2014-05-14T13:50:34-05:00 2013-06-30 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2012-07-01 231352152 ABINGTON MEMORIAL HOSPITAL % MICHAEL B WALSH ABIN 2154812851 1200 OLD YORK ROAD Suite ABINGTON PA 19001 MICHAEL B WALSH 9738989494 2014-05-09 true Scott Mariani 9738989494 2012 2015-11-30 17:44:51Z LAURENCE M MERLIS 1200 OLD YORK ROAD ABINGTON PA 19001 708544757 false X WWW.ABINGTONHEALTH.ORG X 1913 PA THE ORGANIZATION IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR ALL BY FOSTERING HEALING, EASING SUFFERING, AND PROMOTING WELLNESS IN A CULTURE OF SAFETY, LEARNING AND RESPECT. 22 16 5940 1184 62159 -121118 3237329 1956540 686449806 689457213 3332200 5691907 12427859 11439097 705447194 708544757 0 42066 0 0 396531910 421269878 0 0 0 290019177 266376807 686551087 687688751 18896107 20856006 740826359 751979616 616805973 574922123 124020386 177057493 X THE ORGANIZATION IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR ALL BY FOSTERING HEALING, EASING SUFFERING, AND PROMOTING WELLNESS IN A CULTURE OF SAFETY, LEARNING AND RESPECT. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. false false 58823381 0 57217462 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY CARDIOVASCULAR SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PERFORMED 4,547 CARDIOVASCULAR CASES FOR A TOTAL OF 18,758 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 49240596 0 44846377 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY GERIATRIC MEDICINE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PERFORMED 5,836 GERIATRIC MEDICINE CASES FOR A TOTAL OF 26,367 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 41863941 0 44788980 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY GENERAL SURGERY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION PERFORMED 2,473 GENERAL SURGERY CASES FOR A TOTAL OF 14,538 PATIENT DAYS DURING THE FISCAL YEAR. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. 468991958 42066 542604394 618919876 true true false true false false false false false true true false true true true false false true false false true false false false false false true true true true true true false false false false false false false true true true false false false false false true false false false true 460 0 true 5940 true true true false false false false true true false false false false X 22 16 false false false false true true true true true false false true true true true true true true true true true PA X MICHAEL B WALSH 2154812851 1200 OLD YORK ROAD ABINGTON PA 19001 X ROBERT M INFARINATO ESQ 5.0 X X 0 0 0 STEPHEN CRANE 5.0 X X 0 0 0 EDITH R DIXON 5.0 X X 0 0 0 BRUCE E TOLL 5.0 X X 0 0 0 EDWARD K ASPLUNDH 2.0 X 0 0 0 STEVEN BARRER MD 55.0 X X 744998 0 36906 HELEN R BOSLEY 2.0 X 0 0 0 JOHN H DURHAM 2.0 X 0 0 0 BRUCE K ENTWISLE 2.0 X 0 0 0 DAVID J ESKIN MD 2.0 X 0 0 0 DAVID L HARRAR 2.0 X 0 0 0 JOHN J KELLY MD 55.0 X X 904723 0 76004 LAURENCE M MERLIS 55.0 X X 1077085 0 125084 JOHN OYLER ESQ 2.0 X 0 0 0 DUNCAN PITCAIRN 2.0 X 0 0 0 LORRAINE C PRUITT 2.0 X 0 0 0 JOSEPHINE B SMITH 2.0 X 0 0 0 KEITH W SWEIGARD MD 55.0 X X 276687 0 27725 OSCAR P VANCE JR 2.0 X 0 0 0 ROBERT P VOGEL ESQ 2.0 X 0 0 0 PATRICIA WELLENBACH 2.0 X 0 0 0 KEVIN ZAKRZEWSKI DO 55.0 X 491503 0 42899 IVY E SILVER 2.0 X 0 0 0 MARGARET M MCGOLDRICK 55.0 X 697200 0 156136 MICHAEL B WALSH 55.0 X 526882 0 154699 GARY R CANDIA PHD 55.0 X 523521 0 65564 DEBORAH A DATTE 55.0 X 431112 0 43738 BARBARA WADSWORTH 55.0 X 314899 0 35529 MEGHAN O PATTON 55.0 X 362767 0 57385 ALISON FERREN 55.0 X 352980 0 55508 MARY THOMSON BRAUMAN 55.0 X 309162 0 51518 JILL G KYLE 55.0 X 268324 0 42026 KATHLEEN M FARRELL 55.0 X 229349 0 20874 JOHN S KUKORA MD 55.0 X 528709 0 28637 JOEL I POLIN MD 55.0 X 466427 0 27355 RICHARD S EISENSTAEDT MD 55.0 X 428302 0 27107 ROHINTON J MORRIS MD 55.0 X 669926 0 28923 RICHARD J MEAGHER MD 55.0 X 647053 0 27107 JONAS J GOPEZ MD 55.0 X 646881 0 27107 MICHAEL S YOON MD 55.0 X 643835 0 30152 QAISAR SHAH MD 55.0 X 497976 0 39114 12040301 0 1227097 430 false true false UNITED ANESTHESIA SERVICE PC PO BOX 828962 PHILADELPHIA PA 191828962 MEDICAL 4110084 RADIOLOGY GROUP OF ABINGTON PC PO BOX 10668 LANCASTER PA 17605 MEDICAL 4000299 ABINGTON EMERGENCY PHYSICIANS 1200 OLD YORK ROAD ABINGTON PA 19001 MEDICAL 3407223 TENET HEALTH SYSTEM HAHNEMANN LLC CENTRE SQUARE 24TH FLOOR WEST TOW PHILADELPHIA PA 19102 MEDICAL 2771121 ONCALL PHYSICIAN STAFFING INC 1555 BARDSEY DRIVE LOWER GWYNEDD PA 19002 STAFFING 2502250 50 X 268300 53925 1634315 15393 1956540 NET PATIENT SERVICE REVENUE 541900 670954852 670954852 OTHER HEALTHCARE RELATED REVENUE 541900 18502361 18440202 62159 689457213 3245631 3245631 2336473 2336473 0 6072363 6072363 0 6072363 6072363 109803 109803 109803 109803 0 0 0 CAFETERIA 722511 2923353 2923353 PARKING/GARAGE 812930 2401502 2401502 TELEVISION 517000 41879 41879 5366734 708544757 689395054 62159 17131004 18500 18500 23566 23566 0 0 10009326 9008393 1000933 0 0 315596019 284036418 31559601 38040377 34236339 3804038 36068307 32461476 3606831 21555849 19400264 2155585 0 815641 734077 81564 248305 223475 24830 57168 51451 5717 0 0 28967905 26071114 2896791 0 5989071 5390164 598907 0 0 5803276 5222949 580327 1748447 1573602 174845 0 0 11214789 10093310 1121479 0 35371043 31833939 3537104 6640822 5976740 664082 MEDICAL SUPPLIES 110871163 99784047 11087116 OTHER PURCHASED SERVICES 50566110 45505292 5060818 UTILITIES 8083067 7274760 808307 687688751 618919876 68768875 0 X 38547743 40334116 24227439 24248100 2864281 2064265 87212655 81792153 0 0 0 0 4450966 10304218 3163815 3003357 5040845 5606415 1034832376 605625061 423265020 429207315 0 0 0 0 90054610 88576517 4523677 2747631 57475308 64095529 740826359 751979616 89110929 92822310 0 0 0 0 275085223 302326285 0 0 0 0 842400 799200 0 0 251767421 178974328 616805973 574922123 X 64601204 115771948 11970963 10996189 47448219 50289356 124020386 177057493 740826359 751979616 X 20856006 -2373349 34554450 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 57168 57168 LOBBYING ACTIVITIES SCHEDULE C, PART II-B; LINE 1I THE ORGANIZATION IS A MEMBER OF THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $40,044 DURING THE FISCAL YEAR ENDED JUNE 30, 2013. IN ADDITION, ABINGTON MEMORIAL HOSPITAL PAID THE MEMBERSHIP DUES TO THESE ORGANIZATIONS ON BEHALF OF ITS AFFILIATE, LANSDALE HOSPITAL CORPORATION. THE AMOUNT OF THESE DUES ALLOCATED TO LOBBYING EFFORTS ON BEHALF OF LANSDALE HOSPITAL CORPORATION AMOUNTED TO $17,124 FOR THE FISCAL YEAR ENDED JUNE 30, 2013. 47448219 2841137 50289356 57785971 73430 -2065728 8345454 47448219 50535026 7250945 57785971 47283684 3251342 50535026 59792226 -12508542 47283684 1.00000 false false 23811411 23811411 531498381 239539947 291958434 3674356 2287976 1386380 464360641 359772406 104588235 11487587 4024732 7462855 429207315 CASH & CASH EQUIVALENTS 33294473 F PERPETUAL TRUSTS 50289356 F EQUITY INVESTMENTS 4992688 F 88576517 OTHER RECEIVABLES 13320159 OTHER ASSETS 50775370 64095529 0 PENSION LIABILITY 127919233 THIRD-PARTY LIABILITIES 1625000 OTHER LIABILITIES 5281308 SHORT-TERM LIABILITY INSURANCE 10611419 LONG-TERM LIABILITY INSURANCE 33537368 178974328 X ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). ABINGTON HEALTH ("AH") WAS FORMED IN 2009 AND IS THE PARENT OF THE SYSTEM. PRIOR TO ABINGTON HEALTH, ABINGTON MEMORIAL HOSPITAL FOUNDATION WAS THE PARENT OF THE SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 FOOTNOTE BELOW IS FROM THE SYSTEM'S FISCAL YEAR ENDED JUNE 30, 2008 CONSOLIDATED AUDITED FINANCIAL STATEMENTS: EFFECTIVE JULY 1, 2007, THE HOSPITAL ADOPTED FASB INTERPRETATION NO. 48 ("FIN 48"), ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF SFAS NO. 109, ACCOUNTING FOR INCOME TAXES. 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PHYSICIAN SERVICES FINANCIAL ASSISTANCE ELIGIBILITY SCHEDULE H, PART I, LINE 3C THE INCOME BASED CRITERIA USED TO DETERMINE ELIGIBILITY FOR CHARITY CARE AND DISCOUNTED CARE IS A SLIDING SCALE STARTING AT 300% OF THE FPG. COMMUNITY BENEFIT REPORT SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFIT COST SCHEDULE H, PART I, QUESTION 7 WORKSHEET 2 WAS USED TO CALCULATE THE COST TO CHARGE RATIO FOR FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID. ALL OTHER COSTS WERE EITHER OBTAINED FROM THE HOSPITAL'S COST ACCOUNTING, COST REPORTING OR GENERAL LEDGER SYSTEMS. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS, AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. THIS ORGANIZATION PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS AND FOR COMMUNITY PROVIDERS. PRESENTATIONS ARE PROVIDED BY PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A; QUESTION 4 BAD DEBT EXPENSE WAS CALCULATED USING THE PROVIDERS' BAD DEBT EXPENSE FROM ITS FINANCIAL STATEMENTS. THE ORGANIZATION AND ITS AFFILIATES PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND FINANCIAL ASSISTANCE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL HOSPITAL AFFILIATES. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE ORGANIZATION AND ITS AFFILIATES. NET PATIENT SERVICE REVENUE THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. THE BASIS FOR PAYMENT UNDER THESE AGREEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE AND PER DAY, DISCOUNTS FROM ESTABLISHED CHARGES, CAPITATED PER MEMBER PER MONTH PAYMENTS, AND CERTAIN COST REIMBURSEMENT METHODOLOGIES. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED. MEDICARE COST REPORTS FOR ALL YEARS PRIOR TO 2010 HAVE BEEN AUDITED AND FINAL SETTLED AS OF JUNE 30, 2013. THE 2010 THROUGH 2012 MEDICARE COST REPORTS HAVE BEEN FILED AND ARE AWAITING FINAL SETTLEMENT AS OF JUNE 30, 2013. THE HOSPITAL DID NOT HAVE ANY AMOUNTS INCLUDED IN NET PATIENT SERVICE REVENUE FOR FISCAL YEAR 2013 AND 2012, RESPECTIVELY, RELATED TO THIRD-PARTY PAYORS FINAL SETTLEMENTS FOR FISCAL YEARS 2009 AND PRIOR. INCLUDED IN THE HOSPITAL'S NET PATIENT SERVICE REVENUES ARE PAYMENTS MADE ON BEHALF OF THE MEDICARE AND MEDICAID PROGRAMS. THESE PAYMENTS REPRESENT 28% AND 6% OF NET PATIENT SERVICE REVENUE, RESPECTIVELY, FOR THE FISCAL YEAR ENDED JUNE 30, 2013 AND 27% AND 6% OF NET PATIENT SERVICE REVENUE, RESPECTIVELY, FOR THE FISCAL YEAR ENDED JUNE 30, 2012. LAWS AND REGULATIONS GOVERNING THE MEDICARE AND MEDICAID PROGRAM PAYMENTS ARE COMPLEX AND SUBJECT TO INTERPRETATION. THE HOSPITAL BELIEVES THAT IT IS IN COMPLIANCE WITH ALL APPLICABLE LAWS AND REGULATIONS AS THEY RELATE TO THESE PROGRAMS. SUCH LAWS AND REGULATIONS CAN BE SUBJECT TO REVIEW AND INTERPRETATION BY THE MEDICARE AND MEDICAID PROGRAMS. CHARITY CARE THE HOSPITAL AND LHC, UNDER THEIR CHARITY CARE POLICIES, PROVIDE A SIGNIFICANT AMOUNT OF SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO COMPENSATE EITHER ENTITY FOR THEIR TREATMENTS EITHER THROUGH THIRD PARTY COVERAGE OR THEIR OWN RESOURCES. BECAUSE THESE AMOUNTS ARE NOT EXPECTED TO BE PAID, THEY ARE NOT REPORTED AS REVENUE. THE COST OF THIS CARE IS BASED ON A CALCULATION WHICH APPLIES A RATIO OF COSTS TO CHARGES TO THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO THESE PATIENTS. THE RATIO OF COSTS TO CHARGES IS CALCULATED BASED ON THE TOTAL EXPENSES (LESS COMMUNITY BENEFIT EXPENSE) DIVIDED BY GROSS PATIENT SERVICE REVENUE. THE ESTIMATED COSTS OF CARING FOR THESE PATIENTS FOR THE YEARS ENDING JUNE 30, 2013 AND 2012 WERE $11,798,000 AND $9,855,000 RESPECTIVELY. THERE WERE NO FUNDS RECEIVED FROM GIFTS AND GRANTS TO SUBSIDIZE FINANCIAL ASSISTANCE SERVICES FOR FISCAL YEAR 2013 AND 2012. IN ADDITION, THE HOSPITAL AND LHC PROVIDE SERVICES AND SUPPLIES AT AMOUNTS BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. THE HOSPITAL ALSO SPONSORS CERTAIN OTHER SUBSIDIZED PROGRAMS AND CHARITY SERVICES THAT PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH SERVICES AND PROGRAMS INCLUDE COMMUNITY SERVICE PROGRAMS DESIGNED FOR SPECIFIC HEALTHCARE CONCERNS, INCLUDING HEALTH EDUCATION, SUPPORT GROUPS AND HEALTH SCREENINGS. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B; QUESTION 8 FINANCIAL INFORMATION LISTED ON SCHEDULE H PART III LINES 5, 6 & 7 WERE DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM AND NOT THE 2013 FILED MEDICARE COST REPORT. USING THE COST REPORT WOULD RESULT IN AN INCREASE TO THE AMOUNT ON LINE 5 OF $4,602,665 AND A DECREASE TO LINE 6 OF $17,241,669. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE 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 INDIVIDUALS 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 "[T]HE 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. 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 PERCENT. - 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 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 FEEL 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 HOSPITALS' 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 BILLS 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 COLLECTION POLICY SCHEDULE H, PART III, SECTION B; QUESTION 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 THE ABINGTON HEALTH SYSTEM BUSINESS OFFICE, AND ALL ITS HOSPITAL AFFILIATES, TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. FOR ACCOUNTS DETERMINED TO BE "SELF-PAY" AND/OR ACCOUNTS WITH BALANCES AFTER PRIMARY INSURANCE PAYMENTS, THE COLLECTION POLICY REQUIRES: SENDING TWO STATEMENTS, THEN REFERRAL TO AN OUTSIDE EXTENDED BUSINESS OFFICE AGENCY WHO PERFORMS FOLLOW UP VIA STATEMENTS AND TELEPHONE CONTACT FOR 90 DAYS. 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. PATIENTS APPLYING FOR FINANCIAL ASSISTANCE WILL BE FINANCIALLY SCREENED BY A RESOURCE ADVISOR TO DETERMINE ELIGIBILITY ACCORDING TO STATE AND FEDERAL GUIDELINES AND WILL BE INFORMED OF DOCUMENTATION NEEDED TO COMPLETE A CHARITY CARE APPLICATION. PATIENTS NOT ELIGIBLE FOR CHARITY CARE AND/OR FINANCIAL ASSISTANCE WILL BE FINANCIALLY COUNSELED FOR ALL OTHER OPTIONS. QUALIFIED PATIENTS WILL BE REFERRED TO ALL APPROPRIATE AGENCIES OR PROGRAMS TO MEET OTHER FINANCIAL NEEDS. AT THE TIME OF THE PATIENT VISIT AND 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 SSI; - FINANCIAL COUNSELING FOR POSSIBLE ELIGIBILITY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM; AND, - FINANCIAL ARRANGEMENTS INCLUDING: 1. CASH/CREDIT CARD (AMERICAN EXPRESS, DISCOVER, VISA, MASTERCARD), 2. FLEXIBLE PAYMENT PLANS. IN ADDITION TO THE ABOVE OPTIONS, THE FACILITY HAS ESTABLISHED A SELF-PAY ASSISTANCE PROGRAM FOR OUR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR MEDICAID OR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE SELF-PAY ASSISTANCE PROGRAM IS COMPRISED OF A 50% DISCOUNT ON CHARGES WITH A $1,600 MAXIMUM LIABILITY FOR ANY SERVICES RECEIVED IN THE EMERGENCY DEPARTMENTS. FACILITY INFORMATION SCH H,PART V, SECT B, QS 1J,6I,10,11,12H,14G,16E,17E,18E,19C,19D,20D,21&22 NOT APPLICABLE. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 3 PUBLIC HEALTH MANAGEMENT CORPORATION (PHMC) COLLABORATED WITH THE PARTICIPATING HOSPITALS TO IDENTIFY INDIVIDUALS LIVING AND/OR WORKING IN THE COMMUNITIES IN THE HOSPITALS' SERVICE AREAS WHO COULD PROVIDE QUALITATIVE INPUT TO THE NEEDS ASSESSMENT AS COMMUNITY MEMBERS, PUBLIC HEALTH EXPERTS, AND AS LEADERS OR PERSONS WITH KNOWELDGE OF THE UNDERSERVED, RACIAL MINORITIES, LOW INCOME RESIDENTS, AND/OR THE CHRONICALLY ILL. ABINGTON MEMORIAL HOSPITAL WORKED DILIGENTLY WITH PHMC TO OBTAIN MEETING VENUES, CONTACT POTENTIAL PARTICIPANTS, AND ENCOURAGE ATTENDANCE. MEETING PARTICIPANTS WERE NOT COMPENSATED. INPUT FROM ALL PARTICIPANTS, INCLUDING COUNTY AND LOCAL HEALTH DEPARTMENT OFFICIALS AND PUBLIC HEALTH EXPERTS, WAS USED TO FURTHER IDENTIFY AND PRIORITIZE UNMET NEEDS, LOCAL PROBLEMS WITH ACCESS TO CARE AND POPULATIONS WITH SPECIAL HEALTHCARE NEEDS. AN ABINGTON MEMORIAL HOSPITAL SENIOR EXECUTIVE AND A LEADER FROM COMMUNITY HEALTH COORDINATED WITH PHMC STAFF ALL MEETING LOGISTICS AND DETAILS. PHMC STAFF FACILITATED THE MEETINGS/FOCUS GROUPS. SEVERAL FOLLOW UP TELEPHONE CALLS RESULTED IN ADDITIONAL INFORMATION SHARED BETWEEN THE NONPROFIT PROVIDERS, THE HOSPITAL LEADERS AND PHMC AS THE PROCESS ENSUED. INFORMATION ON THE HEALTH STATUS AND HEALTHCARE NEEDS OF THE RESIDENTS OF ABINGTON MEMORIAL HOSPITAL'S SERVICE AREA WAS ALSO COLLECTED THROUGH COMMUNITY MEETINGS. THE MEETINGS WERE GUIDED BY A SET OF WRITTEN QUESTIONS. THE MEETINGS WERE HELD AT ABINGTON PUBLIC LIBRARY (1030 OLD YORK ROAD, ABINGTON, PA) ON JUNE 4, 2012 AND LANSDALE HOSPITAL (100 MEDICAL CAMPUS DRIVE, LANSDALE, PA) ON JUNE 6, 2012. A TOTAL OF 24 ATTENDEES PARTICIPATED IN THE MEETINGS. AT THE AMH MEETING, 18 COMMUNITY LEADERS WERE IN ATTENDANCE. SEVERAL EXAMPLES OF COMMUNITY LEADERS INFORMATION AT THE AMH MEETING ARE AS FOLLOWS: EXECUTIVE DIRECTOR OF HEALTHLINK: SERVICE PROVIDER TO MEDICALLY UNDERSERVED LOW INCOME AND RACIAL MINORITY POPULATION; HEALTHCARE PROVIDER; COMMUNITY HEALTH CENTER; PUBLIC HEALTH EXPERT. PROGRAM MANAGER OF LAUREL HOUSE: PUBLIC HEALTH EXPERT; NONPROFIT ORGANIZATION FOCUSED ON DOMESTIC VIOLENCE ; COMMUNITY-BASED ORGANIZATION. COMMUNITY HEALTH FACILITATOR, MONTGOMERY COUNTY HEALTH DEPARTMENT: COUNTY HEALTH DEPARTMENT; PUBLIC HEALTH EXPERT. EXECUTIVE DIRECTOR SECOND ALARMERS: HEALTHCARE PROVIDER; NONPROFIT ORGANIZATION PROVIDING EMERGENCY MEDICAL SERVICES IN THE ABINGTON MEMORIAL HOSPITAL SERVICE AREA. DIRECTOR, BETHEL DELIVERANCE INTERNATIONAL CHURCH: NONPROFIT RELIGIOUS ORGANIZATION; LEADER OF MEDICALLY UNDERSERVED RACIAL MINORITY POPULATION. SUPERVISOR OF PUPIL SERVICES: CHELTENHAM SCHOOL DISTRICT; EDUCATIONAL LEADER WITH KNOWELDGE OF UNDERSERVED MINORITY RACIAL POPULATION. FIELD REPRESENTATIVE, U.S. GOVERNMENT OFFICIAL - U.S. CONGRESS. THEMES EMERGED FROM THESE MEETINGS AND WERE ANALYZED AND CODED WITH ALL QUANTITATIVE DATA. RECOGNITION OF THEMES WERE DISCUSSED AND THE RESULTING ANALYSIS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS ORGANIZED INTO MAJOR TOPIC AREAS. OVERALL, THE HEALTH OF THE POPULATIONS SERVED IN THE AMH SERVICE AREA IS GOOD, RANKING HIGHER THAN THE MONTGOMERY COUNTY AND PENNSYLVANIA STATE POPULATIONS AS A WHOLE. ACTION PLANS HAVE BEEN DEVELOPED FOR THE MAJOR TOPIC AREAS FOR THE FOLLOWING IDENTIFIED HEALTH NEEDS: EDUCATION REGARDING CANCER RISK FACTORS AND SCREENINGS; ACCESS TO BEHAVIORAL HEALTH SERVICES; EDUCATION REGARDING ACTIVITIES OF DAILY LIVING (ADLS) FOR GERIATRIC PATIENTS; MORE ACCESSIBLE CULTURALLY AND LINGUISTICALLY APPROPRIATE MATERIALS REGARDING HEALTH SERVICES; EDUCATION AND SERVICES TO ADDRESS CARDIAC RISK FACTORS OF SMOKING, OBESITY AND HYPERTENSION; ACCESS TO CARE FOR THE UNINSURED AND UNDERINSURED. ABINGTON HEALTH'S ACCESS TO CARE ACTION PLAN WAS REVIEWED IMMEDIATELY WITH SEVERAL ENHANCEMENTS INTRODUCED. A THOROUGH REVIEW OF THE POLICY AND PROCEDURES FOR FINANCIAL ASSISTANCE TOOK PLACE WITH PLANS FOR A FINANCIAL COUNSELING CENTER TO BE CREATED WITHIN SIX MONTHS. A NEW PRINTED FINANCIAL ASSISTANCE BROCHURE WAS CREATED AND DISTRIBUTED AT AH ACCESS POINTS, INCLUDING CLINICS, OUTPATIENT AREAS, THE EMERGENCY TRAUMA CENTER AND PRIMARY CARE OFFICES. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 4 TWENTY-EIGHT MEMBER FACILITIES FROM THE DELAWARE VALLEY HEALTHCARE COUNCIL OF THE HOSPITAL ASSOCIATION OF PENNSYLVANIA PARTICIPATED: ABINGTON MEMORIAL HOSPITAL LANSDALE HOSPITAL CORPORATION THE CHILDREN'S HOSPITAL OF PHILADELPHIA CROZER-CHESTER MEDICAL CENTER DELAWARE COUNTY MEMORIAL HOSPITAL SPRINGFIELD HOSPITAL TAYLOR HOSPITAL DOYLESTOWN HOSPITAL EAGLEVILLE HOSPITAL EINSTEIN MEDICAL CENTER PHILADELPHIA EINSTEIN MEDICAL CENTER ELKINS PARK EINSTEIN MEDICAL CENTER MONTGOMERY MOSS REHAB BELMONT BEHAVIORAL HEALTH CENTER FOR COMPREHENSIVE TREATMENT GRAND VIEW HOSPITAL HOLY REDEEMER HOSPITAL MERCY FITZGERALD HOSPITAL MERCY PHILADELPHIA HOSPITAL MERCY SUBURBAN HOSPITAL NAZARETH HOSPITAL ST. MARY MEDICAL CENTER TEMPLE UNIVERSITY HOSPITAL JEANES HOSPITAL FOX CHASE CANCER CENTER EPISCOPAL HOSPITAL HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PENNSYLVANIA HOSPITAL PENN PRESBYTERIAN MEDICAL CENTER FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 5C ABINGTON HEALTH PLACED THE FINAL COMMUNITY HEALTH NEEDS ASSESSMENT ON EACH HOSPITAL'S WEBSITE TO PROVIDE ACCESS AND MAKE WIDELY AVAILABLE. SEVERAL REQUESTS FROM LOCAL NONPROFIT ORGANIZATIONS SEEKING A COPY OF THE DOCUMENT WERE GIVEN ACCESS VIA THE DOWNLOADABLE DOCUMENT ON THE WEBSITE OR EMAILED BY AH LEADERS. TEAMS WERE FORMED AT ABINGTON HEALTH TO COINCIDE WITH THE MAJOR TOPIC AREAS IN SPRING 2013. ACTION PLANS OR IMPLEMENTATION PLANS WERE WRITTEN, ADOPTED AND APPROVED BY THE COMMUNITY BENEFIT COMMITTEE OF THE ABINGTON HEALTH FOUNDATION BOARD AND BY ABINGTON HEALTH'S BOARD OF TRUSTEES BY JUNE 30, 2013. SHORTLY THEREAFTER, THE COMMUNITY HEALTH DEPARTMENT WAS RESTRUCTURED AND REORGANIZED TO BETTER SERVE THE COMMUNITY THROUGH THE ACTION PLANS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY BENEFIT REQUIREMENTS. SEVERAL ABINGTON HEALTH DEPARTMENTS ARE INVOLVED WITH ACTION PLANS AND IMPLEMENTATION OF THE PLANS IS WELL UNDERWAY. ABINGTON MEMORIAL HOSPITAL WORKS HARD TO CONTINUALLY IMPROVE ITS PROGRAMS, HEALTH SERVICES, OUTREACH AND COMMUNICATION IN ITS COMMUNITIES. FACILITY INFORMATION SCHEDULE H, PART V, SECTION B, QUESTION 7 THE REQUIRED COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") WAS COMPLETED IN APRIL 2013. UNMET HEALTHCARE NEEDS THAT WERE IDENTIFIED INCLUDED: ACCESS TO PRIMARY AND PREVENTATIVE HEALTHCARE AND EDUCATION FOR ALL RESIDENTS, PARTICULARLY THOSE WITH LOW INCOME; ACCESS TO BEHAVIORAL HEALTH AND MENTAL HEALTHCARE FOR OLDER ADULTS AND THOSE WITH LOW INCOME. ALSO IDENTIFIED WAS THE NEED FOR INCREASING HEALTH EDUCATION PROGRAMS TO ADDRESS HEART DISEASE, CANCER PREVENTION AND SCREENING, SMOKING PREVENTION AND CESSATION, LINGUISTICALLY AND CULTURALLY APPROPRIATE SERVICES. A MULTI-DISCIPLINARY TEAM MET AND THROUGH A RIGOROUS PROCESS AND CREATED ACTION PLANS WITH A THREE YEAR TIMELINE TO MEET THOSE UNMET NEEDS WHICH WERE WITHIN THE HOSPITAL'S MISSION AND ABILITY TO POSITIVELY IMPACT. THESE PLANS WERE APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES ON JUNE 30, 2013. HOSPITALS ARE NOT REQUIRED TO, NOR CAN THEY MEET ALL UNMET NEEDS IN THE COMMUNITY. ANY UNMET NEEDS NOT ADDRESSED BY THE APPROVED ACTION PLANS ARE ALREADY BEING ADDRESSED IN THE SERVICE AREA BY THE HOSPITAL, OTHER HEALTHCARE PROVIDERS, GOVERNMENT, AND LOCAL NON-PROFIT ORGANIZATIONS. OUR PRIORITY UNMET NEEDS IN THE ACTION PLANS ARE INTEGRAL TO OUR COMMUNITY BENEFIT STRATEGY. ABINGTON HEALTH LEADERS CONTINUE TO MONITOR NEW PROGRAM DEVELOPMENT AND SERVICES WITH COLLABORATIVE PARTNERS. NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2 THE COLLABORATIVE PROCESS FOR ABINGTON HEALTH INCLUDING ABINGTON MEMORIAL HOSPITAL AND LANSDALE HOSPITAL BEGAN IN FEBRUARY 2011, WHEN THE DELAWARE VALLEY HEALTHCARE COUNCIL ("DVHC") OF HAP (HOSPITAL ASSOCIATION OF PENNSYLVANIA) ESTABLISHED A COMMUNITY HEALTH NEEDS ASSESSMENT WORKGROUP TO ASSIST HOSPITALS IN UNDERSTANDING THE AFFORDABLE CARE ACT ("ACA") REQUIREMENTS AND THE INTERNAL REVENUE SERVICE GUIDANCE AROUND COMMUNITY HEALTH NEEDS ASSESSMENTS. DVHC AND THE HOSPITAL WORKGROUPS IDENTIFIED BEST RESOURCES, TOOLS, AND SERVICES FOR CONDUCTING NEEDS ASSESSMENTS. THE 24-MEMBER WORKGROUP INCLUDED REPRESENTATIVES FROM 13 HOSPITALS AND HEALTH SYSTEMS REPRESENTING 35 OR (70 PERCENT) OF THE 48 DVHC-MEMBER NOT-FOR-PROFIT HOSPITAL FACILITIES IN BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA COUNTIES. THE GROUP HELD A SERIES OF MEETINGS TO REVIEW ACA REQUIREMENTS WITH POLICY EXPERTS FROM THE AMERICAN HOSPITAL ASSOCIATION AND CONSIDERED THE TYPES OF RESOURCES THAT MIGHT BE NEEDED TO CONDUCT NEEDS ASSESSMENTS. UNDER THE WORKGROUP'S GUIDANCE, DVHC DEVELOPED A SCOPE OF WORK TO DEFINE THE RESEARCH SERVICES AND OTHER RESOURCES WHICH HOSPITALS MIGHT NEED TO ASSIST IN CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS. BASED ON THE SCOPE OF WORK, DVHC ISSUED A REQUEST FOR PROPOSAL TO IDENTIFY HIGHLY QUALIFIED RESEARCH PARTNERS WHO COULD SUPPORT HOSPITALS IN CONDUCTING NEEDS ASSESSMENTS. AFTER A RIGOROUS EVALUATION PROCESS THAT INCLUDED INTENSIVE INPUT FROM WORKGROUP MEMBERS, PUBLIC HEALTH MANAGEMENT CORPORATION ("PHMC") WAS SELECTED AS THE MOST APPROPRIATE RESEARCH PARTNER. PHMC'S SELECTION WAS DUE IN PART TO THEIR COMMUNITY HEALTH DATA BASE'S IN-DEPTH, ZIP-CODE-LEVEL HEALTH INFORMATION FOR THE FIVE-COUNTY REGION. IN ADDITION, MANY HOSPITALS ARE FAMILIAR WITH THIS RESOURCE AND ARE OR HAVE BEEN DATABASE SUBSCRIBERS. WITH DIRECTION AND GUIDANCE FROM THE WORKGROUP, DVHC AND PHMC THEN COLLABORATED TO DEVELOP THE OVERALL APPROACH TO CONDUCTING NEEDS ASSESSMENTS FOR HOSPITALS WISHING TO PARTICIPATE IN THE PROGRAM. TWENTY-EIGHT DVHC MEMBER FACILITIES PARTICIPATED IN THE PROGRAM. ALL OF THIS COLLABORATION HAD ONE GOAL IN MIND: TO COMPLY WITH ALL IRS REGULATIONS AND REQUIREMENTS IN MEETING COMMUNITY BENEFIT AND CONDUCTING A QUALITY COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. AS A NON-PROFIT 501(c)(3) ORGANIZATION, ABINGTON HEALTH HAS A STRONG MISSION OF COMMUNITY SERVICE AND OUTREACH. IN THE SPRING OF 2013 (FY13) THE TWO HOSPITALS, ABINGTON MEMORIAL HOSPITAL AND LANSDALE HOSPITAL CORPORATION, COMPLETED COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS TO GAUGE THE OVERALL HEALTH OF THE COMMUNITIES WE SERVE AND TO HELP SET THE AGENDA FOR PROGRAMS AND SERVICES IN THE YEARS TO COME. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDES A DEFINITION OF THE COMMUNITY, THE DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS OF THE RESIDENTS, AND THE EXISTING HEALTH CARE RESOURCES. IMMEDIATELY FOLLOWING WERE THE NEEDS ASSESSMENTS PROCESS AND METHODS; FINDINGS; IDENTIFICATION OF UNMET NEEDS AND ASSET MAPPING. QUANTITATIVE INFORMATION FROM THE U.S. CENSUS, PENNSYLVANIA DEPARTMENT OF HEALTH VITAL STATISTICS AND PHMC'S SOUTHEASTERN PA HOUSEHOLD HEALTH SURVEY WAS ANALYZED FOR THE HOSPITAL'S SERVICE AREA USING THE STATISTICAL PROGRAM FOR SOCIAL SCIENCES ("SPSS"). THE UNMET HEALTHCARE NEEDS FOR THIS SERVICE AREA WERE IDENTIFIED AND PRIORITIZED BY COMPARING THE HEALTH STATUS, ACCESS TO CARE, HEALTH BEHAVIORS, AND UTILIZATION OF SERVICES FOR RESIDENTS OF THE SERVICE AREA TO RESULTS FOR THE COUNTY AND STATE AND THE HEALTHY PEOPLE 2020 GOALS FOR THE NATION. IN ADDITION, FOR HOUSEHOLD HEALTH SURVEY MEASURES, TESTS OF SIGNIFICANCE WERE CONDUCTED TO IDENTIFY AND PRIORITIZE. THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUALLY WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICE ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES INCLUDING PUBLIC HEALTH MANAGEMENT CORPORATION ("PHMC") HOUSEHOLD HEALTH SURVEY DATA; HEALTHY PEOPLE 2020; PA DEPARTMENT OF HEALTH, BUREAU OF HEALTH STATISTICS AND RESEARCH; BEHAVIORAL RISKS OF PA ADULTS; MINORITY HEALTH DISPARITIES IN PENNSYLVANIA; DEATH RATES IN PA, MONTGOMERY COUNTY AND SOUTHEASTERN PENNSYLVANIA; COUNTY HEALTH RANKINGS; NATIONAL ORGANIZATION WEBSITES, I.E., AMERICAN DIABETES ASSOCIATION, AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION. THIS ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA POPULATION PHYSICIAN NEED STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. IN ADDITION, THIS ORGANIZATION WORKS WITH LOCAL PROVIDERS TO PLAN AND DISCUSS HEALTH NEEDS OF THE POPULATION. AMH CONTINUES TO ATTEND LOCAL AND REGIONAL COMMUNITY ORGANIZATION MEETINGS AND COUNTY COLLABORATIVES FOR THE GREATER ABINGTON AREA. REGIONAL COUNTY COLLABORATIVES INCLUDE THE HEALTHCARE SYSTEM WITH REPRESENTATION FROM LOCAL POLITICIANS, LOCAL COMMUNITY HEALTH CENTERS, EMERGENCY HEALTH PROVIDERS AND OTHER COMMUNITY HEALTH LEADERS. AMH WORKED WITH AREA HOSPITALS AND NONPROFITS TO FORM THE MONTGOMERY COUNTY HEALTH ALLIANCE WHICH RECEIVED PA STATE DESIGNATION OF SHIP STATUS (STATE HEALTH IMPROVEMENT PLAN). 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 RESOURCE ADVISOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4 THIS ORGANIZATION IS IN A DIVERSE SUBURBAN LOCATION SERVING DIVERSE COMMUNITIES RANGING FROM INNER CITY COMMUNITIES IN PHILADELPHIA TO MORE AFFLUENT SUBURBAN AREAS. THIS ORGANIZATION IS LOCATED IN ABINGTON TOWNSHIP, IN MONTGOMERY COUNTY. MONTGOMERY COUNTY IS THE SECOND MOST POPULOUS COUNTY IN THE STATE WITH 62 MUNICIPALITIES. THIS ORGANIZATION IS COMMITTED TO SERVICE FOR ITS COMMUNITIES AND SERVES BOTH INNER CITY AND SUBURBAN AREAS. APPROXIMATELY 7% OF ITS PATIENTS ARE OF UNDERINSURED AND UNINSURED PAYER CATEGORIES. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5 ALL QUALIFIED PHYSICIANS ARE EXTENDED PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS WHERE OPENINGS EXIST. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES OR PURCHASE EQUIPMENT WHICH IN TURN, BENEFIT THE COMMUNITY. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT AND SUMMARY OF ALL ENTITIES WHICH COMPRISE THE ABINGTON HEALTH SYSTEM. AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6 NOT-FOR-PROFIT ABINGTON HEALTH AND AFFILIATES ENTITIES ABINGTON HEALTH ABINGTON HEALTH ("AH") IS A NOT FOR PROFIT HOLDING COMPANY BASED IN ABINGTON, PENNSYLVANIA. AH IS THE SOLE CORPORATE MEMBER OF A NUMBER OF NOT FOR-PROFIT ENTITIES AS OUTLINED HEREIN. AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, AH 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 EASTERN MONTGOMERY, PORTIONS OF BUCKS AND PHILADELPHIA COUNTIES, PENNSYLVANIA. ABINGTON HEALTH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). AH 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. ABINGTON HEALTH HOSPITALS INCLUDE: ABINGTON MEMORIAL HOSPITAL AND LANSDALE HOSPITAL CORPORATION. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH OPERATE AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAIN AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF ABINGTON HEALTH. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY WHO ALL VOLUNTEER THEIR TIME AND TALENTS; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE; PROGRAMS AND ACTIVITIES. ABINGTON MEMORIAL HOSPITAL ABINGTON MEMORIAL HOSPITAL ("AMH") IS A 665-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN ABINGTON, MONTGOMERY COUNTY, PENNSYLVANIA. AMH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, AMH 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, AMH OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. LANSDALE HOSPITAL CORPORATION LANSDALE HOSPITAL CORPORATION ("LHC") IS A 125-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN LANSDALE, MONTGOMERY COUNTY, PENNSYLVANIA. LHC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, LHC 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, LHC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. ABINGTON HEALTH FOUNDATION ABINGTON 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 ABINGTON MEMORIAL HOSPITAL; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, WHICH 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. STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI; QUESTION 7 NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN PENNSYLVANIA. NO COMMUNITY BENEFIT REPORT IS FILED WITH THE COMMONWEALTH OF PENNSYLVANIA. FACILITY REPORTING GROUP(S) SCHEDULE H, PART VI; QUESTION 8 NOT APPLICABLE. true SUSAN G KOMEN BREAT CANCER FDN INC 5005 LBJ FREEWAY DALLAS TX 75244 751835298 501(C)(3) 6300 GENERAL SUPPORT INDEPENDENCE FOUNDATION 200 S BROAD ST PHILADELPHIA PA 19102 231352110 501(C)(3) 5400 GENERAL SUPPORT 2 SPECIAL NEEDS FUND 214 19506 FMV GRANT FUND MONITORING SCHEDULE I, PART I, QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X true true X X X X X false true false false false false false true false STEVEN BARRER MD 744998 0 0 0 0 0 12000 0 24906 0 781904 0 0 0 JOHN J KELLY MD 494289 0 122161 0 288273 0 59937 0 16067 0 980727 0 0 0 LAURENCE M MERLIS 826893 0 229001 0 21191 0 112000 0 13084 0 1202169 0 0 0 KEITH W SWEIGARD MD 259687 0 0 0 17000 0 12000 0 15725 0 304412 0 0 0 KEVIN ZAKRZEWSKI DO 474503 0 0 0 17000 0 12000 0 30899 0 534402 0 0 0 MARGARET M MCGOLDRICK 443606 0 113283 0 140311 0 141030 0 15106 0 853336 0 113111 0 MICHAEL B WALSH 406859 0 97814 0 22209 0 153372 0 1327 0 681581 0 0 0 GARY R CANDIA PHD 361448 0 93686 0 68387 0 56957 0 8607 0 589085 0 68387 0 DEBORAH A DATTE 321882 0 78012 0 31218 0 32096 0 11642 0 474850 0 10199 0 BARBARA WADSWORTH 220985 0 61089 0 32825 0 12000 0 23529 0 350428 0 11691 0 MEGHAN O PATTON 260607 0 52955 0 49205 0 42279 0 15106 0 420152 0 24210 0 ALISON FERREN 277034 0 62739 0 13207 0 43629 0 11879 0 408488 0 0 0 MARY THOMSON BRAUMAN 235085 0 51649 0 22428 0 26545 0 24973 0 360680 0 0 0 JILL G KYLE 217462 0 33811 0 17051 0 32152 0 9874 0 310350 0 15809 0 KATHLEEN M FARRELL 200115 0 29234 0 0 0 12000 0 8874 0 250223 0 0 0 JOHN S KUKORA MD 512212 0 0 0 16497 0 12000 0 16637 0 557346 0 0 0 JOEL I POLIN MD 466427 0 0 0 0 0 12000 0 15355 0 493782 0 0 0 RICHARD S EISENSTAEDT MD 387871 0 40431 0 0 0 12000 0 15107 0 455409 0 0 0 ROHINTON J MORRIS MD 669926 0 0 0 0 0 12000 0 16923 0 698849 0 0 0 RICHARD J MEAGHER MD 633853 0 0 0 13200 0 12000 0 15107 0 674160 0 0 0 JONAS J GOPEZ MD 629881 0 0 0 17000 0 12000 0 15107 0 673988 0 0 0 MICHAEL S YOON MD 643835 0 0 0 0 0 12000 0 18152 0 673987 0 0 0 QAISAR SHAH MD 497613 0 363 0 0 0 12000 0 27114 0 537090 0 0 0 COMPENSATION INFORMATION PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2012 FORMS W-2. COMPENSATION INFORMATION SCHEDULE J, PART 1; QUESTION 1 THE ORGANIZATION MAINTAINS A FLEXIBLE BENEFIT PROGRAM ("EXECUFLEX BENEFIT PROGRAM") FOR CERTAIN OF ITS EXECUTIVE EMPLOYEES. THIS PROGRAM PROVIDES A FIXED DOLLAR AMOUNT, AND ENABLES PARTICIPATING EMPLOYEES TO ALLOCATE THE AMOUNT AMONG CERTAIN TAXABLE BENEFIT OPTIONS (I.E., ADDITIONAL LIFE INSURANCE COVERAGES, LONG-TERM CARE INSURANCE AND FINANCIAL OR TAX PLANNING ASSISTANCE) OR TO NONQUALIFIED DEFERRED COMPENSATION OPTIONS. THE ELECTIONS ARE MADE BEFORE THE YEAR IN WHICH THE BENFIT PROGRAM AMOUNT IS PROVIDED. THE AMOUNTS ALLOCATED TO TAXABLE BENEFIT OPTIONS ARE INCLUDED ON EMPLOYEES' FORMS W-2 AS TAXABLE INCOME FOR THE YEAR IN WHICH THE ALLOCATIONS ARE EFFECTIVE, AND THE NONQUALIFIED DEFERRED COMPENSATION AMOUNTS ARE DISCLOSED ON FORM 990 IN THE YEAR OF DEFERRAL AND AGAIN IN THE YEAR IN WHICH THE SUBSTANTIAL RISK OF FORFEITURE LAPSES AND THE AMOUNTS ARE TREATED AS TAXABLE INCOME. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE ORGANIZATION'S EXECUFLEX BENEFIT PROGRAM: JOHN J. KELLY, M.D.; LAURENCE M. MERLIS; MARGARET M. MCGOLDRICK; MICHAEL B. WALSH; GARY R. CANDIA, PH.D.; DEBORAH A. DATTE; BARBARA WADSWORTH; MEGHAN O. PATTON; ALISON FERREN; MARY THOMSON-BRAUMAN AND JILL G. KYLE. COMPENSATION INFORMATION SCHEDULE J, PART 1; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES AMOUNTS RELATED TO PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE INDIVIDUAL HAS SATISFIED THE AGE AND YEARS OF SERVICE REQUIREMENTS SPECIFIED BY THE SERP. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARGARET M. MCGOLDRICK, $113,111; GARY R. CANDIA, PH.D., $68,387; DEBORAH A. DATTE, $10,199; BARBARA WADSWORTH, $11,691; MEGHAN O. PATTON, $24,210 AND JILL G. KYLE, $15,809. THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES AN AMOUNT RELATED TO THE LIQUIDATION OF AND SUBSEQUENT TAXABILITY OF THE INDIVIDUAL'S DEFERRED COMPENSATION PLAN. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN J. KELLY, M.D., $258,585. 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: JOHN J. KELLY, M.D., $47,937; LAURENCE M. MERLIS, $100,000; MARGARET M. MCGOLDRICK, $129,030; MICHAEL B. WALSH, $141,372; GARY R. CANDIA PH.D., $44,957; DEBORAH A. DATTE, $20,096; MEGHAN O. PATTON, $30,279; ALISON FERREN, $31,629; MARY THOMSON-BRAUMAN, $14,545 AND JILL G. KYLE, $20,152. COMPENSATION INFORMATION SCHEDULE J, PART I, QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2012 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. COMPENSATION INFORMATION SCHEDULE J, PART II, COLUMN F THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2012 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARGARET M. MCGOLDRICK, $113,111; GARY R. CANDIA, PH.D., $68,387; DEBORAH A. DATTE, $10,199; BARBARA WADSWORTH, $11,691; MEGHAN O. PATTON, $24,210 AND JILL G. KYLE, $15,809. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS ACCRUED NON-TAXABLE DEFERRED COMPENSATION. A MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTH 232328939 613604VK0 2009-11-04 154203713 REFUND LOAN&1998 BONDS/CAP EXPEND. false false true B MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTH 232328939 613604WK9 2012-07-26 205883542 REFUND ISSUES 1998&2012/CAP EXPEND false false true A 17755000 0 154203713 0 0 0 1587477 0 0 9241000 143375236 0 2009 true false true true B 0 0 205886341 0 0 0 1973968 0 0 25340810 169862416 8709137 2013 true false false true A false true true true false 0.00800 0.00000 0.00800 false true 0.00300 true B false true true true false 0.00300 0.00000 0.00300 false false false true A false true false false 0 false 0 false true B false true true false 0 false 0 false true A true B true TAX-EXEMPT BONDS SCHEDULE K ABINGTON MEMORIAL HOSPITAL ("AMH") AND LANSDALE HOSPITAL CORPORATION ("LHC") ARE RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS. BOTH ORGANIZATIONS WERE ISSUED DEBT AND ARE PART OF THE OBLIGATED GROUP. THE AMOUNT OF DEBT OUTSTANDING AS OF JUNE 30, 2013 WAS $135,180,000 OF THIS AMOUNT, $86,565,231 REPRESENTS AMH'S PORTION AND $48,614,769 REPRESENTS LHC'S PORTION. $143,375,236 OF THE 2009 PROCEEDS WERE CURRENT REFUNDING PROCEEDS AND ARE THEREFORE NOT IN THE REFUNDING ESCROW AS OF YEAR END. THE PROCEEDS WERE AS FOLLOWS: $35,253,628 WERE USED TO CURRENT REFUND SERIES 1998 BONDS AND $108,837,672 WERE USED TO REFINANCE A BANK LOAN. PART II, LINE 3; COLUMN B: THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE BECAUSE OF THE INVESTMENT EARNING OF $2,789. PART II, LINE 3; COLUMNS A & B: THE OTHER SPENT PROCEEDS RELATE TO THE REFUNDING PROCEEDS OF EACH USE. PART III, LINE 8C; COLUMN A: DUE TO THE SMALL AMOUNT OF PROCEEDS ALLOCATED TO THE DISPOSED PROPERTY A REMEDIAL ACTION WAS NOT TAKEN, BUT THE ORGANIZATION IS TREATING THE ENTIRE AMOUNT OF THE DISPOSED PROPERTY AS PRIVATE BUSINESS USE. GALLAGHER BENEFIT SERVICES TRUSTEE - SILVER 465535 EMPLOYEE BENEFITS CONSULTANT false BET INVESTMENTS OFFICER/TRUSTEE - TOLL 367460 RENT false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV IVY E. SILVER SERVED AS A TRUSTEE OF THE ORGANIZATION FROM JULY 1, 2012 THROUGH NOVEMBER 13, 2012. THE ORGANIZATION UTILIZED THE SERVICES OF HER COMPANY, GALLAGHER BENEFIT SERVICES, DURING THE FISCAL YEAR ENDED JUNE 30, 2013. TOTAL FEES PAID TO GALLAGHER BENEFIT SERVICES WERE $465,535. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. THE ORGANIZATION UTILIZED THE SERVICES OF GALLAGHER BENEFIT SERVICES PRIOR TO MS. SILVER JOINING GALLAGHER BENEFIT SERVICES. BRUCE E. TOLL IS A TRUSTEE OF THE ORGANIZATION. THE ORGANIZATION PAID RENT TO BET INVESTMENTS DURING THE FISCAL YEAR ENDED JUNE 30, 2013. TOTAL RENT PAID TO BET INVESTMENTS WAS $367,460. RENT CHARGED WAS AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. PRIOR YEAR SUMMARY CORE FORM, PART I THE ORGANIZATION RESTATED THE JUNE 30, 2012 EXPENSES LISTED IN PART I OF THIS FORM 990. 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. COMMUNITY BENEFIT STATEMENT CORE FORM, PART III ABINGTON MEMORIAL HOSPITAL ("AMH") IS A NON-PROFIT, REGIONAL ACUTE CARE HOSPITAL. AMH IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, AMH 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, AMH OPERATES CONSISTENTLY WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. AMH OPERATES AN ACTIVE EMERGENCY ROOM FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. AMH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. 4. CONTROL OF AMH RESTS WITH ITS BOARD OF DIRECTORS; WHICH INCLUDES INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY WHO ALL VOLUNTEER THEIR TIME AND TALENTS; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. AMH IS GUIDED BY ITS MISSION AND IS DEDICATED TO THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THIS LEVEL OF DETERMINATION AND COMMITMENT IS THE VERY HEART OF AMH. AMH MAINTAINS A GENEROUS FINANCIAL ASSISTANCE POLICY, PROVIDING A SIGNIFICANT AMOUNT OF SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO PAY FOR CARE EITHER THROUGH THIRD PARTY COVERAGE OR THEIR OWN RESOURCES. BECAUSE CHARITY CARE AMOUNTS ARE NOT EXPECTED TO BE PAID, THEY ARE NOT REPORTED AS REVENUE. IN ADDITION, AMH PROVIDES SERVICES AND SUPPLIES AT BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. PATIENT SAFETY INITIATIVES FY13 REMAINED IN EFFECT AND WERE ENHANCED: THE DAILY CHECK-IN CALL, TAKES PLACE EACH WEEKDAY MORNING AT 9:30 A.M. AND INCLUDES 53 AMH DEPARTMENTS AS THEY CONNECT TO RAISE ANY ISSUES THAT MAY HAVE OCCURRED IN THE LAST 24-HOURS, OR MAY COME UP THAT DAY. THIS DAILY CALL HAS BEEN SO SUCCESSFUL THAT AMH INSTITUTED A SECOND DAILY CALL AT 4:15 P.M. FOR SECOND SHIFT. WEEKEND SHIFTS WERE ADDED DURING THE FISCAL YEAR. KEEPING OUR PATIENTS SAFE - BY INSTITUTING MANDATORY FLU SHOTS IN FY12 AND CONTINUING THIS INITIATIVE IN FY13, AMH PROVIDED FREE FLU SHOTS TO ALL EMPLOYEES AND MEDICAL STAFF MEMBERS. THIS BECAME A WORK REQUIREMENT AND MANDATORY FOR ALL HOSPITAL STAFF. LOW COST FLU SHOTS WERE ALSO MADE AVAILABLE TO MEDICAL RESIDENTS, STUDENTS AND VOLUNTEERS. ABINGTON HEALTH WAS ONE OF SEVEN PENNSYLVANIA HEALTHCARE ORGANIZATIONS RECOGNIZED FOR TAKING THE LEAD ON THE MANDATORY INFLUENZA VACCINATION POLICY. AH WORKED WITH THE HOSPITAL HEALTH ASSOCIATION OF PENNSYLVANIA ("HAP") IN MAKING SIGNIFICANT PROGRESS IN TURNING THE POLICY INTO A STATE-WIDE PLEDGE. IN KEEPING WITH AMH'S COMMITMENT TO ALL MEMBERS OF ITS COMMUNITY, THE FOLLOWING SERVICES WERE PROVIDED DURING THE YEAR WITH A PARTICULAR FOCUS ON LOW INCOME MEMBERS WITHIN ITS SERVICE AREAS: - FREE CARE AND/OR SUBSIDIZED CARE TO INPATIENTS AND OUTPATIENTS. - OPERATION OF BOTH PRIMARY AND SPECIALTY CLINICS, TWO OB/GYN CENTERS, A PSYCHIATRIC SERVICES CLINIC, A DENTAL CLINIC, AND A HEALTH CENTER FOR NEWBORNS. NEW FACT SHEETS ON AMH CLINICS AND AREA CLINIC SERVICES WERE POSTED TO HOSPITAL WEBSITES AND INTRANET AND PRINTED FOR USE BY THE COMMUNITY. ALL CLINIC SITES AT ABINGTON HEALTH RECEIVED THE NEW FACT SHEETS TO EDUCATE THE UNINSURED AND UNDERINSURED. IN FY13 THESE FACT SHEETS WERE UPDATED AND TRANSLATED INTO THE TOP 3 LANGUAGES THAT AMH SERVES. - FAMILY PRACTICE CENTER WHICH ALSO PROVIDES AN EDUCATIONAL SETTING FOR THE TEACHING OF PRIMARY CARE PHYSICIANS. - EMERGENCY/TRAUMA CENTER (OPERATES 24 HOURS A DAY, 365 DAYS A YEAR) IS THE ONLY ACCREDITED TRAUMA CENTER IN MONTGOMERY COUNTY, OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. - ABINGTON HEALTH AND AMH ATTRACTS THE FINEST PHYSICIANS TO SERVE OUR PATIENTS. 1,400 PHYSICIANS CARE FOR PATIENTS THROUGHOUT THE HEALTH SYSTEM'S WIDE RANGE OF SERVICES. IN FY13, 228 OF THESE PHYSICIANS WERE EMPLOYED BY ABINGTON HEALTH, ABINGTON MEMORIAL HOSPITAL AND LANSDALE HOSPITAL. ABINGTON HEALTH PHYSICIANS ("AHP") IS COMMITTED TO THE COMMUNITY AS THEIR HEALTHCARE PARTNER, EXCEEDING EXPECTATIONS FOR CARE, COMFORT AND COMMUNICATIONS. AHP IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR ALL BY FOSTERING HEALTH, EASING SUFFERING AND PROMOTING WELLNESS IN A CULTURE OF SAFETY, LEARNING AND RESPECT. AMH IS A MAJOR CLINICAL CAMPUS FOR SEVERAL REGIONAL MEDICAL SCHOOLS. THE COMMITMENT TO OUTSTANDING MEDICAL CARE HAS EARNED AMH NUMEROUS AWARDS FOR QUALITY AND SAFETY, AND THE ROBUST CULTURE OF CONTINUING EDUCATION CREATES AN ATMOSPHERE OF INQUIRY AND SCHOLARSHIP. MANY OF OUR PHYSICIANS ARE PRIMARY INVESTIGATORS FOR NATIONAL CLINICAL TRIALS, WHICH GIVES OUR PATIENTS ACCESS TO ADVANCED TREATMENTS NOT COMMONLY AVAILABLE ELSEWHERE. AMH SERVES ITS COMMUNITY BY STRIVING TO PROVIDE THE HIGHEST QUALITY AND MOST COST-EFFECTIVE HEALTHCARE TO ALL. COMPREHENSIVE HEALTHCARE SERVICES ARE DESIGNED AND PLANNED TO IMPROVE AND SUSTAIN THE HEALTH STATUS OF THE RESIDENTS OF MONTGOMERY, BUCKS AND PORTIONS OF PHILADELPHIA COUNTIES, PENNSYLVANIA. AMH ASSURES ACCESSIBLE, COMPASSIONATE HEALTHCARE SERVICES THAT HONOR THE DIGNITY OF EVERY PERSON. AMH IS A LEADER IN DEFINING ITS COMMUNITY'S HEALTHCARE NEEDS, IN PROVIDING APPROPRIATE SOLUTIONS, AND DEVELOPING A COMPREHENSIVE CONTINUUM OF CARE INCLUDING EDUCATION, PREVENTION, DISEASE MANAGEMENT AND RESTORATIVE PROGRAMS. MISSION ======= IN FY13, ABINGTON HEALTH AND LHC CONTINUED THIS INITIATIVE FOR EXCELLENCE, REPRESENTING THE HEALTH SYSTEM'S FOCUS, PRIORITIES, COMMITMENTS AND GOALS IN TOTAL ALIGNMENT. THIS IS THE SCOPE OF THE ORGANIZATION: THE PEOPLE WE SERVE (PATIENTS), HOW AND WHY WE SERVE THEM (MISSION/VISION/VALUES), THE KEY FACTORS TO SUCCESS (PATIENT SAFETY AND CLINICAL EXCELLENCE, STAFF ENGAGEMENT AND SERVICE EXCELLENCE, AND OPERATIONAL AND FINANCIAL EXCELLENCE) AND THE BEHAVIORS THAT OUR STAFF EMBRACE TO ACCOMPLISH OUR GOALS. THIS IS THE WHO, WHAT, WHERE, WHY AND HOW OF ABINGTON HEALTH. THE GOALS ARE FOUND AT THE FOUNDATION OF OUR FRAMEWORK. OUR COMMITMENT TO THESE GOALS ALLOWS US TO ACHIEVE OUR KEY SUCCESS FACTORS. THAT MEANS SAFE, SATISFIED PATIENTS, FREE OF HARM; HAPPIER, MORE ENGAGED EMPLOYEES; AND FINANCIAL STABILITY, EVEN IN AN UNSURE ECONOMY. AND THAT IS THE EPITOME OF AMH'S MISSION, VISION AND VALUES. THE MORE WE STRIVE TO REACH OUR GOALS, THE BETTER CARE WE GIVE, THE MORE TRUST WE EARN. VISION ====== TO BE THE MOST TRUSTED HEALTHCARE PARTNER. BACKGROUND ---------- FOUNDED IN 1914, AMH IS A FULLY ACCREDITED, NOT-FOR-PROFIT, REGIONAL TEACHING HOSPITAL WITH 665 LICENSED BEDS IN ABINGTON, PENNSYLVANIA. LOCATED AT 1200 OLD YORK ROAD (ROUTE 611) IN ABINGTON, PENNSYLVANIA, AMH HAS BEEN PROVIDING COMPREHENSIVE, HIGH-QUALITY SERVICES FOR PEOPLE IN MONTGOMERY, BUCKS AND PHILADELPHIA COUNTIES FOR ALMOST 100 YEARS. IN 2013 WE BEGAN THE CELEBRATION OF SERVING THIS COMMUNITY FOR A CENTURY. WITH MORE THAN 32,000 INPATIENT ADMISSIONS AND 594,000 OUTPATIENT VISITS LAST YEAR, AMH IS A MAJOR REGIONAL REFERRAL CENTER FOR CANCER CARE, NEUROSCIENCES, ORTHOPEDIC AND SPINE TREATMENT, CARDIAC CARE, AND MANY OTHER MEDICAL AND SURGICAL SPECIALTY PROGRAMS AND HAS THE ONLY LEVEL II TRAUMA CENTER IN MONTGOMERY COUNTY. AMH HAS A LONG TRADITION OF PERSONAL, HIGH-QUALITY MATERNITY CARE SERVING AS ONE OF THE BUSIEST OB/GYN CENTERS IN THE REGION AND IS A LEADER IN SENIOR HEALTH SERVICES. AMH HAS A STRONG EDUCATIONAL MISSION AND SPONSORS FIVE RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY, GENERAL SURGERY AND DENTISTRY. IN ADDITION, AMH PROVIDES POSTGRADUATE MEDICAL EDUCATION IN AFFILIATION WITH SEVERAL AREA MEDICAL SCHOOLS. THE HOSPITAL ALSO OPERATES THE DIXON SCHOOL OF NURSING, AND A RADIOLOGIC TECHNOLOGY SCHOOL. AMH IS AFFILIATED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA ("CHOP") FOR ITS INPATIENT PEDIATRIC UNIT AND EXPANDED ITS CHOP OUTPATIENT AND PEDIATRIC SPECIALTY OFFERINGS INCLUDING A NEW SPECIALTY UNIT. FUTURE DEVELOPMENT WITH CHOP INCLUDES SURGICAL SERVICES COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III OUTPATIENT CAMPUSES ------------------- IN FY13, A NEW OUTPATIENT CAMPUS WAS PLANNED AND DEVELOPED OPENING IN JUNE/JULY 2013: ABINGTON HEALTH CENTER - BLUE BELL IS A NEWLY CONSTRUCTED STATE-OF-THE-ART FACILITY IN BLUE BELL, PENNSYLVANIA. THIS CAMPUS PROVIDES MANY OF THE MOST IN-DEMAND HEALTHCARE SERVICES INCLUDING PRIMARY CARE PHYSICIANS, A DEDICATED NEUROLOGY GROUP, A COMPREHENSIVE IMAGING CENTER OFFERING OPEN MRI, CT, MAMMOGRAPHY, DEXA AND OTHER SERVICES AS WELL AS CONVENIENT ABINGTON LABORATORY SERVICES. THE ABINGTON HEALTH CENTER - SCHILLING CAMPUS SERVES AS A MAJOR SATELLITE OF THE HOSPITAL. OUTPATIENT HEALTHCARE SERVICES SUCH AS LABORATORY TESTING, RADIOLOGY (INCLUDING CAT SCAN, MRI, MAMMOGRAPHY AND X-RAY), SAME DAY SURGERY, PSYCHIATRIC SERVICES, SLEEP CENTER AND WOUND AND DIABETES CARE AS WELL AS PRIMARY AND SPECIALTY CARE PHYSICIAN OFFICES, ARE AVAILABLE IN THIS CONVENIENT LOCATION IN WILLOW GROVE. JUST 10 MINUTES NORTH OF THE HOSPITAL, THE CAMPUS OCCUPIES 40 ACRES IN FIVE SEPARATE BUILDINGS: BLAIRWOOD (2701 BLAIR MILL ROAD); NORTHWOOD (2729 BLAIR MILL ROAD); WILLOWOOD (2510 MARYLAND ROAD); PENNWOOD (2500 MARYLAND ROAD); AND CREEKWOOD (3941 COMMERCE AVENUE). AMH OPENED A PET/CT SCAN SUITE AT AHC-SCHILLING CAMPUS IN FY11. THIS NEW PET/CT SCAN UTILIZES STATE OF THE ART DIAGNOSTIC IMAGING TECHNOLOGY ALLOWING PHYSICIANS TO PINPOINT THE LOCATION OF CANCER. SINCE OPENING IN FY11, AMH HAS SERVED OVER 3,000 PATIENTS. ABINGTON HEALTH CENTER - WARMINSTER CAMPUS (FORMERLY WARMINSTER HOSPITAL) WAS ACQUIRED IN LATE 2007. IT OFFERS A VARIETY OF OUTPATIENT SERVICES, INCLUDING RADIOLOGIC, LABORATORY, CARDIAC, NEUROSCIENCES INCLUDING A HEADACHE CENTER, AND RESPIRATORY TESTING. A BALANCE CENTER WAS ADDED TO THE CAMPUS TO ACCOMMODATE THE COMMUNITY AND GROWING NUMBER OF SENIORS IN NEED OF THIS SERVICE. THE OB/GYN CENTER AND A WELL BABY CLINIC, A SLEEP DISORDERS CENTER AND AMH'S INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY AND AN INPATIENT HOSPICE FACILITY ARE ALSO LOCATED THERE. THE KIND PEDIATRIC HOSPICE CENTER OPENED ON THE WARMINSTER CAMPUS TO SERVE TERMINALLY ILL CHILDREN AND THEIR CAREGIVERS IN A HOMELIKE RESIDENTIAL ATMOSPHERE. A NUMBER OF COMMUNITY HEALTH PROGRAMS, INCLUDING FREE BLOOD PRESSURE SCREENINGS ONSITE AT THE CAMPUS, DIABETES CLASSES, AARP DRIVER SAFETY, A MEMORY FITNESS CENTER, ELDERMED EDUCATION SESSIONS, AND A SENIORS' BOOK CLUB ARE HELD REGULARLY. AMH PHYSICIANS AT MONTGOMERYVILLE PROVIDE CONVENIENT ACCESS TO TOP DOCTORS AND ADVANCED TECHNOLOGY FOR CENTRAL MONTGOMERY COUNTY RESIDENTS. IN ADDITION, AN OPEN MRI AND NUCLEAR MEDICINE STRESS TESTING, LABORATORY DRAW SITE, CARDIOLOGY, FEMALE PELVIC MEDICINE, PEDIATRICS, ARE AVAILABLE. AWARDS AND RECOGNITIONS ======================= AMH HAS BEEN RECOGNIZED BY MANY ORGANIZATIONS FOR THE QUALITY OF ITS SERVICES: -2013 ABINGTON MEMORIAL HOSPITAL RECOGNIZED FOR HEART FAILURE CARE. -2013 AMH RECEIVES BLUE DISTINCTION CENTER AND DESIGNATION FOR QUALITY IN CARDIAC CARE. -2013 ABINGTON MEMORIAL HOSPITAL RECOGNIZED FOR STROKE CARE. -2013 AMH RECEIVES BLUE DISTINCTION CENTER AND DESIGNATION FOR QUALITY AND EFFICIENCY IN SPINE SURGERY AND KNEE AND HIP REPLACEMENT. -2013 PHILADELPHIA MAGAZINE TOP DOCS, EXEMPLIFYING AMH'S COMMITMENT TO CLINICAL EXCELLENCE AND PATIENT SAFETY. -2013 ROSENFELD CANCER CENTER ONE OF 79 NATIONAL WIDE TO EARN ONCOLOGY QUALITY AWARD. -2013 AMH WINS TRUENORTH AWARD FOR PERIOPERATIVE NURSE CERTIFICATION EXCELLENCE. -AMH RECEIVES MAGNET RECOGNITION FOR THE THIRD TIME. -2013, ABINGTON HEALTH, THE RECIPIENT OF THREE AWARDS, INCLUDING ONE TOP PRIZE, AT THE ASTER AWARDS. -2013 ABINGTON HEALTH HAS BEEN RECOGNIZED AS A GOLD-LEVEL FIT FRIENDLY WORKSITE BY THE AMERICAN HEART ASSOCIATION. -2013 ABINGTON HEALTH NAMED 2012 MOST WIRED ACCORDING TO THE RESULTS OF THE 2012 MOST WIRED SURVEY IN THE JULY ISSUE OF HOSPITALS AND HEALTH NETWORKS MAGAZINE. HOSPITALS RECOGNIZED ARE IMPROVING PERFORMANCE IN A NUMBER OF AREAS THROUGH THE ADOPTION AND USE OF HEALTH INFORMATION TECHNOLOGY. IN FY13, AMH RECEIVED FROM THE DELAWARE VALLEY HEALTHCARE COUNCIL THE 2012 GIFT OF LIFE AWARD WHICH RECOGNIZES THE HOSPITAL FOR THEIR SUPERIOR PERFORMANCE AND OUTCOMES IN ORGAN DONATION AND TRANSPLANTATION. IMPROVEMENT OF ORGAN DONATION FROM PREVIOUS YEAR COMPARISON ACHIEVED 100% REFERRAL RATE IN 2012 AND 60% CONVERSION RATE. ABINGTON HEALTH PREVIOUSLY RECEIVED THE GIFT OF LIFE AWARD IN 2009. -2012 ABINGTON MEMORIAL HOSPITAL WAS AWARDED THE INNOVATIVE CARE FOR SURGICAL PATIENTS, A PRESTIGIOUS MAGNET HONOR IN THE FALL OF 2011 FROM THE AMERICAN NURSES CREDENTIALING CENTER ("ANCC"). -2012 AH RECOGNIZED AS ONE OF THE NATION'S MOST WIRED, ACCORDING TO THE RESULTS OF THE 2012 MOST WIRED SURVEY IN THE JULY ISSUE OF HOSPITALS AND HEALTH NETWORKS MAGAZINE. THE NATION'S MOST WIRED HOSPITALS ARE IMPROVING PERFORMANCE IN A NUMBER OF AREAS THROUGH THE ADOPTION AND USE OF HEALTH INFORMATION TECHNOLOGY, ACCORDING TO THE MOST WIRED 2012 SURVEY, WHICH IS CONDUCTED IN COOPERATION WITH MCKESSON CORPORATION, THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES ("CHIME") AND THE AMERICAN HOSPITAL ASSOCIATION. -2012 BEST OF WILLOW GROVE AWARD, FOR THE FIFTH CONSECUTIVE YEAR, AMH HAS BEEN SELECTED FOR THE BEST OF WILLOW GROVE AWARD IN THE HOME HEALTH SERVICE CATEGORY BY THE US COMMERCE ASSOCIATION ("USCA"). THIS IS THE FIRST TIME THAT A BUSINESS HAS QUALIFIED AS A FIVE-TIME AWARD WINNER. THE USCA 'BEST OF LOCAL BUSINESS' AWARD PROGRAM RECOGNIZES OUTSTANDING LOCAL BUSINESSES THROUGHOUT THE COUNTRY THAT THEY BELIEVE HAVE ACHIEVED EXCEPTIONAL MARKETING SUCCESS IN THEIR LOCAL COMMUNITY AND BUSINESS CATEGORY. THESE ARE LOCAL COMPANIES THAT ENHANCE THE POSITIVE IMAGE OF SMALL BUSINESS THROUGH SERVICE TO THEIR CUSTOMERS AND COMMUNITY. -2012 PHILADELPHIA MAGAZINE'S TOP DENTISTS, EXEMPLIFYING AMH'S COMMITMENT TO CLINICAL EXCELLENCE AND PATIENT SAFETY. -2011 AMH RECEIVED THE GOLD PLUS AND PERFORMANCE ACHIEVEMENT AWARD FROM THE AMERICAN STROKE ASSOCIATION ("ASA"). -2011 AMH WINS WASTE WATCHERS AWARD FROM THE PROFESSIONAL RECYCLERS OF PENNSYLVANIA ("PROP") FOR WASTE REDUCTION, OUTSTANDING RECYCLING, REUSE AND COMPOSTING PROGRAMS. -2010 KEYSTONE ALLIANCE FOR PERFORMANCE EXCELLENCE ("KAPE") PRESENTED THE HIGHEST LEVEL PERFORMANCE EXCELLENCE AWARD TO ABINGTON MEMORIAL HOSPITAL FOR THE FIRST TIME IN KAPE'S HISTORY. -2010 BLUE DISTINCTION CENTER FOR CARDIAC CARE - RECOGNIZED FOR EXCELLENCE IN COMPREHENSIVE CARDIAC CARE BY INDEPENDENCE BLUE CROSS. -2010 TOP DOCS, PHILADELPHIA MAGAZINE - PHYSICIANS RECOGNIZED AS "TOP DOCTORS". -2010 HEALTHY WORK PLACE AWARD, PHILADELPHIA BUSINESS JOURNAL - NAMED ONE OF THE HEALTHIEST EMPLOYERS IN THE REGION. -2010 GET WITH THE GUIDELINES - STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD. -2010 BLUE DISTINCTION CENTER FOR SPINE SURGERY - RECOGNIZED FOR SPINE SURGICAL SERVICES BY INDEPENDENCE BLUE CROSS. -2010 BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT - RECOGNIZED FOR KNEE AND HIP REPLACEMENT SURGICAL SERVICES BY INDEPENDENCE BLUE CROSS. -2010 GOLD SEAL OF APPROVAL AND DISEASE-SPECIFIC CERTIFICATION FROM THE JOINT COMMISSION FOR OUR JOINT REPLACEMENT (HIP AND KNEE) PROGRAM (REACCREDITATION). -2010 GOLD SEAL OF APPROVAL AND DISEASE-SPECIFIC CARE CERTIFICATION FROM THE JOINT COMMISSION FOR STROKE CARE-THE FIRST CENTER IN PENNSYLVANIA TO EARN THIS DESIGNATION (REACCREDITATION). -2009 COMMUNITY ORGANIZATION DIVERSITY AWARD, PENNSYLVANIA MEDICAL SOCIETY. -2009 HUMANITARIAN SERVICE AWARD, WILLOW GROVE BRANCH, NAACP. -2009 DVHC GIFT OF LIFE AWARD (FOURTH CONSECUTIVE), GIFT OF LIFE DONOR PROGRAM. -2009 ROSENFELD CANCER CENTER - DESIGNATION BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS ("NAPBC"), A PROGRAM ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS. -2009 BEST OF WILLOW GROVE/U.S. LOCAL BUSINESS ASSOCIATION HOME HEALTH SERVICE CATEGORY AWARD, AMH'S HOME CARE DEPARTMENT. -2008 THE MAGNET PRIZE AWARDED TO AMH FOR ITS DAILY CARE PLAN. -2008 MAGNET RE-DESIGNATION FOR EXCELLENCE IN NURSING, AMERICAN NURSES CREDENTIALING CENTER ("ANCC"). -2008 BEST PLACES TO WORK AWARD, PHILADELPHIA BUSINESS JOURNAL 2008 BEST HOSPITAL IN MONTGOMERY COUNTY, THE PHILADELPHIA INQUIRER, NEIGHBORS' CHOICE AWARD. -2008 INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY WAS NAMED A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE SURGICAL REVIEW CORPORATION, WHICH IS RECOGNIZED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. -2008 THE INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY WAS DESIGNATED A BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY ("SM") BY THE BLUE CROSS AND BLUE SHIELD COMPANIES. -2008 BLUE DISTINCTION CENTER - THE ROSENFELD CANCER CENTER HONORED FOR ITS TREATMENT PROGRAM OF RARE AND COMPLEX CANCERS BY BLUE CROSS BLUE SHIELD COMPANIES. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III -2008 GOLD SEAL OF APPROVAL AND DISEASE-SPECIFIC CERTIFICATION FROM THE JOINT COMMISSION FOR AMH'S JOINT REPLACEMENT (HIP AND KNEE) PROGRAM (REACCREDITATION). -2008 GOLD SEAL OF APPROVAL AND DISEASE-SPECIFIC CARE CERTIFICATION FROM THE JOINT COMMISSION FOR STROKE CARE -- THE FIRST CENTER IN PENNSYLVANIA TO EARN THIS DESIGNATION (REACCREDITATION). CENTERS OF EXCELLENCE ===================== 1. THE PILLA HEART CENTER HEART PATIENTS CAN ACCESS A FULL RANGE OF SERVICES FOR HIGH-LEVEL DIAGNOSIS AND TREATMENT, INCLUDING OPEN HEART SURGERY, WITHOUT SACRIFICING THE CONVENIENCE AND WARMTH OF AMH. THE PILLA HEART CENTER AT AMH OFFERS STATE-OF-THE-ART TECHNOLOGY, COMPREHENSIVE SERVICES AND UNIQUELY SKILLED CARDIAC SURGEONS, CARDIOLOGISTS, CARDIAC ANESTHESIOLOGISTS AND SPECIALLY TRAINED NURSES. AMH HAS ACHIEVED STATUS AS A BLUE DISTINCTION CENTER FOR CARDIAC CARE(SM). BLUE DISTINCTION IS A NATIONWIDE PROGRAM OF THE BLUE CROSS BLUE SHIELD ASSOCIATION ("BCBSA"). WITH ONLY A HANDFUL IN THE REGION, IN FY13, AMH OPENED THE ADDONIZIO HYBRID OPERATING ROOM ("OR") WHICH ENABLES SPECIALISTS TO PERFORM CATHETER-BASED, MINIMALLY INVASIVE WORK WITH THE CAPACITY TO PERFORM FULL SURGICAL INTERVENTIONS IN ONE PLACE. VASCULAR SURGEONS, CARDIOTHORACIC SURGEONS, INTERVENTIONAL CARDIOLOGISTS, NEUROSURGEONS AND NEURO-INTERVENTIONALISTS CAN WORK TOGETHER OR IN TANDEM TO PROVIDE SURGICAL CARE IN ONE SETTING. LARGER THAN THE TYPICAL OPERATING ROOM, THE HYBRID OR UTILIZES STATE-OF-THE-ART FLUOROSCOPY EQUIPMENT FROM THE CATHETERIZATION LABORATORY COMBINED WITH HIGH DEFINITION VIDEO TECHNOLOGY OF AN OPERATING ROOM. THE ADDITION OF 3D IMAGING MONITORS ENABLES OVERLAYING MRI AND CT SCAN IMAGING. IN FY12, THE PILLA HEART CENTER IMPLANTED ITS FIRST VENTRICULAR ASSISTED DEVICE OR ("VAD") FOR HEART FAILURE PATIENTS AND BECAME ONE OF ONLY A FEW HOSPITALS IN THE DELAWARE VALLEY TO OFFER VAD THERAPY. IN FY13, 11 PATIENTS WERE SERVED WITH VAD. THE PILLA HEART CENTER IS A FIRST RATE, COMPREHENSIVE FACILITY AT THE FOREFRONT OF CARDIAC CARE AND RESEARCH. CARDIAC SURGEONS ARE UNIQUELY SKILLED IN ADVANCED PROCEDURES AND TECHNOLOGIES. A HEART RHYTHM CENTER OFFERS A TEAM OF SPECIALISTS SKILLED IN ELECTROPHYSIOLOGY, CARDIOLOGY AND CARDIAC SURGERY TO PROVIDE INNOVATIVE TREATMENTS FOR ABNORMAL HEART RHYTHM CONDITIONS. 2. PORTER INSTITUTE FOR VALVULAR HEART DISEASE THE PORTER INSTITUTE FOR VALVULAR HEART DISEASE, UNIQUE IN THIS REGION, IS DEDICATED TO THE RESEARCH, DIAGNOSIS AND MEDICAL MANAGEMENT OF HEART VALVE DISEASE AND THE SURGICAL REPAIR AND RECONSTRUCTION OF HEART VALVES. 3. THE ROSENFELD CANCER CENTER THE ROSENFELD CANCER CENTER AT AMH IS BUILT ON A FOUNDATION OF CLINICAL EXCELLENCE AND GENUINE CONCERN FOR EACH PATIENT. THE CANCER CENTER PROVIDES MODERN AND EFFECTIVE TREATMENTS AS WELL AS SUPPORT SERVICES TO ENSURE THAT EACH PATIENT RECEIVES THE FINEST CARE IN A CONVENIENT LOCATION. AMH'S PHYSICIANS AND MEDICAL PROFESSIONALS FROM A VARIETY OF DISCIPLINES WORK TOGETHER TO PROVIDE STATE-OF-THE-ART CARE PLUS PERSONALIZED ATTENTION TO MEET THE PATIENTS' TOTAL MEDICAL, PSYCHOLOGICAL AND SOCIAL NEEDS. IN FY13, THE ROSENFELD CANCER CENTER PROVIDED CARE FOR 2,078 PATIENTS. AMH'S ACCREDITATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS ASSURES PATIENTS THAT AMH'S ROSENFELD CANCER CENTER MEETS THE HIGHEST NATIONAL STANDARDS FOR PREVENTION, EARLY DETECTION, DIAGNOSIS AND TREATMENT. THE ROSENFELD CANCER CENTER AT AMH HAS BEEN SELECTED AS ONE OF THE DELAWARE VALLEY'S FOUR BLUE DISTINCTION CENTERS FOR COMPLEX AND RARE CANCERS (SM) BY INDEPENDENCE BLUE CROSS BLUE SHIELD. A FREE CANCER HELPLINE (1-800-405-HELP) IS AVAILABLE TO PATIENTS AND THE COMMUNITY FOR INFORMATION ABOUT DIAGNOSIS, TREATMENT OPTIONS AND SUPPORT SERVICES. AMH'S CANCER INFORMATION AND REFERRAL SPECIALIST, AN ONCOLOGY CLINICAL NURSE SPECIALIST, CAN ANSWER ANY QUESTIONS ABOUT THE HOSPITAL, ITS PHYSICIANS AND SERVICES. AMH OFFERS FREE RISK ASSESSMENT PROGRAMS FOR BREAST, COLON, AND OVARIAN CANCERS. THE BREAST CANCER CARE COORDINATOR/NURSE NAVIGATOR HELPS WOMEN DIAGNOSED WITH THE DISEASE COORDINATE SCHEDULING AND HELPS WITH A VARIETY OF ISSUES RELATED TO THEIR CARE. A SECOND NURSE NAVIGATOR IS AVAILABLE TO HELP PATIENTS WITH OTHER CANCER DIAGNOSES. THE HEPATOBILIARY AND PANCREATIC SURGERY PROGRAM AT AMH OPERATES IN CONJUNCTION WITH DREXEL UNIVERSITY MEDICAL SCHOOL SPECIALISTS. THIS COLLABORATION PROVIDES AMH PATIENTS WITH THE MOST COMPREHENSIVE CARE FOR CANCER AND OTHER SERIOUS CONDITIONS OF THE LIVER, PANCREAS AND BILE DUCTS. AS THIS AREA OF SURGERY HAS EVOLVED RAPIDLY, WE ARE ABLE TO OFFER THE FULL ARMAMENTARIUM OF PROCEDURES WITHIN AMH'S GROWING COMMUNITY. AMH'S ACCREDITATION BY THE JOINT COMMISSION, ALONG WITH THE ACCREDITATION OF ITS CANCER PROGRAM BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS, ASSURES PATIENTS THAT AMH'S ROSENFELD CANCER CENTER MEETS THE HIGHEST NATIONAL STANDARDS FOR PREVENTION, EARLY DETECTION, DIAGNOSIS AND TREATMENT. IN FY11, THE ROSENFELD CANCER CENTER INSTALLED THE CALYPSO SYSTEM TO PROVIDE PROSTATE CANCER PATIENTS WITH THE BENEFITS OF REAL-TIME TUMOR TRACKING DURING EXTERNAL BEAM RADIATION THERAPY. 4. THE HANJANI INSTITUTE FOR GYNECOLOGIC ONCOLOGY AMH IS DEDICATED TO MEETING THE PHYSICAL, EMOTIONAL AND LIFESTYLE NEEDS OF GYNECOLOGIC CANCER PATIENTS. AS ONE OF THE BUSIEST GYNECOLOGIC CANCER TREATMENT CENTERS IN THE DELAWARE VALLEY, THE HANJANI INSTITUTE OFFERS THE EXPERTISE OF A TEACHING HOSPITAL AND THE PERSONAL INVOLVEMENT AND ACCESSIBILITY OF A COMMUNITY HOSPITAL. THROUGH THE SPECIALIZED FOCUS PROVIDED BY THE HANJANI INSTITUTE, A PATIENT IS GIVEN EXPERT DIAGNOSIS AND STATE-OF-THE-ART TREATMENT. THE PATIENT BENEFITS FROM ONE-ON-ONE CONSULTATIONS WITH ATTENDING PHYSICIANS - NOT RESIDENTS OR FELLOWS AS WITH OTHER CANCER CENTERS. THE PATIENT ALSO RECEIVES CONTINUOUS EMOTIONAL SUPPORT, COUNSELING AND ACCESS TO SUPPORT SERVICES. THE TREATMENT OPTIONS AVAILABLE ARE SURGERY, FERTILITY-SPARING FOR EARLY-STAGE GYN CANCER, CHEMOTHERAPY (INCLUDING INTRAPERITONEAL CHEMOTHERAPY FOR ADVANCED OVARIAN CANCER), BIOLOGIC TREATMENT OF CANCER, AND RADIATION THERAPY TREATMENTS, INCLUDING HIGH-DOSE BRACHYTHERAPY AND INTENSITY-MODULATED RADIATION THERAPY. THE PHYSICIANS IN THE PROGRAM ARE PRIMARY PRINCIPAL INVESTIGATORS FOR THE GYNECOLOGY ONCOLOGY GROUP (A NATIONAL RESEARCH BODY SUPPORTED BY THE NATIONAL CANCER INSTITUTE). AMH'S GYNECOLOGIC ONCOLOGY PROGRAM IS HIGHLY RANKED AMONG 49 FULL MEMBERS OF THE GOG IN TERMS OF NUMBER OF PATIENTS TREATED AND QUALITY OF RESEARCH DATA. PATIENTS HAVE ACCESS TO MORE THAN 40 CLINICAL TRIALS TO TREAT OVARIAN, CERVICAL AND UTERINE CANCERS, WHICH ARE CAREFULLY MONITORED STUDIES DESIGNED TO EVALUATE NEW THERAPIES. AMH'S ACTIVE PARTICIPATION IN PHASE II AND PHASE III CLINICAL TRIALS MEANS THAT PROMISING NEW ADVANCES ARE OFFERED TO ITS PATIENTS RIGHT IN THE COMMUNITY ALLOWING THEM TO REMAIN CLOSE TO HOME AND FAMILY. RESEARCH PROTOCOLS ARE CURRENTLY AVAILABLE IN GYNECOLOGIC ONCOLOGY SERVICES AT AMH. AMH EXPANDED ITS CLINICAL RESEARCH BY ESTABLISHING THE CENTER FOR CLINICAL RESEARCH. THE NEW CENTER WILL COORDINATE RESEARCH ACTIVITIES FOR AMH, WORKING WITH PRINCIPAL INVESTIGATORS AND THEIR DEPARTMENTS. PARTICIPATION WILL INCLUDE CLINICAL TRIALS FOR CANCER, HEART DISEASE, NEUROLOGICAL DISORDERS, ARTHRITIS, INFERTILITY AND ORTHOPEDIC SURGERY. 5. WOMEN'S AND CHILDREN'S HEALTH AMH HAS BEEN COMMITTED TO WOMEN'S AND CHILDREN'S HEALTH FOR OVER 90 YEARS. THE CARE OF WOMEN AND CHILDREN GOES HAND-IN-HAND AT AMH. MANY WOMEN HAVE THEIR FIRST HOSPITAL EXPERIENCE WHEN THEY GIVE BIRTH AT AMH. WITH ALMOST 5,100 BIRTHS A YEAR, AMH IS A LEADER IN MATERNITY CARE IN THE STATE OF PENNSYLVANIA PROVIDING A 36-BED LEVEL III NEONATAL INTENSIVE CARE UNIT, HIGH RISK PRENATAL CARE, INFERTILITY SERVICES AND AN AFFILIATION WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA ("CHOP") FOR PEDIATRIC INPATIENT CARE WOMEN WHO DELIVER THEIR BABIES AT AMH TEND TO CHOOSE AMH FOR THE CARE OF THEIR ENTIRE FAMILIES, SETTING THE STAGE FOR A LIFETIME OF CARE. WE OPERATE TWO OB/GYN CENTERS (CLINICS) IN ABINGTON AND WARMINSTER, SERVING A DIVERSE, LOW-INCOME POPULATION. 6. ORTHOPEDIC AND SPINE SERVICE THE ORTHOPEDIC AND SPINE SERVICE AT AMH COMBINES THE MOST ADVANCED MEDICAL TECHNOLOGY WITH A DEDICATED TEAM OF ORTHOPEDIC SURGEONS, NEUROSURGEONS, REHABILITATION MEDICINE SPECIALISTS AND SKILLED AND DEDICATED MEDICAL PROFESSIONALS. PHYSICIANS TREAT A WIDE VARIETY OF DISORDERS AFFECTING THE MUSCULOSKELETAL SYSTEM, INCLUDING THE CARE OF FRACTURES AND INJURIES TO TENDONS, LIGAMENTS, JOINTS, BONES AND MUSCLES. SPECIALISTS IN JOINT REPLACEMENT, SPINE SURGERY, SPORTS MEDICINE, ORTHOPEDIC HAND SURGERY, RHEUMATOLOGY AND REHABILITATION MEDICINE ARE ON STAFF AT AMH. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III ORTHOPEDIC SURGEONS AND NEUROSURGEONS ARE EXPERIENCED IN TREATING PATIENTS REQUIRING HIP OR KNEE REPLACEMENTS OR SPINE SURGERY. AMH'S COMPREHENSIVE PROGRAM INCLUDES EVALUATION, CENTRALIZED PREADMISSION, HIGH-TECH OPERATING SUITE WITH LAMINAR AIR FLOW, INPATIENT AND OUTPATIENT REHABILITATION, AND HOME CARE TO ENSURE SUCCESSFUL RESULTS. STATE-OF-THE-ART MINIMAL-INCISION PROCEDURES AND COMPUTER-ASSISTED SURGERY ARE AVAILABLE FOR SOME JOINT REPLACEMENT SURGERIES. THE ORTHOPEDIC AND SPINE SERVICE HAS EARNED THE JOINT COMMISSION'S DISEASE SPECIFIC CERTIFICATION FOR JOINT REPLACEMENT, HIP AND KNEE. FREE EDUCATIONAL SESSIONS FOR THOSE INTERESTED IN MORE INFORMATION ABOUT JOINT REPLACEMENTS ARE OFFERED. 7. NEUROSCIENCES INSTITUTE NEW IN FY13, THE NEUROSCIENCES INSTITUTE OPENED A NEW MULTIPLE SCLEROSIS ("MS") CENTER. THE ONLY ONE OF ITS KIND IN MONTGOMERY COUNTY, PENNSYLVANIA. MS IS AN AUTOIMMUNE DISORDER AFFECTING THE BRAIN AND SPINAL CORD AND IS THE MOST COMMON DISABLING NEUROLOGICAL DISORDER OF YOUNG ADULTS. MORE THAN 3,000 PATIENTS IN BUCKS AND MONTGOMERY COUNTIES ALONE ARE REGISTERED WITH THE NATIONAL MS SOCIETY. THE COMPLEXITY OF CARE IS DUE, IN PART, TO THE EXPLOSION OF NEW TREATMENT OPTIONS. THREE BOARD CERTIFIED NEUROLOGISTS AND A REGISTERED NURSE WITH SPECIAL EXPERTISE IN MS STAFF THIS NEW CENTER LOCATED AT AHC-WARMINSTER. A NEW MOVEMENT DISORDERS CENTER AT AHC-WARMINSTER WAS OPENED IN FY13. THE CENTER, PART OF THE NEUROSCIENCES INSTITUTE OFFERS ADVANCED EXPERTISE AND TOOLS TO TREAT A FULL RANGE OF MOVEMENT DISORDERS SUCH AS PARKINSON'S DISEASE AND TOURETTE'S SYNDROME. THIS NEW CENTER JOINS MULTIPLE SPECIALTIES TO CARE FOR PATIENTS WHO ALSO HAVE THE OPPORTUNITY TO PARTICIPATE IN THE LATEST INVESTIGATIONAL CLINICAL TRIALS AND RESEARCH IN MOVEMENT DISORDERS. THE SLEEP DISORDERS CENTERS ARE LOCATED IN FIVE CONVENIENT FACILITIES THROUGHOUT OUR SERVICE AREA. IN 2011, THE BALANCE CENTER OPENED FOR PATIENTS WITH BALANCE-RELATED ISSUES AND IN FY12-13, A CONCUSSION PROGRAM WAS IMPLEMENTED FOR STUDENT ATHLETES. IN FY13, AMH OFFERED EDUCATIONAL PROGRAMS ON CONCUSSION TO LOCAL SCHOOL DISTRICTS. PHYSICIANS FROM THESE SPECIALTY AREAS DONATE THEIR TIME TO EDUCATING THE COMMUNITY ON THESE IMPORTANT SERVICES. SPECIALISTS IN THE FIELD OF NEUROSURGERY EMPLOY STATE-OF-THE-ART SURGICAL AND MICROSURGICAL TECHNIQUES TO DIAGNOSE, TREAT AND ALLEVIATE PAIN AND DISABILITY CAUSED BY NEUROLOGICAL PROBLEMS. AMH'S FOUR FULL-TIME NEUROSURGEONS HAVE SPECIAL EXPERTISE IN THE TREATMENT OF BRAIN, SPINAL CORD AND PERIPHERAL NERVE DISORDERS. THE ADVANCED DIAGNOSTIC TECHNOLOGY AND SUPPORT AT AMH FURTHER ENHANCES THE ABILITY OF OUR NEUROSURGEONS TO PROVIDE OUTSTANDING, COMPREHENSIVE CARE. AMH'S NEUROSURGEONS ARE HIGHLY SKILLED IN TREATING BRAIN TUMORS AND CEREBROVASCULAR DISEASES THROUGH TRADITIONAL SURGERY AND NEWER, COMPUTER-GUIDED INTRA-OPERATIVE TECHNIQUES. THEY PERFORM PRECISE AND DELICATE SPINAL SURGERY TO TREAT HERNIATED DISCS, STENOSIS AND ARTHRITIS OF THE SPINE. CRANIAL SURGERY IS PERFORMED FOR TUMORS, HEMORRHAGIC STROKES, TRAUMA, CONGENITAL DEFECTS AND VASCULAR ABNORMALITIES. THEY PERFORM PROCEDURES ON THE CAROTID ARTERY TO RELIEVE STENOSIS IN THE NECK, A CONDITION WHICH PLACES PATIENTS AT HIGH RISK FOR STROKE. ADDITIONAL PROCEDURES INCLUDE PERIPHERAL NERVE SURGERY FOR ENTRAPMENT, NAMELY CARPAL TUNNEL RELEASES AND ULNAR NERVE DECOMPRESSIONS. THE BREADTH OF SERVICES IS FURTHER ENHANCED BY SOPHISTICATED ADVANCED CARE BY NEUROINTERVENTIONAL SPECIALISTS. INTERVENTIONAL RADIOLOGISTS, ALONG WITH A NEUROINTERVENTIONAL RADIOLOGIST AND AN INTERVENTIONAL NEURORADIOLOGIST, PERFORM CAROTID STENTING AND COILING OF CEREBRAL ANEURYSMS, INTRA-ARTERIAL RTPA, AND OTHER ADVANCED INTERVENTIONAL PROCEDURES. TOGETHER WITH THEIR ORTHOPEDIC COLLEAGUES AT OSI, NEUROSURGEONS OFFER SURGICAL SERVICES TO TREAT THE SPINE AND HAND. THEY ALSO PERFORM THE KYPHOPLASTY PROCEDURE FOR PATIENTS WHO SUFFER FROM VERTEBRAL COMPRESSION FRACTURES, AS WELL AS MOTION PRESERVING SPINE PROCEDURES INCLUDING THE ARTIFICIAL DISC FOR PATIENTS WITH DEGENERATIVE DISC DISEASE. PATIENTS ALSO BENEFIT FROM COLLABORATIVE EFFORTS WITH THE ROSENFELD CANCER CENTER. NEUROSURGEONS PERFORM BOTH FRAMELESS AND FRAME-BASED STEREOTACTIC SURGERY. RADIATION ONCOLOGISTS USE A STATE-OF-THE-ART LINEAR ACCELERATOR TO PROVIDE STEREOTACTIC RADIATION TO TUMORS AND VASCULAR LESIONS. DIAGNOSTIC EQUIPMENT, SUCH AS A MULTI-DETECTION CT SCAN, MRI (MAGNETIC RESONANCE IMAGING) AND MRA (MAGNETIC RESONANCE ANGIOGRAPHY) IS AVAILABLE AT AMH. A TECHNOLOGICALLY ADVANCED ANGIOGRAPHY SUITE PROVIDES ADVANCED CEREBROVASCULAR IMAGING OF THE BRAIN. AMH'S NEW IMAGE-GUIDED SURGICAL SYSTEM REPRESENTS THE LATEST STATE-OF-THE-ART TECHNOLOGY. THIS AIDS IN THE PRECISION AND SAFETY OF BOTH CRANIAL AND SPINAL SURGICAL PROCEDURES. IN ADDITION TO LEADING-EDGE MRI NEUROLOGICAL IMAGING CAPABILITIES, WE RECENTLY ADDED A DEDICATED NEUROVASCULAR INTERVENTIONAL LABORATORY WITH BI-PLANE FUNCTIONALITY AND 3D IMAGING. NEURO-INTERVENTIONAL SERVICES ARE PROVIDED BY TWO FELLOWSHIP-TRAINED NEURO-INTERVENTIONALISTS WITH EXPERIENCE IN THE ENDOVASCULAR TREATMENT OF ACUTE STROKE, INCLUDING INTRACRANIAL STENTS, BALLOON-ASSISTED COIL EMBOLIZATION, MECHANICAL CLOT RETRIEVAL AND MORE. NEURO-CRITICAL CARE IS MANAGED BY A FELLOWSHIP-TRAINED NEURO-INTENSIVIST. ALSO ON STAFF ARE SIX BOARD-CERTIFIED INTERVENTIONAL RADIOLOGISTS, SEVERAL OF WHOM ARE FELLOWSHIP TRAINED IN NEURO-INTERVENTIONAL DIAGNOSTICS. 8. THE STROKE CENTER THE DIAMOND STROKE CENTER, NAMED IN MAY 2012, AND PRESENTED TO OUR COMMUNITY IN FY13 WAS DEDICATED IN HONOR OF A FORMER CHIEF OF THE NEUROSCIENCES INSTITUTE AND STROKE PROGRAM. THE DIAMOND STROKE CENTER HAS BEEN CERTIFIED BY THE JOINT COMMISSION SINCE 2003. IN FY13, OVER 1,100 STROKE PATIENTS WERE CARED FOR IN THE DIAMOND STROKE CENTER. WHEN SOMEONE YOU LOVE IS EXPERIENCING A STROKE AND REQUIRES EMERGENCY CARE, EXPERT HELP IS IMMEDIATELY AVAILABLE AT AMH'S CERTIFIED STROKE CENTER. STROKE CARE REQUIRES A DEDICATED TEAM THAT FIGHTS STROKE 24 HOURS A DAY, SEVEN DAYS A WEEK. THE STROKE CENTER AT AMH IS DESIGNED TO DIAGNOSE, TREAT AND MANAGE PATIENTS WITH STROKE. THE CENTER HAS COMMITTED ITS SERVICES TO THE COMMUNITY BY INTERACTING AND TEACHING PEOPLE ABOUT STROKE WARNING SIGNS AND PREVENTION. IN 2004 AMH'S STROKE CENTER BECAME THE FIRST STROKE CENTER IN PENNSYLVANIA TO RECEIVE THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION. AMH HAS ALSO BEEN HONORED FOR ITS EFFECTIVE STROKE EDUCATION AND PREVENTION BY THE DELAWARE VALLEY STROKE COUNCIL AND U.S. NEWS AND WORLD REPORT MAGAZINE. THE STROKE CENTER CONSISTENTLY SETS GOALS TO IMPROVE PATIENT OUTCOMES. A FULLY INTEGRATED AND MULTIDISCIPLINARY NEUROSCIENCES TEAM WORKS TOGETHER TO ACCOMPLISH THESE GOALS. TEAM MEMBERS INCLUDE: A NEUROLOGIST, NEUROSURGEON, NEUROINTERVENTIONALIST, NURSING, OCCUPATIONAL THERAPY, PHYSICAL THERAPY, SPEECH THERAPY, CASE MANAGEMENT, SOCIAL SERVICE, NUTRITION SERVICES, PASTORAL CARE SERVICES, GERIATRIC CLINICAL NURSE SPECIALIST, PHARMACIST, AND STROKE PROGRAM COORDINATOR. THE STROKE CENTER ALSO HAS A DEDICATED STROKE COMMITTEE, WHICH MEETS EVERY SIX WEEKS TO REVIEW STROKE CARE AND SET NEW GOALS. THIS IS A DEDICATED COMMITTEE TO EVALUATE AMH'S PROCESSES AND OUTCOMES. MEMBERS OF THE COMMITTEE INCLUDE: DIRECTOR OF MEDICINE, STROKE DIRECTOR, REHABILITATION PHYSICIAN, STROKE PROGRAM COORDINATOR, VICE PRESIDENT OF PATIENT SERVICES, NURSE DIRECTOR, NURSE MANAGER, NURSE REPRESENTATIVES AND PHYSICIANS. THE STROKE CENTER ALIGNS CRITICAL HOSPITAL RESOURCES FOR EMERGENCY STROKE INTERVENTION AND FOLLOW UP. STRUCTURAL MEASURES OF THE STROKE CENTER INCLUDE: - ORGANIZED EMERGENCY RESPONSE TEAM/SYSTEM THAT RESPONDS TO STROKE AS AN EMERGENCY, WITH IMMEDIATE RESPONSE TIME, ACCESS TO SPECIALTY CARE (NEUROSURGERY, NEUROLOGY, NEUROINTERVENTIONAL, REHABILITATION), ACCESS TO ACUTE PHARMACOLOGICAL THERAPY, CLINICAL TRIAL AVAILABILITY, AND CRITICAL CARE AVAILABILITY. - A DESIGNATED STROKE UNIT, INPATIENT REHAB PROGRAM, MULTIDISCIPLINARY STROKE TEAM, CLINICAL PRACTICE GUIDELINES, PHYSICIAN ORDERS, PATIENT QUALITY IMPROVEMENT PROGRAM. - PROCESS MEASURES INCLUDE THE IMPLEMENTATION OF SECONDARY STROKE PREVENTION (ANTIPLATELET THERAPY, ANTICOAGULATION), ACUTE MANAGEMENT OF STROKE RISK FACTORS, EVALUATION OF PATIENT FOR REHABILITATION, EVALUATION OF SCREENING, SWALLOWING, EVALUATION OF NUTRITIONAL STATUS, AND SCREENING FOR DEPRESSION. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III AS PUBLISHED BY THE JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, KEY ELEMENTS OF A STROKE CENTER INCLUDE AN ACUTE STROKE TEAM, A STROKE UNIT, WRITTEN CARE PROTOCOLS, INTEGRATED EMS, REHABILITATION SERVICES AND COMMUNITY EDUCATION PROGRAMS. INPATIENT SUPPORT SERVICES INCLUDE AVAILABILITY AND INTERPRETATION OF CT SCANS 24 HOURS A DAY, RAPID LABORATORY TESTING AND AROUND-THE-CLOCK PHARMACY SERVICES. ADMINISTRATIVE SUPPORT, STRONG LEADERSHIP AND CONTINUING EDUCATION ARE ALSO IMPORTANT ELEMENTS. THE AMH STROKE CENTER POSSESSES ALL OF THESE KEY ELEMENTS. AMH HAS BEEN ACTING AS A RESOURCE FOR COORDINATORS FROM OTHER HOSPITALS WHO WISH TO COME, VISIT AND LEARN ABOUT AMH'S STROKE PROGRAM. AMH IS WORKING WITH THE NATIONAL STROKE ASSOCIATION, THE DELAWARE VALLEY STROKE COUNCIL, THE AMERICAN STROKE ASSOCIATION AND THE NATIONAL APHASIA ASSOCIATION AS THESE EDUCATIONAL PROJECTS CONTINUE. STROKE PROGRAMS CONTINUE TO DEVELOP TO ENHANCE STROKE TREATMENT AND MANAGEMENT, ALONG WITH COMMUNITY OUTREACH/EDUCATION. AMH CONTINUES TO PLAY A LEADERSHIP ROLE IN STROKE CARE THROUGH ITS PARTICIPATION IN THE DELAWARE VALLEY STROKE COUNCIL'S STROKE TREATMENT ENHANCEMENT PROGRAM AND THE AMERICAN STROKE ASSOCIATION'S ACUTE STROKE TREATMENT PROGRAM. AMH ALSO OFFERS FREE BLOOD PRESSURE SCREENINGS AND STROKE RISK ASSESSMENTS SEVERAL TIMES MONTHLY AT LOCATIONS THROUGHOUT ITS COMMUNITY. IN FY13, AH DEVELOPED TELEMEDICINE CONTRACTS WITH PHOENIXVILLE, SACRED HEART AND GRAND VIEW HOSPITALS. PATIENTS SUFFERING FROM STROKE SYMPTOMS AT THESE HOSPITALS ARE NOW ABLE TO HAVE A STROKE CONSULTATION BY NEUROLOGISTS AT AMH VIA TELEMEDICINE TECHNOLOGY. A NEW PARTNERSHIP ENABLES THOSE PATIENTS TO BENEFIT FROM THE EXPERTISE OF SEVEN BOARD-CERTIFIED AMH NEUROLOGISTS WHO ARE EXPERIENCED IN EVALUATING ACUTE STROKE PATIENTS AND ADMINISTERING RT-PA, A CLOT-BUSTING MEDICATION USED TO TREAT STROKE SYMPTOMS. ABINGTON NEUROLOGISTS STAFF THE TELEMEDICINE SERVICE 24/7. 9. MULLER CENTER FOR SENIOR HEALTH AMH'S MULLER CENTER FOR SENIOR HEALTH HELPS PEOPLE ENJOY HEALTHY, PRODUCTIVE LIVES AS THEY AGE. THE MULLER CENTER BRINGS TOGETHER AMH'S OUTSTANDING INPATIENT, OUTPATIENT, COMMUNITY OUTREACH AND LONG-TERM CARE SERVICES FOR ITS SENIOR PATIENTS. IN ADDITION, ACADEMIC TEACHING AND RESEARCH ACTIVITIES ARE LINKED WITH THE CENTER AND NEW SERVICES AND EDUCATIONAL OPPORTUNITIES FOR PHYSICIANS AND OTHER PROFESSIONALS ARE ONGOING. THE MULLER CENTER FOR SENIOR HEALTH HAS AN EXPANDED FOCUS ON PHYSICIAN TRAINING IN GERIATRICS. SKILLED STAFF AND OUTSTANDING PROGRAMS MAKE AMH AN IDEAL PLACE FOR INTERNAL MEDICINE AND FAMILY MEDICINE PHYSICIANS TO RECEIVE ADVANCED TRAINING IN CARING FOR ELDERLY PATIENTS. AMH'S GERIATRIC MEDICINE FELLOWSHIP IS THE ONLY SUCH PROGRAM IN CHESTER, MONTGOMERY AND BUCKS COUNTIES ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. AMH'S GERIATRIC ASSESSMENT CENTER PROVIDES COMPREHENSIVE ASSESSMENTS FOR OLDER ADULTS WHO MAY BE EXPERIENCING MEMORY PROBLEMS, SUFFER A COMPLEX ARRAY OF PHYSICAL PROBLEMS, OR HAVE SOCIAL SITUATIONS COMPLICATING THEIR HEALTH STATUS. ASSESSMENT IS OFFERED ON BOTH AN INPATIENT AND OUTPATIENT BASIS. AMH'S MULLER CENTER OFFERS THESE FREE SERVICES: - CAREGIVERS RESOURCE ROOM - SENIOR RELATED INFORMATION ABOUT COMMUNITY RESOURCES, WITH COMPUTER ACCESS, CURRENT PUBLICATIONS, LONG-TERM CARE FACILITIES INFORMATION AND A BENEFITS CHECK-UP. - ELDERMED - A FREE WELLNESS PROGRAM FOR INDIVIDUALS 50 YEARS OF AGE AND OLDER, OFFERING EDUCATION PROGRAMS, HEALTHCARE RESOURCES AND SOCIAL PROGRAMS. - OPERATION REASSURANCE - DAILY TELEPHONE CONTACT TO ADULTS OVER AGE 60 AND THE DISABLED WHO LIVE ALONE IN EASTERN MONTGOMERY COUNTY. - STOP ABUSE IN LATER LIFE ("SAIL") - ONSITE ELDER ABUSE COUNSELING, COMMUNITY RESOURCE REFERRALS AND SUPPORT GROUPS. - THE HOSPITAL ELDER LIFE PROGRAM ("HELP") IS AN INNOVATIVE APPROACH TO PROTECT OLDER PATIENTS FROM DECLINING PHYSICALLY AND MENTALLY WHILE THEY ARE HOSPITALIZED. GERIATRICIANS, A GERIATRIC NURSE PRACTITIONER, AN ELDER LIFE SPECIALIST AND TRAINED VOLUNTEERS WORK TOGETHER TO PROTECT OLDER PATIENTS FROM EXPERIENCING THE POTENTIAL LOSS OF INDEPENDENCE THAT MAY OCCUR AS AN OUTCOME OF A HOSPITAL STAY. AMH'S STAFF WORKS AS A TEAM TO ADDRESS THE SPECIAL NEEDS OF EACH OLDER PATIENT. IN FY12, THE MULLER CENTER FOR SENIOR HEALTH WAS NAMED A HELP CENTER OF EXCELLENCE, DESIGNATED AS A HOSPITAL ELDER LIFE PROGRAM ("HELP") CENTER OF EXCELLENCE BY THE NATIONAL HELP ADVISORY BOARD. THIS ACHIEVEMENT ALLOWS THE HELP CENTER TEAM TO TRAIN NEW HELP SITES THROUGHOUT THE REGION. VOLUNTEERS PLAY A CRUCIAL ROLE IN "HELP" BY PROVIDING SPECIALIZED CARE DIRECTLY AT BEDSIDE. A VOLUNTEER VISITS AMH'S OLDER PATIENTS DAILY TO ORIENT THE PATIENT TO THE HOSPITAL AND TO OFFER SOCIAL SUPPORT. THEY ALSO OFFER ASSISTANCE WITH MEALS, WALKING AND OTHER DAILY EXERCISE AND WITH HEARING AND VISION EQUIPMENT. VOLUNTEERS ENCOURAGE THERAPEUTIC ACTIVITIES TO PROVIDE MENTAL STIMULATION AND SOCIALIZATION. THROUGH "HELP", THE HOSPITAL BECOMES A PLACE WHERE OLDER PATIENTS CAN FEEL SECURE AS THEY PARTICIPATE IN THEIR TREATMENT AND MAINTAIN SOME CONTROL OVER THEIR OWN RECUPERATION. - THE MEMORY FITNESS CENTER OFFERS A PROGRAM DESIGNED TO HELP SHARPEN THE MEMORY SKILLS OF OLDER ADULTS WHO ARE SHOWING SIGNS OF MEMORY LOSS OR HAVE BEEN RECENTLY DIAGNOSED WITH DEMENTIA. PHYSICAL AND LEISURE ACTIVITIES, ALONG WITH SUPPORT AND FRIENDSHIP FROM OTHERS ATTENDING THE PROGRAM, HELP INDIVIDUALS FEEL MORE COMFORTABLE AND CONFIDENT. PARTICIPANTS CHOOSE THEIR OWN ACTIVITIES AND THE NUMBER OF SESSIONS THEY WISH TO ATTEND. THE CENTER PROVIDES FOUR-HOUR SESSIONS, WHICH INCLUDE ACTIVITIES (LISTED BELOW) DESIGNED TO HELP MINIMIZE MEMORY LOSS AND DELAY SYMPTOMS BY STIMULATING THE MIND. PROGRAM ACTIVITIES INCLUDE: PHYSICAL EXERCISE, GAMES, PUZZLES, LITERATURE DISCUSSION, CURRENT EVENTS, GUEST SPEAKERS, MUSIC, SUPPORT GROUP AND INFORMATION AND REFERRAL. - APPRISE IS A FREE HEALTH INSURANCE COUNSELING PROGRAM, TO ASSIST PENNSYLVANIA RESIDENTS AGE 60 AND OLDER WITH CONCERNS ABOUT HEALTH INSURANCE. SPECIALLY TRAINED VOLUNTEER COUNSELORS PROVIDE ANSWERS TO QUESTIONS ABOUT MEDICARE BENEFITS, SUPPLEMENTAL PLANS AND MANAGED CARE OPTIONS. 10. THE ROBOTIC SURGERY PROGRAM AT AMH WITH THE ACQUISITION OF THE DA VINCI'S SURGICAL SYSTEM A ROBOTIC SURGERY PROGRAM ALONGSIDE THE SURGEONS AT ABINGTON MEMORIAL HOSPITAL BEGAN PERFORMING ROBOTIC PROCEDURES IN SEPTEMBER 2006. SURGEONS SPECIALLY TRAINED IN ROBOTICS INCLUDE GYNECOLOGIC ONCOLOGISTS, OB/GYNS, PEDIATRIC UROLOGISTS, A PEDIATRIC SURGEON, A REPRODUCTIVE ENDOCRINOLOGIST, BARIATRIC SURGEONS, A CARDIOTHORACIC SURGEON, GENERAL SURGEONS AND UROLOGISTS. 11. HOME CARE AMH HOME CARE ("AMHHC"), A DEPARTMENT OF AMH, PROVIDES COST-EFFECTIVE, HIGH-QUALITY, MULTIDISCIPLINARY HEALTH AND HOSPICE CARE TO INDIVIDUALS OF ALL AGES, TO IMPROVE HEALTH, PREVENT ILLNESS AND ENABLE TERMINALLY ILL PATIENTS TO REMAIN AT HOME. AMHHC NURSES HAVE BEEN CALLED THE AT-HOME EYES, EARS AND HANDS OF PHYSICIANS. THEY VERIFY MEDICAL ORDERS AND ASCERTAIN THAT PATIENTS ARE COMPLYING WITH PHYSICIAN-APPROVED TREATMENT PLANS. REGULAR WRITTEN AND VERBAL COMMUNICATIONS WITH PHYSICIANS ABOUT THEIR PATIENTS ENSURE THAT PROGRESS IS DOCUMENTED AND PROBLEMS ARE QUICKLY IDENTIFIED. EVERY YEAR, THOUSANDS OF PATIENTS AND THEIR FAMILIES IN THE DELAWARE VALLEY TURN TO AMHHC FOR COMPASSIONATE, SKILLED NURSING AND OTHER CARE IN THE COMFORT AND SECURITY OF HOME. PATIENTS RELY ON AMHHC TO PROVIDE PROFESSIONAL CARE AND SOPHISTICATED PROCEDURES, ONCE ONLY AVAILABLE IN THE HOSPITAL, IN SURROUNDINGS THAT ARE FAMILIAR AND REASSURING. COMPREHENSIVE, COST-EFFECTIVE CARE ---------------------------------- AS AN ALTERNATIVE TO COSTLY HOSPITALIZATION AND LENGTHY STAYS, WHEN PATIENTS ARE DISCHARGED, THEY MAY CHOOSE A HOME HEALTHCARE PROVIDER. AMHHC OFFERS A COMPREHENSIVE RANGE OF SERVICES ON SITE. WORKING WITH PHYSICIANS, CASE MANAGERS AND FAMILY MEMBERS, AMHHC'S PROFESSIONAL STAFF DETERMINES THE CLINICAL AND PERSONAL CARE PLAN THAT BEST MEETS PATIENTS' NEEDS. UNDER THE CARE OF REGISTERED NURSES, THERAPISTS, MEDICAL SOCIAL WORKERS AND AIDES, PATIENTS BENEFIT FROM HIGH-QUALITY, SKILLED, RELIABLE AND EFFICIENT CARE WHILE ENJOYING THE RELATIVE INDEPENDENCE OF HOME. FROM HOSPITAL TO HOME --------------------- AMHHC BRINGS HIGH-TECH MEDICAL RESOURCES FROM HOSPITAL ACUTE CARE UNITS INTO PATIENTS' HOMES. IN ACCORDANCE WITH PHYSICIAN'S ORDERS, AMHHC NURSES ADMINISTER MEDICATIONS AND INJECTIONS, CHANGE DRESSINGS, MANAGE TUBE FEEDINGS, PROVIDE TRACHEOSTOMY CARE AND MONITOR IV'S. BECAUSE OF THE HIGH LEVEL OF SKILLED CARE PROVIDED BY AMH'S STAFF, EVEN INDIVIDUALS UNABLE TO PERFORM THE MOST BASIC DAILY FUNCTIONS CAN LIVE AT HOME WITH THE SUPPORT AND ASSISTANCE OF AMHHC. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III TYPES OF CARE ------------- AS THE LENGTH OF HOSPITAL STAYS DECLINES FOR INDIVIDUALS WHO HAVE UNDERGONE JOINT REPLACEMENTS, AMPUTATIONS AND STROKES, SUPERVISED THERAPY AT HOME HAS GROWN IN IMPORTANCE. AMHHC NURSES AND THERAPISTS MAP OUT A PROGRAM OF CONSISTENT, COORDINATED, CROSS-DISCIPLINARY CARE THAT IS NECESSARY FOR SUCCESSFUL REHABILITATION. VISITING AMHHC STAFF ANSWER QUESTIONS, CLARIFY PHYSICIAN INSTRUCTIONS, MONITOR FOR INFECTIONS AND PROVIDE THE NECESSARY PHYSICAL AND OCCUPATIONAL THERAPY. TO EASE THE TRANSITION TO HOME, AMHHC STAFF ALSO WORK CLOSELY WITH FAMILY MEMBERS AND OTHER HEALTHCARE PROFESSIONALS TO BE SURE CAREGIVERS UNDERSTAND HOW TO ADMINISTER MEDICATIONS AND MAKE PATIENTS' HOMES MORE ACCESSIBLE AND MANEUVERABLE. ASSISTING PATIENTS IN RETIREMENT AND ASSISTED-LIVING FACILITIES AMHHC OFFERS RESIDENTS OF RETIREMENT HOMES AND ASSISTED-LIVING FACILITIES THE SAME ARRAY OF SERVICES PROVIDED TO ALL THEIR PATIENTS. AMHHC NURSES COLLABORATE WITH FACILITIES MANAGERS IN PROVIDING MEDICAL AND THERAPEUTIC SUPPORT TO ENABLE RESIDENTS TO FUNCTION INDEPENDENTLY FOR AS LONG AS POSSIBLE. SERVICES FOR CHRONIC ILLNESS ---------------------------- IN THE PAST 20 YEARS, LIFE EXPECTANCIES FOR CHRONICALLY ILL PATIENTS HAVE LENGTHENED DRAMATICALLY. AS THEY AGE, THESE PATIENTS PRESENT UNPRECEDENTED CHALLENGES TO HEALTHCARE PROVIDERS TO FIND NEW WAYS TO MANAGE LONG-TERM ILLNESS AND DISABILITY WHILE MINIMIZING UNSCHEDULED HOSPITALIZATION. AMHHC NURSES COLLABORATE WITH PRIMARY CARE PHYSICIANS TO ENSURE THAT DISABLED INDIVIDUALS RECEIVE THE THERAPY AND EDUCATION AT HOME THAT CAN IMPROVE THEIR QUALITY OF LIFE AND PREVENT DEVASTATING SETBACKS. HOSPICE CARE ------------ AMHHC'S INPATIENT AND AT-HOME HOSPICE PROGRAM PROVIDES THE COORDINATION AND ATTENTION TO INDIVIDUAL NEEDS THAT RELIEVE MANY DAY-TO-DAY STRESSES. IT ALLOWS PATIENTS AND THEIR FAMILIES TO ENHANCE THE TIME THEY HAVE TOGETHER. WHEN THE TERMINALLY ILL ARE DISCHARGED TO THEIR HOMES, A MULTIDISCIPLINARY AMHHC TEAM PROVIDES THE CLINICAL SKILLS, PERSONAL CARE AND COMPASSION THAT MAKE FINAL DAYS MORE MANAGEABLE. PALLIATIVE CARE MAY INCLUDE ADMINISTERING MEDICATION, PROVIDING PERSONAL CARE, ASSISTING WITH PAIN MANAGEMENT AND REFERRING PATIENTS AND FAMILIES FOR COUNSELING FOR DEPRESSION AND ANXIETY. AMHHC'S GRIEF SUPPORT GROUP CONTINUES TO HELP FAMILY AND CAREGIVERS. AMHHC ALSO PROVIDES A 19-BED INPATIENT HOSPICE PROGRAM ON ITS WARMINSTER CAMPUS. THIS PROGRAM IS UNIQUE TO THE AREA AND DRAWS PATIENTS AND FAMILIES FROM THROUGHOUT THE REGION. THE HOME-LIKE SETTING PROVIDES A COMFORTABLE ATMOSPHERE SO THAT FAMILIES CAN SPEND TIME WITH THEIR LOVED ONES. QUALITY OF CARE AND PATIENT SATISFACTION ARE PRIORITIES ------------------------------------------------------- AMHHC STAFF MEMBERS ROUTINELY MONITOR PATIENT AND PHYSICIAN SATISFACTION LEVELS AS AN ONGOING PERFORMANCE IMPROVEMENT PROCESS. AMHHC IS CERTIFIED BY MEDICARE FOR HOME HEALTH AND HOSPICE CARE AND ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. A VALUABLE COMMUNITY ASSET -------------------------- AFTER A PERIOD OF DUE DILIGENCE WITH THE NORTH PENN VISITING NURSES ASSOCIATION, ABINGTON HEALTH BROUGHT THIS FINE ORGANIZATION INTO THE SYSTEM THEREBY STRENGTHENING OUR PRESENCE IN GEOGRAPHY FURTHER NORTH TOWARDS LANSDALE HOSPITAL SERVICE AREA. THE ACQUISITION BROUGHT IN THE HOME HEALTH AND HOSPICE PROGRAMS AND ADDED TO THE CORPORATE DIVISION OF ABINGTON MEMORIAL HOSPITAL. AMHHC STRIVES TO PROVIDE SUPERIOR CARE TO PATIENTS IN MONTGOMERY, BUCKS AND PHILADELPHIA COUNTIES. LAST YEAR IN FY13, MORE THAN 295 NURSES, AIDES, SOCIAL WORKERS, THERAPISTS AND SUPPORT STAFF CARED FOR 138,370 HOME HEALTH AND HOSPICE VISITS TO ALMOST 9,413 PATIENTS SERVED. VOLUNTEERS ARE AN IMPORTANT PART OF THE AMHHC AND HOSPICE TEAM. THE AMHHC DEPARTMENT OFFERS TRAINING PROGRAMS FOR PEOPLE WHO WISH TO WORK AS VOLUNTEERS WITH PATIENTS OR IN THE AMHHC OFFICE. 12. COMPREHENSIVE WOUND HEALING CENTER THE COMPREHENSIVE WOUND HEALING CENTER, LOCATED AT THE ABINGTON HEALTH CENTER - SCHILLING CAMPUS IN WILLOW GROVE AND AT THE ABINGTON HEALTH CENTER - WARMINSTER CAMPUS, PROVIDES TREATMENT FOR NON-HEALING AND PROBLEM WOUNDS. PROBLEM WOUNDS ARE COMMON AMONG DIABETICS AND INDIVIDUALS WITH A RANGE OF OTHER MEDICAL CONDITIONS, SUCH AS RADIATION TISSUE DAMAGE, THAT INTERFERE WITH THE BODY'S NATURAL HEALING PROCESS. THE CENTER'S STAFF PROVIDES STATE-OF-THE-ART TOPICAL TREATMENT OPTIONS, ADJUNCTIVE THERAPIES, NON-INVASIVE DIAGNOSTIC STUDIES, WOUND DEBRIDEMENT, NUTRITIONAL SUPPORT, PRESSURE RELIEF DEVICES FOR PRESSURE WOUNDS, COMPRESSION THERAPY, HYPERBARIC OXYGEN THERAPY AND PHYSICAL THERAPY. 13. INTEGRATIVE MEDICINE WHETHER CALLED ALTERNATIVE, COMPLEMENTARY OR INTEGRATIVE MEDICINE, THESE NON-TRADITIONAL SERVICES ARE OFFERED TO INPATIENTS AND OUTPATIENTS AT AMH. INTEGRATIVE MEDICINE SERVICES AT AMH INCLUDE ACUPUNCTURE, MASSAGE THERAPY, A FIBROMYALGIA PROGRAM, MIND-BODY INTEGRATION GROUP AND REIKI SPECIALISTS. THE ABINGTON FITNESS INSTITUTE OFFERS CLASSES THROUGHOUT THE YEAR IN YOGA, AND OTHER FITNESS PROGRAMS FOR BOTH HEALTHY PEOPLE AND FOR PEOPLE RECOVERING FROM HEART DISEASE, CANCER, OR OTHER CONDITIONS. 14. THE DIABETES CENTER ABINGTON HEALTH'S 5 DIABETES CENTERS ACHIEVED RENEWAL OF AMERICAN DIABETES ASSOCIATION ("ADA") RECOGNITION OF ALL SITES. THE CENTERS CONTINUED WITH THE ADULT WEIGHT MANAGEMENT PROGRAMS, COMPLETED INPATIENT DIABETES EDUCATION PROGRAM FOR INPATIENT NURSING STAFF AT AMH. PROVIDED THE DIABETES SUPPORT GROUPS WITH 229 PARTICIPANTS THROUGHOUT THE YEAR. RECEIVED THE NATIONAL DIABETES PREVENTION PROGRAM GRANT FOR THE CDC IN FY13 FOR INDIVIDUALS AND CORPORATIONS. THE DIABETES CENTER AT AMH IS COMMITTED TO PROVIDING COMPREHENSIVE DIABETES EDUCATION AND COUNSELING SERVICES FOR ALL ASPECTS OF DIABETES MANAGEMENT. ITS PROGRAMS ARE RECOGNIZED FOR EXCELLENCE BY THE AMERICAN DIABETES ASSOCIATION. BOTH GROUP CLASSES AND INDIVIDUAL SESSIONS ARE OFFERED. THE DIABETES CENTER USES A TEAM APPROACH FOR EDUCATION AND COUNSELING, WITH THE PATIENT AS THE KEY MEMBER OF THE TEAM. REGISTERED NURSES AND REGISTERED DIETITIANS, WHO ARE ALSO CERTIFIED DIABETES EDUCATORS, ARE DEDICATED TO HELPING EACH PERSON GAIN CONTROL OF THEIR DIABETES WHILE MAINTAINING AN OPTIMAL STATE OF HEALTH AND WELL-BEING. TOGETHER, THE TEAM DESIGNS AN INDIVIDUALIZED PLAN THAT MATCHES PATIENT'S LIFESTYLES AND EDUCATIONAL NEEDS. NUTRITION COUNSELING FOR DIABETES: ONE OR MORE PRIVATE SESSIONS WITH A REGISTERED DIETITIAN SPECIALIZING IN DIABETES MANAGEMENT. INDIVIDUAL FOOD PREFERENCES AND LIFESTYLE ARE INCORPORATED INTO MEAL PLANNING STRATEGIES THAT HELP INDIVIDUALS IMPROVE BLOOD GLUCOSE CONTROL. ADDITIONAL EDUCATIONAL SERVICES INCLUDE: INSULIN SYRINGE PREPARATION AND SELF-INJECTION, GESTATIONAL DIABETES MANAGEMENT, INSULIN PUMP INITIATION AND CONTINUOUS GLUCOSE SENSOR EVALUATION. IN FY13, THE DIABETES CENTERS OF ABINGTON HEALTH ASSUMED RESPONSIBILITY FOR THE NUTRITION COUNSELING PROGRAM OUTPATIENT SERVICES. 15. INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY AT AMH'S INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY, PATIENTS RECEIVE THE LATEST SURGICAL TREATMENTS WITH LIFETIME FOLLOW-UP. WEIGHT LOSS SURGERY IS NOT A MAGIC BULLET, BUT IT'S THE FIRST IMPORTANT STEP, THE BEGINNING OF A LIFELONG COMMITMENT THAT LEADS TO A MUCH HEALTHIER BODY AND LIFESTYLE. AMH OFFERS ITS PATIENTS A COMPREHENSIVE APPROACH TO WEIGHT LOSS THAT FEATURES A FULL RANGE OF SERVICES, INCLUDING ONGOING SUPPORT, COUNSELING, AN EXERCISE PROGRAM AND A NUTRITION PLAN. THE PROGRAM WAS DESIGNATED A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE SURGICAL REVIEW CORPORATION, WHICH IS RECOGNIZED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. THE INSTITUTE HAS ALSO BEEN DESIGNATED A BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY (SM) BY THE BLUE CROSS AND BLUE SHIELD COMPANIES. 16. AMH PROVIDES THE BEHAVIORAL HEALTH UNIT TO SERVE THE COMMUNITY. THERE ARE FEW FACILITIES IN THE DELAWARE VALLEY WHICH ACCOMMODATES PATIENTS WITH BEHAVIORAL HEALTH AND MENTAL HEALTH NEEDS. FORTUNATELY, AMH HAS BEEN PROVIDING THIS SERVICE FOR SOME TIME AND EXPANDED ITS PHYSICAL SPACE AND CAPABILITIES IN 2012. BESIDES PSYCHIATRIC PATIENTS, OTHER UNIQUE POPULATIONS WHO COULD RECEIVE CARE HERE INCLUDE PREGNANT WOMEN WITH PSYCHIATRIC ISSUES, BARIATRIC PATIENTS WITH ISSUES RELATED TO THEIR RECOVERY, AND PATIENTS REQUIRING DIALYSIS WHO HAVE MENTAL HEALTH ISSUES. THIS NEW UNIT ALSO OFFERS STRONG GEROPSYCHIATRIC SERVICES AND CARE FOR PATIENTS UNDERGOING ELECRTROCONVULSIVE THERAPY ("ECT"). THE SPECIALIZED, INPATIENT TREATMENT PROGRAM IS DESIGNED TO MAINTAIN AND RESTORE THE INTEGRITY AND DIGNITY OF EACH INDIVIDUAL, INCLUDING BOTH YOUNG AND SENIOR ADULT PATIENTS. LOCATED ON THE FOURTH FLOOR OF THE BUERGER BUILDING, THE NEW UNIT INCLUDES 23 BEDS, BOTH PRIVATE AND SEMI-PRIVATE ROOMS, ACTIVITY ROOM AND GROUP DINING. COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III 17. ABINGTON MEMORIAL HOSPITAL PROVIDES COMMUNITY BENEFIT SERVICES FOR THE UNDERSERVED/UNINSURED/UNDERINSURED WITH A FOCUS ON PRIMARY AND SPECIALTY CARE, WOMEN'S AND CHILDREN'S SERVICES, DENTAL AND MENTAL HEALTH SERVICES. IN FY13, OVER 85,500 MEMBERS OF OUR COMMUNITY BENEFITED FROM THE CLINICS. ABINGTON HEALTH, INCLUDING AMH AND LHC, CONTINUED IN ITS MISSION BY SUPPORTING THE NORTH HILLS HEALTH CENTER, A NURSE MANAGED CENTER FOR SICK AND WELL VISITS. THE CENTER SERVES ALL AGES AND HAS A SOCIAL WORKER FOR CASE MANAGEMENT. 1,523 VISITS IN FY13. OB/GYN CENTER FOR PRENATAL CARE AND DELIVERY SERVING THE UNDERSERVED AND MULTI-LINGUAL PATIENTS AND FAMILIES: KOREAN, SPANISH, PORTUGUESE. 16,990 VISITS IN FY13. THE DENTAL CLINIC AT ABINGTON MEMORIAL HOSPITAL IS A RESIDENCY PROGRAM PROVIDING LOW OR NO COST DENTAL SERVICES FOR ALL AGES. 3,798 VISITS IN FY13. THE OUTPATIENT PSYCHIATRIC SERVICES AT CREEKWOOD CENTER PROVIDES EVALUATIONS, MEDICATION MANAGEMENT AND A CHILDREN'S PROGRAM WITH OVER 22,657 VISITS IN FY13. ABINGTON FAMILY MEDICINE ("AFM"), A RESIDENCY PROGRAM, SERVING ALL AGES SERVES THE UNDERINSURED AND UNINSURED. AFM INITIATED THE PATIENT CENTERED MEDICAL HOME AND HAS A SOCIAL WORKER ON SITE FOR CASE MANAGEMENT. OVER 24,023 VISITS IN FY13. SANTERIAN NEWBORN CENTER, A NURSE MANAGED, CENTER SERVING NEWBORNS FROM BIRTH TO 3 MONTHS FOR WELL BABY VISITS SAW 2,269 VISITS IN FY13. THE AMH AMBULATORY SERVICES UNIT, A NURSE MANAGED CENTER OF PRIMARY AND SPECIALTY CARE LOCATION AT AMH NEAR ACCESSIBLE BUS ROUTES SERVED 8,122 VISITS IN FY13. 18. MEDICAL SCREENINGS AMH PROVIDES NUMEROUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING THE FOLLOWING: - BREAST HEALTH SCREENINGS FOR UNDERSERVED MINORITIES - BLOOD PRESSURE SCREENINGS (COMMUNITY-BASED, INCLUDING AREA MALL LOCATIONS AND MULTIPLE SITES AT LOCAL FOOD STORES) - PAP TEST FOR UNDERSERVED WOMEN - MEMORY SCREENINGS - DEPRESSION SCREENINGS - SKIN CANCER SCREENINGS - HEART, STROKE AND DIABETES RISK ASSESSMENTS DURING FISCAL YEAR 2013 AMH PROVIDED NO-FEE SCREENING PROGRAMS TO APPROXIMATELY 1,944 INDIVIDUALS AT A COST TO AMH OF APPROXIMATELY $249,832 INCLUDING THE KOMEN GRANT FOR BREAST SCREENINGS. PLEASE NOTE THAT THE AFOREMENTIONED LIST OF SCREENING PROGRAMS IS NOT AN ALL-INCLUSIVE LIST. 19. CLOSING THE GAP CLOSING THE GAP: EXPANDING MINORITY HEALTH OPTIONS IS A MAJOR INITIATIVE OF AMH. THE INITIATIVE WAS LAUNCHED IN 2004 IN RESPONSE TO A NATIONAL CALL TO ACTION TO ADDRESS THE HEALTH NEEDS OF SPECIFIC RACIAL AND ETHNIC POPULATIONS EXPERIENCING PERSISTENT GAPS IN HEALTHCARE AND HEALTH OUTCOMES. HEALTH PROGRAMS UNDER CLOSING THE GAP ARE DESIGNED TO REACH POPULATIONS AFFECTED BY THE UNEQUAL INCIDENCE OF A NUMBER OF ILLNESSES, DISEASE AND DISABILITY. PROGRAMMING HAS SERVED OVER 1,283 RESIDENTS. FISCAL YEAR 2013 PROGRAMS WERE HELD AT MANY VENUES, INCLUDING: - A HEALTH CENTER IN A MEDICALLY UNDERSERVED PART OF THE COMMUNITY TO PROVIDE PREVENTIVE MEDICINE, HEALTH EDUCATION AND SCREENINGS, AS WELL AS DIRECT MEDICAL SERVICES TO COMMUNITY MEMBERS. - ENON, CHELTENHAM - SAINT JOHN BOSCO HISPANIC COMMUNITY - BETHEL DELIVERANCE INTERNATIONAL CHURCH - COMMUNITY FAIRS IN CHELTENHAM, CRESTMONT AND WILLOW GROVE IN FISCAL YEAR 2013, AMH PROVIDED 47 PROGRAMS FOR THE UNDER-SERVED IN ITS COMMUNITY, REACHING 5,556 INDIVIDUALS AT A COST OF $1,051,758. AMH CONTINUED ITS USE OF ALVIN --- THE ALL LANGUAGE VIDEO INTERPRETER NETWORK OR VIDEO REMOTE INTERPRETER. THE SYSTEM PROVIDES INPATIENTS AND OUTPATIENTS WITH INSTANT ACCESS TO TRAINED HEALTHCARE INTERPRETERS, 24 HOURS A DAY/SEVEN DAYS A WEEK, WITH COVERAGE OF MORE THAN 100 LANGUAGES, INCLUDING AMERICAN SIGN LANGUAGE. COMMUNITY SUPPORT, ACTIVITIES AND PROGRAMS ========================================== OUTLINED BELOW ARE A NUMBER OF AMH COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW AMH BENEFITS THE SURROUNDING COMMUNITY IN FURTHERING ITS CHARITABLE TAX-EXEMPT PURPOSES. COMMITTED TO PROVIDING HIGH-QUALITY HEALTHCARE SERVICES TO PATIENTS IN A COMPASSIONATE AND CARING MANNER, AMH IS ALSO A REGIONAL LEADER IN HEALTH EDUCATION. ITS DEDICATED, PROFESSIONAL STAFF WORKS HARD AT AMH'S MISSION OF DELIVERING A FULL RANGE OF MEDICAL, SURGICAL, OBSTETRICAL, NEWBORN, PEDIATRIC, GERIATRIC, ONCOLOGICAL AND PSYCHIATRIC SERVICES TO RESIDENTS OF EASTERN AND CENTRAL MONTGOMERY, LOWER AND CENTRAL BUCKS, AND NORTH AND NORTHEAST PHILADELPHIA AREAS. EXAMPLES OF THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: - SPONSORSHIP OF MEETINGS AND FREE SPACE TO COMMUNITY GROUPS. - CHILD PSYCHIATRIC SERVICES, CRISIS INTERVENTION AND EVALUATION FOR STUDENTS IN LOCAL SCHOOL DISTRICTS. IN ADDITION, THE SAFE HARBOR PROGRAM, WHICH IS A GRIEF SUPPORT GROUP FOR CHILDREN, TEENS, YOUNG ADULTS AND FAMILIES. IN FISCAL YEAR 13 THERE WERE 199 CHILDREN/TEENS AND 129 PARENTS SERVED BY THE PROGRAM. - VOLUNTEERS: 1,184 MEMBERS OF THE COMMUNITY CONTRIBUTED 121,300 HOURS TO SERVE THE HEALTHCARE NEEDS OF THEIR NEIGHBORS. THE VALUE OF THIS CONTRIBUTION IS APPROXIMATELY $2,365,350 WHICH IS RETURNED TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND WELLNESS PROGRAMS. -IN FISCAL YEAR 2013, AMH PROVIDED MISSION AND SERVICE LEAVE FOR 110 EMPLOYEES GIVING OVER 1,168 HOURS OR $44,533 OF SERVICE TO AREA AND REGIONAL NONPROFIT ORGANIZATIONS SERVING THE UNDERSERVED AND MOST VULNERABLE RESIDENTS OF OUR COMMUNITY. - ELDERMED: FREE SENIOR MEMBERSHIP PROGRAM FOR PEOPLE OVER AGE 50; PROVIDES INSURANCE CLAIMS ASSISTANCE/COUNSELING, EDUCATION, SCREENINGS, AND COMMUNITY RESOURCES CENTER. THIS PROGRAM OFFERED 63 EDUCATIONAL PROGRAMS AND OTHER EVENTS SERVING 2,127 SENIORS IN OUR COMMUNITY. - ELDERHELP: FREE HOTLINE FOR SENIOR CITIZENS. - PROFESSIONAL TRAINING: OPERATE AND SUBSIDIZE TUITIONS FOR THE DIXON SCHOOL OF NURSING, SCHOOL OF RADIOLOGIC TECHNOLOGY AND NUCLEAR MEDICINE, GRADUATE STUDENTS IN CLINICAL PASTORAL EDUCATION, AND SUPPORT SCHOLARSHIP PROGRAMS FOR LOCAL STUDENTS IN RESPIRATORY THERAPY, RADIATION THERAPY AND NUCLEAR MEDICINE. - EDUCATION OF PARAMEDICS IN EASTERN MONTGOMERY COUNTY. - IN FISCAL YEAR 2013 THE MULLER CENTER ALLOCATED $3,974 TO PROVIDE TAXI SERVICE AND VOUCHERS TO 66 PATIENTS, SUBSIDIZES FIVE VANS FOR TRANSPORTATION TO AND FROM THE HOSPITAL FOR PROCEDURES FY13 PROVIDED $51,030 SERVING 1,775 PERSONS AND PAID $4,991 TO PROVIDE MEDICATIONS TO INDIGENT PATIENTS. - IN FY13 AMH PROVIDED SPACE AND SUPPORT FOR GILDA'S CLUB AT AMH A COST OF $8,275. - OVER 84 ORGANIZATIONS RECEIVED CASH FOR SPONSORSHIPS OR IN-KIND SUPPORT IN FY13 TOTALING $190,885. - OVER $159,167 WAS ALLOCATED TO THE DEVELOPMENT OF COMMUNITY BENEFIT STAFF AT AMH INCLUDING DUES, SUBSCRIPTIONS FOR SOFTWARE, LEADERSHIP AND OPERATIONAL STAFF, TRAINING AND FUNDRAISING FOR A NEWLY FORMED COMMUNITY BENEFIT RESTRICTED FUND. - IN FY13 THE DOMESTIC VIOLENCE MEDICAL ADVOCACY PROGRAM PROVIDED COUNSELING TO OVER 432 INDIVIDUALS WITH AN ADDITIONAL 118 SUPPORT GROUP ENCOUNTERS. - AMH PROVIDES FREE SPACE AND SUPPORT FOR THE MONTGOMERY COUNTY HEALTH DEPARTMENT COMMUNICABLE DISEASE CLINIC. IN FY13, AMH SPENT $13,515 IN SUPPORT SERVING WITH THE COUNTY OVER 717 INDIVIDUALS. - PROVIDES FREE PHYSICIAN REFERRAL SERVICE TO THE COMMUNITY FOR THOSE MEMBERS WHO ARE IN NEED OF PHYSICIAN SERVICES. CALLERS CAN OBTAIN COMPREHENSIVE INFORMATION ABOUT AMH PHYSICIANS INCLUDING SPECIALTY, OFFICE HOURS, TYPES OF INSURANCE ACCEPTED, ETC. VARIOUS MATERNITY CLASSES INCLUDING BABY CARE BASICS, BREASTFEEDING, BREASTFEEDING, CHILDBIRTH PREPARATION, CHILDBIRTH REFRESHER AND OB/GYN CENTER CHILDBIRTH PREPARATION AND OTHERS. TOTAL CLASSES GIVEN DURING FISCAL YEAR WERE OVER 135 WITH A TOTAL OF 2,980 ATTENDEES. AMH, IN ADDITION TO THOSE OUTLINED ABOVE, OFFERS NUMEROUS OTHER COMMUNITY PROGRAMS AND ACTIVITIES INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: - EXPANDED THE PRE-MED VOLUNTEER PROGRAM - BARIATRIC INFO SESSIONS - MATERNITY EDUCATION CLASSES AND SUPPORT - BEREAVEMENT SUMMER CAMP - ANIMAL ASST. THERAPY - SUPPORT IN BEREAVEMENT - CASE MANAGEMENT TAXI VOUCHER SERVICE - PRESCRIPTION MEDICATIONS - HOSPITAL HOLIDAY PROGRAM - GENERAL CANCER SUPPORT GROUP - BREAST CANCER SUPPORT GROUP - LOOK GOOD, FEEL BETTER - WIG BANK - SAILL (STOP ABUSE IN LATER LIFE) PROGRAM - DOMESTIC VIOLENCE PROJECT - VAN SERVICE - MULLER CENTER - ELDERMED - VAN SERVICE - CREEKWOOD - AMERICAN RED CROSS BLOOD DRIVES (5) - INFANT BURIAL ASSISTANCE - SEXUAL ASSAULT NURSE EXAMINER PROGRAM COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III AMH EDUCATIONAL PROGRAMS ======================== AMH WAS FOUNDED AS A TEACHING HOSPITAL AND BELIEVES THAT EDUCATING THE PUBLIC AS WELL AS FUTURE GENERATIONS OF MEDICAL PROFESSIONALS IS AN IMPORTANT PART OF ITS MISSION TO SERVE ITS COMMUNITY'S COMPLETE HEALTHCARE NEEDS. COMMUNITY HEALTH SERVICES -------------------------- AMH'S GOAL IS TO PLAN, DEVELOP, IMPLEMENT AND EVALUATE PROGRAMS TO EDUCATE CONSUMERS ABOUT HEALTH PROMOTION AND DISEASE PREVENTION. AMH COMMUNITY HEALTH SERVICES DEPARTMENT SPONSORS HEALTH EDUCATION SEMINARS AND FREE OR LOW-COST SCREENINGS, SUPPORT/SELF-HELP AND AWARENESS GROUPS, INFORMATION AND REFERRAL, SMOKING CESSATION CLASSES, PARENTING EDUCATION AND MUCH MORE. DURING FISCAL YEAR 2013 AMH PROVIDED A BROAD RANGE OF COMMUNITY HEALTH EDUCATION SEMINARS INCLUDING VARIOUS EDUCATION CLASSES, SMOKING CESSATION, BABYSITTING CLASSES AND SIBLING PREPARATION. HEALTH EDUCATION CLASSES WERE OFFERED TO 3,004 COMMUNITY RESIDENTS AT A COST OF $89,240. RESIDENT TRAINING PROGRAMS -------------------------- SINCE AMH FIRST OPENED ITS DOORS IN 1914, IT HAS BUILT AND MAINTAINED AN OUTSTANDING REPUTATION AS ONE OF THE LEADING TEACHING HOSPITALS IN THE PHILADELPHIA AREA - A UNIQUE COMBINATION OF AN ACADEMIC MEDICAL CENTER IN A COMMUNITY HOSPITAL SETTING. A COMMITMENT TO PROVIDING EXCEPTIONAL PATIENT CARE HAS EARNED AMH RECOGNITION AS A MAJOR REGIONAL TEACHING FACILITY THAT OFFERS A FULL SPECTRUM OF CLINICAL EXPERIENCES AND A RIGOROUS ACADEMIC PROGRAM. AMH HAS IN ITS PROGRAM EACH YEAR MORE THAN 110 RESIDENTS IN FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, SURGERY AND DENTISTRY. RESIDENTS ROTATING FROM UNIVERSITY CENTERS IN ORTHOPEDIC SURGERY, PLASTIC SURGERY, UROLOGY AND NEUROSURGERY ADD TO THE ACADEMIC ENVIRONMENT. ALL TRAINING PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. DIXON SCHOOL OF NURSING ----------------------- AMH ALSO OPERATES THE DIXON SCHOOL OF NURSING, OFFERING DAY, EVENING AND WEEKEND PROGRAMS. MANY STUDENTS ROTATE THROUGH THE SCHOOL GAINING THE KNOWLEDGE AND EXPERTISE NECESSARY TO BECOME NURSES ABLE TO PROVIDE QUALITY HEALTHCARE SERVICES TO ALL INDIVIDUALS. FOCUSED OUTREACH HAS IMPROVED RECRUITMENT OF MINORITY STUDENTS. SCHOOL OF RADIOLOGIC TECHNOLOGY ------------------------------- THE SCHOOL OF RADIOLOGIC TECHNOLOGY PROVIDES EACH STUDENT WITH BOTH THE KNOWLEDGE AND SKILLS NEEDED TO MEET AND/OR EXCEED THE MINIMUM ENTRY-LEVEL REQUIREMENTS TO PERFORM RADIOLOGIC TECHNOLOGY. UPON SUCCESSFUL COMPLETION, THE GRADUATE TECHNOLOGIST WILL BE ABLE TO PERFORM AS AN EFFECTIVE, COMPETENT ENTRY-LEVEL RADIOGRAPHER. WILMER MEMORIAL MEDICAL LIBRARY ------------------------------- A COLLECTION OF MEDICAL, NURSING, AND CONSUMER BOOKS AND JOURNALS ARE AVAILABLE AT THE WILMER MEMORIAL MEDICAL LIBRARY. OPEN WEEKDAYS FROM 9 TO 4:30 FOR COMMUNITY MEMBERS AND OFFERING WEB ACCESS. AMH'S WEBSITE PROVIDES A COMPREHENSIVE ARRAY OF HEALTH INFORMATION THROUGH ITS "ADAM" HEALTH RESOURCE LIBRARY. THE WEBSITE ALSO POSTS A CALENDAR OF EVENTS NOTIFYING THE COMMUNITY REGARDING ITS MANY HEALTH EDUCATION AND SCREENING PROGRAMS. GRADUATE PROGRAM FACULTY ------------------------ AMH SUPPORTS PLACEMENT OPPORTUNITIES IN ALL PROGRAMS, AND HAS ENABLED RESIDENTS TO OBTAIN ADVANCED GRADUATE TRAINING. AMH HAS A TEACHING ASSOCIATION WITH TEMPLE UNIVERSITY SCHOOL OF MEDICINE AND DREXEL UNIVERSITY MEDICAL SCHOOL. MANY OF AMH'S PHYSICIANS SERVE ON THE FACULTIES OF THE PHILADELPHIA MEDICAL SCHOOLS AND ARE INVOLVED IN CONDUCTING RESEARCH AND PUBLISHING REGULARLY. AN ACTIVE PROGRAM OF CONTINUING MEDICAL EDUCATION OFFERS OPPORTUNITIES FOR PHYSICIANS AND OTHER MEDICAL STAFF TO GAIN THE MOST CURRENT KNOWLEDGE IN THEIR SPECIALTIES. COMMUNITY HEALTH EDUCATION PROGRAMS ----------------------------------- AMH PROVIDES NUMEROUS LECTURES, SEMINARS AND OTHER EDUCATIONAL PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: - HEART HEALTHY WALKS IN THE COMMUNITY - BABYSITTING WORKSHOP - EXPANDED SPEAKER'S BUREAU - STROKE EDUCATION PROGRAM - ASK THE PEDIATRICIAN - BLOODLESS MEDICINE AND SURGERY SEMINARS - CPR AND SAFETY EDUCATION CLASSES - ASCEND - MANAGING EPILEPSY - USING COUMADIN SAFELY - CAR SEAT SAFETY - WEIGH TO GO - CHILDHOOD WEIGHT MANAGEMENT PROGRAM - HEALTHY COOKING CLASS - THEY WHY & HOW OF SAFE EXERCISE - SMOKING CESSATION PROGRAM - STROKE AND BREAST CANCER PREVENTION - BREAST CANCER EDUCATION - CAREGIVERS PROGRAM - BREAST CANCER SCREENING FOR AFRICAN-AMERICAN AND KOREAN WOMEN - EXPANSION TO ASIAN INDIAN COMMUNITY - FY13 - COLON CANCER EDUCATION - WOMEN'S NIGHT OUT - ASIAN WOMEN'S BREAST HEALTH EDUCATION PROGRAM - ENCARE - HEART FAILURE AND DIABETES MANAGEMENT - EARLY IDENTIFICATION OF DEMENTIA - BEYOND BREAST CANCER - SLEEP DISORDERS - MAXIMIZING YOUR MEMORY - RESOURCES FOR SENIORS OTHER AMH COMMUNITY EVENTS, ACTIVITIES AND PROGRAMS =================================================== PARENTING EDUCATION ------------------- AS PART OF ITS CONTINUING EFFORT TO PROMOTE FAMILY EDUCATION, AMH IS A FOUNDING SPONSOR OF THE CENTER FOR PARENTING EDUCATION. THE CENTER PROVIDES A PLACE FOR PARENTS TO LEARN AND PRACTICE ESSENTIAL SKILLS NEEDED FOR HEALTHY PARENTING IN TODAY'S WORLD. THESE EDUCATIONAL TOOLS ARE PROVIDED THROUGH A VARIETY OF INFORMATIVE WORKSHOPS AS WELL AS DISCUSSION GROUPS, KNOWN AS PLAY 'N SHARE. DURING THESE WEEKLY SESSIONS, PARENTS ARE ABLE TO SHARE THEIR PARENTING CONCERNS AMONGST THEMSELVES AND TWO TRAINED PARENTING EDUCATORS WHILE THEIR CHILDREN PLAY. ONLINE WORKSHOPS ALSO ARE AVAILABLE. EACH OF AMH'S SERVICES HAS ONE GOAL IN MIND...TO HELP COMMUNITY MEMBERS LIVE HEALTHIER LIVES. AMH RECOGNIZES THAT A HEALTHY DIET AND ACTIVE LIFESTYLE CAN HELP REDUCE THE RISK OF DISEASE, PREVENT COMPLICATIONS ASSOCIATED WITH PRE-EXISTING CONDITIONS, AND INCREASE ENERGY -- AS WELL AS ENHANCE SELF-IMAGE AND GENERAL SENSE OF WELL-BEING. OTHER PROGRAM SERVICES CORE FORM, PART III; QUESTION 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER 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. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ABINGTON HEALTH ("AH") IS THE SOLE MEMBER OF THIS ORGANIZATION. AH HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE AUDIT AND COMPLIANCE COMMITTEE OF ABINGTON MEMORIAL HOSPITAL ("AMH") REVIEWED THE FORM 990 IN DETAIL PRIOR TO THE FORM 990 BEING MADE AVAILABLE TO THE GOVERNING BODY. THE AMH BOARD OF TRUSTEES HAS DELEGATED TO ITS AUDIT AND COMPLIANCE COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE 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 VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF AMH AUDIT AND COMPLIANCE COMMITTEE AND THEREAFTER TO THIS ORGANIZATION'S BOARD OF TRUSTEES. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES ABINGTON MEMORIAL HOSPITAL ("AMH"). THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO AMH'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS AND REVIEWS THIS SUMMARY WITH AMH'S VP OF LEGAL AFFAIRS/GENERAL COUNSEL. THIS SUMMARY IS THEN GIVEN TO A SUB-COMMITTEE OF AMH'S AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW. THEREAFTER, THE SUB COMMITTEE OF THE AUDIT AND COMPLIANCE COMMITTEE OF AMH REVIEWS AND MAKES DECISIONS ON HOW TO HANDLE CONFLICTS OF INTEREST AND ASSOCIATED MITIGATING BEHAVIOR TO BE TAKEN BY THE ORGANIZATION IF APPLICABLE. DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES ABINGTON MEMORIAL HOSPITAL ("AMH"). THE ORGANIZATION'S BOARD OF TRUSTEES 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, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER AND VICE PRESIDENT OF FINANCE/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, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER AND VICE PRESIDENT OF FINANCE/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 TRUSTEES 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. THE PEER GROUP CHOSEN FOR COMPARISON SHOULD REFLECT THE FACT THAT ABINGTON HEALTH IS A MULTI-HOSPITAL HEALTHCARE SYSTEM. THE PEER GROUP WILL CONTAIN NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS COMPARABLE IN SIZE AND COMPLEXITY TO ABINGTON HEALTH. THE PEER GROUP WOULD CONSIST OF INDEPENDENT, SINGLE AND MULTI-HOSPITAL HEALTHCARE SYSTEMS THAT HAVE AN EMPHASIS ON TEACHING AND RANGE IN SIZE FROM HALF AS LARGE TO UP TO TWICE AS LARGE AS ABINGTON HEALTH. ALTHOUGH THIS PEER GROUP WILL CONTAIN ORGANIZATIONS FROM ALL PARTS OF THE U.S., ABINGTON HEALTH WILL ALSO EXAMINE REGIONAL (MID-ATLANTIC) AND LOCAL (PHILADELPHIA) PAY LEVELS. 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, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER AND VICE PRESIDENT OF FINANCE/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 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 OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION AND FOR THEIR POSITION WITHIN THE ABINGTON HEALTH AND AFFILIATES INTEGRATED HEALTHCARE DELIVERY SYSTEM; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CERTAIN INDIVIDUALS WERE SHOWN ON PRIOR YEARS FORMS 990 AS KEY EMPLOYEES. BASED UPON A REVIEW OF THEIR JOB RESPONSIBILITY AND OTHER INFORMATION DURING THE CURRENT YEAR ENDED JUNE 30, 2013 IT WAS DETERMINED THEY WERE NOT KEY EMPLOYEES DURING THE CURRENT YEAR OR PRIOR YEARS. THUS THESE INDIVIDUALS ARE NOT SHOWN AS EITHER KEY EMPLOYEES OR FORMER KEY EMPLOYEES ON THE YEAR'S FORM 990. RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B THE ORGANIZATION IS AN AFFILIATE WITHIN ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES MULTIPLE NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE 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 TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. 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 ABINGTON HEALTH SYSTEM; NOT SOLELY THIS ORGANIZATION. OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - GAIN ON ADVANCE REFUNDING OF DEBT; $1,363,138; - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL; $3,693,814; - CHANGE IN PENSION LIABILITY; $76,824,116; - NET TRANSFER TO AFFILIATES; ($47,498,613); - NET ASSETS RELEASED FROM RESTRICTIONS - TEMPORARILY RESTRICTED; ($2,669,142); AND - INCREASE IN VALUE OF SPLIT INTEREST AGREEMENTS AND PERPETUAL TRUSTS; $2,841,137. AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S PARENT ENTITY IS ABINGTON HEALTH. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM 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. AMH'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. FINANCIAL STATEMENTS AND REPORTING CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ABINGTON HEALTH SYSTEM; A TAX-EXEMPT INTEGRATED HEALTHCARE DEVLIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. ABINGTON HEALTH FOUNDATION 1200 OLD YORK ROAD ABINGTON PA 19001 232188052 FUNDRAISING PA 501(C)(3) 509(A)(1) AH false LANSDALE HOSPITAL CORPORATION 100 MEDICAL CAMPUS DRIVE LANSDALE PA 19446 263359979 HEALTH SVCS. PA 501(c)(3) HOSPITAL AH false ABINGTON HEALTH 1200 OLD YORK ROAD ABINGTON PA 19001 271243803 SUPPORTING PA 501(c)(3) 509(A)(3) NA false false true true false false false false false false false true false true true true false false false false