITED FINANCIAL STATEMENTS	CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN THE VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN AND CONTROLLED ENTITIES ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE FISCAL YEARS ENDED JUNE 30, 2013 AND JUNE 30, 2012; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF DOYLESTOWN HOSPITAL FOR THE FISCAL YEARS ENDED JUNE 30, 2013 AND JUNE 30, 2012; RESPECTIVELY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS OF THIS ORGANIZATION. THE DOYLESTOWN HOSPITAL FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
DOYLESTOWN HEALTH FOUNDATION
595 WEST STATE STREET	DOYLESTOWN	PA	18901	232368196	FUNDRAISING	PA	501(C)(3)	509(A)(1)	VIAD	true
VILLAGE IMPROVEMENT ASSN OF DOYLESTOWN
595 WEST STATE STREET	DOYLESTOWN	PA	18901	232368200	HEALTHCARE	PA	501(C)(3)	509(A)(1)	NA	true
VIA AFFILIATES
595 WEST STATE STREET	DOYLESTOWN	PA	18901	232368197	HEALTHCARE	PA	501(C)(3)	509(A)(3)	DHF	true

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	DOYLESTOWN RADIOLOGY GROUP LP	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1240 OLD YORK ROAD	AddressLine1
City	WARMINSTER	City
State	PA	State
ZIP Code	18974	ZIPCode

Field	Value	IRS element (for citing)
EIN	231352174	EIN
Primary Activity	MEDICAL SVCS	PrimaryActivity
Legal Domicile State	PA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DH	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	561744	ShareOfTotalIncome
Share Of EOY Assets	223713	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	false	GeneralOrManagingPartner
Percentage Ownership	0.51000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	DOYLESTOWN HOSPITAL HLTH & WELLNESS CTR	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	595 WEST STATE STREET	AddressLine1
City	DOYLESTOWN	City
State	PA	State
ZIP Code	18901	ZIPCode

Field	Value	IRS element (for citing)
EIN	233022645	EIN
Primary Activity	FITNESS CENTER	PrimaryActivity
Legal Domicile State	PA	LegalDomicileState
Type Of Entity	C CORP.	TypeOfEntity
Controlled Org	false	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
DOYLESTOWN HEALTH FOUNDATION
R	18968672	COST
DOYLESTOWN HEALTH FOUNDATION
C	70214	COST

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	TRANSACTIONS WITH RELATED ORGANIZATIONS	Identifier
Return Reference	SCHEDULE R, PART V	ReturnReference
Explanation	THE ORGANIZATION IS AN AFFILIATE OF THE VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN AND CONTROLLED ENTITIES; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION ROUTINELY PAYS EXPENSES FOR VARIOUS AFFILIATES WITHIN THE SYSTEM IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.	Explanation