Aria Health System

“Edward f. Mckenna, jr. & austin a. Meehan, iii - family relationship.”

“Effective july 1, 2016, thomas jefferson university ("tju") became the sole corporate member of aria health system ("ahs"). Ahs and tju entered into a letter of intent to join together in october 2015 and a definitive agreement was signed in january 2016. Tju is a non-profit corporation organized under the laws of the commonwealth of pennsylvania and recognized as a tax-exempt organization pursuant to section 501(c)(3) of the internal revenue code. Tju and its affiliates include a comprehensive professional university and tax-exempt integrated healthcare delivery system, with a tripartite mission of education, research and patient care. Both organizations prepared amended and restated articles of incorporation where tju became the sole member of ahs. These documents were filed and executed effective july 1, 2016 at 12:01 am.”

“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.”

“The organization is an affiliate within jefferson/jefferson health; a comprehensive professional university and tax-exempt integrated healthcare delivery system ("system"), with a tripartite mission of education, research and patient care. The organization's federal form 990 was provided to and made available to each voting member of the organization's governing body prior to filing of the form 990 with the internal revenue service ("irs"). As part of the tax return preparation process the organization hired a professional certified public accounting ("cpa") firm with experience and expertise in both healthcare and not for-profit tax return preparation to prepare the federal form 990. The cpa firm's tax professionals worked closely with the organization's finance personnel and various other individuals of the organization and the system to obtain the information needed in order to prepare a complete and accurate tax return. The cpa firm prepared a draft federal form 990 and furnished it to the organization's finance personnel and other individuals for their review. The organization's finance personnel and other individuals reviewed the draft federal form 990 and discussed questions and comments with the cpa firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the cpa firm to the organization's finance personnel and various other individuals for final review. Thereafter, the cpa firm gave a form 990 summary presentation to the tju audit, risk and compliance committee and thereafter a complete copy of the form 990 was made available to this organization's board of trustees prior to filing.”

“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.”

“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.”

“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 reflect certain board members and officers receiving compensation and benefits from this organization or a related organization. Please note this remuneration was for services rendered as full-time employees of the organization or a related organization and not for services rendered as a voting member or officer of this organization's board of trustees.”

“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 board members 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.”

“Aria health system is a not for-profit organization based in philadelphia, pennsylvania. The internal revenue service ("irs") has recognized aria health system 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 their patients t”

“(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 friday. (3) the pulmonary rehabilitation program is a medically supervised program for patients with chronic respiratory disease. The program consists of exercise and education and is designed to help patients to better cope with their breathing problems. Scheduled classes meet two times per week on tuesday and thursday. (4) dear friends: led by a social worker, is a general support group for patients coping with cancer, along with their friends and family members. (5) smoking cessation program: this free program is offered in conjunction with the university of pennsylvania. (6) smoking cessation and lung screening program: aria health is dedicated to continually improving the health of our community. Our innovative comprehensive smoking cessation program offers the necessary tools to help you quit, while our unique, low-dose ct scan regimen can keep close watch on the health of your lungs. These scans are safe and are more effective at detecting early onset of lung cancer than traditional x-rays. (7) look good...feel better: sponsored by the american cancer society, this is a free program for women actively undergoing cancer treatment to deal with the changes to their skin and hair. (8) stroke support group: the aria institute for neurosciences is proud to announce a monthly meeting for stroke survivors, family members, and friends. The focus of this group will be encouragement, education, and support, and is led by a masters level social worker. Charity care & financial assistance =================================== aria health has as its primary mission the improvement of the overall health and well-being of the communities it serves. Aria health is a system of not-for-profit hospital facilities, ambulatory care centers, and a primary care physician office that provides inpatient, outpatient, and emergency services to the communities it serves. Aria health is committed to providing high quality and affordable care to all individuals who seek services, including those uninsured individuals who lack the means to pay for such services. Our financial assistance policy sets forth the guidelines and processes by which patients are provided financial assistance through individual financial counseling, help in seeking f”

“Rich in educational opportunities, aria also hosts residents from philadelphia college of osteopathic medicine, albert einstein medical center, drexel hahnemann university and deborah heart and lung center. Aria's department of medical education has an osteopathic residency programs in family practice, internal medicine and emergency medicine, as well as combined programs in family practice/emergency medicine and internal medicine/emergency medicine. Our institution also has a 3 year pmsr/rra residency program. Our residency programs include: 1. Osteopathic family practice residency 2. Osteopathic internal medicine residency jefferson health ================ thomas jefferson university, inc. Is the tax-exempt parent organization of 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. Thomas jefferson university is the sole corporate member or stockholder of various not for-profit and for-profit entities. The internal revenue service ("irs") has recognized thomas jefferson university as a tax-exempt organization under internal revenue code section 501(c)(3). Thomas jefferson university conducts research and offers undergraduate and graduate instruction through the sidney kimmel medical college and the jefferson colleges of nursing, pharmacy, health professions, population health, and biomedical sciences. Thomas jefferson university has approximately 3,200 students and is located in philadelphia, pennsylvania. Tjuhs, abington and aria are integrated healthcare organizations that provide inpatient, outpatient and emergency care services through acute care, ambulatory care, physician and other primary care services for residents of the greater philadelphia region. Jefferson health ================ currently, jefferson health comprises 14 hospitals, over 50 outpatient and urgent care centers, as well as physician practices and everywhere we deliver care throughout the city and suburbs across philadelphia, montgomery and bucks counties in pa., and camden county in new jersey. Together, these facilities serve more than 130,000 inpatients, 519,000 emergency patients and 3.7 million outpatient visits annually. Thomas jefferson university hospital is the largest freestanding academic medical center in philadelphia. Abington hospital is the largest community teaching hospital in montgomery or bucks counties. Other hospitals include jefferson hospital for neuroscience in center city philadelphia; methodist hospital in south philadelphia; and abington lansdale hospital in hatfield township; jefferson bucks hospital; jefferson cherry hill hospital; jefferson frankford hospital; jefferson stratford hospital; jefferson torresdale hospital; jefferson washington township hospital; magee rehabilitation hospital; and rothman orthopaedic specialty hospital. Thomas jefferson university enrolls more than 7,500 future physicians, scientists, nurses and healthcare professionals in the sidney kimmel medical college (skmc), jefferson colleges of biomedical sciences, health professions, nursing, pharmacy, population health and is home of the national cancer institute (nci)-designated sidney kimmel cancer center. Our mission: we improve lives. Our vision: reimagining health, education and discovery to create unparalleled value. Our values: the behaviors our employees demonstrate daily to patients and their fellow staff enable jefferson to continue achieve its mission. Jefferson's values define who we are as an organization, what we stand for, and how we continue the work of helping others that began here nearly two centuries ago. These values are: - put people first: service-minded, respectful & embraces diversity - be bold & think differently: innovative, courageous & solution-oriented - do the right thing: safety-focused, integrity & accountability awards & honors =============== jefferson university hospital”

“Certain reclassifications have been made to the prior year balances previously reported to conform to the current year presentation in the organization's audited consolidated financial statements. The restatement had no effect on the organization's net assets.”

“The organization is an affiliate within jefferson/jefferson health; a comprehensive professional university and tax-exempt integrated healthcare delivery system ("system"), with a tripartite mission of education, research and patient care. The system has a number of outstanding long-term obligated group debt liabilities, including the following bond issuances: - pennsylvania higher educational facilities authority series 2006b; - pennsylvania higher educational facilities authority series 2009a; - pennsylvania higher educational facilities authority series 2012; - pennsylvania higher educational facilities authority series 2012a; - pennsylvania higher educational facilities authority series 2012b; - pennsylvania higher educational facilities authority series 2015a; - pennsylvania higher educational facilities authority series 2015b; - pennsylvania higher educational facilities authority series 2015c-g; - pennsylvania higher educational facilities authority series 2015h; - philadelphia authority for industrial development series 2017a; - philadelphia authority for industrial development series 2017b; and - philadelphia authority for industrial development series 2017c. The bonds outlined above and various other long-term borrowings are allocated by thomas jefferson university; the tax-exempt parent of the system and sole member of various tax-exempt affiliates within the system, to the following system member hospitals and certain other affiliates. The balance sheet of these respective member hospitals and certain other affiliates reflects a tju obligated group liability. Accordingly, this tju obligated group liability is reflected on the balance sheet of the following subsidiary organizations: - thomas jefferson university hospitals, ein: 23-2829095 - tjuh system, inc., ein: 26-3026795 - jefferson university physicians, ein: 23-2809585 - abington health, ein: 27-1243803 - abington health foundation, ein: 23-2188052 - abington memorial hospital, ein: 23-1352152 - lansdale hospital corporation, ein: 26-3359979 - aria health, ein: 23-0596940 - aria health system, ein: 23-2239131 schedule k was prepared on a consolidated basis and is included in the form 990 of thomas jefferson university, ein: 23-1352651.”

“Other changes in net assets: - net acquisition by thomas jefferson university/jefferson health on july 1, 2016 - ($3,740,710); and - extraordinary loss on extinguishment of debt - ($597,548).”

“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, 2017 and june 30, 2016; respectively and issued a consolidated audited financial statement with consolidating schedules. An unqualified opinion was issued each year by the independent cpa firm. Tju'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.”