Jefferson Health - Northeast System

“Edward mckenna, iii and austin a. Meehan, iii - family relationship.”

“This organization is the tax-exempt parent entity of aria health system; a tax-exempt integrated healthcare delivery system ("system"). This organization's federal form 990 was provided to each voting member of its governing body (its board of directors) prior to filing with the internal revenue service ("irs"). In addition, the chairman of the organizations audit committee performed a detailed review of this form 990 prior to filing with the irs. The organization's audit committee has assumed the responsibility to oversee and coordinate the federal form 990 preparation, review and filing process for all tax-exempt affiliates of the system. As part of the organization's federal form 990 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 system's finance personnel and other system individuals including, but not limited to, the vice president of finance & controller and the corporate accounting manager ("internal working group") 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 system's internal working group for review. The system's internal working group reviewed the draft federal form 990 and discussed questions and comments with the cpa firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the cpa firm to the system's internal working group for final review and approval prior to the presentation of the federal form 990 to the chairman of the organization's audit committee. Thereafter, the form 990 was made available to each member of this organization's board of directors prior to filing with the irs.”

“This organization is the tax-exempt parent entity of aria health system; a tax-exempt integrated healthcare delivery system ("system"). The organization and the system regularly monitor and enforce compliance with its conflict of interest policy. Annually all representatives of this organization and its wholly owned subsidiaries are required to review the current conflict of interest policy and complete the annual conflict disclosure statements. Within the conflict of interest policy representatives are defined as: 1) all members of the board of directors and committees thereof; 2) all corporate officers and senior executives; and 3) all system physician employees and independent contractors, medical staff leaders, members of the medical executive committee, and medical directors who receive total compensation in excess of $150,000 per year. The completed questionnaires are returned to the system's chief legal counsel and chief compliance officer for review. Thereafter a summary of the disclosed conflicts are made available to the board of directors for review and discussion.”

“This organization is the tax-exempt parent entity of aria health system; a tax-exempt integrated healthcare delivery system ("system"). This filing organization itself has no paid senior management personnel receiving compensation directly from this organization. Rather, key senior management personnel including, but not limited to, the president/chief executive officer, chief financial officer, chief operating officer, chief human resources officer, chief nursing officer, svp network development and chief legal counsel ("senior management") are employed by aria health. However, the compensation and benefits of certain individuals are shown on this tax return because they are also directors, officers or key employees of this organization. Accordingly, aria health's board of directors has a governance and human resource committee ("committee"). The committee has adopted a written executive compensation philosophy which it follows when it reviews and approves the compensation and benefits of the system's senior management. The committee reviews the "total compensation" of senior management 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 frequently to ensure that the "total compensation" of senior management of the system is reasonable. The actions taken by the committee enable the organization to receive the rebuttable presumption of reasonableness for purposes of internal revenue code 4958 with respect to the total compensation of senior management. The three factors which must be satisfied in order to receive the rebuttable presumption of reasonableness are the following: 1. The compensation arrangement is approved in advance by an "authorized body" of the applicable tax-exempt organization which is composed entirely of individuals who do not have a "conflict of interest" with respect to the compensation arrangement; 2. The authorized body obtained and relied upon "appropriate data as to comparability" prior to making its determination; and 3. The authorized body "adequately documented the basis for its determination" concurrently with making that determination. The committee is comprised of members of the board of directors each of who are independent and are free from any conflicts of interest. The committee relied upon appropriate comparable data; specifically the committee obtained a written compensation study from an independent firm which specializes in the reviewing of hospital and healthcare system executive compensation and benefits throughout the united states. This study used comparable geographic and demographic market data including but not limited to similar sized hospitals, # of licensed beds and net patient service revenue. The committee adequately documented its basis for its determination through the timely preparation of written minutes of the 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 the previously mentioned senior management personnel.”

“The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the commonwealth of pennsylvania. Additionally, this information is available upon request from the organization.”

“Core form part vii and schedule j reflect certain board members, officers and key employees receiving compensation and benefits from related organizations. Please note this remuneration was for services rendered as full-time employees of the related organization and not for services rendered as a voting member or officer of this organization's board of directors.”

“This organization is the tax-exempt parent entity of aria health system; a tax-exempt integrated healthcare delivery system ("system"). The system includes both for-profit and not for-profit organizations. Certain board of director members, officers and key employees listed on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours shown on this form 990, for board members who receive no compensation for services rendered in a non-board capacity, represent the estimated hours devoted per week for this organization. To the extent these individuals serve as a member of the board of directors of other related organizations in the system, their respective hours per week per organization are approximately the same as reflected 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.”

“ARIA HEALTH SYSTEM IS A NOT FOR-PROFIT ORGANIZATION BASED IN PHILADELPHIA, PENNSYLVANIA. THE INTERNAL REVENUE SERVICE ("IRS") HAS RECOGNIZED INSPIRA HEALTH NETWORK, INC. AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) ARIA HEALTH SYSTEM IS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES ARIA HEALTH. ARIA HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF VARIOUS NOT FOR-PROFIT AND FOR-PROFIT ENTITIES WITHIN THE INTEGRATED HEALTHCARE DELIVERY SYSTEM. BACKGROUND ============ Aria Health is the largest healthcare provider in Northeast Philadelphia and Lower Bucks County. With three leading-edge community hospitals and a strong network of outpatient centers and primary care physicians, Aria upholds a longstanding tradition of bringing advanced medicine and personal care to the many communities it serves. Aria Health is recognized by the Internal Revenue Service ("IRS") as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, Aria Health provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, Aria Health operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1) Provides healthcare services to all individuals regardless of ability to pay, including Charity Care, Self-Pay, Medicare and Medicaid patients; 2) Operates 3 active emergency departments for all persons; which are open 24 hours a day, 7 days a week, 365 days per year, including a trauma emergency department on the Torresdale campus; 3) Maintains an open medical staff, with privileges available to all qualified physicians; 4) Control of Aria Health rests with its board of directors and the board of directors of Aria Health System, Inc. 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 Aria Health as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of Aria Health 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. Mission Statement ================= To provide exceptional patient care and customer service to members of the communities served by the Hospitals, and to recognize a patient's right to considerate and respectful care, regardless of ability to pay. Vision ====== - To be the premier integrated healthcare delivery system serving Northeast Philadelphia and nearby Bucks and Montgomery counties; - To be recognized for high quality, commitment to service and caring behavior by all members of the hospital family; - To be committed to constantly seeking improvements in service to our patients, our community and to each other; - To be the organization to which people, businesses and insurers first turn to provide or arrange for the provision of health-related services; and - To be the standard by which hospital and other health-related services provided by others are measured. Principles & Values =================== We commit to holding ourselves, each other and our organization to the following core values: - Service; - Integrity; - Quality; - Compassion and Dignity; and - Safety. History ======= The story of Aria Health System began in 1902, when a resident of the Frankford section of Philadelphia contracted typhoid fever. The patient's physician, Dr. Joseph Ball, couldnt find a single hospital in the city to admit his seriously ill patient. Not one of the downtown hospitals had an available bed. When Dr. Ball learned other Northeast physicians were also having thei”

“Outpatient Services ------------------- In addition to the services provided at our Health Center Clinic, Aria Health - Frankford provides a wide range of highly skilled outpatient services at the Wakeling Building, adjacent to the hospital. Examples include: - Diagnostic cardiology testing; - Digital mammography; - Magnetic Resonance Imaging (MRI); and - Physical therapy. Preventive Health and Wellness Services --------------------------------------- Aria Health - Frankford is invested the health and well-being of our neighbors. That's why we offer education and wellness programs focused on chronic conditions like Congestive Heart Failure, Chronic Obtrusive Pulmonary Disease and Diabetes. Aria Health - Frankford is also involved with outreach to local businesses and community members by providing on-site AED and CPR Training, participating in numerous health and community fairs throughout the year and by hosting community meetings on our campus. Torresdale ========== Aria Health - Torresdale delivers a wide range of specialty, emergency and primary care in a warm, friendly, service-oriented environment. Our patients and community members also have access to a variety of support groups, health lectures, screenings and a full-service Wellness Center. Highlights of the campus include: - Minimally Invasive Surgical Services; - Heart Center; - Cancer Center; - Center for Gynecology and Women's Health; - Trauma and Emergency Care; and - Outpatient Services. Minimally Invasive Surgical Services ------------------------------------ Throughout Aria Health's Department of Surgery, specialists take advantage of techniques to reduce the impact of surgery and make the experience less disruptive. Most notably, since August 2010 hundreds of minimally invasive-robotic assisted surgeries have occurred in a variety of specialties including: Thoracic, Gynecologic, Urological and Thyroidectomy surgeries. This tool gives Aria Health's surgeons unprecedented dexterity and visualization, while keeping the invasiveness of the laparoscopic surgical approach to a minimum. Heart Center ------------ The staff of experienced clinicians at Aria Health - Torresdale's Heart Center work closely as a team, bringing the most effective techniques to bear in evaluating and caring for each patient's case. Offering cardiothoracic surgery, cardiac catheterization techniques, electrophysiology services, and ongoing, noninvasive, medical cardiology care, the Heart Center staff has also developed a rigorous and effective approach to responding quickly to patients who arrive at the center experiencing heart attacks. These doctors, nurses, technicians, and other staff members create a highly desirable, quality option in care. Their successes, and the level of patient satisfaction that their center has earned, attest to the talent of their team and to the individualized, human touch that they bring to safeguarding the heart health of each and every patient. Cancer Center ------------- The Cancer Center at Aria Health - Torresdale provides a comprehensive range of high-quality patient care and support services. Our board-certified surgeons, radiation oncologists, medical oncologists, certified cancer nurses, social workers and other healthcare team members work together to treat the physical and emotional sides of cancer in a comfortable and convenient setting. Highlights of the Center include: - lti-disciplinary breast evaluation committee; - Stereotactic Radiosurgery capabilities; and - Clinical cancer trials available to Cancer Center patients A cross-disciplinary lung cancer conference. Center for Gynecology and Womens Health ---------------------------------------- Aria Health - Torresdale provides a variety of healthcare services specifically designed to suit women's needs with first-rate quality, at a user-friendly location. The experienced gynecologists and nurse practitioners at the Center for Gynecology and Women's Health offer a range of women's health services”

“Outpatient Sites ================ (1) The Annex - This outpatient site currently administers MRI Testing and PET Scans. (2) The Professional Court - Opened in 1999, Aria's Professional Court Medical Building is its newest outpatient center. Administering 7,658 annual procedures, this new site offers a range of healthcare services and outpatient testing for the entire family. In one convenient location we offer primary care, internal medicine, obstetrics and gynecology, ophthalmology and optometry, general radiology, DEXA bone scanning, mammography, ultrasound, Pulmonary Function Testing, Sleep Studies, CAT Scan, MRI and laboratory testing/Phlebotomy Services. (3) Aria Health Center for Rehabilitation and Wellness - This outpatient site currently administers mainly physical medicine & rehabilitation, EMG testing, sleep studies, and wellness center services. Wellness Programs ================= Aria has a long tradition of making disease prevention and health promotion accessible and appealing to its patients, families and community by providing a variety of dedicated programs in fitness and group exercises, nutrition counseling and weight loss, and disease management. Nutrition --------- (1) Individual Nutritional Counseling - Nutritional assessment and counseling provided by registered dietitians for general nutrition and a variety of medical concerns requiring nutritional intervention. (2) Healthy Lifestyle Program - The healthy lifestyle program is a nutrition education program that focuses on helping you to build healthy habits to aid in weight management and to treat and prevent disease. (3) PCOS (Polycystic Ovary Syndrome) Nutrition Education Series - Feel comfortable in this group with others that share this common endocrine problem. The bi-monthly meetings will include educational topics on carbohydrate counting, healthy food choices to help manage cholesterol and blood pressures, weight management, benefits of exercise, and recipe tips. Support will be provided by staff members and group members. (4) Medgem Indirect Calorimeter Testing - This service requires a simple breath test to accurately measure your individual energy requirements. Knowing this number will help you with your weight management goals. (5) Nutrition Counseling for Bariatric Surgery - This service is provided for patients thinking about the lap banding weight loss procedure that is now offered at the Oxford Valley Medical Plaza in Langhorne, PA. (6) Heart Healthy & Diabetes Supermarket Tours - These tours will emphasize label reading for fats: saturated and unsaturated, fiber, soy protein, carbohydrate, and other key ingredients to help you manage your blood sugars, cholesterol, and triglyceride levels. Fitness ======= As qualified health and fitness professionals, our team will work directly with you to set realistic wellness goals and develop a customized exercise program. With proven scientific methods that focus on cardiovascular conditioning, strength, power, endurance, balance and flexibility, nutrition, and more, well support your efforts to achieve a healthier you! The services we offer include: - Fitness assessments and reassessments; - Tailored exercise programs; - Personal training with a fitness specialist; - Nutrition and weight-loss counseling; - Educational seminars and workshops; - Fun and motivational fitness campaigns; and - Monthly newsletter with helpful health and fitness information. Programs & Support Groups ========================= (1) Aria Healths Diabetes Self-Management Program has been recognized by the American Diabetes Association for quality self-management education. This multi-session, 10-hour program teaches you the importance of proper nutrition, exercise, and controlling your blood sugar to minimize diabetic complications. (2) Aria Health's Cardiac Rehabilitation program is a medically monitored exercise program for persons with heart disease. Scheduled classes meet three times per week on Monday, Wednesday, and Fr”

“School of Nursing/Nursing at Aria ================================= School of Nursing ----------------- Aria Health School of Nursing continues to distinguish itself, building on its roots and history as Frankford Hospital School of Nursing and poised now to grow across another hundred years of success in providing quality academics and preparation in the field of nursing. In the fall of 1904, a training school for nurses was established in Northeast Philadelphia, just a block away from Aria Health - Frankford Campus, which had been founded in 1903. Under the direction of Anna C. Garrett, who was also Aria Health - Frankford Campus's first superintendent, the Frankford Hospital School of Nursing set forth to provide exceptional education to students interested in pursuing the nursing profession. The Frankford Hospital School of Nursing developed into a distinguished co-educational institution, and over a century-plus provided more than 2,500 students with comprehensive learning experiences in professional nursing. In 2004, Aria Health School of Nursing, under its former name of The Frankford Hospital School of Nursing, celebrated its 100-year anniversary. It continues to carry on the long tradition of educating caring and professional nurses who will become a vital part of the healthcare community and the community in which they live. In April of 2012, Aria Health School of Nursing relocated to the Aria Corporate Center at Neshaminy Interplex in Trevose, PA. The new facility provides our students with a professional setting in which to pursue their studies. Year after year, Aria Health School of Nursing graduates are just as unanimously satisfied with their education as their employers are with their performance. The leadership of Thomas Jefferson Universitys Jefferson College of Nursing and Aria Healths School of Nursing are planning to open a Bachelor of Science in Nursing (BSN) program at the Aria Campus in Trevose, Pa, pending approval by the Pennsylvania Board of Nursing. The decision to move from a diploma program to a BSN-degree granting program was the result of a thoughtful and deliberate process involving an integration team that included nursing and nursing education leaders. Nursing at Aria --------------- The Department of Nursing at Aria Health supports and empowers its nurses in fulfilling the hospital's mission of providing exceptional patient care. Aria Health utilizes a nursing practice model based on Relationship Based Care ("RBC"). The RBC model provides a conceptual framework as well as a vision for delivering care with strong underlying values and principles. It also provides the practical infrastructure for putting into action the education and leadership needed to make Aria Health Nursing successful and provide an effective means to measure that success. This model is comprised of three relationships of care providers: relationship with patients and families, relationship with self and relationships with colleagues. The most crucial relationship is the healing relationship with the patient and their families or significant others. Aria nurses are committed to providing compassionate care, through conveyed a kind act, through competent clinical interventions, or through listening with empathy. They convey respect and personal concern for the patient, strive to understand what is most important to them, safeguard their dignity and well-being and actively engage in all aspects of the patients care. To support the relationship with self, our nurses are provided with opportunities to learn and grow as a nursing professional and to explore opportunities to support development and wellness. Learning begins in a comprehensive orientation program, in which you are teamed with an experienced nurse, many of whom have been trained in our Preceptor Workshop. Our Department of Nursing Education provides additional learning opportunities, including the specialty courses, clinical updates and Nursing Grand Rounds. Staf”

“In-house rotations include standard Floor/ Telemetry teaching Teams at Bucks and 2 excellent but vastly different ICU experiences. The Bucks ICU allows for individual growth and autonomy with oversight from 2 different critical care attendings as well as the admitting attending. The Torresdale ICU is a much larger and busier ICU with a wide mix of medical, surgical, and trauma patients. Residents will round with an organized critical care team led by a full-time Intensivist. Both ICU's allow for significant procedural experience. Multiple large university hospitals in the area provide excellent academic and clinical experiences for completing elective and selective requirements, and we place very few restrictions on outside rotations. This allows for valuable "face time" at institutions where you may be pursuing a fellowship. Residents also complete a weekly half-day ambulatory medicine experience in the hospital's urban Internal Medicine Clinic at the Frankford campus. The residents are able to develop their own panel of patients that they manage throughout their residency career. Monthly patient information sessions are held by the residents to educate the Clinic patients about common medical topics, like tobacco cessation and diabetes. We schedule patients so residents will have sufficient time to spend with each patient and be comprehensive in their individual care plan. The traditional call schedule has been replaced with a Night-Float system which allows for better continuity in patient care. The Night-Float system also eliminates missing time away from rotations when residents traditionally would have been post-call. The Aria Health Internal Medicine residency program is committed to providing our residents with the best educational experience found in a community hospital. The friendly environment allows for growth at all stages of training. We welcome residents to find out more about our program by contacting our Program Directors or Chief Residents and/or scheduling a visit to our hospital. 3. Osteopathic Emergency Medical Residency The Aria Health's Emergency Medicine Residency Program offers a unique experience for education in Emergency Medicine. Academic excellence is combined with the hospital's mission to provide comprehensive and accessible health care to the communities of Philadelphia and Bucks County. The diversity within the Aria Health system creates an atmosphere of enhanced educational and clinical opportunities, while affording the development of individual interests. The Emergency Medicine Residency Program supplements the clinical rotation experience with affiliations with other academic centers of the Philadelphia region such as Children's Hospital of Philadelphia, Temple University Hospital, St. Christopher's Hospital for Children, Cooper Hospital University Medical Center and Albert Einstein Medical Center. Through Aria Health's unique three campus system and affiliates, residents have the opportunity to experience all aspects of the medical community. This diversity of clinical experience prepares the residents for careers in all areas of Emergency Medicine. Clinical, administrative, teaching and research skills are developed and cultivated, creating the next generation of leaders and mentors in their field. Because of Aria's diverse three-campus system with an annual emergency department volume of over 130,000, the residents gain exposure to both urban and community medicine. The philosophy of the emergency medicine residency program is based on the triad of high quality patient care, patient safety, and education. While patient care remains a departmental priority, all three elements are integral components to a comprehensive education experience. Residents will rotate through the Emergency Departments of a brand new state-of-the-art high volume 40+ bed Level II Trauma Center at the Torresdale Campus, a newly expanded busy urban Emergency Department at the Frankford Campus, and a growing suburb”

“Certain reclassifications have been made to the prior year balances previously reported to conform to the current year presentation on the organization's audited consolidated financial statements. These reclassifications had an immaterial impact on the organization's net assets previously reported.”

“This organization is the tax-exempt parent entity of aria health system; a tax-exempt integrated healthcare delivery system ("system"). An independent cpa firm audited the consolidated financial statements of the organization and all entities within the system for the years ended june 30, 2016 and june 30, 2015; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent cpa firm issued an unqualified opinion with respect to the audited consolidated financial statements. The system's audit committee assumes responsibility for the oversight of the audit of the consolidated financial statements, which includes this organization, and the selection of an independent auditor.”