Doylestown Health Physicians

“Doylestown health foundation ("dhf") is the sole member of this organization. Village improvement association of doylestown ("viad") is the sole member of dhf. Viad 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; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt controlling entity of doylestown hospital and doylestown health foundation. Doylestown health foundation controls v.i.a. Affiliates. 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. 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 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 and this organization's board of directors.”

“The organization is an affiliate within doylestown health; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt controlling entity of doylestown hospital and doylestown health foundation. Doylestown health foundation controls v.i.a. Affiliates. All organizations are affiliates within the system. 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 executive assistant to the president/chief executive officer of the system who gathers, inventories and files the completed questionnaires. Thereafter, a summary of the completed questionnaires which contains information disclosed on an individual by individual basis is prepared and reviewed by the system's chief accounting officer and president/chief executive officer. This summary is then presented to the organization's board of directors who reviews and makes decisions on how to handle conflicts of interest and associated mitigating behavior to be taken by the organization if necessary.”

“THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT CONTROLLING ENTITY OF DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION. DOYLESTOWN HEALTH FOUNDATION CONTROLS V.I.A. AFFILIATES. 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 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 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 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 PRESIDENT/CHIEF EXECUTIVE OFFICER AND 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.”

“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.”

“THE ORGANIZATION IS AN AFFILIATE WITHIN DOYLESTOWN HEALTH; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). VILLAGE IMPROVEMENT ASSOCIATION OF DOYLESTOWN IS THE TAX-EXEMPT CONTROLLING ENTITY OF DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION. DOYLESTOWN HEALTH FOUNDATION CONTROLS V.I.A. AFFILIATES. ALL ORGANIZATIONS ARE AFFILIATES WITHIN THE 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 the same as reflected on this form 990. 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 DOYLESTOWN HEALTH; NOT SOLELY THIS ORGANIZATION.”

“V.I.A. HEALTH SYSTEM BACKGROUND =============================== The Village Improvement Association of Doylestown (V.I.A.) was founded in 1895 with the health and beauty of the community of Doylestown as its primary concerns. In response to community needs, the Visiting Nurse service was established in 1916, and in 1923 the V.I.A. opened the first Doylestown Hospital, which it continued to own and operate as it grew and relocated until 1986. In 1986, a corporate restructuring established Doylestown Hospital as a subsidiary corporation of the newly created Doylestown Health Foundation, both governed by the V.I.A. At this time, V.I.A. Affiliates, also a subsidiary of Doylestown Health Foundation and governed by the V.I.A., now doing business as Doylestown Health Physicians, was formed. These corporate changes facilitated each corporation focusing more precisely and efficiently on its mission. Great orchestras require exceptional talent, an array of finely tuned instruments and a skilled conductor to perform complex symphonies with excellence. Great healthcare organizations are much like great orchestras. Highly competent talent, comprehensive facilities and services, superior execution and flawless coordination of effort are all required to deliver excellence in patient care. From the start, we have been a community centered organization focused on improving the health of our community. The Village Improvement Association of Doylestown (V.I.A.) founded the Doylestown Emergency Hospital in 1923 buts its health-centered roots trace back to 1895 as they coordinated efforts to eliminate unhealthy dust from the town's streets. This passion for public health evolved into the establishment of the first visiting nurse service in Doylestown. Over the years, the V.I.A. continued to address the health needs of our community by expanding or developing new services that comprise Doylestown Health and collectively include: - Doylestown Hospital - Doylestown Health Physicians - Doylestown Hospital Surgery Center and outpatient testing facilities at the Health and Wellness Center - Doylestown Hospital Home Health Care - Doylestown Hospital Hospice - Health Connections by Doylestown Hospital - healthcare concierge services at the Warminster ShopRite - Pine Run Health Center - Pine Run Lakeview Personal Care - Pine Run Retirement Community - Children's Village - early childhood education program - CB Cares, in partnership with the Central Bucks School District 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 our medical staff, we anticipate providing enhanced and expanded services, achieving even greater accomplishments and a healthier community. In its 121st year, the V.I.A. oversees the operations of the system of affiliated members. The purposes of the V.I.A. have been consistent throughout its history: - to encourage and promote public health and wellness; - to improve the health and welfare of the residents of Doylestown and greater Central Bucks County; - to provide food, clothing, shelter, and medical and surgical care and nursing to the indigent of the community without charge, insofar as hospital resources will permit; - to own, manage, support, and maintain a visiting nurse service and community hospital for the benefit of all persons; and - to raise funds for and to receive and hold all property that may be given to the Association to accomplish its mission. For the fiscal year ending 6/30/15 the V.I.A. Health System accounts for three tax exempt affiliates in this narrative: (1) Doylestown Health Foundation; (2) Doylestown Hospital; and (3) V.I.A. Affiliates, D/B/A Doylestown Health Physicians. Described below are the charitable missions of these entities. V.I.A. HEALTH SYSTEM MISSIONS ============================= Mission Statement The ("Hea”

“Pine Run serves the surrounding community as a non-profit continuing care retirement community by offering a continuum of services at its facilities which includes 296 independent living units (the Village) on 42 acres of land in Doylestown; a 107-bed skilled nursing facility and 40-bed personal care facility (the Health Center), and a 107-bed personal care facility (Lakeview), located on a separate, 7.5 acre campus in Doylestown. Pine Run strives to be a progressive, resident-focused community, full of vitality and enthusiasm, promoting independence and wellness. Through a culture of wellness, Pine Run is dedicated to the promotion of holistic care and services for Villagers and Residents. The Village, located approximately three miles from the Hospital, consists of garden cottages set in clusters and a multi-unit apartment building, as well as a community center, dining room, store, library, and other amenities. Maintenance, security, housekeeping, utilities, dining, recreational, cultural, transportation and fitness services are provided for the Villagers. The Health Center, located on the same campus as the Village, provides transitional care for short-stay nursing and rehabilitation residents, with skilled nursing care and comprehensive therapy programs; a personal care Alzheimer's/Dementia Program for those with impaired memory; long-term care for residents requiring on-going custodial care; short-term respite care to allow home-based care givers to take a vacation or trip; and hospice care for end-of-life care. Lakeview, a personal care facility, was purchased by Doylestown Hospital in 1998 and added to the Pine Run family of facilities. It offers personal care accommodations in private suites and companion suites, with supportive services and enhanced programming for those with memory impairment. This personal care residence is three and a half (3.5) miles from the Pine Run Village, and two blocks from the main hospital. V.I.A. AFFILIATES ----------------- V.I.A. Affiliates D/B/A Doylestown Health Physicians, was reactivated in 1994 to bring to the residents of the Central Bucks community necessary community-based services that may not otherwise be available or included in the mission of other system entities. In order to meet the needs of community members, the V.I.A. Affiliates has been involved with a number of initiatives. This organization supports the SERVICE core value of Doylestown Hospital. Doylestown Health: New Name, Renewed Focus on Health and Wellness effective fiscal year ended June 30, 2015 The brand name "Doylestown Health" was adopted unanimously by the boards of Doylestown Hospital, Doylestown Health Foundation and the Village Improvement Association to describe the health system, renew the focus, and pay tribute to 120 years of community outreach. Doylestown Health is comprised of Doylestown Hospital, Pine Run Community, physician practices, outpatient services, surgical center, nursing home and home health. "Expectations of health care are moving away from the treatment of illness to fostering health and wellness for patients, families and communities," said Jim Brexler, President and CEO of Doylestown Health. "We are building on an illustrious past to be a leader in the shifting healthcare market of the future." "It is poetically ironic that we undertake this bold transition from illness to wellness on the eve of the 120th year of the founding of the Village Improvement Association." The V.I.A. was founded by a group of women in 1895 who organized themselves to improve the health of their community. Early in the 20th century, the V.I.A. hired visiting nurses to care for the sick and newborns in their homes. Doylestown Hospital was opened by the V.I.A. in 1923 with eight beds and a mission to provide emergency and maternity care. Today, Doylestown Hospital has a national reputation for healthcare excellence; institutes for heart, cancer and orthopedic services; a state-of-the-art emergency departmen”

“EMERGENCY SERVICES The Emergency Department (ED) remains among the most technologically advanced and equipped ED units in the region. With over 44,000 patients including nearly 8,000 pediatric patients, the Department offers a breadth of care options to the community 24 hours a day. Excellence and speed of critical care is paramount and is notable when treating heart attack and stroke. The unit is home to the Woodall Chest Pain Center for the rapid assessment of heart attack and also collaborates with Jefferson Hospital neuroscience specialists and its Jefferson Expert Teleconsulting system for emergency diagnosis and treatment of stroke. Doylestown Hospital's ED was the recipient of the 2014 Guardian of Excellence Award from Press Ganey Associates. The ED received this award for the third consecutive year. It recognizes top-performing facilities that consistently achieve the 95th percentile of performance in patient satisfaction. THE ORTHOPEDIC INSTITUTE Our dedicated orthopedic physicians and staff offer complete care - before, during and after procedures for a full range of movement. Our focus is on keeping joints, bones and muscle healthy. When surgery is necessary, there are innovative, rapid-recovery options available through the Doylestown Accelerated Surgical Healing Program. Our patients recover from total joint replacement surgery in weeks, not months, with rehabilitation occurring before and after surgery for the best outcomes. We provide a well-established sports medicine team with many of our physicians serving as team doctors for regional high schools. Other areas of expertise include shoulder joint replacement as an emerging specialty, and surgeries of the hand, spine and rotator cuff. - Certified by The Joint Commission for total hip and knee joint replacement - Blue Cross Blue Shield Center of Distinction THE CANCER INSTITUTE Accredited by the American College of Surgeons Commission on Cancer, The Cancer Institute provides quality care from board-certified physicians and oncology-certified practitioners. This experienced team provides comprehensive, coordinated care centered on cancer prevention and screening, diagnosis, medical oncology, radiation oncology, surgery and survivorship and support programs. As an integrated partner with Penn Radiation Oncology and the Penn Cancer Network, The Cancer Institute demonstrates excellence in community outreach, clinical services, quality improvement and research. Cancer Institute Highlights: Breast Care New Breast Center - The Breast Center of Doylestown Hospital offers comprehensive breast cancer and well-breast care. From early detection through advanced screening options to complex surgical treatments including breast-sparing techniques, the Center is a resource for total breast health. New mammography protocols specific to breast density were incorporated by the Women's Diagnostic Center. In addition to mammography, ultrasound and MRI can help find breast cancers that cannot be seen on a mammogram. Designated as a Breast Imaging Center of Excellence by the American College of Radiology (ACR). Gastrointestinal Cancers Endoscopic Ultrasound (EUS) This new procedure offers advanced endoscopy care close to home. EUS combines endoscopy with ultrasound technology to create a more detailed view of the gastrointestinal tract and surrounding tissue and organs. Using EUS, physicians can diagnose conditions that can be missed by other imaging modalities and can obtain biopsies in a less invasive manner with higher accuracy. Lung Cancer The Cancer Institute established a low-dose CT lung cancer screening program for asymptomatic patients who meet the established criteria, with the goal of earlier detection, more accurate diagnoses and more effective treatments for lung cancer. Endobronchial ultrasound (EBUS) is now available at Doylestown Hospital to biopsy, diagnose and stage lung cancer. In the past, to perform lung cancer biopsy an inpatient surgical procedure called medias”

“Doylestown Hospital ------------------- - Doylestown Hospital has The Joint Commission's Gold Seal of Approval for accreditation by demonstrating compliance with standards for health care quality and safety. - Listed among the country's 100 Most Wired Hospitals and Health Systems. Cardiology - American College of Cardiology's NCDR ACTION Registry-GWTG Platinum Performance Achievement Award. - Chest Pain Center W/PCI from the Society of Cardiovascular Patient Care. - Mission: Lifeline Heart Attack Receiving Center Accreditation, sponsored by the American Heart Association and the Society of Cardiovascular Patient Care. - Get With The Guidelines Heart Failure Gold-Plus Quality Achievement Award from the American Heart Association/American College of Cardiology Foundation. - Independence Blue Cross Blue Distinction Center+ Cardiac Care. - Joint Commission Certification for Heart Failure. Emergency Department - Recipient of the 2014 Guardian of Excellence Award from Press Ganey Associates, Inc. Stroke - Get With The Guidelines-Stroke Gold-Plus Quality Achievement Award and Target: Stroke Honor Roll (Get With The Guidelines American Heart Association/American Stroke Association). - Advanced Certification for Primary Stroke Centers by The Joint Commission, in conjunction with The American Heart Association/American Stroke Association. Orthopedics - Joint Commission certifications for hip and knee replacements. - Blue Distinction Center+ in Knee and Hip Replacement by Blue Cross and Blue Shield. Cancer - The Commission on Cancer (CoC) of the American College of Surgeons (ACoS) granted Three-Year Accreditation with Commendation. - National Accreditation Program for Breast Centers Accreditation. Home Health/Visiting Nurse - Doylestown Hospital Home Health is in the Top 500 of the HomeCare Elite, a compilation of the top-performing home health agencies in the United States. Maternity - The International Board of Lactation Consultant Examiners (IBLCE) and International Lactation Consultant Association (ILCA) have recognized Doylestown Hospital for excellence in lactation care with the IBCLC Care Award. 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 --------------------------------------- American Red Cross Donation: The Hospital provides space on a weekly basis for a blood donation program conducted by the American Red Cross that benefits patients and the community. Hospital space is valued at $15,000. Bucks County Children's Museum: Doylestown Health opened a permanent educational exhibit at the Bucks County Children's Museum in May 2015 entitled "Hospital." The exhibit offers fun and educational activities for children and their families such as experiencing a doctor visit, exploring an ambulance and learning about the hospital environment. 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. BCHIP addresses: maternal and child health issues, mental health concerns, coordination of health promotion and prevention (notably tobacco and cardiovascular risk reduction), supports CHIP enrollment, domestic violence prevention and provides adult health and dental clinics for underserved populations. The Foundation contributed $20,000 to a common fund, from which these projects were supported. 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. The value of space, utilities”

“Hospice Program Support: The Hospice Program provided caregivers for respite care in the homes of terminally ill patients, and contacted bereaved people over the phone throughout the year after the death of a loved one. This program is valued at $5,017. Bereavement Support: The Bereavement Support Program provided support for bereaved and hospice families. There are various types of bereavement support groups that take place monthly in order to meet the needs of all types of losses. These programs are offered all year round and have a Chaplain and other professional staff in attendance. The Hospital served 1,100 community members, at a value of $27,230. "How to Cope" Programs: There were events held at various churches and organizations to discuss topics of coping with the loss of a loved one at the Holidays, "Who am I now" and having conversations before the crisis, valued at $10,770. Pulse Line: A phone line that is dedicated for community information, registration and referral. Hospital staff screened applicants and referred patients with primary care and specialist physicians. They also referred eligible patients to the Free Clinic of Doylestown. Estimated staff time was 1,040 hours (20 hours/week for 2 operators) valued at $24,632. Doylestown Clinical Network (DCN): The DCN facilitates seamless transfer of clinical information provider-to-provider to improve the quality of care for members of the Doylestown Community. There is an estimated 12,510 hours of paid Associate time. An estimated cost of $245,500 for phone lines, maintenance, depreciation, etc. and an estimated cost of $81,000 for Administration. An estimate of direct offsetting revenue of $65,000. The outcome for the community is the serving of approximately 480,000 persons. Collaboration occurred between Doylestown Hospital and the Bucks County Physician Hospital Alliance (BCPHA). Scholarship Assistance: 29 scholarships are supported by the Foundation through restricted gifts. These scholarships, totaling $44,500 are awarded to men and women pursuing nursing, allied health, paramedic, and other training. Ben Wilson Senior Center Newsletter: Four times a year a staff member from Community relations assists with the preparation of a newsletter for the Ben Wilson Senior Center in Warrington by supplying health and wellness information and editorial oversight. We then print 3,000 copies at a value of $215. Staff time of 12 hours/issue valued at a total of $499, for the four issues. Community Business Sponsorships: Throughout the year, Doylestown Hospital has made cash donations to assist local businesses, non-profits and cultural organizations provide 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 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. The total amount donated for sponsorships is $130,000. 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. 45 hours were donated at a cost of $4,768. 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 Life" and Hospice Programs. 50 paid hours and 10 donated hours at a cost of $4,942 plus refreshments and handouts at a cost of $75. 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 Ho”

“Cancer Roadmap - Q&A for the Newly Diagnosed Patient: This program describes the process to the newly cancer diagnosed. There is a one-on-one with an oncology nurse, social worker and volunteer survivor to discuss a treatment plan, expectations and available resources for positive coping. 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. Student Internship Summer Program: This program with Students of the Gwynedd Mercy Cardiovascular Technology Program, Bucks County Community College Nursing Program and Kettering College Echo Program. The students spend 2 weeks observing procedures in Cardiac Services, Echo and the Cath Lab to help them decide where they would like to focus their educational/career and education. The value of this program is $151,504 for support staff, physicians and professional staff time. Student Internship Radiology Program: 4 students from Bucks & Montgomery County Community College's Radiologic Technology Program, attend the Hospital's Department of Radiology on a rotation basis. Students learn clinical skills that are important to their educational process. Radiographers at the Hospital serve as clinical instructors for the students on a one to one ratio. Doylestown Hospital does not receive a financial reward for this agreement. The cost of this program to the Hospital is $116,811. There is also an intern program for 1 student with the Ultrasound Department. The cost of this program is $21,856. Allied Health RCIS College Intern Program: Students work with a Doylestown Hospital Cardiac Rehab Associate, developing their skills such as reading physician reports, collecting information for first visit patients, assessing skills, documenting meds, exercise evaluations, evaluating outcomes and discharging patients. For the student college training, this is a mandatory clinical experience program. The cost of this program to the hospital is $466,417. Smoking Cessation Program: Programs were held using CDC Resources "Cleaning the Air". 28 individuals were given help in quitting the habit smoking. The hospital's overall contribution is valued at $750. Pine Run Programs: These programs were held at Pine Run for the community, including a Wellness Food Drive, donated school bags to the Bucks County Intermediate Unit, as well as distributing Bibles and Prayer Materials. Maternity and Parenting Activities ---------------------------------- Baby well: This program educated 230 parents on how to care for their newborn. $5,645 in staff time was devoted towards 24 community programs. Healthy Beginnings Program: This is a program to bring prenatal health to the underserved in the Community. This is mostly the ones without the ability to pay or those who have not yet enrolled or who are enrolled in Medicaid. Much of our program deals with high risk patients and those with substance abuse problems. There is a Physician, a social worker and a dietician, as well as two nurses who run the program. The cost of this program was $447,720. Breastfeeding Education: This program provides an increased understanding of the benefits of breastfeeding, which leads to improved nutrition/health of infants. 236 individuals attended the 24 lectures that were held throughout the year. The cost to the hospital is about $6,736. Childbirth Classes: A program teaching the how-tos of childbirth served 570 people at a cost of $55,177 to the hospital through 23 courses series every day of the week except Friday. Tours of the Birthing Center were also given at a cost to the hospital of $1,554. Teen Parenting Education: This is a cooperative program with Child, Home and Community, Inc. The hospital provided room for the educational course. 100 individuals were given free Childbirth instruction and 52 attended a support group called Building the Family. $4,600 is the value of the meeting space. Child Dev”

“- Lenape Valley Shriner's Club - Literacy Academy of BC IU - March of Dimes - Middle Bucks Institute of Tech. Advisory - Professionals Working with seniors - Springfield Township (Supervisor/Planning) Teaching Programs ----------------- Doylestown Hospital supports medical, nursing, allied health, and hospital management programs. The following is a list of schools that sent students to the hospital for practicums, clinical rotations, and/or preceptorships: - Arcadia University - Bloomsburg University - Bucks County Community College - DeSales University - Drexel University/Hahnemann College - Gwynedd Mercy College - Immaculata University - Kettering College - LaSalle University - Montgomery County Community College - Penn State University - Philadelphia College of Osteopathic Medicine - Salus University - Sanford Brown Institute - Starr Technical Institute - SUNY Brockport - Temple University - Thomas Jefferson University - Upper Bucks Technical Institute - Ursinus College - Villanova University Doylestown Hospital served as a clinical rotation site for medicine, physician assistant, entry and advanced nursing levels, pharmacy, radiologic technology, cardiac services and exercise physiology. All patient care areas were utilized in the education of these students. The costs of teaching the 558 students were at least $466,417. Pre-Med Volunteer Program: This program has been developed by the Hospital Medical Staff and Volunteer Department. It is a ten-week program starting in late May. It is supervised by the Hospital's Director of Volunteer Services and is coordinated with a special seminar program conducted by the Doylestown Hospital's Medical Staff to introduce the students to selected phases of a medical career. Students participating in the program are expected to give the Hospital a minimum of 100 hours of volunteer time in various patient related services during the course. The aim of the program is to give pre-medical students first-hand hospital experience to acquaint them with a total community hospital picture. This program brings into focus the work and responsibility of the physician in a modern hospital complex. We had 10 students in this program. Outside Group Room Usage ------------------------ The hospital provides free space for meetings to the following outside groups with a charitable mission. There were 270 individuals benefitted at a cost of $9,200: - Ann Silverman Family Health Community Clinic - Bucks County Autism Support Coalition - Bucks County Intermediate Unit - Bucks County Health Improvement Partnership - Bucks County Medical Society - Lenape Valley Foundation - National Alliance for the Mentally Ill Health Screenings & Immunizations --------------------------------- The hospital conducts health screens and supported immunizations for various community members. Health Screenings: During the year, 732 individuals benefited from health screens. Staff time donated to this effort is estimated at $9,064. Activity improves the health of the community in general, specific groups of people, helps contain healthcare costs and/or improves the quality of life for all members of our community. The following is a list of health screening and immunization activities: Skin Cancer Screening: This program screened 43 Patients with volunteer medical, nursing and clerical staff totaling $1,644. Prostate Cancer Screenings: This program screened 27 patients with volunteer medical, nursing and clerical staff totaling $8,000. Lung Cancer Screenings: This program screened 58 patients with volunteer medical, nursing and clerical staff totaling $1,252. Stroke Risk Screenings: This program screened 250 patients with volunteer medical, nursing and clerical staff totaling $1,231. Influenza Immunizations: Doylestown Hospital provided a community flu shot clinic in the fall of 2013. The value of this time to serve 49 individuals was $300. Vaccines were provided by the Bucks County Health Department. Support Group & Self-Help Pr”

“- Endoscopy - Gastroenterology - Pulmonology - Enterostomal Therapy (Inpatient and Outpatient) - Nursing Home Consultation - Wound Management - Continence Care - Food and Nutrition Services - Weight Management classes (adults and children) - Nutritional Assessment and Counseling - Patient Meal Services - General Medicine - Allergic Diseases - Cardiology - Dermatology - Endocrinology - Family Medicine - Gastroenterology - Infectious Disease - Internal Medicine - Hematology - Obstetrics & Gynecology - Nephrology - Neurology - Oncology - Pathology - Pediatrics - Physical Medicine/Rehabilitation - Psychiatry - Pulmonary - Rheumatology - Hemodialysis - Infection Control - IV Therapy - PICC (Peripherally Inserted Central Catheter) - Laboratory Services - Autodonation - Blood Bank - Chemistry - Cytology - Hematology - Histology/Pathology - Microbiology - Urinalysis - Magnetic Resonance Imaging (MRI) - Maternity Services - Antenatal Testing - Baby Bracelets (maternal/infant visiting nurse) - Labor and Delivery - Maternal/Child Care - Neonatology - Prenatal Testing - Post-partum Care - Prepared Childbirth Education - Special Care Nursery (Level II) - Well Baby Nursery - Medical Research - Clinical Trials - Oncology (Inpatient and Outpatient) - Outpatient Infusion Services - Pastoral Care Services - Lay Chaplain - Pharmacy - Radiology Services - CT Scanner - PET/CT Scanner - Diagnostic Radiology - Invasive and Special Procedures - Nuclear Medicine - Ultrasound - Rehabilitation Services (Inpatient and Outpatient) - Brain Injury - Cardiac Rehabilitation - Cognitive Remediation - Electromyography - Lymphedema Therapy - Hand Therapy - Nerve Conduction Studies - Occupational Therapy - Physical Therapy - Speech Therapy - Swallowing Test - Respiratory Services - Pulmonary Function Testing - Pulmonary Rehab - Case Management/Social Services - Psychosocial Assessments - Counseling - Complex Discharge Planning - Crisis Intervention - Financial Counseling - Adoption Options Counseling - Patient and Family Education - Information and Referral - Surgical Services (Inpatient and Outpatient) - Acupuncture - Cosmetic - Dentistry - General - Nerve Blocks - OB/Gyn - Ophthalmology - Oral/Maxillofacial - Orthopedics - Otolaryngology - Pediatric Dentistry - Plastic Surgery - Post-Anesthesia Care Unit - Pre-Admission Testing - Same Day Surgery (nerve blocks) - Urology - Vascular - Telemetry / Progressive Care - Visiting Nurse/ Home Care - Adult and Infants (up to 1 year) Skilled Home Health Services - Nursing - Physical Therapy - Occupational Therapy - Speech Therapy - Social Services - Home Health Aides - Baby Bracelets (maternal/infant visiting nurse) - Comprehensive Hospice Program - Women's Diagnostic Center - Bone Densitometry - Mammography - Stereotactic Breast Biopsy”

“Other changes in net assets or fund balance includes: - net equity transfer from related internal revenue code section 501(c)(3) tax-exempt affiliates; $2,830,372.”

“The organization is an affiliate within doylestown health; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt controlling entity of doylestown hospital and doylestown health foundation. Doylestown health foundation controls v.i.a. Affiliates. All organizations are affiliates within the system. An independent cpa firm audited the consolidated financial statements of the taxpayer and all controlled entities 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. Doylestown hospital's finance committee assumes responsibility for oversight of the audit of its financial statements and the selection of an independent auditor.”