Civic Intelligence

Doylestown Health Physicians

990 • Fiscal year 2019 • EIN 23-2368197

Jul 01, 2018 to Jun 30, 2019 • Filed on Jul 13, 2020

595 West State StreetDoylestown, PA 18901

(215) 345-2242

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

100th percentile

7.19x

Higher debt load relative to assets than 100% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Liabilities / Revenue

64th percentile

0.63x

Higher debt load relative to revenue than 64% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Net Margin

10th percentile

-21%

Higher net margin than 10% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Top Officer Pay

96th percentile

$1,977,457

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 3.8% of source-year revenue.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2019

Asset Growth

2nd percentile

-26%

Faster asset growth than 2% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Revenue Growth

84th percentile

24%

Faster revenue growth than 84% of similar nonprofits.

2019 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2018 to 2019

Assets

Flat

$4,565,151

Flat from 2019

Net Assets

Flat

-$28,235,798

Flat from 2019

Liabilities

Flat

$32,800,949

Flat from 2019

Revenue

Flat

$51,813,881

Flat from 2019

Expenses

Flat

$62,676,707

Flat from 2019

Net Income

Flat

-$10,862,826

Flat from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$100M$50M$0-$50MAssets 2010: -$2,736,986Liabilities 2010: $640,586Net Assets 2010: -$3,377,5722010Assets 2011: -$4,154,892Liabilities 2011: $630,418Net Assets 2011: -$4,785,3102011Assets 2012: -$5,738,027Liabilities 2012: $518,022Net Assets 2012: -$6,256,0492012Assets 2013: $3,458,157Liabilities 2013: $1,236,537Net Assets 2013: $2,221,6202013Assets 2014: $2,679,720Liabilities 2014: $1,417,515Net Assets 2014: $1,262,2052014Assets 2015: $3,258,364Liabilities 2015: $2,667,933Net Assets 2015: $590,4312015Assets 2016: $3,110,502Liabilities 2016: $5,993,083Net Assets 2016: -$2,882,5812016Assets 2017: $3,844,323Liabilities 2017: $12,494,305Net Assets 2017: -$8,649,9822017Assets 2018: $6,130,359Liabilities 2018: $23,503,331Net Assets 2018: -$17,372,9722018Assets 2019: $4,565,151Liabilities 2019: $32,800,949Net Assets 2019: -$28,235,7982019Assets 2019: $4,565,151Liabilities 2019: $32,800,949Net Assets 2019: -$28,235,7982019Assets 2020: $6,302,925Liabilities 2020: $42,111,665Net Assets 2020: -$35,808,7402020Assets 2021: $20,467,499Liabilities 2021: $62,763,383Net Assets 2021: -$42,295,8842021Assets 2022: $18,604,607Liabilities 2022: $63,052,825Net Assets 2022: -$44,448,2182022Assets 2023: $20,287,520Liabilities 2023: $65,222,232Net Assets 2023: -$44,934,7122023

Highlighted filing

2019

Assets$4,565,151
Liabilities$32,800,949
Net Assets-$28,235,798

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MExpenses 2010: $8,524,8192010Revenue 2011: $7,282,226Expenses 2011: $8,689,964Net Income 2011: -$1,407,7382011Expenses 2012: $8,527,6112012Expenses 2013: $25,171,8602013Revenue 2014: $22,935,386Expenses 2014: $25,322,333Net Income 2014: -$2,386,9472014Revenue 2015: $25,888,387Expenses 2015: $29,390,533Net Income 2015: -$3,502,1462015Revenue 2016: $27,335,743Expenses 2016: $30,808,755Net Income 2016: -$3,473,0122016Revenue 2017: $33,404,329Expenses 2017: $39,171,730Net Income 2017: -$5,767,4012017Revenue 2018: $41,770,521Expenses 2018: $50,493,511Net Income 2018: -$8,722,9902018Revenue 2019: $51,813,881Expenses 2019: $62,676,707Net Income 2019: -$10,862,8262019Revenue 2019: $51,813,881Expenses 2019: $62,676,707Net Income 2019: -$10,862,8262019Revenue 2020: $52,540,610Expenses 2020: $69,313,552Net Income 2020: -$16,772,9422020Revenue 2021: $60,672,147Expenses 2021: $80,159,291Net Income 2021: -$19,487,1442021Revenue 2022: $68,893,760Expenses 2022: $86,646,094Net Income 2022: -$17,752,3342022Revenue 2023: $71,224,980Expenses 2023: $91,211,474Net Income 2023: -$19,986,4942023

Highlighted filing

2019

Revenue$51,813,881
Expenses$62,676,707
Net Income-$10,862,826
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jul 13, 2020
Return Version
2018v3.3
Gross Receipts
$51,813,881
Mission and Program Overview

Mission

Doylestown health ("health system") continuously improves the quality of life and proactively advocates for the health and well being of the individuals we serve. Please refer to schedule o for the organization's community benefit statement.

Doylestown health system ("system") continuously improves the quality of life and proactively advocates for the health and well being of the individuals we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$2,524,764$3,057,716▲ $532,952
Land, Buildings, and Equipment, Net$2,664,390$2,125,937▼ $538,453
Prepaid Expenses and Deferred Charges$61,653$68,283▲ $6,630
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Cash and Non-Interest-Bearing Accounts$0$-1,113,479▼ $1,113,479
Total Assets$6,130,359$4,565,151▼ $1,565,208
Other Assets Total$879,552$426,694▼ $452,858
Liabilities
Other Liabilities$20,348,023$29,021,167▲ $8,673,144
Accounts Payable and Accrued Expenses$3,155,308$3,779,782▲ $624,474
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$23,503,331$32,800,949▲ $9,297,618
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-17,372,972$-28,235,798▼ $10,862,826
Total Net Assets Fund Balance$-17,372,972$-28,235,798▼ $10,862,826
Total Liabilities and Net Assets / Fund Balance$6,130,359$4,565,151▼ $1,565,208

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$2,125,937$4,168,959$6,294,896
Other Assets Org$426,694--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joseph Auteri MdMedical Director - CardiacFT$982,790$55,599$1,038,389
Steven Guidera MdCardiologistFT$554,896$114,746$669,642
Sean Reinhardt MdCardiologistFT$577,994$53,272$631,266
Andrew Muston MdCardiologistFT$548,958$79,457$628,415
Kevin Lax MdCardiologistFT$542,903$77,374$620,277
Atul S Rao MdVascular SurgeonFT$493,489$125,427$618,916
Brett Harrison MdDirectorFT$317,998$79,804$397,802
Adam EdelsonExecutive DirectorFT$220,982$31,477$252,459

Board Members and Trustees

NameTitle
Joan ParleeChair - Director
James L Brexler FacheDirector - President & CEO
Joyce HansonVice Chair - Director
Dennis WalshDirector
Patrick CounihanDirector
Marianne E ChabotSecretary/treasurer - Director
Daniel L UptonVP & Chief Financial Officer
Scott S Levy MdVP & Chief Medical Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Norwood-mcmanus IiConstruction375 TECHNOLOGY DRIVE, Malvern, PA 19355$534,059
Doylestown UrologyMedical102 PROGRESS DRIVE, Doylestown, PA 18901$209,622
Anita PuglieseMedicalPO BOX 425, Somers Point, NJ 08244$109,752
Iss SolutionsHealthcare It Mgt2010 CABOT BLVD WEST, Philadelphia, PA 19191$105,880
Doylestown Dialysis CenterMedical708 N SHADY RETREAT ROAD, Doylestown, PA 18901$103,511
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$51,813,881
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-10,862,826
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$51,152,274
Other Expenses$11,524,433
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$44,259,905--$44,259,905
Occupancy$3,401,950--$3,401,950
Payroll Taxes$2,196,590--$2,196,590
Other Employee Benefits$2,174,570--$2,174,570
Current Officers, Directors, Trustees, and Key Employees$1,688,649--$1,688,649
Fees for Services Other$1,497,611--$1,497,611
Office Expenses$1,293,937--$1,293,937
Insurance$1,021,816--$1,021,816
Pension Plan Contributions$832,560--$832,560
Information Technology$640,038--$640,038
Depreciation Depletion$454,350--$454,350
Other Expenses$115,190--$115,190
Conferences and Meetings$114,457--$114,457
Travel$17,125--$17,125
Advertising$7,678--$7,678
Total Functional Expenses$62,676,707$0$0$62,676,707
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliated Entities$29,021,167
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7

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.

CORE FORM, PART VI, SECTION B; QUESTION 11B

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.

CORE FORM, PART VI, SECTION B; QUESTION 12

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.

CORE FORM, PART VI, SECTION B; QUESTION 15

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.

CORE FORM, PART VI, SECTION C; QUESTION 19

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

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.

Core Form, Part VII, Section A, Column B

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.

Filing and Contact Details

Filer

Filer Name
Via Affiliates
EIN
23-2368197
In Care Of
% DANIEL L UPTON
Phone
2153452242
Address
595 WEST STATE STREET, DOYLESTOWN, PA 18901

Signing Officer

Name
Daniel L Upton
Title
CFO
Phone
2153452242
Signed
2020-07-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James L Brexler Fache
Formed
1985
Legal Domicile
Pa
Voting Board Members
7
Independent Board Members
5
Employees
395
Volunteers
0

Preparer

Firm
WithumSmithBrown PC
Address
200 Jefferson Park Suite 400, Whippany, NJ 07981-1070
Preparer
Scott J Mariani
Phone
9738989494
Supplemental Narrative

Additional Explanations

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

Background ========== doylestown health system ("system") originated with the village improvement association of doylestown ("the 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 232 beds. In 1986, a corporate restructuring established doylestown hospital as a subsidiary corporation of the newly-created doylestown health foundation, both governed by the via. Several other entities were added over the years with doylestown hospital remaining the flagship of the system. Collectively, the system 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 surgery center and outpatient testing facilities at the health and wellness center - health connections by doylestown hospital healthcare concierge services at the warminster shoprite - childrens village early childhood education program - cb cares, in partnership with the central bucks school district today, 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, the system 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 serves as the fundraising arm of the system. Its governing body includes leaders from the via, the community, and the health system. The system promotes wellness and treats illness through connectivity with all parts of the comprehensive health system. Members of the executive committee of the foundations board of directors constitute, appoint and elect the members of the hospital board of directors. Each member of the system (with 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 in the code. Each organization within the system has its own board of directors which is responsible for establishing policies and planning for the unit. Doylestown hospital ------------------- as the flagship of the system, 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 all members of the community; 2) we strive for excellence in our services and programs; 3) we respect the dignity of every member of the community; 4) we provide value through high-quality, low-cost services; 5) we seek innovation and integration for continuous improvement; 6) we are compassionate; and 7) we are committed to the health and wellness education of our community. The hospital holds board members, a medical staff of 435 physicians in 50 specialties, 2,200 associates and nearly 1,000 volunteers accountable for incorporating these values into policies, behaviors, clinical practices and management decisions. Doylestown hospital has earned national recognition for quality

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

Doylestown hospital visiting nurse/hospice ------------------------------------------ the original health service of the system, 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, medical social work and nutritional consultations, 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. Doylestown hospital surgery center ---------------------------------- the doylestown hospital surgery center, located at the health & wellness center in warrington, is a fully-equipped, multi-specialty, same-day surgery facility. There are four state-of-the-art operating rooms and a treatment room for less invasive procedures. Via affiliates (dba 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 or included in the mission of other system entities. Doylestown health physicians include several primary care practices, general surgeons, cardiologists, neurologists and urologists. Community benefit activities ============================ the system 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 systems 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 childrens museum: the system 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. The systems exhibit, "hospital," opened in may 2015 and continues to attract area families to experience a doctors 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. 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. 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: the system and central bucks schools continue their partnership producing health matters, an educational program featuring expert guests from the system, 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 broa

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

19) community business sponsorships: throughout the year, doylestown hospital made cash donations to assist local 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, healthy 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. 20) 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. 21) 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. 22) library services at doylestown hospital: the hospital has an extensive library that is open to users from the community, including 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. 23) a.d.a.m. Health encylopedia: health information is the 3rd most popular search on the internet. The hospital has an extensive health library on its website with over 4,000 health and wellness articles and covers over 1,500 medical topics. The site has reference index and interactive tools. 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) cancer survivor day: this event was held by doylestown hospital for all cancer survivors and their family and friends. It was intended to provide pyschological support and a networking experience with other survivors and connect survivors with community resources. Over 220 people attended the event. Volunteer hours included physicians, nursing, clerical staff attending. 2) lifestyle lectures: this was a series of informal educational lectures offered to the community by members of the medical staff. The hospital coordinated the program, which helped over 2,000 community members. 3) driver safety program: this was a cooperative program with aarp that follows their rules for participation. We provide room for 151 participants and 12 classes. 4) community lectures: the hospital provided speakers for various community groups and organizations. Presenters for events utilized both staff and physicians. These programs improved the community's 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. 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) man to man prostate cancer support group education: this monthly program addresses issues and the struggles that face prostate cancer survivors and their families. 7) look good, feel better: this program provided support and resources for cancer patients undergoing chemotherapy. 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. 9) stroke support group: this monthly program addresses issues and

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

Maternity and parenting activities ---------------------------------- 1) baby well: this program educated 196 parents on how to care for their newborn. 2) 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. 3) breastfeeding education: this program provides an increased understanding of the benefits of breastfeeding, which leads to improved nutrition/health of infants. These meetings were held throughout the year. 4) childbirth classes: a program teaching the how-tos of childbirth served through 24 courses series every day of the week except friday. 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 nearly 10 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 information, which 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 2 girl scout troops. 5) bucks county down syndrome: space was provided for monthly meetings at children's village for the bucks county down 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 $30,000 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, christ's 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. 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) cancer survivor day: the system's cancer institute hosted a special pr

CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS

Outside group room usage ------------------------ the hospital provides free space for meetings to the following outside groups with a charitable mission: - 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. 1) health screenings: various individuals benefited from health screens. These activities 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. 2) skin cancer screening: this program screened patients with volunteer medical, nursing and clerical. 3) prostate cancer screenings: this program screened patients with volunteer medical, nursing and clerical staff. 4) lung cancer screenings: this program screened patients with volunteer medical, nursing and clerical staff. 5) cancer risk screenings: this program screened patients with volunteer medical, nurisng and clerical staff. 6) fall risk screenings: this program screened patients with volunteer medical, nursing and clerical staff. 7) influenza immunizations: doylestown hospital provided a community flu shot clinic. 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. The following is a list of the groups that held regular meetings at the hospital: - alateen - alcoholics anonymous - alzheimer's disease - arthritis - augustine fellowship - autism - better breathers club - blindness - breast cancer - building the family - caduceus - diabetes - down's syndrome interest - eating disorders anonymous - fibromyalgia - gamblers anonymous - icd (implantable defibrillator) - insulin pump - low vision - lyme disease - lymphedema - multiple sclerosis - ntm (nontuberculous mycobacterium) - nursing mothers - overeaters anonymous - parkinson's disease - pregnancy loss - prostate cancer - pulmonary hypertension - scleroderma - 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 -------------------

CORE FORM, PART XII; QUESTION 2

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, 2019 and june 30, 2018; 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.

Financial Statement Notes

Schedule D, Part X

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 issues audited consolidated financial statements which include all related entities; including this organization. The audited consolidated financial statements also contain consolidating schedules on an entity by entity basis. The following is the text of the footnote included in the system's audited consolidated financial statements for the year ended june 30, 2019 that reports the system's liability for uncertain tax positions under fin 48 (asc 740): a tax position is recognized or derecognized by the system based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. The system does not believe its consolidated financial statements include any material uncertain tax positions.

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IRS990/Form990PartVIISectionAGrp/TitleTxt10EXECUTIVE DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11CARDIOLOGIST
IRS990/Form990PartVIISectionAGrp/TitleTxt12CARDIOLOGIST
IRS990/Form990PartVIISectionAGrp/TitleTxt13CARDIOLOGIST
IRS990/Form990PartVIISectionAGrp/TitleTxt14VASCULAR SURGEON
IRS990/Form990PartVIISectionAGrp/TitleTxt15CARDIOLOGIST
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01985
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/FundraisingDirectExpensesAmt00
IRS990/FundraisingGrossIncomeAmt00
IRS990/GamingActivitiesInd0false
IRS990/GamingDirectExpensesAmt00
IRS990/GamingGrossIncomeAmt00
IRS990/GoverningBodyVotingMembersCnt07
IRS990/GrantAmt00
IRS990/GrantsPayableGrp/BOYAmt00
IRS990/GrantsPayableGrp/EOYAmt00
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt00
IRS990/GrantsToDomesticOrgsGrp/TotalAmt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt051813881
IRS990/GrossSalesOfInventoryAmt00
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0true
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt00
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt05
IRS990/IndivRcvdGreaterThan100KCnt093
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt0640038
IRS990/InformationTechnologyGrp/TotalAmt0640038
IRS990/InsuranceGrp/ProgramServicesAmt01021816
IRS990/InsuranceGrp/TotalAmt01021816
IRS990/IntangibleAssetsGrp/BOYAmt00
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/TotalAmt00
IRS990/InventoriesForSaleOrUseGrp/BOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt00
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/BOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt067
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt04168959
IRS990/LandBldgEquipBasisNetGrp/BOYAmt02664390
IRS990/LandBldgEquipBasisNetGrp/EOYAmt02125937
IRS990/LandBldgEquipCostOrOtherBssAmt06294896
IRS990/LegalDomicileStateCd0PA
IRS990/LoanOutstandingInd0false
IRS990/LoansFromOfficersDirectorsGrp/BOYAmt00
IRS990/LoansFromOfficersDirectorsGrp/EOYAmt00
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0true
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0DOYLESTOWN HEALTH SYSTEM ("SYSTEM") CONTINUOUSLY IMPROVES THE QUALITY OF LIFE AND PROACTIVELY ADVOCATES FOR THE HEALTH AND WELL BEING OF THE INDIVIDUALS WE SERVE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt00
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt00
IRS990/NetAssetsOrFundBalancesBOYAmt0-17372972
IRS990/NetAssetsOrFundBalancesEOYAmt0-28235798
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt00
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ProgramServicesAmt03401950
IRS990/OccupancyGrp/TotalAmt03401950
IRS990/OfficeExpensesGrp/ProgramServicesAmt01293937
IRS990/OfficeExpensesGrp/TotalAmt01293937
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0879552
IRS990/OtherAssetsTotalGrp/EOYAmt0426694
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt02174570
IRS990/OtherEmployeeBenefitsGrp/TotalAmt02174570
IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc1DUES & SUBSCRIPTIONS
IRS990/OtherExpensesGrp/Desc2REPAIRS & MAINTENANCE
IRS990/OtherExpensesGrp/Desc3OTHER EXPENSES
IRS990/OtherExpensesGrp/ProgramServicesAmt02705442
IRS990/OtherExpensesGrp/ProgramServicesAmt1167123
IRS990/OtherExpensesGrp/ProgramServicesAmt287716
IRS990/OtherExpensesGrp/ProgramServicesAmt3115190
IRS990/OtherExpensesGrp/TotalAmt02705442
IRS990/OtherExpensesGrp/TotalAmt1167123
IRS990/OtherExpensesGrp/TotalAmt287716
IRS990/OtherExpensesGrp/TotalAmt3115190
IRS990/OtherLiabilitiesGrp/BOYAmt020348023
IRS990/OtherLiabilitiesGrp/EOYAmt029021167
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt044259905
IRS990/OtherSalariesAndWagesGrp/TotalAmt044259905
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ProgramServicesAmt02196590
IRS990/PayrollTaxesGrp/TotalAmt02196590
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0832560
IRS990/PensionPlanContributionsGrp/TotalAmt0832560
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt00
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt061653
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt068283
IRS990/PrincipalOfficerNm0JAMES L BREXLER FACHE
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0541900
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0NET PATIENT SERVICE REVENUE
IRS990/ProgramServiceRevenueGrp/Desc1OTHER HEALTHCARE RELATED REVENUE
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt039835664
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt111978217
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt039835664
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt111978217
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt08518109
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt041770521

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$20.3$65.2$44.9$71.2$91.2$20.0
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.6$63.1$44.4$68.9$86.6$17.8
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.5$62.8$42.3$60.7$80.2$19.5
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.30$42.1$35.8$52.5$69.3$16.8
2019Detailed filing. Detailed filing data is available for this year.$4.57$32.8$28.2$51.8$62.7$10.9
2019Summary only. Only limited summary data is available for this year.$4.57$32.8$28.2$51.8$62.7$10.9
2018Summary only. Only limited summary data is available for this year.$6.13$23.5$17.4$41.8$50.5$8.72
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.84$12.5$8.65$33.4$39.2$5.77
2016Detailed filing. Detailed filing data is available for this year.$3.11$5.99$2.88$27.3$30.8$3.47
2015Detailed filing. Detailed filing data is available for this year.$3.26$2.67$0.59$25.9$29.4$3.50
2014Summary only. Only limited summary data is available for this year.$2.68$1.42$1.26$22.9$25.3$2.39
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.46$1.24$2.22$25.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.74$0.52$6.26$8.53
2011Summary only. Only limited summary data is available for this year.$4.15$0.63$4.79$7.28$8.69$1.41
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.74$0.64$3.38$8.52