2012-05-11T11:08:51-05:00 2011-06-30 990 2010-07-01 232826045 Jeanes Hospital JEAN 2157283306 3509 N Broad Street No 936 Philadelphia PA 19140 Gerald P Oetzel 2157283306 2012-05-11 2010 2016-02-24 21:20:13Z Gerald P Oetzel 3509 N Broad Street No 936 Philadelphia PA 19140 159178299 0 X www.jeanes.com X 1996 PA To maintain and enhance the quality of life for individuals in the communities we serve. 7 6 1324 280 207480 31127 504851 233515 149596971 152563905 680678 703023 4034061 5305657 154816561 158806100 4000000 6172500 0 0 72371528 72657319 0 0 33116 77144577 98847316 153516105 177677135 1300456 -18871035 132376365 131003470 83765765 92443079 48610600 38560391 X Jeanes Hospital's mission statement, as approved by its board of directors and executiveship is:In furtherance of the mission of Temple University Health System, the mission of Jeanes Hospital is to maintain and enhance the quality of life for individuals in the communities we serve. We emphasize the Quaker belief that in each person there resides a spirit that creates a common bond among us all. Our health care services include maintenance and enhancement of health, which quickens the spirit and enhances the vitality of our lives. 0 0 17016787 16450386 The Cardiovascular program at Jeanes Hospital provides healthcare servicesaimed at preventing, diagnosing, and treating cardiovascular diseases. Cardiovascular diseases are the leading cause of death in the United States. The services provided by Jeanes Hospital target the full range of conditions related to the heart and vascular system, including congestive heart failure, hypertension, and narrowing of the arteries and peripheral disease. The services are provided to both inpatients and outpatients.Cardiovascular services at Jeanes Hospital span the continuum of heart care. Included are open heart surgery, diagnostic and interventional cardiac catheterization, electrophysiology studies, stress testing, cardiac and thoracic surgery, echocardiograms, EKGs, holter monitor tests and cardiopulmonary rehab. The hospital's vascular services provide both open and closed vascular procedures in surgery, cath lab and vascular lab. Jeanes Hospital is the recipient of the American Heart Association's Stroke Gold Plus Quality Achievement Award. 11690108 13248614 Gastroenterology/Digestive Disease. Jeanes Hospital gives patients the most advanced, safest and proven medical and surgical treatments primarily focused on the gastrointestinal tract. The services offered by Jeanes Hospital under this specialty are: surgical weight loss, colorectal surgery, nutritional counseling, and gastroenterology and hepatology services aimed at treating patients with disorders of the esophagus, liver, gall bladder and stomach. Services are provided to both inpatients and outpatients. 10426461 9901438 Pulmonary. Jeanes Hospital provides comprehensive pulmonary complex medical and rehabilitation programs for patients with acute and chronic pulmonary conditions. Services provided range from inpatient ventilation management and weaning, to outpatient pulmonary rehabilitation delivered by an interdisciplinary team of highly trained and board certified pulmonologists, respiratory therapists and nurses. 115953041 6172500 112963467 In concert with cardiovascular, digestive and pulmonary services at Jeanes Hospital, a full continuum of additional services creates a comprehensive medical and surgical center for our community and its physicians. Services range from diagnostic to therapeutic, medical to surgical, and outpatient to critical care. Here is a roster of some of the more prominent services at Jeanes Hospital: General Medicine consists of diagnosis, management and non-surgical treatment of disease processes. Emergency Services are available to the community 24 hours a day for patients who suffer illness or injury. We have a full range of ambulatory diagnostic testing, including path lab services and radiology. Diagnostic imaging services include general X-ray, digital mammography, ultrasound, MRI, CT, interventional imaging and nuclear medicine. Advanced technology MRI, CT and PET scanning are available at Jeanes Hospital for critical diagnoses. Services, both medical and surgical, are available for disorders of the ears, nose, throat and eyes. Women's health services at Jeanes Hospital include screening and diagnostic digital mammography, ultrasound services, breast surgery, fertility services and a compendium of gynecological surgical services. Orthopaedics at Jeanes Hospital ranges from conservative treatment to high acuity surgery. Surgery includes tertiary-level joint replacement procedures and rehab, and spine procedures. Neurosurgery services at Jeanes Hospital offers an alternative to orthopaedics for spine surgery patients. General surgery encompasses an array of interventional procedures for our patients, including oncologic, vascular, gastrointestinal, bariatric surgeries, etc. In step with surgical trends, Jeanes Hospital offers more and more minimally-invasive alternatives such as laparoscopic surgery. Dermatology and plastic surgery both have a full-time presence at Jeanes Hospital. Anesthesiologists on the Jeanes Hospital medical staff offer a formal pain management program for chronic pain patients, including interventional procedures. A hospitalist program was established at Jeanes Hospital, allowing physicians to rely on specially trained inpatient coverage while tending to their practices more efficiently. Additional services include urology, nephrology, neurology, infectious disease, psychiatry and psychology, podiatry, rheumatology, and endocrinology. 115953041 6172500 112963467 155086397 1 1 0 0 0 0 0 1 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 88 0 1 1324 1 1 1 0 0 0 0 0 0 0 0 0 X 7 6 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X X Gerald P Oetzel 2157283306 3509 N Broad Street No 936 Philadelphia PA 19140 X Joseph Evans 5.00 X 0 0 0 Linda J Grass 50.00 X X 294568 0 10299 Francis Devlin 5.00 X 0 0 0 R Thomas Unkefer 5.00 X 0 0 0 Martin Ogletree 5.00 X 0 0 0 David G Kraynik 5.00 X 0 0 0 Dr Thomas L Lewis 5.00 X 0 0 0 Beth C Koob 5.00 X 0 442096 52551 Sharon J Anderson 50.00 X 54627 0 15160 Betty McAdams 5.00 X 0 90085 14136 Gerald P Oetzel 50.00 X 221155 0 25739 Robert H Lux 5.00 X 0 493407 53320 Andrea McCoy 50.00 X 231801 0 25522 Denise Frasca 50.00 X 151655 0 19362 Richard Creech 50.00 X 273078 0 0 Stephanie Kao 50.00 X 192675 0 10411 Khang Pham 50.00 X 171658 0 11212 John Woodward 50.00 X 164998 0 17 Frank Shipp 50.00 X 149726 0 13631 1905941 1025588 251360 54 0 1 0 Temple University Health System 3509 N Broad Street Room 936 Philadelphia PA 19140 Related organization services 9707723 Temple University Hospital 3509 N Broad Street Room 936 Philadelphia PA 19140 Faculty support, lab 3531613 Siemens Medical Solutions USA P O Box 7777 W3580 Philadelphia PA 19175 IT equipment service maintenance 2056348 Temple Physicians Inc 3509 N Broad Street Room 936 Philadelphia PA 19140 Related organization services 1563616 Fox Chase Anesthesiology Associates PC 7600 Central Avenue Philadelphia PA 19111 Anesthesiology 1426548 27 1127 133608 88666 10114 233515 Net patient service re 622110 147620575 147450049 170526 Rental income 532000 4069323 4069323 Snack shop income 722210 472937 472937 Cafeteria income 722210 316767 316767 Service revenue 622110 81071 80871 200 3232 3232 152563905 282475 282475 68250 5968 62282 62282 62282 786779 366231 420548 420548 420548 Income from other invs 523000 5243375 36754 5206621 5243375 158806100 152393179 207480 5971926 6172500 6172500 1168748 741274 427474 56441574 50739308 5702266 2548407 2168668 379739 8343774 7122152 1221622 4154816 3556044 598772 7553255 1461029 6059110 33116 195256 195256 -31786 -31786 20748486 15632137 5116349 1835 782 1053 27420956 26955157 465799 51562 51562 1432018 1211014 221004 59670 56935 2735 9801 9482 319 2437224 2064899 372325 6967190 5984876 982314 15798199 15638185 160014 Medicare recapture writ 6000000 6000000 Taxes 4812180 4803302 8878 Bad Debt 3123000 3123000 Equipment Repair/Mainte 2010092 1371607 638485 Other/Misc 258378 274046 -15668 177677135 155086397 22557622 33116 4124610 2625652 27140884 22064335 3761302 3343796 1152512 1287220 148375921 115799768 33360258 32576153 18392449 19710823 25821002 28525626 18623348 20869865 132376365 131003470 37819511 46034537 51558 60500 143204 162903 968305 696797 44783187 45488342 83765765 92443079 X 34637761 22394315 271930 384563 13700909 15781513 48610600 38560391 132376365 131003470 X -18871035 8820826 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 13783220 2801550 720719 15864051 12963338 1646133 826251 13783220 16733256 -2840933 928985 12963338 0.00000 1.00000 0.00000 1 0 12775 12775 1694470 90073834 72285549 19482755 262808 13436 249372 50775807 40837317 9938490 5556227 2663466 2892761 32576153 TIFF AbsoluteRtrnPool II 7930831 F P2 Capital Fund Ltd 1926125 F GMO Forestry Fund 6b, LP 56204 F Pvt Advisors DO Fund, LP 657928 F PvtAdv SmCoBO Fund II LP 1944879 F Peak Select Partners, LP 1444450 F Sanderson Int'lValueFund 6176254 F FCOI II Holdings, LP 3573267 F Forester Partners, LP 3643203 F MREP 2008 Distressed Co-Investment Fund, LP 1172485 F 28525626 Jeanes Physicians' Office Building Partnership 936509 Self insurance asset TU malpractice 1659945 Self insurance asset TU Workers' Compensation 1994512 Assets Limited As To Use -- Other, General 175928 Assets Limited As To Use -- Temporarily Restricted Funds 295441 Assets Limited As To Use -- Permanently Restricted Funds 75000 Assets Held in Trust -- Anna T. Jeanes Trust 13615821 Assets Held in Trust -- Maude E.M. Boggs Trust 1827744 Assets Held in Trust -- Edith Scot Paschall Trust 232764 Assets Held in Trust -- John E. Holcomb Trust 29684 Cash value of life insurance policy 26517 20869865 Long-term debt, inter-company 40113394 Estimated retroactive adjustment, third party payers 2081691 Due to affiliated companies 3293257 45488342 Part IV, Line 2b: Jeanes Physicians' Office Building Partnership established with Jeanes Hospital an escrowed vacancy reserve fund to secure partnership obligations under a reimbursement and indemnification agreement. Description of Intended Use of Endowment Funds: Part V, Line 4: Use of the endowments will vary depending on the nature of the restrictions imposed by the donors. If an endowment is restricted as to purpose, the organization will use the endowment for the permitted purpose. If the endowment is restricted as to time, the organization draws income but accumulates principal. 1 1 X 1 X 1 X 1 1 1 0 0 3562 2956807 0 2956807 0.01690 13020 22312305 16169909 6142396 0.03520 16582 25269112 16169909 9099203 0.05210 104390 0 104390 0.00060 1122042 402410 719632 0.00410 1226432 402410 824022 0.00470 16582 26495544 16572319 9923225 0.05680 17008 0 17008 0.00010 17008 17008 0.00010 1 3123000 375000 32878733 37022909 -4144176 X 1 1 1 1 Jeanes Hospital

7600 Central Avenue Philadelphia PA 191112442

X X X X Home health care Jeanes Hospital 1 0 1 1 100.000000000000 1 300.000000000000 1 X X X 1 1 X X X X X 1 X X X 1 X X X X 1 X 0 0 Part I, Line 3c: N/A Part I, Line 7: A ratio of cost to charges derived from Worksheet 2 was used in determining the amounts reported on Part I, lines 7a through 7d. The amounts are reported at cost and include both direct and indirect costs. Direct costs include salaries, employee benefits, supplies, and other costs that are directly attributable to the services. These direct costs would not exist if the service or program did not exist. Indirect costs are expenses not directly attributable to the service or programs but are included in the calculation of costs for total charity care and means-tested government programs. These costs include but are not limited to human resources, finance departments, insurance, support departments and overhead expenses. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 3123000. Part II: Jeanes Hospital engaged in a number of community building activities during the fiscal year. These activities included the following:Blood Drives. Jeanes Hospital worked closely with the American Red Cross to support its mission of providing a safe and reliable blood supply that helps ensure quality outcomes and save lives. Jeanes helped collect 154 pints of blood. Related net expense: $16,185.Other Activities. Related net expense: $823. These activities included: Food collection for Memorial Presbyterian Church of Fox Chase's emergency food pantry effort;School supplies collection, in cooperation with Memorial Presbyterian Church of Fox Chase;Provision of educational materials at the Annual National Night Out with the Fox Chase Town Watch;Children's books collection for Fair Hill Neighborhood Schools;Participation in Cheltenham/Rockledge Rotary Club's rose sale for the benefit of the Rotary's Polio Plus program;Participation in Farrell Elementary School's "Fun in the Sun" with summer safety education; Sponsorship of Delaware Valley Stroke Council's 2011 Strides for Stroke Walk/Run;Encouragement and facilitation of Holiday Gift Giving: Toys collection in support of the U.S.M.C.'s Toys for Tots program; Collections of food, toys and other gifts on behalf of the Feast of Justice Food Cupboard at St. John's Lutheran Church; Gifts collection for families from local church communities; Gifts collection for residents of the Philadelphia Protestant Home; Gifts collection for needy children, in support of the Salvation Army's Angel Tags Program; Collections of clothing and other gifts for children of the Presbyterian Children's Village. Part III, Line 4: The ratio of cost to charge method is used in determining the amounts reported on lines 2 and 3. The amounts on lines 2 and 3 are reported at cost and include both direct and indirect costs. Direct costs include salaries, employee benefits, supplies, and other costs that are directly attributable to the service and that would not exist if the service or program did not exist. Indirect costs are costs not attributed to the services or programs that are included in the calculation of costs for community benefit. These costs include but are not limited to human resources, finance departments, insurance, support departments and overhead expenses. Part III, Line 8: As a response to efforts to improve the health and quality of life of people living in the community, Jeanes Hospital provided $4,144,176 in unreimbursed services to patients enrolled in Medicare programs. Jeanes Hospital believes that the Medicare shortfall of $4,144,176 should be treated as a communuity benefit since it has a clear mission to serving and improving the health status of the elderly. Today, approximately 70% of all patients treated at Jeanes Hospital are over the age of 65 and if Jeanes should cease to exist, this shortfall would have to be absorbed by another hospital provider in the Jeanes community. In addition, Jeanes Hospital is designated as a Medicare Disproportionate Share Hospital (DSH). DSH hospitals are "safety net" hospitals because they serve predominantly low-income communities and have a substantial number of Medicare patients that also qualify for Medicaid coverge. The associated costs with providing care to these patients are frequently not covered by government sponsored programs. Part III, Line 9b: Jeanes Hospital's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for charity care. If an account does not qualify for charity care or qualifies for only a charity care discount, the normal billing process of four (4) statements over a span of at least 120 days will occur. If no patient response is received, a write-off request form will be completed by the collection specialist and submitted for proper signature authority for agency referral. Once approved, the account will be transferred to the Bad Debt Financial Class log. The account will be forwarded to the collection agency for additional collection effort. Part V, Line 19D: Jeanes Hospital used a multiple of two times the base Medicaid rate. Part VI, Line 2: In assessing community needs, Jeanes Hospital uses comprehensive sets of internal and external data sources. Externally, we rely largely on health data compiled by federal, state, city and community-based health organizations, including the following: Community health assessment survey results from the Public Health Management Corporation (PHMC), including data on chronic health conditions, adult asthma, arthritis, diabetes, blood pressure, cholesterol, mental health, smoking, adult obesity, exercise, colonoscopies and PAP exams, mammograms and clinical breast exams; Disease rate data from the United States Center for Disease Control; Market data and quality assessments from the Pennsylvania Health Care Cost Containment Council (PHC4); Philadelphia Department of Public Health, including: the Philadelphia Vital Statistics Report, the Philadelphia Vital Statistics Report by Census Tract and Zip Code Report; the annual Health Center Service Area Report, and the Taking Philadelphia's Temperature report; Medpar data from the Centers for Medicare and Medicaid Services (CMS);Care Science Quality Manager from Premier; Other data from the Pennsylvania Department of Health, Delaware Valley Healthcare Council, etc. Internally, we rely on the following sources:Collaboration of Medical School and Hospital leadership;Consensus discussion with key clinical providers;Performance Improvement , Risk Management and Patient Safety outcomes;Historic, service line specific utilization data; Organizational community risk assessments (Infection Control, Environment of Care, Emergency Management, Fire Safety Management, Disaster Response).In addition to data sources, we have assembled a community advisory board for the past two decades that reflects the needs and opinions of our service area. That board meets quarterly and they are used on an ad-hoc basis to represent the community we serve. Also, Jeanes Hospital launched a new "speakers' bureau" seminar series, which gives us the opportunity to survey hundreds of neighbors regarding health topics they are most interested in. Part VI, Line 3: The Financial Counselors assigned to Jeanes Hospital screen all uninsured and underinsured patients (including those with high deductibles and co-pays) who are hospitalized or require elective outpatient hospital services to determine their eligibility for government funded medical insurance coverage such as Medicaid, CHIP, and Adult Basic. Patients that meet the qualifications for these programs are assisted by financial counseling staff throughout each step of the application process. Medicaid applications are submitted by Jeanes Hospital on the patients' behalf and tracked until final determination. Patients who do not qualify for government-funded programs are screened for Temple University Health System's Charity Care/Self Pay program to determine their eligibility for free or reduced cost care. Temple's Charity Care/Self Pay discounting policy is not restricted to Emergency Department patients, but is available to inpatients and outpatients as well.Patients who contact the Hospital's Business Office concerning bills they have received that they cannot afford to pay are also screened for Charity Care eligibility. The Financial Counseling Staff at Jeanes Hospital also offers assistance in obtaining supplemental coverage as well as prescription drug benefits. Patients are informed of Temple's Financial Services, and direction on how to access these services, through the following means:Posters in plain view at inpatient, outpatient and emergency registration areas and billing offices;Patient discharge summaries, billing invoices and vendor collection notices; Hospital website. Part VI, Line 4: Jeanes Hospital's service area consists of the following zip codes: 19027, 19111, 19115, 19116, 19120, 19124, 19135, 19136, 19149 and 19152. This is an area with a high percentage of poor and undereducated population.A. Population and Population GrowthThe total population in Jeanes' service area has slightly increased over the past decade and is projected to increase by 1.2% from 2011 to 2016. In contrast, the total U.S population has grown over the past decade, and is projected to grow by 4.0% over the next five years. B. Age DistributionApproximately 24% of the total population within Jeanes' service area is under the age of 18, consistent with the national average. 24.1% of the Jeanes service area population is age 18-34, 4.3% higher than the national average of 23.1%. 37.7% of the Jeanes service area population is age 35-64, 4.1% lower than the national average. 14.3% of the Jeanes service area population is over 65 years old, which is 7.4% higher than the national average of 13.3%.The average age of the Jeanes service area is projected to increase slightly over the next five years. Under 18 population is projected to increase by 3.2% from 2011 to 2016. The 65 and over population is projected to increase from 63,234 in 2011 to 67,139 in 2016, a projected increase of 6.2%.C. Education LevelIn 2011, the population in the Jeanes service area consisted of 56.5% with high school education or less, a rate approximately 28% higher than the national average of 44%. The Jeanes service area population consists of 43.5% with education beyond high school, approximately 22% lower than the national average of 56%.D. Unemployment and Household IncomeUnemploymentIn the city of Philadelphia, 10.6% of the total population were unemployed in 2011, approximately 34% higher than the state unemployment rate of 7.9% and 18% higher than the national unemployment rate of 8.9%.(Source: Bureau of Labor Statistics, US Department of Labor)Household IncomeApproximately 60% of households in the Jeanes service area earn less than $50,000 per year, approximately 18% greater than the national average of 50.3%. 40% of Jeanes service area households earn over $50,000 per year, which is approximately 19% lower than the national average of 49.7%.E. Population Below Federal Poverty LevelThere are 5 out of the total 10 zip codes within the Jeanes service area that the percentage of population living under the Federal poverty level is greater than the national level of 15.1%.F. Race/EthnicityIn Jeanes' service area, 57.1% of the total population is White, approximately 11% lower than the national level of 64.2%. Black are the second largest population in Jeaness service area, comprising 17.3% of the population, compared to the national average of 12.1%. The percentage of Hispanics is consistent with the nation level of 16.1%. Asian & Pacific is approximately 7% of the total population, 54.4% greater than the national average of 4.6%.G. Payer Mix in 2010Approximately 69% of people in the Jeanes service area are covered by either Medicaid or Medicare; 32% for Medicaid and 37% for Medicare. This represents approximately twice the national average of 15.9% for Medicaid, and over two times of the national level of 14.5% for Medicare. Part VI, Line 6: Jeanes Hospital is a nonprofit corporation that strives to be the destination for all who need ambulatory, inpatient acute, surgical and home care in Northeast Philadelphia and surrounding areas, by combining the compassionate nature of a Quaker-founded community hospital with the advanced capabilities of an academic medical center. Jeanes Hospital achieves this by espousing the following ideals: Create an extraordinary experience for everyone who enters our facilities for any reason; provide equal access to care for patients without regard to race, creed, religion, color, national origin, sex, sexual preference or ability to pay; make safety and continuous quality improvement a primary endeavor; promote the basic values of our Quaker heritage, to include kindness, equality and peace; combine the individual strengths of our hospital, medical staff, and health system; devote manpower and budgetary resources to provide health screenings, vaccinations and health education opportunities to our community; ensure that emotional, cultural and spiritual needs are met; provide a work environment that attracts, retains and develops the best employees; maintain a position of leadership in our community; value the wisdom of our board members, community and foundation liaisons, physician leaders and volunteers; use evidence-based research to understand the health needs of our community and respond accordingly, and espouse the core principles and stated values of the Temple University Health System.In addition to open medical staff, community board and reinvesting, Jeanes Hospital promotes the health of the community via: Free educational opportunities for the community; An arrangement with a diabetes education organization to offer on- campus education; Quality programs that produce safer health care provisions, evidenced by: Safety discussions first on every agenda Center of Excellence status in Bariatric surgery 100% compliance with stroke core measures Compliance with "National Patient Safety Goals" Measurable reductions in: Clostridium Difficile Central line associated blood stream infections Pressure ulcers Use of restraints Expense management and supply chain initiatives helping maintain vigilance in cost containment, including waste stream monitoring Conducting a periodic health needs assessment survey and a bi-annual consumer awareness survey Maintaining a rigorous home health program despite economic hardship Construction of a quarter-mile walking trail for employee and community wellness, with a growing "workplace wellness" initiative for employees, volunteers and doctors. Part VI, Line 7: The mission of the Temple University Health System, Inc. is to provide access to the highest quality of health care in both the community and academic settings. In furtherance of the mission of the Temple University Health System, the mission of Jeanes Hospital is to maintain and enhance the quality of life for individuals in the communities we serve. We emphasize the Quaker belief that in each person there resides a spirit that creates a common bond among us all. Jeanes' health care services include maintenance and enhancement of health, which quickens the spirit and enhances the vitality of our lives. The missions of other members of the Temple University Health System similarly advance its goals: Temple University Hospital supports Temple University and its Health Sciences Center academic programs by providing the clinical environment and service to support the highest quality teaching and training programs for health care professionals and to support the highest quality research programs; the Temple Health System Transport Team , Inc.'s mission is to provide the highest level of critical care transport services available in the mid-Atlantic region, and Temple Physicians, Inc.'s mission is to provide the highest quality of clinical care as well as to support the System's clinical, administrative, and corporate activities. 1 Temple University Health System 3509 N Broad Street Room 936 Philadelphia PA 19140 232825881 501(c)(3) 6159000 N/A N/A General support 1 0 Other Information: Part IV: The over $5,000 grant was made only for tax-exempt purposes to a related organization under common control. This grant is subject to review by the governing bodies and management of the related organizations. X 0 0 0 0 0 0 0 0 0 Linda J Grass 288568 0 0 0 6000 0 3920 0 6379 0 304867 0 0 0 Beth C Koob 0 373523 0 50000 0 18573 0 32544 0 20007 0 494647 0 0 Gerald P Oetzel 210147 0 0 0 11008 0 10844 0 14895 0 246894 0 0 0 Robert H Lux 0 430674 0 50000 0 12733 0 32544 0 20776 0 546727 0 0 Andrea McCoy 231801 0 0 0 0 0 10774 0 14748 0 257323 0 0 0 Denise Frasca 150734 0 0 0 921 0 7760 0 11602 0 171017 0 0 0 Richard Creech 273078 0 0 0 0 0 0 0 0 0 273078 0 0 0 Stephanie Kao 192675 0 0 0 0 0 9645 0 766 0 203086 0 0 0 Khang Pham 169858 0 0 0 1800 0 4573 0 6639 0 182870 0 0 0 John Woodward 164998 0 0 0 0 0 0 0 17 0 165015 0 0 0 Frank Shipp 145917 0 0 0 3809 0 0 0 13631 0 163357 0 0 0 Krupsha Michael Brother to Sharon J. Anderson, Asst Secretary of Jeanes Hospital 72406 Employee at Jeanes Hospital 0 Lux Kathleen Daughter to Robert H. Lux, Asst Treasurer of Jeanes Hospital 28892 Employee at Jeanes Hospital 0 Form 990, Part VI, Section A, line 4 The bylaws were amended effective October 21, 2010 to provide that the Board shall consist of not less than nine (9) and not more than thirteen (13) voting Directors. Form 990, Part VI, Section A, line 6 The sole member of the organization is Temple University Health System, Inc. Form 990, Part VI, Section A, line 7a The member has the power to appoint and remove the organization's Board of Directors. Form 990, Part VI, Section A, line 7b The approval of the member is required for any of the following actions by the organization: a) any dissolution or liquidation; b) any merger; c) any amendments to the Articles of Incorporation; d) any amendments to the Bylaws regarding the member, the number of Directors, quorum or voting requirements; e) the sale, pledge, lease (but only a lease from the organization of substantially all of the organization's real property), or other transfer of the assets of the organization other than transactions occuring in the ordinary course of business; f) any decision resulting in the organization's ceasing to provide appropriate sites for Temple University School of Medicine for comprehensive tertiary acute care services through the organization; g) any decision to merge with, acquire, or enter into an affiliation with medical schools or medical school hospitals other than the University's; h) the deletion of any clinical programs that are needed for the accrediation of Temple University School of Medicine; i) the adoption of the organization's annual capital and operating budgets; j) the issuance or assumption of any indebtedness in excess of Five Hundred Thousand Dollars ($500,000), and k) the execution of any contract providing for the management of the organization. Form 990, Part VI, Section B, line 11 After review by management and outside tax counsel, the 990 and 990-T (if any) are posted to the website of the Secretary's Office. Each Board Member is contacted and provided with the web address. A Board Member without internet access is provided a paper copy to review. The website and paper mailing have an overview of the 990 and 990-T preparation process and internal reviews. Each Board Member is asked to review the 990 and 990-T within 2 weeks and contact the Chief Financial Officer about any questions. In addition to the above process, the Audit Committee is provided a copy and the 990 and 990-T are reviewed at a regularly scheduled meeting. Form 990, Part VI, Section B, line 12c The Office of the Secretary provides each director and officer with copies of the conflicts of interest policy and a disclosure statement to be completed on an annual basis. The Office of the Secretary reviews the completed disclosure statements which are then reviewed in summary format by a committee of the Board of Directors and any recommended actions presented to the full Board of Directors. In addition to completing the annual disclosure statement, directors and officers must disclose potential or actual conflicts on an ongoing basis as matters arise. All disclosures are evaluated and a determination of whether a conflict exists is made by the Board or a committee of the Board. All employees are subject to a conflicts of interest policy that is monitored by the Office of the Secretary. Form 990, Part VI, Section B, line 15 There is a compensation committee that reviews and approves all total compensation of executive / key personnel at Temple University Health System through an evaluation performed by an external compensation expert before the compensation is approved. Form 990, Part VI, Section C, line 19 The Unaudited Internal Financial Statements of the Temple University Health System and certain of its related organizations are distributed and made available to the public at the end of each quarter as per the System's Continuing Disclosure Agreement (Series of 2007 Bond Issue) through the Digital Assurance Corp (DAC), the Municipal Services Reporting Board's EMMA disclosure site and the Health System's financial web site. The Annual Audited Financial Statements are also released to the public in the same manner. To the extent required by applicable law, the organization makes its governing documents available to the public upon request. Form 990 Part VII, Column (B): Average hours per week Certain directors and officers of the organization who are listed on Form 990, Part VII also serve as directors or officers of related organizations. Each director and officer who is a volunteer typically works a total of 5 hours per week for the organization and related organizations. Each director, officer, key employee, or other person listed on Form 990, Part VII who is an exempt full-time employee of the organization or a related organization typically works a total of 50 hours per week for the organization and related organizations. Community Benefit Report: Jeanes Hospital is a nonprofit corporation whose mission is to be the destination for all who need ambulatory, inpatient acute, surgical and home care in Northeast Philadelphia, eastern Montgomery County and southern Bucks County, by combining the compassionate nature of a Quaker-founded community hospital with the advanced capabilities of an academic medical center. Jeanes Hospital achieves this by espousing the following ideals: Create an extraordinary experience for everyone who enters our facilities for any reason; provide equal access to care for patients without regard to race, creed, religion, color, national origin, sex, sexual preference or ability to pay; make safety and continuous quality improvement a primary endeavor; promote the basic values of our Quaker heritage, to include kindness, equality and peace; combine the individual strengths of our hospital, medical staff, and health system; devote manpower and budgetary resources to provide health screenings, vaccinations and health education opportunities to our community; ensure that everyone's emotional, cultural and spiritual needs are met; provide a work environment that attracts, retains and develops the best employees; maintain a position of leadership in our community; value the wisdom of our board members, community and foundation liaisons, physician leaders, and volunteers; use evidence-based research to understand the health needs of our community and respond accordingly; and espouse the core principles and stated values of the Temple University Health System. Jeanes Hospital has 176 licensed beds, providing a comprehensive range of medical, surgical, emergency and outpatient services. It has been a member of the Temple University Health System since 1996, and therefore is home to several Temple physician practices, high acuity tertiary-level surgical services like heart surgery and spine surgery, and specialty departments such as bone marrow transplantation. Jeanes Hospital's notable achievements in recent years include: Surgical Review Corp. "Center of Excellence" for bariatric surgery, in conjunction with the American Society for Metabolic and Bariatric Surgery; Independence Blue Cross "Blue Distinction Center" for cardiac care, bariatric surgery and spine surgery; American Heart Association / American Stroke Association's "Get With the Guidelines" Gold-Plus level distinction; Joint Commission Certified Primary Stroke Center; 2008 Hospital of Choice Award from the American Alliance of Healthcare Providers for outstanding customer service delivery (one of ten nationwide); 2008 PA Department of Community and Economic Development Grant for $20,000 to complete the Jeanes Community Walking Trail project; 2007 Spirit of Excellence Award from Penn-Jersey Region American Red Cross for Donor Recruitment and Outstanding Leadership; 2006 VHA Leadership Award for Clinical Excellence; 2005 VHA Certificate of Excellence for ICU; 2005 DVHC Medication Safety Award; 2005 Press Ganey Success Story for achieving 98th percentile in physician satisfaction; and Two 2003 Press Ganey Compass Awards for patient satisfaction (inpatient and emergency). Jeanes Hospital has a robust community outreach endeavor year after year, including but not limited to: Community Classroom, providing free community education seminars with physician faculty, focusing on health, wellness and safety topics; Jeanes Community Grant, awarding funds to service area non-profits for champion programs in health, wellness and safety; Periodic blood drives for the American Red Cross, open to employees, medical staff and community; A vital volunteer program that gives teenagers and the elderly opportunities to be part of the Jeanes Hospital mission, saving the hospital employee expenses to help keep health care costs down; An active committee to heighten awareness of the multi-cultural diversity in our service area, and the opportunities that provides in the application of service excellence; A walking trail with exercise equipment, that is open 24/7 for everybody's wellness opportunities, including employees, patients and the community-at-large; Annual Senior Health Care & Fire Prevention Presentation, in concert with other local organizations; Various niche programs, including Jeanes Arthritis Group, Jeanes Hospital Bereavement Support Group, Jeanes' Annual Prostate Cancer Screening, and more; and Various employee-driven altruistic initiatives, including food drives, clothing drives, book drives, toy drives, disaster relief drives, etc. Hours of members at other organizations Form 990 - Part VII - Section A-Column B Joseph Evans: 5 Beth C. Koob: 45 Betty McAdams: 45 Robert H. Lux: 45 Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 4,366,184. Adjustment to funded status of pension liability 4,454,642. Total to Form 990, Part XI, Line 5: 8,820,826. Temple University Of The Commonwealth System of Higher Ed 300 Sullivan Hall 1330 W Berks Stre Philadelphia PA 19122 231365971 Education PA 501(c)(3) Line 2 YES 0 Temple University Health System Inc 3509 N Broad Street 9th Floor c/o T Philadelphia PA 19140 232825881 Health Care PA 501(c)(3) Line 11a, I YES 0 Temple University Health System Foundation Inc 3509 N Broad Street 9th Floor c/o T Philadelphia PA 19140 232916108 Health Care PA 501(c)(3) Line 11a, I YES 0 Temple University Hospital Inc 3509 N Broad Street 9th Floor c/o T Philadelphia PA 19140 232825878 Health Care PA 501(c)(3) Line 3 YES 0 Jeanes Hospital Auxiliary 7600 Central Avenue Philadelphia PA 19111 231917776 Health Care PA 501(c)(3) Line 9 YES 1 Temple East Inc 3509 N Broad Street 9th Floor c/o T Philadelphia PA 19140 232547305 Health Care PA 501(c)(3) Line 11a, I YES 0 Temple East Real Estate Inc 3509 N Broad Street 9th Floor c/o T Philadelphia PA 19140 201776524 Health Care PA 501(c)(3) Line 11a, I YES 0 Temple Physicians Inc 3509 N Broad Street 9th Floor c/o T Philadelphia PA 19140 232790607 Health Care PA 501(c)(3) Line 9 YES 0 Temple Health System Transport Team Inc 3509 N Broad Street 9th Floor c/o T Philadelphia PA 19140 753084023 Health Care PA 501(c)(3) Line 9 YES 0 Episcopal Hospital 3509 N Broad Street 9th Floor c/o T Philadelphia PA 19140 231365351 Health Care PA 501(c)(3) Line 11a, I YES 0 Greater Philadelphia Health Services III Corp 3509 N Broad Street 9th Floor c/o T Philadelphia PA 19140 232989581 Health Care PA 501(c)(3) PF YES 0 Anna T Jeanes Foundation 7600 Central Avenue Philadelphia PA 19111 232203406 Health Care PA 501(c)(3) Line 11c, III-FI YES 0 TUHS Insurance Company LTD 3509 N Broad Street 9th Floor - c/o Philadelphia PA 19140 Malpractice Insurance BD N/A Fortress Properties Trust co Fortress Properties Inc 3 Village Road Suite 100 Horsham PA 19044 266241201 Trust for the benefit of Temple University Hospital, Inc. PA N/A T 0 1 1 0 0 1 0 0 1 0 1 1 1 1 1 1 0 0 Jeanes Hospital Auxiliary C 57041 Cash received Jeanes Hospital Auxiliary M 0 Jeanes Hospital Auxiliary P 72628 Cash received