| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
V.I.A. HEALTH SYSTEM BACKGROUND =============================== The Village Improvement Association (V.I.A.) was founded in 1895 with the health and beauty of the community of Doylestown as its primary concerns. In response to community needs, the Visiting Nurse service was established in 1916, and in 1923 Doylestown Hospital was opened, making the V.I.A. the only Women's Club in the country to own and operate a community hospital. In 1986, a corporate restructuring created the V.I.A. Health System and the Doylestown Health Foundation and the V.I.A. Affiliates. Restructuring enabled the V.I.A. and Doylestown Hospital to operate more efficiently and with greater diversification. Great orchestras require exceptional talent, an array of finely tuned instruments and a skilled conductor to perform complex symphonies with excellence. Great healthcare organizations are much like great orchestras. Highly competent talent, comprehensive facilities and services, superior execution and flawless coordination of effort are all required to deliver excellence in patient care. From the start, we have been a community centered organization focused on improving the health of our community. The Village Improvement Association of Doylestown (VIA) founded the Doylestown Emergency Hospital in 1923 but its health-centered roots trace back to 1895 as they coordinated efforts to eliminate unhealthy dust from the town's streets. This passion for public health evolved into the establishment of the first visiting nurse service in Doylestown. Over the years, the VIA continued to address the health needs of our community by expanding or developing new services that comprise Doylestown Health and collectively include: - Doylestown Hospital - Doylestown Health Physicians - Doylestown Hospital Surgery Center and outpatient testing facilities at the Health and Wellness Center - Doylestown Hospital Home Health Care - Doylestown Hospital Hospice - Health Connections by Doylestown Hospital - healthcare concierge services at the Warminster ShopRite - Pine Run Health Center - Pine Run Lakeview Personal Care - Pine Run Retirement Community - Children's Village - early childhood education program Today, under the Doylestown Health banner, we gather all elements of our health system to expand beyond episodic care to community health and a continuum of coordinated care, from birth to end-of-life. In partnership with over 425 physicians on our medical staff, we anticipate providing enhanced and expanded services, achieving even greater accomplishments and a healthier community. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
In its 120th year, the V.I.A. oversees the operations of the system of affiliated health corporations. The purposes of the V.I.A. have been consistent throughout its history: - to encourage and promote public health work in general - to improve the health and welfare of the residents of Doylestown and greater Central Bucks County - to provide food, clothing, shelter, and medical and surgical care and nursing to the indigent of the community without charge, insofar as hospital resources will permit - to own, manage, support, and maintain a visiting nurse service and community hospital for the benefit of all persons - to raise funds for and to receive and hold all property that may be given to the Association to accomplish its mission. For the fiscal year ending 6/30/14 the V.I.A. Health System accounts for three tax exempt affiliates in this narrative: Doylestown Health Foundation, Doylestown Hospital, and the V.I.A. Affiliates. Described below are the charitable missions of these entities. V.I.A. HEALTH SYSTEM MISSIONS ============================= Mission Statement The ("Health System") continuously improves the quality of life and proactively advocates for the health and well-being of the individuals we serve. Vision Statement The enthusiastic pursuit of healthcare excellence through collaboration and innovation. DOYLESTOWN HEALTH FOUNDATION ---------------------------- The purpose of the Foundation has four main points: assessment of community needs, communication of those needs and the System's response to them, solicitation of funds to support the response, and the accountability to the community for both the management of the funds and the response to the needs. DOYLESTOWN HOSPITAL ------------------- The ("Health System") continuously improves the quality of life and proactively advocates for the health and well-being of the individuals we serve. Our community members include the vulnerable, the disenfranchised, those in need of health education, and those uninsured or underinsured persons who depend on us for care. As a values-based organization, Doylestown Hospital has made a public commitment to five core values: Service, Enthusiasm, Respect, Value and Excellence. The hospital holds Board members, Medical staff, and paid and unpaid staff accountable for incorporating these values into policies, behaviors, clinical practices and management decisions. The five core values guide Doylestown Hospital's response to community needs: SERVICE: - We serve the community - We strive for excellence in our services and programs - We respect the dignity and privacy of all - We provide value through high quality, accessible services - We seek innvoation and integration for continuous improvement - We are compassionate - We are committed to the health and wellness education of our community. ENTHUSIASM - Doylestown Hospital strives to sustain within its staff the inspiration that first compelled them to healthcare-related work and a commitment to the job of serving our patients. RESPECT - Doylestown Hospital welcomes and provides care to all members of the community, without regard for race, religion, sex, sexual orientation, color, national origin, or ability to pay. All the medical, surgical, and program services listed on Addendum A are provided to everyone who comes to Doylestown Hospital for care, including those unable to pay for these services. VALUE - As a result of its commitment to keep cost and quality in proper perspective, Doylestown Hospital provides many programs and services at no charge, because the community expects, needs, and deserves this contribution of healthcare resources to its overall good health. In the fiscal year ending 6/30/14, over 35,000 community members took advantage of community benefit activities, including free health promotion events, screenings, health education programs, and other outreach efforts. EXCELLENCE - Doylestown Hospital promises the community it will strive for the BEST possible customer service, patient care, and technology that meet or exceed the community's expectations. It also promises faithfulness to its heritage and assure that every decision reflects a commitment to the values. PINE RUN COMMUNITY ------------------ In 1992 Doylestown Hospital enhanced its commitment to the older adult population in the Central Bucks County area by acquiring the Pine Run Community. Pine Run operates as a division of Doylestown Hospital with the following mission: "Pine Run Community is committed to and passionate about seniors, and we are dedicated to being an exceptional retirement community. By focusing on a spectrum of wellness for everyone in our continuum, we will enhance the quality of life throughout the region." Pine Run serves the surrounding community as a non-profit continuing care retirement community by offering a continuum of services at its facilities which includes 296 independent living units (the Village) on 42 acres of land in Doylestown, Bucks County, Pennsylvania; a 107-bed skilled nursing facility and 40-bed personal care facility (the Health Center), and a 107-bed personal care facility (Lakeview), located on a separate, 7.5 acre campus in Doylestown. Pine Run strives to be a progressive, resident-focused community, full of vitality and enthusiasm, promoting independence and wellness. Through a culture of wellness, Pine Run is dedicated to the promotion of holistic care and services for Villagers and Residents. The Village, located approximately 3 miles from the Hospital, consists of garden cottages set in clusters and a multi-unit apartment building, as well as a community center, dining room, store, library, and other amenities. Maintenance, security, housekeeping, utilities, dining, recreational, cultural, transportation and fitness services are provided for the Villagers. The Health Center, located on the same campus as the Village, provides transitional care for short-stay nursing and rehabilitation residents, with skilled nursing care and comprehensive therapy programs; a personal care Alzheimer's/Dementia Program for those with impaired memory; long-term care for residents requiring on-going custodial care; short-term respite care to allow home-based care givers to take a vacation or trip; and hospice care for end of life care. Lakeview, a personal care facility, was purchased by Doylestown Hospital in 1998 and added to the Pine Run family of facilities. It offers personal care accommodations in private suites and companion suites, with supportive services and enhanced programming for those with memory impairment. This personal care residence is three and a half (3.5) miles from the Pine Run Village, and two blocks from the main hospital. V.I.A. AFFILIATES ----------------- The Affiliates was reactivated in 1994 to bring to the residents of the Central Bucks community necessary community-based services that may not otherwise be available or included in the mission of other system entities. In order to meet the needs of community members, the V.I.A. Affiliates has been involved with a number of initiatives. V.I.A. Affiliates exists to support the SERVICE core value of Doylestown Hospital. Doylestown Hospital has been designated as a Blue Distinction Center for Knee and Hip Replacement, as well as receiving two prestigious technology awards, and also is among the top 5% in the nation for patient safety. Doylestown Hospital is a comprehensive 237-bed acute care facility serving families throughout Bucks and Montgomery Counties and Western New Jersey. The Medical Staff includes more than 420 physicians in more than 50 specialty areas. Doylestown Hospital is one of the 100 best hospitals in the U.S., according to the Thomson Reuters 100 Top Hospitals study released in 2012. The Heart Institute of Doylestown Hospital is a regional center of excellence for cardiology and cardiac surgery and was named one of the Top 50 cardiovascular hospitals in the nation (Thomson Reuters 2012). Areas of clinical emphasis also include emergency medicine, oncology, maternal-child health, orthopedics, interventional radiology, gastroenterology, urology, general surgery and robotic surgery. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Doylestown Health: New Name, Renewed Focus on Health and Wellness effective fiscal year ended June 30, 2015 A system of healthcare services that has long served the region adopted a new name The brand name "Doylestown Health" was adopted unanimously by the boards of Doylestown Hospital, Doylestown Health Foundation and the Village Improvement Association to describe the health system, renew the focus, and pay tribute to 120 years of community outreach. Doylestown Health is comprised of Doylestown Hospital, Pine Run Community, physician practices, outpatient services, surgical center, nursing home and home health. "Expectations of healthcare are moving away from the treatment of illness to fostering health and wellness for patients, families and communities," said Jim Brexler, President and CEO of Doylestown Health. "We are building on an illustrious past to be a leader in the shifting healthcare market of the future. "It is poetically ironic that we undertake this bold transition from illness to wellness on the eve of the 120th year of the founding of the Village Improvement Association." The V.I.A. was founded by a group of women in 1895 who organized themselves to improve the health of their community. Early in the 20th century, the V.I.A. hired visiting nurses to care for the sick and newborns in their homes. Doylestown Hospital was opened by the V.I.A. in 1923 with eight beds and a mission to provide emergency and maternity care. Today, Doylestown Hospital has a national reputation for healthcare excellence; institutes for heart, cancer and orthopedic services; a state-of-the-art emergency department, and centers for maternity and pediatric care. What makes it a complete health system are the interconnectedness of services and facilities organized under the Doylestown Health banner. Among the elements: nearly 300 retirement cottages and apartments of the Pine Run Community, skilled nursing and dementia care at Pine Run Health Center, assisted living at Pine Run Lakeview, daycare services at Children's Village at Doylestown Hospital, and Health Connections, a community outreach service at the Cowhey Family ShopRite in Warminster. Outpatient laboratory services and a surgical center are located in the Health & Wellness Center, Warrington. Home Health and Hospice services are based in Plumstead Township. "As we look to our future, we are building on the successes of our past," Brexler said. "Among the most enduring aspects of our history is the partnership with our medical community, who sets the tone for clinical excellence and collaborates with all parts of the health system to create a continuum of care, from birth to end-of-life." Overview: Doylestown Health =========================== Doylestown Health is a connected system of inpatient, outpatient and community services that include: Doylestown Hospital ------------------- Nationally and regionally recognized for high quality and innovation, the hospital may be the flagship of the health system but relies on care coordination with community physicians and the effectiveness of its many parts for success. The Hospital has 232 beds and a Medical Staff of more than 425 physicians offering comprehensive healthcare services from childbirth to end-of-life care. Doylestown Hospital Surgery Center ---------------------------------- Located in the Health & Wellness Center in Warrington, the Surgery Center is a fully-equipped, state-licensed and certified multi-specialty same-day surgery facility. The center has four state-of-the-art operating rooms and a treatment room for less invasive procedures. Pine Run Retirement Community ----------------------------- A retirement community with 272 cottages and 24 apartments situated on a 43-acre landscaped campus provides an active and engaging lifestyle for "Villagers" with shared and diverse interests. Pine Run Health Center ---------------------- Renovations are nearly complete for this multi-faceted facility with a 90 - bed skilled nursing unit providing transitional and long-term care. Along with rehabilitation, hospice and respite services, the Health Center also offers a separate and secure 40-bed personal care dementia and Alzheimer's neighborhood. Pine Run Lakeview ----------------- Our personal care community encourages independence and supports every individual need, from fine dining to companionship. Pine Run Lakeview is a 107-bed personal care center that includes an additional 13-bed secure dementia care neighborhood. Doylestown Hospital Home Health & Doylestown Hospice ---------------------------------------------------- The first home healthcare program in the Doylestown area. Our visiting nurses continue to provide reliable, compassionate, home-based care. Doylestown Hospital Hospice nurses make regularly scheduled visits to patients, providing expert pain management and symptom control techniques. Doylestown Health Physicians ---------------------------- A part of the Doylestown Hospital employed physician network, these members of our care team specialize in a variety of areas including; cardiology, cardiothoracic surgery, general surgery, breast surgery, neurology, and more. Outpatient Services -------------------- Two locations include Doylestown Hospital and the Health & Wellness Center and Warrington, offering convenience and the same high quality that is the Doylestown Health tradition. Children's Village ------------------ Celebrating 30 years of caring and educating infants through kindergartners, Children's Village offers a robust, award-winning, early childhood education program. Licensed and accredited, the "village" is located on the hospital campus and cares for children of hospital Associates as well as children from the community. Health Connections by Doylestown Hospital ----------------------------------------- A collaboration between Doylestown Hospital and the Cowhey Family ShopRite of Warminster. This in-store health resource center was created to benefit the community by offering health information, appointment scheduling and special health-focused events. Doylestown Health Foundation ---------------------------- The Foundation Board of Directors, comprised of leaders from the Village Improvement Association, the community, and the health system, are responsible for ensuring the adequate funding and support of all facets of the continuum of care. Doylestown Health: Mission and Vision Statements ================================================ Mission Statement The ("Health System") continuously improves the quality of life and proactively advocates for the health and well-being of the individuals we serve. Vision Statement The enthusiastic pursuit of healthcare excellence through collaboration and innovation. Doylestown Health Highlights ============================ THE RICHARD A. REIF HEART INSTITUTE Doylestown Health's Richard A. Reif Heart Institute is a nationally-recognized cardiac program with capabilities ranging from patient education and preventive heart health programs to technically-advanced minimally-invasive valve replacements and delicate open-heart surgeries to a robust cardiac rehabilitation program. The Woodall Chest Pain Center, an extension of the Heart Institute, works with local ambulance services to ensure rapid treatment for heart attack even before a patient arrives in the Emergency Department. The Heart Institute is a regional leader in electrophysiology procedures offering a wide array of treatment options for the management of atrial fibrillation, and is one of only a few centers in the region providing the Convergent Procedure, an advanced care option for hard-to-treat arrhythmias. Recent innovations in heart care: Transcatheter Aortic Valve Replacement (TAVR) is an advanced care option for patients needing a new aortic valve who cannot undergo traditional valve-replacement surgery. TAVR is performed by the Heart Institute's multidisciplinary team of cardiac specialists that includes cardiologists, cardiac surgeons, interventional cardiologists and radiologists. Doylestown Hospital was the first in the state to use the Medtronic Reveal LINQ Insertable Cardiac Monitor (ICM) - which is 80% smaller than other ICMs. This wireless monitor provides long-term remote monitoring to help physicians diagnose and monitor irregular heartbeats. For the third consecutive year, Doylestown Hospital was ranked first in Pennsylvania and among the top six in the nation for 30-day survivability after a heart attack, according to the Centers for Medicare and Medicaid Services. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
EMERGENCY SERVICES The Emergency Department (ED) remains among the most technologically advanced and equipped ED units in the region. With over 44,000 patients including nearly 8,000 pediatric patients, the Department offers a breadth of care options to the community 24 hours a day. Excellence and speed of critical care is paramount and is notable when treating heart attack and stroke. The unit is home to the Woodall Chest Pain Center for the rapid assessment of heart attack and also collaborates with Jefferson Hospital neuroscience specialists and its Jefferson Expert Teleconsulting system for emergency diagnosis and treatment of stroke. Doylestown Hospital's ED was the recipient of the 2014 Guardian of Excellence Award from Press Ganey Associates. The ED received this award for the third consecutive year. It recognizes top-performing facilities that consistently achieve the 95th percentile of performance in patient satisfaction. THE ORTHOPEDIC INSTITUTE Our dedicated orthopedic physicians and staff offer complete care - before, during and after procedures - for a full range of movement. Our focus is on keeping joints, bones and muscles healthy. When surgery is necessary, there are innovative, rapid-recovery options available through the Doylestown Accelerated Surgical Healing Program. Our patients recover from total joint replacement surgery in weeks, not months, with rehabilitation occurring before and after surgery for the best outcomes. We provide a well-established sports medicine team with many of our physicians serving as team doctors for regional high schools. Other areas of expertise include shoulder joint replacement as an emerging specialty, and surgeries of the hand, spine and rotator cuff. - Certified by The Joint Commission for total hip and knee joint replacement - Blue Cross Blue Shield Center of Distinction THE CANCER INSTITUTE Accredited by the American College of Surgeons Commission on Cancer, The Cancer Institute provides quality care from board-certified physicians and oncology-certified practitioners. This experienced team provides comprehensive, coordinated care centered on cancer prevention and screening, diagnosis, medical oncology, radiation oncology, surgery and survivorship and support programs. As an integrated partner with Penn Radiation Oncology and the Penn Cancer Network, The Cancer Institute demonstrates excellence in community outreach, clinical services, quality improvement and research. Cancer Institute Highlights: Breast Care New Breast Center - The Breast Center of Doylestown Hospital offers comprehensive breast cancer and well-breast care. From early detection through advanced screening options to complex surgical treatments including breast-sparing techniques, the Center is a resource for total breast health. New mammography protocols specific to breast density were incorporated by the Women's Diagnostic Center. In addition to mammography, ultrasound and MRI can help find breast cancers that cannot be seen on a mammogram. Designated as a Breast Imaging Center of Excellence by the American College of Radiology (ACR). Gastrointestinal Cancers Endoscopic Ultrasound (EUS) This new procedure offers advanced endoscopy care close to home. EUS combines endoscopy with ultrasound technology to create a more detailed view of the gastrointestinal tract and surrounding tissue and organs. Using EUS, physicians can diagnose conditions that can be missed by other imaging modalities and can obtain biopsies in a less invasive manner with higher accuracy. Lung Cancer The Cancer Institute established a low-dose CT lung cancer screening program for asymptomatic patients who meet the established criteria, with the goal of earlier detection, more accurate diagnoses and more effective treatments for lung cancer. Endobronchial ultrasound (EBUS) is now available at Doylestown Hospital to biopsy, diagnose and stage lung cancer. In the past, to perform lung cancer biopsy an inpatient surgical procedure called mediastinoscopy was required. Now, through EBUS, physicians can achieve the same, accurate results using a convenient minimally invasive diagnostic procedure performed on an outpatient basis. Infusion Therapy For those in need of medications delivered intravenously, the Doylestown Hospital Outpatient Infusion Unit offers private rooms and treatment bays at The Pavilion. This unit provides infusion for many conditions that include cancer, lupus, multiple sclerosis, rheumatoid arthritis and more. MATERNITY AND CHILDREN'S SERVICES Maternity care is at the very heart of Doylestown Hospital and has been since we opened our doors in 1923. The V.I.A. Maternity Center continues the legacy today with 22 private rooms and nine private labor and delivery rooms for over 1,300 deliveries each year. A neonatal intensive care unit, staffed by The Children's Hospital of Philadelphia neonatologists, is housed in the Maternity Center. From prenatal to postpartum care, our highly skilled clinical team uses a family-focused approach to ensure happy and healthy moms and babies. When lowest number is the best quality Doylestown Hospital continually has an extremely low ratio for early birth intervention with zero early inductions and only one early C-section in 2013. The early delivery of a baby has potential for serious health problems. In an ideal pregnancy, babies are born after 39 weeks of gestation. Early induction or C-section are medically-indicated only when the health of the baby or mother is at risk. Prenatal care of mother and child by experienced OB/GYN's or nurse midwives is an important factor in achieving a full-term birth. SURGICAL SERVICES Doylestown Hospital is a natural destination for a variety of surgical services from the common to the complex with highly-skilled, board-certified and nationally-recognized surgeons and robust inpatient and outpatient surgical volumes. Robotic surgery, available at Doylestown Hospital since 2007, enables single-site surgeries for the removal of gall bladders and hysterectomies. Laparoscopic and minimally-invasive techniques speed recovery for patients who require colon resections or hernia repairs. Multi-disciplinary teams of surgeons offer revolutionary procedures such as nipple-sparing mastectomies. IMAGING SERVICES NEW IN 2014 - The most advanced MRI technology available, designed for patient comfort. The new 3T MRI with Ambient Experience at Doylestown Hospital combines the most advanced MRI technology available while improving the patient experience with enhanced features. Patients can customize their experience, choosing their own lighting, animation and sound. - Double the magnet strength. Results in the best image quality available. - Special lighting, animation and sound. Patients select soothing "theme". - Larger opening. Creates more room above and beside you, and most MRI scans can be performed feet-first - a comfort to patients, especially those with claustrophobia or anxiety. - Faster imaging and shorter time for completion of study. - Child-friendly. Choose from themes specifically designed for children. - Convenient location. Just steps away from the connected parking garage. MEDICAL RESEARCH AND CLINICAL TRIALS Doylestown Hospital offers access to world-class treatments through both inpatient and outpatient medical research and clinical trials. There are more than 60 clinical trials underway at Doylestown Hospital, many for the treatment of cardiac conditions, including both new medicines and devices, with more than 800 patients involved in the past five years. There are nearly a dozen active cancer studies for breast, prostate, bladder, renal, lymphoma and malignant melanoma, in addition to two genetic studies (breast and testicular). These trials and studies are in concert with organizations such as the National Institutes of Health, Centers for Medicare and Medicaid Services, and Harvard, Duke, Yale and Penn universities. PINE RUN HEALTH CENTER Our skilled nursing facility is situated on the 43-acre Pine Run Retirement Community campus near the border of Doylestown and New Britain townships. Renovations on this multi-story, 90-bed facility are near completion. The Health Center serves many purposes, from short-term rehabilitation to long-term care, with private rooms and family friendly visiting areas, a choice of dining options and a clinic available for the day-to-day care of Pine Run Villagers residing on campus. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
AWARDS AND ACCREDITATIONS ========================== Doylestown Hospital ------------------- - Doylestown Hospital has The Joint Commission's Gold Seal of Approval for accreditation by demonstrating compliance with standards for healthcare quality and safety. - Listed among the country's 100 Most Wired Hospitals and Health Systems Cardiology - American College of Cardiology's NCDR ACTION Registry-GWTG Platinum Performance Achievement Award. - Chest Pain Center W/PCI from the Society of Cardiovascular Patient Care. - Mission: Lifeline Heart Attack Receiving Center Accreditation, sponsored by the American Heart Association and the Society of Cardiovascular Patient Care. - Get With The Guidelines-Heart Failure Gold-Plus Quality Achievement Award from the American Heart Association/American College of Cardiology Foundation. - Independence Blue Cross Blue Distinction Center Cardiac Care. - Joint Commission Certification for Heart Failure. Emergency Department - Recipient of the 2013 Guardian of Excellence Award from Press Ganey Associates, Inc. Stroke - Get With The Guidelines-Stroke Gold-Plus Quality Achievement Award and Target: Stroke Honor Roll (Get With The Guidelines American Heart Association/American Stroke Association). - Advanced Certification for Primary Stroke Centers by The Joint Commission, in conjunction with The American Heart Association/American Stroke Association. Orthopedics - Joint Commission certifications for hip and knee replacements. - Blue Distinction Center in Knee and Hip Replacement by Blue Cross and Blue Shield. Cancer - The Commission on Cancer (CoC) of the American College of Surgeons (ACoS) granted Three-Year Accreditation with Commendation. - National Accreditation Program for Breast Centers Accreditation. Home Health/Visiting Nurse - Doylestown Hospital Home Health is in the Top 500 of the HomeCare Elite, a compilation of the top-performing home health agencies in the United States. Maternity - The International Board of Lactation Consultant Examiners (IBLCE) and International Lactation Consultant Association (ILCA) have recognized Doylestown Hospital for excellence in lactation care with the IBCLC Care Award. V.I.A. HEALTH SYSTEM COMMUNITY BENEFIT ACTIVITIES ================================================= The V.I.A. Health System is devoted to the community it serves, and it sponsors and coordinates many charitable activities, which, described in the narrative below, identifies what is done daily by the health system's Associates and volunteers. Community Outreach & Benefit Activities --------------------------------------- American Red Cross Donation: The Hospital provides space on a weekly basis for a blood donation program conducted by the American Red Cross that benefits patients and the community. Hospital space is valued at $15,000. Bucks County Health Improvement Partnership: The Bucks County Health Improvement Partnership (BCHIP) is a collaborative effort among Doylestown Hospital and the other five hospitals in the county, also including the Bucks County Medical Society and The Bucks County Department of Health. BCHIP addresses: maternal and child health issues, mental health concerns, coordination of health promotion and prevention (notably tobacco and cardiovascular risk reduction), supports CHIP enrollment, domestic violence prevention and provides adult health and dental clinics for underserved populations. The Foundation contributed $20,000 to a common fund, from which these projects were supported. CB Cares: Both the Doylestown Hospital and the Doylestown Health Foundation support the Team with Board members who provide leadership, fundraising and human resource skills. The value of space, utilities, phone, computer and cleaning services were donated for FY2014 for a total of $10,127. Children's Village Day Care Subsidies: Children's Village, on-site day care, welcomes children from low-income families in the area that are eligible for child-care subsidies. $24,877 was written off for this. Ann Silverman Community Health Clinic: The mission of the Clinic is to provide free medical care, dental care and social services to any eligible person who seeks its help. The target population is low income, underinsured or uninsured people in the greater Central Bucks County area. The hospital provided the Clinic with offices and exam rooms at a nominal charge. The Foundation assisted in some of the health needs of the patients that go beyond the resources of the Clinic with a contribution of $40,000. Other donations included pharmaceuticals and medical testing, as well as senior management's time contributing to the Clinic's Board. During FY13-14 there were 2,042 visits to the medical program for 707 individual adults and children. There were 517 treatment visits and 130 hygiene visits for the dental program for 249 adults and children. There were 962 visits provided through the Social Service Program including 103 medical insurance applications. There were 230 prescriptions filled from donated samples and 299 applications completed or Prescription Assistance Programs, as well as 73 free mammograms at a cost to the Hospital of $61,750. Community Education Calendar: Doylestown Hospital published a quarterly calendar which is distributed to 90,000 households. This calendar lists communications related to health education programs and classes. The approximate cost of this publication is $205,160. Advertisements are in local newspapers which inform the community members about upcoming health education classes, physician lectures, support groups and other health education activities. In addition, Doylestown Hospital publishes three disease specific newsletters which offer wellness and prevention information to patients who have been diagnosed with or are concerned about heart disease (Cardiac Connection), osteoporosis, breast cancer, menopause and other women's health issues (Her Health) and cancer (Concierge). More than 246,000 people receive this information through a mailing to their homes. An additional 2,500 e-newsletters are also sent. The cost to produce and distribute these newsletters was $182,695. Health Connections by Doylestown Hospital: This is a collaborative program between Doylestown Hospital and the Cowhey Family (ShopRite of Warminster). Health Connections by Doylestown Hospital is an in-store health resource center created to benefit the community. This convenient location makes health information accessible and personal for the prevention of illness, and helps residents find the appropriate care when the need arises. The goal of Health connections is to motivate the community to adopt healthier lifestyles. The cost of supplies, staffing and monthly promotions was $10,874. Medicaid Application Preparation for all Uninsured PA Residents: Doylestown Hospital offers all uninsured PA residents the option of filing a Medicaid application. HRSI is the Hospital's vendor and they help our patients through the process. The Hospital is charged $475/application, if the applicant obtains eligibility. HRIS has successfully obtained eligibility for 150 uninsured patients. For this process, the Hospital paid HRSI $85,500, staff time cost incurred of $32,565. Cost of Trans Union Monthly fees totally $79,572 for the fiscal year. Lenape Valley Health Foundation: This organization provides psychiatric coverage and clinical supervision for Unit Patients and psychiatric consultation services in the Hospital's Emergency Department. This is a cost to the hospital of $359,840. Foundation Fund Raising Program: The Foundation's fund raising program requested unrestricted gifts for this fiscal year that would enable Doylestown Hospital to continue its mission of a responsive, healing environment for patients and their families. Gifts benefited many departments of the hospital, especially the Heart Institute, Hospice and the Cancer Center. Special events included a silent auction to benefit the Cancer and Hospice programs, a Heart Brunch, and a golf outing. The Planned Giving program was successful, including the growth of the charitable gift annuity program. Hospice Program Support: The Hospice Program provided caregivers for respite care in the homes of terminally ill patients, and contacted bereaved people over the phone throughout the year after the death of a loved one. This program is valued at $5,050. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Bereavement Support: The Bereavement Support Program provided support for bereaved and hospice families. There are various types of bereavement support groups that take place monthly in order to meet the needs of all types of losses. These programs are offered all year round and have a Chaplain and other professional staff in attendance. The Hospital served 1,100 community members, at a value of $27,427. How to Cope" Programs: There were events held at various churches and organizations to discuss topics of coping with the loss of a loved one at the Holidays, "Who am I now" and having conversations before the crisis, valued at $10,838. Pulse Line: A phone line that is dedicated for community information, registration and referral. Hospital staff screened applicants and referred patients with primary care and specialist physicians. They also referred eligible patients to the Free Clinic of Doylestown. Estimated staff time was 1,040 hours (20 hours/week for 2 operators) valued at $24,811. Doylestown Clinical Network (DCN): The DCN facilitates seamless transfer of clinical information provider-to-provider to improve the quality of care for members of the Doylestown Community. There is an estimated 12,510 hours of paid Associate time. An estimated cost of $241,500 for phone lines, maintenance, depreciation, etc. and an estimated cost of $53,185 for Administration. An estimate of direct offsetting revenue of $51,500. The outcome for the community is the serving of approximately 475,000 persons. Collaboration occurred between Doylestown Hospital and the Bucks County Physician Hospital Alliance (BCPHA). Scholarship Assistance: 62 scholarships are supported by the Foundation through restricted gifts. These scholarships, totaling $60,550 are awarded to men and women pursuing nursing, allied health, paramedic, and other training. Ben Wilson Senior Center Newsletter: Four times a year a staff member from Community relations assists with the preparation of a newsletter for the Ben Wilson Senior Center in Warrington by supplying health and wellness information and editorial oversight. We then print 3,000 copies at a value of $215. Staff time of 12 hours/issue valued at a total of $286 for the four issues. Community Business Sponsorships: Throughout the year, Doylestown Hospital has made cash donations to assist local businesses, non-profits and cultural organizations which provide programs and activities that improve and/or enhance the overall quality of life for the greater Central Bucks Community. We believe that one way to keep community members safe, healthy and vibrant is by supporting the numerous community and business groups that are the fabric of our community and by participating in special programs and events that benefit a broad spectrum of community residents. The total amount donated for sponsorships is $207,174. Visiting Nurse Program Free Support: The Visiting Nurses made visits to families without insurance. Clinics were held at the Center Square Towers, Yorktowne Manor and Buckingham Springs, which are all senior living complexes. 48 hours were donated at a cost of $4,791. Hospice Programs: Mailings and telephone contact to other community service organizations, such as Beelong Adult Day Services, Bayada Nurses in Hatboro & Bucks County Office, The Manor at Yorktown, to name a few, as well as healthcare organizations to offer information and education regarding "End of Life" and Hospice Programs. 50 paid hours and 10 donated hours at a cost of $5,032 plus refreshments and handouts at a cost of $75. Library Services at Doylestown Hospital: The Hospital has an extensive library that is open to users from the community, other than Medical Staff, Associates and Volunteers of the Hospital. Physicians that have privileges at the Hospital as well as Honorary/Emeritus Medical Staff make up the largest group of users at a cost to the Hospital of $138,854. Healthy e-Cooking Show: The Hospital has an ongoing program that has an online database of over 600 healthy recipes and nutritional information along with videos. These are accessible through Doylestown Hospital's website. This access to the community helps with information on obesity, diabetes, cardiovascular disease and all dietary links. This information is available to help promote healthy eating habits. At a cost to the Hospital of 48 paid professional hours at a cost of $2,087 and an annual license fee of $ 16,500. Adam Health Encyclopedia: Health information is the 3rd most popular search on the internet. The Hospital has an extensive health library on its website with over 4,000 health and wellness articles and covers over 1,500 medical topics. The site has reference index and interactive tools. At a cost to the Hospital of 20 paid professional hours at a cost of $870 and an annual license fee of $17,500. Food Shelter Donation: Doylestown Hospital donated 50 cartons of food to New Britain Baptist Church and Doylestown Food Bank to be distributed to local families in need. The cost to the Hospital was $24,000. Educational Programs -------------------- Cancer Survivor Day: This event was held by Doylestown Hospital for all cancer survivors and their family and friends. It was intended to provide psychological support and a networking experience with other survivors and connect survivors with community resources. Over 220 people attended the event. Volunteer hours included physicians, nursing and clerical staff attending for a total of $1,153. Lifestyle Lectures: This was a series of informal educational lectures offered to the community by members of the medical staff. The hospital coordinated the program, which helped 143 community members. $1,010 in physician time was donated. Driver Safety Program: This was a cooperative program with AARP that follows their rules for participation. We provide room for 245 participants and 11 classes, which amounted to $1,250 in hospital donated costs. Community Lectures: The Hospital provided speakers for various community groups and organizations. Presenters for events utilized both staff and physicians. The value of staff and volunteer time and resources was $43,032 and the session helped 3,296 community individuals. These programs improved the community's health and quality of life through education. Breast Cancer Support Group: Provided opportunities for educational and emotional support for breast cancer survivors and their families. The Hospital provided education to 240 persons per month at a cost of $2,441. Additional programs sponsored by the Hospital for cancer support were four cancer educational programs (Psychological Support Program, Breast Cancer and Emotional Support Program, Nutrition Program and "Basket Bingo". Costs incurred for these events were $6,012. Man to Man Prostate Cancer Support Group Education: This monthly program addresses issues and the struggles that face prostate cancer survivors and their families. 90 persons served per month at a cost of $1,052. Look Good, Feel Better: This program provided support and resources for cancer patients undergoing chemotherapy. 60 individuals attended and $709 was the value of staff and volunteer time and resources. Nutrition Presentations: Programs were held throughout the year to provide education on nutrition to promote optimal health and Diabetes Awareness. Locations included: several churches, senior communities, two High Schools and various women's and men's groups, menu evaluation for Yorktown Manor, health fair displays for YMCA and many local elementary schools. Over 1,200 were educated with these programs. 80 hours of staff time spent at a cost of $5,150 to the hospital. Stroke Support Group: This monthly program addresses issues and the struggles that face stroke survivors and their families. 130 persons served per month at a cost to the Hospital of $2,216. Joint Replacement - PreOp Education: This program is presented 9 times through the year. This lecture addresses issues and concerns as well as what to expect both pre & post op and discharge of a joint replacement. 495 persons served this year at a cost to the Hospital of $15,133. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Love Your Heart: This program was presented for the community to make everyone aware that heart disease is still the #1 killer for both men and women. 200 attended and a cost to the Hospital of $11,219. Cancer Roadmap - Q&A for the Newly Diagnosed Patient: This program describes the process to the newly cancer diagnosed. There is a one-on-one with an oncology nurse, social worker and volunteer survivor to discuss a treatment plan, expectations and available resources for positive coping. There were 4 individuals who attended, and a cost of $139. I Can Cope: This program was an educational series that addressed topics such as cancer and treatment, managing side effect, emotional concerns, fatigue and energy conservation and proper nutrition. 20 persons were served at a cost of $656. Student Internship Summer Program: This program includes Students of the Gwynedd Mercy Cardiovascular Technology Program, Bucks County Community College Nursing Program and Kettering College Echo Program. The students spend 2 weeks observing procedures in Cardiac Services, Echo and the Cath Lab to help them decide where they would like to focus their educational/career and education. The value of this program is $174,289 for support staff, physicians and professional staff time. Student Internship Radiology Program: 4 students from Bucks & Montgomery County Community College's Radiologic Technology Program, attend the Hospital's Department of Radiology on a rotation basis. Students learn clinical skills that are important to their educational process. Radiographers at the Hospital serve as clinical instructors for the students on a one to one ratio. Doylestown Hospital does not receive a financial reward for this agreement. The cost of this program to the Hospital is $117,650. There is also an intern program for 1 student with the Ultrasound Department. The cost of this program is $22,015. Allied Health RCIS College Intern Program: Students work with a Doylestown Hospital Cardiac Rehab Associate, developing their skills such as reading physician reports, collecting information for first visit patients, assessing skills, documenting meds, exercise evaluations, evaluating outcomes and discharging patients. For the student college training, this is a mandatory clinical experience program. The cost of this program to the hospital is $428,700. Smoking Cessation Program: Programs were held using CDC Resources "Cleaning the Air". 41 individuals were given help in quitting the habit smoking. The hospital's overall contribution is valued at $750. Pine Run Programs: These programs were held at Pine Run for the community, including a Wellness Food Drive, donated school bags to the Bucks County Intermediate Unit, as well as distributing Bibles and Prayer Materials. Staff and handout materials were valued at $8,354. Maternity and Parenting Activities ---------------------------------- Baby well: This program educated 248 parents on how to care for their newborn. $5,675 in staff time was devoted towards 24 community programs. Healthy Beginnings Program: This is a program to bring prenatal health to the underserved in the Community. This is mostly the individuals without the ability to pay or those who have not yet enrolled or who are enrolled in Medicaid. Much of our program deals with high risk patients and those with substance abuse problems. There is a Physician, a social worker and a dietician, as well as two nurses who run the program. The cost of this program was $451,391. Breastfeeding Education: This program provides an increased understanding of the benefits of breastfeeding, which leads to improved nutrition/health of infants. 300 individuals attended the 20 lectures that were held throughout the year. The cost to the hospital is about $6,254. Childbirth Classes: A program teaching the how-tos of childbirth served 546 people at a cost of $18,351 to the hospital through a 23 course series every day of the week except Friday. Tours of the Birthing Center were also given at a cost to the hospital of $3,943. Teen Parenting Education: This is a cooperative program with Child, Home and Community, Inc. The hospital provided room for the educational course. 100 individuals were given free Childbirth instruction and 52 attended a support group called Building the Family. $4,600 is the value of the meeting space. Child Development: This program was in cooperation with the Central Bucks School District. High school students toured the LDRP Unit. They viewed and discussed a family's admission from birthing room to postpartum room to the nursery. Discussions were held on newborns and basic development, including ICN & types of infants admitted at Doylestown Hospital. The program was presented on two dates, with 161 participants, including 1 teacher at a value of $8,025. Grand parenting Classes: This program prepared grandparents-to-be on how to be support their children as they start their own family. 46 individuals attended the course, with a cost to the Hospital of $2,252 for the 6 classes. Prenatal Refresher Classes: This program refreshed nearly 28 parents-to-be, who already have delivered other children, on the childbirth experience. $2,794 in staff time was devoted to this for 6 classes during the year. Sibling Education Classes: A program designed to lessen a child's feelings of anxiety and jealousy. There were 39 participants in 6 classes during the year at a cost to the Hospital of $2,751. School Age Activities --------------------- Parenting and Babysitting Education: This is a cooperative program with Child, Home and Community, Inc. The hospital provided room for the educational course. 80 individuals were given babysitting instruction at a cost of $350 to the Hospital. Service Learning & Career Academy: The Service Learning Career Academy is a joint project between the V.I.A. Health System and the three High Schools in the Central Bucks School District. In collaboration with the Consumer and Family Sciences course, the hospital's day care center provides students with hands-on experience to enhance learning of child development theory. In addition, hospital professional staff and Central Bucks faculty jointly designed a curriculum for Advanced Placement Biology Students, Advanced Health Students and Anatomy Physiology Students, who spend class time on-site at the hospital to obtain the practical application of class content. Over 200 students participated in this program where $22,000 in hospital staffs time and other costs. Teddy Bear Clinics: Children in the community were exposed to the Emergency Department and ambulance in a fun environment. The experience taught them to not be frightened in the event they may need emergency services. Over 200 children came through the Teddy Bear Clinic at the hospital. Donated materials and staff time is valued at $2,840. Girl Scouts: The hospital provided meeting space for 2 Girl Scout Troops. Meeting space was valued at $5,400. Bucks County Downs Syndrome: Space was provided for monthly meetings at Children's Village for the Bucks County Downs Syndrome group. Meeting space was valued at $750. Focus on Motherhood: Family Home and Community Childbirth classes for Teen Parents meet at Children's Village every Monday evening to prepare for childbirth. Instruction is also provided for infant care, health & nutritional and life skills. Meeting space is valued at $2,400 annually. Bereavement Group Meetings: Space is provided monthly for these meetings at Children's Village and is valued at $5,400. Leadership Activities --------------------- The Hospital President/CEO devoted $25,000 worth of his time to community benefit activities including, but not limited to, the Bucks County Health Improvement Partnership, Ann Silverman Community Health Clinic, Health Quality Partners, Delaware Valley Healthcare Council and Gilda's Club. The Vice-President of Development was also involved in contributing time to activities that benefit the community including: Ann Silverman Community Health Clinic, CB Cares, The American Red Cross, the Central Bucks Chamber of Commerce and the Doylestown Business and Community Alliance. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Doylestown Hospital's managers also contribute their leadership and expertise to a variety of community boards, agencies, and projects. During 2013-2014, a value of $125,000 in managers' time was given, often during work time, to help some of the following community organizations: - Advocacy Speeches - American Cancer Society - American Heritage FCU - American Red Cross Blood Drive - Ann Silverman Community Health Clinic - Bucks Co. Hospital Decon Task Force - Bucks Co. Quality Child Care Coalition - Bucks Co. MH/MR Advisory Board - Boys Scouts of America - Bucks County Housing Group - Bucks Co. Health Improvement Partnership - CB Chamber of Commerce - Central Bucks Ministerium - CB Christian Women's Club - Child, Home and Community, Inc. - Central Bucks Family YMCA - CB Cares - Community Outreach Center - Delaware Valley College Senior education - Doylestown Athletic Association - Doylestown Business & Community Alliance - DVHC Board and Committees - Family Caregivers of Seniors - Friends of Peace Valley Nature Center - Gilda's Club - Gwynedd Mercy Advisory Committee - Health and Housing Task Force - Heritage Conservancy - Lenape Valley Shriner's Club - Literacy Academy of BC IU - March of Dimes - Middle Bucks Institute of Tech. Advisory - Professionals Working with Seniors - Springfield Township (Supervisor/Planning) Teaching Programs ----------------- Doylestown Hospital supports medical, nursing, allied health, and hospital management programs. The following is a list of schools that sent students to the hospital for practicums, clinical rotations, and/or preceptorships: - Arcadia University - Bloomsburg University - Bucks County Community College - DeSales University - Drexel University/Hahnemann College - Gwynedd Mercy College - Immaculata University - Kettering College - LaSalle University - Montgomery County Community College - Penn State University - Philadelphia College of Osteopathic Medicine - Salus University - Sanford Brown Institute - Starr Technical Institute - SUNY Brockport - Temple University - Thomas Jefferson University - Upper Bucks Technical Institute - Ursinus College - Villanova University Doylestown Hospital served as a clinical rotation site for medicine, physician assistant, entry and advanced nursing levels, pharmacy, radiologic technology, cardiac services and exercise physiology. All patient care areas were utilized in the education of these students. The costs of teaching the 597 students were at least $563,970. Pre-Med Volunteer Program: This program has been developed by the Hospital Medical Staff and Volunteer Department. It is a ten-week program starting in late May. It is supervised by the Hospital's Director of Volunteer Services and is coordinated with a special seminar program conducted by the Doylestown Hospital's Medical Staff to introduce the students to selected phases of a medical career. Students participating in the program are expected to give the Hospital a minimum of 100 hours of volunteer time in various patient related services during the course. The aim of the program is to give pre-medical students first-hand hospital experience to acquaint them with a total community hospital picture. This program brings into focus the work and responsibility of the physician in a modern hospital complex. We had 10 students in this program. Time of six physicians, four nurse educators, volunteer services and materials cost the hospital $ 47,776. Outside Group Room Usage ------------------------ The hospital provides free space for meetings to the following outside groups with a charitable mission. There were 270 individuals benefitted at a cost of $9,200: - Ann Silverman Family Health Community Clinic - Bucks County Autism Support Coalition - Bucks County Intermediate Unit - Bucks County Health Improvement Partnership - Bucks County Medical Society - Lenape Valley Foundation - National Alliance for the Mentally Ill Health Screenings & Immunizations --------------------------------- The hospital conducts health screens and supported immunizations for various community members. Health Screenings During the year, 732 individuals benefited from health screens. Staff time donated to this effort is estimated at $9,064. Activity improves the health of the community in general, specific groups of people, helps contain healthcare costs and/or improves the quality of life for all members of our community. The following is a list of health screening and immunization activities: Skin Cancer Screening: This program screened 65 Patients with volunteer medical, nursing and clerical staff totaling $4,130. Prostate Cancer Screenings: This program screened 337 patients with volunteer medical, nursing and clerical staff totaling $2,868. Stroke Risk Screenings: This program screened 250 patients with volunteer medical, nursing and clerical staff totaling $1,231. Influenza Immunizations Doylestown Hospital provided a community flu shot clinic in the fall of 2013. The value of this time to serve 49 individuals was $300. Vaccines were provided by the Bucks County Health Department. Support Group & Self-Help Programs ---------------------------------- Support groups are offered at no charge to the community, and a member of the hospital staff leads many. 625 conference room hours and 120 professional hours of support were provided to more than 3,200 community members. This amounted to $35,000 donated in space and professional staff time and hospital materials. The following is a list of the groups that held regular meetings at the hospital: - Alcoholics Anonymous - Alateen - Better Breathers Club - NTM (Nontuberculous Mycobacterium) - CADUCEUS - Eating Disorders Anonymous - Fibromyalgia - Autism - Insulin Pump - Lymphedema - Nursing Mothers - Parkinson's Disease - Prostate Cancer - Stroke - Pulmonary Hypertension - Alzheimer's Disease - Augustine Fellowship - Breast Cancer - Down's Syndrome Interest - Building the Family - Low Vision - Gamblers Anonymous - ICD (Implantable Defibrillator) - Lyme Disease - Multiple Sclerosis - Overeaters Anonymous - Pregnancy Loss - Scleroderma - Blindness - Diabetes - Arthritis Volunteer Programs ------------------ Doylestown Hospital enjoys the generous contribution of time and talent from community volunteers, starting at the minimum age of 15. Volunteer opportunities benefit the community by providing, for many community members, a place to go or a way to feel needed, thus preventing a variety of social problems. The Volunteer program allows some members of the community to help others, not through their dollars but through their donated time. In addition, the hospital is a place for community members to reach out to help friends and neighbors or to fulfill court-mandated community service obligations as volunteers. Throughout the year, 906 volunteers contributed 124,144 hours of service to their community through opportunities in every hospital department. Volunteers significantly enhance patient and family support in the following service categories: Addressing and Collating, Cancer Institute, Children's Village, Dietary Menu, Emergency Department, Fall Risk Companion, Gift Shop/Cart, Healing Arts Program, Hospitality Cart, Hospice, Information Desks, Mail or Messenger, Pastoral Care, Animal Assisted Therapy, Radiology Information Desk, Snack Bar, Surgery Waiting Area, Patient Transport, Interventional Radiology, Cardiac Rehab, Pulmonary Rehab, Medical Research, LDRP (Labor & Delivery) and our "No One Dies Alone" program. In total, $106,603 worth of meals was given to our volunteers free of charge. Because the hospital wants to provide exceptional opportunities for community members to offer time and talent to support the V.I.A.'s mission to excellent local healthcare, $476,000 in salaries was budgeted for recruitment, orientation, management, retention and recognition of volunteers in patient transport, the gift shop, and throughout the patient services areas. Charity Care to Community Members --------------------------------- Community Outreach and Benefit Activities $ 1,917,205 Educational Programs $ 842,930 Maternity and Parenting Activities $ 487,685 School Age Activities $ 39,140 Leadership Activities $ 150,000 Teaching Programs $ 611,746 Outside Group Room Usage $ 9,200 Health Screenings and Immunizations $ 17,593 Support and Self-Help Programs $ 35,000 Volunteer Programs $ 582,603 Charity Care to Community Members $ 8,588,263 |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS |
Community Support: $13,021,436 - Programs and services that were coordinated and sponsored by either the hospital and/or the Foundation and were directly paid for or came at a cost to the either hospital and/or foundation. $ 259,929 - Programs and services that were coordinated and sponsored by either the hospital and/or the Foundation but did not incur additional expenses to the hospital and/or foundation. Total: $13,281,365 Addendum: A Doylestown Hospital Statement of Program And Services Fiscal Year 2013-2014 ======================================================================== - Associate Health Services - Behavioral Health Service EAP Crisis Services - Cardiac and Neurological Services Diagnostic Cardiac Catheterization Non-invasive Diagnostic Testing Services Interventional Cardiology Procedures EPS Studies (Pacemakers, Device Implantation, Ablation) - Cardiovascular Surgery CABG Valve Replacements/Repairs - Critical Care Units Med/Surg Critical Care Cardiovascular Critical Care - Diabetes Education (Inpatient and Outpatient) Nutrition Education and Counseling - Emergency Services Crisis Intervention Observation/Holding Unit SANE (Sexual Assault Nurse Examiner) Program Domestic Violence - Endoscopy Gastroenterology Pulmonology - Enterostomal Therapy (Inpatient and Outpatient) Nursing Home Consultation Wound Management Continence Care - Food and Nutrition Services Weight Management classes (adults and children) Nutritional Assessment and Counseling Patient Meal Services - General Medicine Allergic Diseases Cardiology Dermatology Endocrinology Family Medicine Gastroenterology Infectious Disease Internal Medicine Hematology Obstetrics & Gynecology Nephrology Neurology Oncology Pathology Pediatrics Physical Medicine/Rehabilitation Psychiatry Pulmonary Rheumatology - Hemodialysis - Infection Control - IV Therapy PICC (Peripherally Inserted Central Catheter) - Laboratory Services Autodonation Blood Bank Chemistry Cytology Hematology Histology/Pathology Microbiology Urinalysis - Magnetic Resonance Imaging (MRI) - Maternity Services Antenatal Testing Baby Bracelets (maternal/infant visiting nurse) Labor and Delivery Maternal/Child Care Neonatology Prenatal Testing Post-partum Care Prepared Childbirth Education Special Care Nursery (Level II) Well Baby Nursery - Medical Research Clinical Trials - Oncology (Inpatient and Outpatient) Outpatient Infusion Services - Pastoral Care Services Lay Chaplain - Pharmacy - Radiology Services CT Scanner PET/CT Scanner Diagnostic Radiology Invasive and Special Procedures Nuclear Medicine Ultrasound - Rehabilitation Services (Inpatient and Outpatient) Brain Injury Cardiac Rehabilitation Cognitive Remediation Electromyography Lymphedema Therapy Hand Therapy Nerve Conduction Studies Occupational Therapy Physical Therapy Speech Therapy Swallowing Test - Respiratory Services Pulmonary Function Testing Pulmonary Rehab - Case Management/Social Services Psychosocial Assessments Counseling Complex Discharge Planning Crisis Intervention Financial Counseling Adoption Options Counseling Patient and Family Education Information and Referral - Surgical Services (Inpatient and Outpatient) Acupuncture Cosmetic Dentistry General Nerve Blocks - Surgical Services continued OB/Gyn Ophthalmology Oral/Maxillofacial Orthopedics Otolaryngology Pediatric Dentistry Plastic Surgery Post-Anesthesia Care Unit Pre-Admission Testing Same Day Surgery (nerve blocks) Urology Vascular - Telemetry / Progressive Care - Visiting Nurse/ Home Care Adult and Infants (up to 1 year) Skilled Home Health Services Nursing Physical Therapy Occupational Therapy Speech Therapy Social Services Home Health Aides Baby Bracelets (maternal/infant visiting nurse) Comprehensive Hospice Program - Women's Diagnostic Center Bone Densitometry Mammography Stereotactic Breast Biopsy |
| CORE FORM, PART III; QUESTION 3 |
DOYLESTOWN RADIOLOGY GROUP, LP, A PENNSYLVANIA LIMITED PARTNERSHIP IN WHICH DOYLESTOWN HOSPITAL HELD A 51% MEMEBERSHIP INTEREST, DISSOLVED EFFECTIVE JUNE 30, 2014. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 |
VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN ("VIAD") IS THE SOLE MEMBER OF THIS ORGANIZATION. VIAD HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| CORE FORM, PART VI, SECTION A; QUESTION 11B |
THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF DIRECTORS, FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE ORGANIZATION'S FINANCE COMMITTEE HAS THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS WITHIN THE ORGANIZATION AND 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 INTERNAL WORKING GROUP FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND ITS FINANCE COMMITTEE FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING A COPY TO EACH VOITNG MEMBER OF THE BOARD OF DIRECTORS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 |
THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE EXECUTIVE ASSISTANT TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION WHO GATHERS, INVENTORIES AND FILES THE COMPLETED QUESTIONNAIRES. THEREAFTER, A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS IS PREPARED AND REVIEWED BY THE ORGANIZATION'S CHIEF ACCOUNTING OFFICER AND PRESIDENT/CHIEF EXECUTIVE OFFICER. THIS SUMMARY IS THEN PRESENTED TO THE ORGANIZATION'S BOARD OF DIRECTORS WHO REVIEWS AND MAKES DECISIONS ON HOW TO HANDLE CONFLICTS OF INTEREST AND ASSOCIATED MITIGATING BEHAVIOR TO BE TAKEN BY THE ORGANIZATION IF NECESSARY. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 |
Doylestown Hospital is a controlled entity of The Village Improvement Association of Doylestown ("Association"); an Internal Revenue Code 501(c)(3) tax-exempt organization. The Association is also the controlling organization of Doylestown Health Foundation ("Foundation") and V.I.A. Affiliates; both IRC 501(c)(3) tax-exempt organizations. The Association and its controlled entities come together to form Doylestown Health; a tax-exempt integrated healthcare delivery system ("System"). The Foundation's BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. |
| CORE FORM, PART VI, SECTION B; QUESTION 16 |
THE ORGANIZATION HAS A JOINT VENTURE POLICY THAT IS IN FULL COMPLIANCE WITH INTERNAL REVENUE SERVICE RULES AND REGULATIONS ON JOINT VENTURE POLICIES AND DISCLOSURES WITH RESPECT TO FEDERAL FORM 990. IN ADDITION, THE ORGANIZATION'S BOARD OF DIRECTORS IS INVOLVED IN EVERY DECISION WITH RESPECT TO JOINT VENTURES IN WHICH IT PARTICIPATES FOR WHICH IT DRAFTS SPECIFIC BOARD RESOLUTIONS FOR THESE MATTERS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 |
THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. |
| CORE FORM, PART VII AND SCHEDULE J |
PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. |
| CORE FORM, PART VII, SECTION A, COLUMN B |
THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON THIs FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF DOYLESTOWN HEALTH; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART XI; QUESTION 9 |
OTHER CHANGES IN NET ASSETS INCLUDE: - EQUITY DISTRIBUTION; ($174,421); - CHANGE IN ACCRUED PENSION; $208,520; - EQUITY TRANSFER TO DOYLESTOWN HEALTH FOUNDATION, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($490,333); - DECREASE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF DOYLESTOWN HEALTH FOUNDATION, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION; PERMANENTLY RESTRICTED; ($27,331); AND - INCREASE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF DOYLESTOWN HEALTH FOUNDATION, A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION; PERMANENTLY RESTRICTED; $1,111,236. |
| CORE FORM, PART XII; QUESTION 2 |
THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE TAXPAYER AND ALL CONTROLLED ENTITIES 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. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF DOYLESTOWN HOSPITAL FOR THE FISCAL YEARS ENDED JUNE 30, 2014 AND JUNE 30, 2013; RESPECTIVELY. AN UNQUALIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS OF THIS ORGANIZATION. THE DOYLESTOWN HOSPITAL FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PURCHASED SERVICES TOTAL FEES:23895966 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PHYSICIAN FEES TOTAL FEES:4730336 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:CONSULTING FEES TOTAL FEES:962687 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PROCESSING FEES TOTAL FEES:1550486 |
Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.