Via Affiliates

“Doylestown health foundation ("the foundation") governs via affiliates dba doylestown health physicians and the foundation is governed by the village improvement association of doylestown. Therefore, the village improvement association of doylestown has the ultimate authority and 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 doylestown health system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. All organizations are affiliates within the system. The organization's federal form 990 was provided to each voting member of its governing body, its board of directors, for review prior to filing with the internal revenue service ("irs"). The hospital's finance committee has 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 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 system ("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 organization's internal working group for review. The organization'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 organization's internal working group for final review and approval prior to providing a copy to each voting member of the board of directors of doylestown hospital, this organization's board of directors and filing with the irs.”

“The organization is an affiliate within doylestown health system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. All organizations are affiliates within the system. The organization and system regularly monitor and enforce 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 chief accounting officer and reviewed on a yearly basis with the chief compliance officer.”

“The organization is an affiliate within doylestown health system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. All organizations are affiliates within the system. The foundation's board of directors has an executive compensation committee ("committee"). The committee has adopted a written executive compensation philosophy which it follows when it reviews and approves of the compensation and benefits of the organization's senior management, including the president & chief executive officer and vice president & chief financial officer. The committee reviews the "total compensation" of the individuals which is intended to include both current and deferred compensation and all employee benefits, both qualified and non-qualified. The committee's review is done on at least an annual basis and ensures that the "total compensation" of senior management of the organization is reasonable. The actions taken by the committee enable the organization and system to receive the rebuttable presumption of reasonableness for purposes of internal revenue code section 4958 with respect to the total compensation of certain members of the senior management team, including the president & chief executive officer and vice president & chief financial officer. 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 compensation committee meetings during which the executive compensation and benefits was reviewed and subsequently approved. The actions outlined above with respect to the committee and the establishment of the rebuttable presumption of reasonableness only applies to certain senior management personnel, including but not limited to the including the president & chief executive officer and vice president & chief financial officer. The compensation and benefits of certain other individuals contained in this form 990 are reviewed annually by the president & chief executive officer with assistance from the organization's human resources department in conjunction with the individual's job performance during the year and is based upon other objective factors designed to ensure that reasonable and fair market value compensation is paid by the organization. Other objective factors include market survey data for comparable positions, individual goals and objectives, personnel reviews, evaluations, self-evaluations and performance feedback meetings.”

“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 this organization or a related organization and not for services rendered as a voting member or officer of this organization's board of directors.”

“Joseph auteri, m.d. Is a key employee of this organization. Dr. Auteri is employed by this organization and provides licensed medical services, as well as, non-clinical services. During 2019, this organization was not required to file a form 4720 for any remittance of excise tax related to dr. Auteri because the portion of his compensation attributable to non-clinical services was not in excess of $1m and thus exempt from excise taxes as provided for under internal revenue code section 4960.”

“The organization is an affiliate within doylestown health system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. All organizations are affiliates within the system. The system includes both for-profit and not for-profit organizations. 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 and key employees, reflect total hours worked per week on behalf of the system; not solely this organization.”

“Doylestown health background ============================ doylestown health originated with the village improvement association of doylestown (via), founded in 1895 with the health and beauty of the doylestown community its primary concerns. The via established a visiting nurse service in 1916, and opened the first doylestown emergency and maternity hospital in 1923. The original 8-bed hospital was expanded to 14 beds and replaced with a new 25-bed facility in 1939 that was subsequently expanded to 129 beds. The hospital moved to its current location in 1975 and occupies 62 acres and 611,000 square feet of buildings. It is licensed for 271 beds. In 1986, a corporate restructuring established doylestown hospital as a subsidiary corporation of the newly-created doylestown health foundation d/b/a doylestown health, which is governed by the via. Several other entities were added over the years with doylestown hospital remaining the flagship of doylestown health. Collectively, doylestown health is comprised of the following: doylestown hospital, which includes: - pine run retirement community - pine run health center - pine run lakeview personal care - doylestown hospital home health care - doylestown hospital hospice - doylestown hospital outpatient testing facilities at the health and wellness center - health connections by doylestown hospital - healthcare concierge services at the warminster shoprite - children's village - early childhood education program - via affiliates d/b/a doylestown health physicians and its subsidiary corporation, dh physicians ambulatory services, which also owns the doylestown health urgent care center - cb cares, in partnership with the central bucks school district and the central bucks ymca. Today, under the doylestown health banner, we gather all elements of our health system to expand beyond episodic care to community health and a continuum of coordinated care, from birth to end-of-life. In partnership with over 425 physicians on the hospital's medical staff, doylestown health has earned national recognition for the delivery of high-quality, complex health care while promoting wellness in the communities we serve. Doylestown health foundation ---------------------------- the doylestown health foundation d/b/a doylestown health serves as both the governing body and fundraising arm of doylestown hospital and via affiliates d/b/a doylestown health physicians. Its board of trusteess include officers of the village improvement association of doylestown, serving ex officio, trustees appointed by the via president and certain others, who include leaders from the via, the community, and doylestown hospital, including physicians. Doylestown health promotes wellness and treats illness through connectivity with all parts of its comprehensive health system. Members of the executive committee of the foundation's board of trustees constitute the members of the hospital and of dh physicians. Each corporation governed by doylestown health (with the exception of doylestown health & wellness center, inc.) are pennsylvania nonprofit corporations which have been determined by the internal revenue service to be exempt from the payment of federal income taxes under section 501(a) of the internal revenue code, as amended, by reason of being an organization described in section 501(c)3 of the code. Each corporation governed by doylestown health has its own board of trustees which is responsible for establishing policies and planning for that corporation, under the governance of the foundation. Doylestown hospital ------------------- as the flagship of doylestown health, doylestown hospital has the longest history and most diverse components to meet its mission to continuously improve the quality of life and proactively advocate for the health and wellbeing of the individuals we serve. As a values-based organization, doylestown hospital makes a public commitment to seven core service values: 1) we serve the community; 2)”

“Doylestown hospital visiting nurse/hospice ------------------------------------------ the original health service of doylestown health, visiting nurse/hospice is a critical component in the continuum of care, from birth to end-of-life. The doylestown hospital home health team is comprised of skilled professionals in nursing, physical therapy, speech therapy, occupational therapy, and medical social work, working together to deliver high quality home care services. The hospice team offers high quality care designed to provide sensitivity and support for people who are terminally ill. Our goal is to enable individuals to live as fully and comfortably as possible at home or in a home-like setting such as a care facility. We are committed to providing excellence in every aspect of care to those who place their trust in us. The hospice philosophy believes that through appropriate care, patients and families will be free to attain a degree of physical, mental and spiritual preparation for death that is comforting to them. Via affiliates (d/b/a doylestown health physicians) --------------------------------------------------- the majority of physicians on the doylestown hospital medical staff are independent practitioners. Doylestown health physicians is a subsidiary of the foundation that employs physicians for necessary community-based services that might not otherwise be available. Doylestown health physicians include several primary care practices, hospitalists, general surgeons, heart and vascular surgeons, cardiologists, neurologists, urologists, gasterenterologists, gynecologic oncologists and others. Doylestown health community benefit activities ============================================== doylestown health is devoted to the community it serves, and it sponsors and coordinates many charitable activities, which, described in the narrative below, identifies what is done daily by the health system's associates and volunteers. Community outreach & benefit activities --------------------------------------- 1) american red cross donation: the hospital provides space on a monthly basis for a blood donation program conducted by the american red cross that benefits patients and the community. 2) bucks county children's museum: doylestown health continues to offer a variety of child-friendly educational programs at the museum, including presentations on dental health, summer safety, the five senses and more. Doylestown health's exhibit, "hospital," opened in may 2015 and continues to attract area families to experience a doctor's visit, explore an ambulance and learn about the hospital environment with hands-on activities. 3) bucks county health improvement partnership: the bucks county health improvement partnership (bchip) is a collaborative effort among doylestown hospital and the other five hospitals in the county, also including the bucks county medical society and the bucks county department of health. This collaboration works to identify gaps in health services and to improve the health status of the community. Program efforts include; covid-19 collaboration, advance care planning, and tobacco & vaping cessation and advocacy. Additionally, bchip has identified mental health is a priority and supports the bcares program to improve services for patients with substance abuse disorder. 4) cb cares: both the doylestown hospital and the doylestown health foundation support the team with board members who provide leadership, fundraising and human resource skills. 5) cbtv: doylestown health and central bucks schools continue their partnership producing health matters with doylestown health, an educational program featuring expert guests from doylestown health, the school district and the community. The show brings to light timely topics of interest to local families, and is produced and filmed by students studying broadcasting at cb south high school, who also act as co-hosts and help develop questions for the panel of guests. Recent”

“20) community business sponsorships: throughout the year, doylestown hospital made cash donations to assist local non-profits and cultural organizations providing programs and activities that improve and/or enhance the overall quality of life for the greater central bucks community. We believe that one way to keep community members safe, health and vibrant is by supporting the numerous community and non-profit business groups that are the fabric of our community and by participating in special programs and events that benefit a broad spectrum of community residents. 21) visiting nurse program free support: the visiting nurses made visits to families without insurance. Clinics were held at the center square towers, yorktowne manor and buckingham springs, which are all senior living complexes. 22) hospice programs: mailings and telephone contact to other community service organizations, such as beelong adult day services, bayada nurses in hatboro & bucks county office, the manor at yorktown, to name a few, as well as healthcare organizations to offer information and education regarding "end of lifehospice programs. 23) library services at doylestown hospital: the hospital has an extensive library that is open to users from the community, other than medical staff, associates and volunteers of the hospital. Physicians that have privileges at the hospital as well as honorary/emeritus medical staff make up the largest group of users. 24) clothing donation: doylestown hospital set up a "tree of warmth" which brought together warm gloves, hats, scarves and more for the women and children at "a woman's place." educational programs -------------------- 1) lifestyle lectures: this was a series of 300 informal educational lectures offered to the community by members of the medical staff, health educators and dieticians. The hospital coordinated the program, which helped over 2,000 community members. 2) community lectures: the hospital provided speakers for various community groups and organizations. Organizations included places of worship, fire departments, rotary clubs, libraries, senior centers, local parks, and more. Presenters for events utilized both staff and physicians. These programs improved the community's health and quality of life through education. 3) participation at community events: provided education materials and people to staff table events for frequent held by community. Events include, but are not limited to, congress senior expos, community day wellness fairs, fraternal health events, chamber health events, and more. 4) mental health series: doylestown health provides mental health education and monthly series to community members to increase awareness of mental health resources. By allowing questions and answers at the end, these events provide free time with psychiatrists and physicians who treat mental health which allows more personal questions to be answered. This improves and meets the community health needs by increasing knowledge and getting community members set up with providers to start treatment. 5) breast cancer support group: provided opportunities for educational and emotional support for breast cancer survivors and their families. Additional programs sponsored by the hospital for cancer support were four cancer educational programs (psychological support program, breast cancer and emotional support program, nutrition program and "basket bingo". 6) look good, feel better: this program provided support and resources for cancer patients undergoing chemotherapy. 7) nutrition presentations: programs were held throughout the year to provide education on nutrition to promote optimal health and diabetes awareness. Locations included: several churches, senior communities, high schools and various women's and men's groups, menu evaluation for yorktown manor, health fair displays for ymca and many local elementary schools. 8) stroke support group: this monthly program addresses issues and the struggles that fac”

“5) child development: this program was in cooperation with the central bucks school district. High school students toured the ldrp unit. They viewed and discussed family's admission from birthing room to postpartum room to the nursery. Discussions were held on newborns and basic development, including icn & types of infants admitted at doylestown hospital. 6) grand parenting classes: this program prepared grandparents-to-be on how to be support their children as they start their own family. 7) prenatal refresher classes: this program refreshed parents-to-be, who already have delievered other children, on the childbirth experience. 8) sibling education classes: a program designed to lessen a child's feelings of anxiety and jealousy. School age activities --------------------- 1) parenting and babysitting education: this is a cooperative program with child, home and community, inc. The hospital provided for the educational course. 2) school district programs: doylestown hospital works with central bucks high schools to welcome topps and work-based learning special needs students to experience jobs within the hospital's dining services. The goal is to prepare the students for employment once out of school. 3) teddy bear clinics: children in the community were exposed to the emergency department and ambulance in a fun environment. The experience taught them to not be frightened in the event they may need emergency services. 4) girl scouts: the hospital provided meeting space for girl scout troops. 5) bucks county down's syndrome: space was provided for monthly meetings at children's village for the bucks county down's syndrome group. 6) focus on motherhood: family home and community childbirth classes for teen parents meet at c.v. Every monday evening to prepare for childbirth. Instruction is also provided for infant care, health & nutritional and life skills. 7) bereavement group meetings: space is provided monthly for these meetings at c.v. Leadership activities --------------------- the hospital president/ceo devoted his time to community benefit activities including, but not limited to, the bucks county health improvement partnership, ann silverman community health clinic, chamber of commerce, hospital association of pa, christ's home, and delaware valley university. The vice-president of development was also involved in contributing time and efforts that benefit the community by supporting the following aligned charities: village improvement association of doylestown (via), ama chhroi foundation of hope, doylestown historical society, mercer museum, michener museum, central bucks chamber of commerce, ann silverman community health clinic, and various fundraisers and community events across the county. 1) lung cancer prevention - great american smokeout: this program provides information on the prevention of lung cancer and the damage smoking has on your health. Information was provided through brochures, web assisted programs were introduced and toll free resources were also provided. 2) i can cope: this program was an educational series that addressed topics such as cancer and treatment, managing side effect, emotional concerns, fatigue and energy conservation and proper nutrition. Doylestown hospital's managers also contribute their leadership and expertise to a variety of community boards, agencies, and projects, which include, but are not limited to the following: - advocacy speeches - american cancer society - american heritage fcu - american red cross blood drive - ann silverman community health clinic - bucks co. Hospital decon task force - bucks co. Quality child care coalition - bucks co. Mh/mr advisory board - boys scouts of america - bucks county housing group - bucks co. Health improvement partnership - cb chamber of commerce - central bucks ministerium - cb christian women's club - child, home and community, inc. - central bucks family ymca - cb cares - community outreach center - delaware valley university senio”

“Support group & self-help programs ---------------------------------- support groups are offered at no charge to the community, and a member of the hospital staff leads many. The following is a list of the groups that held regular meetings at the hospital: - alcoholics anonymous - alzheimers - arthritis - bereavement - better breathers - blood cancer - brain cancer - breast cancer - building the family - caduceus - cancer bereavement - colorectal cancer - coslaa - diabetes - fibromyalgia/chronic fatigue - gamblers anonymous - gynecological cancer - heart failure - icd (implantable defibrillator) - insulin pump - living with cancer - low vision - lyme disease - multiple sclerosis - my spouse has cancer - ostomy - pancreatic cancer - parkinsons - pregnancy loss - prostate cancer - resolve infertility - scleroderma - scsa - slaa - stroke volunteer programs ------------------ doylestown hospital enjoys the generous contribution of time and talent from community volunteers, starting at the mimimum age of 15. Volunteer opportunities benefit the community by providing, for many community members, a place to go or a way to feel needed, thus preventing a variety of social problems. The volunteer program allows some members of the community to help others, not through their dollars but through their donated time. In addition, the hospital is a place for community members to reach out to help friends and neighbors or to fulfill court-mandated community service obligations as volunteers. Volunteers significantly enhance patient and family support in the following service categories: - addressing and collating - cancer institute - children's village - dietary menu - emergency department - gift shop/cart - hospitality cart - hospice - information desks - mail or messenger - pastoral care - animal assisted therapy - radiology information desk - snack bar - surgery waiting area - patient transport - interventional radiology - cardiac rehab - pulmonary rehab - medical research - via maternity center - "no one dies alone" program because the hospital wants to provide exceptional opportunities for community members to offer time and talent to support the via's mission to excellent local healthcare, salaries were budgeted for recruitment, orientation, management, retention and recognition of volunteers in patient transport, the gift shop, and throughout the patient services areas. Financial assistance to community members ----------------------------------------- doylestown hospital and the pine run community provides free medical care to patients who meet certain criteria under its financial assistance policy without charge or at amounts less than its established rates. Unreimbursed charges from medical assistance programs on behalf of patients that meet the hospital's financial assistance criteria are also considered financial assistance. Addendum: doylestown hospital program and services ================================================== - associate health services - behavioral health service (eap & crisis services) - cardiac and neurological services (diagnostic cardiac catheterization, non-invasive diagnostic testing services, interventional cardiology procedures and eps studies: pacemakers, device implantation, ablation) - cardiovascular surgery (cabg, valve replacements/repairs) - critical care units (med/surg critical care, cardiovascular critical care) - diabetes education (inpatient and outpatient): nutrition education and counseling - emergency services (crisis intervention, observation/holding unit, sane (sexual assault nurse examiner) program, domestic violence) - endoscopy (gastroenterology, pulmonology) - enterostomal therapy (inpatient and outpatient, nursing home consultation, wound management and continence care) - food and nutrition services (weight management classes: adults and children, nutritional assessment and counseling and patient meal services) - general medicine (allergic diseases, cardiology, dermatology, endocrinolo”

“Impact of covid-19 ------------------ doylestown health is an independent, comprehensive healthcare system, providing hospital inpatient care and outpatient services; home care and hospice; skilled nursing care; assisted living; physician practice; and wellness education, connected to meet the health needs of all members of the local and regional community. Like many healthcare providers across the united states, doylestown health (dh) is responding to the current outbreak of covid-19. We activated our emergency operations plan on tuesday, march 17, and the incident command structure continues to meet seven days a week to assess the changing situation and direct responses. Preparations for this crisis began in january, including research and monitoring of national expert sources; screening in our emergency room and board education. From the start, our highest priority has been, and continues to be, protecting the safety of our patients and the dh associates who serve them. Because of the uncertainty and evolving nature of the covid-19 pandemic, the full impact of this emergency on doylestown health's financial position and operations (including regulatory requirements, federal and state funding, reduced revenue stream, constraints on operations, higher cost of resources) cannot be determined at this time. As we continue our response and proactively plan for the days and weeks ahead, there is continued evolution of our plans and responses based on the best available information. Some of this is the result of our own experience; much is based on the experiences of other organizations as well as guidance from the centers for disease control (cdc) and departments of health (doh). Doylestown health emergency operations have included the following proactive steps to mitigate risk and improve patient care: - full cooperation with local, state and federal officials. - proactive collaboration with area hospitals and health systems. - immediate and on-going implementation of cdc guidelines for protecting patients and staff from exposure. - revision of policies and procedures at the hospital, pine run community and physician practices to minimize exposure risk. - significant efforts to decompress the volume of individuals coming into the organization, and to allow for support of emergent tasks. - one of the first hospitals in the region to limit visitors. - postponing all discretionary surgeries and procedures as well as all non-emergent diagnostic and therapeutic services. - the first hospital in bucks county to establish drive-through testing. - screening of everyone entering buildings across the health system. - attention on rationing resources to ensure adequate personal-protective equipment. - use of tele-medicine across the doylestown health network. - focus on expanding bed capacity in preparation for potential surge. - masking all associates ahead of other facilities to minimize healthcare workers from contracting the virus and diminish the spread. - opening of a 20-bed mobile mash unit, to accommodate additional covid-19 related volume. - expansion of bio-decontamination technology. - dedicated nursing units for those patients in need of covid-19 care. - re-allocation of beds in preparation for surge of coronavirus patients. - close monitoring of cash reserves and proactive efforts to support liquidity. - efforts with vendors to ensure adequate supplies and to extend payment terms. - application for interim and advanced payment from medicare; appeals to include other third party insurance companies. - knowledge expansion and application to all financial support and resources available at federal, state and local levels. - preparation to report financial impact to government officials and to obtain public assistance. - expansion of working capital line of credit. - every individual dh associate is essential; dh has preserved income and benefits for our workforce, so that we are well prepared for any kind of surge of covid-19 pati”

“Other changes in net assets include: - transfer from doylestown hospital; a related internal revenue code section 501(c)(3) tax-exempt organization - $9,200,000.”

“The organization is an affiliate within doylestown health system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. All organizations are affiliates within the system. An independent cpa firm audited the consolidated financial statements of the system for the fiscal years ended june 30, 2020 and june 30, 2019; respectively and issued a consolidated financial statement with consolidating schedules by entity. An unmodified opinion was issued each year by the independent cpa firm. Doylestown hospital's finance committee assumes responsibility for oversight of the audit of its consolidated financial statements and the selection of an independent auditor.”

“The organization is an affiliate within doylestown health system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. All organizations are affiliates within the system. The system engaged an independent accounting firm to prepare and issue a system wide consolidated audit under the single audit act and omb circular a-133.”