Doylestown Health Physicians

“Doylestown health foundation ("the foundation") governs via affiliates dba doylestown health physicians and the foundation is governed by the village improvement association of doylestown. Therefore, the village improvement association of doylestown has the ultimate authority and right to elect the members of this organization's board of directors and has certain reserved powers as defined in this organization's bylaws.”

“The organization is an affiliate within doylestown health system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. 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 and filing with the irs.”

“The organization is an affiliate within doylestown health system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. The organization and system regularly monitor and enforce compliance with its conflict-of-interest policy. Annually, all members of the board of directors, officers and senior management personnel are required to review the existing conflict of interest policy and complete a questionnaire. The completed questionnaires are returned to the chief accounting officer and reviewed on a yearly basis with the chief compliance officer.”

“The organization is an affiliate within doylestown health system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. 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 system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. The hours reflected on core form, part vii of this form 990, for individuals who receive compensation for services rendered in a non-board capacity, paid officers and key employees, reflect total hours worked per week on behalf of the system; not solely this organization.”

“Doylestown hospital background ============================== doylestown hospital was founded by the village improvement association of doylestown (via), established in 1895 to address the health and beauty needs of the doylestown community. 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 now licensed for 247 beds. In 1986, a corporate restructuring established doylestown hospital as a subsidiary corporation of the newly created doylestown health foundation d/b/a doylestown health, which is governed by the via. Several other entities were added over the years with doylestown hospital remaining the flagship of doylestown health. Collectively, doylestown health is comprised of the following: doylestown hospital, which for most of 2023 includes: - pine run retirement community - pine run health center - pine run the garden memory care - pine run lakeview personal care - doylestown hospital home health care - doylestown hospital hospice - doylestown hospital emergency care - doylestown hospital outpatient testing - d r cardiology llc which doylestown hospital owns 50% and is the managing member - covered bridge reciprocal risk retention group ("cbr rrg") a wholly owned risk retention group - doylestown hospital outpatient testing facilities at the health and wellness center - children's village - early childhood education program - via affiliates d/b/a doylestown health physicians which includes primary, speciality and urgent care practices and its subsidiary corporation, dh physicians ambulatory services today, doylestown hospital is a part of a comprehensive healthcare system of inpatient, outpatient, and wellness education services connected to meet the health needs of the local and regional community. The flagship of doylestown health, doylestown hospital, is an independent, not-for-profit, community hospital with 247 beds and medical staff of more than 435 physicians in over 50 specialties. Renowned locally, regionally, and nationally, doylestown hospital provides superior healthcare and offers advanced surgical procedures, innovative medical treatments, and comprehensive specialty services. Doylestown hospital is consistently ranked one of the best hospitals in both quality and patient safety. Doylestown health foundation ---------------------------- the doylestown health foundation d/b/a doylestown health serves as both the governing body and fundraising arm of doylestown hospital and via affiliates d/b/a doylestown health physicians. Its board of trusteess include officers of the village improvement association of doylestown, serving ex officio, trustees appointed by the via president and certain others, who include leaders from the via, the community, and doylestown hospital, including physicians. Doylestown health promotes wellness and treats illness through connectivity with all parts of its comprehensive health system. Individual members of the executive committee of the foundation's board of trustees constitute the corporate members of the hospital and of dh physicians. Each corporation governed by doylestown health (with the exception of doylestown health & wellness center, inc.) are pennsylvania nonprofit corporations which have been determined by the internal revenue service to be exempt from the payment of federal income taxes under section 501(a) of the internal revenue code, as amended, by reason of being an organization described in section 501(c)(3) of the code. Each corporation governed by doylestown health has its own board of trustees which is responsible for establishing policies and planning for that corporation, under the governance of the foundation. Doylestown hospital”

“VIA AFFILIATES (D/B/A DOYLESTOWN HEALTH PHYSICIANS) --------------------------------------------------- THE MAJORITY OF PHYSICIANS ON THE DOYLESTOWN HOSPITAL MEDICAL STAFF ARE INDEPENDENT PRACTITIONERS. DOYLESTOWN HEALTH PHYSICIANS IS A SUBSIDIARY OF Doylestown Health FOUNDATION and EMPLOYS PHYSICIANS FOR NECESSARY COMMUNITY-BASED SERVICES THAT MIGHT NOT OTHERWISE BE AVAILABLE. DOYLESTOWN HEALTH PHYSICIANS INCLUDEs SEVERAL PRIMARY CARE PRACTICES, HOSPITALISTS, GENERAL SURGEONS, HEART AND VASCULAR SURGEONS, CARDIOLOGISTS, NEUROLOGISTS, UROLOGISTS, GASTERENTEROLOGISTS, GYNECOLOGIC ONCOLOGISTS AND OTHERS. DOYLESTOWN HEALTH COMMUNITY BENEFIT ACTIVITIES ============================================== DOYLESTOWN HEALTH IS DEVOTED TO THE COMMUNITY IT SERVES, AND IT SPONSORS AND COORDINATES MANY CHARITABLE ACTIVITIES, WHICH, DESCRIBED IN THE NARRATIVE BELOW, IDENTIFIES WHAT IS DONE DAILY BY THE HEALTH SYSTEM'S ASSOCIATES AND VOLUNTEERS. COMMUNITY OUTREACH & BENEFIT ACTIVITIES --------------------------------------- 1) AMERICAN RED CROSS DONATION: THE HOSPITAL PROVIDES SPACE ON A MONTHLY BASIS FOR A BLOOD DONATION PROGRAM CONDUCTED BY THE AMERICAN RED CROSS THAT BENEFITS PATIENTS AND THE COMMUNITY. 2) DOYLESTOWN HEALTH CONTINUES TO OFFER A VARIETY OF CHILD-FRIENDLY EDUCATIONAL PROGRAMS AT THE MUSEUM, INCLUDING PRESENTATIONS ON SUMMER SAFETY, BIKE SAFETY, TEDDY BEAR CLINIC AND MORE. DOYLESTOWN HEALTH'S EXHIBIT 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. THIS COLLABORATION WORKS TO IDENTIFY GAPS IN HEALTH SERVICES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. PROGRAM EFFORTS INCLUDE; COVID-19 COLLABORATION, ADVANCE CARE PLANNING, AND TOBACCO & VAPING CESSATION AND ADVOCACY. ADDITIONALLY, BCHIP HAS IDENTIFIED MENTAL HEALTH IS A PRIORITY AND SUPPORTS THE BCARES PROGRAM TO IMPROVE SERVICES FOR PATIENTS WITH SUBSTANCE ABUSE DISORDER. 4) CHILDREN'S VILLAGE Early Childhood Education and DAYCARE SUBSIDIES: CHILDREN'S VILLAGE PROVIDES ON-SITE DAYCARE AND WELCOMES CHILDREN FROM LOW-INCOME FAMILIES IN THE AREA THAT ARE ELIGIBLE FOR CHILD-CARE SUBSIDIES. FREE EDUCATION TO PARENTS IS PROVIDED. EXAMPLES INCLUDE HOW TO KEEP KIDS SAFE FROM GROOMING PRACTICES AND NO BULLYING EDUCATION. 5) ANN SILVERMAN COMMUNITY HEALTH CLINIC: THE MISSION OF THE CLINIC IS TO PROVIDE NO COST MEDICAL CARE, DENTAL CARE AND SOCIAL SERVICES TO LOW-INCOME (250% OF POVERTY OR BELOW), UNINSURED MEMBERS OF OUR COMMUNITY. THE CLINIC SERVES ALL AGES AND PROVIDES CARE FOR THE ENTIRE FAMILY THROUGH MORE THAN 270 PROFESSIONAL, MEDICAL, MENTAL HEALTH, DENTAL AND SOCIAL SERVICE VOLUNTEERS AND A SMALL PAID STAFF. THE HOSPITAL PROVIDES THE CLINIC WITH OFFICES AND EXAM ROOMS. THE FOUNDATION ASSISTED IN SOME OF THE HEALTH NEEDS OF THE PATIENTS THAT GO BEYOND THE RESOURCES OF THE CLINIC WITH CONTRIBUTIONS OF OTHER DONATIONS INCLUDING MEDICAL LAB TESTING, AS WELL AS SENIOR MANAGEMENT'S TIME CONTRIBUTING TO THE CLINIC'S BOARD. 6) COMMUNITY OUTREACH AND EDUCATION CALENDAR: DOYLESTOWN HOSPITAL PUBLISHES AN EDUCATIONAL CALENDAR AND EDUCATIONAL NEWSLETTERS, WHICH ARE DISTRIBUTED ELECTRONICALLY. THE CALENDARS AND EDUCATIONAL NEWSLETTERS LIST COMMUNICATIONS RELATED TO HEALTH EDUCATION PROGRAMS AND CLASSES. 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, INSTAGRAM, LINKEDIN, TWITTER AND FACEBOOK POSTS ON A VARIETY OF TOPICS PROVIDED BY THE HOSPITAL AND OTHERS. 7) CHILD SEX ABUSE PREV”

“3) participation at community events: provided education materials and people to staff table events for frequent held by community. Events include, but are not limited to, congress senior expos, community day wellness fairs, fraternal health events, chamber health events, and more. 4) mental health series: doylestown health provides mental health education and monthly series to community members to increase awareness of mental health resources. By allowing questions and answers at the end, these events provide free time with psychiatrists and physicians who treat mental health, which allows more personal questions to be answered. This improves and meets the community health needs by increasing knowledge and getting community members set up with providers to start treatment. 5) breast cancer support group: provides opportunities for educational and emotional support for breast cancer survivors and their families. Additional programs sponsored by the hospital for cancer support are four cancer educational programs: psychological support program, breast cancer and emotional support program, nutrition program and "basket bingo". 6) look good, feel better: this program provides support and resources for cancer patients undergoing chemotherapy. 7) nutrition presentations: programs were held throughout the year to provide education on nutrition to promote optimal health and diabetes awareness. Locations included: several senior communities, various women's and men's groups, veterans expo, walk with a doc, delaware valley health target, and fresh connect and the bucks county children's museum. 8) stroke support group: this monthly program addresses issues and the struggles that face stroke survivors and their families. A stroke caregiver support group was started to address the needs of those giving direct care to the stroke survivor. 9) joint replacement pre-op education: this program is presented 9 times throughout the year. This lecture addresses issues and concerns as well as what to expect both pre & post op and discharge after a joint replacement. 10) walk with a doc: community members participate in monthly programs that include 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 and give the community a chance to talk to the physician presenting. 11) integrative programs: integrative therapies, like acupuncture, in conjunction with traditional medicine in the treatment of cancer, improve patients' overall physical and emotional well being and can help them manage the side effects of cancer treatment. These services are referred to a licensed and certified therapist. 12) student internship radiology program: students from bucks & montgomery county community college's radiologic technology program, attend the hospital's department of radiology on a rotation basis. Students learn clinical skills that are important to their educational process. Radiographers at the hospital serve as clinical instructors for the students on a one-to-one ratio. 13) allied health rcis college intern program: students work with a doylestown hospital cardiac rehab associate, developing their skills such as reading physician reports, collecting information for first visit patients, assessing skills, documenting meds, exercise evaluations, evaluating outcomes and discharging patients. For the student college training, this is a mandatory clinical experience program. 14) smoking cessation program: programs were held in conjunction with bchip and used cdc resources "clearing the air". Individuals were given help in quitting the habit of smoking. This was in-person and virtual. 15) pediatrics outreach program: programs were held throuhgout the community to educate ages ranging from 3-18. Settings included daycares, girls scout”

“- university of delaware - university of pennsylvania - university of the sciences - upper bucks county technical school - widener university - del val university - nemct - lansdale school of business - western governors - west chester university - einstein - duquesne doylestown hospital served as a clinical rotation site for medicine, physician assistant, entry and advanced nursing levels, pharmacy, radiologic technology, cardiac services and exercise physiology. All patient care areas were utilized in the education of these students. Pre-med volunteer program: this program has been developed by the hospital medical staff and volunteer department. It is a ten-week program starting in late may. It is supervised by the hospital's director of volunteer services and is coordinated with a special seminar program conducted by the doylestown hospital's medical staff to introduce the students to selected phases of a medical career. Students participating in the program are expected to give the hospital a minimum of 100 hours of volunteer time in various patient related services during the course. The aim of the program is to give pre-medical students first-hand hospital experience to acquaint them with a total community hospital picture. This program brings into focus the work and responsibility of the physician in a modern hospital complex. Outside group room usage ------------------------ the hospital provides free space for meetings to the following outside groups with a charitable mission: - cpr/first aid classes - ann silverman family health community clinic - bucks county health improvement partnership health screenings & immunizations --------------------------------- the hospital conducts health screens and supported immunizations for various community members. 1) health screenings: various community individuals benefited from health screenings doylestown provided for free or low cost. These screenings included blood pressure screenings, cholesterol and glucose screenings, and biometric screenings. 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. They also provide the community an opportunity to gain knowledge on physicians who may be able to assist their medical care. 2) skin cancer screening: this program screened patients with volunteer medical, nursing and clerical. 3) lung cancer screenings: nurse navigation manages the low dose ct program and incidental pulmonary nodule advisory board. Both screening and prevention for lung cancer. 4) cancer risk screenings: the medical, nursing and clerical staff volunteers their time to screen patient for this program. 5) colorectal screenings: colorectal screening program coordinated through cancer center in collaboration with gi physicians. 6) fall risk screenings: this program screened patients with volunteer medical, nursing and clerical staff. 7) influenza immunizations: doylestown hospital provided multiple flu shot clinics. Vaccines were provided by doylestown staff. Corporate employer locations were used. 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: - alanon - bereavement - breast feeding - caduceus - diabetes - insulin pump - heart failure - icd (implantable defibrillator) - parkinsons - pregnancy loss - cancer support groups - naranon - resolve infertility - stroke -stroke caregiver 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”

“- visiting nurse/home care (adult and infants (up to 1 year) skilled home health services, nursing, physical therapy, occupational therapy, speech therapy, social services, home health aides, baby bracelets (maternal/infant visiting nurse), comprehensive hospice program) - women's diagnostic center (bone densitometry, mammography, stereotactic breast biopsy impact of covid-19 ------------------ doylestown health is an independent, comprehensive healthcare system, providing hospital inpatient care and outpatient services; home care and hospice; skilled nursing care; assisted living; physician practice; and wellness education, connected to meet the health needs of all members of the local and regional community. Like many healthcare providers across the united states, doylestown health has directed a sustained response to the covid-19 crisis and continues to manage the disease. Since the inception of covid-19, this disease has had multiple mutations and doylestown health continues to monitor the community it serves along with implementing recommendations from federal, state and local officials. From the start, doylestown health's highest priority has been, and continues to be, protecting the safety of its patients, visitors and the employed associates who serve them. In order to provide a safe environment throughout the course of covid-19, doylestown health, has incurred additional operating cost for labor, testing, protective equipment and many other operating cost associated with managing this disease. Federal and state stimulus dollars received have not substantially covered the additional operating costs incurred.”

“James l. Brexler, fache is the president and chief executive officer of doylestown health. As such, he also serves as a director/officer of this organization's governing body; an uncompensated position. Mr. Brexler is employed by and receives a federal form w-2 from doylestown hospital; a related internal revenue code section 501(c)(3) tax-exempt organization. Accordingly, his common law employer/employee relationship is with doylestwn hospital (ein: 23-1352174). Doylestown hospital filed a 2022 federal form 4720 which included a remittance of excise tax related to mr. Brexler's compensation in excess of $1m.”

“Other changes in net assets or fund balance include: - transfer from doylestown hospital; a related internal revenue code section 501(c)(3) tax-exempt organization - $19,500,000.”

“The organization is an affiliate within doylestown health system; a tax-exempt integrated healthcare delivery system ("system"). Village improvement association of doylestown is the tax-exempt parent entity of the system. An independent cpa firm audited the consolidated financial statements of the system for the fiscal years ended june 30, 2023, and june 30, 2022; respectively and issued a consolidated financial statement with consolidating schedules by entity. An unmodified opinion was issued each year by the independent cpa firm. Doylestown hospital's finance committee assumes responsibility for oversight of the audit of its consolidated financial statements and the selection of an independent auditor.”

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