2024-05-10T16:14:49-05:00 2023-06-30 990 2022-07-01 883577015 CHH Community Health CHHC 2157076686 8835 Germantown Avenue Philadelphia PA 19118 Gerald Oetzel Assistant Treasurer 2157076686 2024-05-10 Gerald Oetzel 999009999 0 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z X Michael DiFranco 3509 N Broad Street Philadelphia PA 19140 67220872 0 X templehealth.org/locations/chestnut-hill-hospital X 2022 PA The mission of CHH Community Health is to improve community wellness, strengthen access to healthcare, and further clinical education by facilitating student and resident teaching and hands-on clinical experiences. 10 1 0 1 0 0 0 67213011 7861 0 67220872 250 0 44933285 0 0 36502787 81436322 -14215450 76705126 63340374 13364752 X The mission of CHH Community Health is to improve community wellness, strengthen access to healthcare, and further clinical education by facilitating student and resident teaching and hands-on clinical experiences. 0 0 68503779 250 67213011 See Schedule O.With more than 350 board-certified physicians, CHH Community Health is a 148-bed community-based inpatient and outpatient facility offering diagnostic and treatment services, including emergency care, minimally invasive laparoscopic and robotic-assisted surgery, cardiology, gynecology, oncology, and orthopedics, primary care practices, two Women's Centers, and an off-site physical therapy center. Together with Temple Health and through its alliance with Redeemer Health and Philadelphia College of Osteopathic Medicine (PCOM) CHH Community Health is strengthening its community's access to important healthcare services and world-class academic care.CHH Community Health is committed to advancing health and transforming lives throughout eastern Montgomery and northwest Philadelphia counties. As a leading health care provider, CHH Community Health strives to positively impact the health and well-being of its patients, as well as the broader communities it serves. Many of its programs and services have been developed to address specific regional health needs or overcome barriers to care. These efforts continue to make a difference in the lives of individuals and families. Chestnut Hill Hospital has served its community for more than 100 years, and with Temple Health, and its alliance members, the hospital continues to serve as a premier community resource. Chestnut Hill Hospital remains a freestanding, licensed acute care hospital with commitment to patient care as its top priority. Through its relationship with Temple Health, CHH Community Health connects its patients with the advanced services of a trusted university health system, while providing compassionate care close to home. 68503779 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X Michael DiFranco 2157076686 3509 N Broad Street Philadelphia PA 19140 Chip W Marshall III Chair 2.00 9.00 X X 0 0 0 Jay S Feldstein Vice Chair 2.00 48.00 X X 0 0 0 Nicholas Barcellona Treasurer 2.00 48.00 X X 0 0 0 Michael B Laign Director 2.00 48.00 X 0 0 0 Kenneth J Veit Director 2.00 48.00 X 0 0 0 Claire Raab Director 2.00 48.00 X 0 0 0 Abhinav Rastogi Director 2.00 48.00 X 0 0 0 Carl A Sirio Director 2.00 48.00 X 0 0 0 Michael Young Director 2.00 48.00 X 0 0 0 Thomas G Harris Director 2.00 48.00 X 0 0 0 John Ryan Secretary 2.00 48.00 X 0 0 0 John D Cacciamani President & CEO 50.00 0.00 X 0 0 0 Tausha Saunders Assistant Secretary 2.00 48.00 X 0 0 0 Michael DiFranco Assistant Treasurer 2.00 48.00 X 0 0 0 Rebecca Gubanich Assistant Treasurer 50.00 0.00 X 0 0 0 0 0 0 0 0 0 0 0 Net Patient Revenue 621110 66642278 66642278 Rental Income 531120 261233 261233 Medical Directorship I 621110 205047 205047 Cafeteria Sales 722514 64001 64001 Other Contract Revenue 621110 40452 40452 67213011 7861 7861 67220872 67213011 0 7861 X 250 250 339922 311634 28288 36451098 33417663 3033435 1044437 1040924 3513 4476836 4474475 2361 2620992 2615177 5815 13721583 8183951 5537632 380437 380437 10703502 10243579 459923 31100 31100 3849933 1847843 2002090 69771 50984 18787 14317 14317 341532 341532 1257961 1257961 1946852 1850650 96202 Tax Assessment Expense 3207102 3207102 Equipment Rental and Ma 665112 632082 33030 Miscellaneous Expenses 313585 240516 73069 81436322 68503779 12932543 0 3912183 17698210 3336914 787040 29453142 1257961 0 28195181 61520 0 22714078 0 76705126 15908242 0 47432132 0 63340374 X 13364752 0 13364752 0 76705126 X -14215450 27580202 X 0 1 X 1 0 X 6975000 6975000 18636752 471354 18165398 562065 25194 536871 3279325 761413 2517912 28195181 Due from Related Organizations 995774 Right of Use Assets - Equipment 1601569 Right of Use Assets - Real Estate 19855427 Long Term Prepaids 169178 Welfare Benefits Trust Fund 92130 22714078 Due to Related Organizations 4861258 Right of Use Assets - Equipment 1601569 Right of Use Assets - Real Estate 19988307 Welfare Benefits Trust Fund 389215 Self Insurance Liability - Workers' Compensation 185691 Self Insurance Liability - Malpractice 1406092 Note Payable to TUHS 19000000 47432132 1 1 X 1 X 1 X 1 1 1 0 1 1 87914 87914 0.00110 15291247 10915020 4376227 0.05370 15379161 10915020 4464141 0.05480 10 175 4750 4750 0.00010 4527179 3214082 1313097 0.01610 10 175 4531929 3214082 1317847 0.01620 10 175 19911090 14129102 5781988 0.07100 3 6636 6636 0.00010 3 6636 6636 0.00010 1 17104364 16949195 155169 X 1 1 1 1 Chestnut Hill Hospital 8835 Germantown Avenue Philadelphia PA 19118 templehealth.org/locations/chestnut-hi 036101 X X X Chestnut Hill Hospital 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X www.towerhealth.org/chestnut-hill-hospital X 0 0 1 X 100.000000000000 400.000000000000 X X X X 1 1 X X X 1 X templehealth.org/locations/chestnut-hill-hospital X templehealth.org/locations/chestnut-hill-hospital X templehealth.org/locations/chestnut-hill-hospital X X X X X X 1 X 0 1 X 0 0 Chestnut Hill Hospital Part V, Section B, Line 5: In conducting its Community Health Needs Assessment (CHNA), CHH Community Health took into account input from representatives of the community served by its facility, including those with special knowledge or expertise in public health. These processes are set forth in the CHNA posted on the hospital's website at https://www.templehealth.org/sites/default/files/inline-files/CHNA-2022.pdf Chestnut Hill Hospital Part V, Section B, Line 11: CHH Community Health is addressing most needs identified in the CHNA. Its approach to addressing additional needs is identified in the CHNA implementation strategy posted on the hospital's website at https://www.templehealth.org/sites/default/files/inline-files/CHNA-2022.pdf Part I, Line 7: As set forth in its Emergency Care, Charity Care, Financial Assistance, and Uninsured Discount Policy, it is the policy of CHH Community Health to provide all necessary urgent and emergent care to patients without regard to their ability to pay for such care. All patients have the option to apply for the charity care program. The guiding principles behind this policy are to treat all patients equally, with dignity and respect, to serve the emergency healthcare needs of everyone in the community, to assist patients who cannot pay, and to balance appropriate financial assistance for patients with fiscal responsibility. Part III, Line 2: Based on the applicable accounting standards, estimates for amounts not expected to be collected based on historical experience are recognized as implicit price concessions that are a direct reduction to net patient service revenue. As a result, bad debt expense as reported in the financial statements is minimal, despite the fact significant write-offs do occur as a result of non-payment. Part III, Line 8: A Medicare shortfall occurs when the estimated cost of providing services is in excess of payments received. In 2023, the cost of providing services to the Medicare population was $155,169 lower than the associated revenues. Medicare allowable cost was based on apportionment derived from the Medicare Cost Report. The Medicare shortfall carried by CHH Community Health provides a community benefit because it benefits a charitable class, the elderly. Part III, Line 9b: CHH Community Health's collection policy contains provisions on the collection practices to be followed for patients who are known to qualify for charity care. If a patient does not qualify for charity care or qualifies for only a charity care discount, the normal billing process of four statements over a span of at least 120 days will occur. If no patient response is received, a write-off request form will be completed by the collection specialist and submitted for proper signature authority for agency referral. Once approved, the account will be transferred to the bad debt financial class. The account will be forwarded to the collection agency for additional collection efforts. Collection vendors are required to include in their collection notifications notice that CHH Community Health provides free and/or reduced price care to persons who qualify, that CHH Community Health provides assistance in applying for and obtaining government funded insurance, and that patients can contact CHH Community Health's financial services department for assistance. Part VI, Line 2: In addition to its Community Health Needs Assessment described in Part V, Section B, CHH Community Health further assesses community health needs using comprehensive sets of internal and external data sources. Externally, it relies on health data compiled by federal, state, city, and community-based health organizations. Part VI, Line 3: Financial counselors assigned to CHH Community Health screen all uninsured and underinsured patients (including those with high deductibles and co-pays) who are hospitalized or require elective outpatient hospital services to determine their eligibility for government funded medical insurance coverage such as Medicaid and CHIP. Patients who meet the qualifications for these programs are assisted by financial counseling staff throughout the application process. Patients who do not qualify for government-funded programs are screened for charity care eligibility. Patients are informed of CHH Community Health's financial services, and how to access those services, through posters in plain view at registration areas and billing offices, patient discharge summaries, billing invoices, vendor collection notices, and the hospital website. Part VI, Line 4: As indicated in the Community Health Needs Assessment available at https://www.templehealth.org/sites/default/files/inline-files/CHNA-2022.pdf , the primary service area of CHH Community Health includes the following zip codes in Philadelphia and Montgomery Counties: 19031, 19038, 19118, 19119, 19128, 19138, 19144, 19150, 19422, 19444, and 19462. According to County Health Rankings & Roadmaps, Montgomery County is ranked poorly in physical environment and Philadelphia County is ranked poorly in health outcomes, health factors, mortality, morbidity, health behaviors, clinical care, and social and economic factors. Social and economic factors, such as income, education, employment, community safety, injury and death, social support, and children in poverty, can significantly affect how well and how long we live. Part VI, Line 5: CHH Community Health organized or participated as a key partner in a number of community health improvement activities. These activities are free to the community, subsidized by CHH Community Health, do not generate a patient bill, and are carried out for the sole purpose of improving community health. These activities include free cancer screenings and mammograms, flu prevention for at risk populations, and community clinics. Part VI, Line 6: Temple University Health System, Philadelphia College of Osteopathic Medicine, and Holy Redeemer Health System created an alliance to form CHH Community Health, a Pennsylvania nonprofit corporation. TUHS is a 60% owner, and PCOM and Redeemer each own 20%. Chestnut Hill Hospital remains a freestanding, licensed acute care hospital with commitment to patient care as its top priority. Through its relationships with the alliance members, CHH Community Health connects its patients with the advanced services of a trusted university health system, while providing compassionate care close to home. Form 990, Part VI, Section A, line 6 The Members of the organization are Temple University Health System, Philadelphia College of Osteopathic Medicine, and Holy Redeemer Health System. The Members have the power to appoint and remove the organization's Board of Directors. The approval of the Members is required for any of the following actions: 1. To adopt or change the mission, purpose, philosophy or objectives of the organization, or to change the general structure of the organization as a nonprofit organization; 2. To amend the Articles or Bylaws; 3. To consolidate or merge the organization with another organization or entity; 4. To transfer, lease or sell twenty-five percent (25%) or more of the assets of the organization; 5. To purchase, sell, transfer or encumber, in any way, twenty-five percent (25%) or more of the real property owned by the organization, or any other real estate transaction which requires approval pursuant to statute; 6. To elect or remove the President/CEO of the organization; 7. To approve expenditures, including any long-term capital expenditures, plans, contracts, managed care agreements and capital expenditures involving an amount in excess of over ten million dollars ($10,000,000.00), except pursuant to the annual operating budget approved by the Board; 8. To approve the investment of the organization's assets other than in accordance with the investment policy established by the Board; 9. To incur indebtedness in excess of five million dollars ($5,000,000), except pursuant to the annual operating budget approved by the Board; 10. To execute any vendor agreement in which payment by the organization to the vendor exceeds five million dollars ($5,000,000), except pursuant to the annual operating budget approved by the Board; 11. To admit additional Members; 12. To require a Member to fund any additional capital contribution or make working capital calls; 13. Payment of any kind to any Member or any affiliate thereof, or to a Director or Officer of the organization, including but not limited to a donation that is not an agreement between the organization and a Member; 14. To enter into clinical or academic affiliations with non-Members upon recommendation by the Academic Affairs Committee, or make any material amendments to, or the termination of, existing clinical or academic affiliations 15. To change management companies; 16. To enter into, or making any material amendments to, any management agreement between the organization and any Member or an affiliate of any Member, including but not limited to the management agreement between the organization and Temple; 17. To increase or decrease the amount of the organization's Medicare approved residency slots. 18. To add up to two (2) additional non-voting Directors, unaffiliated with Temple, Redeemer, or PCOM, in the community served by the organization. 19. To vote on membership in or shares of any other organization, standing in the name of or beneficially owned by the organization. Form 990, Part VI, Section A, line 7a See Part VI Section A Line 6 Statement above Form 990, Part VI, Section A, line 7b See Part VI Section A Line 6 Statement above Form 990, Part VI, Section B, line 11b After review by outside tax counsel, the 990 and 990-T (if any) are posted to the website of the secretary's office. Each board member is asked to review the 990 and 990-T within two weeks and contact the Chief Financial Officer with any questions. In addition to the above process, the audit committee is provided with a copy of the 990 and 990-T, and these returns are reviewed at a regularly scheduled meeting. Form 990, Part VI, Section B, line 12c The office of the secretary provides each director and officer with a copies of the conflicts of interest policy and a disclosure statement to be completed on an annual basis. The office of the secretary reviews the completed disclosure statements which are then reviewed in summary format by a committee of the board of directors and any recommended actions are presented to the full board of directors. In addition to completing the annual disclosure statement, directors and officers must disclose potential or actual conflicts on an ongoing basis as matters arise. All disclosures are evaluated and a determination of whether a conflict exists is made by the board or a committee of the board. All employees are subject to a conflicts of interest policy that is monitored by the office of the secretary. Form 990, Part VI, Section B, line 15 There is a compensation committee that reviews and approves all total compensation of executive/key personnel at CHH Community Health through an evaluation performed by an external compensation expert. Form 990, Part VI, Section C, line 19 The annual audited financial statements of CHH Community Health are distributed and made available to the public via the organization's website. To the extent required by applicable law, the organization makes its governing documents available to the public upon request. Form 990, Part IX, line 11g Professional Fees: Program service expenses 8,183,951. Management and general expenses 5,537,632. Fundraising expenses 0. Total expenses 13,721,583. Form 990, Part XI, line 9: Member Contributions 28,000,000. Welfare Benefits Trust -419,798. Temple University - Of the Commonwealth System of Higher Education 1330 W Berks St Philadelphia PA 19122 231365971 Education PA 501(c)(3) Line 2 N/A 0 Temple University Health System Inc 3509 N Broad St - Room 936 Philadelphia PA 19140 232825881 Health Care PA 501(c)(3) Line 12a, I Temple University - Of the Commonwealth 0 Temple University Health System Foundation 3509 N Broad St - Room 936 Philadelphia PA 19140 232906108 Health Care PA 501(c)(3) Line 12a, I Temple University Hospital Inc 0 Temple University Hospital Inc 3509 N Broad St - Room 936 Philadelphia PA 19140 232825878 Health Care PA 501(c)(3) Line 3 Temple University Health System Inc 0 TUH - Jeanes Campus Auxiliary 7600 Central Avenue Philadelphia PA 19111 231917776 Health Care PA 501(c)(3) Line 10 Temple University Health System Inc 0 Temple Health System Transport Team Inc 3509 N Broad St - Room 936 Philadelphia PA 19140 753084023 Health Care PA 501(c)(3) Line 10 Temple University Hospital Inc 0 Episcopal Hospital 3509 N Broad St - Room 936 Philadelphia PA 19140 231365351 Health Care PA 501(c)(3) Line 12a, I Temple University Hospital Inc 0 The American Oncologic Hospital 3509 N Broad St - Room 936 Philadelphia PA 19140 231352156 Health Care PA 501(c)(3) Line 3 Temple University Health System Inc 0 Fox Chase Cancer Center Medical Group Inc 3509 N Broad St - Room 936 Philadelphia PA 19140 454540585 Health Care PA 501(c)(3) Line 3 American Oncologic Hospital 0 Fox Chase Network Inc 3509 N Broad St - Room 936 Philadelphia PA 19140 232467337 Health Care PA 501(c)(3) Line 12a, I American Oncologic Hospital 0 The Institute for Cancer Research 3509 N Broad St - Room 936 Philadelphia PA 19140 236296135 Health Care DE 501(c)(3) Line 4 American Oncologic Hospital 0 Temple Faculty Practice Plan Inc 3509 N Broad St - Room 936 Philadelphia PA 19140 831002191 Health Care PA 501(c)(3) Line 3 Temple University Health System Inc 0 Temple Physicians Inc 3509 N Broad St - Room 936 Philadelphia PA 19140 232790607 Health Care PA 501(c)(3) Line 10 Temple University Health System Inc 0 Philadelphia College of Osteopathic Medicine 4170 City Avenue Philadelphia PA 19131 231355135 Health Care PA 501(c)(3) Line 3 0 Holy Redeemer Health System 667 Welsh Rd Huntingdon Valley PA 19006 231534300 health Care PA 501(c)(3) Line 3 0 TUHS Insurance Company LTD 3509 N Broad Street - Room 936 Philadelphia PA 19140 981203189 Reinsurance BD Temple University Health System Inc 0 Fox Chase LTD 3509 N Broad Street - Room 936 Philadelphia PA 19140 232396731 Health Care PA American Oncologic Hospital C 0 0 0 1 0 1 0 0 0 0 0 0 1 1 1 1 1 1 0 1