Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for 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 | |||||
| (A)
ABINGTON MEMORIAL HOSPITAL |
231352152 | 3 | Yes | 0 | 0 | |
| (B)
LANSDALE HOSPITAL CORPORATION |
263359979 | 3 | Yes | 0 | 0 | |
|
Total 2
|
0 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) |
||||
| 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) |
||||
| 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): |
|||||
| 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 | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 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. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 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-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, 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 2018. 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 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| 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 HEALTH ("AH") IS A NOT-FOR-PROFIT HOLDING COMPANY BASED IN ABINGTON, PENNSYLVANIA. AH IS A CORPORATE MEMBER OF A NUMBER OF NOT-FOR-PROFIT ENTITIES OUTLINED HEREIN. AH STRIVES TO CONTINUALLY DEVELOP AND OPERATE AN INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH PROVIDES A COMPREHENSIVE SPECTRUM OF MEDICALLY NECESSARY HEALTHCARE SERVICES TO THE RESIDENTS OF PENNSYLVANIA COUNTIES INCLUDING MONTGOMERY, PORTIONS OF BUCKS AND PHILADELPHIA COUNTIES, PENNSYLVANIA. AH IS AN ORGANIZATION WHICH IS RECOGNIZED BY THE INTERNAL REVENUE CODE ("IRS") AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). EFFECTIVE APRIL 30, 2015 AT 11:59 PM, THOMAS JEFFERSON UNIVERSITY ("TJU"), A PENNSYLVANIA NONPROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO 501(C)(3) OF THE INTERNAL REVENUE CODE, BECAME THE SOLE CORPORATE MEMBER OF AH. AS A RESULT OF THIS TRANSACTION, AH AND ITS SUBSIDIARIES, ABINGTON MEMORIAL HOSPITAL ("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 MERGED WITH THE FORMER ARIA HEALTH AND KENNEDY HEALTH, THE COMBINED ENTITY INCLUDES FOURTEEN HOSPITALS, SEVEN URGENT CARE CENTERS, AND 25 TESTING AND IMAGING CENTERS LOCATED THROUGHOUT PHILADELPHIA, BUCKS AND MONTGOMERY COUNTIES IN PENNSYLVANIA AS WELL AS 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 30,000 EMPLOYEES, 6,100 PHYSICIANS AND PRACTITIONERS, 7,400 NURSES [FULL/PART TIME], 4,600 FACULTY AND 2,100 VOLUNTEERS. THE PARTNERSHIP STRENGTHENS THE ENTERPRISES ABILITY TO CARE FOR THE COMMUNITIES WE SERVE. IN ADDITION, JEFFERSONS 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 FY19, JEFFERSON HEALTH CONTINUED IN ITS COMMITMENT AND ENTERED INTO A BINDING DEFINITIVE AGREEMENT 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 3,500 MEDICAL STUDENTS, 400 RESIDENTS AND FELLOWS THROUGHOUT ITS FACILITIES. EINSTEIN ALSO PROVIDES A RANGE OF HEALTHCARE SERVICES THROUGH SKILLED-NURSING AND REHABILITATION CENTERS THAT CLOSELY ALIGN WITH JEFFERSON, 12 OUTPATIENT CARE CENTERS, AND A NETWORK OF MORE THAN 700 PRIMARY CARE PHYSICIANS AND SPECIALISTS THROUGHOUT THE REGION. THE PROPOSED MERGER TO CREATE AN 18 BED HOSPITAL HEALTH SYSTEM IS AWAITING STATE AND FEDERAL GOVERNMENT APPROVALS. DURING FY19, THOMAS JEFFERSON UNIVERSITY AND JEFFERSON HEALTH AND TEMPLE UNIVERSITY AND TEMPLE HEALTH ENTERED INTO AN AGREEMENT TO CONDUCT DUE DILIGENCE AND NEGOTIATE THE SALE OF FOX CHASE CANCER CENTER TO JEFFERSON AND TEMPLES INTEREST IN HEALTH PARTNERS PLAN (HPP). PART OF THE TRANSACTION UNDER DISCUSSION, JEFFERSON AND TEMPLE WOULD ALSO ENTER INTO A LONG-TERM ONCOLOGY-RELATED ACADEMIC AFFILIATION AGREEMENT THAT WOULD EXPAND ACCESS FOR TEMPLE RESIDENTS, FELLOWS AND STUDENTS TO ACADEMIC AND RESEARCH RESOURCES. ENVISIONED IS A COLLABORATION THAT EXTENDS FAR BEYOND THE SALE OF FOX CHASE AND HPP TO JEFFERSON AS BOTH INSTITUTIONS LOOK TO COLLABORATE ON A FRAMEWORK FOR PARTNERSHIP ON CANCER TREATMENT, CARING FOR THE UNDERSERVED, INNOVATION, AND INCREASING EDUCATIONAL OPPORTUNITIES FOR STUDENTS AT BOTH SCHOOLS TO BENEFIT FROM PROGRAMS AND SERVICES AT EACH INSTITUTION. THE COLLABORATION INCLUDES THE FOLLOWING ELEMENTS: JEFFERSON WILL PURCHASE FOX CHASE CANCER CENTER, WHILE MAINTAINING A BEST OF BOTH WORLDS OPPORTUNITY FOR TEMPLE AND JEFFERSON STUDENTS AND PATIENTS. THE PURCHASE WILL CREATE NEW AVENUES FOR CANCER TREATMENT AND RESEARCH BY COMBINING TWO VERY POWERFUL NATIONAL AND REGIONAL HEALTHCARE PROVIDERS: FOX CHASE, AN NCI-DESIGNATED COMPREHENSIVE CANCER CENTER, AND THE NCI-DESIGNATED SIDNEY KIMMEL CANCER CENTER; JEFFERSON WILL ASSUME TEMPLES INTEREST IN HPP TOWARD THE GOAL OF WORKING WITH THE CURRENT OWNER PARTNERS (EINSTEIN, TEMPLE AND JEFFERSON) AS WELL AS THE COMMUNITY TO PROVIDE THE BEST AND MOST SEAMLESS CONTINUUM OF CARE FOR THE EXPANDING MEDICAID AND MEDICARE ADVANTAGE POPULATION ACROSS THE CITY AND REGION; EXECUTIVE LEADERSHIP HAVE COMMITTED TO WORK WITH THE DEANS OF THEIR RESPECTIVE COLLEGES TO CREATE OPPORTUNITIES FOR JEFFERSONS STUDENTS TO BENEFIT FROM TEMPLES EXPERTISE AND NATIONAL REPUTATION IN AREAS SUCH AS BUSINESS, ENGINEERING AND LAW. IN ADDITION, THIS AGREEMENT WILL FOSTER OPPORTUNITIES FOR TEMPLE STUDENTS TO ACCESS JEFFERSONS EXPERTISE IN AREAS SUCH AS DESIGN, DIGITAL HEALTH, AND ARCHITECTURE AND THE BUILT ENVIRONMENT. 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. AH ENSURES THAT ITS SYSTEM 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, AGE OR STATUS AS AN INDIVIDUAL WITH A HANDICAP/DISABILITY OR ABILITY TO PAY. NO INDIVIDUALS ARE DENIED NECESSARY MEDICAL CARE, TREATMENT OR SERVICES. AH INCLUDES AMH AND LHC. EACH OF THESE HOSPITALS OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. EACH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF- PAY, MEDICARE AND MEDICAID PATIENTS; 2. EACH EITHER OPERATE AN ACTIVE EMERGENCY TRAUMA CENTER OR EMERGENCY DEPARTMENT FOR ALL PERSONS; WHICH IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR; 3. EACH MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF EACH RESTS WITH THE JEFFERSON HEALTH BOARD OF TRUSTEES. THE BOARD INCLUDES INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY WHO ALL VOLUNTEER THEIR TIME AND TALENTS; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. 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, SEVEN OUTPATIENT CAMPUSES: ABINGTON HEALTH - WILLOW GROVE WHICH INCLUDES THE SITE OF THE SIDNEY KIMMEL CANCER CENTER ASPLUNDH CANCER PAVILION AND NEW FOR FY19, ABINGTON HEALTH-HORSHAM, ABINGTON HEALTH - WARMINSTER IN BUCKS COUNTY, ABINGTON HEALTH - MONTGOMERYVILLE IN NORTH WALES, ABINGTON HEALTH - BLUE BELL, ABINGTON HEALTH - LOWER GWYNEDD AND ABINGTON HEALTH-ELKINS PARK. IN ADDITION, TWO URGENT CARE CENTERS IN FLOURTOWN AND WILLOW GROVE, PENNSYLVANIA ARE AVAILABLE FOR THE COMMUNITY. PHYSICIANS EMPLOYED PRACTICES GEOGRAPHICALLY LOCATED IN BUCKS, MONTGOMERY AND PHILADELPHIA COUNTIES WITH 73 LOCATIONS. 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 ========== AMH 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 ALMOST 31,000 INPATIENT ADMISSIONS AND ALMOST 575,000 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 1900'S 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 [BRANDED NAME] AS OF FY19, WHICH ALSO ENCOMPASSES LHC PART OF THE NEWLY FORMED ENTERPRISE OF JEFFERSON HEALTH. AH'S ACCOMPLISHMENTS IN FY19 AND AMHS PATIENT SAFETY CORE VALUE AND ACCOMPLISHMENTS IN FY19: THE NEW ASPLUNDH CANCER PAVILION IS SPECIFICALLY DESIGNED TO ADDRESS AN EVOLVING WORLD AS ABINGTON AND JEFFERSON REIMAGINE CANCER CARE FOR THE FUTURE. WHAT OUR COMMUNITY, DONORS, ADMINISTRATION, PHYSICIANS AND STAFF HELPED US ACHIEVE: IN JUST THE FIRST SIX MONTHS OF FISCAL YEAR 2019, THE NEW CENTER PROVIDED 7,121 CHEMOTHERAPY TREATMENTS, UP 30 PERCENT FROM THE SAME PERIOD THE YEAR BEFORE. DURING THAT SAME PERIOD, THE CENTER PROVIDED 14,705 RADIATION TREATMENTS UP 11 PERCENT FROM THE YEAR BEFORE. THE CENTER HIRED MORE ONCOLOGISTS, NURSE PRACTITIONERS, AND A NEW CLINICAL TRIALS COORDINATOR; A NEW ENT (EARS, NOSE AND THROAT) SPECIALIST, WHO IS NOW PERFORMING SURGERIES AT THE NEW CANCER CENTER THAT HAVE NEVER BEFORE BEEN PERFORMED AT ABINGTON. THE CENTER EXPANDED THE VITAL NURSE PRACTITIONER TEAM; CREATED NEW MULTIDISCIPLINARY TREATMENT TEAMS AND CLINICS; IMPLEMENTED A COMPLETE-CARE MODEL TO COORDINATE A PATIENTS ENTIRE CARE JOURNEY, FROM SCREENING THROUGH DIAGNOSIS, TREATMENT, FOLLOW-UP AND SURVIVORSHIP CARE; ENHANCED OUR RESEARCH PROGRAM WITH NEW STATE-OF-THE-ART FACILITIES FOR MULTIDISCIPLINARY CLINICAL TRIALS RIGHT ON SITE, AND WE HAVE LINKED CLOSELY WITH THE SIDNEY KIMMEL CANCER CENTER TO OFFER OUR PATIENTS EXPANDED ACCESS TO ADVANCED CLINICAL TRIALS; ESTABLISHED A SUPPORTIVE-CARE WING TO BRING TOGETHER SERVICES THAT INCLUDE SOCIAL WORK, FINANCIAL COUNSELING, GENETIC COUNSELING, NUTRITIONAL COUNSELING, AND OTHER SERVICES; EXPANDED OUR PALLIATIVE CARE OUTPATIENT PROGRAM TO PROVIDE PERSONALIZED MEDICAL AND NURSING CARE FOR PEOPLE WITH LIFE-LIMITING ILLNESS; ADDED A UNIQUE GERENTOLOGIC ONCOLOGY PROGRAM SO THAT OUR ELDERLY PATIENTS CAN CONSULT WITH A GERIATRICIAN WHO IS ALSO A MEDICAL ONCOLOGIST; ESTABLISHED A CARDIO-ONCOLOGY PROGRAM TO ENHANCE OUR IDENTIFICATION, PREVENTION, AND MANAGEMENT OF HEART COMPLICATIONS DURING TREATMENT FOR CANCER; ESTABLISHED A MULTIDISCIPLINARY GENITOURINARY CANCER PROGRAM; INCREASED OUR COMMUNITY AND PATIENT/FAMILY OUTREACH; INITIATED A NEW WOMAN-TO-WOMAN PROGRAM THAT PAIRS GYNECOLOGIC CANCER PATIENTS WITH TRAINED AND SUPERVISED SURVIVOR VOLUNTEERS FOR ONE-ON-ONE MENTORING AND SUPPORT; PROVIDED COMPASSIONATE SUPPORT FOR CANCER PATIENTS FACING FINANCIAL NEEDS; AND MUCH MORE. AH MARKED ITS FOURTH 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 2018. INTEGRATION 1.0 WAS SUCCESSFUL AND IN FY18 AND FY19 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. IN FALL 2018, AH FORMALLY LAUNCHED THE NEXT PHASE OF OUR JOURNEY TO HIGH RELIABILITY. MORE THAN 70 LEADERS WERE TRAINED IN THE PRINCIPLES OF HIGH RELIABILITY AND HAVE MET MONTHLY IN A LEADERSHIP DEVELOPMENT PROGRAM CALLED CLINICAL ACTION SUPPORT SYSTEM (CLASS). ALSO INCORPORATED WAS THE ABINGTON IMPROVEMENT MOVEMENT (AIM), WHERE DYAD LEADERS USE A MANAGEMENT SYSTEM TO HARNESS THE IDEAS OF STAFF IN IMPROVING UNITS. UNIT LEADERS HAVE ENGAGED WITH QLIK DASHBOARDS AND SCORECARDS IN A MANNER THAT CONTINUES TO GROW EACH MONTH TO SUPPORT IMPROVEMENT. DURING FY19, THE PLANS FOR A NEW OBSTETRICS TEAM MODEL FOR LABOR AND DELIVERY TOOK SHAPE AFTER MORE THAN A YEAR OF ANALYSIS. AH TRANSITIONED TO AN OBSTETRICS TEAM MODEL FOR LABOR AND DELIVERY CARE. THIS NEW MODEL CONSISTS OF A COLLABORATIVE, HIGH-QUALITY, SAFETY-FOCUSED OBSTETRICS TEAM COMPRISED OF TALENTED OBSTETRICIANS AND OB HOSPITALISTS AS WELL AS HIGHLY EXPERIENCED LABOR AND DELIVERY NURSES. THE GOAL OF THIS TRANSITION IS TO ENHANCE THE QUALITY OF CARE AMH PROVIDES TO EXPECTANT MOMS BOTH IN THE PHYSICIAN OFFICES AND IN THE HOSPITAL, AND TO INCREASE THE AVAILABILTY OF APPOINTMENTS WITH OBSTETRICIANS IN THEIR OFFICES. AH AND NEMOUR DUPONT PEDIATRICS HAVE TEAMED UP TO PROVIDE PEDIATRIC SERVICES TO INFANTS, CHILDREN AND ADOLESCENTS OF BUCKS AND MONTGOMERY COUNTIES. NEMOURS PEDIATRIC HOSPITALISTS PROVIDE MEDICAL CARE FOR CHILDREN STAYING IN AMHS 15-BED PEDIATRIC UNIT; PEDIATRIC CONSULTATIONS IN THE EMERGENCY TRAUMA CENTER AND CONSULTATIONS WITH SPECIALISTS AT NEMOURS/ALFRED I. DUPONT HOSPITAL FOR CHILDREN FOR PEDIATRIC PATIENTS AT AMH. IN ADDITION TO INPATIENT SERVICES, NEMOURS OPENED A SPECIALTY CARE CENTER AT AHS WILLOW GROVE CAMPUS, WHERE PEDIATRIC SPECIALISTS PROVIDE CARE IN CARDIOLOGY, DEVELOPMENTAL MEDICINE, GASTROENTEROLOGY, GENERAL SURGERY, INFECTIOUS DISEASES AND NEUROLOGY/CONCUSSION. IN FY19, THE INTERVENTIONAL PROCEDURES UNIT (IPU) AT AMH WAS TRANSFORMED INTO A MODEL UNIT, ALLOWING OTHERS TO SEE LEAN PRINCIPLES IN ACTION. QUALITIES OF A MODEL UNIT INCLUDE ACHIEVING A COMPLETE ELIMINATION OF WASTE, ALLOWING MORE RAPID IMPROVEMENT IN AN AREA OF CONCERN AND DEMONSTRATING ALL ELEMENTS OF WORLD-CLASS HEALTHCARE DELIVERY. OPIOID USE DISORDER INITIATIVES WERE INTRODUCED DUE TO THE GROWING EPIDEMIC: ENHANCED RECOVERY AFTER SURGERY (ERAS) PROJECT FOR C-SECTIONS IMPLEMENTED IN OCTOBER 2018, THE PROJECTS GOAL WAS TO REDUCE POST-OPERATIVE CONSUMPTION OF OPIOIDS DURING THE INPATIENT STAY BY 30 PERCENT. SINCE ITS IMPLEMENTATION, AMH HAS CARED FOR MORE THAN 700 MOTHERS DELIVERING BY C-SECTION WHO PARTICIPATED IN THIS PROGRAM. THE RESULTS ARE A 62 PERCENT DECREASE IN OPIOID CONSUMPTION, WHICH IS WAY ABOVE THE INTENDED GOAL. SIMILAR WORK WITH IMPRESSIVE RESULTS HAS BEEN UNDERTAKEN IN THE DEPARTMENT OF SURGERY, SPECIFICALLY WITH PATIENTS UNDERGOING LAPAROSCOPIC REMOVAL OF THE GALLBLADDER OR BARIATRIC SURGERY. WARM HAND OFF PROGRAM: ALL PATIENTS PRESENTING OPIOID USE DISORDER OR ANY SUBSTANCE USE DISORDER CAN NOW ACCESS THE WARM HAND-OFF PROGRAM AT AMH OR ANY ACCESS POINT IN AH. THROUGH THIS PROGRAM, PATIENTS ARE CONNECTED TO A CERTIFIED RECOVERY SPECIALIST AND REFERRED TO A CARE PROVIDER, A NON-PROFIT ORGANIZATION THAT ADDRESSES SUBSTANCE USE AND MENTAL HEALTH NEEDS. AMH PROVIDERS PARTICIPATE IN THE STATES PRESCRIPTION DRUG MONITORING PROGRAM WHICH PROVIDES A COMPLETE PICTURE OF THEIR PATIENTS CONTROLLED SUBSTANCE PRESCRIPTION HISTORIES. PATIENT EDUCATION HAS INCLUDED THE CREATION AND DISTRIBUTION OF "MANAGING ACUTE PAIN", A PATIENT EDUCATION BROCHURE; THE LAUNCHING OF A NEW E-NEWSLETTER, "OPIOID MATTERS" IN FY19 AND THE CONTINUED EDUCATION AND PROMOTION OF DRUG TAKE BACK SITES IN THE REGION INCLUDING ONE LOCATED AT ALLIANCE PHARMACY AT AMH. THE DEPARTMENT OF NURSING, QUALITY AND OUTCOMES COUNCIL LAUNCHED THE "STOMP OUT STIGMA" CAMPAIGN, A NEW INITIATIVE AIMED AT CHANGING NEGATIVE PERCEPTIONS SURROUNDING SUBSTANCE USE DISORDER. MORE THAN 600 AH STAFF SIGNED A BANNER, PLEDGING TO REFRAIN FROM PASSING JUDEMENT OR SHOWING BIAS TOWARD PATIENTS DEALING WITH SUBSTANCE USE DISORDER. AHS BREAST PROGRAM ADOPTED A WIRE-FREE RADAR BREAST LOCALIZATION SYSTEM THAT CAN DECREASE PATIENT DISCOMFORT AND IMPROVE PATIENT SATISFACTION FOR WOMEN UNDERGOING LUMPECTOMY. THE SAVI SCOUT SYSTEM USES A NON-RADIOACTIVE, RADAR TECHNOLOGY TO PROVIDE REAL-TIME SURGICAL GUIDANCE DURING BREAST SURGERY. HYDROGEL BARRIER FOR MEN UNDERGOING RADIATION FOR PROSTATE CANCER: MEN RECEIVING RADIATION FOR PROSTATE CANCER AT THE ASPLUNDH CANCER PAVILION NOW HAVE THE OPTION OF HAVING A HYDROGEL BARRIER IMPLANTED BEFORE TREATMENT. THE SPACE FOR HYDROGEL BARRIER ACTS AS A SPACER BETWEEN THE PROSTATE AND THE RECTUM, SIGNIFICANTLY LOWERING THE DOSE OF RADIATION THE RECTUM RECEIVES AND HAS BEEN PROVEN TO DECREASE THE RISK FOR DEVELOPING RECTAL COMPLICATIONS. MR ELASTOGRAPHY (MRE), ONE OF THE LATEST OPTIONS FOR DETECTING CHRONIC LIVER DISEASE AND CIRRHOSIS, IS NOW OFFERED AT AH WARMINSTER. MRE IS A NON-INVASIVE AND PAIN-FREE IMAGING TEST THAT MEASURES THE STIFFNESS OF THE LIVER. ABOUT HALF THE COST OF A LIVER BIOPSY, MRE CAN PROVIDE EARLIER AND SAFER DETECTION OF LIVER FIBROSIS, WHICH TRANSLATES INTO A BETTER CHANCE OF SUCCESSFUL TREATMENT. |
| CORE FORM, PART III | FY19 CONSTRUCTION PROJECTS AND RENOVATIONS HIGHLIGHTS FOR AMH AND CAMPUSES INCLUDED: PLANS ARE UNDERWAY FOR THE DESIGN OF A HUNTINGDON VALLEY HEALTH CENTER, AN 8,000 SQUARE FOOT PROJECT TARGETED FOR COMPLETION IN 2020; ENVIRONMENTAL SERVICES (EVS) RENOVATIONS THE FORMER MEDICAL RECORDS SPACE IS BEING RENOVATED TO CREATE A NEW SPACE FOR THE EVS DEPARTMENT; AMHS BUERGER AND WIDENER ELEVATORS ARE BEING UPGRADED COSMETICALLY AND MECHANICALLY; AMHS PAVILION GRILLE HAS NEW FURNITURE AND FLOORING; THIRD C-SECTION ROOM PROJECT IS UNDERWAY; TOLL BUILDING MATERNITY WAITING ROOM WAS REFRESHED WITH NEW FURNITURE AND PAINT; THE SIM LAB WAS RENOVATED; NEW FLOORS WERE INSTALLED ON 5, 6, AND 7 BUERGER; HYDRATION STATIONS ADDED TO KEY AREAS FOR EMPLOYEES AND PATIENTS/VISITORS; 5 TOLL WINDOW PROJECT; ZIPLEY GARAGE LOBBIES REFRESHED ON EACH FLOOR; NEW RECLINERS IN PATIENT ROOMS, MADE POSSIBLE BY THE WOMENS BOARD. WILLOW GROVE CAMPUS INCLUDED IN FY19, BLACK TOP AND CONCRETE REPAIRS; DRAIN WORK AT PENNWOOD BUILDING/DIXON HALL; CARDIAC REHAB AND FITNESS CENTER PROJECT; NEW LIGHTING INSTALLED AT BLAIRWOOD REGISTRATION. WARMINSTER CAMPUS INCLUDED NEW MRI INSTALLATION; NEW CONSOLIDATED SPACE FOR EPIC; NEWLY CONSOLIDATED CALL CENTER FOR JCP/JMG PRACTICES. DURING FY19, AH OPENED ITS NEWEST HEALTH CENTER IN HORSHAM, MAKING IT THE SEVENTH OUTPATIENT FACILITY THAT SERVES PATIENTS IN MONTGOMERY AND BUCKS COUNTIES. THE 20,000 SQUARE-FOOT, STATE-OF-THE-ART FACILITY INCLUDES THREE MEDICAL PRACTICES: INTERNAL MEDICINE ASSOCIATES OF ABINGTON, ABINGTON PRIMARY WOMENS HEALTHCARE GROUP AND ENDOCRINE SPECIALISTS. THE LOCATION ALSO HAS A FULL-SERVICE LABORATORY ON-SITE FOR THE CONVENIENCE OF PATIENTS NEEDING BLOODWORK AND OTHER LAB TESTS. AMH AWARDS AND RECOGNITION: AMH HAS BEEN RECOGNIZED BY MANY ORGANIZATIONS FOR THE QUALITY OF ITS SERVICES: AMH AND LHC [AJH] EARNED THE 2019 EXCELLENCE AWARD FROM THE MID-ATLANTIC ALLIANCE FOR PERFORMANCE EXCELLENCE [MAAPE] THE STATE LEVEL BALDRIGE PROGRAM; THE EXCELLENCE AWARD IS MAAPES HIGHEST LEVEL OF RECOGNITION AND AJH HAS THE DISTINCTION OF BEING THE ONLY ORGANIZATION TO EARN TWO PENNSYLVANIA STATE EXCELLENCE AWARDS. OUR SUCCESSES IN THE BALDRIGE JOURNEY ARE THE RESULT OF MANY INDIVIDUALS WORKING DILIGENTLY FOR MORE THAN A DECADE TO INCORPORATE THE BALDRIGE EXCELLENCE FRAMEWORK INTO HOW WE RUN AH AND ALH. THE PROCESS AND PLANNING WAS ACCOMPLISHED IN FY19 WITH THE ANNOUNCEMENT IN JULY 2019. AMH WAS NAMED A BLUE DISTINCTION CENTER FOR MATERNITY BY INDEPENDENCE BLUE CROSS (IBC); AMH WAS NAMED A BABY-FRIENDLY HOSPITAL BY BABY-FRIENDLY USE, INC. THIS DESIGNATION RECOGNIZES AMH FOR THE OPTIMAL LEVEL OF CARE IT PROVIDES BREASTFEEDING MOTHERS AND THEIR BABIES. AMHS CARDIAC REHABILITATION PROGRAM EARNED ACCREDITATION FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR); AMH WAS NAMED A BLUE DISTINCTION CENTER FOR CARDIAC CARE BY IBC; AMH RECEIVED THE MISSION: LIFELINE GOLD PLUS RECEIVING QUALITY ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION FOR THE TREATMENT OF PATIENTS WHO SUFFER SEVERE HEART ATTACKS. AMH RECEIVED CHEST PAIN CENTER WITH PRIMARY PCI RE-ACCREDITATION FROM THE AMERICAN COLLEGE OF CARDIOLOGY. AH RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATIONS GET WITH THE GUIDELINES STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD FOR OUR COMMITMENT TO PROVIDING QUALITY STROKE CARE. AH WAS NAMED A BLUE DISTINCTION CENTER FOR SPINE SURGERY BY IBC; RECOGNIZED AS AN AGE-FRIENDLY HEALTH SYSTEM COMMITTED TO CARE EXCELLENCE, AS PART OF A NATIONAL MOVEMENT TO IMPROVE HEALTH CARE FOR OLDER ADULTS; HOME CARE AND HOSPICE RECEIVED A "WE HONOR VETERANS" PARTNER LEVEL II DESIGNATION, WHICH REFLECTS OUR COMMITMENT TO ENSURING THAT VETERANS HAVE ACCESS TO QUALITY END-OF-LIFE CARE; HOME CARE AND HOSPICE EARNED CMSS 4-STAR RATING; AH WAS NAMED A BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY BY IBC. AHS PULMONARY REHABILITATION PROGRAM EARNED ACCREDITATION FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR); DEXUR, A DATA-DRIVEN HOSPITAL AND HEALTHCARE NEWS AND RESEARCH SERVICE RATED AH A TOP RANKED HOSPITAL IN PENNSYLVANIA FOR ALCOHOL AND DRUG ABUSE FOR POST HOSPITALIZATION DISCHARGE RATES AND STAYS TO SKILLS NURSING FACILITIES. THE DIABETES CENTER AT AH EARNED EDUCATION RECOGNITION RECERTIFICATION FOR ITS DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT PROGRAM FROM THE AMERICAN DIABETES ASSOCIATION (ADA); ASPLUNDH CANCER PAVILION EARNED THE 2019 ENVIRONMENTAL STEWARDSHIP AWARD FROM THE MONTGOMERY COUNTY BOARD OF COMMISSIONERS AND THE MONTGOMGERY COUNTY CONSERVATION DISTRICT. THIS AWARD RECOGNIZES ENVIRONMENTAL STEWARDSHIP AND CONSERVATION OF WATER AND SOIL QUALITY IN MONTGOMERY COUNTY; THE ASPLUNDH CANCER PAVILION EARNED AN HONORABLE MENTION AT THE 2019 HEALTHCARE DESIGN SHOWCASE; THE ASPLUNDH CANCER PAVILION WAS NAMED BEST HEALTHCARE PROJECT BY THE GENERAL BUILDING CONTRACTORS ASSOCIATION. AMH WAS AWARDED AN "A" FOR PATIENT SAFETY IN THE SPRING 2019 BY LEAPFROG HOSPITAL SAFETY GRADE. AMH EARNED THIRD PLACE AT THE HEALTH CARE IMPROVEMENT FOUNDATIONS 2018 DELAWARE VALLEY PATIENT SAFETY AND QUALITY AWARDS. AH EARNED THE 2019 COMMUNITY PARTNER AWARD FROM HEALTHLINK DENTAL CLINIC. AMH AND LHC BOTH EARNED THE PLATINUM AWARD AS PART OF THE 2019 DONATE LIFE HOSPITAL CHALLENGE FROM GIFT OF LIFE AND THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP). AH RECEIVED A SILVER AWARD FOR "BEST MARKETING CAMPAIGN" AT THE 2018 EHEALTHCARE LEADERSHIP AWARDS FOR THE OPENING CAMPAIGN FOR ASPLUNDH CANCER PAVILION. THE GIFT OF LIFE DONOR PROGRAM AND HOSPITAL ASSOCIATION OF PENNSYLVANIA [HAP] HONORED AH AND JEFFERSON HOSPITAL FOR NEUROSCIENCE WITH THE 2018 GIFT OF LIFE AWARD. IN 2019, AMH AND LHC EARNED THE PLATINUM AWARD. THE GOAL OF THE CHALLENGE WAS FOR HOSPITALS TO WORK ON THIS INITIATIVE AT THE SAME TIME WITH THE GIFT OF LIFE PROGRAM TO INCREASE ORGAN AND TISSUE DONOR AWARENESS AND DESIGNATIONS AMONG EMPLOYEES, PHYSICIANS, PATIENTS, AND COMMUNITY. AH HOSTED EVENTS AND COMMUNICATED AND EDUCATED THE MEDICAL AND GENERAL COMMUNITY ON THE IMPORTANCE OF ORGAN DONATION USING NEWSLETTERS, EMAIL, SOCIAL MEDIA PLATFORMS AND CAMPAIGNS TO INCREASE DONOR AWARENESS. THE EFFORTS WERE CAPTURED IN A SCORECARD AND SUBMITTED TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA, THE COMMUNITY HEALTH TEAM AND LHC EMERGENCY DEPARTMENT NURSES COORDINATED THESE EFFORTS FOR THE GREATER NORTH PENN REGION. LHC ACCOMPLISHMENTS FY19: LHC IS A 140-BED, ACUTE CARE GENERAL HOSPITAL PROVIDING A COMPREHENSIVE RANGE OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES. THE FACILITY INCLUDES A 24-HOUR EMERGENCY DEPARTMENT, AN 18 BED ORTHOPAEDIC AND SPINE INSTITUTE, A SLEEP CENTER, PAIN CENTER, AND WOUND CARE CENTER. HOME TO OVER 550 EMPLOYEES, LHC HAS A STAFF OF MORE THAN 449 ACTIVE PHYSICIANS. PHYSICIANS ARE SUPPORTED BY A DEDICATED TEAM OF PROFESSIONAL NURSES WHO DRAW FROM YEARS OF CLINICAL EXPERIENCE AND TRAINING. LHC OFFERS A SOPHISTICATED ARRAY OF CLINICAL PROGRAMS, INCLUDING: INTERVENTIONAL RADIOLOGY, ORTHOPAEDICS, PHYSICAL REHABILITATION, OUTPATIENT SURGERY, CARDIOLOGY, OPHTHALMOLOGY, PODIATRY, ORAL SURGERY AND 24-HOUR EMERGENCY SERVICES. AS A TRUSTED HEALTHCARE PROVIDER, LHC HANDLES OVER 6,000 INPATIENT ADMISSIONS PER YEAR, WHILE OUTPATIENT REGISTRATIONS ARE ALMOST 79,000. IN ADDITION, ALMOST 28,000 PEOPLE ARE TREATED EACH YEAR IN THE LHC'S EMERGENCY DEPARTMENT. LHC IS LOCATED JUST OUTSIDE OF LANSDALE, PENNSYLVANIA, APPROXIMATELY 24 MILES NORTHWEST OF PHILADELPHIA. NESTLED IN THE HEART OF MONTGOMERY COUNTY, LANSDALE IS ONE OF THE SIX BOROUGHS THAT MAKE UP THE AREA KNOWN AS NORTH PENN, ONE OF THE REGION'S MOST PROSPEROUS AND DESIRABLE LOCATIONS. ACCORDING TO RECENT DEMOGRAPHIC INFORMATION, LHC IS HOME TO AN ESTIMATED 51,000 RESIDENTS. HOWEVER, LHC SERVES ALL OF THE NORTH PENN COMMUNITIES, AS WELL AS PARTS OF NEIGHBORING BUCKS COUNTY, FOR A TOTAL PATIENT BASE NEARING 200,000. FROM SMALL LOCAL ENTERPRISES TO LARGE MULTI-NATIONAL CORPORATIONS, BUSINESS IS BOOMING IN THE NORTH PENN AREA. MONTGOMERY COUNTY HAS THE HIGHEST PER CAPITA INCOME IN THE STATE OF PENNSYLVANIA, AND THE SECOND HIGHEST MEDIAN INCOME. LANSDALE IS SERVED BY THE NORTH PENN SCHOOL DISTRICT, WITH THIRTEEN ELEMENTARY SCHOOLS, THREE MIDDLE SCHOOLS AND ONE HIGH SCHOOL. THE AREA IS ALSO HOME TO NUMEROUS PRIVATE AND PAROCHIAL SCHOOLS, TECHNICAL CAREER CENTERS, FOUR-YEAR COLLEGES AND TWO-YEAR COLLEGES. THE LANSDALE/NORTH PENN AREA OFFERS AN EXCEPTIONAL QUALITY OF LIFE, WITH QUAINT SUBURBAN TOWNS, QUALITY SCHOOLS, A HEALTHY ECONOMY, GOOD JOBS, ABUNDANT RECREATION AND CONVENIENT ACCESS TO PHILADELPHIA, NEW YORK, THE POCONOS AND THE NEW JERSEY SHORE. |
| CORE FORM, PART III | AH IS GUIDED BY THE BELIEF THAT IT IS DEDICATED TO THE HEALTHCARE NEEDS OF THE COMMUNITIES THAT IT SERVES. THAT LEVEL OF DETERMINATION AND COMMITMENT IS THE CORNERSTONE OF AH. MOREOVER, AH, UNDER ITS FINANCIAL ASSISTANCE POLICY, PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO PATIENTS WHO ARE UNABLE TO COMPENSATE AH FOR THEIR TREATMENTS 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. LHC HAS BOLSTERED ITS MEDICAL STAFF, ADDING TOP SPECIALISTS IN AREAS THAT INCLUDE EMERGENCY MEDICINE, NEUROSURGERY, ORTHOPAEDICS, SPINE SURGERY, RADIOLOGY, ANESTHESIA, PATHOLOGY, SURGICAL AND IN FY19 INCLUDED THE ADDITION OF ENDOCRINOLOGY, UROLOGY NEUROLOGY AND FULL TIME PULMONARY AND INTENSIVE CARE SPECIALIST COVERAGE. LHC HAS ALSO EXPANDED ITS PRIMARY CARE PRACTICES. CONSTRUCTION PROJECTS AND RENOVATIONS THROUGHOUT ARE IMPORTANT AND RENOVATIONS OCCURRED IN A VARIETY OF LOCATIONS. SPECIFIC TO LHC IN FY19: SET UP OF A DEDICATED EDUCATION UNIT WITH PATIENT SIMULATOR; PURCHASED AND INSTALLED NEW EQUIPMENT (CHILLER) TO ENSURE EFFICIENT AND EFFECTIVE CLIMATE CONTROL; PURCHASED NEW ICU BEDS, ED STRETCHERS, AND ULTRASOUND MACHINES; WELCOMED ENDOCRINOLOGY PRACTICE TO MEDICAL ARTS BUILDING AND IMPROVED LIGHTING UNDER MEDICAL ARTS BUILDING AND HOSPITAL BRIDGE TO IMPROVE SAFETY. IN ADDITION, DURING FY19, LEADERS PLANNED ON RENOVATIONS ON THE CAMPUS TO PROVIDE SPACE FOR A MOVE OF THE JAISOHN MEDICAL CENTER TO OPEN IN FY20. THE NEWLY NAMED BUILDING, THE COMMUNITY HEALTH CENTER BUILDING WILL BE HOME TO THE JAISOHN MEDICAL CENTER PROVIDING MEDICAL, SOCIAL AND EDUCATIONAL SERVICES FOR KOREAN AMERICANS AND OTHERS. THE CENTER WAS NAMED AFTER DR. PHILIP JAISOHN, THE FIRST KOREAN TO OBTAIN A MEDICAL DEGREE IN THE UNITED STATES. IN FY19, LHC RECEIVED ACCREDITATIONS AND AWARDS: - LHC EARNS HEALTHGRADES PATIENT EXPERIENCE AWARD AND RANKED IN THE TOP FIVE PERCENT IN THE NATION AND EARNED THE HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARD IN FY19. - LHC ACHIEVED PATHWAY TO EXCELLENCE RE-DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) FOR THE THIRD TIME. - LHC EARNED A 4-STAR RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. - LHC SCORED HIGH PERFORMING IN U.S. NEWS AND WORLD REPORT RANKINGS IN KNEE REPLACEMENT. AH CENTRALIZED ITS FINANCIAL COUNSELORS FROM WITHIN THE SYSTEM INTO THE FINANCIAL COUNSELING PROGRAM AND EXPANDED STAFF TO LHC. 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 AH FINANCIAL ASSISTANCE APPLICATION. COMMUNITY RESOURCES ARE SHARED WITH AH STAFF TO SUPPORT PATIENTS AND FAMILIES INCLUDING COUNTY AND AREA NON PROFIT PROVIDER PROGRAMS AND SERVICES. ADDITIONALLY, AH PROVIDES SERVICES AND SUPPLIES AT BELOW COST TO PERSONS COVERED BY GOVERNMENT PROGRAMS, INCLUDING MEDICARE AND MEDICAID. PATIENTS BENEFITED FROM THE EXPERTS OF AH'S MUSCULOSKELETAL AND SPINE SERVICES (NOW KNOWN AS ROTHMAN INSTITUTE) WHO SPECIALIZE IN JOINTS, SPINE, SPORTS, TRAUMA AND HAND PROCEDURES. A GERIATRIC FRACTURE PROGRAM ENSURES THAT PATIENTS WITH HIP FRACTURES ARE CARED FOR BY A MULTIDISCIPLINARY TEAM OF PHYSICIANS WHO WILL ENSURE RAPID ASSESSMENT AND SURGICAL INTERVENTION WITHIN 18 TO 24 HOURS. AH ATTRACTS THE FINEST PHYSICIANS TO SERVE OUR PATIENTS. AH HAS OVER 1,100 PHYSICIANS CARE FOR PATIENTS THROUGHOUT THE HEALTH SYSTEM'S WIDE RANGE OF SERVICES. ABINGTON HEALTH PHYSICIANS ("AHP") 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 MEDICAL GROUP [LEGAL NAME ABINGTON HEALTH PHYSICIANS]. AMH IS A MAJOR CLINICAL CAMPUS FOR SEVERAL REGIONAL MEDICAL SCHOOLS. THE COMMITMENT TO OUTSTANDING MEDICAL CARE HAS EARNED AH 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. MATERNITY AND PEDIATRIC CARE FOR OUR YOUNGEST PATIENTS RECEIVES UNSURPASSED COMPASSIONATE CARE. AMH DELIVERS OVER 4,400 BABIES EACH YEAR OFFERING A WIDE RANGE OF MATERNITY EDUCATION PROGRAMS, INCLUDING CHILDBIRTH PREPARATION, PRENATAL PROGRAMS AND BREASTFEEDING CLASSES, AS WELL AS A COMPREHENSIVE OBSTETRICS PROGRAM THAT INCLUDES GENETIC COUNSELING AND PRENATAL TESTING, FETAL DIAGNOSIS AND SURGERY, NEONATAL INTENSIVE CARE AND AN INPATIENT UNIT FOR PREGNANT PATIENTS AT HIGH RISK. AH'S AFFILIATION WITH THE CHILDREN'S HOSPITAL OF PHILADELPHIA CONTINUED IN FY19 WITH PLANNING TO TRANSITION TO NEMOURS DUPONT PEDIATRIC SERVICES IN EARLY FY20. AH IS A LEADER IN THE AREA OF PATIENT SAFETY, AND HAS EARNED NUMEROUS NATIONAL AWARDS FOR ITS PROGRAMS. THE HOSPITAL IS A PAST RECIPIENT OF THE PRESTIGIOUS QUEST FOR QUALITY AWARD, RECOGNIZING LEADERSHIP AND INNOVATION IN PATIENT CARE QUALITY AND SAFETY. TO PROMOTE THE DELIVERY OF SAFE, HIGH-QUALITY HEALTHCARE, THE HOSPITAL HAD CREATED A CENTER FOR PATIENT SAFETY AND HEALTHCARE QUALITY. THE CENTER FOR SAFETY AND QUALITY ("CSQ") BRINGS TOGETHER PERSONNEL COMMITTED TO CLINICAL SAFETY AND QUALITY UNDER THE SAME LEADERSHIP. IN 2017, THIS CENTER WAS RENAMED THE JOHN J. KELLY CENTER FOR PATIENT SAFETY IN HONOR OF OUR ESTEEMED COLLEAGUE AND PHYSICIAN LEADER. AH'S DIABETES/NUTRITION CENTERS SERVED OVER 1,475 NEW CLIENTS WITH OVER 3,649 OUTPATIENT VISITS IN FY19. 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 FY19. MULLER INSTITUTE FOR SENIOR HEALTH ESTABLISHED IN 2000 WITH MAJOR DONOR SUPPORT BRINGS TOGETHER THE ENTIRE NETWORK OF INPATIENT AND OUTPATIENT CARE PROVIDERS, SERVICES AND EDUCATIONAL OPPORTUNITIES DEDICATED TO MEETING THE VARIED NEEDS OF OLDER ADULTS. THE INSTITUTE'S SERVICES INCLUDE A CAREGIVERS RESOURCE ROOM, ELDERMED, OPERATION REASSURANCE, STOP ABUSE IN LATER LIFE, AND COMMUNITY PROGRAMS. IN FY19, THE MEMORY FITNESS CENTER CONTINUED AT LHC AND WARMINSTER CAMPUS. THE ADULT DAY CARE CENTER REMAINED AT LHC. COMMUNITY BASED SERVICES AS HEALTHCARE DELIVERY CONTINUES TO EVOLVE, AH IS PROUD TO PROVIDE COMMUNITY BASED SERVICES INCLUDING OUTREACH, CARE AT HOME, ADULT DAY CARE SERVICES, EDUCATIONAL PROGRAMS, SCREENINGS, SUPPORT GROUPS, CPR TRAINING CENTER, FAITH COMMUNITY NETWORK, DOMESTIC VIOLENCE SUPPORT AND MANY OTHER INITIATIVES. AH 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 ABINGTON HEALTH AND ARIA HEALTH. THIS NEW ENTITY EMPLOYS APPROXIMATELY 247 FTE'S. HOME HEALTH VISITS DECREASED TO 156,615. HOSPICE VISITS INCREASED TO 47,414 THE TOTAL COMBINED VISITS FOR BOTH HOME CARE AND HOSPICE WAS 204,209. HOSPICE REALIZED A GROWTH PERIOD IN UNDUPLICATED PATIENTS SERVED 1,496 IN FY19. 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 AH IN 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 121 PARENT/CAREGIVER AND 148 CHILDREN FOR A TOTAL OF 269 PERSONS SERVED IN FY19. SINCE THE INCEPTION OF THE PROGRAM, SAFE HARBOR SERVED 1773 CHILDREN, TEENS, YOUNG ADULTS AND 1,072 FAMILIES WITH 49 VOLUNTEERS SUPPORTING THIS EFFORT. 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. AH PROVIDES MISSION AND SERVICE LEAVE AS A BENEFIT FOR EMPLOYEES AND SEVERAL HAVE USED SAFE HARBORS CAMP CHARLIE AS THEIR SITE. AH HAS 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. |
| CORE FORM, PART III | IN ADDITION, AH PROVIDES CLINICS TO SERVE THOSE IN NEED INCLUDING PRIMARY CARE AND SPECIALTY CLINICS GEOGRAPHICALLY LOCATED WITHIN THE SERVICE AREA; SPACE FOR OVER 40 SUPPORT AND SELF-HELP GROUPS AND A SPEAKERS BUREAU FOR THE COMMUNITY. IN FY19, THE 2016-2019 CHNA IMPLEMENTATION REPORT WAS COMPLETED WITH THE FULL REPORT LOCATED ON THE HEALTH SYSTEMS WEBSITE. HIGHLIGHTS FOR AH AND ALH INCLUDE: THE STRATEGY OF INCREASING BEHAVIORAL HEALTH CONSULTANTS (BHC) INTO PRIMARY CARE PRACTICES TO ENSURE THAT ALL AH OWNED PRIMARY CARE PRACTICES STAFFED WITH A BHC; MENTAL HEALTH FIRST AID CLASSES SCHEDULED AT AH AND ALH; PARTICIPATION IN COMMUNITY OUTREACH; SAFE HARBOR INCLUDING CAMP CHARLIE ALL 3 YEARS; COMMUNICATION OF SUPPORT AND SELF-HELP GROUPS ON HOSPITAL CAMPUSES TO WORKFORCE, MEDICAL STAFF AND COMMUNITY; ELDERMED PROGRAMMING MAINTAINED AND INCREASED ATTENDANCE BY 10%; OVER 4,000 PATIENTS SEEN ANNUALLY IN THE HELP PROGRAM; BLOOD PRESSURE SCREENINGS; MATTER OF BALANCE CLASSES; ADULT DAY CARE AVERAGE DAILY CENSUS IS 34 CLIENTS; OVER 2,500 VISITS RECORDED IN THE MEMORY FITNESS CENTERS EACH YEAR. THERE WERE OVER 750 PATIENTS SERVED BY THE DENTAL CARE ACCESS PROGRAM ON THE CAMPUS OF LHC OVER THE THREE-YEAR PERIOD WITH AN INCREASE IN THE PARTICIPATION OF COMMUNITY DENTISTS FROM 13 PROVIDERS TO 21 PROVIDERS. CONTINUED COLLABORATION WITH ABINGTON YMCA; ESTABLISHED PARTNERSHIP WITH MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH AND MONTGOMERY COUNTY INTERMEDIATE UNIT TO DEVELOP NUTRITION PARENT ENRICHMENT PROGRAMMING AND HEAD START PRESCHOOL NUTRITION CURRICULUM; MAINTAINED COLLABORATIONS WITH GIANT, WILLOW GROVE AND SHOP RITE, TOWAMENCIN, PENNSYLVANIA. DOCUMENTED OVER 30,000 HITS FROM WEBSITE ANALYTICS ON THE AH HEALTHY LIVING WEBSITE OVER THE THREE YEAR PERIOD; PROVIDED WALK WITH THE DOC PROGRAMS AT AN AREA MALL AND PARK. THERE WERE OVER 2,000 NEW REFERRALS FOR SOCIAL SERVICES OVER THE THREE-YEAR PERIOD AND OVER 1,690 REFERRALS MADE TO LOCAL COMMUNITY AGENCIES OVER THE THREE-YEAR PERIOD. OVER THE THREE YEAR PERIOD, 36 "SAVE YOUR SOLES" EDUCATION AND SCREENINGS PROVIDED TO 496 BLACK MEN; STROKE EDUCATION CONTINUES; CPR AND FIRST AID TRAINING; MAINTAIN CONNECTIVITY WITH OVER 300 FAITH COMMUNITY NURSES INCLUDING EDUCATION SEMINARS AND EMAIL DISTRIBUTION OF HEALTH EDUCATION AND PROGRAM MATERIALS; MAINTAINED SMOKING CESSATION CLASSES FOR THE COMMUNITY AT AMH AND LHC WITH 15 CLASSES OFFERED; OVER 2,100 INDIVIDUALS WERE CONTACTED POST-DISCHARGE AT LHC WITH A HISTORY OF SMOKING AND PROVIDED RESOURCES TO QUIT SMOKING; CAMPAIGNS AND EDUCATION ON COLON CANCER; EDUCATION ON OPIOIDS AND SUBSTANCE USE DISORDER IN THE THREE YEAR TIMEFRAME INCLUDING CLERGY, COMMUNITY, FAITH COMMUNITY NURSES INCLUDING CONSISTENT COMMUNICATION ON DRUG TAKE BACK INITIATIVES. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) HISTORY: AH HAS WORKED SINCE 2013 THROUGH 2016 WITH THE IMPLEMENTATION OR ACTION PLANS OF THE 2013 AND 2016 CHNA RESPECTIVELY FOR AMH AND LHC: 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 FY19, AH PERSONNEL CONTINUED TO UPDATE THE IMPLEMENTATION PLANS ON A QUARTERLY BASIS, WHICH IS THEN REVIEWED BY AHS 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 USE DISORDERS AND MENTAL HEALTH ISSUES AND CHRONIC DISEASES ALONG WITH THE ABOVE LISTED. 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 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 JR., COMMITTEE TO FORM AN ENHANCED COMMITTEE SERVING COMMUNITY BENEFIT AND DIVERSITY INITIATIVES THIS COMMITTEE CONTINUED TO PROVIDE OVERSIGHT IN FY19. UPDATES ON JEFFERSON ENTERPRISE DIVERSITY INITIATIVES, COMMUNITY BENEFIT, NEEDS ASSESSMENT PRIORITIES, FINANCIAL ASSISTANCE PROGRAMS AND HEALTH SYSTEM CLINICS CONTINUED TO BE RELEVANT AGENDA ITEMS DURING FY19. DURING FY19, AMH AND LHC COMMUNITY HEALTH LEADERS PARTICIPATED IN A REGIONAL PROCESS FOR THE 2019-2021 CYCLE OF CHNA. AT THE REQUEST OF LOCAL NON-PROFIT HOSPITALS AND HEALTH SYSTEMS, THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH (PDPH) AND THE HEALTH CARE IMPROVEMENT FOUNDATION (HCIF) CONVENED AN EFFORT TO COLLABORATIVELY DEVELOP THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE SOUTHEASTERN PENNSYLVANIA (SEPA) REGION, WITH SPECIFIC FOCUS ON BUCKS, CHESTER, MONTGOMERY AND PHILADELPHIA COUNTIES. WHILE SOME LOCAL HOSPITALS/HEALTH SYSTEMS HAVE WORKED COLLABORATIVELY ON SOME COMPONENTS OF PREVIOUS CHNA IMPLEMENTATION PLANS, THEY PREVIOUSLY PRODUCED INDEPENDENT CHNAS. BASED ON SERVICE AREA DEFINITIONS FROM PREVIOUS CHNAS, MANY HOSPITAL/HEALTH SYSTEMS MUTUALLY SERVE RESIDENTS OF COMMUNITIES WITHIN THE SEPA REGION. IN CONTRAST TO HEALTH SYSTEMS CONDUCTING INDEPENDENT CHNAS, A COLLABORATIVE CHNA OFFERERED: INCREASED COLLABORATION AMONG LOCAL HOSPITALS/HEALTH SYSTEMS SERVING THIS REGION; REDUCED DUPLICATION OF ACTIVITIES AND COMMUNITY BURDEN FROM PARTICIPATION IN MULTIPLE COMMUNITY MEETINGS; REDUCED HOSPITAL/HEALTH SYSTEM COSTS IN CHNA REPORT DEVELOPMENT; OPPORTUNITIES FOR SHARED LEARNING; ESTABLISHMENT OF STRONG FOUNDATION FOR COORDINATED EFFORTS TO ADDRESS HIGHEST PRIORITY COMMUNITY NEEDS. THE CHNA PROCESS INCLUDED A STEERING COMMITTEE COMPRISED OF 5 LEADING ORGANIZATIONS/AGENCIES TO PROVIDE OVERSIGHT AND DIRECTION HAVING MET ONCE OR TWICE MONTHLY TO REVIEW FINDINGS AND SET PRIORITIES. THE HOSPITALS WORKED IN TANDEM WITH THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH, THE HEALTH CARE IMPROVEMENT FOUNDATION, PHILADELPHIA ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATIONS, A QUALITATIVE TEAM AND THE CHESTER COUNTY HEALTH DEPARTMENT AND MONTGOMERY COUNTY OFFICE OF PUBLIC HEALTH. DATA WAS ACQUIRED FROM LOCAL, STATE AND FEDERAL SOURCES AND FOCUSED ON INDICATORS THAT WERE UNIFORMLY AVAILABLE AT THE ZIP CODE LEVEL ACROSS THE REGION. PDPH PARTNERED WITH THE HEALTHSHARE EXCHANGE, THE LOCAL INFORMATION EXCHANGE, TO ANALYZE KEY HOSPITAL-BASED INDICATORS OF HEALTH. HCIF COORDINATED THE QUALITATIVE COMPONENT OF THE ASSESSMENT WHICH INCLUDED: 19 COMMUNITY MEETINGS; 9 KEY STAKEHOLDER FOCUS GROUPS; 12 KEY INFORMANT INTERVIEWS; ADDITIONAL KEY INFORMANT INTERVIEWS. ALL DATA WERE SYNTHESIZED BY PDPH STAFF AND A LIST OF 16 COMMUNITY HEALTH PRIORITIES WAS PRESENTED TO THE STEERING COMMITTEE. USING A MODIFIED HANLON RANKING METHOD, EACH PARTICIPATING HOSPITAL AND HEALTH SYSTEM RATED THE PRIORITIES. AN AVERAGE RATING WAS CALCULATED, AND THE COMMUNITY HEALTH PRIORITIES WERE ORGANIZED IN PRIORITY ORDER BASED ON: SIZE OF HEALTH PROBLEM, IMPORTANCE TO THE COMMUNITY, CAPACITY OF HOSPITALS/HEALTH SYSTEMS TO ADDRESS, ALIGNMENT WITH MISSION AND STRATEGIC DIRECTION AND AVAILABILITY OF EXISTING COLLABORATIVE EFFORTS. THE LIST OF PRIORITIES INCLUDE: SUBSTANCE/OPIOID USE AND ABUSE; BEHAVIORAL HEALTH DIAGNOSIS AND TREATMENT; ACCESS TO AFFORDABLE PRIMARY/PREVENTIVE CARE; HEALTHCARE AND HEALTH RESOURCES NAVIGATION; ACCESS TO AFFORDABLE SPECIALTY CARE; CHRONIC DISEASE PREVENTION; FOOD ACCESS AND AFFORDABILITY; AFFORDABLE AND HEALTHY HOUSING; SEXUAL AND REPRODUCTIVE HEALTH; LINGUISTICALLY AND CULTURALLY APPROPRIATE HEALTHCARE; MATERNAL MORBIDITY AND MORTALITY; SOCIOECONOMIC DISADVANTAGE [INCOME, EDUCATION AND EMPLOYMENT]; COMMUNITY VIOLENCE, RACISM AND DISCRIMINATION IN HEALTHCARE SETTINGS; NEIGHBORHOOD CONDITIONS; HOMELESSNESS. THE 2019 CHNA WAS REVIEWED AND APPROVED BY JUNE 30, 2019 BY JEFFERSON HEALTHS BOARD OF TRUSTEES AND IN ADDITION AT AMH AND LHC, THE REV. MARTIN LUTHER KING, JR. COMMUNITY BENEFIT AND DIVERSITY COMMITTEE, A BOARD OVERSIGHT COMMITTEE, APPROVED THE CHNA WITH RATIFICATION BY THE AH BOARD OF TRUSTEES AND POSTED TO THE HOSPITALS WEBSITE PER REQUIREMENTS. COMMUNITY HEALTH, COMMUNITY BENEFIT AND OTHER AH LEADERS AND STAFF ARE DEDICATED TO THE IMPLEMENTATION PLANS OF THE CHNA WHICH INCLUDES THE POSTING OF THE COMMUNITY HEALTH IMPLEMENTATION PLAN REPORT FROM THE 2016 CHNA ON THE HOSPITALS WEBSITE. COMMUNITY HEALTH LEADERSHIP WORKED WITH KEY AMH AND LHC DEPARTMENTS IN FORMULATING CHNA IMPLEMENTATION PLANS FOR THE 2019-2021 DUE NOVEMBER 15, 2019. AH EMPLOYS MORE THAN 6,000 EMPLOYEES, MAKING IT ONE OF THE LARGEST EMPLOYERS IN MONTGOMERY COUNTY. PLEASE REFER TO IRS FORMS 990 FOR AMH, LHC AND AHF FOR FURTHER INFORMATION INCLUDING DETAILS ON CENTERS OF EXCELLENCE AND COMMUNITY BENEFIT PROGRAMS. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | DAVID J. ESKIN, M.D. AND MARK R. ESKIN - FAMILY RELATIONSHIP NEAL PEARLSTINE, ESQ. AND BRUCE GOODMAN - BUSINESS RELATIONSHIP |
| CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 | THOMAS JEFFERSON UNIVERSITY ("TJU") IS THE SOLE MEMBER OF THIS ORGANIZATION. TJU HAS THE 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 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 WITHIN 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 SYSTEM INDIVIDUALS FOR FINAL REVIEW. FOLLOWING THIS REVIEW, THE FORM 990 WAS MADE AVAILABLE TO THIS ORGANIZATION'S GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| 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 THEY 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. THE ORGANIZATION IS COMMITTED TO ENSURING THAT ITS EXECUTIVE COMPENSATION PROGRAM ADHERES TO THE HIGHEST STANDARDS OF REGULATORY COMPLIANCE AND BEST PRACTICES IN CORPORATE GOVERNANCE. THOMAS JEFFERSON UNIVERSITY'S BOARD OF TRUSTEES HAS A COMPENSATION AND HUMAN CAPITAL 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 SYSTEM'S EXECUTIVE COMPENSATION, INCLUDING ARRANGEMENTS COVERING THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SENIOR EXECUTIVES AND OTHER KEY EMPLOYEES (INCLUDING CLINICAL DEPARTMENT CHAIRS AND SELECT FACULTY). THE COMMITTEE MEETS MULTIPLE TIMES DURING THE YEAR AND IS COMPRISED OF INDIVIDUALS WHO ARE INDEPENDENT AND DO NOT HAVE CONFLICTS OF INTEREST WITH REGARD TO THE COMPENSATION ARRANGEMENTS THAT FALL WITHIN ITS PURVIEW. THE COMMITTEE'S PROCESS IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION OF REASONABLENESS THAT IS AVAILABLE UNDER THE INTERMEDIATE SANCTIONS LAW, AND INCLUDES THE REVIEW OF COMPARABILITY DATA AND THE CONTEMPORANEOUS SUBSTANTIATION OF ITS DELIBERATIONS AND DECISIONS. THE COMMITTEE'S DECISIONS ARE MADE IN ACCORDANCE WITH SYSTEM'S COMPENSATION PHILOSOPHY, WHICH SUPPORTS THE OBJECTIVE OF ATTRACTING, RETAINING AND MOTIVATING TALENTED INDIVIDUALS WHO HAVE THE APPROPRIATE EXPERIENCE AND SKILLS TO ACHIEVE THE INSTITUTIONS OBJECTIVES. ON AN ANNUAL BASIS THE COMMITTEE REVIEWS APPROPRIATE COMPARABILITY DATA FOR SIMILAR INSTITUTIONS THAT REFLECT THE MISSION, SCOPE AND COMPLEXITY OF THE ORGANIZATION AND ITS CONSTITUENT ENTITIES. THE COMMITTEE ENGAGES QUALIFIED, INDEPENDENT CONSULTANTS AS NEEDED TO PROVIDE ADVICE ON COMPENSATION MATTERS AND TO PREPARE THE COMPARABILITY DATA, WHICH ARE REVIEWED BY THE COMMITTEE IN ADVANCE OF MAKING ITS DECISIONS. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND OTHER SENIOR EXECUTIVES BASED ON MARKET PRACTICES, AN ASSESSMENT OF PERFORMANCE AND OTHER BUSINESS JUDGMENT FACTORS. THE EXECUTIVE COMPENSATION INCLUDES INCENTIVE PAY, PURSUANT TO WHICH EXECUTIVES ARE REWARDED BASED ON THE ACHIEVEMENT OF THE SYSTEM, ENTITY AND INDIVIDUAL PERFORMANCE GOALS THAT ARE ESTABLISHED IN ADVANCE OF THE PERFORMANCE PERIOD. THESE GOALS ARE LINKED TO SYSTEM'S MISSION, STRATEGIC AND OPERATING OBJECTIVES, AND HAVE PREDETERMINED WEIGHTS. AT THE END OF THE YEAR, THE COMMITTEE APPROVES THE RESULTING AWARDS BASED ON A REVIEW OF PERFORMANCE ACHIEVEMENTS RELATIVE TO THE GOALS; IN APPROPRIATE CIRCUMSTANCES, OTHER DISCRETIONARY FACTORS MAY BE CONSIDERED WHEN INCENTIVES ARE DETERMINED. THE COMMITTEE MAKES A DETERMINATION OF THE REASONABLENESS OF COMPENSATION AND MAINTAINS MINUTES THAT DOCUMENT ITS DELIBERATIONS AND DECISIONS. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE COMMONWEALTH OF PENNSYLVANIA. |
| CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED 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. Laurence M. Merlis, former Chief Executive Officer of Abington Health, is still employed within Jefferson/Jefferson Health as Executive Vice President, Chief Operating Officer of Jefferson Health. |
| 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'S PARENT ENTITY IS THOMAS JEFFERSON UNIVERSITY ("TJU"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, KEY EMPLOYEES AND OFFICERS 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 INDIVIDUALS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. |
| CORE FORM, PART X; LINES 27-29 | In August 2016, the FASB issued ASU 2016-14, Not-for-Profit Entities: Presentation of Financial Statements of Not-for Profit Entities, which eliminates the requirement for not-for-profits (NFPs) to classify net assets as unrestricted, temporarily restricted and permanently restricted. Instead, NFPs are required to classify net assets as net assets with donor restrictions or without donor restrictions. Among other things, the guidance also modifies required disclosures and reporting related to net assets, investment expenses and qualitative information regarding liquidity. NFPs are also required to report all expenses by both functional and natural classification in one location. The provisions of ASU 2016-14 are effective for the Institution for annual periods beginning after December 15, 2017 and interim periods thereafter. As such, the Institution adopted ASU 2016-14 for the year ended December 31, 2018. The effects of the adoption of ASU 2016-14 were applied retrospectively. As a result of the adoption of ASU 2016-14, the net asset categories have been updated as described above. Additionally, the addition of quantitative and qualitative disclosures related to the analysis of expenses by both natural and functional classifications and liquidity and availability of resources can be found in Notes 4 and 14. The adoption of ASU 2016-14 had no impact on the total net assets previously reported by the Institution as of December 31, 2017. |
| 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, 2019 AND JUNE 30, 2018; 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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