Delaware County Memorial Hospital

“Crozer-keystone health system ("ckhs") is the sole member of this organization. Ckhs has the right to elect the members of this organization's board of directors and has certain reserved powers as defined in this organization's bylaws.”

“The organization is an affiliate within crozer-keystone health system and controlled affiliates ("system"); a tax-exempt integrated healthcare delivery system. Crozer-keystone health system is the tax-exempt parent organization of the system. The organization's federal form 990 was provided to and made available to the audit committee of crozer-keystone health system for review by its members prior to filing with the internal revenue service ("irs"). Following this review the form 990 was provided to each voting member of the organization's governing body, its board of directors, prior to filing with the irs. The crozer-keystone health system board of directors has delegated to its audit committee the responsibility to oversee, review and approve of the federal form 990, including the preparation, review and filing process. As part of the tax return preparation process the organization hired a professional cpa firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The cpa firm's tax professionals worked closely with the organization's finance personnel and various other individuals of the organization and the system to obtain the information needed in order to prepare a complete and accurate tax return. The cpa firm prepared a draft federal form 990 and furnished it to the organization's finance personnel and other individuals for their review. The organization's finance personnel and other individuals reviewed the draft federal form 990 and discussed questions and comments with the cpa firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the cpa firm to the organization's finance personnel and various other individuals for final review and approval prior to presentation of the federal form 990 to the members of the crozer-keystone health system audit committee and thereafter providing to each voting member of the organization's governing body, its board of directors, prior to filing with the irs.”

“The organization regularly monitors and enforces compliance with its conflict of interest policy. Annually all members of the board of directors, officers and senior management personnel are required to review the existing conflict of interest policy and complete a questionnaire. The completed questionnaires are returned to the organization's legal department and vp/general counsel for review. Thereafter the legal department and vp/general counsel prepare a summary of the completed questionnaires which contains information disclosed on an individual by individual basis. Thereafter, the vp/general counsel of the organization presents this summary to the organization's board of directors for its review and discussion.”

“THE ORGANIZATION IS AN AFFILIATE WITHIN CROZER-KEYSTONE HEALTH SYSTEM AND CONTROLLED AFFILIATES ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. CROZER-KEYSTONE HEALTH SYSTEM ("CKHS") IS THE TAX-EXEMPT PARENT ORGANIZATION OF THE SYSTEM. CKHS' BOARD OF DIRECTORS MAINTAINS A COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM IS INDEPENDENT AND FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE HAS ADOPTED A WRITTEN COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OR CONCURS WITH THE COMPENSATION AND BENEFITS OF CKHS' SENIOR MANAGEMENT, INCLUDING: THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER AND SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION COMMITTEE BYLAWS OUTLINE THE POWERS AND FUNCTIONS OF THE COMPENSATION COMMITTEE. THE COMMITTEE RELIES UPON APPROPRIATE COMPARABLE DATA FROM AN INDEPENDENT CONSULTING FIRM WHICH SPECIALIZES IN REVIEWING HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USES COMPARABLE GEOGRAPHICAL AND DEMOGRAPHIC MARKET DATA INCLUDING, BUT NOT LIMITED TO, SIMILARLY SIZED HEALTHCARE SYSTEMS AND HOSPITALS, NUMBER OF LICENSED BEDS, AND NET PATIENT REVENUE ON BOTH A REGIONAL AND NATIONAL BASIS. THE COMMITTEE DOCUMENTS ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS ARE REVIEWED AND SUBSEQUENTLY APPROVED. THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE REVIEWED BY THE COMMITTEE ON AN ANNUAL BASIS IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE. THE COMPENSATION COMMITTEE THEN RECOMMENDS TO CKHS' BOARD OF DIRECTORS APPROPRIATE COMPENSATION FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER. THE BOARD OF DIRECTOR'S THEN REVIEWS THE COMMITTEE'S RECOMMENDATION AND APPROVES THE COMPENSATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER BASED ON THE COMMITTEE'S RECOMMENDATION. THE PRESIDENT/CHIEF EXECUTIVE OFFICER ESTABLISHES, AFTER DISCUSSION WITH AND CONCURRENCE BY THE COMMITTEE, THE COMPENSATION LEVELS OF THE EXECUTIVE VICE PRESIDENT/CHIEF OPERATING OFFICER; SENIOR VICE PRESIDENT/CHIEF FINANCIAL OFFICER; AND CERTAIN OTHER INDIVIDUALS DEEMED TO BE DISQUALIFIED PERSONS PURSUANT TO THE INTERNAL REVENUE SERVICE dEFINITION. THIS IS DONE WITH COMPARABLE MARKET DATA PROVIDED BY AN INDEPENDENT CONSULTANT. THE PRESIDENT/CHIEF EXECUTIVE OFFICER ALSO RECEIVES ASSISTANCE FROM CKHS' HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH EACH INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR. COMPENSATION REVIEW AND APPROVAL IS ALSO BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY CKHS. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, AND EVALUATIONS. THE ACTIVITIES AND PROCEDURES FOLLOWED BY THE COMMITTEE ENABLE CKHS TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF ALL INDIVIDUALS DISCLOSED ON THIS FORM 990, INCLUDING THE PRESIDENT/CEO, EXECUTIVE VICE PRESIDENT/COO AND SENIOR VICE PRESIDENT/CFO.”

“The organization has issued tax-exempt bonds to finance various capital improvement projects, renovations and equipment. In conjunction with the issuance of these tax-exempt bonds, the organization's financial statements were included with the tax-exempt bond prospectus which was made available to the general public for review. The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the commonwealth of pennsylvania.”

“Part vii and schedule j reflect certain board members and officers including the president/chief executive officer, executive vice president/chief operating officer and senior vice president/chief financial officer receiving compensation and benefits from the organization or a related organization. Please note this remuneration was for services rendered as full-time employees or independent contractors of the organization or a related organization and not for services rendered as a voting member or officer of this organization's board of directors.”

“The organization is an affiliate within crozer-keystone health system and controlled affiliates ("system"). The system includes both for-profit and not for-profit organizations. Certain board of director members, officers and/or directors listed on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours shown on this form 990, for board members who receive no compensation for services rendered in a non-board capacity, represent the estimated hours devoted per week for this organization. To the extent these individuals serve as a member of the board of directors of other related organizations in the system, their respective hours per week per organization are approximately one hour. The hours reflected on part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers and key employees, reflect total hours worked per week on behalf of crozer-keystone health system and controlled affiliates; not solely this organization.”

“Background - (2014 - 2015) ========================== delaware county memorial hospital ("dcmh") is a general medical and surgical hospital. Dcmh 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, dcmh provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, dcmh operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Dcmh provides medically necessary healthcare services to all individual's regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Dcmh operates an active emergency room for all persons which is open 24 hours a day, 7 days a week, 365 days per year; 3. Dcmh maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of dcmh rests with its board of trustees and the board of trustees of crozer-keystone health system. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of dcmh, as shown through the factors outlined above and other information contained herein, clearly demonstrate the hospital provides substantial community benefit and that the use and control of dcmh is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. Dcmh's sole corporate member is crozer-keystone health system ("ckhs"), a tax-exempt pennsylvania non-profit parent corporation. Crozer-keystone health system is a tax-exempt integrated healthcare delivery system consisting of a group of affiliated healthcare organizations. The integrated network of healthcare providers throughout the commonwealth of pennsylvania provides substantial community benefit. The sole member or stockholder of each entity is either ckhs or another ckhs affiliate controlled or owned by ckhs. Ckhs provides medically necessary healthcare services to all individuals regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, ckhs provides healthcare services to patients who meet certain criteria defined by the commonwealth of pennsylvania department of health and senior services without charge or at amounts less than established rates. Ckhs maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Delaware county memorial hospital =================================== delaware county memorial hospital, one of the founding hospitals of the crozer-keystone health system, is a 168-bed, not-for-profit facility that offers a broad range of acute and specialized services. Established in 1927, dcmh currently admits over 10,000 patients, treats nearly 36,300 emergency department patients, completes more than 5,800 surgeries and delivers more than 1,500 babies each year. Featured services include: - bariatric surgery services. - cardiac services. - center for breast health, honored by the national accreditation program for breast centers and certified by the joint commission in breast cancer care. - center for maternal fetal medicine. - center for wound healing and hyperbaric medicine. - certified by the joint commission as a primary stroke center. - comprehensive inpatient and outpatient medical imaging services, including mri, women's imaging and positron emission tomography/computed tomography (pet/ct). - comprehensive pain management program at dcmh. - crozer-keystone home health care and hospic”

“Comprehensive screening events at ckhs locations ================================================ healthline services, in collaboration with ckhs marketing department and various programs and services across ckhs has coordinated comprehensive "one-stop-shop" screening at ckhs locations in our community this year. Participants can receive up to 12 screenings all in the time span of about 3 hours. Screenings include breast exams, mammograms, prostate, glucose/cholesterol, blood pressure, bmi's, podiatry, leg vein, bone density, scheduling of colonoscopies and lung screenings and walk in mammography. Fall events have also included free flu shots. Events have been well attended with 75 in attendance at brinton lake and springfield and 82 at the dcmh location. This one-stop-shop for health has made health screenings and connection to ckhs programs and services an easy process for today's busy healthcare consumer. Pediatric asthma task force of delaware county ============================================== the kids asthma management program provides primary staff support for the pediatric asthma task force of delaware county (paft) and dr. Vatsala ramprasad, ckhs pediatric pulmonologist is the convener. Paft is a coalition of providers, managed care organizations, school nurses, universities, epa and other government representatives, american lung association and other stakeholders working to improve the health and quality of life for children with asthma through collaborative care practices, education, advocacy, and community partnerships that also incorporate sustainability. Some of patf's programs include annual asthma awareness month fairs, educational literature development and distribution for family and providers, and outreach to entities such as the delaware county school nurse association. The mission of the task force is to improve the health and quality of life for children with asthma through collaborative care practices, education, advocacy, and community partnerships that also incorporate sustainability. Specific objectives of the task force are: - to collect local asthma prevalence data based on such entities as census tracts, zip codes, school districts, er listings or other avenues, identifying resources to support data collection. - to foster collaboration in the identification of funding sources and the subsequent development and submission of grant proposals related to pediatric asthma, including its relationship to obesity and sleep apnea. - to be a forum for community efforts in pediatric asthma control that improves clinical care, child/family self-management and quality of life. - to advocate for the reimbursement of patient education and home-based environmental remediation conducted by both clinical and paraprofessional staff. Bringing people to the table ---------------------------- the community health committee meeting brings individuals together from across the system. This opportunity to share ideas and information, and to collaborate in their efforts to provide outreach and improve the health of our community. Community health education program ---------------------------------- community health education program serves those individuals living in the dcmh service area as well as across delaware county. It is the goal of the community health education program to improve the overall health status of residents in delaware county by: - measuring progress of key health indicators and reporting on trends over time. - addressing community need through targeted risk reduction and health promotion interventions. - promote the prevention of disease and encourage healthy life choices through education. The community health education program serves as a liaison to various community based coalitions and boards to address community health concerns and a point of entry as well as a point of access to community based and hospital services for health improvement. Community health education program provides targeted p”

“Services provided by senior health services include the following: senior support line ------------------- - toll-free number available to all community members. - triage clinician assesses callers' needs, provides information, and refers to the appropriate services. - all services are coordinated until fully implemented. - remains connected with older adults to ensure systems are in place to meet their needs. Geriatric resource center: the goal of the geriatric resource center located strategically in the center of the county at our springfield hospital site is to provide delaware county's older adults, children of aging parents, and caregivers with easy access to educational and instructional information on a variety of health-related topics as well as local, state and national senior services and programs. Delaware county care transition initiative ------------------------------------------ as of result of the success of the initial care transition program, delaware county's area agency on aging received additional funding. The 2012 community-based care transitions program ("cctp") award. - ckhs owns four of the five acute care hospitals in the county participating in this initiative. - ckhs nurses and aaa social workers work together to provide extensive in-home services for older adults with multiple co-morbidities and minimal or no support system at home. - cctp grant involves coordination by multiple community-based partners to sustain older adults in the community. Caring for older people ("cop") ------------------------------- - a community partnership between crozer-keystone health system ("ckhs"), the county office of services for the aging ("cosa") and the district attorney's office. - the primary purpose of the program is to identify at-risk elderly in the community and connect them to the appropriate health and community care resources. - ckhs staff coordinates this program by educating and sensitizing pre-hospital providers and other first responders to the needs of the at-risk elderly. - in a training environment, cop provides a very brief assessment tool for first responders to use in identifying these individuals. - cop training is available to all organizations who are concerned with the care of the elderly. Senior focused community health education ----------------------------------------- - dining at dusk - a dinner program held at all four acute care hospitals within the health system. Attendees participate in senior focused presentations generally offered by ckhs physicians and clinical staff. - physician lecture series - a free lecture series offering older adults an opportunity to learn important health related information. These presentations offer seniors tips on how to partner with their healthcare providers in managing their own health. They also provide participants with strategies in promoting good emotional and physical well-being. - evidence-based senior center health promotion - "primetime health": contracted services through the pennsylvania department of aging. Series offered annually at several local senior centers in delaware county. - senior-focused speaker's bureau - free lectures in the community on various health topics. Presentations are often arranged with local 55+ communities, libraries, senior centers, senior associations, corporate retiree organizations and churches. - community health fairs - free health and wellness information, blood pressure screenings, stroke risk assessments and flu shots. Cultural connections program ---------------------------- upper darby is one of the most diverse townships in the united states. In addition to having the most diverse and growing immigrant population in the region (over 50 languages spoken), upper darby's low-income population is also growing. The most recent projection of residents living below the poverty level is 15.4%. Census data confirms major shifts in the demographics of the population. The upper darby area has the largest number”

“Other changes in net assets or fund balances include: - other changes in pension and other accrued retirement benefits liabilities; $4,443,000; - curtailment net loss; ($280,000); - net assets released from restrictions used for purchase of property and equipment; $398,000; - change in beneficial interest in foundation; $217,000; - temporarily restricted contributions; $419,106; - net assets released from temporary restrictions; ($1,155,190); and - investment income - temporarily restricted; $95,312.”

“The organization is an affiliate within crozer-keystone health system and controlled affiliates ("system"). An independent cpa firm audited the consolidated financial statements of the taxpayer and all affiliates for the fiscal years ended june 30, 2015 and june 30, 2014; respectively, and issued a consolidated financial statement with consolidating schedules by entity. An unqualified opinion was issued each year by the independent cpa firm. The taxpayer's audit committee assumes responsibility for oversight of the audit of its financial statements and the selection of an independent auditor.”

“The organization is an affiliate within crozer-keystone health system ("system"); a tax-exempt integrated healthcare delivery system. The system engaged an independent accounting firm to prepare and issue a system wide consolidated a-133 audit. This organization was included in the system wide a-133 audit.”

“Description:purchased services total fees:22058059”

“Description:contracted services total fees:2930224”

“Description:hmo fees total fees:2250250”

“Description:physician fees total fees:2250838”

“Description:consulting fees total fees:2110051”

“Description:transcription fees total fees:218167”

“Description:staff development fees total fees:81106”

“Description:other fees total fees:3370044”