TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Joseph Evans Chair	2.00	X			0	0	0
(2) Dr Thomas Lewis Vice Chair	2.00	X			0	0	0
(3) Francis Devlin Director	2.00	X			0	0	0
(4) Larry Kaiser MD Director	3.00	X			0	1,005,407	14,747
(5) Charles Lockyer Director	2.00	X			0	0	0
(6) Martin Ogletree Director	2.00	X			0	0	0
(7) David Kraynik Director	2.00	X			0	0	0
(8) Lewis Gould Director	3.00	X			0	0	0
(9) Robert Taylor Director	2.00	X			0	0	0
(10) Linda Grass President & CEO	48.00		X		308,082	0	10,805
(11) Beth Koob Secretary	2.00		X		0	444,586	53,554
(12) Sharon Anderson Asst Secretary	40.00		X		57,222	0	16,500
(13) Betty McAdams Asst Secretary	2.00		X		0	89,508	14,628
(14) Gerald Oetzel Treasurer / CFO	50.00		X		231,847	0	28,894
(15) Robert Lux Asst Treasurer	2.00		X		0	486,103	54,292
(16) Andrea McCoy Chief Medical Officer	50.00			X	242,027	0	27,763
(17) Denise Frasca AHD - Patient Services	50.00			X	154,730	0	24,429

(A) Name and business address	(B) Description of services	(C) Compensation
Temple University Health System 3509 N Broad Street Room 936 Philadelphia,PA19140	Related organization services	8,881,733
Temple University Hospital 3509 N Broad Street Room 936 Philadelphia,PA19140	Faculty support, lab	5,596,556
Temple University of the Commonwealth Sy 300 Sullivan Hall 1330 W Berks St Philadelphia,PA19122	Related organization services	4,527,180
Temple Physicians Inc 3509 N Broad Street Room 936 Philadelphia,PA19140	Related organization services	2,731,075
Belmont Court Dialysis CT 2500 Boulevard of the Generals Norristown,PA19403	Dialysis	555,279
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 9

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	3,809,050	3,809,050
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,264,470	801,585	462,885
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	57,968,753	53,691,379	4,277,374
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	2,540,407	2,224,837	315,570
9	Other employee benefits .......	8,844,848	7,576,323	1,268,525
10	Payroll taxes ...........	4,261,439	3,739,755	521,684
11	Fees for services (non-employees):
a	Management ......	2,716,945	2,312,367	336,392	68,186
b	Legal .........	508,806		508,806
c	Accounting ...........	70,798		70,798
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	30,361,220	22,863,760	7,497,460
12	Advertising and promotion ....	905	781	124
13	Office expenses .......	26,277,573	25,530,984	746,589
14	Information technology ......	65,285		65,285
15	Royalties ..
16	Occupancy ...........	1,315,377	1,142,923	172,454
17	Travel ............	74,884	72,052	2,832
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	19,393	18,609	784
20	Interest ...........	2,549,739	2,230,823	318,916
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	6,681,322	5,835,303	846,019
23	Insurance ..............	11,271,594	11,094,471	177,123
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	Tax assessment expense	5,259,325	5,259,325
b	Bad debt	3,280,877	3,280,877
c	Equipment rental and ma	1,932,055	1,220,652	711,403
d	Licenses, taxes and due	434,561	374,266	60,295
e
f	All other expenses	12,999	-924	13,923
25	Total functional expenses. Add lines 1 through 24f	171,522,625	153,079,198	18,375,241	68,186
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........		1
2	Savings and temporary cash investments .......	2,625,652	2	799,082
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	22,064,335	4	24,531,748
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	3,343,796	8	3,393,028
9	Prepaid expenses and deferred charges ............	1,287,220	9	1,271,367
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	150,276,172
b	Less: accumulated depreciation. .....	10b	119,657,694	32,576,153	10c	30,618,478
11	Investments—publicly traded securities ..........	19,710,823	11	12,930,312
12	Investments—other securities. See Part IV, line 11 ......	28,525,626	12	23,608,469
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	20,869,865	15	20,683,253
16	Total assets. Add lines 1 through 15 (must equal line 34)...	131,003,470	16	117,835,737
	17	Accounts payable and accrued expenses .	46,034,537	17	50,312,692
18	Grants payable ..........		18
19	Deferred revenue ..........	60,500	19	48,750
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	162,903	21	163,244
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....	696,797	24	469,600
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	45,488,342	25	48,189,477
26	Total liabilities. Add lines 17 through 25.....	92,443,079	26	99,183,763
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	22,394,315	27	3,197,629
28	Temporarily restricted net assets .....	384,563	28	198,858
29	Permanently restricted net assets .....	15,781,513	29	15,255,487
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	38,560,391	33	18,651,974
34	Total liabilities and net assets/fund balances .....	131,003,470	34	117,835,737

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

Jeanes Hospital

Employer identification number

23-2826045

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

Jeanes Hospital

Employer identification number

23-2826045

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization Jeanes Hospital
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization Jeanes Hospital
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
Jeanes Hospital

Employer identification number

23-2826045

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

Jeanes Hospital

Employer identification number

23-2826045

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back
1a	Beginning of year balance ....	15,864,051	13,783,220	12,963,338	16,733,256
b	Contributions ........
c	Net investment earnings, gains, and losses ...	152,637	2,801,550	1,646,133	-2,840,933
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	760,061	720,719	826,251	928,985
f	Administrative expenses ....
g	End of year balance ......	15,256,627	15,864,051	13,783,220	12,963,338

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

Yes

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	12,775			12,775
b	Buildings ................	1,694,471	90,086,601	73,153,631	18,627,441
c	Leasehold improvements ............		908,222	43,086	865,136
d	Equipment ................		54,404,928	43,727,495	10,677,433
e	Other .................		3,169,175	2,733,482	435,693
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					30,618,478

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) TIFF Absolute Return Pool II	6,776,940	F
(B) P2 Capital Fund Ltd	2,038,973	F
(C) GMO Forestry Fund 6b, LP	21,242	F
(D) Pvt Advisors DO Fund, LP	488,753	F
(E) PvtAdv SmCoBO Fund II, LP	1,630,771	F
(F) FCOI II Holdings, LP	2,543,998	F
(G) Forester Partners LP	3,674,289	F
(H) MREP 2008 Distressed Co-Investment Fund, LP	1,428,631	F
(I) Peak Select Partners, LP	1,245,448	F
(J) Sanderson International Value Fund	3,759,424	F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	23,608,469

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Jeanes Physicians' Office Building Partnership				1,011,580
(2) Self insurance asset TU malpractice				2,076,007
(3) Self insurance asset TU Workers' Compensation				1,760,155
(4) Assets Limited As To Use -- Other, General				176,409
(5) Assets Limited As To Use -- Temporarily Restricted Funds				257,631
(6) Assets Limited As To Use -- Permanently Restricted Funds				75,000
(7) Assets Held in Trust -- Anna T. Jeanes Trust				13,159,824
(8) Assets Held in Trust -- Maude E.M. Boggs Trust				1,774,459
(9) Assets Held in Trust -- Edith Scot Paschall Trust				217,601
(10) Assets Held in Trust -- John E. Holcomb Trust				28,104
(11) Cash value of life insurance policy				27,542
(12) Estimated Retroactive Adjustment 3rd Party Payer				118,941
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				20,683,253

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes
Loan due to affiliate		4,000,000
Long-term debt, inter-company		39,850,020
Estimated retroactive adj, 3rd party payers		1,152,740
Due to affiliated companies		3,186,717





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		48,189,477
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8
9	Total adjustments (net). Add lines 4 through 8 .........................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
		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. 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.

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

Jeanes Hospital

Employer identification number

23-2826045

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

If "Yes," did the organization make it available to the public? ...............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	3,670	2,803,003	0	2,803,003	1.670 %
b Medicaid (from Worksheet 3, column a) .....	14,201	21,556,286	17,298,577	4,257,709	2.530 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....	17,871	24,359,289	17,298,577	7,060,712	4.200 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	7,813	107,275	330	106,945	0.060 %
f Health professions education (from Worksheet 5) ..		1,637,010	514,728	1,122,282	0.670 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....
jTotal Other Benefits ...	7,813	1,744,285	515,058	1,229,227	0.730 %
kTotal. Add lines 7d and 7j. ..	25,684	26,103,574	17,813,635	8,289,939	4.930 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	9,520	0	9,520	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	9,520		9,520	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

3,280,877

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

410,110

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

32,859,178

Enter Medicare allowable costs of care relating to payments on line 5.....

35,428,625

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-2,569,447

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	Jeanes Hospital 7600 Central Avenue Philadelphia,PA191112442	X	X	X	X	Home health care

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Jeanes Hospital

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1		No
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 100.000000000000% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
Non-use of Federal Poverty Guidelines	Part I, Line 3c	N/A
Costing methodology	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 $ 3280877.
		Part II: Community building activitiesJeanes Hospital engaged in a number of community building activities during the fiscal year. These activities included the following:Blood Drive. Jeanes Hospital worked closely with the American Red Crossto support its mission of providing a safe and reliable blood supply thathelps ensure quality outcomes and save lives. Jeanes helped collect 68pints of blood. Related net expense: $9,027.Other Activities. Related net expense: $493. These activities included:School supplies collection, in cooperation with Memorial PresbyterianChurch of Fox Chase;Provision of educational materials at the Annual National Night Out withthe Fox Chase Town Watch;Collection of 386 children's books for elementary classroom libraries in the Fair Hill neighborhood;Participation in Cheltenham/Rockledge Rotary Club's rose sale for thebenefit of the Rotary's Polio Plus program;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, winter wear and toys for 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 SalvationArmy's Angel Tags Program;Collections of clothing and other gifts for children of thePresbyterian 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 $2,569,447 in unreimbursed services to patients enrolled in Medicare programs. Jeanes Hospital believes that the Medicare shortfall of $2,569,447 should be treated as a community benefit since it has a clear mission to serving and improving the health status of the elderly. For the nine months ended March 31, 2013, approximately 56% of all inpatients treated at Jeanes Hospital were over the age of 65 and if Jeanes should cease to exist, this shortfall would have to be absorbed by another hospital provider in the Jeanes community. In addition, Jeanes Hospital is designated as a Medicare Disproportionate Share Hospital (DSH). DSH hospitals are "safety net" hospitals because they serve predominantly low-income communities and have a substantial number of Medicare patients that also qualify for Medicaid coverage. The associated costs with providing care to these patients are frequently not covered by government sponsored programs.
		Part III, Line 9b: Jeanes Hospital's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for charity care. If an account does not qualify for charity care or qualifies for only a charity care discount, the normal billing process of four (4) statements over a span of at least 120 days will occur. If no patient response is received, a write-off request form will be completed by the collection specialist and submittted for proper signature authority for agency referral. Once approved, the account will be transferred to the Bad Debt Financial Class log . The account will be forwarded to the collection agency for additional collection effort.
Jeanes Hospital		Part V, Section B, Line 19d: Jeanes Hospital used a multiple of two times the base Medicaid rate.
		Part VI, Line 2: Needs assessmentIn assessing community needs, Jeanes Hospital uses comprehensive sets of internal and external data sources. Externally, we rely largely on health data compiled by federal, state, and community-based health organizations, including the following: Community health assessment survey results from the Public Health Management Corporation (PHMC), including data on chronic health con- ditions, adult asthma, arthritis, diabetes, blood pressure, cholesterol, mental health, smoking, adult obesity, exercise, colonoscopies and PAP exams, mammograms and clinical breast exams; Disease rate data from the United States Center for Disease Control; Market data and quality assessments from the Pennsylvania Health Care Cost Containment Council (PHC4); Philadelphia Department of Public Health, including: the Philadelphia Vital Statistics Report, the Philadelphia Vital Statistics by Census Tract and Zip Code Report, the annual Health Center Service Area Report, and the Taking Philadelphia's Temperature report; Medpar data from the Centers for Medicare and Medicaid Services (CMS); Care Science Quality Manager from Premier; Other data from the Pennsylvania Department of Health, Delaware Valley Healthcare Council, etc.Internally, we rely on the following sources: Collaboration of Medical School and Hospital leadership; Consensus discussion with key clinical providers; Performance Improvement, Risk Management and Patient Safety outcomes; Historic, service line specific utilization data; Organizational community risk assessments (Infection Control, Environ- ment of Care, Emergency Management, Fire Safety Management, Disaster Response);In addition to data sources, we have assembled a community advisory board,for the past two decades, that reflects the needs and opinions of our service area. That board meets quarterly and it is used on an ad-hoc basis to represent the community we serve. Also, Jeanes Hospital launched a new seminar series, which gives us the opportunity to survey hundreds of neighbors regarding the health topics in which they are most interested.
		Part VI, Line 3: The Financial Counselors assigned to Jeanes Hospital screen all uninsured and underinsured patients (including those with high deductibles and co-pays) who are hospitalized or require elective outpatient hospital services to determine their eligibility for government funded medical insurance coverage such as Medicaid and CHIP.Patients that meet the qualifications for these programs are assisted byfinancial counseling staff throughout each step of the applicationprocess. Medicaid applications are submitted by Jeanes Hospital on thepatients' behalf and tracked until final determination.Patients who do not qualify for government-funded programs are screenedfor Temple University Health System's Charity Care/Self Pay program todetermine their eligibility for free or reduced cost care.The Charity Care/Self Pay discounting policy is not restricted toEmergency Department patients, but is available to inpatients andoutpatients as well.Patients who contact the Hospital's Business Office concerning bills theyhave received that they cannot afford to pay are also screened for CharityCare eligibility.The Financial Counseling Staff at Jeanes Hospital also offers assistancein obtaining supplemental coverage as well as prescription drug benefits.Patients are informed of our financial services, and direction on howto access these services, through the following means:Posters in plain view at inpatient, outpatient and emergencyregistration areas and billing offices;Patient discharge summaries, billing invoices and vendor collectionnotices;Hospital website.
		Part VI, Line 4: Jeanes Hospital Service Area Community ProfileJeanes Hospital service area consists of the following zip codes: 19027, 19111, 19115, 19116, 19120, 19124, 19135, 19136, 19149 and 19152. This is an area with a high percentage of poor and undereducated population.A. Population and Population Growth The total population in Jeanes' service area has slightly increased over the past decade and is projected to increase by 1.2% from 2012 to 2017. In contrast, the total U.S. population has grown over the past decade, and is projected to grow by 3.9% over the next five years.B. Age Distribution Approximately 25% of the total population within Jeanes' service area is under the age of 18, consistent with the national average. 25.3% of the Jeanes service area population is age 18-34, 9.1% higher than the national average of 23.2%. 36.4% of the Jeanes service area population is age 35-64, 7.9% lower than the national average. 13.1% of the Jeanes service area population is over 65 years old, which is 1.7% higher than the national average of 12.9%. The average age of the Jeanes service area is projected to increase slightly over the next five years. Under 18 population is projected to increase by 2.1% from 2012 to 2017. The 65 and over population is projected to increase from 77,599 in 2012 to 82,065 in 2017, a projected increase of 5.8%.C. Education Level In 2012, the population in the Jeanes service area consisted of 61.0% with high school education or less, a rate approximately 40% higher than the national average of 43.7%. The Jeanes service area population consists of 39.0% with education beyond high school, approximately 31% lower than the national average of 56.3%.D. Unemployment and Household Income Unemployment In the city of Philadelphia, 10.6% of the total population were unemployed in 2011, approximately 34% higher than the state unemployment rate of 7.9% and 18% higher than the national unemployment rate of 9.0%.(Source: Bureau of Labor Statistics, US Department of Labor) Household Income Approximately 63% of households in the Jeanes service area earn less than $50,000 per year, approximately 24% greater than the national average of 50.4%. 37.3% of Jeanes service area households earn over $50,000 per year, which is approximately 25% lower than the national average of 49.6%.E. Population Below Federal Poverty Level There are 5 out of the total 10 zip codes within the Jeanes service area that the percentage of population living under the Federal poverty level is greater than the national level of 15.1%.F. Race/Ethnicity In Jeanes' service area, 40.5% of the total population is White, approximately 36% lower than the national level of 62.8%. Black is the second largest population in Jeanes' service area, comprising 27.2% of the population, compared to the national average of 12.3%. The percentage of Hispanics is 31.5% greater than the nation level of 17.0%. Asian & Pacific is approximately 8% of the total population, 50.9% greater than the national average of 5.0%.G. Payer Mix in 2011 Approximately 72% of people in the Jeanes service area are covered by either Medicaid or Medicare; 35% for Medicaid and 37% for Medicare. This represents over twice the national average of 16.5% for Medicaid, and over two times of the national level of 15.2% for Medicare.
		Part VI, Line 5: Promotion of community healthJeanes Hospital is a nonprofit corporation that strives to be the destination for all who need ambulatory, inpatient acute, surgical and home care in Northeast Philadelphia and surrounding areas, by combining the compassionate nature of a Quaker-founded community hospital with the advanced capabilities of an academic medical center. Jeanes Hospital achieves this by espousing the following ideals: Create an extraordinary experience for everyone who enters our facilities for any reason; provide equal access to care for patients without regard to race, creed, religion, color, national origin, sex or sexual preference; make safety and continuous quality improvement a primary endeavor; promote the basic values of our Quaker heritage, to include kindness, equality and peace; combine the individual strengths of our hospital, medical staff, and health system; devote manpower and budgetary resources to provide health screenings, vaccinations and health education opportunities to our community; ensure that emotional, cultural and spiritual needs are met; provide a work environment that attracts, retains and develops the best employees; maintain a position of leadership in our community; value the wisdom of our board members, community and foundation liaisons, physician leaders and volunteers; use evidence-based research to understand the health needs of our community and respond accordingly, and espouse the core principles and stated values of the Temple University Health System.In addition to open medical staff, community board and reinvesting, Jeanes Hospital promotes the health of the community via: Free educational opportunities for the community; An arrangement with a diabetes education organization to offer on- campus education; Quality programs that produce safer health care provisions, evidenced by: Safety discussions first on every agenda Center of Excellence status in bariatric surgery Other quality distinctions in stroke care and cardiology 100% compliance with stroke care 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 to maintain vigilance in cost containment, including waste stream monitoring; Conduct of a health needs assessment in 2012 to interview our health care services partners in our immediate geographical area; Maintenance of a rigorous home health program despite economic hardship; Maintenance of a quarter-mile walking trail, with exercise equipment, for employee and community wellness, with a growing "workplace well- ness" initiative for employees, volunteers and doctors.
		Part VI, Line 6: Affiliated health care systemThe mission of the Temple University Health System, Inc. is to provide access to the highest quality of health care in both the community and academic settings. In furtherance of the mission of the Temple University Health System, the mission of Jeanes Hospital is to maintain and enhance the quality of life for individuals in the communities we serve. We emphasize the Quaker belief that in each person there resides a spirit that creates a common bond among us all. Jeanes' health care services include maintenance and enhancement of health, which quickens the spirit and enhances the vitality of our lives. The missions of other members of the Temple University Health System similarly advance its goals: Temple University Hospital supports Temple University and its Health Sciences Center academic programs by providing the clinical environment and service to support the highest quality teaching and training programs for health care professionals and to support the highest quality research programs; the Temple Health System Transport Team, Inc.'s mission is to provide the highest level of critical care transport services available in the mid-Atlantic region, and Temple Physicians, Inc.'s mission is to provide the highest quality of clinical care as well as to support the System's clinical, administrative, and corporate activities.

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
Jeanes Hospital

Employer identification number
23-2826045

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) Temple University Health System3509 N Broad Street Room 936 Philadelphia,PA19140	23-2825881	501(c)(3)	3,800,000	N/A	N/A	General support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2011

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
		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.

Schedule I (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

Jeanes Hospital

Employer identification number

23-2826045

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) Larry Kaiser MD	(i) (ii)	0 973,007	0 0	0 32,400	0 0	0 14,747	0 1,020,154	0 0
(2) Linda Grass	(i) (ii)	302,032 0	0 0	6,050 0	3,920 0	6,885 0	318,887 0	0 0
(3) Beth Koob	(i) (ii)	0 406,974	0 17,649	0 19,963	0 32,544	0 21,010	0 498,140	0 0
(4) Gerald Oetzel	(i) (ii)	227,117 0	0 0	4,730 0	11,668 0	17,226 0	260,741 0	0 0
(5) Robert Lux	(i) (ii)	0 448,542	0 24,828	0 12,733	0 32,544	0 21,748	0 540,395	0 0
(6) Andrea McCoy	(i) (ii)	242,027 0	0 0	0 0	11,732 0	16,031 0	269,790 0	0 0
(7) Denise Frasca	(i) (ii)	154,295 0	0 0	435 0	8,102 0	16,327 0	179,159 0	0 0
(8) Stephanie Kao	(i) (ii)	195,781 0	0 0	12 0	9,800 0	979 0	206,572 0	0 0
(9) John Woodward	(i) (ii)	159,405 0	0 0	0 0	0 0	13 0	159,418 0	0 0
(10) Mary Suter	(i) (ii)	150,830 0	0 0	153 0	15,484 0	17,009 0	183,476 0	0 0
(11) Frank Shipp	(i) (ii)	145,469 0	0 0	3,818 0	0 0	15,032 0	164,319 0	0 0
(12) Joseph Schofield	(i) (ii)	145,162 0	0 0	561 0	7,258 0	1,610 0	154,591 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

Jeanes Hospital

Employer identification number

23-2826045

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2011

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Krupsha Michael	Brother to Sharon J. Anderson, Assistant Secretary of Jeanes Hospital	76,330	Employee of Jeanes Hospital		No
(2) Lux Kathleen	Daughter to Robert H. Lux, Assistant Treasurer of Jeanes Hospital	62,878	Employee of Jeanes Hospital		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

Jeanes Hospital

Employer identification number

23-2826045

Identifier	Return Reference	Explanation
	Form 990, Part VI, Section A, line 6	The sole member of the organization is Temple University Health System, Inc. The member has the power to appoint and remove the organization's Board of Directors. The approval of the member is required for any of the following actions by the organization: (a) any dissolution or liquidation; (b) any merger; (c) any amendments to the articles of incorporation; (d) any amendments to the bylaws regarding the member, the number of directors, quorum or voting requirements; (e) the sale, pledge, lease (but only a lease from the organization of substantially all of the organization's real property), or other transfer of the assets of the organization other than transactions occurring in the ordinary course of business; (f) any decision resulting in the organization's ceasing to provide appropriate sites for Temple University School of Medicine for comprehensive acute care services; (g) any decision to merge with, acquire, or enter into an affiliation with a medical school other than Temple University's or a medical school hospital other than Temple University Hospital, Inc.; (h) the deletion of any clinical programs that are needed for the accreditation of Temple University School of Medicine; (i) the adoption of the organization's annual capital and operating budgets; (j) the issuance or assumption of any indebtedness in excess of five hundred thousand ($500,000), and (k) the execution of any contract providing for the management of the organization.
	Form 990, Part VI, Section A, line 7a	Please refer to the response for question 6
	Form 990, Part VI, Section A, line 7b	Please refer to the response for question 6
	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.
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	Net unrealized losses on investments: -2,275,858. Adjustment to record Other Than Temporary Impairment of investment -269,783. Adjustment to funded status of pension liability -8,296,158. Total to Form 990, Part XI, Line 5: -10,841,799.
		Commitment to our Communities: 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 or sexual preference; make safety and continuous quality improvement a primary endeavor; promote the basic values of our Quaker heritage, to include kindness, equality and peace; combine the individual strengths of our hospital, medical staff, and health system; devote manpower and budgetary resources to provide health screenings, vaccinations and health education opportunities to our community; ensure that 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 Temple University Hospital's 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 for two years running; Joint Commission Certified Primary Stroke Center. 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 to 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' 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 related organizations	Form 990 - Part VII - Section A - Column B	Joseph Evans - 2 Linda Grass - 2 Beth Koob - 48 Betty McAdams - 38 Robert Lux - 48 Francis Devlin - 2 Larry Kaiser MD - 47 Lewis Gould - 2

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

Jeanes Hospital

Employer identification number

23-2826045

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Temple University of the Commonwealth System 300 Sullivan Hall 1330 W Berks St Philadelphia,PA19122 23-1365971	Education	PA	501c3	Line 2	N/A		No
(2) Temple University Health System Inc 3509 N Broad Street Room 936 c/o TU Philadelphia,PA19140 23-2825881	Health Care	PA	501c3	Line 11a, I	Temple University of the Commonwealth System		No
(3) Temple University Health System Foundation Inc 3509 N Broad Street Room 936 c/o TU Philadelphia,PA19140 23-2916108	Health Care	PA	501c3	Line 11a, I	Temple University Hospital Inc		No
(4) Temple University Hospital Inc 3509 N Broad Street Room 936 c/o TU Philadelphia,PA19140 23-2825878	Health Care	PA	501c3	Line 3	Temple University Health System Inc		No
(5) Jeanes Hospital Auxiliary 7600 Central Avenue Philadelphia,PA19111 23-1917776	Health Care	PA	501c3	Line 9	Jeanes Hospital	Yes
(6) Temple East Inc 3509 N Broad Street Room 936 c/o TU Philadelphia,PA19140 23-2547305	Health Care	PA	501c3	Line 11a, I	Temple University Hospital Inc		No
(7) Temple East Real Estate Inc 3509 N Broad Street Room 936 c/o TU Philadelphia,PA19140 20-1776524	Health Care	PA	501c3	Line 11a, I	Temple University Hospital Inc		No
(8) Temple Physicians Inc 3509 N Broad Street Room 936 c/o TU Philadelphia,PA19140 23-2790607	Health Care	PA	501c3	Line 9	Temple University Health System Inc		No
(9) Temple Health System Transport Team Inc 3509 N Broad Street Room 936 c/o TU Philadelphia,PA19140 75-3084023	Health Care	PA	501c3	Line 9	Temple University Health System Inc		No
(10) Episcopal Hospital 3509 N Broad Street Room 936 c/o TU Philadelphia,PA19140 23-1365351	Health Care	PA	501c3	Line 11a, I	Temple University Hospital Inc		No
(11) Anna T Jeanes Foundation 7600 Central Avenue Philadelphia,PA19111 23-2203406	Health Care	PA	501c3	Line 11c, III-FI	N/A		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity
(1) TUHS Insurance Company LTD 3509 N Broad Street 9th Floor - c/o Philadelphia,PA19140	Malpractice insurance	BD	Temple University Health System Inc

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) Jeanes Hospital Auxiliary	P	52,694	Cash received
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: To maintain and enhance the quality of life for individuals in the communities we serve.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	8
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	1,290
6	Total number of volunteers (estimate if necessary) ....	6	302
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	157,536
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	29,723

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	233,515	2,906,425
9	Program service revenue (Part VIII, line 2g) .........	152,563,905	156,404,815
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	703,023	2,234,272
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	5,305,657	910,495
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	158,806,100	162,456,007
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,172,500	3,809,050
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	72,657,319	74,879,917
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 68,186
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	98,847,316	92,833,658
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	177,677,135	171,522,625
19	Revenue less expenses. Subtract line 18 from line 12.......	-18,871,035	-9,066,618
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	131,003,470	117,835,737
21	Total liabilities (Part X, line 26).............	92,443,079	99,183,763
22	Net assets or fund balances. Subtract line 21 from line 20.....	38,560,391	18,651,974

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 16,394,938 including grants of $ ) (Revenue $ 16,689,692 )
	The Cardiovascular program at Jeanes Hospital provides healthcareservices aimed at preventing, diagnosing, and treating cardiovascular diseases.Cardiovascular diseases are the leading cause of death in the UnitedStates. The services provided by Jeanes Hospital target the full rangeof conditions related to the heart and vascular system, includingcongestive heart failure, hypertension, and narrowing of the arteriesand peripheral disease. The services are provided to both inpatientsand outpatients.Cardiovascular services at Jeanes Hospital span the continuum of heartcare. Included are open heart surgery, diagnostic and interventional cardiac catheterization, electrophysiology studies, stress testing,cardiac and thoracic surgery, echocardiograms, EKGs, holter monitortests and cardiopulmonary rehab. The hospital's vascular servicesprovide both open and closed vascular procedures in surgery, cath laband vascular lab. Jeanes Hospital is the recipient of the AmericanHeart Association's Stroke Gold Plus Quality Achievement Award.

4b	(Code: ) (Expenses $ 12,191,348 including grants of $ ) (Revenue $ 12,555,142 )
	Gastroenterology/Digestive Disease. Jeanes Hospital gives patients themost advanced, safest and proven medical and surgical treatmentsprimarily focused on the gastrointestinal tract. The services offeredby Jeanes Hospital under this specialty are: surgical weight loss,colorectal surgery, nutritional counseling, and gastroenterology andhepatology services aimed at treating patients with disorders of theesophagus, liver, gall bladder and stomach. Services are provided toboth inpatients and outpatients.

4c	(Code: ) (Expenses $ 10,801,417 including grants of $ ) (Revenue $ 9,828,543 )
	Pulmonary. Jeanes Hospital provides comprehensive pulmonary complexmedical and rehabilitation programs for patients with acute and chronicpulmonary conditions. Services provided range from inpatientventilation management and weaning, to outpatient pulmonaryrehabilitation delivered by an interdisciplinary team of highly trainedand board certified pulmonologists, respiratory therapists and nurses.

	(Code: ) (Expenses $ 113,691,495 including grants of $ 3,809,050 ) (Revenue $ 117,331,438 )
	In concert with cardiovascular, digestive and pulmonary services atJeanes Hospital, a full continuum of additional services creates acomprehensive medical and surgical center for our community and itsphysicians. Services range from diagnostic to therapeutic, medical tosurgical, and outpatient to critical care. Here is a roster of some ofthe more prominent services at Jeanes Hospital: General Medicine consists of diagnosis, management and non-surgicaltreatment 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, includingpath lab services and radiology. Diagnostic imaging services includegeneral X-ray, digital mammography, ultrasound, MRI, CT, interventionalimaging and nuclear medicine. Advanced technology MRI, CT and PETscanning are available at Jeanes Hospital for critical diagnoses. Services, both medical and surgical, are available for disorders ofthe ears, nose, throat and eyes. Women's health services at Jeanes Hospital include screening anddiagnostic digital mammography, ultrasound services, breast surgery,fertility services and a compendium of gynecological surgical services. Orthopaedics at Jeanes Hospital ranges from conservative treatmentto high acuity surgery. Surgery includes tertiary-level jointreplacement procedures and rehab, and spine procedures. Neurosurgery services at Jeanes Hospital offers an alternative toorthopaedics for spine surgery patients. General surgery encompasses an array of interventional proceduresfor our patients, including oncologic, vascular, gastrointestinal, bariatric surgeries, etc. In step with surgical trends, Jeanes Hospitaloffers more and more minimally-invasive alternatives such aslaparoscopic surgery. Dermatology and plastic surgery both have a full-time presence atJeanes Hospital. Anesthesiologists on the Jeanes Hospital medical staff offer aformal pain management program for chronic pain patients, includinginterventional procedures. A hospitalist program was established at Jeanes Hospital, allowingphysicians 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.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 113,691,495 including grants of $ 3,809,050 ) (Revenue $ 117,331,438 )
4e	Total program service expenses$ 153,079,198

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,795,099	2,025,604	312,797

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Stephanie Kao Medical Director	50.00	X	195,793	0	10,779
(19) John Woodward Physician	50.00	X	159,405	0	13
(20) Mary Suter AHD	50.00	X	150,983	0	32,493
(21) Frank Shipp AHD	50.00	X	149,287	0	15,032
(22) Joseph Schofield AHD	50.00	X	145,723	0	8,868

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a		245
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		97,170
e	Government grants (contributions)1e		2,783,944

f	All other contributions, gifts, grants, and similar amounts not included above1f		25,066
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,906,425
			Business Code
2a	Net patient svc revenu		622,110	151,260,923	151,138,396	122,527
b	Rental income		532,000	4,211,922	4,211,922
c	Snack shop income		722,210	556,094	556,094
d	Cafeteria income		722,210	267,771	267,771
e	Service revenue		622,110	104,131	104,131
f	All other program service revenue .			3,974	3,974
g	Total. Add lines 2a–2f........			156,404,815
3	Investment income (including dividends, interest
	and other similar amounts).....			317,558			317,558
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross rents	87,750
b	Less: rental expenses	2,874
c	Rental income or (loss)	84,876
d	Net rental income or (loss).......			84,876			84,876
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	6,802,777
b	Less: cost or other basis and sales expenses	4,886,063
c	Gain or (loss)	1,916,714
d	Net gain or (loss)..........			1,916,714			1,916,714
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	Incm from other invsts		523,000	825,619		35,009	790,610
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			825,619
12	Total revenue. See Instructions....			162,456,007	156,282,288	157,536	3,109,758


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........				1
2	Savings and temporary cash investments .......			2,625,652	2	799,082
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			22,064,335	4	24,531,748
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			3,343,796	8	3,393,028
9	Prepaid expenses and deferred charges ............			1,287,220	9	1,271,367
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	150,276,172
b	Less: accumulated depreciation. .....	10b	119,657,694	32,576,153	10c	30,618,478
11	Investments—publicly traded securities ..........			19,710,823	11	12,930,312
12	Investments—other securities. See Part IV, line 11 ......			28,525,626	12	23,608,469
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			20,869,865	15	20,683,253
16	Total assets. Add lines 1 through 15 (must equal line 34)...			131,003,470	16	117,835,737
17	Accounts payable and accrued expenses .			46,034,537	17	50,312,692
18	Grants payable ..........				18
19	Deferred revenue ..........			60,500	19	48,750
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			162,903	21	163,244
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....			696,797	24	469,600
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			45,488,342	25	48,189,477
26	Total liabilities. Add lines 17 through 25.....			92,443,079	26	99,183,763
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			22,394,315	27	3,197,629
28	Temporarily restricted net assets .....			384,563	28	198,858
29	Permanently restricted net assets .....			15,781,513	29	15,255,487
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			38,560,391	33	18,651,974
34	Total liabilities and net assets/fund balances .....			131,003,470	34	117,835,737