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. Therefore, 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 governing entity of doylestown hospital and doylestown health foundation. Doylestown health foundation is the governing entity of v.i.a. Affiliates d/b/a doylestown health physicians. 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 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; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt governing entity of doylestown hospital and doylestown health foundation. Doylestown health foundation is the governing entity of v.i.a. Affiliates d/b/a doylestown health physicians. 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 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 GOVERNING ENTITY OF DOYLESTOWN HOSPITAL AND DOYLESTOWN HEALTH FOUNDATION. DOYLESTOWN HEALTH FOUNDATION IS THE GOVERNING ENTITY OF V.I.A. AFFILIATES D/B/A DOYLESTOWN HEALTH PHYSICIANS. 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.”

“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 governing entity of doylestown hospital and doylestown health foundation. Doylestown health foundation is the governing entity of v.i.a. Affiliates d/b/a doylestown health physicians. 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 key employees listed on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours reflected on core form, part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers and key employees, reflect total hours worked per week on behalf of doylestown health; not solely this organization.”

“DOYLESTOWN HEALTH BACKGROUND ============================ The Village Improvement Association of Doylestown ("VIA") 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 VIA 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 VIA. At this time, V.I.A. AFFILIATES D/B/A DOYLESTOWN HEALTH PHYSICIANS, also a subsidiary of Doylestown Health Foundation and governed by the VIA 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 VIA founded the Doylestown Emergency Hospital in 1923 but its health-centered roots trace back to 1895 as they coordinated efforts to eliminate unhealthy dust from the towns streets. This passion for public health evolved into the establishment of the first visiting nurse service in Doylestown. Over the years, the VIA 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 - Childrens 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 122nd year, the VIA oversees the operations of the system of affiliated members. The purposes of the VIA 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. THE MISSION OF DOYLESTOWN HEALTH ("Health System") is to continuously improve the quality of life and proactively advocate for the health and well-being of the individual we serve. The vision of the Health System is to enthusiastically pursue healthcare excellence through collaboration and innovation. For the fiscal year ending 6/30/16 the Health System accounts for three tax exempt affiliates: (1) Doylestown Health Foundation; (2) Doylestown Hospital; and (3) V.I.A. Affiliates, D/B/A Do”

“V.I.A. AFFILIATES D/B/A DOYLESTOWN HEALTH PHYSICIANS ("DHP") ------------------------------------------------------------ DHP 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, DHP has been involved with a number of initiatives. This organization supports the SERVICE core value of Doylestown Hospital. Doylestown Health: A system of healthcare services emphasizes proactive health and wellness in the community setting. The brand name "Doylestown Health" was adopted unanimously by the boards of Doylestown Hospital, Doylestown Health Foundation and the Village Improvement Association of Doylestown 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 healthcare 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 VIA 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 VIA hired visiting nurses to care for the sick and newborns in their homes. Doylestown Hospital was opened by the VIA 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 department, and centers for maternity and pediatric care. What makes it a complete health system are the interconnectedness of services and facilities organized under the Doylestown Health banner. Among the elements: nearly 300 retirement cottages and apartments of the Pine Run Community, skilled nursing and dementia care at Pine Run Health Center, assisted living at Pine Run Lakeview, daycare services at Childrens Village at Doylestown Hospital, and Health Connections, a community outreach service at the Cowhey Family ShopRite in Warminster. Outpatient laboratory services and a surgical center are located in the Health & Wellness Center, Warrington. Home Health and Hospice services are based in Plumstead Township. "As we look to our future, we are building on the successes of our past" Brexler said. "Among the most enduring aspects of our history is the partnership with our medical community, who sets the tone for clinical excellence and collaborates with all parts of the health system to create a continuum of care, from birth to end-of-life." The creation of the Doylestown Healthcare Partnership, jointly owned by individual physicians and the health system, is designed to further improve clinical and financial integration to improve the quality and delivery of healthcare. A strong emphasis is on preventive health services that not only encourage wellness, but anticipates illness to prevent acute episodes and hospital readmissions. To that end, the Doylestown Healthcare Partnership has created a tool that helps estimate the risk of a hospitalization or readmission for chronically-ill patients. The tool enables clinicians to be proactive in their outreach to patients at home. Overview: Doylestown Health =========================== Doylestown Health is a connected system of inpatient, outpatient and community services that include: Doylestown Hospital ------------------- Nationally and regionally recognized for”

“Doylestown Health Highlights ============================ 1) THE RICHARD A. REIF HEART INSTITUTE Doylestown Healths Richard A. Reif Heart Institute is a nationally-recognized cardiac program with capabilities ranging from patient education and preventive heart health programs to technically-advanced minimally-invasive valve replacements and delicate open-heart surgeries to a robust cardiac rehabilitation program. The Woodall Chest Pain Center, an extension of the Heart Institute, works with local ambulance services to ensure rapid treatment for heart attack even before a patient arrives in the Emergency Department. The Heart Institute is a regional leader in electrophysiology procedures offering a wide array of treatment options for the management of atrial fibrillation, and is one of only a few centers in the region providing the Convergent Procedure, an advanced care option for hard-to-treat arrhythmias. Recent technological innovations in heart care: The Watchman device is a new option for patients with Atrial Fibrillation who cannot tolerate anticoagulants approved by the FDA in March 2015 and deployed for the first time at Doylestown Hospital in February 2016. The device helps prevent a stroke without the side effects of a blood thinner. Transcatheter Aortic Valve Replacement (TAVR) is an advanced care option for patients needing a new aortic valve who cannot undergo traditional valve-replacement surgery. TAVR is performed by the Heart Institutes multidisciplinary team of cardiac specialists that includes cardiologists, cardiac surgeons, interventional cardiologists and radiologists. Doylestown Hospital was the first in the state to use the medtronic reveal linq instertable cardiac monitor (ICM) - which is 80% smaller than other ICMs. This wireless monitor provides long-term remote monitoring to help physicians diagnose and monitor irregular heartbeats. - Mission: Lifeline Gold Plus for heart attack treatment; - Get With The Guidelines Resuscitation Silver Award; - Heart Failure Gold Plus Award (fourth consecutive year); and - Blue Distinction Center of Excellence. 2) 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 Hospitals ED was the recipient of the 2015 Guardian of Excellence Award from Press Ganey Associates. The ED received this award for the fourth consecutive year. It recognizes top-performing facilities that consistently achieve the 95th percentile of performance in patient satisfaction. 3) STROKE SERVICES The stroke program took a significant leap forward through partnership with regional Emergency Medical Services to call a stroke alert from the field before ambulances arrive at the hospital, giving the care team a head-start in preparing for the patients arrival. The partnership greatly reduced the time it takes for a patient to receive a potentially-lifesaving clot busting drug stroke and increased the number of patient receiving the treatment. The hospitals partnership with regional EMS earned the Health Care Improvement Foundations 2015 Delaware Valley Patient Safety and Quality Award, presented in March 2016. Working with cardiac interventionalists, the stroke program also instituted a new procedure to mechanically retrieve clots causing a stroke via intra-arterial thrombectomy. This procedure was previously done in academic centers by neurointerventionalists, but combination of training and equipment makes”

“Doylestown Hospital continually strives for low ratio for early birth intervention such as early inductions, C-section rate and episiotomy. The early delivery of a baby has potential for serious health problems. In an ideal pregnancy, babies are born after 39 weeks of gestation. Early induction or C-section are medically-indicated only when the health of the baby or mother is at risk. Prenatal care of mother and child by experienced OB/GYNs or nurse midwives is an important factor in achieving a full-term birth. Della-Penna Pediatric Center: The Della-Penna Pediatric Center celebrated its first anniversary in October 2015. The center treats common conditions and enables young patients and their families to remain close to home during treatment. The six-bed unit is staffed by board-certified pediatricians and nurse practitioners in addition to pediatric nurses. 7) SURGICAL SERVICES Doylestown Hospital is a natural destination for a variety of surgical services from the common to the complex with highly-skilled, board-certified and nationally recognized surgeons and robust inpatient and outpatient surgical volumes. Robotic surgery, available at Doylestown Hospital since 2007, enables single-site surgeries for the removal of gall bladders and hysterectomies. Laparoscopic and minimally-invasive techniques speed recovery for patients who require colon resections or hernia repairs. Multi-disciplinary teams of surgeons offer revolutionary procedures such as nipple-sparing mastectomies. 8) IMAGING SERVICES The most advanced MRI technology available, designed for patient comfort. The 3T MRI with Ambient Experience at Doylestown Hospital combines the most advanced MRI technology available while improving the patient experience with enhanced features. Patients can customize their experience, choosing their own lighting, animation and sound. - Double the magnet strength (Results in the best image quality available); - Special lighting, animation and sound (Patients select soothing "theme"); - Larger opening (Creates more room above and beside you, and most MRI scans can be performed feet first a comfort to patients, especially those with claustrophobia or anxiety); - Faster imaging and shorter time for completion of study; - Child-friendly (Choose from themes specifically designed for children); and - Convenient location (Just steps away from the connected parking garage). 9) MEDICAL RESEARCH AND CLINICAL TRIALS Doylestown Hospital offers access to world-class treatments through both inpatient and outpatient medical research and clinical trials. There are more than 60 clinical trials underway at Doylestown Hospital, many for the treatment of cardiac conditions, including both new medicines and devices, with more than 800 patients involved in the past five years. There are nearly a dozen active cancer studies for breast, prostate, bladder, renal, lymphoma and malignant melanoma, in addition to two genetic studies (breast and testicular). These trials and studies are in concert with organizations such as the National Institutes of Health, Centers for Medicare and Medicaid Services, and Harvard, Duke, Yale and Penn universities. 10) PINE RUN HEALTH CENTER Our skilled nursing facility is situated on the 43-acre Pine Run Retirement Community campus near the border of Doylestown and New Britain townships. Major renovations on this multi-story, 90-bed facility were completed in Spring 2015. The Health Center serves many purposes, from short-term rehabilitation to long-term care, with private rooms and family friendly visiting areas, a choice of dining options and a clinic available for the day-to-day care of Pine Run Villagers residing on campus. AWARDS AND ACCREDITATIONS ========================= Doylestown Hospital ------------------- - Doylestown Hospital has The Joint Commissions Gold Seal of Approval for accreditation by demonstrating compliance with standards for healthcare quality and safety; and - Listed among the countrys 100 Most Wired”

“7) Ann Silverman Community Health Clinic: The mission of the Clinic is to provide free medical care, dental care and social services to any eligible person who seeks its help. The target population is low income, underinsured or uninsured residents of Bucks County. The hospital provided the Clinic with offices and exam rooms at a nominal charge. The Foundation assisted in some of the health needs of the patients that go beyond the resources of the Clinic with a contribution of $40,000. Other donations include medical lab testing, as well as senior managements time contributing to the Clinics Board. During FY15-16 there were 3,188 visits to the medical program for 1,042 individual adults and children. There were 875 treatment visits and 218 hygiene visits for the dental program for 298 adults and children. There were 1,124 visits provided through the Social Service Program including 292 Medical Assistance and CHIP insurance applications. There were 373 prescriptions filled from donated samples and 285 applications completed for Prescription Assistance Programs, as well as 94 free mammograms at a cost to the Hospital of $79,413. 8) Community Education Calendar: Doylestown Hospital published a quarterly calendar which is distributed to 246,000 households. This calendar lists communications related to health education programs and classes. The approximate cost of this publication is $182,855. Advertisements are in local newspapers which inform the community members about upcoming health education classes, physician lectures, support groups and other health education activities. In addition, Doylestown Hospital publishes a regular blog, Twitter and Facebook posts on a variety of topics. An additional 2,500 e-newsletters are also sent. The cost to produce and distribute these newsletters was $81,786. 9) Community Garden: Childrens Village, CB Cares and Doyle Elementary School collaborated to create a community garden to help young people plan, tend and harvest fresh vegetables. Produce was donated to a local womens shelter and other families in need. 10) Doylestown Health Connections: This is a collaborative program between Doylestown Health and community partners, such as the Cowhey Family (ShopRite of Warminster) Health Connections is an in-store health resource center created to benefit the community. This convenient location makes health information accessible and personal for the prevention of illness, and helps residents find the appropriate care when the need arises. The goal of Health Connections is to motivate the community to adopt healthier lifestyles. 11) Medicaid Application Preparation for all Uninsured PA Residents: Doylestown Hospital offers all uninsured PA residents the option of filing a Medicaid application. HRSI is the Hospitals vendor and they help our patients through the process. The Hospital is charged $475/application, if the applicant obtains eligibility. HRIS has successfully obtained eligibility for 138 uninsured patients. For this process, the Hospital paid HRSI $65,550, staff time cost incurred of $23,608. Cost of Trans Union Monthly fees totally $12,342 for the fiscal year. 12) Lenape Valley Health Foundation: This organization provides psychiatric coverage and clinical supervision for Unit Patients and psychiatric consultation services in the Hospitals Emergency Department. This is a cost to the hospital of $374,234. 13) Foundation Fund Raising Program: The Foundations fund raising program requested unrestricted gifts for this fiscal year that would enable Doylestown Hospital to continue its mission of a responsive, healing environment for patients and their families. Gifts benefited many departments of the hospital, especially the Heart Institute, Hospice and the Cancer Center. Special events included a silent auction to benefit the Cancer and Hospice programs, a Heart Brunch, and a golf outing. The Planned Giving program was successful, including the growth of the charitable gift annuity program. 1”

“3) Driver Safety Program: This was a cooperative program with AARP that follows their rules for participation. We provide room for 281 participants and 12 classes, which amounted to $1,250 in hospital donated costs. 4) Community Lectures: The Hospital provided speakers for various community groups and organizations. Presenters for events utilized both staff and physicians. The value of staff and volunteer time and resources was $147,681 and the session helped 35,000 community individuals. These programs improved the communitys health and quality of life through education. 5) Breast Cancer Support Group: Provided opportunities for educational and emotional support for breast cancer survivors and their families. The Hospital provided education to 300 persons per month at a cost of $3,044. 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". Costs incurred for these events were $3,346. 6) Man to Man Prostate Cancer Support Group Education: This monthly program addresses issues and the struggles that face prostate cancer survivors and their families. 240 persons served per month at a cost of $2,198. 7) Look Good, Feel Better: This program provided support and resources for cancer patients undergoing chemotherapy. 90 individuals attended and $1,114 was the value of staff and volunteer time and resources. 8) 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, two 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. Over 3,000 were educated with these programs, at a cost of $11,680 to the hospital. 9) Stroke Support Group: This monthly program addresses issues and the struggles that face stroke survivors and their families. 144 persons served per month at a cost to the Hospital of $2,569. 10) Joint Replacement PreOp Education: This program is presented 9 times through the year. This lecture addresses issues and concerns as well as what to expect both pre & post op and discharge of a joint replacement. 525 persons served this year at a cost to the Hospital of $15,493. 11) Walk with a Doc: Doylestown Health brought the national walking and education program, "Walk With A Doc", to Doylestown in July 2015. The monthly programs have been popular ever since, with community members benefiting from short health lectures by various physicians followed by an energizing walk around the Doylestown Hospital campus. Walks continue year-round, with special events in January and February (American Heart Month). The programs help motivate individuals to continue exercise for better health. Over 300 persons participated with a cost to the Hospital of $18,744. 12) 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. This program served over 50 people with a cost to the Hospital of $512. 13) Cancer Survivor Day: Doylestown Healths Cancer Institute hosted a special program in honor of National Cancer Survivors Day to celebrate survivorship and those who have supported them along the way. Dr Don Thomas, astronaut and author of Orbit of Discovery, presented the program. "Overcoming Obstacles and Reaching for the Stars." The event was free and open to the public. Over 50 people attended. 14) 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. 15) Student Internship Summer Prog”

“6) Child Development: This program was in cooperation with the Central Bucks School District. High school students toured the LDRP Unit. They viewed and discussed familys 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. The program was presented on two dates, with 215 participants, including 1 teacher at a value of $6,231. 7) Grand parenting Classes: This program prepared grandparents-to-be on how to be support their children as they start their own family. 68 individuals attended the course, with a cost to the Hospital of $2,203 for the 6 classes. 8) Prenatal Refresher Classes: This program refreshed nearly 10 parents-to-be, who already have delivered other children, on the childbirth experience. $2,077 in staff time was devoted to this for 6 classes during the year. 9) Sibling Education Classes: A program designed to lessen a childs feelings of anxiety and jealousy. There were 72 participants in 10 classes during the year at a cost to the Hospital of $3,696. School Age Activities --------------------- 1) Parenting and Babysitting Education: This is a cooperative program with Child, Home and Community, Inc. The hospital provided room for the educational course. 188 individuals were given babysitting instruction at a cost of $5,000 to the Hospital. 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 hospitals 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. Over 200 children came through the Teddy Bear Clinic at the hospital. Donated materials and staff time is valued at $2,840. 4) Girl Scouts: The hospital provided meeting space for 2 Girl Scout Troops. Meeting space was valued at $5,400. 5) Bucks County Down Syndrome: Space was provided for monthly meetings at Childrens Village for the Bucks County Down Syndrome group. Meeting space was valued at $750. 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. Meeting space is valued at $2,400 annually. 7) Bereavement Group Meetings: Space is provided monthly for these meetings at C.V. and is valued at $5,400. Leadership Activities --------------------- The Hospital President/CEO devoted $25,000 worth of 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, Delaware Valley Healthcare Council, March of Dimes, Hospital Association of PA, Christs Home, Delaware Valley University, Shriners and Bucks County Boys Club. The Vice-President of Development was also involved in contributing time to activities that benefit the community including: Ann Silverman Community Health Clinic, CB Cares, The American Red Cross, the Central Bucks Chamber of Commerce and the Doylestown Business and Community Alliance. Doylestown Hospitals managers also contribute their leadership and expertise to a variety of community boards, agencies, and projects. During 2015-2016, a value of $140,000 in managers time was given, often during work time, to help some of the following community organizations: - 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 Housi”

“7) Influenza Immunizations: Doylestown Hospital provided a community flu shot clinic in the fall of 2015. The value of this time to serve 877 individuals was $4,715. Vaccines were provided by the Bucks County Health Department. Support Group & Self-Help Programs ---------------------------------- Support groups are offered at no charge to the community, and a member of the hospital staff leads many. 663 conference room hours and 127 professional hours of support were provided to more than 3,200 community members. This amounted to $36,960 donated in space and professional staff time and hospital materials. The following is a list of the groups that held regular meetings at the hospital: - Alcoholics Anonymous - Alateen - Better Breathers Club - NTM (Nontuberculous Mycobacterium) - CADUCEUS - Eating Disorders Anonymous - Fibromyalgia - Autism - Insulin Pump - Lymphedema - Nursing Mothers - Parkinson's Disease - Prostate Cancer - Stroke - Pulmonary Hypertension - Alzheimer's Disease - Augustine Fellowship - Breast Cancer - Down's Syndrome Interest - Building the Family - Low Vision - Gamblers Anonymous - ICD (Implantable Defibrillator) - Lyme Disease - Multiple Sclerosis - Overeaters Anonymous - Pregnancy Loss - Scleroderma - Blindness - Diabetes - Arthritis Volunteer Programs ------------------ Doylestown Hospital enjoys the generous contribution of time and talent from community volunteers, starting at the minimum 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. Throughout the year, 894 volunteers contributed 125,855 hours of service to their community through opportunities in every hospital department. Volunteers significantly enhance patient and family support in the following service categories: - Addressing and Collating - Cancer Institute - Childrens 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 In total, $127,234 worth of meals was given to our volunteers free of charge. Because the hospital wants to provide exceptional opportunities for community members to offer time and talent to support the VIAs mission to excellent local healthcare, $476,000 in salaries was budgeted for recruitment, orientation, management, retention and recognition of volunteers in patient transport, the gift shop, and throughout the patient services areas. Charity Care to Community Members --------------------------------- Doylestown Hospital and The Pine Run Community provides free medical care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Unreimbursed charges from Medical Assistance programs on behalf of patients that meet the hospitals charity care criteria are also considered charity care. The Fiscal Year 2016 total for charity care is $10,122,229. Summary of Total Community Benefit Contribution Community Outreach and Benefit Activities $3,401,894 Educational Programs $532,325 Maternity and Parenting Activities $364,040 Teaching Programs $709,800 Cash $72,000 In-Kind Contributions $50,000 Volunteer Programs $127,250 Subsidized Health Services $2,355,038 Charity Care to Community Members $10,122,229 ----------- Total $17,734,576 Addendum: Doylestown Hospital State of Program and Services =”

“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 governing entity of doylestown hospital and doylestown health foundation. Doylestown health foundation is the governing entity of v.i.a. Affiliates d/b/a doylestown health physicians. 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, 2016 and june 30, 2015; 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 consolidated financial statements and the selection of an independent auditor.”