TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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)
(1) BRUCE G FISCHER........................................................................ CHAIRMAN - DIRECTOR	1.0 .......................	X	X	0	0	0
(2) JEROME S PARKER PHD........................................................................ SECRETARY - DIRECTOR	1.0 .......................	X	X	0	0	0
(3) SARA B SCHUKRAFT........................................................................ TREASURER - DIRECTOR	1.0 .......................	X	X	0	0	0
(4) ELIZABETH L ALBRIGHT........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(5) DAVID B ARSHT DO........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(6) ROBERT M BARBACANE CPA........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(7) CORLISS BOGGS........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(8) PHILIP H BROWN II........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(9) ROBERT J BRUCE........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(10) MICHAEL J DALY........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(11) MARK H DAMBLY........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(12) DANIEL C DUPONT DO........................................................................ DIRECTOR	25.0 .......................	X		0	101,928	0
(13) NORMAN V EDMONSON........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(14) WALTER E FARNAM........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(15) TIMOTHY P MALARKEY........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(16) SHAWN P OBRIEN........................................................................ DIRECTOR	1.0 .......................	X		0	0	0
(17) JOAN K RICHARDS........................................................................ DIRECTOR - PRESIDENT/CEO	55.0 .......................	X	X	1,143,945	0	212,124

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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
(18) JOHN D SPRANDIO MD........................................................................ DIRECTOR	1.0 .......................	X				0	0	0
(19) GAIL M WHITAKER ESQ........................................................................ DIRECTOR	1.0 .......................	X				0	0	0
(20) ARTHUR G BAKER MD........................................................................ DIRECTOR (7/1 - 12/1/13)	1.0 .......................	X				0	0	0
(21) DONALD W LEGREID ESQ........................................................................ ASST SEC-VP GENERAL COUNSEL	55.0 .......................		X			348,273	0	39,336
(22) PHILIP J RYAN CPA........................................................................ ASST TREASURER - SVP/CFO	55.0 .......................		X			543,451	0	134,501
(23) ROBERT E WILSON RET 123113........................................................................ ASST SEC - SVP/ADMIN & CIO	55.0 .......................		X			717,870	0	140,769
(24) PATRICK J GAVIN........................................................................ EVP & COO	55.0 .......................			X		0	576,094	136,582
(25) ERIC DOBKIN........................................................................ VP, QUALITY & PATIENT SAFETY	55.0 .......................				X	457,872	0	46,696
(26) WILLIAM MCCUNE TERM 22614........................................................................ PRESIDENT, DCMH	55.0 .......................				X	323,325	0	45,388
(27) ELIZABETH JAEKLE........................................................................ VP, BUSINESS DEVELOPMENT	55.0 .......................				X	315,554	0	52,112
(28) WILLIAM KREIDER TERM 12513........................................................................ VP, HUMAN RESOURCES	55.0 .......................				X	315,355	0	48,116
(29) G DONALD REED........................................................................ VP, CIO	55.0 .......................				X	279,059	0	45,700

(A) Name and business address	(B) Description of services	(C) Compensation
SIEMENS MEDICAL SOLUTIONS USA INC, 51 VALLEY STREAM PARKWAYMALVERNPA19355	IT	6,145,177
MEDASSETS INC, 100 NORTH POINT CENTER EAST SUITEALPHARETTAGA30022	BILLING	699,152
ERNST YOUNG LLP, 200 PLAZA DRIVESECAUCUSNJ07094	AUDITING/ACCOUNTING	336,706
NATIONAL RESEARCH CORPORATION, 1245 Q STREETLINCOLNNE68508	MARKETING	315,331
ADVANCED PLAN FOR HEALTH, 1320 GREENWAY DRIVE SUITE 170IRVINGTX75038	CONSULTING	286,367
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 17

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	11,603,488	11,603,488
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	3,280,270	2,624,216	656,054
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	22,096,246	17,676,997	4,419,249
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	913,996	731,197	182,799
9	Other employee benefits .......	6,049,478	4,839,582	1,209,896
10	Payroll taxes ...........	1,608,496	1,286,797	321,699
11	Fees for services (non-employees):
a	Management ......	38,374		38,374
b	Legal .........	202,572		202,572
c	Accounting ...........	324,996		324,996
d	Lobbying ...........	207,058		207,058
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	4,738,113	3,790,491	947,622
12	Advertising and promotion ....	94,752	94,752
13	Office expenses .......	430,705	344,564	86,141
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	886,547	709,238	177,309
17	Travel ............	119,530	95,624	23,906
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	290,800	232,640	58,160
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	72,125	57,700	14,425
23	Insurance ..............	-138,639	-110,911	-27,728
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	DUES AND SUBSCRIPTIONS	393,826	315,061	78,765	0
b	STAFF DEVELOPMENT	128,676	102,941	25,735	0
c	REPAIRS AND MAINTENANCE	21,621	0	21,621	0
d	OTHER EXPENSES	231,993	51,655	180,338	0
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	53,595,023	44,446,032	9,148,991	0
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 Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	11,150	1	10,820
2	Savings and temporary cash investments .........	19,178,659	2	26,422,780
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	1,325,686	4	2,466,673
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	9,865,157	7	2,031,829
8	Inventories for sale or use ..............	0	8	0
9	Prepaid expenses and deferred charges ..........	1,145,124	9	532,806
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	44,003,627
b	Less: accumulated depreciation .....	10b	25,799,986	17,249,611	10c	18,203,641
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	54,410,988	13	47,496,178
14	Intangible assets ...............	238,025	14	206,566
15	Other assets. See Part IV, line 11 ...........	7,510,157	15	9,029,838
16	Total assets. Add lines 1 through 15 (must equal line 34)......	110,934,557	16	106,401,131
	17	Accounts payable and accrued expenses .........	12,606,388	17	12,991,351
18	Grants payable .................	0	18	0
19	Deferred revenue ................	8,441,073	19	7,921,622
20	Tax-exempt bond liabilities .............	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	32,192,415	23	32,929,486
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
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....................	27,670,149	25	33,466,448
26	Total liabilities. Add lines 17 through 25.........	80,910,025	26	87,308,907
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	30,024,532	27	19,092,224
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	30,024,532	33	19,092,224
34	Total liabilities and net assets/fund balances ........	110,934,557	34	106,401,131

- 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.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

CROZER-KEYSTONE HEALTH SYSTEM

Employer identification number

22-2540851

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 described in 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. See section 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 - Non-functionally integrated

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 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	(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))	(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 monetary support
(i) Name of supported organization	(ii) EIN		Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support
(A) CROZER-CHESTER MEDICAL CENTER	231637191	03	Yes		Yes		Yes		0
(B) DELAWARE COUNTY MEMORIAL HOSPITAL	230517130	03	Yes		Yes		Yes		0
(C) HEALTH ACCESS NETWORK	232692637	03	Yes		Yes		Yes		11,598,488
Total									11,598,488

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. 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—2012. If the organization did not check a 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—2013. 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—2012. 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) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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.)..

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 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. 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—2012. 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) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

CROZER-KEYSTONE HEALTH SYSTEM

Employer identification number

22-2540851

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 for 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 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 its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization CROZER-KEYSTONE HEALTH SYSTEM

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, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization CROZER-KEYSTONE HEALTH SYSTEM

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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
CROZER-KEYSTONE HEALTH SYSTEM

Employer identification number

22-2540851

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) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CROZER-KEYSTONE HEALTH SYSTEM

Employer identification number

22-2540851

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	207,058	207,058
c	Total lobbying expenditures (add lines 1a and 1b) ...................	207,058	207,058
d	Other exempt purpose expenditures ........................	53,387,965	792,530,942
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	53,595,023	792,738,000
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................	250,000	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	209,208	219,997	213,916	207,058	850,179

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures	0	0	0	0	0

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B; QUESTION 1	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM PAYS ALL LOBBYING EXPENDITURES ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM AND REPORTS THESE EXPENDITURES ON THE CROZER-KEYSTONE HEALTH SYSTEM FEDERAL FORM 990. THESE LOBBYING EXPENDITURES INCLUDE (1) PAYMENTS TO OUTSIDE INDEPENDENT FIRMS, (2) AN ALLOCATED PORTION OF THE DUES PAID TO THE AMERICIAN HOSPITAL ASSOCIATION AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AND (3) AN ALLOCATION OF EMPLOYEE TIME UTILIZING A TIME STUDY FOR THE PRESIDENT/CEO AND VICE-PRESIDENTS, MARKETING FOR THEIR TIME SPENT ON LOBBYING EFFORTS ON BEHALF OF CROZER-KEYSTONE HEALTH SYSTEM AND AFFILIATES.

Return Reference

Explanation

SCHEDULE C, PART II-B; QUESTION 1

THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF THE CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM PAYS ALL LOBBYING EXPENDITURES ON BEHALF OF ALL AFFILIATES WITHIN THE SYSTEM AND REPORTS THESE EXPENDITURES ON THE CROZER-KEYSTONE HEALTH SYSTEM FEDERAL FORM 990. THESE LOBBYING EXPENDITURES INCLUDE (1) PAYMENTS TO OUTSIDE INDEPENDENT FIRMS, (2) AN ALLOCATED PORTION OF THE DUES PAID TO THE AMERICIAN HOSPITAL ASSOCIATION AND THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AND (3) AN ALLOCATION OF EMPLOYEE TIME UTILIZING A TIME STUDY FOR THE PRESIDENT/CEO AND VICE-PRESIDENTS, MARKETING FOR THEIR TIME SPENT ON LOBBYING EFFORTS ON BEHALF OF CROZER-KEYSTONE HEALTH SYSTEM AND AFFILIATES.

Schedule C (Form 990 or 990EZ) 2013

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. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CROZER-KEYSTONE HEALTH SYSTEM

Employer identification number

22-2540851

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 section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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 XIII, 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........

Part V

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

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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)

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

3a(ii)

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

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

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	1,519,686		1,519,686
b	Buildings ................	27,691,368	13,933,221	13,758,147
c	Leasehold improvements ............	4,664,440	3,788,795	875,645
d	Equipment ................	8,306,690	8,077,970	228,720
e	Other .................	1,821,443	0	1,821,443
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				18,203,641

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) CARE ACTIVITIES	43,860,409	F
(2) LIMITED USE	224,801	F
(3) U.S. GOVERNMENT OBLIGATIONS	274,840	F
(4) U.S. TREASURY OBLIGATIONS	1,656,315	F
(5) CORPORATE BONDS	1,479,813	F




Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	47,496,178

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER ASSETS				9,029,838








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				9,029,838

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
DUE TO AFFILIATES		15,112,261
PENSION PAYABLE		9,740,171
OTHER LIABILITIES		8,614,016






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		33,466,448
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ...........	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 XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	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 XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART X	CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE CROZER-KEYSTONE HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S FISCAL YEAR ENDED JUNE 30, 2014 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATIONS LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48(ASC 740). CKHS AND MOST OF ITS SUBSIDIARIES ARE NONPROFIT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 509(A)(1) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM TAXES. THE HEALTH SYSTEM FILES U.S. FEDERAL, STATE AND LOCAL INFORMATION RETURNS AND NO RETURNS ARE CURRENTLY UNDER EXAMINATION. THE STATUTE OF LIMITATIONS ON THE HEALTH SYSTEM'S U.S. FEDERAL INFORMATION RETURNS REMAINS OPEN FOR THREE YEARS FOLLOWING THE YEAR THEY ARE FILED. GAAP REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HEALTH SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS.

Return Reference

Explanation

SCHEDULE D, PART X

CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE CROZER-KEYSTONE HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S FISCAL YEAR ENDED JUNE 30, 2014 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATIONS LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48(ASC 740). CKHS AND MOST OF ITS SUBSIDIARIES ARE NONPROFIT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 509(A)(1) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM TAXES. THE HEALTH SYSTEM FILES U.S. FEDERAL, STATE AND LOCAL INFORMATION RETURNS AND NO RETURNS ARE CURRENTLY UNDER EXAMINATION. THE STATUTE OF LIMITATIONS ON THE HEALTH SYSTEM'S U.S. FEDERAL INFORMATION RETURNS REMAINS OPEN FOR THREE YEARS FOLLOWING THE YEAR THEY ARE FILED. GAAP REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE HEALTH SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
CROZER-KEYSTONE HEALTH SYSTEM

Employer identification number

22-2540851

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ...............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	1	1	Program Services	FINANCIAL VEHICLE	8,255,873
















3a	Sub-total .....	1	1			8,255,873
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	1			8,255,873

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013

Schedule F (Form 990) 2013

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2013

Schedule F (Form 990) 2013Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2013

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2013

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
SCHEDULE F, PART I	THIS ORGANIZATION PAID CASSATT INSURANCE COMPANY, LTD. $6,730,963, $1,437,396 AND ($144,226); A FINANCIAL VEHICLE, FOR THE BENEFIT OF HEALTH ACCESS NETWORK, CROZER-CHESTER MEDICAL CENTER AND DELAWARE COUNTY MEMORIAL HOSPITAL; RESPECTIVELY, ALL RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATIONS. IN ADDITION, THE ORGANIZATION MADE A CAPITAL CONTRIBUTION IN THE AMOUNT OF $231,740 TO CASSATT INSURANCE COMPANY, LTD.

Schedule F (Form 990) 2013

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
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
CROZER-KEYSTONE HEALTH SYSTEM

Employer identification number
22-2540851

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. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) HEALTH ACCESS NETWORK 100 W SPROUL RD HLTHPLEX PAV II SPRINGFIELD,PA19064	23-2692637	501(C)(3)	11,598,488	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

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.
Part III can be duplicated 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. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
SCHEDULE I, PART I, QUESTION 2	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.

Schedule I (Form 990) 2013

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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CROZER-KEYSTONE HEALTH SYSTEM

Employer identification number

22-2540851

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 of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used 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? .........

Yes

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 ............

Yes

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

Cat. No. 50053T

Schedule J (Form 990) 2013

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 (E) amounts for that individual.

(A) Name and Title		(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 and Title		(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)JOAN K RICHARDSDIRECTOR - PRESIDENT/CEO	(i) (ii)	794,092 0	210,648 0	139,205 0	192,942 0	19,182 0	1,356,069 0	120,137 0
(2)DONALD W LEGREID ESQASST SEC-VP GENERAL COUNSEL	(i) (ii)	295,701 0	50,250 0	2,322 0	16,300 0	23,036 0	387,609 0	0 0
(3)PHILIP J RYAN CPAASST TREASURER - SVP/CFO	(i) (ii)	425,262 0	101,375 0	16,814 0	104,067 0	30,434 0	677,952 0	0 0
(4)ROBERT E WILSON RET 123113ASST SEC - SVP/ADMIN & CIO	(i) (ii)	398,249 0	93,800 0	225,821 0	127,745 0	13,024 0	858,639 0	222,257 0
(5)PATRICK J GAVINEVP & COO	(i) (ii)	0 455,079	0 108,105	0 12,910	0 104,216	0 32,366	0 712,676	0 0
(6)ERIC DOBKINVP, QUALITY & PATIENT SAFETY	(i) (ii)	386,080 0	65,828 0	5,964 0	16,300 0	30,396 0	504,568 0	0 0
(7)WILLIAM MCCUNE TERM 22614PRESIDENT, DCMH	(i) (ii)	272,389 0	46,398 0	4,538 0	17,300 0	28,088 0	368,713 0	0 0
(8)ELIZABETH JAEKLEVP, BUSINESS DEVELOPMENT	(i) (ii)	268,179 0	46,565 0	810 0	16,300 0	35,812 0	367,666 0	0 0
(9)WILLIAM KREIDER TERM 12513VP, HUMAN RESOURCES	(i) (ii)	264,244 0	46,565 0	4,546 0	17,300 0	30,816 0	363,471 0	0 0
(10)G DONALD REEDVP, CIO	(i) (ii)	237,321 0	40,535 0	1,203 0	16,520 0	29,180 0	324,759 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation
PART VII AND SCHEDULE J	TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2013 FORMS W-2.
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN COLUMN B (III) FOR THE FOLLOWING INDIVIDUALS INCLUDES AMOUNTS RELATING TO PARTICIPATION IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE INDIVIDUALS HAVE SATISFIED BOTH THE AGE AND THE YEARS OF SERVICE REQUIREMENTS SPECIFIED BY THE SERP. THESE AMOUNTS WERE INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOAN K. RICHARDS, $120,137 AND ROBERT E. WILSON, $222,257. HOWEVER, THE INDIVIDUALS DID NOT ACTUALLY RECEIVE ALL OF THESE FUNDS. THE INDIVIDUALS ONLY RECEIVED AN AMOUNT SUFFICIENT TO COVER THEIR RESPECTIVE INDIVIDUAL FEDERAL AND STATE TAX LIABILITIES ASSOCIATED WITH THEIR GROSS AMOUNT. IN ADDITION THESE FUNDS STILL REMAIN SUBJECT TO A RISK OF RECEIPT BY THE INDIVIDUALS UNTIL THEIR RETIREMENT FROM EMPLOYMENT AT THE CROZER-KEYSTONE HEALTH SYSTEM. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN THESE INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOAN K. RICHARDS, $175,642; PHILIP J. RYAN, CPA, $86,767; ROBERT E. WILSON, $124,833 AND PATRICK J. GAVIN, $87,916.
SCHEDULE J, PART I; QUESTION 7	THE INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II, COLUMN F	THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") BECAUSE THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THIS AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES AS FOLLOWS: JOAN K. RICHARDS, $120,137 AND ROBERT E. WILSON, $222,257. THESE AMOUNTS WERE REPORTED ON PRIOR YEAR FORMS 990 AS ACCRUED NON-TAXABLE BENEFITS.

Schedule J (Form 990) 2013

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

CROZER-KEYSTONE HEALTH SYSTEM

Employer identification number

22-2540851

Return Reference	Explanation
CORE FORM, PART III	CROZER-KEYSTONE HEALTH SYSTEM ============================= CROZER-KEYSTONE HEALTH SYSTEM IS THE PARENT ENTITY OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENSURES THAT IT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CROZER-CHESTER MEDICAL CENTER ("CCMC") AND DELAWARE COUNTY MEMORIAL HOSPITAL ("DCMH") ARE AFFILIATES WITHIN THE SYSTEM AND BOTH FILE THEIR OWN SEPARATE FORM 990 WHICH BOTH INCLUDE A SUPPLEMENTAL SCHEDULE H, HOSPITALS. FOR PURPOSES OF FORM 990, SCHEDULE H REPORTING AND IN ACCORDANCE WITH CURRENT IRS RULES AND REGULATIONS, CCMC AND DCMH BOTH UTILIZED THE CATHOLIC HEALTH ASSOCIATION ("CHA") MODEL WHEN QUANTIFYING COMMUNITY BENEFIT COSTS. UNDER THE CHA METHODOLOGY FOR QUANTIFYING COMMUNITY BENEFIT COSTS CCMC'S AND DCMH'S FISCAL YEAR ENDED JUNE 30, 2014 NET COMMUNITY BENEFIT COSTS WERE APPROXIMATELY $58,629,144 AND $11,907,981 OR APPROXIMATELY 11.01% AND 6.69%; RESPECTIVELY OF EACH ORGANIZATIONS TOTAL FISCAL YEAR ENDED JUNE 30, 2014 EXPENSES LESS PROVISION FOR BAD DEBT. THE CHA METHODOLOGY DOES NOT INCLUDE MEDICARE SHORTFALLS AND CERTAIN COSTS RELATED TO BAD DEBT. UTILIZING THE MODEL ADOPTED BY THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), WHICH CCMC AND DCMH BOTH BELIEVE MORE CLEARLY REPRESENTS ACTUAL COMMUNITY BENEFIT, WHEN QUANTIFYING ITS ESTIMATED TOTAL COMMUNITY BENEFIT COSTS FOR THE FISCAL YEAR ENDED JUNE 30, 2014 WOULD RESULT IN A SIGNIFICANTLY HIGHER COMMUNITY BENEFIT PERCENTAGE. UNDER THE AHA MODEL, A HOSPITAL MAY INCLUDE MEDICARE SHORTFALLS (THE AMOUNT BY WHICH YOUR COSTS EXCEED REIMBURSEMENTS), BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE AND COMMUNITY BUILDING ACTIVITIES. UNDER THE AHA MODEL FOR THE 2013 FORM 990, CCMC AND DCMH INCURRED NET COMMUNITY BENEFIT COSTS OF APPROXIMATELY $73,720,281 AND $21,885,017 WHICH ACCOUNTED FOR APPROXIMATELY 13.84% AND 12.29%; RESPECTIVELY OF EACH ORGANIZATIONS TOTAL FISCAL YEAR ENDED JUNE 30, 2014 EXPENSES. NET COSTS MEANS COSTS AFTER ALL ASSOCIATED REIMBURSEMENTS. CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS A NOT FOR-PROFIT TAX-EXEMPT ORGANIZATION WITH ITS CENTRAL OFFICE IN SPRINGFIELD, PENNSYLVANIA. CKHS IS THE SOLE CORPORATE MEMBER OF VARIOUS HEALTHCARE RELATED ORGANIZATIONS, INCLUDING CROZER-CHESTER MEDICAL CENTER, THE MAJORITY OF WHICH ARE TAX-EXEMPT ENTITIES. THE INTERNAL REVENUE SERVICE HAS RECOGNIZED CKHS AS BEING A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3). AS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM IN PENNSYLVANIA, CKHS AND ITS AFFILIATES STRIVE TO CONTINUALLY DEVELOP AND OPERATE A MULTI-HOSPITAL HEALTHCARE SYSTEM WHICH PROVIDES SUBSTANTIAL COMMUNITY BENEFIT THROUGH THE PROVISION OF A COMPREHENSIVE SPECTRUM OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE RESIDENTS OF PENNSYLVANIA COUNTIES INCLUDING DELAWARE, CHESTER, MONTGOMERY AND PHILADELPHIA, PENNSYLVANIA, SOUTHERN NEW JERSEY AND NORTHERN DELAWARE. CKHS ENSURES THAT ITS SYSTEM PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICE. CKHS ADMISSIONS AND OBSERVATIONS TOTALED 37,300, CKHS PROVIDES TREATMENT AND SERVICES TO APPROXIMATELY 585,000 OUTPATIENTS, 21,800 SAME DAY SURGERY PATIENTS, 128,200 EMERGENCY DEPARTMENT PATIENTS AND DELIVERS MORE THAN 3,100 BABIES ANNUALLY. CKHS INCLUDES APPROXIMATELY 6, 100 EMPLOYEES AND 913 VOLUNTEERS. MISSION ======= CROZER-KEYSTONE HEALTH SYSTEM IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE. WE ARE FOCUSED ON PROVIDING THE HIGHEST QUALITY OF MEDICAL CARE AND ACTING DECISIVELY TO PREVENT DISEASE WHILE PARTNERING WITH THE COMMUNITY TO EDUCATE AND ENCOURAGE HEALTHY LIFE CHOICES. VOLUNTEER SERVICES ------------------ VOLUNTEER SERVICES AT CKHS OFFER NUMEROUS PROGRAMS AND SERVICES TO THE COMMUNITY AT LARGE AND TO THE PATIENTS AT OUR HOSPITALS. AMONG THESE SERVICES ARE MONTHLY BLOOD PRESSURE SCREENINGS, STUDENT MENTORING, PATIENT ADVOCACY, YOUTH LEADERSHIP, AND DONATION PROGRAMS. RESIDENCY/EDUCATION =================== CKHS OFFERS NUMEROUS CHALLENGING AND FULLY ACCREDITED RESIDENCY PROGRAMS AS ONE OF THE LEADING HEALTHCARE SYSTEMS IN THE DELAWARE VALLEY. NOTABLY, CKHS OFFERS STELLAR ALLOPATHIC RESIDENCIES IN FAMILY PRACTICE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, PEDIATRICS AND TRANSITIONAL YEAR, AS WELL AS OSTEOPATHIC INTERNAL MEDICINE, PODIATRIC RESIDENCY AND A VARIETY OF OSTEOPATHIC AND ALLIED HEALTH TRAINING PROGRAMS. CKHS IS A TOP-RATED REGIONAL HEALTH SYSTEM WITH A LONGSTANDING TEACHING TRADITION AND A SUPERB FACULTY OFFERING THE BENEFITS OF A UNIVERSITY-BASED TEACHING MODEL, PLUS THE ADVANTAGES OF COMMUNITY-BASED RESIDENCY PROGRAMS. EACH YEAR, APPROXIMATELY 97 TO 100 PERCENT OF CKHS' HIGHLY COMPETITIVE ALLOPATHIC RESIDENCY POSITIONS ARE FILLED THROUGH THE NATIONAL RESIDENT MATCHING PROGRAM. AS A WHOLE, CKHS' RESIDENCIES ARE COMMITTED TO DEVELOPING HIGHLY SKILLED PHYSICIANS WHO MASTER THE SCIENCE OF THEIR SPECIALTY, THE PRACTICE OF TOP-QUALITY PATIENT CARE AND THE ART OF TEACHING NEW GENERATIONS OF DOCTORS. CKHS' RESIDENTS RECEIVE RIGOROUS ACADEMIC EXPERIENCES AND HANDS-ON CLINICAL AND RESEARCH OPPORTUNITIES, WHICH FULLY PREPARE THEM TO PURSUE THEIR CAREER GOALS. IN FACT, CKHS IS PARTICULARLY PROUD OF THE OUTSTANDING PERFORMANCES ITS GRADUATES CONTINUE TO ACHIEVE ON NATIONAL BOARD EXAMINATIONS. FOSTERING A WELL-ROUNDED EDUCATIONAL EXPERIENCE, CKHS RESIDENCIES PROVIDE STRONG DIDACTIC INSTRUCTION THAT REINFORCES THE CLINICAL, ETHICAL AND PRACTICE-MANAGEMENT ASPECTS OF MEDICINE. THE RESIDENCY PROGRAMS ALSO EMPHASIZE THE USE OF COMPUTERS AT THE POINT OF CARE TO ACCESS EXPERT INFORMATION, DECISION SUPPORT, LITERATURE SEARCHES, DRUG INTERACTIONS AND PATIENT EDUCATION MATERIALS. AS THEY TRAIN, CKHS RESIDENTS HAVE THE OPPORTUNITY TO USE CKHS' OWN CUTTING-EDGE FACILITIES, AS WELL AS THOSE OF OUR WORLD-CLASS EDUCATIONAL AFFILIATES. THE MAJORITY OF RESIDENCY TRAINING TAKES PLACE AT CROZER-CHESTER MEDICAL CENTER ("CCMC"), A NOT-FOR-PROFIT TERTIARY-CARE TEACHING HOSPITAL. SELECTED ACCOMPLISHMENTS ======================== FOSTER G. MCGAW PRIZE FOR EXCELLENCE IN COMMUNITY SERVICE ========================================================= SELECTED AMONG HUNDREDS OF APPLICATIONS NATIONWIDE, CROZER-KEYSTONE WAS CHOSEN BY A NATIONAL COMMITTEE FOR THEIR COMMITMENT AND PASSION TO IMPROVING THE HEALTH AND QUALITY OF LIFE WITHIN THE COMMUNITY. IN HONOR OF ITS BROAD-BASED EFFORTS TO IMPROVE THE LIVES OF THE MOST VULNERABLE MEMBERS OF ITS COMMUNITY, CROZER-KEYSTONE WAS RECENTLY RECOGNIZED AS THE RECIPIENT OF THE 2013 FOSTER G. MCGAW PRIZE FOR EXCELLENCE IN COMMUNITY SERVICE. THIS AWARD IS ONE OF THE MOST ESTEEMED COMMUNITY SERVICE HONORS IN HEALTHCARE AND IS AWARDED BY THE AMERICAN HOSPITAL ASSOCIATION. THE FOSTER G. MCGAW AWARD IS SPONSORED BY THE BAXTER INTERNAL FOUNDATION, THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE HEALTH RESEARCH AND EDUCATIONAL TRUST. THIS AWARD ACKNOWLEDGES EXEMPLARY PROGRAMS THAT HAVE BEEN IN OPERATION FOR MORE THAN FIVE YEARS; ADDRESS THE ENTIRE LIFESPAN; TARGET THE REDUCTION OF INFANT MORTALITY; AND INCLUDE PROGRAMS THAT SUPPORT, EDUCATE AND ENABLE SENIORS TO REMAIN IN THEIR HOMES AS LONG AS POSSIBLE. "WORKING WITH ITS COMMUNITY, CROZER-KEYSTONE'S GOAL IS TO BUILD A HEALTHY PLACE TO LIVE AND WORK, AND A SOUND ENVIRONMENT IN WHICH TO BUILD AND MAINTAIN A FAMILY," SAID JOHN O'BRIEN, CHAIR OF THE FOSTER G. MCGAW PRIZE COMMITTEE. "THE SYSTEM'S EXEMPLARY COMMUNITY BENEFIT PROGRAMS ADDRESS THE ENTIRE LIFESPAN - FROM PROGRAMS THAT TARGET THE REDUCTION OF INFANT MORTALITY TO PROGRAMS THAT SUPPORT, EDUCATE AN ENABLE SENIORS TO REMAIN IN THEIR HOMES AS LONG AS POSSIBLE."
CORE FORM, PART III	PRYSM YOUTH CENTER OF DELAWARE COUNTY ===================================== IN AN EFFORT TO INCREASE OUR CAPACITY TO REACH UNDERSERVED POPULATIONS, CKHS COMMUNITY HEALTH EDUCATION PARTNERED WITH THE PRYSM YOUTH CENTER WHICH SERVES THE LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER, QUESTIONING AND INTERSEX (LGBTQQI) YOUTH IN DELAWARE COUNTY. IN A NATIONAL STUDY OF MIDDLE AND HIGH SCHOOL STUDENTS, LGBT STUDENTS (61.1%) WERE MORE LIKELY THAN THEIR NON-LGBT PEERS TO FEEL UNSAFE OR UNCOMFORTABLE AS A RESULT OF THEIR SEXUAL ORIENTATION. EXPOSURE TO VIOLENCE CAN HAVE NEGATIVE EFFECTS ON THE EDUCATION AND HEALTH OF LGBT YOUTH. OVERALL, THE STRESSES EXPERIENCED BY LGBT YOUTH ALSO PUT THEM AT GREATER RISK FOR MENTAL HEALTH PROBLEMS, SUBSTANCE USE, AND PHYSICAL HEALTH PROBLEMS. THE MISSION OF THE PRYSM YOUTH CENTER OF DELAWARE COUNTY IS TO PROVIDE LGBTQQI YOUTH WITH A SAFE, SUPPORTIVE, NON-JUDGMENTAL ENVIRONMENT WHERE THEY CAN MEET REGULARLY AND BE THEMSELVES. THE CENTER FACILITATES SOCIAL, EDUCATIONAL AND SUPPORTIVE ACTIVITIES FOR THE YOUTH. AT THE BEGINNING OF THE 2013-2014 SCHOOL YEAR, CKHS COMMUNITY HEALTH EDUCATION OFFERED TO HOST A SECONDARY SPACE FOR PRYSM IN CHESTER CITY. THE LOCATION NOW CALLED "SAPPHIRE SPACE" PROVIDES A SAFE SPACE FOR LGBTQQI YOUTH IN CHESTER AND THE SURROUNDING COMMUNITIES TO COME ON A BIWEEKLY BASIS. IN ADDITION, CKHS COMMUNITY HEALTH EDUCATION HAS BEEN ABLE TO PROVIDE EDUCATION TO THE LGBTQQI YOUTH ON CERTAIN HEALTH TOPICS SUCH AS TOBACCO PREVENTION, HEALTHY EATING AND PHYSICAL ACTIVITY. THE TWO GROUPS HAVE ALSO PARTNERED TO PROVIDE DIVERSITY/SENSITIVITY TRAININGS TO HEALTH PROFESSIONALS AND SCHOOL PROFESSIONALS. DELAWARE COUNTY ANTI-BULLYING COALITION ======================================= BULLYING IS ONE TYPE OF YOUTH VIOLENCE THAT THREATENS YOUNG PEOPLE'S WELL-BEING. BULLYING CAN RESULT IN PHYSICAL INJURIES, SOCIAL AND EMOTIONAL DIFFICULTIES, AND ACADEMIC PROBLEMS. THE HARMFUL EFFECTS OF BULLYING ARE FREQUENTLY FELT BY OTHERS, INCLUDING FRIENDS AND FAMILIES, AND CAN HURT THE OVERALL HEALTH AND SAFETY OF SCHOOLS, NEIGHBORHOODS, AND SOCIETY. SEEING BULLYING AS A TRENDING TOPIC AND PERTINENT TO THE OVERALL HEALTH OF YOUTH, CKHS COMMUNITY HEALTH EDUCATION PARTNERED WITH INTERNAL AND EXTERNAL PARTNERS TO CREATE THE DELAWARE COUNTY ANTI-BULLYING COALITION. THE DELAWARE COUNTY ANTI-BULLYING COALITION (DABC) STRIVES TO INCREASE COMMUNITY AWARENESS OF BULLYING AND PROMOTE POSITIVE DIALOGUE BETWEEN YOUTH, PARENTS, SCHOOL AND THE COMMUNITY. THE DABC HOPES TO PROVOKE CONSTRUCTIVE CONVERSATIONS REGARDING BULLYING THROUGH COMMUNITY ENGAGEMENT ACTIVITIES. IN COMMUNITY FORUMS THROUGHOUT THE YEAR, DABC HOSTED SCREENINGS OF THE AWARD WINNING DOCUMENTARY "BULLY". FILMED OVER THE COURSE OF THE 2009/2010 SCHOOL YEAR, BULLY OPENS A WINDOW ONTO THE PAINED AND OFTEN ENDANGERED LIVES OF BULLIED KIDS, REVEALING A PROBLEM THAT TRANSCENDS GEOGRAPHIC, RACIAL, ETHNIC AND ECONOMIC BORDERS. THROUGH THESE FORUMS, DABC INCREASED AWARENESS AND OPENED THE FLOOR TO POSITIVE DIALOGUE IN REGARDS TO HOW THE COMMUNITY COULD PREVENT AND DECREASE BULLYING. INTEGRATED HEALTH PRACTICES FOR PHYSICAL AND MENTAL WELL BEING ============================================================== PHYSICAL HEALTH CONDITIONS AMONG PEOPLE WITH SERIOUS MENTAL ILLNESSES IMPACT THEIR QUALITY OF LIFE AND CONTRIBUTE TO DISPROPORTIONATE PREMATURE DEATH. IN 2006, THE NATIONAL ASSOCIATION OF STATE MENTAL HEALTH PROGRAM DIRECTORS (NASMHPD) ISSUED A TECHNICAL REPORT, MORBIDITY AND MORTALITY IN PEOPLE WITH SERIOUS MENTAL ILLNESS, WHICH REVEALED THAT PEOPLE WITH SERIOUS MENTAL ILLNESS ON THE AVERAGE DIE 25 YEARS EARLIER THAN PEOPLE WITHOUT SERIOUS MENTAL ILLNESS. WE HAVE SEEN CLIENTS IN THEIR LATE 40'S AND 50'S DIE FROM CHRONIC PHYSICAL ILLNESS THAT WAS NOT TREATED OR ADDRESSED. FOR THE LAST SEVERAL YEARS CKHS BEHAVIORAL HEALTH SERVICES HAS BEEN WORKING WITH CLIENTS TO IDENTIFY WELLNESS GOALS, REMOVE BARRIERS TO SECURING PRIMARY CARE AND WORK TOWARDS PHYSICAL AS WELL AS MENTAL WELL BEING. OUR EFFORTS HAVE INCLUDED EDUCATING ALL LEVELS OF MENTAL HEALTH STAFF TO THE IMPORTANCE OF ADDRESSING PHYSICAL HEALTH ISSUES; WORKING WITH CLIENTS TO DEVELOP PHYSICAL WELLNESS GOALS AND MONITORING THEIR PROGRESS; AND PROVIDING INDIVIDUAL EDUCATION AND WELLNESS ACTIVITIES. WE HAVE A NURSE NAVIGATOR, MARY ZECCA, WHO COORDINATES WELLNESS EDUCATION, COLLABORATES WITH STAFF TO IDENTIFY AT RISK CLIENTS, AND ASSISTS THEM IN DEVELOPING WELLNESS GOALS COLLABORATIVELY WITH THEIR CLIENTS. THE NURSE NAVIGATOR MAKES CONTACT WITH CLIENTS WHO AGREE TO EDUCATION AND CONDUCTS WELLNESS ACTIVITIES. SHE HAS BEEN SUCCESSFUL WITH MANY CLIENTS IN WEIGHT LOSS, SMOKING CESSATION OR DECREASE IN USE, GETTING CLIENTS TO UTILIZE PRIMARY CARE AND OVERALL ADOPTING MORE HEALTHY PRACTICES AND MAKING BETTER CHOICES. THE NUMBERS OF CLIENTS PARTICIPATING IN THESE ACTIVITIES IS INCREASING AND WE HAVE A NUMBER OF INDIVIDUAL SUCCESS STORIES. IT WILL TAKE MANY YEARS TO REVERSE THE DISTURBING TREND OF SHORTER LIFE EXPECTANCY FOR CLIENTS WITH SERIOUS MENTAL ILLNESS BUT WITH PROGRAMS LIKE OUR INTEGRATED HEALTH AND THE COMMITMENT OF OUR NURSE NAVIGATOR AND MENTAL HEALTH STAFF WE WILL HOPEFULLY BEGIN TO MAKE PROGRESS. PEDIATIRC ASTHMA TASK FORCE OF DELAWARE COUNTY ============================================== THE KIDS ASTHMA MANAGEMENT PROGRAM PROVIDES PRIMARY STAFF SUPPORT FOR THE PEDIATRIC ASTHMA TASK FORCE OF DELAWARE COUNTY (PATF) AND DR. VATSALA RAMPRASAD, CKHS PEDIATRIC PULMONOLOGIST IS THE CONVENER. PATF IS A COALITION OF PROVIDERS, MANAGED CARE ORGANIZATIONS, SCHOOL NURSES, UNIVERSITIES, EPA AND OTHER GOVERNMENT REPRESENTATIVES, AMERICAN LUNG ASSOCIATION AND OTHER STAKEHOLDERS WORKING TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR CHILDREN WITH ASTHMA THROUGH COLLABORATIVE CARE PRACTICES, EDUCATION, ADVOCACY, AND COMMUNITY PARTNERSHIPS THAT ALSO INCORPORATE SUSTAINABILITY. SOME OF PATF'S PROGRAMS INCLUDE ANNUAL ASTHMA AWARENESS MONTH FAIRS, EDUCATIONAL LITERATURE DEVELOPMENT AND DISTRIBUTION FOR FAMILY AND PROVIDERS, AND OUTREACH TO ENTITIES SUCH AS THE DELAWARE COUNTY SCHOOL NURSE ASSOCIATION. THE MISSION OF THE TASK FORCE IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR CHILDREN WITH ASTHMA THROUGH COLLABORATIVE CARE PRACTICES, EDUCATION, ADVOCACY, AND COMMUNITY PARTNERSHIPS THAT ALSO INCORPORATE SUSTAINABILITY. SPECIFIC OBJECTIVES OF THE TASK FORCE ARE: - TO COLLECT LOCAL ASTHMA PREVALENCE DATA BASED ON SUCH ENTITIES AS CENSUS TRACTS, ZIP CODES, SCHOOL DISTRICTS, ER LISTINGS OR OTHER AVENUES, IDENTIFYING RESOURCES TO SUPPORT DATA COLLECTION. - TO FOSTER COLLABORATION IN THE IDENTIFICATION OF FUNDING SOURCES AND THE SUBSEQUENT DEVELOPMENT AND SUBMISSION OF GRANT PROPOSALS RELATED TO PEDIATRIC ASTHMA, INCLUDING ITS RELATIONSHIP TO OBESITY AND SLEEP APNEA. - TO BE A FORUM FOR COMMUNITY EFFORTS IN PEDIATRIC ASTHMA CONTROL THAT IMPROVES CLINICAL CARE, CHILD/FAMILY SELF-MANAGEMENT AND QUALITY OF LIFE. - TO ADVOCATE FOR THE REIMBURSEMENT OF PATIENT EDUCATION AND HOME-BASED ENVIRONMENTAL REMEDIATION CONDUCTED BY BOTH CLINICAL AND PARAPROFESSIONAL STAFF. BRINGING PEOPLE TO THE TABLE ---------------------------- THE COMMUNITY HEALTH COMMITTEE MEETING BRINGS INDIVIDUALS TOGETHER FROM ACROSS THE SYSTEM. THIS OPPORTUNITY TO SHARE IDEAS AND INFORMATION, AND TO COLLABORATE IN THEIR EFFORTS TO PROVIDE OUTREACH AND IMPROVE THE HEALTH OF OUR COMMUNITY. BLUEPRINTS/PEER LEADER PROGRAM ------------------------------ LAUNCHED IN 2006, BLUEPRINTS IS AN EVOLUTION OF THE PEER LEADER PROGRAM, WHICH WAS CROZER WELLNESS CENTER'S FIRST YOUTH LEADERSHIP PROGRAM AND WHICH STARTED IN 1996. THE PROGRAM IS OPEN TO YOUTH RESIDING WITHIN THE BOUNDARIES OF THE CHESTER UPLAND SCHOOL DISTRICT WHO (PRIOR TO ENROLLMENT) HAD ONE OR MORE RESEARCH-IDENTIFIED RISK FACTORS FOR DROP-OUT. THE PROGRAM HAD A CAPACITY TO SERVE 40 YOUTH PER YEAR, AND IS COHORT BASED. OUR CURRENT COHORT OF PARTICIPANTS WILL HAVE BEEN IN 8TH GRADE IN THE 2012/2013 ACADEMIC YEAR, AND WE WILL FOLLOW THEM THROUGH HIGH SCHOOL GRADUATION IN THE 2016/2017 ACADEMIC YEAR. BLUEPRINTS IS A YEAR-ROUND OUT-OF SCHOOL PROGRAM OPERATED IN PARTNERSHIP WITH SWARTHMORE COLLEGE'S BLACK CULTURAL CENTER AND THE COLLEGE ACCESS CENTER OF DELAWARE COUNTY. THROUGH THE PARTNERSHIP SWARTHMORE COLLEGE STUDENTS ARE RESPONSIBLE TO FACILITATE TUTORING, MENTORING AND CULTURAL ENRICHMENT ACTIVITIES. COLLEGE ACCESS CENTER STAFF MEMBERS ARE RESPONSIBLE TO PROVIDE CAREER EXPOSURE AND COLLEGE ACCESS GUIDANCE. CROZER WELLNESS CENTER STAFF MEMBERS ARE RESPONSIBLE TO FACILITATE COMMUNITY SERVICE EXPERIENCES, TO PROVIDE MEMBERS WITH LIFE SKILLS & RISK REDUCTION EDUCATION, TO TRAIN PARTICIPANTS TO TAKE ON THE ROLE OF PEER EDUCATORS OR "PEER LEADERS", AND TO COORDINATE SPECIAL/FAMILY/RECOGNITION EVENTS.
CORE FORM, PART III	COMMUNITY HEALTH EDUCATION PROGRAM ---------------------------------- COMMUNITY HEALTH EDUCATION PROGRAM SERVES THOSE INDIVIDUALS LIVING IN THE DCMH SERVICE AREA AS WELL AS ACROSS DELAWARE COUNTY. IT IS THE GOAL OF THE COMMUNITY HEALTH EDUCATION PROGRAM TO IMPROVE THE OVERALL HEALTH STATUS OF RESIDENTS IN DELAWARE COUNTY BY: - MEASURING PROGRESS OF KEY HEALTH INDICATORS AND REPORTING ON TRENDS OVER TIME. - ADDRESSING COMMUNITY NEED THROUGH TARGETED RISK REDUCTION AND HEALTH PROMOTION INTERVENTIONS. - PROMOTE THE PREVENTION OF DISEASE AND ENCOURAGE HEALTHY LIFE CHOICES THROUGH EDUCATION. THE COMMUNITY HEALTH EDUCATION PROGRAM SERVES AS A LIAISON TO VARIOUS COMMUNITY BASED COALITIONS AND BOARDS TO ADDRESS COMMUNITY HEALTH CONCERNS AND A POINT OF ENTRY AS WELL AS A POINT OF ACCESS TO COMMUNITY BASED AND HOSPITAL SERVICES FOR HEALTH IMPROVEMENT. COMMUNITY HEALTH EDUCATION PROGRAM PROVIDES TARGETED PROGRAMMING TO ADDRESS HEALTH CONCERNS IDENTIFIED IN OUR COMMUNITY NEEDS ASSESSMENT AND IN ALIGNMENT WITH HEALTHY PEOPLE GOALS. PROGRAMS AND SERVICES INCLUDE: - NUTRITION AND PHYSICAL EDUCATION OUTREACH - OBESITY PREVENTION - TOBACCO PREVENTION AND CESSATION - BULLY PREVENTION COLLABORATIVE - CULTURAL CONNECTIONS COLLABORATIVE WITH COMMUNITY INCLUSION NETWORK COMMUNITY LEADER MEETINGS HELD EXCLUSIVELY AT DCMH TO ADDRESS THE NEEDS OF OUR MULTI-CULTURAL COMMUNITY - KIDS ASTHMA MANAGEMENT PROGRAM HEALTHLINE SERVICES ------------------- DCMH'S HEALTHLINE SERVICES, THE HOSPITAL'S COMMUNITY EDUCATION/OUTREACH DEPARTMENT, PROVIDES WELLNESS PROGRAMS AND HEALTH PROMOTION SERVICES FOR THE COMMUNITY AT LARGE. THIS INCLUDES FREE SCREENINGS, HEALTH FAIRS AND EDUCATIONAL SESSIONS PRESENTED BY HEALTHCARE PROFESSIONALS ON VARIOUS RELATED TOPICS. HEALTHLINE PARTICIPATES IN THE CKHS SPEAKER'S BUREAU, PROVIDING OUTREACH AT COMMUNITY HEALTH FAIRS AND SPECIAL EVENTS. ONGOING CPR, FIRST AID AND SAFE SITTER BABYSITTING COURSES ARE OFFERED THROUGHOUT THE YEAR AT DCMH OR CAN BE SCHEDULED AT AN OUTSIDE SITE. SCHOOL-BASED EDUCATION SERVICES AND PROGRAMS INCLUDE THE FOLLOWING: PASSPORT TO HEALTH PROGRAM: REACHING APPROXIMATELY 6,000 STUDENTS EACH SCHOOL YEAR. THE PURPOSE OF THE PASSPORT TO HEALTH PROGRAM IS TO EDUCATE CHILDREN, THROUGH SCIENCE, HISTORY AND PHYSICAL EDUCATION, ABOUT POSITIVE HEALTH BEHAVIORS. THE PROGRAM IS DESIGNED TO PROMOTE SENSIBLE, POSITIVE HEALTH BEHAVIOR PATTERNS DURING THOSE EARLY YEARS SO THEY BECOME ROUTINE AND ARE CONTINUED FOR A LIFETIME. THIS PROGRAM PROVIDES HEALTH CURRICULUM TO SCHOOLS ON BOTH SIDES OF THE COUNTY REACHING STUDENTS IN THE 3RD, 4TH AND 5TH GRADES. WE PROVIDE HEALTH RELATED TOPICS FROM SEPTEMBER THROUGH MAY, PROVIDING MATERIALS AND INTERACTIVE ACTIVITIES FOR EACH STUDENT. MANY OF THESE SCHOOLS DO NOT HAVE "HEALTH" AS PART OF THEIR LESSON PLANS AND WOULD NOT BE ABLE TO INSTILL GOOD HEALTH BEHAVIORS IN THESE YOUNG STUDENTS WITHOUT OUR PROGRAM. SCHOOLS THAT DO HAVE A HEALTH CURRICULUM IN PLACE USE OUR PROGRAM TO SUPPLEMENT WHAT THEY TRADITIONALLY TEACH. TOPICS INCLUDE GENETICS, TOOTH HEALTH, CANCER PREVENTION, HEART HEALTH, EXERCISE, GERM PREVENTION, SAFETY AND MORE. EDUCATIONAL SESSIONS ON EACH TOPIC ARE AVAILABLE BY A HEALTHCARE PROFESSIONAL AT THE HOME SCHOOL FOR STUDENTS AND/OR PARENTS UPON REQUEST. STRIDE ("STUDENTS TAKING RESPONSIBILITY IN DRUG EDUCATION") PROGRAM: REACHING 600 STUDENTS EACH YEAR FROM AREA SCHOOLS. THIS PROGRAM BRINGS 5TH AND 6TH GRADE STUDENTS TO OUR HOSPITAL, WHERE THEY RECEIVE EDUCATION ON DRUG/TOBACCO PREVENTION BY HEALTHCARE PROFESSIONALS. THIS INTERACTIVE PROGRAM COVERS THE PHYSICAL, SOCIAL AND EMOTIONAL ASPECTS OF DRUG AND TOBACCO ADDICTION. COLLABORATION: COMMUNITY HEALTH EDUCATION PROGRAM, HEALTHLINE SERVICES AND DCMH REGIONAL CANCER PROGRAM COLLABORATE TO PROVIDE EDUCATION AND OUTREACH ACTIVITIES NOT LIMITED TO BUT INCLUDING THE FOLLOWING: - DIVERSITY PROGRAMS - SCREENING PROGRAMS - SUPPORT GROUPS - HEALTH FAIRS - COMMUNITY EDUCATION PROGRAMS - LOCAL SCHOOL AND COMMUNITY BASED EDUCATION/OUTREACH PROGRAMS AND ACTIVITIES - SPEAKERS BUREAU PRESENTATIONS AT COMMUNITY LOCATIONS CONGREGATIONAL NURSING PROGRAM ------------------------------ CONGREGATIONAL NURSING IS HEALTH MINISTRY TO FAITH COMMUNITIES THAT FOCUSES ON THE WHOLENESS OF BODY, MIND AND SPIRIT. THE CONGREGATIONAL NURSE MINISTRY GROWS OUT OF THE BELIEF THAT ALL FAITH COMMUNITIES ARE PLACES OF HEALTH AND HEALING AND HAVE A ROLE IN PROMOTING WHOLENESS THROUGH INTEGRATING FAITH AND HEALTH. A CONGREGATIONAL NURSE PROVIDES HEALTH PROMOTION AND OUTREACH TO A FAITH-BASED COMMUNITY IN THE CONTEXT WITH THE VALUES, BELIEFS AND PRACTICES OF THAT COMMUNITY WHICH THEY SERVE. CROZER-KEYSTONE HEALTH SYSTEM PROVIDES OUTREACH, ASSISTANCE AND TRAINING TO CONGREGATIONAL NURSES THROUGHOUT THE COMMUNITY THAT WE SERVE. THIS COMMITMENT TO HEALTH PROMOTION AND ACCESS TO HEALTH SERVICES AND RESOURCES AT THE COMMUNITY LEVEL ASSISTS THE CONGREGATIONAL NURSES IN CONNECTING THEIR PARISHIONERS TO PROGRAMS AND SERVICES IN AN EFFORT TO ENSURE OPTIMAL COMMUNITY HEALTH. SENIOR HEALTH SERVICES ---------------------- SENIOR HEALTH SERVICES DEVELOPS, COORDINATES AND IMPLEMENTS PROGRAMS COMMITTED TO THE PROMOTION OF A HEALTHY SENIOR COMMUNITY IN DELAWARE COUNTY. THE SERVICES OFFERED ARE EASILY ACCESSIBLE; MEETS THE NEEDS OF THE COMMUNITY SERVED, AND ARE PROVIDED WITH RESPECT AND DIGNITY. WITH THE GROWING NUMBER OF SENIORS IN THE COUNTRY THE ELDERLY POPULATION IN OUR COUNTY IS ALSO EXPECTED TO SURGE SIGNIFICANTLY. BY THE YEAR 2030 THERE WILL BE 70 MILLION AMERICANS OVER THE AGE OF 65. DELAWARE COUNTY, ONE OF THE MOST DENSELY POPULATED COUNTIES IN THE STATE WILL BE HEAVILY IMPACTED BY THE POPULATION SURGE. AS ONE OF ITS MANY GOALS SENIOR HEALTH SERVICES DEVELOPS INITIATIVES TO EDUCATE AND SENSITIZE HEALTHCARE PROFESSIONALS TO THE UNIQUE NEEDS OF OUR GROWING SENIOR COMMUNITY. THESE INITIATIVES FOCUS ON ENHANCING THE SKILLS OF THE HEALTHCARE AND ACADEMIC COMMUNITIES TO DEVELOP EXPERTISE AND BEST PRACTICES IN GERIATRICS. RESPONSIBILITIES INCLUDE BUT NOT LIMITED TO; TRAINING EMPLOYEES ACROSS THE SYSTEM IN AREAS RELATED TO AGE COMPETENCY, DEVELOPING SENIOR FRIENDLY HOSPITALS ON ALL LEVELS AND BRIDGING THE GAP BETWEEN THE INPATIENT AND OUTPATIENT SERVICES. IN ADDITION THE DEPARTMENT IS ALSO RESPONSIBLE FOR THE HEALTH SYSTEM'S SENIOR SPECIFIC SUPPORT LINE. THE SENIOR SUPPORT LINE (1-800-CKHS-KEY) IS A SINGLE POINT OF CONTACT FOR PATIENTS, FAMILIES, PHYSICIANS AND COMMUNITY ORGANIZATIONS, TO ACCESS RESOURCES THROUGH OUR HEALTH SYSTEM, AS WELL AS ATTAIN SERVICES FROM LOCAL AND NATIONAL ORGANIZATIONS. SENIOR HEALTH SERVICES: - PROVIDES EASE OF ACCESS TO SERVICES FOR OLDER ADULTS. - STABILIZES THE INDIVIDUAL AT HOME AND IN THE COMMUNITY. - COORDINATES RESOURCES TO ENHANCE QUALITY OF LIFE. - PROVIDES ADDITIONAL SUPPORT TO FAMILIES AND CAREGIVERS. - ARRANGES IN HOME SUPPORT SERVICES. - OFFERS ASSISTANCE IN ACCESSING STATE FUNDED SERVICES. - PROVIDES ASSISTANCE WITH LONG TERM CARE (LTC) OR ALTERNATIVE PLACEMENT. - PROVIDES MEDICARE EDUCATION AND ENROLLMENT OPTIONS. - ENHANCES OVERALL HEALTH AND WELL-BEING. SERVICES PROVIDED BY SENIOR HEALTH SERVICES INCLUDE THE FOLLOWING: SENIOR SUPPORT LINE ------------------- - TOLL-FREE NUMBER AVAILABLE TO ALL COMMUNITY MEMBERS. - TRIAGE CLINICIAN ASSESSES CALLERS' NEEDS, PROVIDES INFORMATION, AND REFERS TO THE APPROPRIATE SERVICES. - ALL SERVICES ARE COORDINATED UNTIL FULLY IMPLEMENTED. - REMAINS CONNECTED WITH OLDER ADULTS TO ENSURE SYSTEMS ARE IN PLACE TO MEET THEIR NEEDS. GERIATRIC RESOURCE CENTER: THE GOAL OF THE GERIATRIC RESOURCE CENTER LOCATED STRATEGICALLY IN THE CENTER OF THE COUNTY AT OUR SPRINGFIELD HOSPITAL SITE IS TO PROVIDE DELAWARE COUNTY'S OLDER ADULTS, CHILDREN OF AGING PARENTS, AND CAREGIVERS WITH EASY ACCESS TO EDUCATIONAL AND INSTRUCTIONAL INFORMATION ON A VARIETY OF HEALTH-RELATED TOPICS AS WELL AS LOCAL, STATE AND NATIONAL SENIOR SERVICES AND PROGRAMS. DELAWARE COUNTY CARE TRANSITION INITIATIVE ------------------------------------------ AS OF RESULT OF THE SUCCESS OF THE INITIAL CARE TRANSITION PROGRAM, DELAWARE COUNTY'S AREA AGENCY ON AGING RECEIVED ADDITIONAL FUNDING. THE 2012 COMMUNITY-BASED CARE TRANSITIONS PROGRAM ("CCTP") AWARD. - CKHS OWNS FOUR OF THE FIVE ACUTE CARE HOSPITALS IN THE COUNTY PARTICIPATING IN THIS INITIATIVE. - CKHS NURSES AND AAA SOCIAL WORKERS WORK TOGETHER TO PROVIDE EXTENSIVE IN-HOME SERVICES FOR OLDER ADULTS WITH MULTIPLE CO-MORBIDITIES AND MINIMAL OR NO SUPPORT SYSTEM AT HOME. - CCTP GRANT INVOLVES COORDINATION BY MULTIPLE COMMUNITY-BASED PARTNERS TO SUSTAIN OLDER ADULTS IN THE COMMUNITY.
CORE FORM, PART III	CARING FOR OLDER PEOPLE ("COP") ------------------------------- - A COMMUNITY PARTNERSHIP BETWEEN CROZER-KEYSTONE HEALTH SYSTEM ("CKHS"), THE COUNTY OFFICE OF SERVICES FOR THE AGING ("COSA") AND THE DISTRICT ATTORNEY'S OFFICE. - THE PRIMARY PURPOSE OF THE PROGRAM IS TO IDENTIFY AT-RISK ELDERLY IN THE COMMUNITY AND CONNECT THEM TO THE APPROPRIATE HEALTH AND COMMUNITY CARE RESOURCES. - CKHS STAFF COORDINATES THIS PROGRAM BY EDUCATING AND SENSITIZING PRE-HOSPITAL PROVIDERS AND OTHER FIRST RESPONDERS TO THE NEEDS OF THE AT-RISK ELDERLY. - IN A TRAINING ENVIRONMENT, COP PROVIDES A VERY BRIEF ASSESSMENT TOOL FOR FIRST RESPONDERS TO USE IN IDENTIFYING THESE INDIVIDUALS. - COP TRAINING IS AVAILABLE TO ALL ORGANIZATIONS WHO ARE CONCERNED WITH THE CARE OF THE ELDERLY. SENIOR FOCUSED COMMUNITY HEALTH EDUCATION ----------------------------------------- - DINING AT DUSK - A DINNER PROGRAM HELD AT ALL FOUR ACUTE CARE HOSPITALS WITHIN THE HEALTH SYSTEM. ATTENDEES PARTICIPATE IN SENIOR FOCUSED PRESENTATIONS GENERALLY OFFERED BY CKHS PHYSICIANS AND CLINICAL STAFF. - PHYSICIAN LECTURE SERIES - A FREE LECTURE SERIES OFFERING OLDER ADULTS AN OPPORTUNITY TO LEARN IMPORTANT HEALTH RELATED INFORMATION. THESE PRESENTATIONS OFFER SENIORS TIPS ON HOW TO PARTNER WITH THEIR HEALTHCARE PROVIDERS IN MANAGING THEIR OWN HEALTH. THEY ALSO PROVIDE PARTICIPANTS WITH STRATEGIES IN PROMOTING GOOD EMOTIONAL AND PHYSICAL WELL-BEING. - EVIDENCE-BASED SENIOR CENTER HEALTH PROMOTION - "PRIMETIME HEALTH": CONTRACTED SERVICES THROUGH THE PENNSYLVANIA DEPARTMENT OF AGING. SERIES OFFERED ANNUALLY AT SEVERAL LOCAL SENIOR CENTERS IN DELAWARE COUNTY. - SENIOR-FOCUSED SPEAKER'S BUREAU - FREE LECTURES IN THE COMMUNITY ON VARIOUS HEALTH TOPICS. PRESENTATIONS ARE OFTEN ARRANGED WITH LOCAL 55+ COMMUNITIES, LIBRARIES, SENIOR CENTERS, SENIOR ASSOCIATIONS, CORPORATE RETIREE ORGANIZATIONS AND CHURCHES. - COMMUNITY HEALTH FAIRS - FREE HEALTH AND WELLNESS INFORMATION, BLOOD PRESSURE SCREENINGS, STROKE RISK ASSESSMENTS AND FLU SHOTS. CULTURAL CONNECTIONS PROGRAM ---------------------------- UPPER DARBY IS ONE OF THE MOST DIVERSE TOWNSHIPS IN THE UNITED STATES. IN ADDITION TO HAVING THE MOST DIVERSE AND GROWING IMMIGRANT POPULATION IN THE REGION (OVER 50 LANGUAGES SPOKEN), UPPER DARBY'S LOW-INCOME POPULATION IS ALSO GROWING. THE MOST RECENT PROJECTION OF RESIDENTS LIVING BELOW THE POVERTY LEVEL IS 15.4%. CENSUS DATA CONFIRMS MAJOR SHIFTS IN THE DEMOGRAPHICS OF THE POPULATION. THE UPPER DARBY AREA HAS THE LARGEST NUMBER OF ASIAN AND WEST AFRICAN IMMIGRANTS IN THE REGION, AND BURGEONING MEXICAN AND SOUTH AND CENTRAL AMERICAN POPULATIONS (UNDER-COUNTED IN THE CENSUS). THE CULTURAL CONNECTIONS COLLABORATIVE PROGRAM PROVIDES CONNECTIVITY OF COMMUNITY AND HEALTH SERVICES TO IMMIGRANT AND REFUGEE FAMILIES IN THE COUNTY TO HELP THEM DEAL MORE EFFECTIVELY WITH HEALTH, MENTAL HEALTH AND SOCIAL ISSUES THAT HINDER NEW IMMIGRANT AND REFUGEE FAMILIES. OUTREACH ACTIVITIES INCLUDE COLLABORATIVE EFFORTS WITH THE UPPER DARBY SCHOOL DISTRICT IN THEIR IMMIGRANT AND REFUGEE RESETTLEMENT TASK FORCE; A FORUM FOR THE COMMUNITY'S SOCIAL SERVICE AND LAW ENFORCEMENT AGENCIES, TO ACQUAINT THE GROUPS WITH THE SERVICES; AND QUARTERLY COMMUNITY INCLUSION NETWORK MEETINGS HELD AT DCMH WITH REPRESENTATIVES FROM THE RESPECTIVE COMMUNITIES. IN ADDITION, PROGRAM STAFF DESIGN AND COORDINATE AND PROVIDE DIVERSITY TRAININGS. CROZER-KEYSTONE HEALTH SYSTEM SERVICES ====================================== CROZER-KEYSTONE HEALTH SYSTEM PROVIDES SUBSTANTIAL COMMUNITY BENEFIT. ITS SYSTEM INCLUDES THE FOLLOWING ACUTE CARE HOSPITALS LOCATED THROUGHOUT THE COMMONWEALTH OF PENNSYLVANIA. 1. CROZER-CHESTER MEDICAL CENTER INCLUDING TAYLOR HOSPITAL, SPRINGFIELD HOSPITAL AND COMMUNITY HOSPITAL; AND 2. DELAWARE COUNTY MEMORIAL HOSPITAL. EACH HOSPITAL OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES IN A NON-DISCRIMINATORY MANNER TO ALL INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES AN ACTIVE EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH HOSPITAL RESTS WITH ITS BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS OF CROZER-KEYSTONE HEALTH SYSTEM, THE TAX-EXEMPT PARENT ORGANIZATION OF THE HOSPITAL. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY. 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF EACH HOSPITAL, AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF EACH HOSPITAL IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. CROZER-CHESTER MEDICAL CENTER ============================= CROZER-CHESTER MEDICAL CENTER ("CCMC"), A SUBSIDIARY OF CKHS, IS A LICENSED 430-BED NOT-FOR-PROFIT TEACHING HOSPITAL. CROZER-CHESTER MEDICAL CENTER WAS ESTABLISHED IN 1963 WITH THE MERGER OF CHESTER HOSPITAL (C. 1883) AND CROZER HOSPITAL (C. 1902), AND BECAME ONE OF THE FOUNDING HOSPITALS OF CKHS IN 1990. TODAY, CCMC ADMISSIONS AND OBSERVATIONS EXCEED18,000, CCMC TREATS APPROXIMATELY 52,200 EMERGENCY DEPARTMENT PATIENTS, AND DELIVERS ABOUT 1,600 BABIES A YEAR. IN 2006, CCMC OPENED THE DOORS TO A NEW 40,000 SQUARE FOOT EMERGENCY DEPARTMENT, WHICH MORE THAN DOUBLED THE SPACE AND ENHANCED PRIVACY AND COMFORT FOR PATIENTS AND FAMILIES. IN 2007, THE CROZER-KEYSTONE CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE OPENED ON THE CROZER CAMPUS, OFFERING PATIENTS WITH CHRONIC WOUNDS ADVANCED OUTPATIENT WOUND CARE DELIVERED BY A MULTIDISCIPLINARY TEAM OF SPECIALISTS. AND IN 2008, THE BERTRAM SPEARE OUTPATIENT PAVILION OPENED, OFFERING IMPROVED ACCESS FOR PEOPLE COMING TO THE HOSPITAL FOR OUTPATIENT PROCEDURES. CCMC'S FEATURED SERVICES INCLUDE: - ACUTE CARE OF ELDERS (ACE) UNIT. - NATIONALLY RECOGNIZED NATHAN SPEARE REGIONAL BURN TREATMENT CENTER, CELEBRATING 40 YEARS OF CARE. - COMPREHENSIVE CARDIAC SERVICES, INCLUDING OPEN HEART SURGERY AND INTERVENTIONAL CARDIOLOGY PROCEDURES. - CENTER FOR MATERNAL FETAL MEDICINE. - CENTER FOR MINIMALLY INVASIVE AND BARIATRIC SURGERY, NAMED A CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. - CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE. - CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. - CERTIFIED BY THE JOINT COMMISSION IN HIP AND KNEE REPLACEMENT SURGERY. - CROZER REGIONAL TRAUMA CENTER, THE ONLY ONE OF ITS KIND IN DELAWARE COUNTY, AS WELL AS AN INPATIENT SHOCK TRAUMA UNIT. - CROZER REPRODUCTIVE ENDOCRINOLOGY AND FERTILITY CENTER. - EMERGENCY DEPARTMENT. - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP: CROZER REGIONAL CANCER CENTER. CROZER HAS BEEN HONORED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS AND IS CERTIFIED BY THE JOINT COMMISSION IN BREAST CANCER CARE. - FULL RANGE OF MUSCULOSKELETAL SERVICES, INCLUDING ORTHOPAEDIC, REHABILITATION, SPINE AND SPORTS MEDICINE SERVICES AS WELL AS A DEDICATED JOINT/SPINE UNIT FOR INPATIENTS. - GASTROENTEROLOGY SERVICES, INCLUDING ENDOSCOPY LABORATORY. - INPATIENT PEDIATRIC UNIT. - INTERVENTIONAL RADIOLOGY. - CROZER-KEYSTONE REGIONAL KIDNEY TRANSPLANT CENTER AT CROZER-CHESTER MEDICAL CENTER. - LEVEL III INTENSIVE CARE NURSERY. - MATERNITY CENTER AND COMPREHENSIVE GYNECOLOGIC SERVICES. - MEDICAL IMAGING SERVICES, INCLUDING MRI AND WOMEN'S IMAGING. CROZER HAS BEEN NAMED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY. - MULTIPLE SCLEROSIS CENTER. - PARKINSON'S DISEASE AND MOVEMENT DISORDERS CENTER. - PEDIATRIC SLEEP CENTER. - SURGICAL SERVICES, INPATIENT AND OUTPATIENT, INCLUDING THE DAVINCI SURGICAL SYSTEM. - VASCULAR AND ENDOVASCULAR CARE.
CORE FORM, PART III	TAYLOR HOSPITAL =============== TAYLOR HOSPITAL (C. 1910), A DIVISION OF CROZER-CHESTER MEDICAL CENTER, JOINED CKHS IN 1997. IT IS A 105-BED NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT OFFERS A RANGE OF ACUTE AND SPECIALIZED SERVICES. TAYLOR HOSPITAL'S ADMISSIONS AND OBSERVATIONS ARE ABOUT 6,800 PATIENTS AND TAYLOR HOSPITAL RECEIVES ABOUT 27,000 EMERGENCY DEPARTMENT VISITS. FEATURED SERVICES INCLUDE: - CARDIAC CATHETERIZATION LABORATORY AND CARDIOVASCULAR LABORATORY. - CARDIAC SERVICES. - CERTIFIED BY THE JOINT COMMISSION IN HIP AND KNEE REPLACEMENT SURGERY. - CERTIFIED BY THE JOINT COMMISSION AS A PRIMARY STROKE CENTER. - CROZER-KEYSTONE HOSPICE RESIDENTS AT TAYLOR HOSPITAL. - CROZER-KEYSTONE SLEEP DISORDERS CENTER AT TAYLOR HOSPITAL. - EMERGENCY DEPARTMENT. - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP. - FULL RANGE OF MUSCULOSKELETAL SERVICES, INCLUDING ORTHOPAEDIC, REHABILITATION, SPINE, HAND AND SPORTS MEDICINE SERVICES AS WELL AS THE ORTHOPAEDIC CENTER. - GASTROENTEROLOGY SERVICES, INCLUDING AN ENDOSCOPY LABORATORY. - INPATIENT AND OUTPATIENT SURGERY. - MEDICAL IMAGING SERVICES, INCLUDING WOMEN'S IMAGING, DEXA SCANNING AND MRI SERVICES. - SURGICAL SERVICES, INPATIENT AND OUTPATIENT. - THE TAYLOR REGIONAL REHABILITATION CENTER. - VASCULAR AND ENDOVASCULAR CARE. SPRINGFIELD HOSPITAL ==================== FOUNDED IN 1960, SPRINGFIELD HOSPITAL, A DIVISION OF CROZER-CHESTER MEDICAL CENTER, IS A 25-BED NOT-FOR-PROFIT COMMUNITY HOSPITAL THAT PROVIDES COMPREHENSIVE ACUTE-CARE SERVICES AND WELLNESS CARE. SPRINGFIELD HOSPITAL'S ADMISSIONS AND OBSERVATIONS TOTAL 2,000 AND SPRINGFIELD HOSPITAL RECEIVES 13,300 EMERGENCY DEPARTMENT VISITS. SPRINGFIELD HOSPITAL IS CONNECTED TO THE PAVILIONS THAT HOUSE CKHS' CORPORATE OFFICES AND THE HEALTHPLEX SPORTS CLUB, (A FITNESS CENTER AND CERTIFIED OLYMPIC TRAINING FACILITY) SPRINGFIELD'S CLINICAL OFFERINGS INCLUDE: - CARDIAC SERVICES, INCLUDING CARDIAC REHABILITATION. - CENTER FOR DIABETES. - CENTER FOR DIZZINESS AND BALANCE. - CENTER FOR MINIMALLY INVASIVE SURGERY. - CENTER FOR PREVENTIVE MEDICINE, A CENTER FOR OCCUPATIONAL HEALTH AND A DESIGNATED UNITED STATES OLYMPIC COMMITTEE SPORTS SCIENCE AND TECHNOLOGY NATIONAL NETWORK SITE. - CRITICAL CARE UNIT. - DIAGNOSTIC IMAGING CENTER INCLUDING POSITRON EMISSION TOMOGRAPHY/COMPUTED. TOMOGRAPHY (PET/CT) IMAGING AND WOMEN'S IMAGING. - EMERGENCY DEPARTMENT. - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP. - FULL RANGE OF MUSCULOSKELETAL SERVICES, INCLUDING ORTHOPAEDIC, REHABILITATION, SPINE AND SPORTS MEDICINE SERVICES. - GASTROENTEROLOGY SERVICES. - MOORE EYE INSTITUTE. - PAIN MANAGEMENT CENTER. - PULMONARY REHABILITATION. - SPORTS MEDICINE INSTITUTE. - SURGICAL SERVICES, INPATIENT AND OUTPATIENT. ESTABLISHED IN 1996 TO COMPLEMENT THE FULL RANGE OF HEALTH AND WELLNESS PROGRAMS AT SPRINGFIELD HOSPITAL AND THROUGHOUT CKHS, THE HEALTHPLEX SPORTS CLUB IS CONSIDERED ONE OF THE LARGEST AND MOST FULLY INTEGRATED CENTERS OF ITS KIND IN THE UNITED STATES. MORE THAN 6,500 MEMBERS BELONG TO THE 176,000-SQUARE-FOOT SPORTS CLUB, WHICH OFFERS THE FOLLOWING PROGRAMS AND SERVICES: - MEMBER ORIENTATION PROGRAM FOR EACH NEW MEMBER. - SPACIOUS, STATE-OF-THE-ART FACILITIES, INCLUDING 2 INDOOR POOLS, 10 TENNIS COURTS, 3 NBA SIZE BASKETBALL COURTS, SQUASH/RACQUETBALL COURTS, 3-LANE 1/5 MILE INDOOR TRACK AND MORE. - OVER 100 GROUP FITNESS CLASSES PER WEEK, INCLUDING ZUMBA, BODY PUMP, BODY FLOW, PILATES, YOGA, SPINNING AND MORE. - COMPREHENSIVE PERSONAL TRAINING AND WELLNESS PROGRAMS FOR PEOPLE OF ALL AGES AND CONDITIONS. - FITNESS AREA FEATURING CARDIOVASCULAR AND STRENGTH-TRAINING EQUIPMENT. - SPECIAL AMENITIES LIKE THE SPA AT THE HEALTHPLEX, SAUNAS, STEAM ROOMS AND COLD PLUNGE. - LOCKER ROOMS AND TOWEL SERVICE. - KIDZ KLUB BABYSITTING AREA. - SMALL GROUP TRAINING STUDIO WITH TRX, P90X, CARDIO KICK, AND MORE - MIND AND BODY STUDIO WITH YOGA AND PILATES. - NUTRITION PROGRAMS AND COUNSELING. - MINDFULNESS-BASED STRESS REDUCTION (MBSR) COURSES. COMMUNITY HOSPITAL ================== COMMUNITY HOSPITAL, A DIVISION OF CROZER-CHESTER MEDICAL CENTER, COORDINATES A FULL RANGE OF OUTPATIENT BEHAVIORAL AND COMMUNITY HEALTH SERVICES AS WELL AS PRIMARY CARE. THE FACILITY WAS FOUNDED AS SACRED HEART HOSPITAL IN 1953 AND LATER RENAMED COMMUNITY HOSPITAL IN 1992 WHEN IT JOINED CKHS. TODAY, COMMUNITY HOSPITAL IS A SINGLE, CONVENIENT PLACE FOR FAMILIES TO COME FOR ALL OF THEIR SOCIAL SERVICE NEEDS. BY PARTNERING WITH 20-PLUS ORGANIZATIONS LIKE THE CHESTER EDUCATION FOUNDATION, THE CHESTER HOUSING AUTHORITY, AND CHESPENN HEALTH SERVICES - FEDERALLY FUNDED COMMUNITY HEALTH CENTERS - COMMUNITY HOSPITAL HAS BECOME A TRUE COMMUNITY ASSET. FEATURED SERVICES INCLUDE: - MENTAL HEALTH SERVICES. - ADULT AND PEDIATRIC PRIMARY CARE AND DENTISTRY THROUGH THE CHESPENN CENTER FOR FAMILY HEALTH. - THE WELLNESS CENTER AND CHESTER YOUTH COLLABORATIVE. - WOMEN'S AND CHILDREN'S HEALTH SERVICES, INCLUDING THE CROZER-KEYSTONE HEALTHY START PROGRAM, THE NURSE-FAMILY PARTNERSHIP AND THE HISPANIC RESOURCE CENTER. - SUBSTANCE ABUSE SERVICES. CROZER MEDICAL PLAZA AT BRINTON LAKE ==================================== THE CROZER MEDICAL PLAZA AT BRINTON LAKE, WHICH OPENED IN 2005, IS A COMPREHENSIVE OUTPATIENT CENTER LOCATED JUST OFF ROUTE 1 IN GLEN MILLS AT THE SHOPPES AT BRINTON LAKE. THE FACILITY PROVIDES WESTERN DELAWARE COUNTY AND CHESTER COUNTY RESIDENTS WITH CONVENIENT ACCESS TO AN ARRAY OF DIAGNOSTIC, SURGICAL, AND PHYSICIAN SERVICES, INCLUDING FULL-SERVICE MEDICAL IMAGING AND OUTPATIENT SURGERY CENTERS. FEATURED SERVICES INCLUDE: - ASTHMA AND ALLERGY. - CARDIOLOGY. - CROZER-KEYSTONE/PHILADELPHIA HAND CENTER PARTNERSHIP. - DIABETES EDUCATION. - DIALYSIS ACCESS CENTER. - ENDOCRINOLOGY. - FAMILY MEDICINE. - GASTROENTEROLOGY. - GENERAL SURGERY. - LABORATORY SERVICES. - MEDICAL IMAGING/RADIOLOGY. - NEUROLOGY. - OB/GYN. - OPHTHALMOLOGY. - ORTHOPAEDICS AND SPORTS MEDICINE. - OSTEOPOROSIS CENTER. - OUTPATIENT PHYSICAL THERAPY. - PAIN MANAGEMENT. - PODIATRY. - PULMONOLOGY. - SURGERY CENTER AT BRINTON LAKE (OUTPATIENT SURGERY CENTER). - UROGYNECOLOGY. - VASCULAR AND ENDOVASCULAR. - VEIN CENTER. CROZER HEALTH PAVILION ====================== THE OUTPATIENT FACILITY IS LOCATED JUST ACROSS ROUTE 1 FROM CROZER MEDICAL PLAZA AT BRINTON LAKE. FEATURED SERVICES INCLUDE: - FAMILY MEDICINE. - CROZER-KEYSTONE SLEEP CENTER AT BRINTON LAKE. - NEUROLOGY. CROZER MEDICAL PLAZA AND CROZER-KEYSTONE CANCER CENTER AT BRINTON LAKE ====================================================================== CROZER-KEYSTONE'S NEWEST OUTPATIENT CENTER FEATURES A FULL-SERVICE CANCER CENTER, AN ENDOSCOPY CENTER AND OTHER SPECIALTIES. FEATURED SERVICES INCLUDE: - CARDIOVASCULAR. - DERMATOLOGY. - EAR, NOSE AND THROAT. - ENDOSCOPY CENTER. - GASTROENTEROLOGY. - GENERAL AND BREAST SURGERY. - GYNECOLOGIC ONCOLOGY. - HEMATOLOGY/ONCOLOGY. - KIDNEY TRANSPLANT/HEPATOBILIARY PROGRAM. - MEDICAL ONCOLOGY. - MEDICAL IMAGING (PET-CT). - OB/GYN. - PODIATRY. - PSYCHOTHERAPY SERVICES. - PULMONOLOGY. - RADIATION ONCOLOGY. - UROLOGY. MEDIA MEDICAL PLAZA =================== TO PROVIDE MORE CONVENIENT ACCESS TO CROZER-KEYSTONE'S CLINICAL SERVICES AND PHYSICIANS, THE HEALTH SYSTEM EXPANDED MEDIA MEDICAL IMAGING IN 2006 TO BECOME THE MEDIA MEDICAL PLAZA. FEATURED SERVICES INCLUDE: - FAMILY MEDICINE. - CENTER FOR GERIATRIC MEDICINE. - GASTROENTEROLOGY. - INTERNAL MEDICINE. - LABORATORY SERVICES. - MEDIA MEDICAL IMAGING (MEDICAL IMAGING/RADIOLOGY, INCLUDING WOMEN'S IMAGING AND MRI). - OB/GYN. - ORTHOPAEDICS AND SPORTS MEDICINE, INCLUDING AN URGENT CARE CENTER.
CORE FORM, PART III	DCMH'S FEATURED SERVICES INCLUDE: - CARDIAC SERVICES. - CENTER FOR BREAST HEALTH, HONORED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS AND CERTIFIED BY THE JOINT COMMISSION IN BREAST CANCER CARE. - CENTER FOR MATERNAL FETAL MEDICINE. - CENTER FOR WOUND HEALING AND HYPERBARIC MEDICINE. - CERTIFIED BY THE JOINT COMMISSION IN HIP AND KNEE SURGERY. - CERTIFIED BY THE JOINT COMMISSION AS PRIMARY STROKE CENTER. - COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL IMAGING SERVICES, INCLUDING MRI, WOMEN'S IMAGING AND POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT). - CROZER-KEYSTONE HOME HEALTH AND HOSPICE (LOCATED OFFSITE AT DREXELINE BUILDING), RECIPIENT OF THE HOMECARE ELITE DESIGNATION. - CROZER-KEYSTONE SLEEP CENTER AT DCMH. - EMERGENCY DEPARTMENT AND 14-BED CRITICAL INTENSIVE CARE UNIT. - FULL RANGE OF MUSCULOSKELETAL SERVICES, INCLUDING ORTHOPAEDIC, REHABILITATION, SPINE AND SPORTS MEDICINE SERVICES AS WELL AS A SURGICAL AND ORTHOPAEDIC UNIT. - FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP: DELAWARE COUNTY REGIONAL CANCER CENTER. - GASTROENTEROLOGY SERVICES, INCLUDING ENDOSCOPY LABORATORY. - HEALTHLINE SERVICES, PROVIDING COMMUNITY EDUCATION. - LEVEL IIA NEONATAL INTENSIVE CARE NURSERY. - MATERNAL FETAL MEDICINE CENTER AND PERINATAL TESTING CENTER. - MATERNITY CENTER AND COMPREHENSIVE GYNECOLOGIC SERVICES, INCLUDING MIDWIVES. - OSTEOPOROSIS CENTER. - PHILADELPHIA CYBERKNIFE (LOCATED OFFSITE IN HAVERTOWN). - SURGICENTER, OFFERING INPATIENT AND OUTPATIENT SERVICES. - THE DCMH REGIONAL REHABILITATION CENTER. - THE INTERVENTIONAL RADIOLOGY AND VASCULAR LABORATORY. - THORACIC SURGICAL ONCOLOGY PROGRAM. - CROZER-KEYSTONE/PHILADELPHIA HAND CENTER PARTNERSHIP. - VASCULAR AND ENDOVASCULAR CARE. CROZER-KEYSTONE SURGERY CENTER AT HAVERFORD =========================================== THE CROZER-KEYSTONE SURGERY CENTER AT HAVERFORD HAS BEEN PROVIDING EXCELLENT PATIENT CARE TO FAMILIES IN OUR SURROUNDING COMMUNITIES SINCE 1998. WITH A KEEN FOCUS ON QUALITY AND PATIENT-CENTERED CARE, THE CENTER'S EXPERIENCED TEAM OF SURGEONS, CLINICAL PROFESSIONALS AND STAFF DELIVER FAMILY-FRIENDLY, PERSONALIZED CARE IN A RELAXED SETTING. FEATURED SERVICES INCLUDE: - EAR, NOSE AND THROAT SURGERY. - GASTROENTEROLOGY SURGERY (PLUS COLONOSCOPIES). - GENERAL SURGERY. - INTERVENTIONAL PAIN MANAGEMENT. - OPHTHALMIC SURGERY. - ORAL SURGERY. - ORTHOPEDIC SURGERY. - PODIATRIC SURGERY. - PLASTIC/COSMETIC SURGERY. CENTERS OF EXCELLENCE AT CROZER-KEYSTONE HEALTH SYSTEM'S ACUTE CARE HOSPITALS INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING: CROZER REGIONAL CANCER CENTER (CROZER-CHESTER MEDICAL CENTER) ------------------------------------------------------------- LOCATED AT CROZER-CHESTER MEDICAL CENTER, THE FOUR-STORY CANCER CENTER BRINGS ADVANCED TECHNOLOGY, PROGRAMS AND SERVICES TOGETHER IN ONE LOCATION - PROVIDING A LEVEL OF CARE THAT RIVALS ANY UNIVERSITY-BASED CANCER CENTER IN THE WORLD. AS PART OF CKHS, THE CANCER CENTER HOUSES COMPREHENSIVE DIAGNOSTIC AND TREATMENT PROGRAMS, AS WELL AS PREVENTION, EDUCATION AND COMPLEMENTARY TREATMENT RESOURCES IN ONE LOCATION. THE CANCER CENTER HAS RECEIVED APPROVAL WITH COMMENDATION BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. THE CANCER CENTER'S APPROACH TO TREATING PEOPLE WITH CANCER IS BASED UPON A PATIENT'S INDIVIDUAL NEEDS. TO MEET THESE NEEDS, A MULTIDISCIPLINARY TEAM OF SPECIALISTS THAT MAY INCLUDE MEDICAL ONCOLOGISTS, SURGEONS, PATHOLOGISTS AND RADIATION ONCOLOGISTS PROVIDE COORDINATED TREATMENTS FOR PATIENTS. THE CANCER CENTER IS DESIGNED TO NOT ONLY DELIVER HIGH TECH TREATMENTS, BUT TO SOOTHE THE SPIRIT. INTERIOR GARDENS, WATERFALLS AND OTHER FEATURES PROVIDE PATIENTS WITH A BRIEF HAVEN FROM THE OUTSIDE WORLD. PATIENTS ALSO BENEFIT FROM THE STRENGTH OF THE NEW CLINICAL AND RESEARCH PARTNERSHIP BETWEEN CKHS AND FOX CHASE CANCER CENTER. THE FOX CHASE CROZER-KEYSTONE CANCER PARTNERSHIP, WHICH EXPANDS ON THE SUCCESSFUL PARTNERSHIP BETWEEN FOX CHASE CANCER CENTER AND DELAWARE COUNTY REGIONAL CANCER CENTER, WILL PROVIDE PATIENTS WITH AN EVEN GREATER LEVEL OF ACCESS TO CLINICAL TRIALS AND PROGRAMS TO PREVENT AND TREAT CANCER. IN ADDITION, THE CANCER CENTER OFFERS CANCER SUPPORT GROUPS THAT BRING PATIENTS AND THEIR FAMILIES AND LOVED ONES TOGETHER WITH OTHERS WHO SHARE AND UNDERSTAND THEIR EXPERIENCES. THROUGH THESE SUPPORT GROUPS, PATIENTS CAN EXPLORE COMPLEMENTARY ALTERNATIVE APPROACHES - MASSAGE THERAPY AND YOGA, FOR EXAMPLE -- TO COPING WITH SIDE EFFECTS, AS WELL AS LEARN TECHNIQUES TO HELP THEM LOOK THEIR BEST DURING CANCER TREATMENT. CANCER SERVICES ARE ALSO PROVIDED AT TAYLOR HOSPITAL AND SPRINGFIELD HOSPITAL. DELAWARE COUNTY REGIONAL CANCER CENTER (DELAWARE COUNTY MEMORIAL HOSPITAL) -------------------------------------------------------------------------- THE DELAWARE COUNTY REGIONAL CANCER CENTER ("DCRCC") PROVIDES A COMPREHENSIVE APPROACH TO CANCER CARE, COMBINING STATE-OF-THE-ART DIAGNOSIS AND TREATMENT WITH SUPPORTIVE CARE. PHYSICIANS AND STAFF WORK AS A MULTIDISCIPLINARY TEAM, USING THE NEWEST TECHNOLOGIES AND THERAPIES, TO TAILOR TREATMENT TO EACH PATIENT'S CONDITION AND SITUATION. THE TREATMENT OPTIONS AVAILABLE INCLUDE SURGERY, RADIATION THERAPY AND MEDICAL ONCOLOGY. OUR SERVICES ARE PROVIDED TO PATIENTS BY A TALENTED, SPECIALLY TRAINED AND COMPASSIONATE TEAM OF PHYSICIANS, NURSES AND STAFF MEMBERS. DCRCC PROFESSIONALS REMAIN ON THE FOREFRONT OF CANCER CARE, EXPLORING AND IMPLEMENTING THE LATEST TECHNOLOGY TO ENHANCE EACH PATIENT'S TREATMENT PLAN. THE MEMBERS OF THE TEAM WORK CLOSELY TOGETHER TO PLAN AND CARRY OUT TREATMENT. THE CANCER CENTER IS PARTNERED WITH FOX CHASE CANCER CENTER, WHICH HAS BEEN DESIGNATED A COMPREHENSIVE CANCER CENTER BY THE NATIONAL CANCER INSTITUTE. THE CANCER CENTER OFFERS ALL OF THE BENEFITS OF A LARGE ACADEMIC MEDICAL CENTER, INCLUDING ACCESS TO CLINICAL TRIALS. CROZER-KEYSTONE HEART INSTITUTE ------------------------------- CKHS HAS THE LONGEST HISTORY OF PROVIDING CARDIOVASCULAR CARE TO THE PEOPLE OF DELAWARE COUNTY, AND WE'RE PROUD OF OUR MANY ACCOMPLISHMENTS. IN DELAWARE COUNTY, WE'RE THE FIRST HEALTHCARE SYSTEM TO: - PERFORM OPEN HEART SURGERY. - PERFORM PRIMARY ANGIOPLASTY. - ESTABLISH OPEN HEART AND REHABILITATION UNITS. - ESTABLISH AN INTERVENTIONAL HEART PROGRAM. - ESTABLISH AN ELECTROPHYSIOLOGY PROGRAM TO TREAT HEART RHYTHM DISORDERS. - OFFER CARDIAC RESYNCHRONIZATION THERAPY, A UNIQUE DEVICE THERAPY TO TREAT HEART FAILURE. WHEN YOU COME TO ANY CROZER-KEYSTONE HOSPITAL WITH A HEART PROBLEM, OUR TEAM OF HEART SPECIALISTS EVALUATES YOUR CONDITION IMMEDIATELY AND DECIDES UPON A COURSE OF ACTION. THE TEAM DETERMINES THE SERIOUSNESS OF YOUR CONDITION, WHETHER IT IS AN EMERGENCY, AND WHAT TREATMENT YOU NEED. WHATEVER YOUR HEART REQUIRES, CKHS CAN HELP -- FROM DIAGNOSIS TO TREATMENT TO REHABILITATION -- OUR DEDICATION AND EXPERIENCE IS UNMATCHED IN DELAWARE COUNTY. MATERNITY --------- EVERY YEAR, MORE NEWBORN BABIES ARE WELCOMED INTO THE WORLD BY THE CARING PROFESSIONALS AT CROZER-CHESTER MEDICAL CENTER AND DELAWARE COUNTY MEMORIAL HOSPITAL THAN BY ANY OTHER HEALTH SYSTEM IN DELAWARE COUNTY. APPROXIMATELY 1,600 BABIES ARE BORN AT CCMC EVERY YEAR, WHILE DCMH DELIVERS ABOUT 1,500.
CORE FORM, PART III	CROZER-KEYSTONE HUMAN MOTION INSTITUTE -------------------------------------- THE HUMAN MOTION INSTITUTE IS A UNIQUE PROGRAM OFFERING A COMPREHENSIVE TREATMENT CONTINUUM OF CARE WITHIN A HIGHLY INTEGRATED HEALTHCARE DELIVERY NETWORK. OUR GOAL IS SIMPLE: TO RETURN OUR PATIENTS TO NORMAL FUNCTION AS QUICKLY AND SAFELY AS POSSIBLE. TO REACH THIS GOAL, THE MEDICAL PROFESSIONALS AT THE HUMAN MOTION INSTITUTE ENLIST A COMPREHENSIVE, LEADING EDGE APPROACH TO THE PREVENTION, ASSESSMENT, TREATMENT AND REHABILITATION OF MUSCULOSKELETAL INJURIES. OUR HIGHLY TRAINED TEAM OF SURGEONS, NURSES, PHYSICIAN ASSISTANTS, REHABILITATION SPECIALISTS AND VARIOUS MEDICAL SUPPORT PERSONNEL WORKS WITH EACH PATIENT AND THEIR PRIMARY CARE PHYSICIAN TO DEVELOP A TREATMENT PLAN SPECIFICALLY FOR THAT PATIENT. BY COMBINING EXTENSIVE CLINICAL EXPERTISE WITH A COMPASSIONATE, CARING TREATMENT PHILOSOPHY, WE HAVE CREATED A PROGRAM KNOWN FOR ITS QUALITY OF CARE. CROZER-KEYSTONE SLEEP CENTERS ----------------------------- FEW THINGS ARE AS FRUSTRATING AS NOT BEING ABLE TO SLEEP. CONVERSELY, FALLING ASLEEP AT INAPPROPRIATE TIMES (SUCH AS WHEN DRIVING) IS JUST AS BOTHERSOME AND CAN EVEN BE DANGEROUS. FORTUNATELY, THERE IS A TRUSTED RESOURCE RIGHT HERE IN DELAWARE COUNTY. THE CROZER-KEYSTONE SLEEP CENTERS. FOR MORE THAN 30 YEARS WE'VE HELPED THOUSANDS OF PEOPLE FROM DELAWARE COUNTY AND BEYOND TO FALL ASLEEP AND STAY ASLEEP AT THE RIGHT TIME AND IN THE RIGHT PLACE. THE CROZER-KEYSTONE SLEEP CENTERS ARE LOCATED AT THREE SITES FOR OUR PATIENTS' CONVENIENCE: - CROZER HEALTH PAVILION AT BRINTON LAKE (GLEN MILLS) - DELAWARE COUNTY MEMORIAL HOSPITAL (DREXEL HILL) - TAYLOR HOSPITAL (RIDLEY PARK) OUR ACCREDITED, MULTIDISCIPLINARY PROGRAM FOR THE INVESTIGATION AND TREATMENT OF SLEEP PROBLEMS WAS ESTABLISHED IN 1978. IT IS THE OLDEST NATIONALLY ACCREDITED PROGRAM FOR THE EVALUATION OF PATIENTS WITH SLEEP-RELATED PROBLEMS IN THE GREATER DELAWARE VALLEY. OUR SITES ARE STAFFED BY PHYSICIANS WITH SPECIAL TRAINING IN SLEEP DISORDERS. OUR COMPASSIONATE AND CARING TECHNICAL STAFF ARE ENCOURAGED TO OBTAIN NATIONAL REGISTRATION BY THE BOARD OF POLYSOMNOGRAPHIC TECHNOLOGISTS. NATHAN SPEARE REGIONAL BURN TREATMENT CENTER -------------------------------------------- THE NATHAN SPEARE REGIONAL BURN TREATMENT CENTER IS STILL THE ONLY BURN FACILITY IN SUBURBAN PHILADELPHIA THAT PROVIDES ALL THE SERVICES NEEDED TO MEET ALL THE NEEDS OF BURN PATIENTS AND THEIR FAMILIES WITHIN A SINGLE UNIT - FROM EMERGENCY TREATMENT TO INTENSIVE CARE TO REHABILITATION TO FOLLOW-UP AND OUTPATIENT CARE. IN 2000, IT WAS THE FIRST BURN CENTER IN THE STATE OF PENNSYLVANIA TO EARN THE DISTINCTION OF BEING A VERIFIED BURN CENTER, MEETING THE STANDARDS SET FORTH BY THE AMERICAN COLLEGE OF SURGEONS AND THE AMERICAN BURN ASSOCIATION. WE HAVE EARNED AN INTERNATIONAL REPUTATION FOR EXCELLENCE IN HOLISTIC BURN CARE, TREATING MORE THAN 9,400 NEW PATIENTS SINCE 1973, AND AN AVERAGE OF 500 IN-PATIENTS AND OVER 3,000 OUTPATIENT VISITS ANNUALLY. WE ALSO TREAT NON-BURN INJURIES, SUCH AS "ROAD RASH" AND "STEVENS JOHNSON," AND MEDICATION REACTIONS AND OTHER SKIN DISEASES THAT RESULT IN CONDITIONS SIMILAR TO THOSE EXPERIENCED BY BURN PATIENTS. SERVICES INCLUDE: COUNSELING AND EMOTIONAL SUPPORT, OUTPATIENT BURN WOUND CARE CENTER, AND THE BURN OUTREACH EDUCATION PROGRAM. CKHS CENTER FOR DIABETES ------------------------ MORE THAN 24 MILLION PEOPLE IN THE U.S. HAVE DIABETES, BUT APPROXIMATELY 1/3 DON'T KNOW THEY HAVE IT BECAUSE OF MINIMAL SYMPTOMS OR NO SYMPTOMS AT ALL. DIABETES IS NOT A DISEASE TO BE TAKEN LIGHTLY, IT IS A SERIOUS DISEASE WITH ITS COMPLICATIONS KILLING 224,000 PEOPLE EACH YEAR. THE GOAL OF THE CENTER FOR DIABETES IS TO MEET THE NEEDS OF OUR PATIENTS BY EDUCATING AND PROVIDING A CLEAR UNDERSTANDING OF HOW TO MANAGE THEIR CHRONIC CONDITION - EVERY SINGLE DAY. THE CENTER FOR DIABETES AT SPRINGFIELD HOSPITAL IS AN AMERICAN DIABETES ASSOCIATION RECOGNIZED, HOSPITAL BASED, OUTPATIENT DIABETES EDUCATION PROGRAM. THE CENTER FOR DIABETES HAS EXPANDED ITS SERVICES TO THE CROZER MEDICAL PLAZA AT BRINTON LAKE AND COMMUNITY HOSPITAL PROVIDING NUTRITION AND EDUCATION CLASSES THERE. THE CENTER FOR DIABETES SERVICES INCLUDE OUTPATIENT EDUCATION FOR INDIVIDUALS WHO ARE NEWLY DIAGNOSED, HAVE UNCONTROLLED DIABETES, OR FOR THOSE WHO DESIRE INTENSIVE CONTROL. INSULIN PUMP THERAPY AND MONTHLY EDUCATION/SUPPORT GROUP MEETINGS ARE PROVIDED AT THE CENTER FOR DIABETES. ALSO SPECIAL INSTRUCTION IS OFFERED FOR PREGNANT WOMEN WITH GESTATIONAL DIABETES. THE CENTER FOR DIABETES' FOCUS IS TO HELP PATIENTS ACHIEVE BLOOD GLUCOSE CONTROL BY BALANCING MEALS, EXERCISE AND MEDICATION, WHEN NECESSARY. THE CERTIFIED DIABETES EDUCATORS AT THE CENTER FOR DIABETES ARE ALSO AVAILABLE TO TEACH DIABETES EDUCATION, INSULIN ADMINISTRATION AND USE OF GLUCOMETER TO THE STAFF AND RESIDENTS AT ASSISTED LIVING FACILITIES IN THE AREA. A SERIES OF CLASSES ARE OFFERED MORNING, AFTERNOON AND EVENING TO ACCOMMODATE VARIOUS PATIENT SCHEDULES. THE FOLLOWING CLASSES ARE OFFERED IN THE CENTER FOR DIABETES: - BASIC DIABETES EDUCATION. - BLOOD GLUCOSE MONITORING. - NUTRITION COUNSELING. - INSULIN ADMINISTRATION. - MANAGEMENT SKILLS FOR DIABETES RELATED TO PREGNANCY. - INTENSIVE MANAGEMENT PROGRAM. - INSULIN PUMP TRAINING. - GLUCOSE SENSOR TRAINING. - CONTINUOUS GLUCOSE MONITORING SYSTEM. - PRE-DIABETES CLASSES. THE CENTER FOR DIABETES OFFERS SUPPORT PROGRAMS THROUGHOUT THE YEAR AT SPRINGFIELD HOSPITAL. OUR SUPPORT GROUPS DISCUSS TOPICS SUCH AS COPING SKILLS, RESOURCES, FOOT AND EYE CARE RELATED TO DIABETES, UNDERSTANDING THE IMPORTANCE OF GOOD BLOOD GLUCOSE CONTROL AND HEALTHY MEAL PLANNING. OUR HEALTHCARE TEAM WORKS WITH PATIENTS TO TEACH THEM HOW TO BALANCE THEIR CARE AND DIABETES (WHAT ARE RISK FACTORS FOR COMPLICATIONS, HEART DISEASE, ETC.); HOW TO RECOGNIZE AND TREAT HYPERGLYCEMIA AND HYPOGLYCEMIA; HEALTHY EATING AND CARBOHYDRATE COUNTING; DIABETES MEDICATIONS AND VARIOUS MEDICATIONS THAT CAN EFFECT BLOOD GLUCOSE CONTROL; EXERCISE BENEFITS, HOW DIABETES EFFECTS THE EYES, HEART, AND KIDNEYS; RISK FOR STROKE; AND WHY IT IS IMPORTANT FOR THE PATIENT TO BE AN ACTIVE MEMBER IN THE HEALTHCARE TEAM. WE WANT THE PATIENT TO BE ABLE TO MANAGE THEIR DIABETES ON A DAILY BASIS.
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY IN THE CROZER-KEYSTONE HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO THE AUDIT COMMITTEE OF CROZER-KEYSTONE HEALTH SYSTEM FOR REVIEW BY ITS MEMBERS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). FOLLOWING THIS REVIEW THE FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE IRS. THE CROZER-KEYSTONE HEALTH SYSTEM BOARD OF DIRECTORS HAS DELEGATED TO ITS AUDIT COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THIS CPA FIRM MADE AN EDUCATIONAL PRESENTATION TO THE ORGANIZATION'S AUDIT COMMITTEE WITH RESPECT TO THE NEW FORM 990 RULES AND REGULATIONS INCLUDING, BUT NOT LIMITED TO, NEW DISCLOSURES AND FILING REQUIREMENTS. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION AND THE SYSTEM TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE CROZER-KEYSTONE HEALTH SYSTEM AUDIT COMMITTEE. THEREAFTER, THE FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S LEGAL DEPARTMENT AND VP/GENERAL COUNSEL FOR REVIEW. THEREAFTER THE LEGAL DEPARTMENT AND VP/GENERAL COUNSEL PREPARE A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THEREAFTER, THE VP/GENERAL COUNSEL OF THE ORGANIZATION PRESENTS THIS SUMMARY TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION'S BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM IS INDEPENDENT AND FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE HAS ADOPTED A WRITTEN COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OR CONCURS WITH THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING: THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER, SENIOR VICE PRESIDENT ADMINISTRATION & CHIEF INFORMATION OFFICER, AND SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE BYLAWS OUTLINE THE POWERS AND FUNCTIONS OF THE COMPENSATION COMMITTEE. THE COMMITTEE RELIES UPON APPROPRIATE COMPARABLE DATA FROM AN INDEPENDENT CONSULTING FIRM WHICH SPECIALIZES IN REVIEWING HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USES COMPARABLE GEOGRAPHICAL AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, NUMBER OF LICENSED BEDS, AND NET PATIENT REVENUE ON BOTH A REGIONAL AND NATIONAL BASIS. THE COMMITTEE DOCUMENTS ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS ARE REVIEWED AND SUBSEQUENTLY APPROVED. THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE REVIEWED BY THE COMMITTEE ON AN ANNUAL BASIS IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE. THE COMPENSATION COMMITTEE THEN RECOMMENDS TO THE CKHS BOARD OF DIRECTORS APPROPRIATE COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE BOARD OF DIRECTOR'S THEN REVIEWS THE COMMITTEE'S RECOMMENDATION AND APPROVES THE COMPENSATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER BASED ON THE COMMITTEE'S RECOMMENDATION. THE PRESIDENT/CHIEF EXECUTIVE OFFICER ESTABLISHES, AFTER DISCUSSION WITH AND CONCURRENCE BY THE COMMITTEE, THE COMPENSATION LEVELS OF THE EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER; SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER; SENIOR VICE PRESIDENT ADMINISTRATION & CHIEF INFORMATION OFFICER; AND CERTAIN OTHER INDIVIDUALS DEEMED TO BE DISQUALIFIED PERSONS PURSUANT TO THE INTERNAL REVENUE SERVICE DEFINITION. THIS IS DONE WITH COMPARABLE DATA PROVIDED BY AN INDEPENDENT CONSULTANT. THE PRESIDENT/CHIEF EXECUTIVE OFFICER ALSO RECEIVES ASSISTANCE FROM THE CKHS HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH EACH INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR. COMPENSATION REVIEW AND APPROVAL IS ALSO BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, AND EVALUATIONS. THE ACTIVITIES AND PROCEDURES FOLLOWED BY THE COMMITTEE ENABLE THE ORGANIZATION TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF ALL INDIVIDUALS DISCLOSED ON THIS FORM 990, INCLUDING THE PRESIDENT/CEO, EXECUTIVE VICE PRESIDENT/COO, SENIOR VICE PRESIDENT ADMINISTRATION/CIO AND SENIOR VICE PRESIDENT/CFO.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER, SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER AND SENIOR VICE PRESIDENT ADMINISTRATION RECEIVING COMPENSATION AND BENEFITS FROM THE ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.
CORE FORM, PART VII, SECTION A, COLUMN B	THE ORGANIZATION IS THE PARENT ENTITY IN THE CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES INCLUDE: - OTHER CHANGES IN PENSION AND OTHER ACCRUED RETIREMENT BENEFITS LIABILITIES; ($669,000).
CORE FORM, PART XII; QUESTION 2	THE TAXPAYER IS THE PARENT ENTITY IN A TAX-EXEMPT, INTEGRATED HEALTHCARE DELIVERY SYSTEM. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL AFFILIATES FOR THE FISCAL YEARS ENDED JUNE 30, 2014 AND JUNE 30, 2013; RESPECTIVELY AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THE TAXPAYER'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3	THE ORGANIZATION IS THE PARENT ENTITY IN THE CROZER-KEYSTONE HEALTH SYSTEM ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

CROZER-KEYSTONE HEALTH SYSTEM

Employer identification number

22-2540851

Part I

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

(a) Name, address, and EIN (if applicable) 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
(1) CROZER KEYSTONE PHYSICIAN PARTNERS LLC 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD,PA19064 45-2275640	HEALTHCARE	PA	1,376,301	88,301	CKHS

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 entity?
(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) CROZER-CHESTER FOUNDATION ONE MEDICAL CENTER BOULEVARD UPLAND,PA19013 22-2540853	FUNDRAISING	PA	501(C)(3)	509(a)(1)	CCMC		No
(2) CROZER-CHESTER MEDICAL CENTER ONE MEDICAL CENTER BOULEVARD UPLAND,PA19013 23-1637191	HEALTH SVCS.	PA	501(C)(3)	HOSPITAL	CKHS	Yes
(3) DELCO MEMORIAL FOUNDATION 501 NORTH LANSDOWNE AVENUE DREXEL HILL,PA19026 22-2980746	FUNDRAISING	PA	501(C)(3)	509(a)(2)	DCMH		No
(4) DELAWARE COUNTY MEMORIAL HOSPITAL 501 NORTH LANSDOWNE AVENUE DREXEL HILL,PA19026 23-0517130	HEALTH SVCS.	PA	501(C)(3)	HOSPITAL	CKHS	Yes
(5) DELCO SYSTEMS SERVICES INC 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD,PA19064 23-2215242	INACTIVE	PA	501(C)(3)	509(A)(2)	CKHS	Yes
(6) HEALTH ACCESS NETWORK 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD,PA19064 23-2692637	HEALTH SVCS.	PA	501(C)(3)	509(A)(1)	CKHS	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2013

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 V-UBI 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 V-UBI 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	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) CROZER-KEYSTONE SERVICES LAYTON HALL ONE MEDICAL CENTER BLV UPLAND,PA19013 23-2735284	HEALTHCARE SVCS.	PA	CKHS	C CORP.	2,977,126	2,191,485	100.000 %	Yes
(2) CKS DELAWARE INC LAYTON HALL ONE MEDICAL CENTER BLV UPLAND,PA19013 52-2069540	INACTIVE	PA	NA	C CORP.					No
(3) PENNSYLVANIA HEALTH CLUB INC 100 W SPROUL RD HLTHPLX PAV II SPRINGFIELD,PA19064 23-2658404	HEALTHCARE SVCS.	PA	NA	C CORP.					No
(4) UNIVERSITY TECHNOLOGY PARK INC ONE MEDICAL CENTER BLVD LAYTON HA UPLAND,PA19013 90-0294852	REAL ESTATE	PA	CKHS	C CORP.	325,459	2,976,273	50.000 %	Yes
(5) TECH PARK PROPERTIES INC ONE MEDICAL CENTER BLVD LAYTON HA UPLAND,PA19013 01-0847504	REAL ESTATE	PA	CKHS	C CORP.	4,141	0	50.000 %	Yes

Schedule R (Form 990) 2013

Page 3

Part V

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

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

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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

Yes

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

Yes

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

Yes

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

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

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

Yes

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

Yes

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

Yes

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

s 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CROZER-CHESTER MEDICAL CENTER	DJKLO	141,599	COST
(2) DELAWARE COUNTY MEMORIAL HOSPITAL	EJKLO	7,975,429	COST
(3) CROZER-CHESTER MEDICAL CENTER	DJKLO	243,407	COST
(4) CROZER-CHESTER MEDICAL CENTER	DJKLO	151,918	COST
(5) HEALTH ACCESS NETWORK	DJKLO	3,940,199	COST
(6) CROZER-CHESTER MEDICAL CENTER	C	1,875,000	COST
(7) HEALTH ACCESS NETWORK	B	11,598,488	COST
(8) CROZER-CHESTER MEDICAL CENTER	L	27,512,412	COST
(9) DELAWARE COUNTY MEMORIAL HOSPITAL	L	10,631,340	COST
(10) HEALTH ACCESS NETWORK	L	3,717,204	COST
(11) CROZER-KEYSTONE SERVICES	L	92,136	COST
(12) HEALTH ACCESS NETWORK	Q	6,730,963	COST
(13) CROZER-CHESTER MEDICAL CENTER	Q	1,437,396	COST
(14) DELAWARE COUNTY MEMORIAL HOSPITAL	P	144,226	COST
(15) CROZER-CHESTER MEDICAL CENTER	A	498,240	COST
(16) DELAWARE COUNTY MEMORIAL HOSPITAL	A	1,083,377	COST
(17) HEALTH ACCESS NETWORK	A	1,764,461	COST
(18) CROZER-KEYSTONE SERVICES	A	245,855	COST

Schedule R (Form 990) 2013

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 V?UBI 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 V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: CROZER-KEYSTONE HEALTH SYSTEM IS COMMITTED TO THE IMPROVED HEALTH STATUS OF THOSE WE SERVE AND WILL DEPLOY ITS RESOURCES IN A COST-EFFECTIVE & COMMUNITY-RESPONSIVE MANNER
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	457
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	286,099
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	40,486

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,160,510	3,491,496
9	Program service revenue (Part VIII, line 2g) .........	43,015,176	42,168,402
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,564,332	-2,287,985
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	722,086	453,802
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	50,462,104	43,825,715
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,140,126	11,603,488
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)	34,366,349	33,948,486
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	8,774,989	8,043,049
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	45,281,464	53,595,023
19	Revenue less expenses. Subtract line 18 from line 12.......	5,180,640	-9,769,308
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	110,934,557	106,401,131
21	Total liabilities (Part X, line 26).............	80,910,025	87,308,907
22	Net assets or fund balances. Subtract line 21 from line 20.....	30,024,532	19,092,224

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 44,446,032 including grants of $ 11,603,488 ) (Revenue $ 42,454,501 )
	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. MOREOVER, IN THIS ROLE, THE ORGANIZATION PROVIDES MANAGEMENT SERVICES, FISCAL OVERSIGHT, STRATEGIC PLANNING AND RESOURCE ALLOCATION FOR VARIOUS HOSPITALS. THE SYSTEM ALSO SPONSORS CERTAIN OTHER SERVICE PROGRAMS AND CHARITY SERVICES WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS THAT REQUIRE SPECIAL SERVICES AND SUPPORT, INCLUDING COMMUNITY SERVICE PROGRAMS AND CHARITY SERVICES FOR THE BENEFIT OF PROGRAMS FOR THE ELDERLY, SUBSTANCE ABUSE, CHILD ABUSE AS WELL AS HEALTH PROMOTION AND EDUCATION. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses44,446,032

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,444,704	678,022	901,324

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		1,875,000
e	Government grants (contributions)1e		1,616,496

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			3,491,496
			Business Code
2a	NET PATIENT SERVICE REVENUE		541900	11,165	11,165
b	MANAGEMENT FEE REVENUE		541610	42,157,237	42,157,237
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			42,168,402
3	Investment income (including dividends, interest, and other similar amounts).......			-2,849,076			-2,849,076
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	8,397,689
b	Less: rental expenses	9,416,676
c	Rental income or (loss)	-1,018,987	0
d	Net rental income or (loss).......			-1,018,987		41,489	-1,060,476
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		561,091
b	Less: cost or other basis and sales expenses
c	Gain or (loss)		561,091
d	Net gain or (loss)..........			561,091			561,091
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..			0
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...			0
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..			0
Miscellaneous Revenue			Business Code
11a	OTHER REVENUE		611600	1,472,789		244,610	1,228,179
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,472,789
12	Total revenue. See Instructions......			43,825,715	42,168,402	286,099	-2,120,282


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			11,150	1	10,820
2	Savings and temporary cash investments .........			19,178,659	2	26,422,780
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			1,325,686	4	2,466,673
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			9,865,157	7	2,031,829
8	Inventories for sale or use ..............			0	8	0
9	Prepaid expenses and deferred charges ..........			1,145,124	9	532,806
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	44,003,627
b	Less: accumulated depreciation .....	10b	25,799,986	17,249,611	10c	18,203,641
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			54,410,988	13	47,496,178
14	Intangible assets ...............			238,025	14	206,566
15	Other assets. See Part IV, line 11 ...........			7,510,157	15	9,029,838
16	Total assets. Add lines 1 through 15 (must equal line 34)......			110,934,557	16	106,401,131
17	Accounts payable and accrued expenses .........			12,606,388	17	12,991,351
18	Grants payable .................			0	18	0
19	Deferred revenue ................			8,441,073	19	7,921,622
20	Tax-exempt bond liabilities .............			0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			32,192,415	23	32,929,486
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
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....................			27,670,149	25	33,466,448
26	Total liabilities. Add lines 17 through 25.........			80,910,025	26	87,308,907
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			30,024,532	27	19,092,224
28	Temporarily restricted net assets ...........			0	28	0
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........			30,024,532	33	19,092,224
34	Total liabilities and net assets/fund balances ........			110,934,557	34	106,401,131

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No