Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
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2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
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| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
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8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
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| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
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|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
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2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
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i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
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5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| CORE FORM, PART III | ABINGTON MEMORIAL HOSPITAL ("AMH") IS A NON-PROFIT, REGIONAL ACUTE CARE HOSPITAL. AMH IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE ("IRS") AS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, GENDER, GENDER IDENTITY OR EXPRESSION, SEXUAL ORIENTATION, RELIGION, AGE, STATUS AS AN INDIVIDUAL WITH A HANDICAP/DISABILITY OR ABILITY TO PAY. MOREOVER, NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. AMH OPERATES CONSISTENTLY WITHIN THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. AMH PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. AMH OPERATES AN ACTIVE EMERGENCY TRAUMA CENTER FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. AMH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS. 4. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE PROGRAMS AND ACTIVITIES. EFFECTIVE APRIL 30, 2015 AT 11:59 PM, THOMAS JEFFERSON UNIVERSITY ("TJU"), A PENNSYLVANIA NON-PROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, BECAME THE SOLE CORPORATE MEMBER OF ABINGTON HEALTH ("AH"). THIS TRANSACTION WAS ACHIEVED BY THE FILING OF THE AMENDED AND RESTATED ARTICLES OF INCORPORATION. AS A RESULT OF THIS TRANSACTION, AH AND ITS SUBSIDIARIES, AMH, LANSDALE HOSPITAL CORPORATION ("LHC"), AND ABINGTON HEALTH FOUNDATION ("AHF") (COLLECTIVELY, THE "SUBSIDIARIES"), BECAME SUBSIDIARIES OF TJU, CREATING A UNIVERSITY HEALTH SYSTEM, KNOWN AS JEFFERSON, THAT ENCOMPASSES THOMAS JEFFERSON UNIVERSITY PLUS JEFFERSON HEALTH. PART OF JEFFERSON HEALTH SINCE 2015, WHICH HAS ALSO RECENTLY MERGED WITH THE FORMER ARIA HEALTH AND KENNEDY HEALTH, THE COMBINED ENTITY INCLUDES FOURTEEN HOSPITALS AND 40+ OUTPATIENT AND URGENT CARE CENTER LOCATIONS LOCATED THROUGHOUT PHILADELPHIA, BUCKS AND MONTGOMERY COUNTIES IN PENNSYLVANIA AND CAMDEN AND GLOUCESTER COUNTIES IN NEW JERSEY. OUTPATIENT AND COMMUNITY-BASED SERVICES ARE DELIVERED THROUGH A NETWORK OF OWNED AND AFFILIATED PHYSICIAN PRACTICES, SATELLITE MEDICAL AND SURGICAL CENTERS, OUTPATIENT LABORATORIES AND RADIOLOGY CENTERS. TOGETHER, JEFFERSON HEALTH HAS 6,600 PHYSICIANS/PRACTITIONERS, 7,400 NURSES [FULL/PART TIME], 40+ OUTPATIENT AND URGENT CARE LOCATIONS; AND OVER 4.3 MILLION PATIENT INTERACTIONS. THE PARTNERSHIP STRENGTHENS THE ENTERPRISE'S ABILITY TO CARE FOR THE COMMUNITIES WE SERVE. IN ADDITION, JEFFERSON'S UNIQUE GOVERNANCE STRUCTURE CONTINUES AS A COMBINED BOARD WITH EQUAL REPRESENTATION FROM JEFFERSON, ABINGTON, ARIA AND KENNEDY. MAGEE REHABILITATION HOSPITAL WAS ACQUIRED IN FY18. ADDITIONALLY, IN FY18, JEFFERSON HEALTH SIGNED A LETTER OF INTENT WITH EINSTEIN HEALTHCARE NETWORK ("EHN") OF PHILADELPHIA AND MONTGOMERY COUNTY, PENNSYLVANIA. THIS ADDITIONAL PARTNERSHIP BUILDS ON A SHARED GOVERNANCE MODEL THAT WOULD INCLUDE THE APPOINTMENT OF EINSTEIN HEALTHCARE NETWORK REPRESENTATIVES TO THE TJU BOARD. EHN INCLUDES THE LARGEST INDEPENDENT ACADEMIC MEDICAL CENTER IN THE PHILADELPHIA REGION. WITH MORE THAN 150 YEARS OF SERVICE TO THE COMMUNITY, EINSTEIN HAS A WEALTH OF EXPERIENCE, BLENDING A LONG AND DISTINGUISHED HISTORY WITH HIGH QUALITY, LEADING-EDGE MEDICINE. THE NETWORK ENCOMPASSES 8,500 EMPLOYEES AND FOUR INPATIENT HOSPITAL FACILITIES WITH 1,000 LICENSED BEDS WHICH INCLUDES AN INDEPENDENT ACADEMIC MEDICAL CENTER WITH OVER 400 RESIDENTS AND FELLOWS THROUGHOUT ITS FACILITIES. A DEFINITIVE AGREEMENT IS THE NEXT STEP IN THE PROCESS FOR FY19. AH IS THE UMBRELLA ORGANIZATION THAT ENCOMPASSES ITS FLAGSHIP HOSPITAL, AMH, IN ABINGTON AND LHC IN HATFIELD TOWNSHIP. TOGETHER, AMH AND LHC HAVE 800 LICENSED BEDS, SIX OUTPATIENT CAMPUSES: ABINGTON HEALTHBLUE BELL, ABINGTON HEALTH-ELKINS PARK, ABINGTON HEALTH-LOWER GWYNEDD, ABINGTON HEALTH-MONTGOMERYVILLE, ABINGTON HEALTH-WARMINSTER AND ABINGTON HEALTH-WILLOW GROVE. IN ADDITION, TWO URGENT CARE CENTERS IN FLOURTOWN AND WILLOW GROVE, PENNSYLVANIA INCLUDING THE NEW SITE OF THE SIDNEY KIMMEL CANCER CENTER ASPLUNDH CANCER PAVILION ARE AVAILABLE FOR THE COMMUNITY. PHYSICIANS-EMPLOYED PRACTICES GEOGRAPHICALLY LOCATED IN BUCKS, MONTGOMERY AND PHILADELPHIA COUNTIES WITH 69 LOCATIONS. THE ABOVE BRANDED, FICTITIOUS NAMES ARE USED FOR MERGER ANNOUNCEMENT PURPOSES. LEGAL NAMES OF AMH, AH, AHF AND LHC WILL BE USED IN FY18 DOCUMENTS. AMH IS GUIDED BY ITS MISSION AND IS DEDICATED TO THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THIS LEVEL OF DETERMINATION AND COMMITMENT IS THE VERY HEART OF AMH. AMH MAINTAINS A GENEROUS FINANCIAL ASSISTANCE POLICY, PROVIDING A SIGNIFICANT AMOUNT OF SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO PAY FOR CARE EITHER THROUGH THIRD PARTY COVERAGE OR THEIR OWN RESOURCES. SINCE CHARITY CARE AMOUNTS ARE NOT EXPECTED TO BE PAID, THEY ARE NOT REPORTED AS REVENUE. IN ADDITION, AMH PROVIDES SERVICES AND SUPPLIES AT BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. AMH CENTRALIZED ITS FINANCIAL COUNSELING PROGRAM. A FINANCIAL COUNSELOR HELPS DETERMINE ELIGIBILITY FOR GOVERNMENT-SPONSORED PROGRAMS, AND OFFERS ASSISTANCE WITH THE HEALTH INSURANCE EXCHANGE AND OTHER INSURANCE COVERAGE. IF AN INDIVIDUAL DOES NOT QUALIFY FOR OTHER COVERAGE, THEY ASSIST INDIVIDUALS AND FAMILIES IN THE COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION. IN KEEPING WITH AMH'S COMMITMENT TO ALL MEMBERS OF ITS COMMUNITY, THE FOLLOWING SERVICES WERE PROVIDED DURING THE YEAR WITH A PARTICULAR FOCUS ON LOW INCOME MEMBERS WITHIN ITS SERVICE AREAS: - FREE CARE AND/OR SUBSIDIZED CARE TO INPATIENTS AND OUTPATIENTS. - OPERATION OF BOTH PRIMARY AND SPECIALTY CLINICS, OB/GYN CENTER, A BEHAVIORAL HEALTH EMBEDDED PRIMARY CARE MODEL, A DENTAL CLINIC, AND A HEALTH CENTER FOR NEWBORNS. UPDATED YEARLY, A CLINIC BROCHURE INCLUDES INFORMATION ON AH'S OFFERINGS AND AREA CLINIC PARTNERS. THE BROCHURE WAS CREATED, PRINTED, AND POSTED TO HOSPITAL WEBSITES AND INTRANET FOR USE BY THE COMMUNITY. IN ADDITION, THIS BROCHURE WAS TRANSLATED INTO LANGUAGES BETTER SERVING OUR COMMUNITY. ALL CLINIC SITES AT AMH RECEIVED THE NEW FACT SHEETS TO EDUCATE THE UNINSURED AND UNDERINSURED. - FAMILY PRACTICE CENTER WHICH ALSO PROVIDES AN EDUCATIONAL SETTING FOR THE TEACHING OF PRIMARY CARE PHYSICIANS. - EMERGENCY/TRAUMA CENTER (OPERATES 24 HOURS A DAY, 365 DAYS A YEAR) WAS THE FIRST ACCREDITED TRAUMA CENTER IN MONTGOMERY COUNTY, OPEN TO ALL MEMBERS OF THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. - AMH ATTRACTS THE FINEST PHYSICIANS TO SERVE OUR PATIENTS. OVER 1,100 PHYSICIANS CARE FOR PATIENTS THROUGHOUT THE HEALTH SYSTEM'S WIDE RANGE OF SERVICES. ABINGTON HEALTH PHYSICIANS IS A NETWORK OF PRIMARY CARE PHYSICIANS AND SPECIALISTS EMPLOYED BY AMH AND LHC. AS A RESULT OF THE JEFFERSON MERGER, THIS ENTITY IS NOW KNOWN AS JEFFERSON COMMUNITY PHYSICIANS NORTH. AMH IS A MAJOR CLINICAL CAMPUS FOR SEVERAL REGIONAL MEDICAL SCHOOLS. THE COMMITMENT TO OUTSTANDING MEDICAL CARE HAS EARNED AMH NUMEROUS AWARDS FOR QUALITY AND SAFETY, AND THE ROBUST CULTURE OF CONTINUING EDUCATION CREATES AN ATMOSPHERE OF INQUIRY AND SCHOLARSHIP. MANY OF OUR PHYSICIANS ARE PRIMARY INVESTIGATORS FOR NATIONAL CLINICAL TRIALS, WHICH GIVES OUR PATIENTS ACCESS TO ADVANCED TREATMENTS NOT COMMONLY AVAILABLE ELSEWHERE. OUR MISSION ----------- WE IMPROVE LIVES. OUR VISION ---------- REIMAGINING HEALTH, EDUCATION, AND DISCOVERY TO CREATE UNPARALLELED VALUE. OUR VALUES ---------- PUT PEOPLE FIRST/BE BOLD AND THINK DIFFERENTLY/DO THE RIGHT THING BACKGROUND ---------- FOUNDED IN 1914, AMH IS A FULLY ACCREDITED, NOT-FOR-PROFIT, REGIONAL TEACHING HOSPITAL WITH 665 LICENSED BEDS IN ABINGTON, PENNSYLVANIA. LOCATED AT 1200 OLD YORK ROAD (ROUTE 611) IN ABINGTON, PENNSYLVANIA, AMH HAS BEEN PROVIDING COMPREHENSIVE, HIGH-QUALITY SERVICES FOR PEOPLE IN MONTGOMERY, BUCKS AND PHILADELPHIA COUNTIES. WITH OVER 30,000 INPATIENT ADMISSIONS AND ALMOST 567,000 OUTPATIENT VISITS LAST YEAR, AMH IS A MAJOR REGIONAL REFERRAL CENTER FOR CANCER CARE, NEUROSCIENCES, MUSCULOSKELETAL AND SPINE TREATMENT, CARDIAC CARE, AND MANY OTHER MEDICAL AND SURGICAL SPECIALTY PROGRAMS AND HAS A LEVEL II TRAUMA CENTER TO SERVE OUR COMMUNITY. AMH HAS A LONG TRADITION OF PERSONAL, HIGH-QUALITY MATERNITY CARE SERVING AS ONE OF THE BUSIEST OB/GYN CENTERS IN THE REGION AND IS A LEADER IN SENIOR HEALTH SERVICES. |
| CORE FORM, PART III | BACK IN THE EARLY 1900S THE RURAL TOWN OF ABINGTON FACED A PRESSING NEED FOR AN EXCELLENT HOSPITAL LOCATED IN THE COMMUNITY. PHILANTHROPIC VISIONARY GEORGE W. ELKINS, SR. STEPPED FORWARD WITH AN EXTRAORDINARY GIFT OF LAND AND FUNDS FOR A NEW HOSPITAL. MR. ELKINS WAS JOINED BY LEADERS FROM THROUGHOUT THE COMMUNITY, INCLUDING MEMBERS OF THE NEWLY FORMED WOMEN'S ASSOCIATION OF NOBLE, PRECURSOR TO TODAY'S AHF WOMEN'S BOARD. THEIR AMBITIOUS VISION WAS REALIZED ON MAY 15, 1914, WHEN THE NEW 48-BED AMH OPENED ITS DOORS. AMH IS NOW THE FLAGSHIP HOSPITAL OF AH KNOWN AS ABINGTON JEFFERSON HEALTH AS OF FY18, WHICH ALSO ENCOMPASSES LHC PART OF THE NEWLY FORMED ENTERPRISE OF JEFFERSON HEALTH. AMH'S ACCOMPLISHMENTS IN FY18: AMH MARKED ITS THIRD FULL YEAR AS BEING PART OF JEFFERSON. JEFFERSON FINALIZED THE MERGER WITH ARIA HEALTH, PHILADELPHIA UNIVERSITY, MAGEE REHABILITATION HOSPITAL AND KENNEDY HEALTH, NEW JERSEY IN EARLY FY18. INTEGRATION 1.0 WAS SUCCESSFUL AND IN FY18 INTEGRATION 2.0 (JEFFERSON-ABINGTON-ARIA-KENNEDY) CONTINUED. THE GOALS FOR INTEGRATION ARE TO ADOPT BEST PRACTICES, REALIZE CONTRACT SAVINGS, ENHANCE PATIENT SATISFACTION AND IMPROVE EMPLOYEE ENGAGEMENT ACROSS THE ORGANIZATION. AMH'S PATIENT SAFETY CORE VALUE AND ACCOMPLISHMENTS IN FY18 INCLUDED AN ACTIVITY MEASURE FOR POST-ACUTE CARE. IN AN EFFORT TO CREATE A CULTURE OF MOBILITY FOR OUR PATIENTS, THE DEPARTMENTS OF REHABILITATIVE MEDICINE AND NURSING WORKED TOGETHER TO IMPLEMENT A NEW PROGRAM DESIGNED TO ENSURE THAT PATIENTS HOSPITAL STAYS DO NOT NEGATIVELY IMPACT THEIR MOBILITY AND THAT PATIENTS ARE KEPT ACTIVE AND MOVING WHENEVER POSSIBLE. INFECTION RATES IMPROVE: IN FY18, MANY EFFORTS WERE UNDERWAY TO DECREASE THE RATES OF HOSPITAL-ACQUIRED INFECTIONS INCLUDING STRIDES IN PREVENTION OF CATHETER-ASSOCIATED URINARY TRACT INFECTIONS ("CAUTI"). AT AMH, THE NUMBER OF PATIENTS WHO EXPERIENCE CAUTI DURING THE HOSPITALIZATIONS DECREASED BY 53 PERCENT OVER THE LAST FOUR YEARS. MRSA BLOOD STREAM INFECTIONS AND C. DIFFICILE ARE BOTH WELL BELOW RECOMMENDED THRESHOLDS. CLABSI IS BELOW RECOMMENDED THRESHOLD AN IMPROVEMENT OVER THE PREVIOUS YEAR. THERE HAS BEEN A FOCUSED EFFORT TO PREVENT SURGICAL WOUND INFECTIONS IN PATIENTS UNDERGOING COLON SURGERY, AND AMH HAS SEEN A DECREASE IN THE NUMBER OF THESE INFECTIONS FOLLOWING COLON SURGERY, BUT THE STANDARD OF INFECTION RATIO IS STILL SLIGHTLY OVER THRESHOLD. A STANDARDIZED PROCESS/BUNDLE WAS IMPLEMENTED MID-YEAR. HAND HYGIENE IS AT 90 PERCENT COMPLIANCE FOR AMH FY18. ENHANCED TRAUMA CARE FOR MOTHERS AND BABIES: NATIONWIDE, MORE THAN SIX PERCENT OF PREGNANT WOMEN EXPERIENCE SOME FORM OF ACCIDENTAL TRAUMATIC INJURY DURING THEIR PREGNANCY. SINCE AMH IS ONE OF THE BUSIEST MATERNITY HOSPITALS IN THE REGION AND THE HOSPITAL IS EQUIPPED WITH A LEVEL II TRAUMA CENTER, WE HAVE IMPLEMENTED AN OB TRAUMA ALERT SYSTEM TO RESPOND TO THESE SITUATIONS. WHEN A PREGNANT WOMAN IS HEADED TO OUR EMERGENCY DEPARTMENT WITH A TRAUMATIC INJURY, THE SYSTEM IMMEDIATELY NOTIFIES THE TRAUMA TEAM AND A TEAM OF OBSTETRICS EXPERTS WORK TOGETHER TO CARE FOR THE PATIENT. IHI BASIC CERTIFICATE IN PATIENT SAFETY: DURING FY18, 119 STAFF MEMBERS EARNED THE BASIC CERTIFICATE IN PATIENT SAFETY FROM THE INSTITUTE FOR HEALTHCARE IMPROVEMENT ("IHI") OPEN SCHOOL. TO DATE, APPROXIMATELY 425 HEALTH SYSTEM STAFF MEMBERS HAVE COMPLETED THE IHI OPEN SCHOOL CERTIFICATE PROGRAM. WARM HAND OFF PROGRAM CONTINUED IN FY18 IN PARTNERSHIP WITH SUBSTANCE USE DISORDER TREATMENT PROVIDERS. THE BEHAVIORAL HEALTH AND COMMUNITY HEALTH DEPARTMENTS [AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLANS] IMPLEMENTED THE WARM HAND OFF PROGRAM IN AMH AND LHC EMERGENCY DEPARTMENTS. A CERTIFIED RECOVERY SPECIALIST MEETS WITH PATIENTS WHO HAVE OVERDOSED AND PROVIDES SUPPORT WHILE THEY ARE CONNECTED TO AN APPROPRIATE TREATMENT PROGRAM. EDUCATION OF WORKFORCE AND COMMUNITY ON DRUG TAKE BACK SITES WERE COMMUNICATED THROUGHOUT FY18. THE LEAPFROG HOSPITAL SAFETY GRADE USES 27 MEASURES OF PUBLICLY AVAILABLE HOSPITAL SAFETY DATA TO ASSIGN A, B, C, D, AND F GRADES TO MORE THAN 2,600 U.S. HOSPITALS TWICE PER YEAR. AMH MOVED FROM A "C" RATING TO A "B" IN FY18. IN THE CENTER FOR MEDICARE AND MEDICAID SERVICES 5-STAR RATING SYSTEM, AMH IMPROVED TO THREE STARS. PREVIOUSLY, AMH HAD A TWO-STAR RATING. OTHER INITIATIVES IN FY18 INCLUDE: THE CARDIAC SURGERY PROGRAM AT AMH IS NOW USING TELEHEALTH TECHNOLOGY TO VIRTUALLY CONNECT CARDIAC SURGEONS IN THE OPERATING ROOM WITH REMOTELY LOCATED COLLEAGUES AND PATIENTS FAMILY MEMBERS IN REAL TIME. AMH IS ONE OF ONLY A FEW HOSPITALS IN THE COUNTRY TO IMPLEMENT LIVE VIDEO CONFERENCING IN THE OR. PATIENT AND FAMILY ADVISORS PROGRAM WAS NEW IN FY18 AND IS A GOLD STANDARD IN IMPROVING THE PATIENT EXPERIENCE IN HEALTH CARE. PATIENT AND FAMILY ADVISOR PROGRAMS HAVE BEEN CONVENED IN ONCOLOGY AND IN SOME PRIMARY CARE PHYSICIAN PRACTICES. THERE ARE HOSPITAL-WIDE EFFORTS TO REDUCE NOISE IN THE FOLLOWING CATEGORIES: STAFF VOICES, ROLLING EQUIPMENT, ALARMS, AND OVERHEAD PAGING. FOUR DEDICATED TEAMS UNDERTOOK THIS IMPORTANT WORK INCLUDING THE QUALITY AND OUTCOMES COUNCIL OF THE DEPARTMENT OF NURSING WHICH LAUNCHED A "QUIET CAMPAIGN" IN FY18. LEADERSHIP ROUNDING COMPLETED 692 EMPLOYEE INTERVIEWS AND 1,013 PATIENT/FAMILY INTERVIEWS. FEEDBACK WAS COLLECTED FROM PATIENTS, FAMILY MEMBERS AND EMPLOYEES. AS A RESULT, AMH NOW PROVIDES FREE TELEVISION AND FREE TELEPHONE SERVICE TO INPATIENTS. A NEW PARKING POLICY WAS ESTABLISHED, OFFERING FREE PARKING TO PATIENTS UTILIZING HOSPITAL SERVICES. CLINICAL RESEARCH ----------------- IN FY18, AMH PARTICIPATED IN 100 CLINICAL TRIALS, INCLUDING NATIONAL INSTITUTE OF HEALTH AND INDUSTRY SPONSORED CLINICAL TRIALS. AMH HAS A STRONG EDUCATIONAL MISSION AND SPONSORS FIVE RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY, GENERAL SURGERY AND DENTISTRY. IN ADDITION, AMH PROVIDES POSTGRADUATE MEDICAL EDUCATION IN AFFILIATION WITH SEVERAL AREA MEDICAL SCHOOLS. THE AMH DIXON SCHOOL OF NURSINGS DIPLOMA PROGRAM CLOSED IN THE FALL 2017. TO MEET THE GROWING DEMAND FOR BSN TRAINED NURSES, A SECOND CAMPUS OF THE JEFFERSON COLLEGE OF NURSING, OPENED AND OCCUPIES THE SPACE THAT WAS PREVIOUSLY HOME TO THE DIXON SCHOOL OF NURSING. AMH CONTINUES IN ITS RELATIONSHIP WITH DREXEL UNIVERSITY COLLEGE OF MEDICINE AS A REGIONAL MEDICAL CAMPUS FOR THIRD AND FOURTH YEAR MEDICAL STUDENTS, AFFILIATION WITH PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE AND THE SIDNEY KIMMEL MEDICAL COLLEGE AT THOMAS JEFFERSON UNIVERSITY, PHILADELPHIA, PA. AMH IS AFFILIATED WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA ("CHOP"). THE CHOP SPECIALTY CARE CENTER AT AMH OFFERS PHYSICIAN VISITS, TESTING, LABORATORY SERVICES, MANAGEMENT OF CHRONIC CONDITIONS AND A CHILD-FRIENDLY DESIGN. PEDIATRIC MEDICAL SPECIALTIES IN THE CENTER INCLUDE CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, NEONATAL FOLLOW UP, PULMONARY MEDICINE AND UROLOGY. IN ADDITION TO THE CENTER'S SERVICES, AMH AND LHC SPECIALISTS THROUGHOUT OUR COMMUNITY PROVIDE PEDIATRIC EXPERTISE FOR A WIDE RANGE OF OTHER CONDITIONS. AWARDS AND RECOGNITIONS ======================= AMH HAS BEEN RECOGNIZED BY MANY ORGANIZATIONS FOR THE QUALITY OF ITS SERVICES: AMH EARNED THE FOLLOWING JOINT COMMISSION CERTIFICATIONS IN FY18: ADVANCED VAD, ADVANCED HEART FAILURE, HEALTHCARE SERVICES PALLIATIVE CARE. AMH EARNED THE JOINT COMMISSIONS ADVANCED HIP AND KNEE CERTIFICATION. AMH EARNED CHEST PAIN CENTER ACCREDITATION FROM THE AMERICAN COLLEGE OF CARDIOLOGY FOR STAFF MEMBERS DEMONSTRATED EXPERTISE AND COMMITMENT TO TREATING PATIENTS WITH CHEST PAIN. AMH RECEIVED THE MISSION: LIFELINE GOLD AWARD FROM THE AMERICAN HEART ASSOCIATION. THIS AWARD RECOGNIZES THE IMPLEMENTATION OF SPECIFIC QUALITY IMPROVEMENT MEASURES FOR THE TREATMENT OF SEVERE HEART ATTACKS. MAGNET RECOGNITION: THE NATIONS HIGHEST HONOR FOR PROFESSIONAL NURSING PRACTICE IS MAGNET RECOGNITION FROM THE AMERICAN NURSES CREDENTIALING CENTER. AMH RECEIVED THIS GOLD STANDARD OF NURSING EXCELLENCE FOR THE FOURTH CONSECUTIVE TIME. AN HONOR THAT BESTOWS ON AMH AN ELITE NATIONAL STATUS. AMH RECEIVED THE ASHRM PATIENT SAFETY AWARD FROM THE AMERICAN SOCIETY OF HEALTHCARE RISK MANAGEMENT. PRESENTED TO RECOGNIZE PATIENT SAFETY INNOVATION, THE AWARD HONORED ABINGTONS A SAFE NIGHT" PROGRAM, WHICH WAS ESTABLISHED IN 2015 AND USES MULTIDISCIPLINARY TEAMS TO ENHANCE SITUATIONAL AWARENESS IN PATIENT CARE DURING THE OVERNIGHT HOURS. AMH WAS RECOGNIZED BY THE NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION PROGRAM AS A "BRONZE SAFE SLEEP HOSPITAL" FOR ITS COMMITMENT TO BEST PRACTICES AND EDUCATION ON INFANT SAFE SLEEP. |
| CORE FORM, PART III | AMHS DIAMOND STROKE CENTER RECEIVED RE-CERTIFICATION AS A COMPREHENSIVE STROKE CENTER FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. IN 2013, AMH WAS ONE OF THE FIRST COMPREHENSIVE STROKE CENTERS TO BE CERTIFIED IN THE DELAWARE VALLEY, AND THIS IS NOW AMHS THIRD CERTIFICATION. ABINGTONS DIAMOND STROKE CENTER AND JEFFERSONS HOSPITAL FOR NEUROSCIENCE ARE TWO OF ONLY EIGHT STROKE CENTERS IN PENNSYLVANIA TO ACHIEVE STATUS AS A COMPREHENSIVE STROKE CENTER. IN FY18, AMH WAS RANKED 7TH IN THE PHILADELPHIA REGION AND 13TH IN THE STATE, UP FROM 11TH AND 18TH RESPECTIVELY BY U.S. NEWS AND WORLD REPORT. AMH SCORED HIGH PERFORMING IN SIX OF NINE CATEGORIES: HEART BYPASS SURGERY, HIP AND KNEE REPLACEMENT, COPD CONGESTIVE HEART FAILURE AND COLON CANCER SURGERY. AMH HAS BEEN RECOGNIZED AS A BABY-FRIENDLY HOSPITAL BY BABY-FRIENDLY USA, INC. THIS DESIGNATION RECOGNIZES AMH FOR THE OPTIMAL LEVEL OF CARE IT PROVIDES BREASTFEEDING MOTHERS AND THEIR BABIES. THE GIFT OF LIFE DONOR PROGRAM AND THE HOSPITAL ASSOCIATION OF PENNSYLVANIA [HAP] HONORED AMH AND JEFFERSON HOSPITAL FOR NEUROSCIENCE WITH THE 2017 GIFT OF LIFE AWARD. IN 2018, AMH EARNED THE TITANIUM AWARD. - 2017, AMH RECOGNIZED BY THE AMERICAN HEART ASSOCIATION WITH THE 2017 MISSION: LIFETIME GOLD STEMI AWARD. THIS ACCOMPLISHMENT SIGNIFIES A COMMITMENT TO GUIDELINE ADHERENCE AND QUALITY IMPROVEMENT FOR THE STEMI AND STEMI PATIENT POPULATION. - 2017, EXCELLING IN QUALITY AND PATIENT SAFETY: JEFFERSON HEALTH EARNS HIGH HONORS FROM THE LEAPFROG GROUP; LHC EARNS TOP HONORS IN PATIENT SAFETY WITH AN "A", WHILE THOMAS JEFFERSON UNIVERSITY HOSPITAL IN CENTER CITY AND METHODIST HOSPITAL-JEFFERSON HOSPITAL EACH EARNED AN "A-". AMH AND ARIA JEFFERSON HEALTH BUCKS COUNTY WERE EACH RATED WITH A "B". - 2016, AMH HONORED WITH MISSION: LIFELINE GOLD-PLUS AWARD. - 2016, THE U.S. NEWS AND WORLD REPORT 2016-2017 RATES AMH AS HIGH PERFORMING IN COLON CANCER SURGERY. - 2016, THE U.S. NEWS AND WORLD REPORT 2016-2017 RATES AMH AS HIGH PERFORMING IN HEART BYPASS SURGERY, CONGESTIVE HEART FAILURE AND ABDOMINAL AORTIC ANEURYSM REPAIR. - 2016, AMH RECOGNIZED AS A GOLD-LEVEL FIT-FRIENDLY WORKSITE BY THE AMERICAN HEART ASSOCIATION FOR HELPING ITS EMPLOYEES EAT BETTER AND MOVE MORE. - 2016, AMH IS A RECIPIENT OF THE 2016 MOST WIRED FOR THE FIFTH YEAR IN A ROW. - 2016, ABINGTON PHYSICIANS NAMED AMONG THE REGION'S BEST IN PHILADELPHIA MAGAZINE'S 2016 TOP DOCTOR'S ISSUE. - 2016, CARDIOVASCULAR UNIT AT AMH RECOGNIZED WITH THE BEACON AWARD FOR EXCELLENCE BY THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES. - 2016, PHILADELPHIA MAGAZINE TOP DENTISTS, EXEMPLIFYING AMH'S COMMITMENT TO CLINICAL EXCELLENCE AND PATIENT SAFETY. - 2015, AMH'S DIAMOND STROKE CENTER RECEIVED GOLD STROKE PLUS AND TARGET: STROKE HONOR ROLL ELITE RECOGNITION FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. - 2015, AMH HAS RECEIVED CHEST PAIN CENTER ACCREDITATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE ("SCPC"). CENTERS OF EXCELLENCE ===================== 1. HEART AND VASCULAR INSTITUTE HEART PATIENTS CAN ACCESS A FULL RANGE OF SERVICES FOR HIGH-LEVEL DIAGNOSIS AND TREATMENT, INCLUDING OPEN HEART SURGERY, WITHOUT SACRIFICING THE CONVENIENCE AND WARMTH OF AMH. THE HEART AND VASCULAR CENTER AT AMH OFFERS STATE-OF-THE-ART TECHNOLOGY, COMPREHENSIVE SERVICES AND UNIQUELY SKILLED CARDIAC SURGEONS, CARDIOLOGISTS, CARDIAC ANESTHESIOLOGISTS AND SPECIALLY TRAINED NURSES. AMH HAS THE INNOVATIVE SERVICES AND OUTSTANDING EXPERTS TO GIVE THE COMMUNITY THE BEST CARE FOR CARDIAC AND VASCULAR NEEDS. THE HEART AND VASCULAR INSTITUTE OF AH HELPS PATIENTS IN THE PHILADELPHIA AREA AND BEYOND WITH A DEDICATED FOCUS ON EXCEPTIONAL CARDIOVASCULAR TREATMENT INCLUDING: DIAGNOSIS AND TREATMENT IN THE BLANK VASCULAR CENTER, CARDIOLOGY AND CARDIOTHORACIC SURGERY; CENTER FOR BLOODLESS MEDICINE AND SURGERY; CHEST PAIN PROGRAM; COMPREHENSIVE HEART FAILURE PROGRAM ("CHF"); CONSULTS AND SECOND OPINIONS, HEART EMERGENCY AND TRAUMA; HEART HOME CARE; HEART RHYTHM CENTER; INPATIENT CARE; INTERVENTIONAL CARDIOLOGY; NUCLEAR CARDIOLOGY; PORTER INSTITUTE FOR VALVULAR HEART DISEASE INCLUDING VALVE TREATMENT AND TRANSCATHETER AORTIC VALVE REPLACEMENT ("TAVR"); PREVENTIVE SERVICES; CPR TRAINING CENTER AND HEART HEALTH EDUCATION PROGRAMS AT THE HOSPITAL AND IN THE COMMUNITY. FIVE YEARS AGO, THE HEART AND VASCULAR INSTITUTE IMPLANTED ITS FIRST VENTRICULAR ASSISTED DEVICE OR ("VAD") FOR HEART FAILURE PATIENTS AND BECAME ONE OF ONLY A FEW HOSPITALS IN THE DELAWARE VALLEY TO OFFER VAD THERAPY. THE HEART AND VASCULAR CENTER IS A FIRST RATE, COMPREHENSIVE FACILITY AT THE FOREFRONT OF CARDIAC CARE AND RESEARCH. CARDIAC SURGEONS ARE UNIQUELY SKILLED IN ADVANCED PROCEDURES AND TECHNOLOGIES. A HEART RHYTHM CENTER OFFERS A TEAM OF SPECIALISTS SKILLED IN ELECTROPHYSIOLOGY, CARDIOLOGY AND CARDIAC SURGERY TO PROVIDE INNOVATIVE TREATMENTS FOR ABNORMAL HEART RHYTHM CONDITIONS. 2. PORTER INSTITUTE FOR VALVULAR HEART DISEASE AS THE ONLY HEART VALVE SPECIALTY CENTER IN A PHILADELPHIA AREA HOSPITAL, AMH'S PORTER INSTITUTE FOR VALVULAR HEART DISEASE HAS A DEDICATED FOCUS ON THE DIAGNOSIS AND TREATMENT OF HEART VALVE DISORDERS. TRANSCATHETER AORTIC VALVE REPLACEMENT ("TAVR") IS AN INNOVATIVE VALVE REPLACEMENT TREATMENT FOR AORTIC STENOSIS. IT DELIVERS A NEW VALVE IN A MINIMALLY INVASIVE WAY, WITHOUT REMOVING THE FAULTY VALVE. THE PORTER INSTITUTE OF VALVULAR HEART DISEASE IS ONE OF ONLY A FEW CENTERS IN THE PHILADELPHIA AREA WITH THE EXPERTISE TO PERFORM TAVR. 3. ASPLUNDH CANCER CENTER AND FAULKNER CANCER INPATIENT UNIT THE OPENING OF THE ASPLUNDH CANCER PAVILION, THE ENTERPRISES MOST IMPORTANT STRATEGIC INITIATIVE INCLUDES AN 86,000 SQUARE-FOOT MODERN, OUTPATIENT CENTER, WHICH IS HOME TO THE SIDNEY KIMMEL CANCER CENTER AT AH AND OPENED ITS DOORS IN JULY 2018. CONVENIENTLY LOCATED JUST OFF THE PENNSYLVANIA TURNPIKES WILLOW GROVE INTERCHANGE, THIS EXCEPTIONAL FACILITY SETS A NEW STANDARD FOR PROVIDING COMPREHENSIVE OUTPATIENT CANCER CARE IN A SOOTHING CONVENIENT SETTING. THE NEW CENTER COST $80 MILLION AND $50 MILLION OF THAT WAS RAISED IN OUR COMMUNITY. MORE THAN 5,700 INDIVIDUALS MADE GIFTS RANGING FROM $1 TO $3.5 MILLION. TEN MILLION DOLLARS WAS GIVEN BY THE CHILDREN OF THE LATE CARL AND EMILIE ASPLUNDH AND THEIR EXTENDED FAMILIES. IN ADDITION, TO THE 31 ABINGTON ONCOLOGIC SPECIALISTS BASED AT ASPLUNDH, PATIENTS WILL BE ABLE TO SCHEDULE APPOINTMENTS WITH 15 CENTER-CITY BASED ONCOLOGIC SPECIALISTS WHO WILL TRAVEL TO ASPLUNDH TO SEE PATIENTS IN THE NEW FACILITY. IN ADDITION TO THE PHASE II AND 999 TRIALS PREVIOUSLY OFFERED BY AH, THE NEW CENTER OFFERS PHASE I CLINICAL TRIALS, A MAJOR STEP FORWARD FOR THE REGION. AMH'S CANCER PROGRAM IS ONE OF THE MOST HIGHLY REGARDED AND BUSIEST IN THE REGION, WITH EXTRAORDINARY CARE AT THE FOREFRONT OF ONCOLOGY RESEARCH, TECHNOLOGY, AND ADVANCED THERAPIES. PATIENTS NOT ONLY RECEIVE COMPREHENSIVE, LEADING-EDGE SERVICES ACROSS THE FULL SPECTRUM OF CARE, THEY ALSO BENEFIT FROM THE LATEST ADVANCES IN CARE THROUGH OUR EXTENSIVE RESEARCH PROGRAM, PARTICIPATION IN ADVANCED MEDICAL TRIALS, AND OUR AFFILIATION WITH JEFFERSON'S SIDNEY KIMMEL CANCER CENTER, AN NCI-DESIGNATED CANCER CENTER. IN FY18, THE CANCER CENTER PROVIDED CARE FOR ALMOST 1,500 INPATIENTS. A FREE CANCER HELPLINE (1-800-405-HELP) IS AVAILABLE TO PATIENTS AND THE COMMUNITY FOR INFORMATION ABOUT DIAGNOSIS, TREATMENT OPTIONS AND SUPPORT SERVICES. AMH'S CANCER INFORMATION AND REFERRAL SPECIALIST, AN ONCOLOGY CLINICAL NURSE SPECIALIST, CAN ANSWER ANY QUESTIONS ABOUT THE HOSPITAL, ITS PHYSICIANS AND SERVICES. AMH OFFERS FREE RISK ASSESSMENT PROGRAMS AND CANCER CARE NAVIGATORS. AMH'S ACCREDITATION BY THE JOINT COMMISSION, ALONG WITH THE ACCREDITATION OF ITS CANCER PROGRAM BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS, ASSURES PATIENTS THAT AMH'S ASPLUNDH CANCER PAVILION MEETS THE HIGHEST NATIONAL STANDARDS FOR PREVENTION, EARLY DETECTION, DIAGNOSIS AND TREATMENT. 4. THE HANJANI INSTITUTE FOR GYNECOLOGIC ONCOLOGY DEDICATED TO HELPING WOMEN WITH REPRODUCTIVE TRACT CANCERS, THE HANJANI INSTITUTE FOR GYNECOLOGIC ONCOLOGY PROVIDES STATE-OF-THE SCIENCE TREATMENT WITH COMPASSIONATE PERSONAL ATTENTION. GYNECOLOGIC ONCOLOGISTS SPECIALIZE IN OVARIAN CANCER, UTERINE CANCER, CERVICAL CANCER, AND CANCERS OF THE FALLOPIAN TUBES, VAGINA AND VULVA. AS A MAJOR GYNECOLOGIC CANCER CENTER IN THE PHILADELPHIA AREA, THE INSTITUTE IS ACTIVELY INVOLVED IN CLINICAL TRIALS RESEARCH GIVING PATIENTS OPPORTUNITIES TO PARTICIPATE AND BENEFIT FROM INNOVATIONS. |
| CORE FORM, PART III | 5. WOMEN'S AND CHILDREN'S HEALTH AMH HAS BEEN COMMITTED TO WOMEN'S AND CHILDREN'S HEALTH FOR OVER 100 YEARS. THE CARE OF WOMEN AND CHILDREN GOES HAND-IN-HAND AT AMH. MANY WOMEN HAVE THEIR FIRST HOSPITAL EXPERIENCE WHEN THEY GIVE BIRTH AT AMH. WITH OVER 4,500 BIRTHS A YEAR, AMH IS A LEADER IN MATERNITY CARE IN THE STATE OF PENNSYLVANIA PROVIDING A 36-BED LEVEL III NEONATAL INTENSIVE CARE UNIT, HIGH RISK PRENATAL CARE, INFERTILITY SERVICES AND AN AFFILIATION WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA ("CHOP") FOR PEDIATRIC INPATIENT CARE. WOMEN WHO DELIVER THEIR BABIES AT AMH TEND TO CHOOSE AMH FOR THE CARE OF THEIR ENTIRE FAMILIES, SETTING THE STAGE FOR A LIFETIME OF CARE. WE OPERATE AN OB/GYN CENTER (CLINIC) IN ABINGTON SERVING A DIVERSE, LOW-INCOME POPULATION. MATERNITY SERVICES INCLUDE MORE THAN 60 OB/GYN PHYSICIANS, HIGH-RISK NEWBORN SERVICES, COMPREHENSIVE ADVANCED INFERTILITY SERVICES, PERINATOLOGISTS AND GENETIC COUNSELORS, PRENATAL TESTING, FETAL DIAGNOSIS AND SURGERY, AND BREASTFEEDING SUPPORT. EDUCATIONAL CLASSES ARE OFFERED THROUGHOUT THE YEAR AND INCLUDE: EXPECTANT PARENT ORIENTATION AND TOUR; CHILDBIRTH PREPARATION CLASS; BREASTFEEDING CLASS; ASK THE PEDIATRICIAN OPEN FORUM CLASS. BEAUTIFUL INPATIENT UNITS, A DEDICATED INPATIENT MOM MATERNAL OBSERVATION AND MONITORING ("MOM") UNIT, NEONATAL INTENSIVE CARE UNIT ("NICU") AND HOME CARE SERVICES FOR HIGH-RISK MOMS BEFORE DELIVERY AND MATERNAL/BABY CARE AFTER LEAVING THE HOSPITAL. 6. MUSCULOSKELETAL AND SPINE SERVICES AMHS MUSCULOSKELETAL AND SPINE SERVICES (NOW KNOWN AS ROTHMAN INSTITUTE) COMBINES THE MOST ADVANCED MEDICAL TECHNOLOGY WITH A DEDICATED TEAM OF ORTHOPEDIC SURGEONS, NEUROSURGEONS, REHABILITATION MEDICINE SPECIALISTS AND SKILLED AND DEDICATED MEDICAL PROFESSIONALS SERVING OVER 6,400 PATIENTS IN FY18. PHYSICIANS TREAT A WIDE VARIETY OF DISORDERS AFFECTING THE MUSCULOSKELETAL SYSTEM, INCLUDING THE CARE OF FRACTURES AND INJURIES TO TENDONS, LIGAMENTS, JOINTS, BONES AND MUSCLES. SPECIALISTS IN JOINT REPLACEMENT, SPINE SURGERY, SPORTS MEDICINE, ORTHOPEDIC HAND SURGERY, RHEUMATOLOGY AND REHABILITATION MEDICINE ARE ON STAFF AT AMH. ORTHOPEDIC SURGEONS AND NEUROSURGEONS ARE EXPERIENCED IN TREATING PATIENTS REQUIRING HIP OR KNEE REPLACEMENTS OR SPINE SURGERY. AMH'S COMPREHENSIVE PROGRAM INCLUDES EVALUATION, CENTRALIZED PREADMISSION, HIGH-TECH OPERATING SUITE WITH LAMINAR AIR FLOW, INPATIENT AND OUTPATIENT REHABILITATION, AND HOME CARE TO ENSURE SUCCESSFUL RESULTS. STATE-OF-THE-ART MINIMAL-INCISION PROCEDURES AND COMPUTER-ASSISTED SURGERY ARE AVAILABLE FOR SOME JOINT REPLACEMENT SURGERIES. THE ORTHOPEDIC AND SPINE SERVICE HAS EARNED THE JOINT COMMISSION'S DISEASE SPECIFIC CERTIFICATION FOR JOINT REPLACEMENT, HIP AND KNEE. AS ONE OF THE REGION'S BUSIEST CENTERS FOR ANTERIOR HIP REPLACEMENT AND OTHER INNOVATIVE TREATMENTS, THE MUSCULOSKELETAL AND SPINE SERVICES SPECIALIZES IN THE NEWEST APPROACHES. AMH'S PARTICIPATION IN CLINICAL TRIALS GIVES PATIENTS ACCESS TO INNOVATIONS BEFORE THOSE DEVELOPMENTS ARE WIDELY AVAILABLE. AMH IS ALSO USING THE ROBOTIC ARM TECHNOLOGY FOR PARTIAL KNEE REPLACEMENT. CARE IS DELIVERED AT TWO EXCEPTIONAL LOCATIONS: AMH AND LHC. 7. VICKIE AND JACK FARBER INSTITUTE FOR NEUROSCIENCE AT AH BRINGING TOGETHER THE EXPERTISE OF JEFFERSON AND AH PHYSICIANS, CLINICIANS AND RESEARCHERS SPECIALIZING IN BRAIN AND SPINE DISORDERS COLLABORATE AS NEVER BEFORE. THE MOST ADVANCED TREATMENT TECHNOLOGIES, WORLD-CLASS SPECIALISTS, AND LEADING-EDGE RESEARCH COMES TOGETHER TAKING ANOTHER STEP CLOSER TO TREATING AND CURING DISORDERS LIKE ALZHEIMER'S, ALS, STROKE, MIGRAINES, PARKINSONS, MS, EPILEPSY, ANEURYSMS AND BRAIN TUMORS. AMH'S DIAMOND STROKE CENTER WAS RECENTLY REACCREDITED AS A COMPREHENSIVE STROKE CENTER FOR THE THIRD TIME. THE FIRST STATE STROKE CENTER TO BE AWARDED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION AS A PRIMARY STROKE CENTER, AMH ALSO RECEIVED THE AHA/ASA GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD FOR STROKE QUALITY-OF-CARE. AMH HAS ALSO QUALIFIED FOR RECOGNITION AS TARGET: STROKE ELITE PLUS FOR COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF STROKE CARE. AMH'S NEUROSCIENCE CAPABILITIES AND EXPERTISE PROVIDE PATIENTS WITH A WIDE RANGE OF EXCEPTIONAL PROGRAMS AND SPECIALTIES INCLUDING: BALANCE CENTER, CONCUSSION PROGRAM, HEADACHE CENTER, MOVEMENT DISORDERS CENTER, MULTIPLE SCLEROSIS ("MS") CENTER, NEUROLOGY, NEUROSURGERY, NEUROVASCULAR CARE, SLEEP CENTERS AND STROKE CENTER. SPECIALISTS IN THE FIELD OF NEUROSURGERY EMPLOY STATE-OF-THE-ART SURGICAL AND MICROSURGICAL TECHNIQUES TO DIAGNOSE, TREAT AND ALLEVIATE PAIN AND DISABILITY CAUSED BY NEUROLOGICAL PROBLEMS. AMH'S NEUROSURGEONS HAVE SPECIAL EXPERTISE IN THE TREATMENT OF BRAIN, SPINAL CORD AND PERIPHERAL NERVE DISORDERS. THE ADVANCED DIAGNOSTIC TECHNOLOGY AND SUPPORT AT AMH FURTHER ENHANCES THE ABILITY OF OUR NEUROSURGEONS TO PROVIDE OUTSTANDING, COMPREHENSIVE CARE. THE BREADTH OF SERVICES IS FURTHER ENHANCED BY SOPHISTICATED ADVANCED CARE BY FOUR NEUROINTERVENTIONAL SPECIALISTS. INTERVENTIONAL RADIOLOGISTS, ALONG WITH A NEUROINTENSIVIST, PERFORM CAROTID STENTING AND COILING OF CEREBRAL ANEURYSMS, INTRA-ARTERIAL RTPA, AND OTHER ADVANCED INTERVENTIONAL PROCEDURES. 8. DIAMOND STROKE CENTER THE DIAMOND STROKE CENTER, NAMED IN MAY 2012, AND PRESENTED TO OUR COMMUNITY IN 2013 WAS DEDICATED IN HONOR OF A FORMER CHIEF OF THE NEUROSCIENCES INSTITUTE AND STROKE PROGRAM. THE DIAMOND STROKE CENTER HAS BEEN CERTIFIED BY THE JOINT COMMISSION SINCE 2003. IN FY18, OVER 2,200 STROKE PATIENTS WERE CARED FOR IN THE DIAMOND STROKE CENTER. THE DIAMOND STROKE CENTER AT AMH EARNED ADVANCED CERTIFICATION AS A COMPREHENSIVE STROKE CENTER FROM THE JOINT COMMISSION AND AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION FOR THE THIRD TIME. THIS DISTINCTION HAS BEEN GIVEN TO ONLY SEVEN PENNSYLVANIA HOSPITALS. NEUROSCIENCE EXPERTS ARE AVAILABLE 24/7 IN AMH'S REGIONAL TRAUMA CENTER, PROVIDING SWIFT TREATMENT FOR STROKES, SPINAL CORD INJURIES, BRAIN BLEEDS AND OTHER NEUROCRITICAL CONDITIONS. THROUGH AMH'S HIGH-TECH TELEMEDICINE SERVICE, HOSPITAL SPECIALISTS ALSO CONSULT ON URGENT CASES AT OTHER HOSPITALS. THE STROKE CENTER CONSISTENTLY SETS GOALS TO IMPROVE PATIENT OUTCOMES. A FULLY INTEGRATED AND MULTIDISCIPLINARY NEUROSCIENCES TEAM WORKS TOGETHER TO ACCOMPLISH THESE GOALS. TEAM MEMBERS INCLUDE: NEUROLOGISTS, NEUROSURGEONS, NEUROINTERVENTIONALISTS, NURSES, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, SPEECH THERAPISTS, CASE MANAGERS, SOCIAL WORKERS, NUTRITION SERVICES, PASTORAL CARE SERVICES, GERIATRIC CLINICAL NURSE SPECIALIST, PHARMACIST, AND A STROKE PROGRAM COORDINATOR. 9. MULLER INSTITUTE FOR SENIOR HEALTH AMH'S MULLER INSTITUTE FOR SENIOR HEALTH HELPS PEOPLE ENJOY HEALTHY, PRODUCTIVE LIVES AS THEY AGE. THE PROGRAMS AND SERVICES AVAILABLE THROUGH AMHS MULLER INSTITUTE, AND THROUGHOUT THE ORGANIZATION, ARE AS DIVERSE AS THE SENIORS WE SERVE. AMH OFFERS COMPREHENSIVE CARE AND SUPPORT FOR SENIORS AND THEIR FAMILIES, IN THE HOSPITAL, IN THE COMMUNITY, AND IN THE HOME. - OUTPATIENT GERIATRIC ASSESSMENT CENTER OFFERING PHYSICIAN-LED PHYSICAL, PSYCHOLOGICAL AND NEEDS-BASED EVALUATIONS FOR SENIORS INCLUDING A COMPREHENSIVE CARE PLAN REVIEWED WITH A LICENSED SOCIAL WORKER. - SUPPORTIVE MEMORY FITNESS CENTER AT WARMINSTER AND LHC OFFERS A HALF-DAY ACTIVITY PROGRAM FOR THOSE SHOWING SIGNS OF MEMORY LOSS WITH FULL-DAY PROGRAMMING AVAILABLE THROUGH ADULT DAY SERVICES IN LHC. - A MOBILITY-RESTORING GERIATRIC FRACTURE PROGRAM OF THE MUSCULOSKELETAL AND SPINE SERVICE (NOW ROTHMAN INSTITUTE) AT AMH AND LHC PROVIDES HOPE AFTER INJURIES THAT COULD LIMIT MOVEMENT WITHOUT SUCH COORDINATED CARE. - HOME CARE SERVICES TO ASSIST HOME BOUND SENIORS WITH A CHANGE IN MEDICAL CONDITION OR RECOVERY FROM AN IN-PATIENT OR REHAB FACILITY STAY. ELDERMED PROGRAMMING AND COMMUNITY OUTREACH COMPLEMENT THE WIDE ARRAY OF CLINICAL AND EDUCATIONAL OFFERINGS FOR SENIORS TO ASSIST IN MEETING THEIR NEEDS AND IN COMPLIANCE WITH THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLANS. 10. THE ROBOTIC SURGERY PROGRAM AT AMH SINCE SEPTEMBER 2006 SURGEONS AT AMH ARE MAKING REMARKABLE ADVANCEMENTS USING ROBOTIC SURGERY. AS THIS SURGERY-ENHANCING TECHNOLOGY CONTINUES TO EVOLVE, AMH REMAINS AT THE FOREFRONT OF ITS USE IN MINIMALLY INVASIVE PROCEDURES. THIS TECHNOLOGY GIVES THE SURGEON A THREE-DIMENSIONAL VIEW, SIMILAR TO TRADITIONAL SURGERY BUT WITH GREATER DEPTH PERCEPTION. THE ROBOTIC INSTRUMENTS OFFER A LAPAROSCOPIC APPROACH WITH MAGNIFICATION THAT IS 10 TIMES GREATER THAN THE HUMAN EYE. SURGEONS SPECIALLY TRAINED IN ROBOTICS INCLUDE GYNECOLOGIC ONCOLOGISTS, OB/GYNS, PEDIATRIC UROLOGISTS, A PEDIATRIC SURGEON, A REPRODUCTIVE ENDOCRINOLOGIST, BARIATRIC SURGEONS, A CARDIOTHORACIC SURGEON, GENERAL SURGEONS AND UROLOGISTS. |
| CORE FORM, PART III | 11. HOME CARE AMH CONTINUES TO EXPAND AND SEE INCREASED DEMAND IN HOME CARE, HOSPICE, PALLIATIVE CARE, AND OTHER COMMUNITY BASED SERVICES. JEFFERSON HEALTH HOME CARE AND HOSPICE HAVING COMBINED AH AND ARIA HEALTH EMPLOYS 306 EMPLOYEES THAT EQUATE TO APPROXIMATELY 242 FTES. HOME HEALTH PROVIDED CARE TO 11,097 UNDUPLICATED PATIENTS SERVED. THIS REPRESENTS GROWTH OVER FY17 AND IS PRIMARILY CONTRIBUTED TO THE ARIA INTEGRATION. HOME HEALTH VISITS INCREASED TO 164,770. HOSPICE VISITS ALSO INCREASED TO 44,069. HOSPICE REALIZED GROWTH IN FY18 AND SERVED 1,396 PATIENTS. THROUGH CHARITABLE SUPPORT, THE SAFE HARBOR PROGRAM HELPS PROVIDE A SAFE, SUPPORTIVE PLACE FOR CHILDREN, TEENS AND YOUNG ADULTS GRIEVING FROM THE LOSS OF A PARENT OR SIBLING. LOCATED AT AMH CENTER WILLOW GROVE, THE PROGRAM PROVIDES A CARING ENVIRONMENT OF GRIEF SUPPORT SERVICES INCLUDING SUPPORT GROUPS FOR CHILDREN, TEENS AND YOUNG ADULTS AND CAREGIVERS TO HELP THEM THROUGH THE NATURAL PROCESS OF GRIEVING, AND CAMP CHARLIE, A DAY CAMP FOR BEREAVED CHILDREN. THE PROGRAM SERVED 141 CHILDREN/TEEN, AND 111 PARENTS/CAREGIVERS IN FY18. SINCE THE INCEPTION OF THE PROGRAM, SAFE HARBOR SERVED 1,687 CHILDREN, TEENS, YOUNG ADULTS AND 1,009 FAMILIES. CAMP CHARLIE, SCHOOL OUTREACH PROGRAMS AND MOVING ON GROUPS ROUNDED OUT ANOTHER SUCCESSFUL YEAR. ALL OF THESE SERVICES WITH SAFE HARBOR ARE MADE POSSIBLE BY MANY DONORS, EMPLOYEE DONORS, TRUSTEE PHILANTHROPISTS AND DONOR ORGANIZATIONS INCLUDING CHURCH GROUPS, SCHOOLS, BUSINESSES AND AHF WOMENS BOARD. 12. COMPREHENSIVE WOUND HEALING CENTER THE COMPREHENSIVE WOUND HEALING CENTER AT THE AMH CENTER - WARMINSTER AND LHC, PROVIDES TREATMENT FOR NON-HEALING AND PROBLEM WOUNDS. THE CENTER'S STAFF PROVIDES STATE-OF-THE-ART TOPICAL TREATMENT OPTIONS, ADJUNCTIVE THERAPIES, NON-INVASIVE DIAGNOSTIC STUDIES, WOUND DEBRIDEMENT, NUTRITIONAL SUPPORT, RELIEF DEVICES FOR PRESSURE WOUNDS, COMPRESSION THERAPY, HYPERBARIC OXYGEN THERAPY AND PHYSICAL THERAPY. 13. INTEGRATIVE MEDICINE INTEGRATIVE MEDICINE STAFF IS COMMITTED TO HELPING OUR PATIENTS ACHIEVE OPTIMUM HEALTH AND WELLNESS. SERVICES ARE GEARED TOWARD REVITALIZING THE MIND, BODY AND SPIRIT. INTEGRATIVE MEDICINE INTEGRATES EASTERN MODALITIES WITH TRADITIONAL WESTERN MEDICINE. A VARIETY OF THERAPEUTIC SERVICES ARE AVAILABLE AND ARE DESIGNED TO HELP REDUCE STRESS, MANAGE PAIN, IMPROVE SLEEP, DEVELOP BETTER EATING HABITS AND COPE WITH THE MANY CHALLENGES THAT PREVENT OPTIMAL HEALTH. SERVICES INCLUDE: ACUPUNCTURE, MASSAGE AND YOGA. PROGRAMMING CONTINUED IN FY18 INCLUDING THE JEFFERSON MINDFULNESS-BASED STRESS REDUCTION ("MBSR") SESSIONS AT AMH. 14. THE DIABETES CENTER AND NUTRITION COUNSELING CENTER AMH'S DIABETES/NUTRITION CENTERS SERVED OVER 1,369 NEW CLIENTS WITH OVER 3,452 OUTPATIENT VISITS IN FY18. THE NUTRITION CENTER CONTINUED TO OFFER MEDICAL NUTRITION THERAPY FOR A WIDE RANGE OF CONDITIONS INCLUDING ADULT WEIGHT MANAGEMENT, RENAL DISEASE, AND GASTROINTESTINAL DISORDERS, AS WELL AS DIABETES. THE CENTER STAFF PROVIDED DIABETES EDUCATION AS PART OF ORIENTATION FOR INPATIENT NURSING STAFF. A NUMBER OF MEDICAL RESIDENTS ALSO SHADOWED THE INPATIENT DIABETES EDUCATOR. THE DIABETES CENTER PROVIDED DIABETES SUPPORT GROUPS AND COMMUNITY EDUCATION IN FY18. 15. INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY AT AMH'S INSTITUTE FOR METABOLIC AND BARIATRIC SURGERY, PATIENTS RECEIVE THE LATEST SURGICAL TREATMENTS WITH LIFETIME FOLLOW-UP. AMH OFFERS ITS PATIENTS A COMPREHENSIVE APPROACH TO WEIGHT LOSS THAT FEATURES A FULL RANGE OF SERVICES, INCLUDING ONGOING SUPPORT, COUNSELING, AN EXERCISE PROGRAM AND A NUTRITION PLAN. PROCEDURES OFFERED INCLUDE VERTICAL SLEEVE GASTRECTOMY, ROUX-EN-Y GASTRIC BYPASS AND BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH AND MINIMALLY INVASIVE REVISION SURGERY. A PATIENT UNDERGOES AN EXTENSIVE SERIES OF INTERVIEWS, CONSULTATIONS AND EVALUATIONS TO ENSURE CANDIDACY AND PREPARATION FOR THE PROCEDURES. THE CENTER PROVIDES SURGICAL INFORMATION SESSIONS AND A SUPPORT GROUP. THE PROGRAM WAS DESIGNATED A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE SURGICAL REVIEW CORPORATION, WHICH IS RECOGNIZED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY. THE INSTITUTE HAS ALSO BEEN DESIGNATED A BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY BY THE BLUE CROSS AND BLUE SHIELD COMPANIES. 16. AMH PROVIDES INPATIENT AND EMBEDDED BEHAVIORAL HEALTHCARE SERVICES TO SERVE THE COMMUNITY. THERE ARE FEW FACILITIES IN THE DELAWARE VALLEY WHICH ACCOMMODATE PATIENTS WITH BEHAVIORAL HEALTH AND MENTAL HEALTH NEEDS. THE INPATIENT UNIT AT AMH INCLUDES 23 BEDS, PRIVATE AND SEMI-PRIVATE ROOMS, ACTIVITY ROOM AND GROUP DINING. A MODEL OF OUTPATIENT CARE IS BEING PROVIDED IN CONJUNCTION WITH TARGETED ABINGTON HEALTH PHYSICIANS ("AHP") PRACTICES NAMED IN 2017 JEFFERSON COMMUNITY PHYSICIANS ABINGTON, ENABLING PHYSICIANS TO HAVE CLOSER COORDINATION WITH THEIR PATIENTS' MENTAL HEALTH PROVIDERS. NEW TO BEHAVIORAL HEALTH SERVICES IS EMBEDDING THERAPISTS IN PRIMARY CARE OR PATIENT CENTERED MEDICAL HOMES OF AMH. THE PRIMARY CARE SETTING IS AN IMPORTANT VENUE FOR THE IDENTIFICATION AND MANAGEMENT OF MENTAL HEALTH CONDITIONS. INDIVIDUALS SUFFERING FROM MENTAL HEALTH DISORDERS MAY BE MORE LIKELY TO ACCESS MENTAL HEALTH SERVICES IN THE PRIMARY CARE SETTING THAN SPECIALTY CARE FOR MENTAL HEALTH OR SUBSTANCE ABUSE ISSUES. AMH CONTINUED TO WORK COLLABORATIVELY WITH COUNTY SERVICES AND OTHER NON-PROFIT ORGANIZATIONS THROUGHOUT THE YEAR. AMH CONTINUED ITS COLLABORATION WITH MONTGOMERY COUNTY DRUG AND ALCOHOL AND PROVIDERS TO IMPLEMENT WARM HAND-OFF PROJECTS IN THE EMERGENCY TRAUMA CENTER. WARM HAND-OFF PROJECTS WORK TO HELP OVERDOSE SURVIVORS IN HOSPITAL EMERGENCY DEPARTMENTS OR TRAUMA CENTERS GET IMMEDIATELY CONNECTED TO A TREATMENT PROGRAM. COLLABORATION WITH PROVIDER AND COUNTY IS INCLUDED. 17. PRIMARY CARE PRIMARY CARE PHYSICIANS DIAGNOSE, TREAT AND MANAGE HEALTHCARE FOR ALL MEMBERS OF THE FAMILY FROM PREVENTION TO COMPLEX ILLNESSES. PRIMARY CARE PHYSICIANS ARE TRAINED AND EXPERIENCED IN MEETING THE HEALTHCARE NEEDS OF ALL MEMBERS OF THE FAMILY FROM NEWBORNS TO GERIATRICS. PATIENT CENTERED MEDICAL HOME - MANY PRIMARY CARE PHYSICIANS FOLLOW THE MODEL OF CARE WHICH PUTS THE PATIENT AT THE CENTER OF THE HEALTHCARE TEAM, TO ENSURE THAT THEY ALWAYS MEET EXPECTATIONS FOR HIGH QUALITY MEDICAL CARE. THE TEAM, LED BY A PRIMARY CARE PHYSICIAN, COORDINATES ALL ASPECTS OF HEALTHCARE, USING THE LATEST MEDICAL AND INFORMATION TECHNOLOGIES. THERE IS AN ENHANCED FOCUS ON PREVENTION TO IMPROVE HEALTH, AND IF THERE IS DEVELOPMENT OF A CHRONIC DISEASE, BEGIN EARLY, EFFECTIVE TREATMENT INTERVENTIONS. A PATIENT AND FAMILY ADVISORY PROGRAM IN THE PRACTICES WAS INITIATED IN FY18. 18. CENTER FOR BLOODLESS MEDICINE AND SURGERY THE CENTER AT AMH WAS ESTABLISHED TO MEET THE NEEDS OF PATIENTS AND FAMILIES WHO DESIRE EXCELLENCE IN MEDICAL/SURGICAL CARE WHILE AVOIDING EXPOSURE TO DONATED BLOOD OR PRIMARY BLOOD COMPONENTS. THE CENTER FOR BLOODLESS MEDICINE AND SURGERY COMBINES ADVANCED MEDICAL TECHNOLOGY WITH AN EXPERIENCED TEAM OF HEALTHCARE PROFESSIONALS TO CREATE AN ATMOSPHERE OF MUTUAL UNDERSTANDING, TRUST AND RESPECT THAT PROMOTES THE DELIVERY OF HIGH QUALITY CARE. THE PHYSICIANS AND STAFF ARE COMMITTED TO EMPLOYING EVERY MEANS POSSIBLE TO AVOID THE USE OF BLOOD. THE CENTER ENDEAVORS TO MINIMIZE BLOOD LOSS BY UTILIZING SPECIAL BLOOD CONSERVATION METHODS SUCH AS BLOOD CONSERVATION DEVICES, PHARMACEUTICALS AND METICULOUS SURGICAL TECHNIQUES. PROCEDURES INCLUDE: MINIMALLY INVASIVE SURGERY; CELL SAVER; HARMONIC SCALPEL; ARGON BEAM COAGULATOR; ELECTROCAUTERY; MINIMAL BLOOD SAMPLING AND TESTING; AND SYNTHETIC RED CELL STIMULATOR. 19. AMH PROVIDES COMMUNITY BENEFIT SERVICES FOR THE UNDERSERVED/UNINSURED/UNDERINSURED WITH A FOCUS ON PRIMARY AND SPECIALTY CARE, WOMEN'S AND CHILDREN'S SERVICES, AND DENTAL. THE NORTH HILLS HEALTH CENTER PROVIDED OVER 1,221 VISITS IN FY18. OB/GYN CENTER FOR PRENATAL CARE AND DELIVERY SERVING THE UNDERSERVED AND MULTI-LINGUAL PATIENTS AND FAMILIES: KOREAN, SPANISH, PORTUGUESE SERVED 15,290 VISITS IN FY18. THE DENTAL CLINIC AT AMH IS A RESIDENCY PROGRAM PROVIDING LOW OR NO COST DENTAL SERVICES FOR ALL AGES PROVIDING OVER 5,082 VISITS IN FY18. ABINGTON FAMILY MEDICINE ("AFM"), A RESIDENCY PROGRAM, SERVING ALL AGES SERVES THE UNDERINSURED AND UNINSURED. SERVING OVER 18,544 VISITS IN FY18. SANTERIAN NEWBORN CENTER, A NURSE MANAGED, CENTER SERVING NEWBORNS FROM BIRTH TO 3 MONTHS FOR WELL BABY VISITS, SAW 1,401 VISITS IN FY18. THE AMH AMBULATORY SERVICES UNIT WAS RENAMED HARTNETT HEALTH SERVICES IN 2017, A NURSE MANAGED CENTER OF PRIMARY AND SPECIALTY CARE LOCATION AT AMH NEAR ACCESSIBLE BUS ROUTES PROVIDED 10,576 VISITS IN FY18. |
| CORE FORM, PART III | 20. MEDICAL SCREENINGS AMH PROVIDES NUMEROUS MEDICAL SCREENING PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING THE FOLLOWING: - BREAST HEALTH SCREENINGS FOR UNDERSERVED MINORITIES. - BLOOD PRESSURE SCREENINGS (COMMUNITY-BASED, INCLUDING AREA MALL LOCATIONS, SENIOR CENTERS, LIBRARIES, SOUP KITCHENS, AND MULTIPLE SITES AT LOCAL FOOD STORES). - SKIN CANCER SCREENINGS. - HEART AND STROKE RISK ASSESSMENTS. FISCAL YEAR 2018 PROGRAMS WERE HELD AT MANY VENUES, INCLUDING: - A HEALTH CENTER IN A MEDICALLY UNDERSERVED PART OF THE COMMUNITY TO PROVIDE PREVENTIVE MEDICINE, HEALTH EDUCATION AND SCREENINGS, AS WELL AS DIRECT MEDICAL SERVICES TO COMMUNITY MEMBERS AND OTHER OUTREACH LOCATIONS. COMMUNITY SUPPORT, ACTIVITIES AND PROGRAMS ========================================== OUTLINED BELOW ARE A NUMBER OF AMH COMMUNITY BENEFIT PROGRAMS. THE INFORMATION IS NOT INTENDED TO BE ALL-INCLUSIVE BUT RATHER PROVIDES ADDITIONAL INFORMATION THAT FURTHER DEMONSTRATES HOW AMH BENEFITS THE SURROUNDING COMMUNITY IN FURTHERING ITS CHARITABLE TAX-EXEMPT PURPOSES. - SPONSORSHIP OF MEETINGS AND FREE SPACE TO COMMUNITY GROUPS. - ELDERMED: FREE SENIOR MEMBERSHIP PROGRAM FOR PEOPLE OVER AGE 60; PROVIDES INSURANCE CLAIMS ASSISTANCE/COUNSELING, EDUCATION, SCREENINGS, AND COMMUNITY RESOURCES CENTER. THIS PROGRAM OFFERED EDUCATIONAL PROGRAMS AND OTHER EVENTS SERVING SENIORS IN OUR COMMUNITY AT A COST OF $8,575. - OVER ORGANIZATIONS RECEIVED CASH FOR SPONSORSHIPS OR IN-KIND SUPPORT IN FY18 TOTALING $54,330. - AMH PROVIDES FREE SPACE AND SUPPORT FOR THE MONTGOMERY COUNTY HEALTH DEPARTMENT COMMUNICABLE DISEASE CLINIC. IN FY18 AMH SPENT $16,101 OF IN-KIND SUPPORT SERVING WITH THE COUNTY OVER 725 INDIVIDUALS. VARIOUS MATERNITY CLASSES INCLUDING BABY CARE BASICS, BREASTFEEDING, BREASTFEEDING, CHILDBIRTH PREPARATION, CHILDBIRTH REFRESHER AND OB/GYN CENTER CHILDBIRTH PREPARATION AND OTHERS. AMH, IN ADDITION TO THOSE OUTLINED ABOVE, OFFERS NUMEROUS OTHER COMMUNITY PROGRAMS AND ACTIVITIES INCLUDING, BUT NOT LIMITED TO THE FOLLOWING: - MATERNITY EDUCATION CLASSES AND SUPPORT - BEREAVEMENT SUMMER CAMP - CAMP CHARLIE - ANIMAL ASST. THERAPY - HOSPITAL HOLIDAY PROGRAM - GENERAL CANCER SUPPORT GROUP - LOOK GOOD, FEEL BETTER - WIG BANK - SAILL (STOP ABUSE IN LATER LIFE) PROGRAM - AMERICAN RED CROSS BLOOD DRIVES - SEXUAL ASSAULT NURSE EXAMINER PROGRAM - PRE-MED VOLUNTEER PROGRAM AMH EDUCATIONAL PROGRAMS ======================== AMH WAS FOUNDED AS A TEACHING HOSPITAL AND BELIEVES THAT EDUCATING THE PUBLIC AS WELL AS FUTURE GENERATIONS OF MEDICAL PROFESSIONALS IS AN IMPORTANT PART OF ITS MISSION TO SERVE ITS COMMUNITY'S COMPLETE HEALTHCARE NEEDS. RESIDENT TRAINING PROGRAMS -------------------------- SINCE AMH FIRST OPENED ITS DOORS IN 1914, IT HAS BUILT AND MAINTAINED AN OUTSTANDING REPUTATION AS ONE OF THE LEADING TEACHING HOSPITALS IN THE PHILADELPHIA AREA - A UNIQUE COMBINATION OF AN ACADEMIC MEDICAL CENTER IN A COMMUNITY HOSPITAL SETTING. A COMMITMENT TO PROVIDING EXCEPTIONAL PATIENT CARE HAS EARNED AMH RECOGNITION AS A MAJOR REGIONAL TEACHING FACILITY THAT OFFERS A FULL SPECTRUM OF CLINICAL EXPERIENCES AND A RIGOROUS ACADEMIC PROGRAM. AMH HAS IN ITS PROGRAM EACH YEAR RESIDENTS IN FAMILY MEDICINE, INTERNAL MEDICINE, OBSTETRICS AND GYNECOLOGY, SURGERY AND DENTISTRY. RESIDENTS ROTATING FROM UNIVERSITY CENTERS IN ORTHOPEDIC SURGERY, PLASTIC SURGERY, UROLOGY AND NEUROSURGERY ADD TO THE ACADEMIC ENVIRONMENT. ALL TRAINING PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. GRADUATE PROGRAM FACULTY ------------------------ AMH SUPPORTS PLACEMENT OPPORTUNITIES IN ALL PROGRAMS, AND HAS ENABLED RESIDENTS TO OBTAIN ADVANCED GRADUATE TRAINING. AMH HAS A TEACHING ASSOCIATION WITH DREXEL UNIVERSITY MEDICAL SCHOOL, PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE AND THE SIDNEY KIMMEL MEDICAL COLLEGE AT THOMAS JEFFERSON UNIVERSITY, PHILADELPHIA, PA. MANY OF AMH'S PHYSICIANS SERVE ON THE FACULTIES OF THE PHILADELPHIA MEDICAL SCHOOLS AND ARE INVOLVED IN CONDUCTING RESEARCH AND PUBLISHING REGULARLY. AN ACTIVE PROGRAM OF CONTINUING MEDICAL EDUCATION OFFERS OPPORTUNITIES FOR PHYSICIANS AND OTHER MEDICAL STAFF TO GAIN THE MOST CURRENT KNOWLEDGE IN THEIR SPECIALTIES. COMMUNITY HEALTH EDUCATION PROGRAMS ----------------------------------- AMH PROVIDES NUMEROUS LECTURES, SEMINARS AND OTHER EDUCATIONAL PROGRAMS TO THE COMMUNITY IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSES INCLUDING THE FOLLOWING EXAMPLES: PLEASE REFER TO THE HOSPITAL'S WEBSITE FOR A CURRENT LISTING UNDER CALENDAR OF EVENTS. - SKIN CANCER EDUCATION AND SCREENING - BABYSITTING WORKSHOP - SPEAKER'S BUREAU - STROKE EDUCATION PROGRAM CPR TRAINING CENTER ------------------- AMH IS AN AMERICAN HEART ASSOCIATION BLS TRAINING CENTER ("TC"). TC'S ARE RESPONSIBLE FOR THE PROPER ADMINISTRATION AND QUALITY OF THE EMERGENCY CARDIOVASCULAR CARE COURSES THAT THEY, THEIR ALIGNED INSTRUCTORS, AND TRAINING SITES PROVIDE. WITH OVER 200 ALIGNED INSTRUCTORS, AMH TRAINING CENTER OFFERS BOTH COMMUNITY AND PROFESSIONAL LEVEL CPR AND FIRST AID AT MANY COMMUNITY SITES. FAITH COMMUNITY NETWORK ----------------------- FAITH COMMUNITY NURSING ("FCN"), ALSO KNOWN AS PARISH NURSING, IS AN EXTENSION OF COMMUNITY HEALTH NURSING WHICH REACHES OUT TO PEOPLE IN THEIR FAITH COMMUNITIES. THE GOAL IS FOR FCN TO PROMOTE WELLNESS, BY HOLISTICALLY ADDRESSING THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF THE FAITH COMMUNITY'S MEMBERS. FULFILLING THE ROLES OF PERSONAL HEALTH COUNSELOR, HEALTH EDUCATOR, MENTOR/VOLUNTEER COORDINATOR, LIAISON/REFERRAL SOURCE AND PASTORAL PARTNER, FCN IS A UNIQUE LINKAGE FROM AMH TO OUR LOCAL FAITH COMMUNITIES. MANY PROGRAMS ARE COORDINATED THROUGHOUT THE YEAR. AMH HAD DEDICATED ITSELF TO THE COMMUNITY BY PROVIDING A DEPARTMENT RESPONSIBLE FOR THE COMMUNITY HEALTH NEEDS ASSESSMENTS, IMPLEMENTATION PLANS, COMMUNITY BENEFIT INITIATIVES, HEALTH EDUCATION, SCREENINGS, FAITH COMMUNITY NETWORK, CPR TRAINING CENTER, AND A CHRONIC DISEASE MANAGEMENT PROGRAM. IN ADDITION, AMH PROVIDES CLINICS TO SERVE THOSE IN NEED INCLUDING PRIMARY CARE AND SPECIALTY CLINICS GEOGRAPHICALLY LOCATED WITHIN THE SERVICE AREA; SPACE FOR OVER 45 SUPPORT AND SELF-HELP GROUPS ON VARIOUS AMH CAMPUSES AND A SPEAKERS BUREAU FOR THE COMMUNITY. AMH HAS WORKED SINCE 2013 THROUGH 2016 WITH THE IMPLEMENTATION OR ACTION PLANS OF THE 2013 CHNA. FOR AMH, OUR PLANS INCLUDED WORK ON ACCESS TO CARE, BEHAVIORAL HEALTH/MENTAL HEALTH, OBESITY, SMOKING, CANCER SCREENINGS AND EDUCATION, OLDER ADULTS AND ACTIVITIES OF DAILY LIVING, AND CULTURAL AND LINGUISTICALLY APPROPRIATE EDUCATION. IN FY18, AMH PERSONNEL CONTINUED TO UPDATE THE IMPLEMENTATION PLANS ON A QUARTERLY BASIS, WHICH IS THEN REVIEWED BY THE HEALTH SYSTEMS COMMUNITY BENEFIT COMMITTEE. THIS SAME TEAM, WORKING WITH COLLEAGUES FROM JEFFERSON HEALTH, COMPLETED THE 2016 CHNA WHICH IS POSTED TO THE WEBSITE WITH IMPLEMENTATION PLANS UPDATED QUARTERLY INCLUDING THE NEW PRIORITIES OF SUBSTANCE ABUSE DISORDERS AND MENTAL HEALTH ISSUES. AHF APPOINTED A COMMUNITY BENEFIT COMMITTEE IN 2011 WHOSE CHARTER IS TO OVERSEE AND RECOMMEND POLICIES AND PROGRAMS DESIGNED TO CARRY OUT THE CHARITABLE MISSION OF AH, PROTECTING ITS NON-PROFIT STATUS, AND TO ENHANCE TO THE HEALTH STATUS OF COMMUNITIES SERVED BASED ON THE RESULTS OF THE CHNA. IN 2017, THE COMMUNITY BENEFIT COMMITTEE INTEGRATED WITH THE REVEREND DR. MARTIN LUTHER KING COMMITTEE TO FORM AN ENHANCED COMMITTEE SERVING COMMUNITY BENEFIT AND DIVERSITY INITIATIVES. THIS COMMITTEE CONTINUED TO PROVIDE OVERSIGHT IN FY18 INCLUDING UPDATES ON JEFFERSON ENTERPRISE DIVERSITY INITIATIVES, COMMUNITY BENEFIT, FINANCIAL ASSISTANCE PROGRAMS AND HEALTH SYSTEM CLINICS CONTINUED TO BE RELEVANT AGENDA ITEMS. PROVIDE OVERSIGHT IN FY18 INCLUDING UPDATES ON JEFFERSON ENTERPRISE DIVERSITY INITIATIVES, COMMUNITY BENEFIT, FINANCIAL ASSISTANCE PROGRAMS AND HEALTH SYSTEM CLINICS CONTINUED TO BE RELEVANT AGENDA ITEMS. |
| CORE FORM, PART III | COMMUNITY HEALTH, COMMUNITY BENEFIT AND OTHER AMH LEADERS AND STAFF ARE DEDICATED TO THE IMPLEMENTATION PLANS OF THE CHNA WORKING ON NEW INITIATIVES IN FY18 SUCH AS FOOD INSECURITY; ENHANCING ACCESS AND COMMUNICATION TO COMMUNITY RESOURCES IN SUPPORT OF SOCIAL DETERMINANTS OF HEATH AND HEALTH DISPARITIES; SUBSTANCE USE DISORDER ESPECIALLY WORK ON OPIOID USE DISORDER AND THE CURRENT CRISIS INCLUDING PROGRAMS AND COLLABORATION AROUND DRUG TAKE BACK, WARM HAND OFF, PREVENTION AND EDUCATION. SPECIAL AREAS OF INTEREST WITHIN THE IMPLEMENTATION PLANS INCLUDED AMH BECOMING AN EDUCATIONAL SITE FOR MENTAL HEALTH FIRST AID TRAINING AND COUNTY PROVIDED EDUCATION ON QPR-SUICIDE. GERIATRIC ASSESSMENT INCREASED DUE TO ONE NEW PHYSICIAN WHILE MEMORY FITNESS CONTINUED TO BE OFFERED FOR SENIORS. IMPROVED COMMUNICATION ON AMH CLINICS INCLUDING AMHS DENTAL CLINIC AND LHCS DENTAL ACCESS PROGRAM IS SIGNIFICANT FOR THE HOSPITALS SERVICE AREA. THE CENTER FOR BLOODLESS MEDICINE CONTINUED TO DRAW LARGE NUMBERS OF PERSONS SERVED TO TWO PER YEAR EDUCATIONAL PROGRAMS. STROKE EDUCATION AND MULTIPLE BLOOD PRESSURE COMMUNITY-BASED SITES ARE COORDINATED AND COMMUNICATED TO WORKFORCE, STAKEHOLDERS AND OUR COMMUNITY. "GIRLS GOTTA KNOW" EDUCATION FOR YOUNG WOMEN WAS SCHEDULED IN FY18 WITH THE ASPLUNDH CANCER PAVILION OPEN HOUSE OFFERING AWARENESS ABOUT THE IMPORTANCE OF CANCER SCREENING AND PREVENTION. EDUCATIONAL SESSIONS WERE LED BY PHYSICIANS AND NURSE SPECIALISTS. SCREENINGS OFFERED AT THE OPEN HOUSE INCLUDED SKIN CANCER, HEAD AND NECK CANCER, PROSTATE CANCER, BREAST CANCER WITH EDUCATION ON COLORECTAL, GYNECOLOGIC AND LUNG CANCERS. |
| CORE FORM, PART III; QUESTION 4D | EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, NATIONAL ORIGIN, GENDER, GENDER IDENTITY OR EXPRESSION, SEXUAL ORIENTATION, AGE, STATUS AS AN INDIVIDUAL WITH A HANDICAP/DISABILITY OR ABILITY TO PAY. MOREOVER, NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | DAVID J. ESKIN, M.D. AND MARK R. ESKIN - FAMILY RELATIONSHIP. |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | ABINGTON HEALTH ("AH") IS THE SOLE MEMBER OF THIS ORGANIZATION. THOMAS JEFFERSON UNIVERSITY ("TJU") IS THE SOLE MEMBER OF AH. TJU HAS THE ULTIMATE AUTHORITY AND RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE ("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION AND THE SYSTEM TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW. THEREAFTER, THE CPA FIRM GAVE A FORM 990 SUMMARY PRESENTATION TO THE TJU AUDIT, RISK AND COMPLIANCE COMMITTEE AND THEREAFTER A COMPLETE COPY OF THE FORM 990 WAS MADE AVAILABLE TO THIS ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO FILING. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH ALL AFFILIATES REGULARLY MONITOR AND ENFORCE COMPLIANCE. THE CONFLICT OF INTEREST POLICY GOVERNS CONFLICT OF INTEREST DISCLOSURE AND MONITORING OF ALL VOTING MEMBERS OF THE SYSTEM'S BOARD OF TRUSTEES. THE CONFLICT OF INTEREST POLICY IS DESIGNED TO ASSIST THE ORGANIZATION IN EVALUATING ARRANGEMENTS, CONTRACTS OR TRANSACTIONS THAT MAY BENEFIT THE PRIVATE INTEREST OF A TRUSTEE, THEIR FAMILY MEMBER(S), A MEMBER OF A COMMITTEE OR SUBCOMMITTEE THAT EXERCISES BOARD-DELEGATED POWERS OF THE UNIVERSITY, OR SENIOR MANAGEMENT. THE POLICY IS INTENDED TO SUPPLEMENT BUT NOT REPLACE APPLICABLE STATE AND FEDERAL LAWS GOVERNING NONPROFIT CHARITABLE CORPORATIONS. IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY, EACH VOTING MEMBER OF THE BOARD OF TRUSTEES MUST COMPLETE, AT LEAST ANNUALLY, THE SYSTEM'S CONFLICT OF INTEREST DISCLOSURE PROCESS. THE CONFLICT OF INTEREST PROCESS INCLUDES DISTRIBUTION OF AN ELECTRONIC DISCLOSURE TO ALL PERSONS WHO SERVED AS VOTING MEMBERS OF THE BOARD OF TRUSTEES, MEMBERS OF SENIOR MANAGEMENT AND KEY EMPLOYEES DURING THE PREVIOUS FISCAL YEAR. THE DISCLOSURE FORM ELICITS INFORMATION RELATED TO THE RESPONDENTS ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES IN WHICH THEY ENGAGED DURING THE REPORTING PERIOD. THE PROCESS ALSO REQUIRES COVERED PERSONS TO DISCLOSE SUCH INFORMATION ABOUT THEIR FAMILY MEMBERS. IN ADDITION TO ATTESTING TO THE VERACITY OF INFORMATION CONTAINED WITHIN THE DISCLOSURE, THE VOTING MEMBER OF THE BOARD OF TRUSTEES MUST CERTIFY THAT HE OR SHE WILL ABIDE BY THE SYSTEM'S CONFLICTS OF INTEREST AND OTHER RELEVANT POLICIES AND WILL DISCLOSE ALL INTERESTS AND ACTIVITIES RELATED TO THEIR ONGOING SERVICE ON THE BOARD OF TRUSTEES. MEMBERS OF SENIOR MANAGEMENT AND INDIVIDUALS IDENTIFIED AS KEY EMPLOYEES RECEIVE DISCLOSURE QUESTIONS REQUIRED OF MEMBERS OF THE BOARD OF TRUSTEES. ALL PERSONS COVERED UNDER THE ORGANIZATION'S BOARD OF TRUSTEES AND EMPLOYEE-RELATED CONFLICT OF INTEREST POLICIES MAINTAIN A CONTINUING OBLIGATION TO DISCLOSE ALL CHANGES IN INTERESTS, ACTIVITIES AND RELATIONSHIPS THROUGHOUT THE YEAR. THE SYSTEM MAINTAINS ALL ORIGINAL DISCLOSURE FORMS AND CERTIFICATIONS IN ACCORDANCE WITH ITS RECORD RETENTION POLICY. THE SYSTEM ALSO COMPILES AND ISSUES A COMPREHENSIVE REPORT OF ALL ACTUAL OR POTENTIAL INTERESTS AND ACTIVITIES REPORTED DURING THE BOARD OF TRUSTEES CONFLICTS OF INTEREST DISCLOSURE PROCESS TO THE ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES. THEREAFTER, THE BOARD OF TRUSTEES ITSELF OR THROUGH DELEGATION TO THE AUDIT, RISK AND COMPLIANCE COMMITTEE, EVALUATES ALL ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO DETERMINE WHETHER ACTIVITIES OR ARRANGEMENTS REQUIRE MANAGEMENT, REDUCTION, OR ELIMINATION OF CERTAIN INTERESTS, ACTIVITIES OR RELATIONSHIPS. WHEN MANAGEMENT OF THE IDENTIFIED CONFLICT IS REQUIRED, THE AFFECTED PERSON(S), MEMBERS OF THE BOARDS EXECUTIVE COMMITTEE, AND CERTAIN MEMBERS OF EXECUTIVE MANAGEMENT, RECEIVE NOTIFICATION OF THE REQUIREMENTS SET FORTH IN THE MANAGEMENT PLAN. AFFECTED PERSONS ARE EXPECTED TO ABIDE BY THE TERMS OF THE MANAGEMENT PLAN, WHICH MAY INCLUDE, BUT MAY NOT BE LIMITED TO, RECUSAL FROM DELIBERATIONS AND VOTING WHEN APPROPRIATE. IN ADDITION TO THE ABOVE-OUTLINED INTERNAL REPORTING AND EVALUATION OF ACTIVITIES, TRANSACTIONS AND RELATIONSHIPS, ALL REQUIRED DISCLOSURES IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE'S REGULATIONS AND INSTRUCTIONS ARE REPORTED ON THE ORGANIZATION'S FEDERAL FORM 990. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE WHICH INCLUDES ABINGTON MEMORIAL HOSPITAL ("AMH"). TJU HAS A COMPENSATION AND HUMAN RESOURCES 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 CHIEF EXECUTIVE OFFICER, PRESIDENT OF ABINGTON HEALTH ("AH") HOSPITALS, SENIOR VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF LEGAL AFFAIRS/GENERAL COUNSEL AND CHIEF OF STAFF. 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 CHIEF EXECUTIVE OFFICER, PRESIDENT OF AH HOSPITALS, SENIOR VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF LEGAL AFFAIRS/GENERAL COUNSEL AND CHIEF OF STAFF. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY, THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THE PEER GROUP CHOSEN FOR COMPARISON SHOULD REFLECT THE FACT THAT ABINGTON HEALTH IS A MULTI HOSPITAL HEALTHCARE SYSTEM. THE PEER GROUP WILL CONTAIN NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS COMPARABLE IN SIZE AND COMPLEXITY TO ABINGTON HEALTH. THE PEER GROUP WOULD CONSIST OF INDEPENDENT, SINGLE AND MULTI-HOSPITAL HEALTHCARE SYSTEMS THAT HAVE AN EMPHASIS ON TEACHING AND RANGE IN SIZE FROM HALF AS LARGE TO UP TO TWICE AS LARGE AS ABINGTON HEALTH. ALTHOUGH THIS PEER GROUP WILL CONTAIN ORGANIZATIONS FROM ALL PARTS OF THE U.S., ABINGTON HEALTH WILL ALSO EXAMINE REGIONAL (MID-ATLANTIC) AND LOCAL (PHILADELPHIA) PAY LEVELS. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE CHIEF EXECUTIVE OFFICER, PRESIDENT OF AH HOSPITALS, SENIOR VICE PRESIDENT OF FINANCE/CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF LEGAL AFFAIRS/GENERAL COUNSEL AND CHIEF OF STAFF. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE 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 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 | CORE FORM, PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION AND FOR THEIR POSITION WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM, WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE; NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM INCLUDES BOTH FOR PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, 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 THE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART X; LINE 25 | THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. The System has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - Pennsylvania Higher Educational Facilities Authority Series 2006B; - Pennsylvania Higher Educational Facilities Authority Series 2009A; - Pennsylvania Higher Educational Facilities Authority Series 2012; - Pennsylvania Higher Educational Facilities Authority Series 2012A; - Pennsylvania Higher Educational Facilities Authority Series 2012B; - Pennsylvania Higher Educational Facilities Authority Series 2015A; - Pennsylvania Higher Educational Facilities Authority Series 2015B; - Pennsylvania Higher Educational Facilities Authority Series 2015C-G; - Pennsylvania Higher Educational Facilities Authority Series 2015H; - Philadelphia Authority for Industrial Development Series 2017A; - Philadelphia Authority for Industrial Development Series 2017B; - Philadelphia Authority for Industrial Development Series 2017C; - Philadelphia Authority for Industrial Development Series 2018A; - Philadelphia Authority for Industrial Development Series 2018B; - Philadelphia Authority for Industrial Development Series 2018C; and - Philadelphia Authority for Industrial Development Series 2018D. The bonds outlined above and various other long-term borrowings are allocated by Thomas Jefferson University; the tax-exempt parent of the system and sole member of various tax-exempt affiliates within the system, to the following System member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a tju obligated group liability. Accordingly, this tju obligated group liability is reflected on the balance sheet of the following subsidiary organizations: - Thomas Jefferson University Hospitals, EIN: 23-2829095 - TJUH SYSTEM, INC., EIN: 26-3026795 - JEFFERSON UNIVERSITY PHYSICIANS, EIN: 23-2809585 - ABINGTON HEALTH, EIN: 27-1243803 - ABINGTON HEALTH FOUNDATION, EIN: 23-2188052 - Abington Memorial Hospital, EIN: 23-1352152 - Lansdale Hospital Corporation, EIN: 26-3359979 - Aria Health, EIN: 23-0596940 - ARIA HEALTH SYSTEM, EIN: 23-2239131 - Philadelphia University, EIN: 23-1352294 - Kennedy Health System, Inc., EIN: 22-2442036 - Kennedy University Hospital, Inc., EIN: 22-1773439 Schedule K was prepared on a consolidated basis and is included in the Form 990 of thomas jefferson university, EIN: 23-1352651. |
| CORE FORM, PART XI; QUESTION 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - TEMPORARILY RESTRICTED INVESTMENT INCOME; $2,137,849; - LOSS ON ADVANCE REFUNDING OF DEBT; ($1,036,174); - CHANGE IN PENSION LIABILITY; $66,937,015; - NET ASSETS RELEASED FROM RESTRICTIONS USED FOR CAPITAL; $938,943; - NET ASSETS RELEASED FROM RESTRICTION; ($2,287,143); AND - INCREASE IN VALUE OF SPLIT INTEREST AGREEMENTS AND PERPETUAL TRUSTS; $1,271,918. |
| CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. THE SYSTEM'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY ("TJU"). AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM FOR THE FISCAL YEARS ENDED JUNE 30, 2018 AND JUNE 30, 2017; RESPECTIVELY AND ISSUED A CONSOLIDATED AUDITED FINANCIAL STATEMENT. AN UNMODIFIED OPINION WAS ISSUED EACH YEAR BY THE INDEPENDENT CPA FIRM. THOMAS JEFFERSON UNIVERSITY'S AUDIT, RISK AND COMPLIANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR. |
| CORE FORM, PART XII; QUESTION 3 | THE ORGANIZATION IS AN AFFILIATE WITHIN JEFFERSON/JEFFERSON HEALTH; A COMPREHENSIVE PROFESSIONAL UNIVERSITY AND TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"), WITH A TRIPARTITE MISSION OF EDUCATION, RESEARCH AND PATIENT CARE. TJU'S AUDIT, RISK AND COMPLIANCE COMMITTEE ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT. |
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