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      <MissionDesc>THE MISSION OF TOWER HEALTH IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. TOWER HEALTH (PARENT) IS A NON-PROFIT HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE COMMUNITY-BASED HEALTHCARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND THE COMMUNITIES IT SERVES IN THE GREATER BERKS, MONTGOMERY AND CHESTER AREAS THROUGH ITS SUBSIDIARIES (SEE FORM 990, SCHEDULE R). SUBSIDIARIES INCLUDE BUT ARE NOT LIMITED TO PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL, THE TWO OF WHICH ARE HELD IN SINGLE MEMBER LLCS THAT TOWER HEALTH IS THE SOLE MEMBER OF. AS A RESULT, THESE ARE TREATED AS DISREGARDED ENTITIES AND ALL OF THEIR INCOME AND ACTIVITIES ARE REPORTED ON TOWER HEALTH'S FORM 990. AS A PROVIDER OF DIRECT CARE, TOWER HEALTH ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF</MissionDesc>
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      <Desc>ER/NURSING INPATIENT &amp; OUTPATIENT PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365" REGARDLESS OF ABILITY TO PAY. PHOENIXVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ANCILLARY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAS "24/7/365" ON-CALL CONSULTANTS FOR PEDIATRIC EMERGENCY CASES THROUGH ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN. LOCAL EMS PROVIDERS RELY ON PHOENIXVILLE HOSPITAL FOR ON-GOING MEDICAL EDUCATION. EMERGENCY ROOM VISITS FOR FY25 WERE 24,794. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVERY, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY25 WERE 36,602. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES 24/7/365 TO THE COMMUNITY. THE EMERGENCY DEPARTMENT SERVES PATIENTS FROM BERKS, MONTGOMERY AND CHESTER COUNTIES. THE POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT IS THE SECOND BUSIEST EMERGENCY DEPARTMENT IN MONTGOMERY COUNTY. THERE IS A FULL COMPLEMENT OF SPECIALTY SERVICES PROVIDED AT THE LOCAL AND/OR TERTIARY LEVEL WITH OUR SYSTEM HOSPITAL IN READING. EMERGENCY ROOM VISITS FOR FY25 WERE 27,824. POTTSTOWN HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY25 WERE 33,052. THE BEHAVIORAL HEALTH UNIT AT POTTSTOWN HOSPITAL PROVIDES 24/7/365 SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND GERIATRIC ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF COGNITIVE FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY25 WERE 7,264.</Desc>
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        <Desc>OPERATING ROOM SERVICES: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE: CARIOLOGY, CARDIO, THORACIS, ENT, ORTHOPEDICS, GYNECOLOGY, OBSTETRICS, UROLOGY, PAIN MANAGEMENT, PLASTIC, PODIATRY, NEURO AND GENERAL SURGERY. THE ROBOTICS SURGERY PROGRAM RECEIVED THE CENTER OF EXCELLENCE ACCREDITATION IN 2023. TOTAL PROCEDURES FOR FY25 WERE 9,404. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL'S SURGICAL SERVICES DEPARTMENT PROVIDES EMERGENT, URGENT AND ELECTIVE SURGERIES TO THE COMMUNITY ON AN INPATIENT AND OUTPATIENT BASIS. EMERGENCY CASES CAN BE DONE 24/7/365 AND PATIENTS NEEDING A HIGHER LEVEL OF CARE CAN BE TRANSFERRED TO TERTIARY CENTERS IN THE AREA. POTTSTOWN HOSPITAL OFFERS, ORTHOPEDIC, VASCULAR, SPINE, ENT, MAXOFACIAL, PLASTIC, OB/GYN, OPHTHALMOLOGIC, UROLOGIC, PODIATRIC AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY25 WERE 4,842.</Desc>
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        <Desc>RADIOLOGY/IMAGING PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. PHOENIXVILLE HOSPITAL OFFERS FREE MAMMOGRAMS TO THE UNDERINSURED AND UNINSURED PATIENTS. TOTAL PROCEDURES FOR FY25 WERE 87,789. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY25 WERE 87,014.</Desc>
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        <Desc>EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. SERVICES INCLUDE BUT ARE NOT LIMITED TO: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY PATIENTS AND DIALYSIS PATIENTS. CANCER CENTER PATIENTS RECEIVE OUTPATIENT SERVICES BASED ON THEIR TREATMENT PLAN. CARDIO-PULMONARY PATIENTS UTILIZE THE 1ST FLOOR REHABILITATION GYM FOR PRESCRIBED AND MONITORED OUTPATIENT EXERCISE. TOTAL PROCEDURES FOR FY25 WERE 352,928. PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. WE PROVIDE CHARITY SERVICES TO OUR SERVICE AREA WHO MEET OUR CHARITY POLICY GUIDELINES. TARGETED THERAPIES IN OUR RECENTLY RENOVATED INFUSION SUITE SELECTIVELY AFFECT ONLY THE CELLS RELATED TO A PARTICULAR CANCER, CAUSING LESS DAMAGE AND FEWER SIDE EFFECTS TO SURROUNDING NON-CANCEROUS CELLS AND BODY SYSTEMS THAN TRADITIONAL CHEMOTHERAPY DRUGS. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIAL SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY25 WERE 9,026 PHOENIXVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE AND PT/OT/SPEECH THERAPY PATIENTS. TOTAL PROCEDURES FOR FY24 WERE 424,139. POTTSTOWN HOSPITAL CANCER CENTER PROVIDES INPATIENT, OUTPATIENT AND INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. THE POTTSTOWN HOSPITAL CANCER CENTER OFFERS A ROBUST SERVICE LINE INCLUSIVE OF MEDICAL AND RADIATION ONCOLOGY WITH RAPID ARC TECHNOLOGY WITH LINEAR ACCELERATOR AND CYBERKNIFE CAPABILITIES. THE POTTSTOWN HOSPITAL CANCER CENTER IS A FIVE-TIME RECIPIENT OF THE AMERICAN COLLEGE OF SURGEONS COUNCIL ON CANCER OUTSTANDING ACHIEVEMENT AWARD. THERE ARE ONLY 4 CANCER CENTERS IN THE UNITED STATES WHO HAVE ACHIEVED THIS DISTINCTION. POTTSTOWN HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIALS SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY25 WERE 19,199. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE LOCATIONS ARE LOCATED IN BERKS AND MONTGOMERY COUNTY. WE SPECIALIZE IN TREATING NON-LIFE-THREATENING ILLNESSES AND INJURIES. WE PROVIDE COORDINATED AND COMPREHENSIVE EXAMS FOR SCHOOL, CAMP, SPORTS, AND PRE- EMPLOYMENT, AS WELL AS PROFESSIONAL DRIVER EXAMS FROM OUR LICENSED, CERTIFIED MEDICAL EXAMINERS WITH THE DEPARTMENT OF TRANSPORTATION. AS A PREFERRED PROVIDER FOR MANY EMPLOYERS, WE ARE EQUIPPED TO HANDLE OCCUPATIONAL HEALTH NEEDS INCLUDING IMMUNIZATIONS, SCREENINGS, DOT AND CDL PHYSICALS. TELEMEDICINE HAS BECOME WIDELY ACCEPTED WITH THE ADVANCES IN REMOTE MEDICAL TECHNOLOGIES. TOWER HEALTH URGENT CARE FACILITIES ACHIEVED ACCREDITATION FROM THE URGENT CARE ASSOCIATION (UCA), WHICH IS THE HIGHEST LEVEL OF DISTINCTION FOR URGENT CARE CENTERS. THIS RECOGNITION WAS EARNED AFTER A COMPREHENSIVE SURVEY, WHICH INCLUDED ONSITE VISITS AND VIRTUAL SURVEYS WITH STAFF MEMBERS BY UCA ACCREDITATION SURVEYORS. THIS ACCREDITATION ENSURES ALL TOWER HEALTH URGENT CARE LOCATIONS HAVE MET ALL UCA'S STANDARDS AND CRITERIA FOR QUALITY OF PATIENT CARE, SAFETY, AND SCOPE OF SERVICES. TOWER HEALTH PROVIDERS: TOWER HEALTH PROVIDERS (THP) WAS FORMED TO DEVELOP A PHYSICIAN NETWORK TO WORK IN CONJUNCTION WITH TOWER HEALTH TO IMPLEMENT A CLINICAL INTEGRATION PROGRAM. CLINICAL INTEGRATION IS THE IMPLEMENTATION OF AN ACTIVE AND ONGOING PROGRAM TO EVALUATE AND MODIFY PRACTICE PATTERNS BY THE NETWORK'S PHYSICIAN PARTICIPANTS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG THE PHYSICIANS TO CONTROL COSTS AND IMPROVE THE QUALITY AND EFFICIENCY OF HEALTH CARE FOR THE NETWORK'S PHYSICIAN PARTICIPANTS AND THE ENTIRE HEALTH CARE COMMUNITY SERVED. TOWER HEALTH PROVIDERS (THP) IS AN EXTENSIVE, HIGH-VALUE NETWORK OF PROVIDERS FROM ALL SPECIALTIES SPREAD ACROSS A WIDE GEOGRAPHY. OUR ORGANIZATION ENSURES PARTICIPATING PROVIDERS ALIGN WITH EVIDENCE-BASED MEDICINE PRACTICES IN A CULTURE OF ACCOUNTABILITY AND COLLABORATION. THESE PRINCIPALS CONTINUE TO DRIVE HEALTHCARE TRANSFORMATION THROUGH IMPROVED QUALITY, COST EFFICACY, AND INCREASED PATIENT AND PROVIDER SATISFACTION. THP CREATES OPPORTUNITIES FOR THE ALIGNMENT OF NEW INCENTIVES AND ALTERNATE PAYMENT MODELS FOR PROVIDERS. BY BRINGING TOGETHER THE BEST PROVIDERS WITH THE STRONGEST HEALTHCARE SYSTEMS, THP IS HELPING PROVIDERS AND PRACTICES BENEFIT FROM THESE NEW ARRANGEMENTS. TOWERDIRECT: TOWERDIRECT IS A UNIFIED PATIENT TRANSPORTATION SYSTEM THAT SERVES BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA. HAVING A UNIFIED AMBULANCE SERVICE SUPPORTS TOWER HEALTH'S GOAL OF PROVIDING PATIENTS WITH TIMELY AND HIGH-QUALITY CARE, WHILE DEVELOPING AN EMS PROGRAM THAT CAN GROW, INNOVATE, AND BETTER RESPOND TO THE EVER-CHANGING HEALTHCARE ENVIRONMENT. TOWERDIRECT IS A MULTIFACETED EMS SOLUTION TO OUR PATIENTS, CO-WORKERS, AND COMMUNITIES. BENEFITS TO THE COMMUNITY INCLUDE: IMPROVED AVAILABILITY AND SUSTAINABILITY OF EMERGENCY, NON-EMERGENCY, CRITICAL CARE, AND PEDIATRIC PATIENT TRANSPORT SERVICES FOR COMMUNITIES WITHIN BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA; THE OPPORTUNITY TO ENHANCE PATIENT CARE AND IMPROVE OPERATIONAL PERFORMANCE; REAL-TIME ACCESS TO THE TOWER HEALTH ELECTRONIC MEDICAL RECORDS TO MEASURE AND IMPROVE PATIENT OUTCOMES; BETTER ACCESS TO PATIENT TRANSPORT SERVICES, IMPROVING THE TIMELINESS OF DISCHARGE FROM INPATIENT AND OUTPATIENT FACILITIES; ENHANCED EFFORTS TO IMPROVE PATIENT CARE INITIATION AND TRANSITIONS IN CARE SETTINGS; AND THE ABILITY TO ENHANCE COMMUNITY PARAMEDICINE AND PATIENT OUTREACH PROGRAMS. TOWERDIRECT OFFERS SEVERAL PROACTIVE AND PREVENTIVE HEALTH SERVICES, INCLUDING: HOME VISITS - UPON THE PROVIDER'S REQUEST, MEMBERS OF THE TOWERDIRECT TEAM PROVIDE IN-HOME VISITS TO CONFIRM THE PATIENT HAS ALL PRESCRIBED MEDICATIONS AND IF REMOTE MONITORING IS UTILIZED, TO MAKE SURE THE EQUIPMENT IS SET UP CORRECTLY. PUBLIC EVENT SUPPORT - TOWERDIRECT ROUTINELY ATTENDS CONCERTS COUNTY FAIRS, AND OTHER COMMUNITY EVENTS IN CASE AN ATTENDEE NEEDS ON-SITE MEDICAL CARE OR MEDICAL TRANSPORTATION. SAFETY PRESENTATIONS - THE TOWERDIRECT TEAM GIVES PRESENTATIONS AT SCHOOLS, LIBRARIES, AND OTHER PUBLIC VENUES UPON REQUEST. TOPICS INCLUDE CAR SEAT SAFETY, FALL PREVENTION AND BIKE AND HELMET SAFETY.</Desc>
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      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
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      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
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      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>true</InvestmentInJointVentureInd>
      <WrittenPolicyOrProcedureInd>false</WrittenPolicyOrProcedureInd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
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        <PersonNm>BRIAN RAYME CFO TOWER HEALTH</PersonNm>
        <PhoneNum>4846288000</PhoneNum>
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          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
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          <StateAbbreviationCd>PA</StateAbbreviationCd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL STERN</PersonNm>
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        <PersonNm>DAN AHERN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>P SUE PERROTTY</PersonNm>
        <TitleTxt>CEO TH TERM</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUZANNE WENDEROTH MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BERNARD BOULANGER</PersonNm>
        <TitleTxt>EVP/CEO PROV</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>25.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>211367</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE EESLEY</PersonNm>
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        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>958182</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>180695</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT EHINGER</PersonNm>
        <TitleTxt>SVP ASSOC. C</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>652533</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>96059</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD MCLAUGHLIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ZIAD OSMAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL SZYMANSKI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES COOK</PersonNm>
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        <PersonNm>SANDRA CRABTREE</PersonNm>
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        <PersonNm>ANA DAVITT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AJAY JANI</PersonNm>
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        <PersonNm>RICHARD T NEWELL JR</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TRACY DRUCKENMILLER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA QUITINSKY</PersonNm>
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        <PersonNm>PETE MOLINARO</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>SOCIETY HILL ANESTHESIA CONSULTANTS</BusinessNameLine1Txt>
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          <USAddress>
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            <StateAbbreviationCd>PA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
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            <BusinessNameLine1Txt>VIRTUAL RADIOLOGIC PROF OF NJ</BusinessNameLine1Txt>
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          <USAddress>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BERKS SCHUYLKILL RESPIRATORY SPEC</BusinessNameLine1Txt>
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            <ZIPCd>196103333</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>MED STAFF SERV</ServicesDesc>
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      <InfoInScheduleOPartVIIIInd>X</InfoInScheduleOPartVIIIInd>
      <GovernmentGrantsAmt>721613</GovernmentGrantsAmt>
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      <TotalContributionsAmt>844294</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CHARGES</Desc>
        <BusinessCd>621110</BusinessCd>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>CARE COORDINATION FEE</Desc>
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      <GrossRentsGrp>
        <RealAmt>2809455</RealAmt>
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        <RealAmt>2809455</RealAmt>
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        <TotalRevenueColumnAmt>2809455</TotalRevenueColumnAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>37852570</SecuritiesAmt>
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        <SecuritiesAmt>35792366</SecuritiesAmt>
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      <OtherRevenueMiscGrp>
        <Desc>DUCOM OPERATIONAL REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>6395397</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>957800</ExclusionAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>421551181</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>927053</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>79045602</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>1105318</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>76712</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ManagementAndGeneralAmt>-1250000</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>105047</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2546</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>19224238</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>73086871</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>32462859</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS</Desc>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>92931607</ManagementAndGeneralAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <NetUnrlzdGainsLossesInvstAmt>-2885154</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>22012714</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
      <SupportedOrganizationsCnt>2</SupportedOrganizationsCnt>
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          <BusinessNameLine1Txt>READING HOSPITAL</BusinessNameLine1Txt>
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      <SupportedOrgInformationGrp>
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          <BusinessNameLine1Txt>TOWER HEALTH MEDICAL GROUP</BusinessNameLine1Txt>
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        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
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        <SuprtOrgNoIRSDeterminationInd>false</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
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        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
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        <SupportedOrgVoiceInvestmentInd>true</SupportedOrgVoiceInvestmentInd>
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        <ParentSupportedOrgInd>X</ParentSupportedOrgInd>
        <AppointElectMajorityOfficerInd>true</AppointElectMajorityOfficerInd>
        <ExerciseDirectionPoliciesInd>true</ExerciseDirectionPoliciesInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INVESTMENT COMMITTEE IS COMPRISED OF MEMBERS OF THE SUPPORTED ORGANIZATIONS AS WELL AS THE SUPPORTING ORGANIZATION. BECAUSE OF THIS OVERLAP, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS DURING THE TAX YEAR. THE CAPITAL RESOURCE COMMITTEE MEETS EVERY 2 MONTHS. INVESTMENT PRESENTATIONS ARE MADE, ISSUES ARE DISCUSSED AND MINUTES ARE TAKEN BY THE DIRECTOR OF TREASURY. ANY SUBSEQUENT FOLLOW-UP ORDERED BY THE COMMITTEE IS COORDINATED BY THE DIRECTOR OF TREASURY. ADDITIONALLY,THE PRESIDENT AND CEO OF TOWER HEALTH, IS ON THE BOARD OF DIRECTORS OF BOTH SUPPORTED ORGANIZATIONS AS WELL AS THE SUPPORTING ORGANIZATION. HAVING THE PRESIDENT AND CEO ON THESE BOARDS FURTHER ALLOWS THE SUPPORTED ORGANIZATION'S TO HAVE A SIGNIFICANT VOICE IN DIRECTING THE USE OF TOWER HEALTH'S INCOME AND ASSETS. ADDITIONALLY THE INVESTMENT COMMITTEE COLLABORATES WITH THE FINANCE COMMITTEE OF TOWER HEALTH TO ENSURE THAT BOTH COMMITTEES ARE AWARE OF THE CORPORATION'S CAPITAL NEEDS AND BEST ABLE TO ADDRESS THEM BY PRUDENT INVESTMENT AND SPENDING OF LONG-TERM CAPITAL, BY BORROWING, OR IN PART BY EACH, AS BEST ENSURES THE CORPORATION'S MISSION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3A</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION: THE BOARD OF DIRECTORS FOR EACH SUPPORTED ORGANIZATION IS ELECTED BY TOWER HEALTH AT THE ANNUAL MEETING.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION: SUPPORTED ORGANIZATIONS FOLLOW POLICIES &amp; PROCEDURES SET BY TOWER HEALTH. THE BYLAWS OF TOWER HEALTH STATES THAT TOWER HEALTH HAS CERTAIN POWERS OVER ITS SUBSIDIARIES/SUPPORTING ORGANIZATIONS INCLUDING, BUT NOT LIMITED TO MATTERS CONCERNING THE SALE OR PURCHASE OF ASSETS, CAPITAL BUDGETS, STRATEGIC PLANNING, INVESTMENTS, AND CORPORATE GOVERNANCE. ALL OF THE HOSPITALS PROVIDE SUPPORT TO TOWER HEALTH MEDICAL GROUP (THMG) WHICH IS RESPONSIBLE FOR PROVIDING ALL OF THE PHYSICIANS AND OTHER PROFESSIONALS TO READING HOSPITAL AND THE ENTIRE SERIVCE AREA. READING HOSPITAL IS A QUATERNARY CARE HOSPITAL AND AS SUCH IS SUPPORTED BY THE OTHER TOWER HEALTH HOSPITALS TO BE ABLE TO PROVIDE HIGH LEVEL SERVICES TO THE COMMUNITY THAT ARE NOT AVAILABLE IN THE OTHER HOSPITALS, SUCH AS TRANSPLANT, NEONATAL INTENSIVE CARE, SPECIALIZED SURGICAL PROCEDURES, AS WELL AS RESEARCH AND MEDICAL EDUCATION.</ExplanationTxt>
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    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>10243</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>10243</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE COURSE OF THE YEAR, THERE ARE VARIOUS FEDERAL AND STATE HEALTHCARE ISSUES THAT ARE RAISED THAT AFFECT TOWER HEALTH AND ITS ENTITIES. WE VOICE OUR CONCERNS OR ISSUES REGARDING THESE MATTERS THROUGH EITHER DIRECT CONTACT OR WRITTEN CORRESPONDENCE WITH LEGISLATORS. THE PURPOSE OF THESE CONTACTS IS TO PROMOTE THE GENERAL INTERESTS AND WELFARE OF TOWER HEALTH DURING THESE CHANGING TIMES IN THE HEALTH CARE FIELD. THE LOBBYING ACTIVITY REPORTED IS THE LOBBYING PORTION OF THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP) DUES PAID. THERE IS NO DIRECT LOBBYING BY TOWER HEALTH AND NO ADDITIONAL EXPENSES INCURRED.</ExplanationTxt>
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        <BookValueAmt>39741292</BookValueAmt>
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        <DepreciationAmt>22427533</DepreciationAmt>
        <BookValueAmt>40539389</BookValueAmt>
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        <DepreciationAmt>46328217</DepreciationAmt>
        <BookValueAmt>-5921631</BookValueAmt>
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        <DepreciationAmt>3382036</DepreciationAmt>
        <BookValueAmt>5458425</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>88824171</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RECEIVABLE FROM AFFILIATES</Desc>
        <BookValueAmt>1172592559</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>LT ASSETS/GOODWILL/SECURITY DEPOSITS</Desc>
        <BookValueAmt>46885482</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT OF USE</Desc>
        <BookValueAmt>23861628</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>THIRD PARTY RECEIVABLE</Desc>
        <BookValueAmt>6550760</BookValueAmt>
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        <Desc>OTHER</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED SELF INSURANCE COST</Desc>
        <Amt>79636075</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED LIABILITY</Desc>
        <Amt>736755</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS INCLUDED IN TOWER HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE FOLLOWING TEXT IS FROM THE ASC 740 (FIN 48) FOOTNOTE. THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ON SUCH A BASIS, THE EXEMPT ENTITIES DO NOT INCUR LIABILITY FOR FEDERAL INCOME TAXES, EXCEPT IN THE CASE OF UNRELATED BUSINESS INCOME. THE SYSTEM EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. NO ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS WERE REQUIRED AS A RESULT OF THIS EVALUATION.</ExplanationTxt>
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        <RegionTxt>CENTRAL AND CARIBBEAN</RegionTxt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EUROPE</RegionTxt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>NORTH AMERICA</RegionTxt>
        <TypeOfActivitiesConductedTxt>INVESTMENTS</TypeOfActivitiesConductedTxt>
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      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>true</PassiveForeignInvestmestCoInd>
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        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ALSO APPLIES TO PHOENIXILLE HOSPITAL. PARTICIPANTS OF THE CHNA ACROSS VARIOUS DATA COLLECTION METHODS EMPHASIZED THE NEED TO IMPROVE ACCESS TO EQUITABLE CARE AND BEHAVIORAL HEALTH AND TO EXPAND HEALTH EDUCATION AND PREVENTION. INEQUITIES SUCH AS DEMOGRAPHICAL DIFFERENCES HIGHLIGHT THE IMPORTANCE OF WEAVING AN EQUITY FOCUS WITHIN ALL AREAS OF HEALTH. SIGNIFICANT NEEDS: (A) ACCESS TO EQUITABLE CARE (B) BEHAVIORAL HEALTH (C) HEALTH EDUCATION AND PREVENTION (D) HEALTH EQUITY</ExplanationTxt>
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        <ExplanationTxt>THE BELOW NARRATIVE RELATES TO PART V, LINE 3I - IMPACT OF ACTIONS TAKEN TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE HOSPITAL FACILITY'S PRIOR CHNA(S). THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022 IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: ACCESS TO EQUITABLE CARE, BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY. THIS APPLIES TO PHOENIXVILLE HOSPITAL AND POTTSTOWN HOSPITAL. AN OVERVIEW OF EACH PRIORITY FOLLOWS: ACCESS TO EQUITABLE CARE: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL DEPLOYS CONTINUOUS IMPROVEMENT EFFORTS TO BETTER UNDERSTAND THE CONTRIBUTING FACTORS THAT IMPEDE ACCESS TO EQUITABLE CARE AND HOW BEST TO ADDRESS IDENTIFIED BARRIERS AND GAPS IN HEALTHCARE AND SERVICES. THESE PROGRAMS INCLUDE: 1.NURSE OUTREACH SITES - COMMUNITY HEALTH NURSES PROVIDE HEALTH INFORMATION AND RESOURCE REFERRALS TO VULNERABLE, DIVERSE, AND UNDERSERVED POPULATIONS IN THE COMMUNITY TO ADDRESS UNMET HEALTH CARE NEEDS. THERE ARE CURRENTLY 8 NURSE OUTREACH SITES AT LOW-INCOME HOUSING UNITS, LOCAL FOOD PANTRIES, VA HOUSING FACILITY, AND LOCAL CHURCHES. IN FY 2025, 950 PERSONS ATTENDED AN OUTREACH SITE. 2.RIDE HEALTH - THE RIDE HEALTH PROGRAM PROVIDES FREE TRANSPORTATION TO AND FROM APPOINTMENTS FOR ELIGIBLE PATIENTS IN AN EFFORT TO INCREASE ACCESS TO CARE. IN FY2025, THIS PROGRAM EXPERIENCED GROWTH AND PROVIDED OVER 400 RIDES TO PATIENTS. 3.ACCESS TO TELEMEDICINE - COLLABORATION WITH COMMUNITY ORGANIZATIONS SERVING SENIORS TO PROVIDE TECHNOLOGY EDUCATION TO OLDER ADULTS INCLUDING TELEHEALTH EDUCATION ON ADVANCEMENTS IN HEALTHCARE, TECHNOLOGY, REMOTE PATIENT MONITORING, AND ACCESSING HEALTH PORTALS RESULTING IN EASIER AND FASTER ACCESS TO CARE. TELEHEALTH EDUCATION PROGRAMS HAVE BEEN OFFERED IN OUR SENIOR HEALTH PROGRAMS. 4.HEALTHY BABY PROGRAM - PHOENIXVILLE HOSPITAL PARTNERS WITH LOCAL OB/GYN PRACTICES TO IMPROVE ACCESS TO HIGH-QUALITY PRENATAL, DELIVERY, AND POST- PARTUM CARE TO UNINSURED PREGNANT WOMEN IN OUR PRIMARY SERVICE AREA. THE HEALTHY BABY PROGRAM WELCOMES ALL WOMEN IN NEED HOWEVER THE PRIMARY GROUP SERVED IS SPANISH AND PORTUGUESE SPEAKING UNINSURED WOMEN IN OUR PRIMARY SERVICE AREA. IN FY2025, 90 WOMEN WERE ENROLLED IN THE HEALTHY BABY PROGRAM. POTTSTOWN HOSPITAL: ONE STRATEGY IDENTIFIED TO HELP INCREASE ACCESS TO HEALTHCARE SERVICES WAS TO INCREASE CULTURAL AWARENESS. THE CULTURE AND BELONGING COUNCIL CONTINUED TO OPERATE TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. IN ADDITION, HOSPITAL STAFF PARTICIPATED IN THE "LET'S TALK" SERIES, A SYSTEM-WIDE INITIATIVE AIMED AT PROVIDING EDUCATION AND DIALOGUE AROUND IMPORTANT DIVERSITY AND INCLUSION TOPICS. THE GOAL OF BOTH PROGRAMS IS TO INCREASE AWARENESS AND PROVIDE HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE. POTTSTOWN HOSPITAL CONTINUED THE IMPLEMENTATION OF A HEALTH EQUITY COUNCIL COMPOSED OF DIVERSE STAFF MEMBERS FROM VARIOUS DEPARTMENTS ACROSS THE HOSPITAL. THE COUNCIL IS WORKING TO IDENTIFY AND ADDRESS HEALTH DISPARITIES AMONG PATIENTS AND THE COMMUNITY, AND THE CURRENT HEALTH EQUITY PLAN FOCUSES ON DIABETES. IN FY25, THE HOSPITAL CONTINUED ITS DIABETES EDUCATION PROGRAM OFFERING DIABETES EDUCATION AND SUPPORT GROUPS AT COMMUNITY-BASED ORGANIZATIONS. POTTSTOWN HOSPITAL CONTINUED THE STREET MEDICINE PROGRAM TO PROVIDE HEALTH CARE TO THE MOST VULNERABLE MEMBERS IN THE SERVICE AREA- INDIVIDUALS EXPERIENCING HOMELESSNESS. PROVIDERS AND NURSES VOLUNTEER THEIR TIME TO VISIT HOMELESS CAMPS, SOUP KITCHENS, AND SHELTERS TO DELIVER FREE, PRIMARY CARE, WOUND CARE, URGENT CARE SERVICES, AND CARE COORDINATION TO THIS OFTEN UNDERSERVED AND NEGLECTED POPULATION IN AN ENVIRONMENT THAT IS FAMILIAR, SAFE, AND NON-JUDGMENTAL. THE STREET MEDICINE PROGRAM IS FULLY GRANT FUNDED. DURING FY2025, THE STREET MEDICINE PROGRAM PROVIDED CARE TO 351 INDIVIDUALS EXPERIENCING HOMELESSNESS AND HAD OVER 735 UNIQUE ENCOUNTERS. THIS WAS A 32% INCREASE FROM FY24. HEALTH EQUITY: PHOENIXVILLE HOSPITAL: ONE STRATEGY IDENTIFIED TO ADDRESS HEALTH EQUITY WAS TO INCREASE CULTURAL AWARENESS. THE CULTURE AND BELONGING COUNCIL CONTINUED TO OPERATE TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. IN ADDITION, HOSPITAL STAFF PARTICIPATED IN THE "LET'S TALK" SERIES, A SYSTEM-WIDE INITIATIVE AIMED AT PROVIDING EDUCATION AND DIALOGUE AROUND IMPORTANT DIVERSITY AND INCLUSION TOPICS. THE GOAL OF BOTH PROGRAMS IS TO INCREASE AWARENESS AND PROVIDE HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE. PHOENIXVILLE HOSPITAL CONTINUED THE IMPLEMENTATION OF A HEALTH EQUITY COUNCIL COMPOSED OF DIVERSE STAFF MEMBERS FROM VARIOUS DEPARTMENTS ACROSS THE HOSPITAL. THE COUNCIL IS WORKING TO IDENTIFY AND ADDRESS HEALTH DISPARITIES AMONG PATIENTS AND THE COMMUNITY, AND THE CURRENT HEALTH EQUITY PLAN FOCUSES ON DIABETES. IN FY25, THE HOSPITAL CONTINUED ITS DIABETES EDUCATION PROGRAM OFFERING DIABETES EDUCATION AND SUPPORT GROUPS AT COMMUNITY-BASED ORGANIZATIONS. PHOENIXVILLE HOSPITAL ALSO PROVIDED CERTIFIED MEDICAL INTERPRETER TRAINING CALLED BRIDGING THE GAP (BTG). BTG IS A 40-HOUR TRAINING PROGRAM THAT IS THE FIRST OF ITS KIND AND CONTINUES TO BE A PIONEER IN THIS FIELD. BRIDGING THE GAP SET THE STANDARD ON HOW TO BEST TRAIN INDIVIDUALS TO BE PROFESSIONAL MEDICAL INTERPRETERS. PHOENIXVILLE HOSPITAL EMPLOYS A STAFF PERSON WHO IS CERTIFIED TO PROVIDE THE TRAINING. BRIDGING THE GAP TRAINING AND IS OFFERED TO HOSPITAL STAFF AND NONPROFITS TO INCREASE THE NUMBER OF QUALIFIED MEDICAL INTERPRETERS IN THE COMMUNITY. POTTSTOWN HOSPITAL: TO ADDRESS TRANSPORTATION BARRIERS, POTTSTOWN HOSPITAL OFFERS FREE RIDES THROUGH RIDE HEALTH. IN FY25, THIS INCLUDED MORE THAN 482 RIDES THROUGH RIDE HEALTH AND MORE THAN 200 BUS VOUCHERS PROVIDED. TO ADDRESS FOOD INSECURITY, POTTSTOWN HOSPITAL PLANNED AND IMPLEMENTED A 100% SUBSIDIZED COMMUNITY SUPPORTED AGRICULTURE (CSA) PROGRAM CALLED YOUTH GROW CSA. THIS PROGRAM IS IMPLEMENTED IN PARTNERSHIP WITH GREENALLIES, A LOCAL NON-PROFIT ORGANIZATION FOCUSED ON SUSTAINABILITY AND ENVIRONMENTAL EDUCATION. THIS PROGRAM OPERATES A ONE-ACRE FARM IN POTTSTOWN, PA AND PROVIDED OVER 2,500 LBS. OF ORGANIC PRODUCE TO 75 INDIVIDUALS DURING FY2025. IN ADDITION, THE HOSPITAL OPERATED A COMMUNITY GARDEN ONSITE AT THE HOSPITAL THAT PROVIDED FRESH HERBS AND PRODUCE TO STAFF, PATIENTS, AND COMMUNITY MEMBERS. HERBS ARE A SIMPLE WAY TO ADD HEALTHY FLAVOR TO RECIPES, AND YET THE COST OF HERBS IS A BARRIER TO OUR COMMUNITY. THIS GARDEN PROMOTES HEALTHY EATING THROUGH EDUCATIONAL OPPORTUNITIES AS WELL. POTTSTOWN HOSPITAL WORKS DILIGENTLY TO SCREEN PATIENTS FOR THE SOCIAL DETERMINANTS OF HEALTH (SDOH) AND CONNECT PATIENTS TO LOCAL COMMUNITY-BASED ORGANIZATIONS. THROUGH THIS PROGRAM, ALL INPATIENTS ARE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS IN THE AREAS OF FOOD, HOUSING, UTILITIES, TRANSPORTATION, AND SAFETY. CASE MANAGEMENT PROVIDES THE PATIENTS THAT SCREEN POSITIVE WITH REFERRALS TO COMMUNITY-BASED ORGANIZATIONS. IN ADDITION. THE COMMUNITY WELLNESS DEPARTMENT RECEIVES REFERRALS FROM INPATIENT CASE MANAGEMENT, THE EMERGENCY DEPARTMENT, AND PRIMARY CARE OFFICES FOR PATIENTS IN NEED OF SUPPORT. IN FY2025, 7,098 SCREENINGS WERE COMPLETED, AND 1,011 PATIENTS WERE PROVIDED REFERRALS TO COMMUNITY ORGANIZATIONS. HEALTH EDUCATION AND PREVENTION: PHOENIXVILLE HOSPITAL: OUR CAREGIVERS AND SUPPORT STAFF PARTICIPATE IN SEVERAL COMMUNITY HEALTH IMPROVEMENT INITIATIVES, INCLUDING COMMUNITY HEALTH EDUCATION, SCREENING EVENTS, AND IMMUNIZATION CLINICS, WHICH EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE HOSPITAL. PROGRAMS ARE OFFERED TO ALL COMMUNITY MEMBERS FOR FREE. STAFF PARTICIPATE IN COMMUNITY-BASED HEALTH EDUCATION EVENTS, SPEAKERS BUREAUS, AND HEALTH FAIRS TO PROVIDE INFORMATION AND EDUCATION FOR PREVENTION AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS INCLUDING DIABETES, HEART HEALTH, CANCER, RESPIRATORY DISEASE, HEALTHY NUTRITION, AND A RANGE OF OTHER TOPICS. IN FY25, SOME PROGRAMS INCLUDED: 1.CHRONIC DISEASE EDUCATION- IN AN EFFORT TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT, PHOENIXVILLE HOSPITAL HAS IMPLEMENTED A NUMBER OF COMMUNITY HEALTH INITIATIVES THROUGHOUT ITS PRIMARY SERVICE AREA FOCUSING ON OLDER ADULT, LOW INCOME, VETERANS, AND OTHER VULNERABLE POPULATIONS. DISEASE EDUCATION INCLUDES HEART DISEASE, HIGH BLOOD PRESSURE, DIABETES, OBESITY, AND OTHER HEALTH TOPICS. 2. A HEALTHY SENIOR PROGRAM HOSTS MONTHLY PROGRAMS TO PROVIDE HEALTH EDUCATION AND RESOURCES TO THE OLDER POPULATION. SESSIONS ARE HELD AT THE HOSPITAL AS WELL AS AT OTHER COMMUNITY ORGANIZATIONS SUCH AS THE PHOENIXVILLE YMCA AND THE PHOENIXVILLE RECREATION CENTER. MONTHLY HEALTH CHATS ARE ALSO HOSTED BY A COMMUNITY HEALTH NURSE AT SEVERAL SENIOR LIVING FACILITIES. IN FY2025, 775 SENIORS ATTENDED HEALTH EDUCATION PROGRAMS. 3.TOBACCO WELLNESS PROGRAMS - PHOENIXVILLE HOSPITAL IS RECIPIENT OF A STATE GRANT FROM TOBACCO SETTLEMENT FUNDS DISTRIBUTED BY THE DEPARTMENT OF HEALTH AND HEALTH PROMOTION COUNCIL. OUR CERTIFIED TOBACCO CESSATION COUNSELOR PROVIDES ONGOING SMOKING CESSATION SUPPORT, AND EDUCATION AND PREVENTION</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V FACILITY INFORMATION, SECTION A SUPPLEMENTAL DISCLOSURE: WEBSITE ADDRESS HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL PART V, LINE 5 PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND MADE PUBLICLY AVAILABLE IN JUNE 2025. FROM FEBRUARY THROUGH DECEMBER 2024, PHOENIXVILLE HOSPITAL CONDUCTED THE DATA COLLECTION AND ANALYSIS PHASE OF ITS CHNA PROCESS USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) 2.0 FRAMEWORK. PRIMARY RESEARCH METHODS INCLUDED CONDUCTING A STAKEHOLDER INTERVIEWS (5 COMPLETED), FOCUS GROUPS (2 COMPLETED), KEY INFORMANT SURVEYS AND A COMMUNITY SURVEY IN BOTH ENGLISH AND SPANISH (OVER 650 COMPLETED). THE PRIMARY RESEARCH ALLOWED THE HOSPITAL TO GAIN INSIGHTS INTO HEALTH BEHAVIORS AND ACCESS BARRIERS FROM COMMUNITY MEMBERS AND ORGANIZATIONS WHO SERVE LOW-INCOME, VULNERABLE INDIVIDUALS IN THE COMMUNITY. SECONDARY RESEARCH COLLECTION INCLUDED DATA FROM PENNSYLVANIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), PENNSYLVANIA DEPARTMENT OF HEALTH PUBLIC HEALTH, PENNSYLVANIA YOUTH SURVEY (PAYS), ROBERT WOOD JOHNSON FOUNDATION'S COMMUNITY HEALTH RANKINGS, UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL, HEALTHY PEOPLE 2030, UNITED WAY'S 2-1 -1 COMMUNITY ASSET LIST, AND PHOENIXVILLE HOSPITAL PATIENT DATA. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPILED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF PHOENIXVILLE HOSPITAL STAFF AND COMMUNITY PARTNERS. AND PARTICIPANTS OF STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, AND FOCUS GROUPS, WHO PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGIN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN. IDENTIFIED AND ACCEPTED PRIORITY AREAS TO ADDRESS INCLUDE: ACCESS TO EQUITABLE CARE, HEALTH EDUCATION AND PREVENTION, BEHAVIORAL HEALTH, AND HEALTH EQUITY. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND MADE PUBLICLY AVAILABLE IN JUNE 2025. FROM FEBRUARY THROUGH DECEMBER 2024, POTTSTOWN HOSPITAL CONDUCTED THE DATA COLLECTION AND ANALYSIS PHASE OF ITS CHNA PROCESS USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) 2.0 FRAMEWORK. PRIMARY RESEARCH METHODS INCLUDED CONDUCTING 13 COMMUNITY LEADER INTERVIEWS, 3 FOCUS GROUPS, 24 HOSPITAL LEADERSHIP SURVEYS, AND 4,921 COMMUNITY MEMBER SURVEYS. THE PRIMARY RESEARCH ALLOWED THE HOSPITAL TO GAIN INSIGHTS INTO HEALTH BEHAVIORS AND ACCESS BARRIERS FROM COMMUNITY MEMBERS AND ORGANIZATIONS WHO SERVE LOW- INCOME, VULNERABLE INDIVIDUALS IN THE COMMUNITY. SECONDARY RESEARCH COLLECTION INCLUDED DATA FROM PENNSYLVANIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), PENNSYLVANIA DEPARTMENT OF HEALTH PUBLIC HEALTH, PENNSYLVANIA YOUTH SURVEY (PAYS), ROBERT WOOD JOHNSON FOUNDATION'S COMMUNITY HEALTH RANKINGS, UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL, HEALTHY PEOPLE 2020, UNITED WAY'S 2-1 -1 COMMUNITY ASSET LIST, AND POTTSTOWN HOSPITAL PATIENT DATA. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPILED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF POTTSTOWN HOSPITAL STAFF AND COMMUNITY PARTNERS. ADDITIONALLY, THE CHNA ADVISORY BOARD PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGIN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN. THE FOLLOWING PRIORITIES WERE IDENTIFIED AND APPROVED BY THE HOSPITAL'S CHNA ADVISORY BOARD AND POTTSTOWN HOSPITAL'S BOARD OF TRUSTEES: ACCESS TO EQUITABLE CARE, ACCESS TO BEHAVIORAL HEALTHCARE, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL LINK TO THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE POTTSTOWN AND PHOENIXVILLE HOSPITALS: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL-COMMUNITY-HEALTH- NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL-COMMUNITY- HEALTH-NEEDS-ASSESSMENT THE IMPLEMENTATION STRATEGY FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN NOVEMBER 2025 AND CAN BE FOUND AT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL-COMMUNITY-HEALTH- NEEDS-ASSESSMENT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL-COMMUNITY- HEALTH-NEEDS-ASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN 2025 AND IDENTIFIED AND PRIORITIZED FOUR AREAS OF FOCUS: ACCESS TO EQUITABLE CARE, BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY. THE DEVELOPMENT OF THE 2025 CHNA IMPLEMENTATION PLAN WAS ADOPTED AND MADE PUBLICLY AVAILABLE IN NOVEMBER 2025. THE IMPLEMENTATION PLAN, WHICH COVERS A THREE YEAR SPAN, OUTLINES SPECIFIC STRATEGIES FOR EACH PRIORITY AREA THAT WILL BE IMPLEMENTED THROUGH A VARIETY OF METHODS INCLUDING INPUT FROM EXPERT PROVIDERS, COMMUNITY OUTREACH, AND COLLABORATIONS AND PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS. AN OVERVIEW OF EACH PRIORITY FOLLOWS: PHOENIXVILLE HOSPITAL: ACCESS TO EQUITABLE CARE - INCREASE ACCESS TO EQUITABLE CARE BY COMMUNITY MEMBERS, PARTICULARLY THOSE CONSIDERED DISPARATE AND VULNERABLE POPULATIONS. ACCESS TO EQUITABLE CARE WAS STRONGLY EMPHASIZED THROUGHOUT ALL STEPS OF DATA COLLECTION. WHEN ASSESSING DIVERSE AND DISPARATE POPULATIONS, MANY SOCIAL FACTORS AND BARRIERS TO HEALTH CARE ACCESS AND SERVICES (E.G., INADEQUATE HEALTHCARE COVERAGE, HIGH COSTS, INSUFFICIENT AVAILABILITY OF PROVIDERS, TRANSPORTATION, AND LANGUAGE BARRIERS) WERE UNCOVERED. THESE BARRIERS HAVE A VERY DRAMATIC IMPACT ON COMMUNITY MEMBERS' ABILITY TO ACCESS QUALITY HEALTH CARE AND ACHIEVE A HIGHER QUALITY OF LIFE. THE GOAL IS TO INCREASE ACCESS TO EQUITABLE CARE FOR COMMUNITY MEMBERS, PARTICULARLY THOSE CONSIDERED DISPARATE AND VULNERABLE POPULATIONS. PHOENIXVILLE HOSPITAL WILL UTILIZE COMMUNITY HEALTH PROFESSIONALS TO IMPROVE ACCESS TO CARE FOR VULNERABLE COMMUNITY MEMBERS BY CONNECTING PATIENTS TO PRIMARY AND SECONDARY CARE, THEY WILL CONDUCT HEALTH LITERACY ASSESSMENTS AND IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). PHOENIXVILLE HOSPITAL WILL PROVIDE NURSE OUTREACH TO VULNERABLE POPULATIONS THROUGH THEIR COMMUNITY HEALTH NURSES TO PROVIDE HEALTH INFORMATION AND REFERRALS TO COMMUNITY RESOURCES TO ADDRESS UNMET HEALTH NEEDS. THE RIDE HEALTH PLATFORM WILL BE UTILIZED TO COORDINATE FREE TRANSPORTATION TO AND FROM APPOINTMENTS FOR ELIGIBLE PATIENTS. PHOENIXVILLE HOSPITAL WILL ALSO IMPROVE ACCESS TO SCREENING MAMMOGRAMS BY PARTNERING WITH READING HOSPITAL MOBILE MAMMOGRAPHY COACH FOR SCREENING MAMMOGRAMS IN VULNERABLE POPULATIONS. THEY WILL ALSO PARTNER WITH COMMUNITY ORGANIZATIONS TO OBTAIN MAMMOGRAPHY SCREENING VOUCHERS FOR UNINSURED WOMEN. A PATIENT AND FAMILY ADVISORY COMMITTEE (PFAC) WILL BE IMPLEMENTED AND QUARTERLY MEETINGS WILL BE HELD TO CREATE WAYS TO LISTEN TO THE COMMUNITY. BEHAVIORAL HEALTH - IMPROVE ACCESS TO SUPPORT FOR BEHAVIORAL HEALTH SERVICES. BEHAVIORAL HEALTH INCLUDES THE PREVALENCE OF MENTAL HEALTH DISORDERS, ACCESS TO MENTAL HEALTH SERVICES, ADDRESSING ISSUES LIKE DEPRESSION AND ANXIETY, AND OTHER DISORDERS, AS WELL AS SUBSTANCE USE DISORDERS SUCH AS ADDICTION TO DRUGS AND ALCOHOL. PHOENIXVILLE HOSPITAL WILL INCREASE MENTAL HEALTH AWARENESS AND REDUCE STIGMA BY PROVIDING PROGRAMS ON BEHAVIORAL HEALTH ISSUES TO THE COMMUNITY, HOST MENTAL HEALTH FUND DAY, COLLABORATE/ASSIST COMMUNITY ORGANIZATIONS WITH BEHAVIORAL HEALTH REFERRALS, AND UTILIZE SOCIAL MEDIA TO PROVIDE MENTAL HEALTH EDUCATION. THE EMPLOYEE WELLNESS INITIATIVE WILL SUPPORT MENTAL HEALTH AND WELL-BEING OF EMPLOYEES BY OFFERING SERVICES VIA MARVIN TELEMEDICINE, TOWER RISE, AND MONTHLY PET THERAPY. HEALTH EDUCATION AND PREVENTION - PROVIDE DISEASE EDUCATION AND PREVENTION OPPORTUNITIES IN THE COMMUNITY, SPECIFICALLY TARGETING DISPARATE AND VULNERABLE POPULATIONS. HEALTH EDUCATION AND HEALTH LITERACY PLAY A VITAL ROLE IN ACCESSING CARE AS KNOWLEDGE AND UNDERSTANDING EMPOWERS INDIVIDUALS TO MAKE INFORMED HEALTH DECISIONS AND HELPS THEM EFFECTIVELY NAVIGATE TODAY'S COMPLEX HEALTH CARE DELIVERY SYSTEM. PROVIDING HEALTH EDUCATION TO INCREASE UNDERSTANDING OF HEALTH ISSUES ENABLES PATIENTS AND FAMILIES TO SUCCESSFULLY IMPLEMENT TREATMENT PLANS AND IS ESSENTIAL TO MANAGING CHRONIC CONDITIONS AND PREVENTING COMPLICATIONS OR FREQUENT HOSPITALIZATIONS. BY IMPROVING HEALTH LITERACY AND EDUCATION ON HOW TO ADDRESS AND PREVENT CHRONIC DISEASES AND ILLNESS TO THE BROADER COMMUNITY, THE HEALTH ORGANIZATION'S PARADIGM SHIFTS FROM TREATING DISEASE TO A FOCUS ON WELLNESS, HEALTHY BEHAVIORS, AND POSITIVE HEALTH OUTCOMES. THE GOAL IS TO PROVIDE DISEASE EDUCATION AND PREVENTION OPPORTUNITIES IN THE COMMUNITY, SPECIALLY TARGETING DISPARATE AND VULNERABLE POPULATIONS. PHOENIXVILLE HOSPITAL WILL PROVIDE CHRONIC DISEASE EDUCATION BY PROVIDING HEALTH EDUCATION PROGRAMS FOCUSING ON THE OLDER ADULT/SENIOR POPULATION AND PROVIDE CHRONIC DISEASE EDUCATION TO OTHER VULNERABLE POPULATIONS INCLUDING LOW INCOME, AND VETERANS. TO INCREASE AWARENESS OF FOOD SERVICES IN THE COMMUNITY, PHOENIXVILLE HOSPITAL WILL PARTNER WITH ORGANIZATIONS TO ENSURE THE COMMUNITY HAS ACCESS TO HEALTHY FOOD PROMOTING HEALTHY LIVING. THEY WILL ALSO PARTNER WITH COMMUNITY ORGANIZATIONS TO PROVIDE NUTRITION EDUCATION. TO ADDRESS LANGUAGE BARRIERS, PHOENIXVILLE HOSPITAL WILL COLLABORATE WITH ORGANIZATIONS TO PROVIDE HEALTH INFORMATION TO SPANISH AND PORTUGUESE-SPEAKING COMMUNITY MEMBERS. PHOENIXVILLE HOSPITAL WILL ENGAGE WITH LOCAL SCHOOL DISTRICTS TO FURTHER WELLNESS EDUCATION AND PROGRAMS TO STUDENTS AND STAFF. TOBACCO WELLNESS PROGRAMS AND INFORMATION ON CANCER PREVENTION AND SCREENING WILL BE PROVIDED AT HOSPITAL AND COMMUNITY EVENTS. HEALTH EQUITY - INTEGRATE HEALTH EQUITY INTO CARE DELIVERY, STRATEGY, AND OPERATIONS AT PHOENIXVILLE HOSPITAL. UNDERSTANDING AND ADDRESSING THE NEEDS OF DIVERSE AND DISPARATE POPULATIONS IS A SIGNIFICANT CHALLENGE FOR HEALTH CARE ORGANIZATIONS. AS A CRITICAL ASPECT OF IMPROVING HEALTH EQUITY AND DECREASING HEALTH DISPARITIES, THERE IS A CONTINUED EFFORT TO ENHANCE THE PROVISION OF CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE CARE TO A VERY DIVERSE SERVICE ARE AS DEFINED BY RACIAL AND ETHNIC COMMUNITIES WITH VARIOUS CULTURAL BELIEFS AND PERCEPTIONS, HEALTH PRACTICES, AND BEHAVIORS AS WELL AS A DISTRUST OF THE HEALTH CARE DELIVERY SYSTEM. THE GOAL IS TO CREATE HEALTH EQUITY. PHOENIXVILLE HOSPITAL WILL IMPLEMENT A HEALTH EQUITY COUNCIL TO DEVELOP AND IMPLEMENT A HEALTH EQUITY PLAN TARGETING A SPECIFIC HEALTH DISPARITY IN THE COMMUNITY. TO ADDRESS LANGUAGE ACCESS AND BARRIERS, PHOENIXVILLE HOSPITAL WILL INCREASE THE NUMBER OF HEALTHCARE PROVIDERS WHO ARE MEDICALLY CERTIFIED INTERPRETERS. TO IMPROVE HEALTH LITERACY IN THE COMMUNITY, PHOENIXVILLE HOSPITAL WILL PROVIDE ADOLESCENT HEALTH LITERACY TO HIGH SCHOOL STUDENTS, AND THEY WILL EDUCATE HEALTH CARE PROFESSIONALS ON BEST PRACTICES FOR COMMUNICATING WITH PATIENTS. PHOENIXVILLE HOSPITAL WILL PARTICIPATE IN CULTURALLY DIVERSE COMMUNITY EVENTS TO ADDRESS HEALTH AND WELLNESS. THEY WILL PROMOTE TELEHEALTH TO THE COMMUNITY AND COLLABORATE WITH LOCAL HEALTH CARE PROFESSIONALS TO OFFER EDUCATIONAL SESSIONS AND WORKSHOPS. TO HELP DEVELOP A DIVERSE WORKFORCE, PHOENIXVILLE HOSPITAL WILL PROVIDE JOB SHADOWING OPPORTUNITIES TO THE LOCAL HIGH SCHOOLS, COLLEGES AND UNIVERSITIES. POTTSTOWN HOSPITAL: ACCESS TO EQUITABLE CARE - INCREASE ACCESS TO EQUITABLE CARE BY COMMUNITY MEMBERS, PARTICULARLY THOSE CONSIDERED DISPARATE AND VULNERABLE POPULATIONS. ACCESS TO EQUITABLE CARE WAS STRONGLY EMPHASIZED THROUGHOUT ALL STEPS OF DATA COLLECTION. WHEN ASSESSING DIVERSE AND DISPARATE POPULATIONS, MANY SOCIAL FACTORS AND BARRIERS TO HEALTH CARE ACCESS AND SERVICES (E.G., LACK OF TRANSPORTATION, INADEQUATE LANGUAGE AND INTERPRETATION SERVICES, LACK OF INSURANCE COVERAGE, AND CULTURAL BIAS AND DISCRIMINATION) WERE UNCOVERED. THESE BARRIERS HAVE A VERY DRAMATIC IMPACT ON COMMUNITY MEMBERS' ABILITY TO ACCESS QUALITY HEALTH CARE AND ACHIEVE A HIGHER QUALITY OF LIFE. THE GOAL IS TO INCREASE ACCESS TO EQUITABLE CARE FOR COMMUNITY MEMBERS, PARTICULARLY THOSE CONSIDERED DISPARATE AND VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL WILL UTILIZE COMMUNITY HEALTH PROFESSIONALS TO IMPROVE ACCESS TO CARE FOR VULNERABLE COMMUNITY MEMBERS BY CONNECTING PATIENTS TO PRIMARY AND SECONDARY CARE, THEY WILL CONDUCT HEALTH LITERACY ASSESSMENTS AND IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). THE RIDE HEALTH PLATFORM WILL BE UTILIZED TO COORDINATE FREE TRANSPORTATION TO AND FROM APPOINTMENTS FOR ELIGIBLE PATIENTS AND BUS VOUCHERS WILL BE PROVIDED FOR PATIENTS IN NEED. POTTSTOWN HOSPITAL WILL CONTINUE THE STREET MEDICINE PROGRAM TO PROVIDE PRIMARY, PREVENTATIVE AND SPECIALTY CARE AND REFERRALS TO VULNERABLE PATIENTS. STREET DENTAL SERVICES WILL BE IMPLEMENTED FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. POTTSTOWN HOSPITAL WILL PARTNER WITH READING HOSPITAL'S MOBILE MAMMOGRAPHY COACH TO PROVIDE SCREENING MAMMOGRAMS TO VULNERABLE POPULATIONS. TO CREATE WAY SO LISTEN TO THE COMMUNITY, POTTSTOWN HOSPITAL WILL CONVENE A COMMUNITY ADVISORY BOARD, CONDUCT FOCUS GROUPS TO BETTER UNDERSTAND COMMUNITY NEEDS AND HEALTHCARE ACCESSIBILITY. BEHAVIORAL HEALTH - IMPROVE ACCESS TO SUPPORT FOR BEHAVIORAL HEALTH SERVICES. BEHAVIORAL HEALTH INCLUDES THE PREVALENCE OF MENTAL HEALTH D</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 13H</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. PATIENTS VISITING FROM OUT OF THE COUNTRY AND REQUIRING EMERGENCY SERVICES ARE ELIGIBLE FOR CONSIDERATION OF FINANCIAL ASSISTANCE. HOWEVER, PATIENTS VISITING THE UNITED STATES WITH THE INTENT OF RECEIVING NON-EMERGENCY CARE ARE NOT GENERALLY ELIGIBLE FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 15E</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. FINANCIAL ASSISTANCE APPLICATION PROCESS: 1. WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE: A. PATIENTS RECEIVING SERVICES IN OUR HOSPITAL AND THMG PRACTICES. B. BOTH UNINSURED AND UNDER-INSURED PATIENTS. C. PATIENTS WHO ARE DENIED MEDICAID COVERAGE, OR WHO ARE SCREENED AND DETERMINED TO NOT MEET THE MEDICAID COVERAGE CRITERIA. 2. A HOSPITAL FINANCIAL COUNSELOR OR PATIENT FINANCIAL SERVICES REPRESENTATIVE WILL ASSIST THE PATIENT WITH COMPLETING THE FINANCIAL ASSISTANCE APPLICATION AND OBTAIN ANY SUPPORTING DOCUMENTATION. 3. DECISIONS PERTAINING TO ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE MADE WITHIN 14 DAYS OF RECEIPT OF A COMPLETE FINANCIAL ASSISTANCE APPLICATION. INCOMPLETE APPLICATIONS WILL BE REVIEWED AND ATTEMPTS TO CONTACT THE PATIENT/GUARANTOR FOR ADDITIONAL INFORMATION WILL BE MADE. A CONFIRMATION LETTER IN ENGLISH AND SPANISH WILL BE SENT TO THE PATIENT DESCRIBING THE OUTCOME OF THE DECISION. 4. WHEN FINANCIAL ASSISTANCE IS APPROVED, A CONFIRMATION LETTER IN ENGLISH AND SPANISH WILL BE SENT TO THE PATIENT. THE LETTER WILL SERVE AS A MEANS OF SPECIFYING THE TIME FRAME COVERED BY THE FINANCIAL ASSISTANCE DETERMINATION. THE CONFIRMATION LETTER WILL CONTAIN A CONTACT NAME FOR THE PATIENT TO RETAIN AS A REFERENCE AND RESOURCE FOR ADDITIONAL QUESTIONS. 5. IF FINANCIAL ASSISTANCE IS NOT APPROVED, LETTERS IN ENGLISH AND SPANISH WILL BE SENT DESCRIBING THE REASONS FOR THE DECISION, AS WELL AS INFORMATION ON OTHER PAYMENT OPTIONS. SHOULD PATIENTS WISH TO APPEAL THE DECISION MADE, DIRECTIONS ON THE APPEALS PROCESS WILL ALSO BE PROVIDED. 6. PATIENTS OR GUARANTORS WHO DISAGREE WITH THE OUTCOME OF THE FINANCIAL ASSISTANCE ELIGIBILITY DECISION WILL HAVE THE OPPORTUNITY TO APPEAL THE DECISION. 7. THE FINANCIAL ASSISTANCE SCALE PROVIDES 100% CHARITY CARE TO BOTH INSURED AND UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 200% OF THE FEDERAL POVERTY LEVEL (FPL). THE FINANCIAL ASSISTANCE SCALE PROVIDES DISCOUNTED CARE ON A SLIDING SCALE FOR BOTH INSURED AND UNINSURED PATIENTS WHOSE HOUSEHOLD INCOME IS UP TO 400% OF THE FEDERAL POVERTY LEVEL (FPL). 8. THE MCR FFS (MEDICARE FEE FOR SERVICE) IS USED TO DETERIMINE THE FINANCIAL ASSISTANCE ADJUSTMENT.PATIENTS ARE ENCOURAGED TO BEGIN APPLYING FOR FINANCIAL ASSISTANCE AS EARLY AS POSSIBLE IN THE PROCESS OF ACCESSING MEDICAL CARE. THE SOONER THE HOSPITAL BECOMES AWARE OF THE FINANCIAL NEED, THE GREATER OPPORTUNITY EXISTS TO SUCCESSFULLY CONNECT THE PATIENT WITH POTENTIAL RESOURCES SUCH AS MEDICAID OR OTHER ASSISTANCE OF INSURANCE PROGRAMS. WHILE IT IS IDEAL TO INITIATE THE PROCESS AS SOON AS POSSIBLE, PATIENTS ARE ELIGIBLE TO REQUEST CONSIDERATION OF FINANCAL ASSISTANCE AT ANY POINT IN THE BILLING AND COLLECTION CYCLE. IF THE FINANCIAL ASSISTANCE APPLICATION IS INITIATED WHILE THE ACCOUNT IS IN THE COLLECTION PROCESS, COLLECTION ACTIVITY WILL CEASE UNTIL DETERMINATION OF ELIGIBILITY HAS BEEN MADE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 16J</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BELOW NARRATIVE COVERS LINE 16A-C AND J THIS ALSO APPLIES TO PHOENIXVILLE HOSPITAL. THE CURRENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLICY ARE OFFERED IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE, WHILE THE FINANCIAL ASSISTANCE APPLICATION IS AVAILABLE IN ENGLISH AND SPANISH. THESE DOCUMENTS ARE ACCESSIBLE AT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE ADDITIONALLY, TOWER HEALTH MAINTAINS, AND CONTINUOUSLY UPDATES THE LIST OF ALL PROVIDERS (IDENTIFIED BY NAME, PRACTICE GROUP/ENTITY HOSPITAL DEPARTMENT OR TYPE OF SERVICE) DELIVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AT POTTSTOWN HOSPITAL, AND PHOENIXVILLE HOSPITAL SPECIFYING WHICH PROVIDERS ARE AND ARE NOT COVERED BY THE PATIENT FINANCIAL ASSISTANCE POLICY. THIS PROVIDER LIST IS AVAILABLE ONLINE AT: HTTPS://WWW.TOWERHEALTH.ORG/PROVIDERS/. IN ADDITION,A PAPER COPY CAN BE OBTAINED AT NO COST BY CALLING 484-628-5683. FEES FOR SERVICES PROVIDED BY PHYSICIANS WHO ARE NOT EMPLOYED BY POTTSTOWN, AND PHOENIXVILLE HOSPITALS ARE EXCLUDED FROM THE FINANCIAL ASSISTANCE POLICY. INFORMATION REGARDING ELIGIBILITY FOR FINANCIAL ASSISTANCE IS COMMUNICATED VIA SIGNAGE AND BROCHURES PROMINENTLY DISPLAYED THROUGHOUT THE HOSPITAL AND WITHIN REGISTRATION AREAS. PAMPHLETS TITLED UNDERSTANDING BILLING &amp; PAYMENTS INCLUDE THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY. THE PAMPHLETS ARE PRINTED IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE AND ARE AVAILABLE IN THE LOBBIES AND WAITING AREAS THROUGHOUT THE HOSPITAL. THESE PAMPHLETS PROVIDE AN EASY-TO-READ SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM, WITH CONTACT INFORMATION OF HOSPITAL EMPLOYEES WHO WILL ASSIST THE PATIENTS WITH THE APPLICATION PROCESS. THESE PAMPHLETS ARE ALSO DISTIBUTED TO PATIENTS AT THE POINTS OF REGISTRATION THROUGHOUT THE HOSPITAL. PATIENTS WHO ARE UNINSURED OR WHO EXPRESS THE INABILITY TO PAY AT POINT OF SERVICE ARE PROVIDED WITH THE PAMPHLET. EMERGENCY PATIENTS IN THESE SITUATIONS ARE PROVIDED WITH THE PAMPHLET AT THE TIME OF DISCHARGE. PATIENT BILLING STATEMENTS FOR HOSPITAL SERVICES CONTAIN GUIDANCE AND DIRECTION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. IN ADDITION, THE BACK OF THE BILLING STATEMENT IS A FINANCIAL ASSISTANCE APPLICATION. THE HOSPITAL WORKS CLOSELY WITH ADVOCACY PROGRAMS IN THE COMMUNITY. THE AVAILABILITY OF THE HOPSITAL FINANCIAL ASSISTANCE POLICY IS SHARED WITH THOSE AGENCIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WILL BE REQUESTED TO PROVIDE VERIFICATION OF HOUSEHOLD INCOME ALONG WITH THE NAMES OF PEOPLE RESIDING IN THE HOUSEHOLD, AS A REQUIREMENT OF THE APPLICATION PROCESS. THE INFORMATION IS UTILIZED IN DETERMINING WHERE THE HOUSEHOLD FALLS WITHIN THE FEDERAL POVERTY LEVEL GUIDELINE (FPL). THE FPL CATEGORY WILL DETERMINE THE PATIENT OR GUARANTOR CONTRIBUTION AMOUNT TOWARD THEIR MEDICAL BILL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>IN THE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS SECTION OF LINE 7, A COST TO CHARGE RATIO DEVELOPED FROM THE MEDICARE COST REPORT IS UTILIZED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>ECONOMIC DEVELOPMENT: PHOENIXVILLE HOSPITAL'S DIRECTOR OF MARKETING, SUSAN GRAHAM, SERVES ON THE BOARD OF THE PERKIOMEN VALLEY CHAMBER OF COMMERCE. THIS ORGANIZATION IS DEDICATED TO ECONOMIC DEVELOPMENT. THE CEO OF POTTSTOWN HOSPITAL, SERVES ON THE BOARD OF POTTSTOWN AREA ECONOMIC DEVELOPMENT. IN ADDITION, NICOLE O'CALLAGHAN, DIRECTOR OF MED/SURG, PARTICIPATED IN LEADERSHIP TRI-COUNTY THROUGH THE TRICOUNTY AREA CHAMBER OF COMMERCE. ENVIRONMENTAL IMPROVEMENTS: POTTSTOWN HOSPITAL ORGANIZED A COMMUNITY CLEAN UP EVENT TO CLEAN UP TRASH OFF HIGH ST. IN POTTSTOWN BOROUGH ON EARTH DAY. 16 STAFF MEMBERS PARTICIPATED IN THE EVENT ON APRIL 25TH, 2025. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: PHOENIXVILLE HOSPITAL OFFERS MEDICAL INTERPRETER TRAINING TO LOCAL NON- PROFIT ORGANIZATIONS ANNUALLY. COALITION BUIDLING: PHOENIXVILLE HOSPITAL PARTICIPATES IN SEVERAL COMMUNITY COLLABORATIVES/COALITIONS WHICH ADDRESS HEALTH AND SAFETY ISSUES. THE HOSPITAL PARTICIPATED IN NATIONAL NIGHT OUT WHICH IS A COMMUNITY BUILDING CAMPAIGN THAT PROMOTES POLICE-COMMUNITY PARTNERSHIPS AND NEIGHBORHOOD CAMARADERIE. PHOENIXVILLE HOSPITAL ALSO PARTICIPATES IN THE HUB, AN INITIATIVE WITH PASD TO ADDRESS AND TO IDENTIFY AT RISK STUDENTS/FAMILIES AND SUPPORT NEEDS. PHOENIXVILLE HOSPITAL ALSO PARTICIPATES IN THE NEWLY IMPLEMENTED SENIOR HUB, ADDRESSING THE NEEDS OF SENIOR POPULATION. WE ALSO PARTICIPATE IN COMMUNITIES THAT CARE (CTC) WHICH IS A COLLABORATION OF ORGANIZATIONS USING EVIDENCE-BASED PREVENTION PROGRAMS AND POLICIES TO FOSTER POSITIVE MENTAL HEALTH AND YOUTH DEVELOPMENT. PHOENIXVILLE HOSPITAL ALSO PARTICIPATES IN THE PHOENIXVILLE AREA RESOURCE NETWORK AND THE HEALTH LITERACY COUNCIL. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: PHOENIXVILLE HOSPITAL SUPPORTS POLICIES AND PROGRAMS TO SAFEGUARD AND OR IMPROVE PUBLIC HEALTH, ACCESS TO HEALTHCARE SERVICES, AND TRANSPORTATION. NURSE OUTREACH IS PROVIDED FOR VULNERABLE POPULATIONS INCLUDING LOW-INCOME HOUSING, VETERANS, AND SENIORS. RIDE HEALTH PROVIDES TRANSPORTATION FOR THOSE WHO NEED A RIDE EITHER TO OR FROM A MEDICAL APPOINTMENT. WORKFORCE DEVELOPMENT: PHOENIXVILLE HOSPITAL BELIEVES IN INVESTING IN THE FUTURE HEALTHCARE WORKFORCE AND PROVIDES SEVERAL OPPORTUNITIES FOR PRIMARY, SECONDARY, AND POST-SECONDARY STUDENTS WHO ARE INTERESTED IN HEALTHCARE CAREERS TO ENGAGE WITH BOTH CLINICAL AND NON-CLINICAL STAFF. JOB SHADOWING AND HIGH SCHOOL CAREER STUDY ARE AVAILABLE FOR STUDENTS. JOB SHADOWING HOSTED 47 STUDENTS IN FY25. PHOENIXVILLE HOSPITAL HAS DEVELOPED A STRONG PARTNERSHIP WITH THE TECHNICAL COLLEGE HIGH SCHOOL AND HOSTS STUDENTS IN THEIR ALLIED HEALTH PROGRAM. ALLIED HEALTH STUDENTS HAVE THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AT THE HOSPITAL. 41 STUDENTS PARTICIPATED IN FY25 IN 10 DIFFERENT CLINICAL AREAS. POTTSTOWN HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES FOR PRIMARY, SECONDARY, AND POST-SECONDARY STUDENTS WHO ARE INTERESTED IN CAREERS IN HEALTHCARE TO ENGAGE WITH BOTH CLINICAL AND NON-CLINICAL STAFF. STAFF PARTICIPATE IN WORKFORCE DEVELOPMENT FORUMS, OFFER SHADOWING OPPORTUNITIES, AND HOST CLINICAL ROTATIONS AND INTERNSHIPS. IN ADDITION, IN FY25, POTTSTOWN HOSPITAL CONTINUED THE HIGH SCHOOL INTERNSHIP PROGRAM. THIS UNIQUE PROGRAM OFFERED FULL-YEAR INTERNSHIPS TO FIVE STUDENTS FROM SCHOOLS IN THE HOSPITAL'S SERVICE AREA. IN ADDITION, THE STUDENT'S RECEIVED WORKFORCE DEVELOPMENT EDUCATION. THE HOSPITAL ALSO OFFERED A CAREER EXPLORATION EVENT WHICH FEATURED AN IN-DEPTH TOUR OF THE HOSPITAL WITH EDUCATION ON EACH DEPARTMENT. THE EVENT CONCLUDED WITH A PANEL DISCUSSION FROM VARIOUS ROLES IN THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS AN IMPLICIT PRICE CONCESSION. BAD DEBT IS DETERMINED IF THERE WAS AN EXTRAORDINARY OR ADVERSE EVENT THAT PREVENTED A PATIENT FROM BEING ABLE TO PAY THE EXPECTED AMOUNT. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY UNCOLLECTED AMOUNTS BUT DID NOT, THESE UNCOLLECTED AMOUNTS ARE TREATED AS IMPLICIT PRICE CONCESSIONS. THERE WAS NO ADVERSE OR EXTRAORDINARY EVENT THAT CAUSED THE ORGANIZATION TO REPORT BAD DEBT EXPENSE IN FY2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT CURRENTLY HAVE A METHODOLOGY TO ACCURATELY QUANTIFY OR ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE THAT WOULD BE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING IS A FOOTNOTE REGARDING COMMUNITY BENEFIT EXPENSE AND UNCOMPENSATED CARE. THE SYSTEM PROVIDES SERVICES TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY SERVICE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN THE ESTABLISHED RATES. CRITERIA FOR CHARITY CARE CONSIDER THE PATIENT'S FAMILY INCOME, FAMILY SIZE, AND ABILITY TO PAY. INDIVIDUALS WHO QUALIFY FOR CHARITY CARE DO NOT HAVE INSURANCE OR OTHER COVERAGE. THE SYSTEM MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE AND COMMUNITY SERVICE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE BASED ON ESTABLISHED RATES FOR SERVICES, AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE AND COMMUNITY SERVICE POLICIES, AND THE ESTIMATED COST OF THOSE SERVICES. CHARGES FOREGONE FOR UNCOMPENSATED CARE AS DETERMINED IN ACCORDANCE WITH THE SYSTEM'S POLICIES WERE APPROXIMATELY 74,068 AND 46,599 IN THE YEARS ENDED JUNE 30, 2025 AND 2024, RESPECTIVELY.DIRECT AND INDIRECT COSTS TO PROVIDE THESE SERVICES WERE APPROXIMATELY 16,235 AND 11,119 FOR THE YEARS ENDED JUNE 30, 2025 AND 2024, RESPECTIVELY. THE ESTIMATED COSTS WERE BASED ON A CALCULATION, WHICH MULTIPLIED THE COST TO CHARGE RATIO BY THE GROSS CHARGES ASSOCIATED WITH PROVIDING UNCOMPENSATED CARE TO PATIENTS. THE COST TO CHARGE RATIO WAS OBTAINED FROM THE SYSTEM'S MOST RECENTLY FILED MEDICARE COST REPORT. ADDITIONALLY, THE SYSTEM SPONSORS CERTAIN OTHER SERVICE PROGRAMS AND CHARITY SERVICES, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS REQUIRING SPECIAL SERVICES AND SUPPORT, COMMUNITY SERVICE PROGRAMS AND CHARITY SERVICES, AS WELL AS HEALTH PROMOTION AND EDUCATION. THE SYSTEM'S COMMUNITY SERVICE INCLUDES THE MEDICAL ASSISTANCE PROGRAM, WHICH MAKES PAYMENT FOR SERVICES PROVIDED TO FAMILIES WITH DEPENDENT CHILDREN, THE AGED, THE BLIND, AND THE PERMANENTLY AND TOTALLY DISABLED, WHOSE INCOME AND RESOURCES ARE INSUFFICIENT TO MEET THE COSTS OF NECESSARY MEDICAL SERVICES. PAYMENTS FROM THE MEDICAL ASSISTANCE PROGRAM ARE GENERALLY LESS THAN THE SYSTEM'S COST OF PROVIDING THE SERVICE. IN ADDITION, COMMUNITY SERVICE REPRESENTS THE COST TO DELIVER SERVICES TO THE COMMUNITY, NET OF ANY PAYMENT RECEIVED FOR THOSE SERVICES. INCLUDED IN THESE SERVICES ARE THE SYSTEM'S SUBSIDIES OF OUTPATIENT CLINICS, EDUCATION OF MEDICAL PROFESSIONALS WHO WORK WITH VARIOUS HEALTH CARE PROVIDERS IN THE COMMUNITY UPON GRADUATION AND COMMUNITY MENTAL HEALTH PROGRAMS. THE SYSTEM ALSO SPONSORS HEALTH FAIRS AND OTHER WELLNESS PROGRAMS THROUGHOUT THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL MAINTAINS RECORDS THROUGH THEIR GENERAL LEDGER SYSTEM TO CALCULATE GROSS PATIENT CHARGES AND GROSS REIMBURSEMENT PAYMENTS. A RATIO OF COST TO CHARGES IS APPLIED TO THE GROSS PATIENT CHARGES TO CALCULATE THE COMMUNITY BENEFIT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS ARE INFORMED OF OPTIONS OF FINANCIAL ASSISTANCE THROUGHOUT THE REVENUE CYCLE, FROM REGISTRATION THROUGH COLLECTION; THEREFORE, THE HOSPITAL'S DEBT COLLECTION POLICY AND PROCEDURE INCLUDES SPECIFIC PROVISIONS FOR REFERRING PATIENTS FOR FINANCIAL ASSISTANCE. THREE STATEMENTS, SPECIFYING THE AMOUNT DUE AND APPROPRIATE DETAILED INSTRUCTIONS ARE SENT TO PATIENTS EVERY 30 DAYS A BALANCE REMAINS. EACH STATEMENT CONTAINS A PATIENT FINANCIAL ASSISTANCE APPLICATION WITH INSTRUCTIONS AND APPROPRIATE CONTACT INFORMATION. NO ACCOUNT SHALL BE SENT TO A COLLECTION AGENCY AS LONG AS THE PATIENT/GUARANTOR IS ACTIVELY WORKING WITH A FACILITIES PATIENT FINANCIAL SERVICES REPRESENTATIVE TO RESOLVE AN OPEN ACCOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND MADE PUBLICLY AVAILABLE IN JUNE 2025. PHOENIXVILLEE HOSPITAL: PHOENIXVILLE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND MADE PUBLICLY AVAILABLE IN JUNE 2025. FROM FEBRUARY THROUGH DECEMBER 2024, PHOENIXVILLE HOSPITAL CONDUCTED THE DATA COLLECTION AND ANALYSIS PHASE OF ITS CHNA PROCESS USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) 2.0 FRAMEWORK. PRIMARY RESEARCH METHODS INCLUDED CONDUCTING A STAKEHOLDER INTERVIEWS (5 COMPLETED), FOCUS GROUPS (2 COMPLETED), KEY INFORMANT SURVEYS AND A COMMUNITY SURVEY IN BOTH ENGLISH AND SPANISH (OVER 650 COMPLETED). THE PRIMARY RESEARCH ALLOWED THE HOSPITAL TO GAIN INSIGHTS INTO HEALTH BEHAVIORS AND ACCESS BARRIERS FROM COMMUNITY MEMBERS AND ORGANIZATIONS WHO SERVE LOW-INCOME, VULNERABLE INDIVIDUALS IN THE COMMUNITY. SECONDARY RESEARCH COLLECTION INCLUDED DATA FROM PENNSYLVANIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), PENNSYLVANIA DEPARTMENT OF HEALTH PUBLIC HEALTH, PENNSYLVANIA YOUTH SURVEY (PAYS), ROBERT WOOD JOHNSON FOUNDATION'S COMMUNITY HEALTH RANKINGS, UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL, HEALTHY PEOPLE 2030, UNITED WAY'S 2-1 -1 COMMUNITY ASSET LIST, AND PHOENIXVILLE HOSPITAL PATIENT DATA. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPILED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF PHOENIXVILLE HOSPITAL STAFF AND COMMUNITY PARTNERS. AND PARTICIPANTS OF STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, AND FOCUS GROUPS, WHO PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGIN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN. IDENTIFIED AND ACCEPTED PRIORITY AREAS TO ADDRESS INCLUDE: ACCESS TO EQUITABLE CARE, HEALTH EDUCATION AND PREVENTION, BEHAVIORAL HEALTH, AND HEALTH EQUITY. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND MADE PUBLICLY AVAILABLE IN JUNE 2025. FROM FEBRUARY THROUGH DECEMBER 2024, POTTSTOWN HOSPITAL CONDUCTED THE DATA COLLECTION AND ANALYSIS PHASE OF ITS CHNA PROCESS USING AN ADAPTED PROCESS FROM THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) 2.0 FRAMEWORK. PRIMARY RESEARCH METHODS INCLUDED CONDUCTING 13 COMMUNITY LEADER INTERVIEWS, 3 FOCUS GROUPS, 24 HOSPITAL LEADERSHIP SURVEYS, AND 4,921 COMMUNITY MEMBER SURVEYS. THE PRIMARY RESEARCH ALLOWED THE HOSPITAL TO GAIN INSIGHTS INTO HEALTH BEHAVIORS AND ACCESS BARRIERS FROM COMMUNITY MEMBERS AND ORGANIZATIONS WHO SERVE LOW- INCOME, VULNERABLE INDIVIDUALS IN THE COMMUNITY. SECONDARY RESEARCH COLLECTION INCLUDED DATA FROM PENNSYLVANIA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), PENNSYLVANIA DEPARTMENT OF HEALTH PUBLIC HEALTH, PENNSYLVANIA YOUTH SURVEY (PAYS), ROBERT WOOD JOHNSON FOUNDATION'S COMMUNITY HEALTH RANKINGS, UNITED STATES CENSUS BUREAU, CENTERS FOR DISEASE CONTROL, HEALTHY PEOPLE 2020, UNITED WAY'S 2-1 -1 COMMUNITY ASSET LIST, AND POTTSTOWN HOSPITAL PATIENT DATA. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPILED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF POTTSTOWN HOSPITAL STAFF AND COMMUNITY PARTNERS. ADDITIONALLY, THE CHNA ADVISORY BOARD PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGIN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN. THE FOLLOWING PRIORITIES WERE IDENTIFIED AND APPROVED BY THE HOSPITAL'S CHNA ADVISORY BOARD AND POTTSTOWN HOSPITAL'S BOARD OF TRUSTEES: ACCESS TO EQUITABLE CARE, ACCESS TO BEHAVIORAL HEALTHCARE, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THE MISSION TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE COMMUNITY, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL AND POTTSTOWN HOSPITAL RECOGNIZE THAT SOME PATIENTS AND FAMILIES MAY NEED FINANCIAL ASSISTANCE TO HELP DEFRAY THE COST OF HEALTHCARE SERVICES. THEREFORE, EACH HOSPITAL OFFERS PATIENT FINANCIAL ASSISTANCE TO ENDURE ACCESS TO HIGH-QUALITY HEALTHCARE TO ALL. PATIENTS ARE ENCOURAGED TO SEEK FINANCIAL ASSISTANCE AS EARLY IN THE TREATMENT PROCESS AS POSSIBLE. THE CURRENT FINANCIAL ASSISTANCE PROGRAM POLICY AND APPLICATIONS CAN BE FOUND ON THE WEBSITE. THE PLAIN LANGUAGE AND FULL FINANCIAL ASSISTANCE POLICIES ARE OFFERED IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE, WHILE THE APPLICATION IS AVAILABLE IN ENGLISH AND SPANISH. THE WEBSITE INCLUDES A DATABASE OF ALL PROVIDERS WHO DELIVER EMERGENCY AND MEDICALLY NECESSARY CARE AT PHOENIXVILLE HOSPITAL AND POTTSTOWN HOSPITAL AND IDENTIFIES WHICH ARE AND ARE NOT COVERED BY THE FINANCIAL ASSISTANCE POLICY. THE PROVIDER LIST IS CONTINUOUSLY UPDATED. A PAPER COPY OF THE LIST IS AVAILABLE FREE OF CHARGE UPON REQUEST FOR PATIENTS WHO DO NOT HAVE INTERNET ACCESS. PAMPHLETS TITLED UNDERSTANDING BILLING &amp; PAYMENT INCLUDE A PLAIN LANGUAGE SUMMARY OF THE HOSPITALS FINANCIAL ASSISTANCE POLICY AND ARE MADE AVAILABLE IN LOBBIES AND WAITING AREAS THROUGHOUT THE HOSPITALS. THEY ARE ALSO PROVIDED TO PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR EXPRESS AN INABILITY TO PAY AT REGISTRATION, POINT OF SERVICE, AND/OR DISCHARGE. PATIENT BILLING STATEMENTS FOR PHOENIXVILLE HOSPITAL AND POTTSTOWN HOSPITAL SERVICES CONTAIN GUIDANCE AND DIRECTION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE POLICY IS ALSO SHARED WITH A NUMBER OF ADVOCACY PROGRAMS WITHIN THE COMMUNITY. FINANCIAL COUNSELORS WILL EDUCATE PATIENTS AND FAMILIES IN REFERENCE TO AVAILABLE RESOURCES AND WILL PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION AND APPROVAL PROCESS TO ENSURE ALL PATIENTS CONTINUE TO HAVE THE OPPORTUNITY TO ACCESS THE CARE THEY NEED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITIES; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. PHOEXNIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL ARE COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. PHOENIXVILLE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES SPECIFIC ZIP CODES IN CHESTER AND MONTGOMERY COUNTY. THE TOTAL POPULATION IN THE PHOENIXVILLE HOSPITAL PRIMARY SERVICE AREA (PSA) IS 196,430. IN PHOENIXVILLE HOSPITAL'S PSA, THERE IS A DIVERSE POPULATION WITH A RACIAL MIX OF 79.8% WHITE, 7.1% BLACK OR AFRICAN AMERICAN, 5.2% HISPANIC OR LATINO, 4.4% ASIAN, AND 3.5% IDENTIFYING AS TWO OR MORE RACES. 50.5% OF THE POPULATION IS MALE WHILE 49.5% OF THE POPULATION IS FEMALE. 15.3% OF THE POPULATION IS 65 YEARS OR OLDER. THE POVERTY RATE IN PHOENIXVILLE HOSPITAL'S PSA IS 7.8%, WHICH INCREASES SIGNIFICANTLY IN SPRING CITY (ZIP CODE 19475) TO 13.8%. THE MEDIAN HOUSEHOLD INCOME IN THE PSA IS 111,130. HOWEVER, THERE IS A SIGNIFICANT DECLINE IN MEDIAN HOUSEHOLD INCOME IN THE POTTSTOWN COMMUNITY. IN 19464, THE MEDIAN HOUSEHOLD INCOME IS 76,338. APPROXIMATELY 6% OF RESIDENTS ARE UNINSURED IN THE PSA, WHILE THAT NUMBER RISES TO 8% IN POTTSTOWN. ACROSS THE PSA, 13% OF RESIDENTS HAVE MEDICAID. HOWEVER, IN SPRING CITY, 18% OF RESIDENTS HAVE MEDICAID AND IN POTTSTOWN, 25% OF RESIDENTS HAVE MEDICAID. THE UNEMPLOYMENT RATE ACROSS THE PSA IS 4.4% WHICH RISES IN POTTSTOWN TO 6%. THE HIGH SCHOOL GRADUATION RATE IN THE PSA IS 93%, HOWEVER THIS DROPS TO 91% IN POTTSTOWN. POTTSTOWN HOSPITAL'S PRIMARY SERVICE AREA INCLUDES SPECIFIC ZIP CODES IN BERKS, MONTGOMERY, AND CHESTER COUNTIES, WHICH PRIMARILY ENCOMPASSES A 10- MILE RADIUS AROUND THE HOSPITAL. POTTSTOWN HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE FOLLOWING ZIP CODES: 19464, 19465,19470, 19473, 19478, 19512, 19518, 19519, 19525, 19430, AND 19548. POTTSTOWN BOROUGH, ZIP CODE 19464, IS IDENTIFIED AS THE MOST VULNERABLE ZIP CODE IN THE SERVICE AREA WITH THE HIGHEST POVERTY RATE AND HIGHEST UNEMPLOYMENT RATE. ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY (ACS), THE POPULATION IN THE HOSPITAL'S SERVICE AREA IS 141,130. THE SERVICE AREA HAS A DIVERSE POPULATION INCLUDING 81.2% WHITE, 6.7% BLACK OR AFRICAN AMERICAN, 6.1% LATINO, AND 2.2% ASIAN. THE COMMUNITY IS 50.1% FEMALE AND 49.9% MALE. THE MEDIAN AGE IN THE SERVICE AREA IS 41.5 WITH 16.4% OF RESIDENTS AGED 65 AND OLDER. THE MEDIAN HOUSEHOLD INCOME IN THE HOSPITAL'S SERVICE AREA IS 100,885, HOWEVER, THIS IS SIGNIFICANTLY REDUCED IN POTTSTOWN. THE MEDIAN HOUSEHOLD INCOME IN POTTSTOWN IS 56,174. 9.26% OF RESIDENTS ARE LIVING IN POVERTY. IN POTTSTOWN BOROUGH, ZIP CODE 19464, 19.75% OF RESIDENTS ARE LIVING IN POVERTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH: DESCRIPTION OF ACHIEVEMENTS IN FISCAL YEAR 2025 RELATING TO EXEMPT PURPOSE STATS PROVIDED ARE FOR PHOENIXVILLE HOPSITAL AND POTTSTOWN HOSPITAL COLLECTIVELY. PROVIDING HEALTH CARE: INPATIENT DISCHARGES 16,462 INPATIENT DAYS 69,693 BIRTHS 942 EMERGENCY VISITS 53,083 PROMOTING HEALTH: PHOENIXVILLE HOSPITAL: HEALTH OUTREACH IMPACTING ALL AGES MANY OF OUR PROGRAMS AND SERVICES HAVE BEEN DEVELOPED TO ADDRESS SPECIFIC HEALTH NEEDS OR OVERCOME BARRIERS TO CARE AS IDENTIFIED ON OUR COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY HEALTH EDUCATION AND OUTREACH DEPARTMENT IS FOCUSED ON PROMOTING, PROTECTING, AND IMPROVING THE HEALTH OF INDIVIDUALS AND COMMUNITIES BY OFFERING A VARIETY OF PROGRAMS FOCUSED ON HEALTH PROMOTION AND DISEASE. THE MISSION OF COMMUNITY HEALTH EDUCATION AND OUTREACH IS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY THROUGH EVIDENCE-BASED PRACTICE AND EDUCATION. OPERATE A 24/7 EMERGENCY DEPARTMENT PHOENIXVILLE HOSPITAL'S ED OFFERS ADVANCED TECHNOLOGY AND TREATMENT AREAS TO FACILITATE TRIAGE, DIAGNOSIS AND TREATMENT OF ACUTE ILLNESSES OR INJURIES. WE OFFER EXPERIENCED, COMPASSIONATE EMERGENCY CARE - 24 HOURS A DAY, SEVEN DAYS A WEEK. PATIENTS RECEIVE CARE FROM A TEAM OF BOARD- CERTIFIED, SPECIALLY TRAINED PHYSICIANS, PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS WITH EXPERTISE IN EMERGENCY CARE. CERTIFIED AS A PRIMARY STROKE CENTER BY THE JOINT COMMISSION, AN ACCREDITED CHEST PAIN CENTER AND RECIPIENT OF GOLD PLUS AWARD FOR HEART FAILURE BY THE AMERICAN HEART ASSOCIATION. ACCESS TO EMS SERVICES - THROUGH TOWERDIRECT, CHESTER AND MONTGOMERY RESIDENTS CAN GET THE MEDICAL CARE THEY NEED QUICKLY AND SAFELY. TOWERDIRECT PROVIDES PLANNED AND UNPLANNED MEDICAL TRANSPORTATION INCLUDING AMBULANCE SERVICES, TRANSPORTATION FOR ROUTING MEDICAL VISITS, PATIENT TRANSFERS, CRITICAL CARE TRANSPORT, AND TRAUMA TRANSPORT. TOWERDIRECT ALSO PROVIDES PROACTIVE AND PREVENTATIVE HEALTH SERVICES AT PUBLIC EVENTS. MAINTAIN 24/7 INTERPRETING SERVICES PHOENIXVILLE HOSPITAL'S INTERPRETING SERVICES DEPARTMENT INCLUDES IN PERSON INTERPRETERS FOR SELECT LANGUAGES. WE CURRENTLY EMPLOY 4 SPANISH/ENGLISH/PORTUGUESE INTERPRETERS WHO ASSIST PATIENTS WITH LANGUAGE BARRIERS. OUR SPANISH AND PORTUGUESE INTERPRETERS ALSO TAKE ON THE ROLE OF PATIENT REPRESENTATIVES/ADVOCATES FOR SPANISH AND PORTUGUESE PATIENTS AND FAMILIES. THESE STAFF ALSO ASSIST WITH TRANSLATIONS FOR WRITTEN COMMUNICATIONS. THE HOSPITAL ALSO OFFERS A NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. MAINTAIN 24/7 SIGN LANGUAGE SERVICES PHOENIXVILLE HOSPITAL PARTNERS WITH DEAF-HEARING COMMUNICATION CENTRE, INC TO PROVIDE CERTIFIED SIGN LANGUAGE INTERPRETERS AS NEEDED. THE HOSPITAL ALSO HAS AN ESTABLISHED 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. PATIENT ADVOCATE REPRESENTATIVE PHOENIXVILLE HOSPITAL BELIEVES ITS PATIENTS, FAMILIES, FRIENDS, AND SUPPORT PERSONS SHOULD BE TREATED WITH RESPECT, UNDERSTANDING AND COMPASSION. IF A PATIENT HAS A CONCERN ABOUT THE CARE OR SERVICES THEY ARE RECEIVING, THEY HAVE THE RIGHT TO CONTACT THE PATIENT ADVOCATE REPRESENTATIVE WHO WILL DOCUMENT THE CONCERN AND TAKE NECESSARY STEPS TO RESOLVE IT. THE PATIENT ADVOCATE HELPS PATIENTS COMMUNICATE WITH THEIR PROVIDERS, OBTAIN INFORMATION THEY NEED TO MAKE DECISIONS, REFERS TO FINANCIAL COUNSELORS, CONNECT WITH SOCIAL SUPPORTS, UNDERSTAND THEIR RIGHTS AND RESPONSIBILITIES, AND HELP THE PATIENT BE HEARD. SPIRITUAL CARE SERVICES PHOENIXVILLE HOSPITAL ENSURES THE AVAILABILITY OF SPIRITUAL CARE AND COUNSELING TO PATIENTS AND FAMILIES. THE PASTORAL CARE PHILOSOPHY RESTS ON THE PRINCIPLE THAT THE CARE OF THE WHOLE PERSON - BODY, MIND, AND SPIRIT - IS INTEGRAL TO HEALTH AND HEALING. PALLIATIVE CARE SERVICES PHOENIXVILLE HOSPITAL'S PALLIATIVE CARE PROGRAM, LED BY A NURSE PRACTITIONER, WORKS TO HELP RELIEVE AND PREVENT SYMPTOMS AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH A LIFE-LIMITING DISEASE. PALLIATIVE CARE OFFERS SERVICES TO HOSPITAL PATIENTS, FAMILY MEMBERS, AND CAREGIVERS PROVIDING PATIENT AND FAMILY COUNSELING, EMOTIONAL AND SPIRITUAL SUPPORT, ASSISTANCE PLANNING FOR CARE AFTER A HOSPITAL STAY IN COLLABORATION WITH CARE MANAGEMENT TEAM, HELP WITH TREATMENT CHOICES AND DECISIONS, AND REFERRALS TO SPECIALISTS AND BEREAVEMENT COUNSELING. SUPPORT ORGAN DONATION PHOENIXVILLE HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN THE HAP DONATE FOR LIFE CAMPAIGN EACH YEAR. AWARDED TITANIUM LEVEL FOR PARTICIPATION FROM HAP. EDUCATE HEALTHCARE PROFESSIONALS EDUCATING HEALTHCARE PROFESSIONALS IS AN INTEGRAL PART OF POTTSTOWN HOSPITAL'S MISSION. THE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES TO PREPARE STUDENTS FOR CAREERS IN HEALTHCARE. IN FY2025, PHOENIXVILLE HOSPITAL OFFERED THE FOLLOWING CLINICAL OPPORTUNITIES FOR STUDENTS: PROFESSION NUMBER OF STUDENTS TOTAL HOURS NURSING 67 6,246 PHYSICIAN ASSISTANT 13 2,340 NURSE PRACTITIONER 17 2,058 PHARMACY 4 148 REHAB 22 6,261 RADIOLOGY 10 2,367 SHADOWING PROGRAM 47 845 ALLIED HEALTH 41 4,920 TOTAL 221 25,185 CONDUCT APPROPRIATE CLINICAL RESEARCH CLINICAL RESEARCH IS A CORE COMPONENT OF PHOENIXVILLE HOSPITAL'S MISSION AND PROVIDES PATIENTS WITH ACCESS TO CUTTING-EDGE TREATMENTS WITHOUT NEEDING TO TRAVEL FAR FROM HOME. THE CLINICAL RESEARCH TEAM PROVIDES SUPPORT AND CLINICAL RESEARCH FOR CANCER PATIENTS, CAREGIVERS, AND MEDICAL PROFESSIONALS. THE CLINICAL RESEARCH TEAM WORKS IN CONJUNCTION WITH TOWER HEALTH'S INSTITUTIONAL REVIEW BOARD WHICH MONITORS ALL CLINICAL RESEARCH PROJECTS CONDUCTED AT THE HOSPITAL. CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY PHOENIXVILLE HOSPITAL IS COMMITTED TO SUPPORTING THE COMMUNITY WITH PROGRAMS AND ACTIVITIES WHICH ALIGN WITH THE MISSION, VISION, VALUES, AND COMMUNITY BENEFIT STRATEGIES OF THE ORGANIZATION. LOCAL COMMUNITY ORGANIZATIONS BENEFITTED FROM A CASH CONTRIBUTION MADE BY THE HOSPITAL. IN FY2025, PHOENIXVILLE HOSPITAL PROVIDED CASH AND IN KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT. CASH AND IN KIND DONATIONS TOTALING 93,073 WERE GIVEN TO LOCAL ORGANIZATIONS WHICH SUPPORT EFFORTS THAT ALIGN WITH THE HOSPITAL'S MISSION, VISION, VALUES, AND COMMUNITY BENEFIT OBJECTIVES. POTTSTOWN HOSPITAL: HEALTH OUTREACH FOR CHILDREN (NEWBORNS THROUGH TEENS), ADULTS, AND ALL AGES OPERATE A 24/7 EMERGENCY DEPARTMENT MAINTAIN 24/7 INTERPRETING SERVICES POTTSTOWN HOSPITAL OFFERS A NETWORK OF 24/7 VIDEO-REMOTE INTERPRETING STATIONS AND TELEPHONES FOR ANY LANGUAGE. MAINTAIN 24/7 SIGN LANGUAGE SERVICES POTTSTOWN HOSPITAL HAS AN ESTABLISHED 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. PROVIDE 24/7 CHAPLAINCY SERVICES POTTSTOWN HOSPITAL'S DEPARTMENT OF SPIRITUAL CARE PROVIDES CHAPLAINCY SERVICES AND COUNSELING TO PATIENTS AND FAMILIES. OFFER PALLIATIVE CARE SERVICES POTTSTOWN HOSPITAL'S PALLIATIVE MEDICINE TEAM SEEKS TO PROVIDE RELIEF FROM SUFFERING AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH SERIOUS, CHRONIC, OR LIFE-THREATENING ILLNESSES. THEY ALSO PROVIDE EDUCATION AND SUPPORT SERVICES TO PATIENTS AND THEIR FAMILIES TO INCREASE UNDERSTANDING OF HEALTH ISSUES AND TREATMENT AND CARE OPTIONS. SUPPORT ORGAN DONATION POTTSTOWN HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES THROUGH THE GIFT OF LIFE PROGRAM. EDUCATE HEALTHCARE PROFESSIONALS EDUCATING HEALTHCARE PROFESSIONALS IS AN INTEGRAL PART OF POTTSTOWN HOSPITAL'S MISSION. THE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES TO PREPARE STUDENTS FOR CAREERS IN HEALTHCARE. IN FY2025, POTTSTOWN HOSPITAL OFFERED THE FOLLOWING CLINICAL OPPORTUNITIES FOR STUDENTS: PROFESSION NUMBER OF STUDENTS TOTAL HOURS NURSING 146 12,284 PHYSICIAN ASSISTANT 45 8,040 NURSE PRACTITIONER 16 2,497 PHARMACY 8 380 SHADOWING PROGRAM 52 1,255 HS INTERNSHIP PROGRAM 5 1,080 (WESTERN MONTGOMERY) TECH SCHOOL STUDENTS 8 384 TOTAL 280 25,920 ONGOING EDUCATION FOR HEALTHCARE PROFESSIONALS POTTSTOWN HOSPITAL IS ACCREDITED BY THE PENNSYLVANIA MEDICAL SOCIETY TO SPONSOR CONTINUING MEDICAL EDUCATION FOR PHYSICIANS. THE CONTINUING MEDICAL EDUCATION TEAM OVERSEES DEPARTMENT-BASED PROGRAMS FOR CME CATEGORY 1 AND CATEGORY 2 CREDITS. ONGOING EDUCATION IS ALSO AVAILABLE FOR STAFF IN ALL CLINICAL DEPARTMENTS. THE HOSPITAL ALSO PROVIDE ONGOING EDUCATION FOR STAFF IN ALL DEPARTMENTS ON SAFETY, COMPLIANCE, AND RELATED REGULATORY AND PROFESSIONAL ISSUES. CONDUCT APPROPRIATE CLINICAL RESEARCH CLINICAL RESEARCH IS A CORE COMPONENT OF POTTSTOWN HOSPITAL'S MISSION AND PROVIDES PATIENTS WITH ACCESS TO CUTTING-EDGE TREATMENTS WITHOUT NEEDING TO TRAVEL FAR FROM HOME. THE CLINICAL RESEARCH TEAM PROVIDES SUPPORT AND CLINICAL RESEARCH FOR CANCER PATIENTS, CAREGIVERS, AND MEDICAL PROFESSIONALS. THE CLINICAL RESEARCH TEAM WORKS IN CONJUNCTION WITH THE HOSPITAL'S INSTITUTIONAL REVIEW BOARD WHICH MONITORS ALL CLINICAL RESEARCH PROJECTS CONDUCTED AT THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>TOWER HEALTH MEDICAL GROUP (THMG) IS A GROUP WITHIN THE HOSPITALS' AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES GENERAL AND SPECIALIZED PRACTICE ASSISTANCE TO EACH OF THE ACUTE CARE HOSPITALS UNDER TOWER HEALTH. PHYSICIANS CAN REFER PATIENTS TO THE ACUTE CARE HOSPITALS' FOR FURTHER TREATMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PENNSYLVANIA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL STERN</PersonNm>
        <TitleTxt>PRES/CEO 2/2025</TitleTxt>
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        <BonusRelatedOrganizationsAmt>346299</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>690</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>258325</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>34041</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1565707</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAN AHERN</PersonNm>
        <TitleTxt>EVP BUSINESS DEVELOP</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>670169</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>238306</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>181921</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>181533</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>34817</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1306746</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>160078</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>P SUE PERROTTY</PersonNm>
        <TitleTxt>CEO TH TERM 2/2025</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>1246887</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUZANNE WENDEROTH MD</PersonNm>
        <TitleTxt>EVP/CMO</TitleTxt>
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        <BonusRelatedOrganizationsAmt>234570</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>137573</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>178334</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>34027</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1240093</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>136283</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BERNARD BOULANGER</PersonNm>
        <TitleTxt>EVP/CEO PROV ENTR</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>694156</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>246102</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>1980</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>187076</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>24291</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1153605</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIKE EESLEY</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>796162</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>158210</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>3810</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>179654</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>1041</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>1138877</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT EHINGER</PersonNm>
        <TitleTxt>SVP ASSOC. CFO TH</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>448006</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>139164</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>65363</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>83325</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>12734</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>748592</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>61543</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD MCLAUGHLIN</PersonNm>
        <TitleTxt>CEO PHOE/POTTS</TitleTxt>
        <BaseCompensationFilingOrgAmt>426755</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>110091</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1297</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>126075</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34041</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ZIAD OSMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationFilingOrgAmt>30137</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12075</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33448</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>562823</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL SZYMANSKI</PersonNm>
        <TitleTxt>VP CFO PHOE/POTTS</TitleTxt>
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        <BonusFilingOrganizationAmount>70553</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1980</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7294</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12302</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>390668</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES COOK</PersonNm>
        <TitleTxt>COO PHOE/POTTS</TitleTxt>
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        <BonusFilingOrganizationAmount>52032</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>404</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2027</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34037</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>316312</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANDRA CRABTREE</PersonNm>
        <TitleTxt>CNO PHOENIXVILLE</TitleTxt>
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        <BonusFilingOrganizationAmount>54870</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1475</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5357</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24890</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>315964</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANA DAVITT</PersonNm>
        <TitleTxt>CMO PHOENIXVILLE</TitleTxt>
        <BaseCompensationFilingOrgAmt>234773</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8986</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19617</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2758</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21069</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>287203</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AJAY JANI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>234271</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>6307</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8663</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23807</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>273048</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD T NEWELL JR</PersonNm>
        <TitleTxt>CEO POTTS</TitleTxt>
        <BaseCompensationFilingOrgAmt>128899</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>61107</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4623</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9972</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204601</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>60710</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DAN AHERN 0 160,078 0 SUZANNE WENDEROTH, MD 0 136,283 0 ROBERT EHINGER 0 61,543 0 RICHARD T. NEWELL JR. 0 60,710 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>TOWER HEALTH USES RETENTION BONUSES FOR KEY EXECUTIVES AS ONE WAY TO ENSURE CONTINUITY OF LEADERSHIP AS THE HEALTH SYSTEM NAVIGATES ITS ORGANIZATION TURNAROUND AND FULFILLS ITS MISSION IN A CHALLENGING ENVIRONMENT FOR HEALTHCARE PROVIDERS. THE DETAILS OF INDIVIDUAL EXECUTIVE RETENTION BONUSES ARE DEVELOPED WITH OVERSIGHT BY THE TOWER HEALTH BOARD OF DIRECTORS COMPENSATION COMMITTEE AND ARE APPROVED BY THE FULL TOWER HEALTH BOARD. AS IN ALL MATTERS OF EXECUTIVE COMPENSATION, THE BOARD RELIES ON MARKET DATA AND OUTSIDE EXPERTISE TO ENSURE ITS RETENTION BONUS PROGRAM IS CONSISTENT WITH INDUSTRY STANDARDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 4B TERMS AND CONDITIONS OF PARTICIPATION IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE 457(F) PLAN IS A TAX-DEFERRED RETIREMENT PLAN CONSISTING OF EMPLOYER CONTRIBUTIONS THAT ARE DESIGNED TO HELP SUPPLEMENT THE RETIREMENT SAVINGS FOR KEY EMPLOYEES. THE EMPLOYEE IS IMMEDIATELY ELIGIBLE TO RECEIVE TOWER HEALTH CONTRIBUTIONS TO THE 457(F) DEFERRED COMPENSATION PLAN. THE EMPLOYEE MUST BE EMPLOYED ON DECEMBER 31ST TO RECEIVE THE EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR. THE EMPLOYEE SHALL BECOME 100% VESTED IN THE EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR THREE YEARS AFTER THE CONTRIBUTION HAS BEEN MADE TO THE ACCOUNT. THE EMPLOYEE WILL ALSO BECOME 100% VESTED IN ALL OF THE EMPLOYER CONTRIBUTIONS: 1) UPON ATTAINING THE AGE 65 WHILE STILL EMPLOYED BY TOWER HEALTH 2) DUE TO DEATH OR DISABILITY 3) UPON TERMINATION OF EMPLOYMENT WITHOUT CAUSE PARTICIPATION IN PLAN: THE FOLLOWING PEOPLE PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING CALENDAR YEAR 2024 BUT DID NOT RECEIVE A DISTRIBUTION. MICHAEL STERN MIKE EESLEY RICHARD MCLAUGHLIN BERNARD BOULANGER COMPENSATION DISCLOSURE: THE COMPENSATION OF EXECUTIVES IS DETERMINED BY TOWER HEALTH'S BOARD OF DIRECTORS, WHICH HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE HOSPITAL'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE HOSPITAL'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE BERKS COUNTY MUNICIPAL AUTHORIT</BusinessNameLine1Txt>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
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        <IssuePriceAmt>646650683</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE BERKS COUNTY MUNICIPAL AUTHORIT</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>SERIES 2020</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuerEIN>236647630</BondIssuerEIN>
        <CUSIPNum>084538JC2</CUSIPNum>
        <BondIssuedDt>2020-02-11</BondIssuedDt>
        <IssuePriceAmt>321190756</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE BERKS COUNTY MINICIPAL AUTHORIT</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>236647630</BondIssuerEIN>
        <CUSIPNum>084538JK4</CUSIPNum>
        <BondIssuedDt>2024-09-19</BondIssuedDt>
        <IssuePriceAmt>945488410</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>440765000</RetiredAmt>
        <TotalProceedsAmt>479394377</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>3523736</IssuanceCostsFromProceedsAmt>
        <WorkingCapitalExpendituresAmt>24697</WorkingCapitalExpendituresAmt>
        <OtherSpentProceedsAmt>475845944</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2005</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>544340000</RetiredAmt>
        <TotalProceedsAmt>648112763</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>4343979</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>200000000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>443768784</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>263510000</RetiredAmt>
        <TotalProceedsAmt>321190756</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>121916</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>321068840</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>280000</RetiredAmt>
        <TotalProceedsAmt>947058803</TotalProceedsAmt>
        <CapitalExpendituresAmt>2499975</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>895488110</OtherSpentProceedsAmt>
        <UnspentAmt>49070419</UnspentAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BERKS COUNTY MUNICIPAL AUTHORITY SEE PART VI</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>BERKS COUNTY IND DEV AUTHORITY SEE PART VI</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BERKS COUNTY MUNICIPAL AUTHORITY SEE PART VI</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BERKS COUNTY MINICIPAL AUTHORITY SEE PART VI</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BERKS COUNTY MUNICIPAL AUTHORITY 12/28/12</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>BERKS COUNTY IND DEV AUTHORITY 04/30/18</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DATE REBATE COMPUTATION PERFORMED</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BERKS COUNTY MUNICIPAL AUTHORITY 08/11/20</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BERKS COUNTY MUNICIPAL AUTHORITY NOTE REGARDING THE REBATE COMPUTATIONS ON 12/28/2012 &amp; 8/11/2020: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALULATIONS ARE NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>BERKS COUNTY IND DEV AUTHORITY NOTE REGARDING THE REBATE COMPUTATION ON 4/30/2018: AS NO REBATABLE ARBITRAGE WAS EARNED ON THE ADVANCE REFUNDING ESCROW AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE ANALYSIS IS NECESSARY. PART I, ROW A, COLUMN (F) - REFUND PRIOR ISSUES (5/26/1994, 9/10/1988, 12/4/2008, 7/15/2009 &amp; 2/2/2010) PART I, ROW B, COLUMN (F) - PURCHASE FACILITY AND REFUND PRIOR ISSUES (7/15/2009 &amp; 9/29/2017) PART I, ROW C, COLUMN (F) - REFUND PRIOR ISSUES (7/15/2009, 6/28/2012, 5/16/2016 &amp; 12/27/2017) PART I, ROW D. COLUMN (F) - REFUND PRIOR ISSUES (6/28/2012, 10/31/2017 &amp; 2/11/2020) PART II, COLUMN C, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PAR I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART III, LINE 9 ROUTINELY MONITORS THE USE OF BOND-FINANCED ASSETS AND REGULARLY ENGAGES BOND COUNSEL AS NECESSARY TO ENSURE ALL POST-ISSUANCE COMPLIANCE REQUIREMENTS ARE MET.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF TOWER HEALTH IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. TOWER HEALTH (PARENT) IS A NON-PROFIT HEALTHCARE SYSTEM THAT PROVIDES CHARITABLE COMMUNITY-BASED HEALTHCARE SERVICES AND PROGRAMS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND THE COMMUNITIES IT SERVES IN THE GREATER BERKS, MONTGOMERY AND CHESTER AREAS THROUGH ITS SUBSIDIARIES (SEE FORM 990, SCHEDULE R). SUBSIDIARIES INCLUDE BUT ARE NOT LIMITED TO PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL, THE TWO OF WHICH ARE HELD IN SINGLE MEMBER LLCS THAT TOWER HEALTH IS THE SOLE MEMBER OF. AS A RESULT, THESE ARE TREATED AS DISREGARDED ENTITIES AND ALL OF THEIR INCOME AND ACTIVITIES ARE REPORTED ON TOWER HEALTH'S FORM 990. AS A PROVIDER OF DIRECT CARE, TOWER HEALTH ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF TOWER'S MISSION MEANS THE REINVESTMENT OF RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. WE ARE PROUD TO REPORT THAT IN OUR LAST FISCAL YEAR, WE COLLECTIVELY COMMITTED NEARLY 32.9M TO THIS CAUSE. PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL IS AN ORGANIZATION THAT SERVES OUR PATIENTS AND ENGAGES WITH OUR COMMUNITIES TO PROVIDE HEALTH AND HEALING TO ALL OF THOSE IN NEED. WE ARE COMMITTED TO CLINICAL EXCELLENCE AND INNOVATION; EDUCATION; EQUITABLE ACCESS TO CARE; CREATING A SENSE OF BELONGING; AND IMPROVING THE HEALTH AND WELLNESS IN THE COMMUNITIES WE SERVE. IN ADDITION TO ITS PRIMARY ROLE AS A PROVIDER OF DIRECT CARE, PHOENIXVILLE HOSPITAL ADDRESSES ISSUES OUTSIDE THAT REALM THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF OUR MISSION MEANS THE REINVESTMENT OF OUR RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. PHOENIXVILLE HOSPITAL'S COMMUNITY WELLNESS DEPARTMENT SUPPORTS THE HOSPITAL'S COMMUNITY ENGAGEMENT AND COMMUNITY BENEFIT ENDEAVORS. THE DEPARTMENT'S MISSION IS THREE PRONGED AND SEEKS TO LEAD, PARTNER, AND INVEST IN STRATEGIC HEALTH INITIATIVES THAT TARGET THE UNDERSERVED AND ADDRESS HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH. THE COMMUNITY WELLNESS DEPARTMENT ALSO MANAGES THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PROCESS. PHOENIXVILLE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS COMPLETED IN 2025 AND IDENTIFIED AND PRIORITIZED FOUR AREAS OF FOCUS: ACCESS TO EQUITABLE CARE, ACCESS TO BEHAVIORAL HEALTHCARE, HEALTH EQUITY, AND HEALTH EDUCATION AND PREVENTION. THROUGHOUT FY25, THE HOSPITAL WORKED TO DEVELOP AND IMPLEMENT STRATEGIES TO ADDRESS THE IDENTIFIED PRIORITY AREAS. ACCESS TO EQUITABLE CARE: PHOENIXVILLE HOSPITAL DEPLOYS CONTINUOUS IMPROVEMENT EFFORTS TO BETTER UNDERSTAND THE CONTRIBUTING FACTORS THAT IMPEDE ACCESS TO EQUITABLE CARE AND HOW BEST TO ADDRESS IDENTIFIED BARRIERS AND GAPS IN HEALTHCARE AND SERVICES. THESE PROGRAMS INCLUDE: 1.NURSE OUTREACH SITES - COMMUNITY HEALTH NURSES PROVIDE HEALTH INFORMATION AND RESOURCE REFERRALS TO VULNERABLE, DIVERSE, AND UNDERSERVED POPULATIONS IN THE COMMUNITY TO ADDRESS UNMET HEALTH CARE NEEDS. THERE ARE CURRENTLY 8 NURSE OUTREACH SITES AT LOW-INCOME HOUSING UNITS, LOCAL FOOD PANTRIES, VA HOUSING FACILITY, AND LOCAL CHURCHES. IN FY 2025, 950 PERSONS ATTENDED AN OUTREACH SITE. 2.RIDE HEALTH - THE RIDE HEALTH PROGRAM PROVIDES FREE TRANSPORTATION TO AND FROM APPOINTMENTS FOR ELIGIBLE PATIENTS IN AN EFFORT TO INCREASE ACCESS TO CARE. IN FY2025, THIS PROGRAM EXPERIENCED GROWTH AND PROVIDED OVER 400 RIDES TO PATIENTS. 3.ACCESS TO TELEMEDICINE - COLLABORATION WITH COMMUNITY ORGANIZATIONS SERVING SENIORS TO PROVIDE TECHNOLOGY EDUCATION TO OLDER ADULTS INCLUDING TELEHEALTH EDUCATION ON ADVANCEMENTS IN HEALTHCARE, TECHNOLOGY, REMOTE PATIENT MONITORING, AND ACCESSING HEALTH PORTALS RESULTING IN EASIER AND FASTER ACCESS TO CARE. TELEHEALTH EDUCATION PROGRAMS HAVE BEEN OFFERED IN OUR SENIOR HEALTH PROGRAMS. 4.HEALTHY BABY PROGRAM - PHOENIXVILLE HOSPITAL PARTNERS WITH LOCAL OB/GYN PRACTICES TO IMPROVE ACCESS TO HIGH-QUALITY PRENATAL, DELIVERY, AND POST- PARTUM CARE TO UNINSURED PREGNANT WOMEN IN OUR PRIMARY SERVICE AREA. THE HEALTHY BABY PROGRAM WELCOMES ALL WOMEN IN NEED HOWEVER THE PRIMARY GROUP SERVED IS SPANISH AND PORTUGUESE SPEAKING UNINSURED WOMEN IN OUR PRIMARY SERVICE AREA. IN FY2025, 90 WOMEN WERE ENROLLED IN THE HEALTHY BABY PROGRAM. ACCESS TO BEHAVIORAL HEALTHCARE: THE NEED FOR ACCESS TO BEHAVIORAL HEALTH SERVICES BECAME MORE EVIDENT POST PANDEMIC AND PHOENIXVILLE HOSPITAL IS WORKING TO ADDRESS THE ONGOING BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY. IN FY25, THE FOLLOWING STRATEGIES WERE IMPLEMENTED: 1.AWARENESS OF BEHAVIORAL HEALTH RESOURCES- COMMUNITY ORGANIZATIONS WHICH PROVIDE BEHAVIORAL HEALTH ARE INVITED TO PARTICIPATE IN HOSPITAL COMMUNITY PROGRAMS TO INCREASE AWARENESS OF RESOURCES IN OUR COMMUNITY. WE HELD OUR 3RD ANNUAL MENTAL HEALTH FAIR AT THE PHOENIXVILLE RECREATION CENTER AND COLLABORATED WITH 30 ORGANIZATIONS WHO SHARED MENTAL HEALTH RESOURCES AND WITH THE COMMUNITY. OVER 125 PEOPLE ATTENDED THE EVENT AND LEARNED ABOUT WAYS TO TAKE CARE OF YOUR MENTAL HEALTH. BEHAVIORAL HEALTH RESOURCES ARE SHARED WITH PARTICIPANTS AT ALL OF OUR NURSE OUTREACH SITES. 2.COMMUNITY BEHAVIORAL HEALTH PROGRAMS- HEALTH EDUCATION PROGRAMS FOCUSED ON BEHAVIORAL HEALTH ISSUES ARE OFFERED TO THE COMMUNITY. PROGRAMS ON DEPRESSION AND STRESS MANAGEMENT WERE OFFERED AT NURSE OUTREACH SITES. 3.BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN -COMMUNITY MEMBERS CAN ENGAGE WITH SOCIAL MEDIA POSTS FOCUSED ON BEHAVIORAL HEALTH ISSUES. 4.EMPLOYEE WELLNESS INITIATIVES - PHOENIXVILLE HOSPITAL PROVIDES OPPORTUNITIES FOR STAFF TO STAY HEALTHY THROUGH ITS TOWER HEALTH WELLNESS PROGRAMS. AN EMPLOYEE ASSISTANCE PROGRAM (EAP) IS AVAILABLE TO SUPPORT EMPLOYEES IN IDENTIFYING ISSUES THAT MAY IMPACT THEIR HEALTH AND WELL-BEING AT HOME OR ON THE JOB. PERSONALIZED MENTAL HEALTH SERVICES FOR EMPLOYEES IS AVAILABLE THROUGH MARVIN TELEMEDICINE. ALSO, THE RISE PROGRAM PROVIDES PEER SUPPORT FOR STAFF. RISE STANDS FOR "RESILIENCE IN STRESSFUL EVENTS- AND OFFERS EMOTIONAL SUPPORT TO ANY STAFF MEMBER WHO ENCOUNTERS A STRESSFUL WORK-RELATED EVENT. THE PERSONIFY HEALTH APP IS AVAILABLE TO ALL EMPLOYEES AND PROVIDES UPDATES ON WAYS TO STAY HEALTHY AND JOIN CHALLENGES. HEALTH EDUCATION AND PREVENTION OUR CAREGIVERS AND SUPPORT STAFF PARTICIPATE IN SEVERAL COMMUNITY HEALTH IMPROVEMENT INITIATIVES, INCLUDING COMMUNITY HEALTH EDUCATION, SCREENING EVENTS, AND IMMUNIZATION CLINICS, WHICH EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE HOSPITAL. PROGRAMS ARE OFFERED TO ALL COMMUNITY MEMBERS FOR FREE. STAFF PARTICIPATE IN COMMUNITY-BASED HEALTH EDUCATION EVENTS, SPEAKERS BUREAUS, AND HEALTH FAIRS TO PROVIDE INFORMATION AND EDUCATION FOR PREVENTION AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS INCLUDING DIABETES, HEART HEALTH, CANCER, RESPIRATORY DISEASE, HEALTHY NUTRITION, AND A RANGE OF OTHER TOPICS. IN FY25, SOME PROGRAMS INCLUDED: 1.CHRONIC DISEASE EDUCATION- IN AN EFFORT TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT, PHOENIXVILLE HOSPITAL HAS IMPLEMENTED A NUMBER OF COMMUNITY HEALTH INITIATIVES THROUGHOUT ITS PRIMARY SERVICE AREA FOCUSING ON OLDER ADULT, LOW INCOME, VETERANS, AND OTHER VULNERABLE POPULATIONS. DISEASE EDUCATION INCLUDES HEART DISEASE, HIGH BLOOD PRESSURE, DIABETES, OBESITY, AND OTHER HEALTH TOPICS. 2. A HEALTHY SENIOR PROGRAM HOSTS MONTHLY PROGRAMS TO PROVIDE HEALTH EDUCATION AND RESOURCES TO THE OLDER POPULATION. SESSIONS ARE HELD AT THE HOSPITAL AS WELL AS AT OTHER COMMUNITY ORGANIZATIONS SUCH AS THE PHOENIXVILLE YMCA AND THE PHOENIXVILLE RECREATION CENTER. MONTHLY HEALTH CHATS ARE ALSO HOSTED BY A COMMUNITY HEALTH NURSE AT SEVERAL SENIOR LIVING FACILITIES. IN FY2025, 775 SENIORS ATTENDED HEALTH EDUCATION PROGRAMS. 3.TOBACCO WELLNESS PROGRAMS - PHOENIXVILLE HOSPITAL IS RECIPIENT OF A STATE GRANT FROM TOBACCO SETTLEMENT FUNDS DISTRIBUTED BY THE DEPARTMENT OF HEALTH AND HEALTH PROMOTION COUNCIL. OUR CERTIFIED TOBACCO CESSATION COUNSELOR PROVIDES ONGOING SMOKING CESSATION SUPPORT, AND EDUCATION AND PREVENTION FOR ADULTS AND YOUTH. VAPING EDUCATION IS PROVIDED IN LOCAL SCHOOL DISTRICTS FOR PARENTS, TEACHERS, AND STUDENTS. ADDITIONALLY, 72 PERSONS ATTENDED A SMOKING CESSATION PROGRAM. 4.SPANISH/PORTUGUESE SPEAKING COMMUNITY- BASED OUTREACH - HEALTH EDUCATION AND RESOURCES TO ADDRESS NEEDS OF DIVERSE COMMUNITY ARE PROVIDED WITH BILINGUAL STAFF. A BILINGUAL INTERPRETER NOW ATTENDS NURSE OUTREACH AT OUR FOOD PANTRY SITE WHICH HAS A LARGE SPANISH/PORTUGUESE SPEAKING POPULATION SEEKING RESOURCES. 5.CANCER PREVENTION EDUCATION AND SCREENING - CANCER PREVENTION AND SCREENING ACTIVITIES ARE PROVIDED AT HOSPITAL AND COMMUNITY EVENTS. MAMMOGRAM SCREENINGS ARE OFFERED TO THE COMMUNITY. A PARTNERSHIP WITH HEALTHCARE ACCESS PROVIDES RESOURCES TO OFFER FREE MAMMOGRAM SCREENINGS TO UNINSURED AND UNDER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS INCLUDE BOARD MEMBERS WITHOUT COMPENSATION AND VOLUNTEERS (AGE 16 AND OLDER) PROVIDING VOLUNTEER SERVICES AT THE HOSPITALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ER/NURSING INPATIENT &amp; OUTPATIENT PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365" REGARDLESS OF ABILITY TO PAY. PHOENIXVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ANCILLARY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAS "24/7/365" ON-CALL CONSULTANTS FOR PEDIATRIC EMERGENCY CASES THROUGH ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN. LOCAL EMS PROVIDERS RELY ON PHOENIXVILLE HOSPITAL FOR ON-GOING MEDICAL EDUCATION. EMERGENCY ROOM VISITS FOR FY25 WERE 24,794. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVERY, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY25 WERE 36,602. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES 24/7/365 TO THE COMMUNITY. THE EMERGENCY DEPARTMENT SERVES PATIENTS FROM BERKS, MONTGOMERY AND CHESTER COUNTIES. THE POTTSTOWN HOSPITAL EMERGENCY DEPARTMENT IS THE SECOND BUSIEST EMERGENCY DEPARTMENT IN MONTGOMERY COUNTY. THERE IS A FULL COMPLEMENT OF SPECIALTY SERVICES PROVIDED AT THE LOCAL AND/OR TERTIARY LEVEL WITH OUR SYSTEM HOSPITAL IN READING. EMERGENCY ROOM VISITS FOR FY25 WERE 27,824. POTTSTOWN HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY25 WERE 33,052. THE BEHAVIORAL HEALTH UNIT AT POTTSTOWN HOSPITAL PROVIDES 24/7/365 SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND GERIATRIC ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF COGNITIVE FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY25 WERE 7,264.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OPERATING ROOM SERVICES: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE: CARIOLOGY, CARDIO, THORACIS, ENT, ORTHOPEDICS, GYNECOLOGY, OBSTETRICS, UROLOGY, PAIN MANAGEMENT, PLASTIC, PODIATRY, NEURO AND GENERAL SURGERY. THE ROBOTICS SURGERY PROGRAM RECEIVED THE CENTER OF EXCELLENCE ACCREDITATION IN 2023. TOTAL PROCEDURES FOR FY25 WERE 9,404. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL'S SURGICAL SERVICES DEPARTMENT PROVIDES EMERGENT, URGENT AND ELECTIVE SURGERIES TO THE COMMUNITY ON AN INPATIENT AND OUTPATIENT BASIS. EMERGENCY CASES CAN BE DONE 24/7/365 AND PATIENTS NEEDING A HIGHER LEVEL OF CARE CAN BE TRANSFERRED TO TERTIARY CENTERS IN THE AREA. POTTSTOWN HOSPITAL OFFERS, ORTHOPEDIC, VASCULAR, SPINE, ENT, MAXOFACIAL, PLASTIC, OB/GYN, OPHTHALMOLOGIC, UROLOGIC, PODIATRIC AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY25 WERE 4,842.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>RADIOLOGY/IMAGING PROGRAM: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. PHOENIXVILLE HOSPITAL OFFERS FREE MAMMOGRAMS TO THE UNDERINSURED AND UNINSURED PATIENTS. TOTAL PROCEDURES FOR FY25 WERE 87,789. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING IN TWO LOCATIONS. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET/CT SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY25 WERE 87,014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY. SERVICES INCLUDE BUT ARE NOT LIMITED TO: PHOENIXVILLE HOSPITAL: PHOENIXVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY PATIENTS AND DIALYSIS PATIENTS. CANCER CENTER PATIENTS RECEIVE OUTPATIENT SERVICES BASED ON THEIR TREATMENT PLAN. CARDIO-PULMONARY PATIENTS UTILIZE THE 1ST FLOOR REHABILITATION GYM FOR PRESCRIBED AND MONITORED OUTPATIENT EXERCISE. TOTAL PROCEDURES FOR FY25 WERE 352,928. PHOENIXVILLE HOSPITAL ONCOLOGY SERVICES DEPARTMENT PROVIDES MEDICAL ONCOLOGY AND RADIATION THERAPY SERVICES TO THE COMMUNITY. WE PROVIDE CHARITY SERVICES TO OUR SERVICE AREA WHO MEET OUR CHARITY POLICY GUIDELINES. TARGETED THERAPIES IN OUR RECENTLY RENOVATED INFUSION SUITE SELECTIVELY AFFECT ONLY THE CELLS RELATED TO A PARTICULAR CANCER, CAUSING LESS DAMAGE AND FEWER SIDE EFFECTS TO SURROUNDING NON-CANCEROUS CELLS AND BODY SYSTEMS THAN TRADITIONAL CHEMOTHERAPY DRUGS. PHOENIXVILLE HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIAL SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY25 WERE 9,026 PHOENIXVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. POTTSTOWN HOSPITAL: POTTSTOWN HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE AND PT/OT/SPEECH THERAPY PATIENTS. TOTAL PROCEDURES FOR FY24 WERE 424,139. POTTSTOWN HOSPITAL CANCER CENTER PROVIDES INPATIENT, OUTPATIENT AND INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. THE POTTSTOWN HOSPITAL CANCER CENTER OFFERS A ROBUST SERVICE LINE INCLUSIVE OF MEDICAL AND RADIATION ONCOLOGY WITH RAPID ARC TECHNOLOGY WITH LINEAR ACCELERATOR AND CYBERKNIFE CAPABILITIES. THE POTTSTOWN HOSPITAL CANCER CENTER IS A FIVE-TIME RECIPIENT OF THE AMERICAN COLLEGE OF SURGEONS COUNCIL ON CANCER OUTSTANDING ACHIEVEMENT AWARD. THERE ARE ONLY 4 CANCER CENTERS IN THE UNITED STATES WHO HAVE ACHIEVED THIS DISTINCTION. POTTSTOWN HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF PREVENTIVE AND TREATMENT CLINICAL TRIALS THROUGH THE CANCER TRIALS SUPPORT UNIT (CTSU). TOTAL PROCEDURES FOR FY25 WERE 19,199. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE LOCATIONS ARE LOCATED IN BERKS AND MONTGOMERY COUNTY. WE SPECIALIZE IN TREATING NON-LIFE-THREATENING ILLNESSES AND INJURIES. WE PROVIDE COORDINATED AND COMPREHENSIVE EXAMS FOR SCHOOL, CAMP, SPORTS, AND PRE- EMPLOYMENT, AS WELL AS PROFESSIONAL DRIVER EXAMS FROM OUR LICENSED, CERTIFIED MEDICAL EXAMINERS WITH THE DEPARTMENT OF TRANSPORTATION. AS A PREFERRED PROVIDER FOR MANY EMPLOYERS, WE ARE EQUIPPED TO HANDLE OCCUPATIONAL HEALTH NEEDS INCLUDING IMMUNIZATIONS, SCREENINGS, DOT AND CDL PHYSICALS. TELEMEDICINE HAS BECOME WIDELY ACCEPTED WITH THE ADVANCES IN REMOTE MEDICAL TECHNOLOGIES. TOWER HEALTH URGENT CARE FACILITIES ACHIEVED ACCREDITATION FROM THE URGENT CARE ASSOCIATION (UCA), WHICH IS THE HIGHEST LEVEL OF DISTINCTION FOR URGENT CARE CENTERS. THIS RECOGNITION WAS EARNED AFTER A COMPREHENSIVE SURVEY, WHICH INCLUDED ONSITE VISITS AND VIRTUAL SURVEYS WITH STAFF MEMBERS BY UCA ACCREDITATION SURVEYORS. THIS ACCREDITATION ENSURES ALL TOWER HEALTH URGENT CARE LOCATIONS HAVE MET ALL UCA'S STANDARDS AND CRITERIA FOR QUALITY OF PATIENT CARE, SAFETY, AND SCOPE OF SERVICES. TOWER HEALTH PROVIDERS: TOWER HEALTH PROVIDERS (THP) WAS FORMED TO DEVELOP A PHYSICIAN NETWORK TO WORK IN CONJUNCTION WITH TOWER HEALTH TO IMPLEMENT A CLINICAL INTEGRATION PROGRAM. CLINICAL INTEGRATION IS THE IMPLEMENTATION OF AN ACTIVE AND ONGOING PROGRAM TO EVALUATE AND MODIFY PRACTICE PATTERNS BY THE NETWORK'S PHYSICIAN PARTICIPANTS AND CREATE A HIGH DEGREE OF INTERDEPENDENCE AND COOPERATION AMONG THE PHYSICIANS TO CONTROL COSTS AND IMPROVE THE QUALITY AND EFFICIENCY OF HEALTH CARE FOR THE NETWORK'S PHYSICIAN PARTICIPANTS AND THE ENTIRE HEALTH CARE COMMUNITY SERVED. TOWER HEALTH PROVIDERS (THP) IS AN EXTENSIVE, HIGH-VALUE NETWORK OF PROVIDERS FROM ALL SPECIALTIES SPREAD ACROSS A WIDE GEOGRAPHY. OUR ORGANIZATION ENSURES PARTICIPATING PROVIDERS ALIGN WITH EVIDENCE-BASED MEDICINE PRACTICES IN A CULTURE OF ACCOUNTABILITY AND COLLABORATION. THESE PRINCIPALS CONTINUE TO DRIVE HEALTHCARE TRANSFORMATION THROUGH IMPROVED QUALITY, COST EFFICACY, AND INCREASED PATIENT AND PROVIDER SATISFACTION. THP CREATES OPPORTUNITIES FOR THE ALIGNMENT OF NEW INCENTIVES AND ALTERNATE PAYMENT MODELS FOR PROVIDERS. BY BRINGING TOGETHER THE BEST PROVIDERS WITH THE STRONGEST HEALTHCARE SYSTEMS, THP IS HELPING PROVIDERS AND PRACTICES BENEFIT FROM THESE NEW ARRANGEMENTS. TOWERDIRECT: TOWERDIRECT IS A UNIFIED PATIENT TRANSPORTATION SYSTEM THAT SERVES BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA. HAVING A UNIFIED AMBULANCE SERVICE SUPPORTS TOWER HEALTH'S GOAL OF PROVIDING PATIENTS WITH TIMELY AND HIGH-QUALITY CARE, WHILE DEVELOPING AN EMS PROGRAM THAT CAN GROW, INNOVATE, AND BETTER RESPOND TO THE EVER-CHANGING HEALTHCARE ENVIRONMENT. TOWERDIRECT IS A MULTIFACETED EMS SOLUTION TO OUR PATIENTS, CO-WORKERS, AND COMMUNITIES. BENEFITS TO THE COMMUNITY INCLUDE: IMPROVED AVAILABILITY AND SUSTAINABILITY OF EMERGENCY, NON-EMERGENCY, CRITICAL CARE, AND PEDIATRIC PATIENT TRANSPORT SERVICES FOR COMMUNITIES WITHIN BERKS COUNTY AND THE TOWER HEALTH SERVICE AREA; THE OPPORTUNITY TO ENHANCE PATIENT CARE AND IMPROVE OPERATIONAL PERFORMANCE; REAL-TIME ACCESS TO THE TOWER HEALTH ELECTRONIC MEDICAL RECORDS TO MEASURE AND IMPROVE PATIENT OUTCOMES; BETTER ACCESS TO PATIENT TRANSPORT SERVICES, IMPROVING THE TIMELINESS OF DISCHARGE FROM INPATIENT AND OUTPATIENT FACILITIES; ENHANCED EFFORTS TO IMPROVE PATIENT CARE INITIATION AND TRANSITIONS IN CARE SETTINGS; AND THE ABILITY TO ENHANCE COMMUNITY PARAMEDICINE AND PATIENT OUTREACH PROGRAMS. TOWERDIRECT OFFERS SEVERAL PROACTIVE AND PREVENTIVE HEALTH SERVICES, INCLUDING: HOME VISITS - UPON THE PROVIDER'S REQUEST, MEMBERS OF THE TOWERDIRECT TEAM PROVIDE IN-HOME VISITS TO CONFIRM THE PATIENT HAS ALL PRESCRIBED MEDICATIONS AND IF REMOTE MONITORING IS UTILIZED, TO MAKE SURE THE EQUIPMENT IS SET UP CORRECTLY. PUBLIC EVENT SUPPORT - TOWERDIRECT ROUTINELY ATTENDS CONCERTS COUNTY FAIRS, AND OTHER COMMUNITY EVENTS IN CASE AN ATTENDEE NEEDS ON-SITE MEDICAL CARE OR MEDICAL TRANSPORTATION. SAFETY PRESENTATIONS - THE TOWERDIRECT TEAM GIVES PRESENTATIONS AT SCHOOLS, LIBRARIES, AND OTHER PUBLIC VENUES UPON REQUEST. TOPICS INCLUDE CAR SEAT SAFETY, FALL PREVENTION AND BIKE AND HELMET SAFETY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT FILE FORMS W-2, 1099-MISC,OR FORMS 1096. THE ORGANIZATION AND ITS RELATED ORGANIZATION, READING HOSPITAL (EIN 23- 1352204), SHARE ADMINISTRATIVE RESPONSIBILITIES. AS SUCH, READING HOSPITAL ADMINISTERS PAYMENTS TO INDEPENDENT CONSULTANTS AND FURNISHES FORMS 1099- MISC, AS REQUIRED, AND IS RESPONSIBLE FOR FILING TOWER HEALTH'S (EIN 23- 2201344)FORM 1096 AND W-2 FILINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY HOSPITAL STAFF, REVIEWED BY AN EXTERNAL TAX ADVISOR AND POSTED ON A WEBSITE FOR BOARD MEMBERS PRIOR TO FILING WITH THE IRS. MEMBERS ARE ALERTED TO INFORMATION AND NOTICES. A COPY OF THE 990 IS MAILED TO ANY BOARD MEMBER UNABLE TO VIEW THIS SITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT SHALL BE THE POLICY OF THE HOSPITAL TO REQUIRE EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE TO SUBMIT IN WRITING TO THE CHIEF EXECUTIVE OFFICER A LIST OF BUSINESSES OR OTHER ORGANIZATIONS OF WHICH THE MEMBER, MEMBER'S SPOUSE, A DESCENDANT, OR A SPOUSE OF A DESCENDANT IS AN OFFICER, DIRECTOR, MEMBER EMPLOYEE OR OWNER (35% OR GREATER SHARE) WITH WHICH THE COMPANY MIGHT REASONABLY ENTER INTO A RELATIONSHIP OR A TRANSACTION IN WHICH THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE WOULD HAVE CONFLICTING INTERESTS. EACH YEAR A COPY OF THE WRITTEN STATEMENT WILL BE SENT TO THE BOARD MEMBER FOR UPDATING AND RESUBMISSION AND BY WHICH THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE SHALL CONFIRM HIS OR HER AWARENESS OF THIS POLICY. PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST: A. AFTER THE BOARD OR COMMITTEE HAS DETERMINED THAT A MEMBER IS INDEED CONFLICTED, THE CONFLICTED PERSON MAY BE COUNTED IN DETERMINING WHETHER THERE IS A QUORUM TO ACT, BUT MAY NOT VOTE UPON THE MATTER. THE CONFLICTED MEMBER, OR A CONFLICTED OFFICER WHO IS NOT A MEMBER, MAY NEVERTHELESS MAKE A PRESENTATION TO THE BOARD OR COMMITTEE ON THE MATTER BUT, AFTER THE PRESENTATION, THE CONFLICTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND VOTE ON THE MATTER. B. THE BOARD OR COMMITTEE CHAIR MAY APPOINT ONE OR MORE DISINTERESTED PERSONS TO INVESTIGATE POSSIBLE RESOLUTIONS OF THE MATTER THAT ARE DEVOID OF THE CONFLICT OF INTEREST. C. THE BOARD OR COMMITTEE SHALL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER TH CAN ADDRESS THE MATTER MORE ADVANTAGEOUSLY BY MEANS THAT AVOID THE CONFLICT OF INTEREST. D. IF THE MATTER CANNOT BEADDRESSED MORE ADVANTAGEOUSLY BY MEANS THAT AVOID THE CONFLICT OF INTEREST, OR IF OTHER APPROACHES TO RESOLUTION ARE IMPRACTICAL UNDER THE CIRCUMSTANCES, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE PROPOSED TRANSACTION OR CONTRACT IS IN TH'S BEST INTERESTS, WHETHER IT IS FAIR AND REASONABLE, AND WHETHER TO ENTER INTO IT. E. IF THE BOARD DETERMINES THAT THERE HAS BEEN A VIOLATION OF THIS POLICY, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION, WHICH MAY INCLUDE REMOVAL (IF THE INTERESTED PERSON IS A BOARD OR COMMITTEE MEMBER) OR TERMINATION (IF THE INTERESTED PERSON IS AN EMPLOYEE). INTENTIONALLY OR REPEATEDLY FAILING TO ADHERE TO THIS POLICY IS GROUNDS FOR REMOVAL FROM THE BOARD AND ITS COMMITTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>TOWER HEALTH'S BOARD OF DIRECTORS HAS DULY APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE (THE "COMMITTEE"), WHICH IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE HOSPITAL'S EXECUTIVE MANAGEMENT. THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND AN EXECUTIVE COMPENSATION COMMITTEE CHARTER GOVERNING THE WORK AND REVIEW PROCESS OF THE COMMITTEE. THE COMMITTEE FOLLOWS THE PROCEDURES DESCRIBED IN THE PHILOSOPHY STATEMENT AND THE CHARTER WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND EMPLOYEE BENEFITS PROVIDED TO THE HOSPITAL'S SENIOR MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. THE COMMITTEE'S REVIEW ANALYZES EVERY ELEMENT OF COMPENSATION, INCLUDING CURRENT AND DEFERRED COMPENSATION, AND BENEFITS, INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS. THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. THE COMMITTEE CONSISTS ENTIRELY OF DISINTERESTED MEMBERS OF THE BOARD, AND THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS DELIBERATIONS AND CONCLUSIONS. AS A RESULT, THE COMMITTEE'S REVIEW PROCESS IS DESIGNED TO SATISFY THE PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SAME RESPONSE AS LINE 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE SERV/OTHER FEES 7,299,639 0 0 OUTSIDE SERV/OTHER FEES 0 16,435,193 0 PHYSICIAN FEES/OTHER 5,933,387 0 0 PHYSICIAN FEES/OTHER 11,291,631 0 0 PHYSICIAN FEES/OTHER 6,944,166 0 0 PHYSICIAN FEES/OTHER 27,240,942 23,960 0 TOTAL 58,709,765 16,459,153 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>UNRESTRICTED NET ASSETS -6,579,625 INTERCOMPANY ASSET TRANSFER 29,116,438 INCOME TAX EXPENSE -526,667 OTHER ASSETS 2,568 TOTAL 22,012,714</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TOWER HEALTH ENTERPRISES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>822203526</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>-202577</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2661660</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHESTNUT HILL DEVELOPMENT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8835 GERMANTOWN AVE</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19118</ZIPCd>
        </USAddress>
        <EIN>822585433</EIN>
        <PrimaryActivitiesTxt>MED SERV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CNH HOSP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TOWERDIRECT LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>455349097</EIN>
        <PrimaryActivitiesTxt>MED SERV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>8753091</TotalIncomeAmt>
        <EndOfYearAssetsAmt>3815149</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TH ENTERPR</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TOWER HEALTH URGENT CARE LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>611903284</EIN>
        <PrimaryActivitiesTxt>MED SERV</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>16209539</TotalIncomeAmt>
        <EndOfYearAssetsAmt>4888347</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TH ENTERPR</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TOWER HEALTH CVO LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>831423785</EIN>
        <PrimaryActivitiesTxt>MED CRED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TH ENTERPR</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>READING HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>231352204</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE RDG HOSPITAL &amp; MED CENTER SELF-</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>232087514</EIN>
        <PrimaryActivitiesTxt>TRUST FUND</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TOWER HEALTH MEDICAL GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>232266054</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>READING HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>473054125</EIN>
        <PrimaryActivitiesTxt>SUPPORTING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TOWER HEALTH AT HOME</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>231466250</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THAH - ADVANTAGE HOME CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>232469319</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>THAH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>READING-UPMC JOINT VENTURE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>600 GRANT STREET</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15219</ZIPCd>
        </USAddress>
        <EIN>814566751</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfEOYAssetsAmt>194878</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.50000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TOWER HEALTH PPO FKA BHP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 14744</AddressLine1Txt>
          <CityNm>READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19612</ZIPCd>
        </USAddress>
        <EIN>232430798</EIN>
        <PrimaryActivitiesTxt>PPO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MEDICUS RESOURCE MANAGEMENT</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>PO BOX 14744</AddressLine1Txt>
          <CityNm>READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19612</ZIPCd>
        </USAddress>
        <EIN>232565297</EIN>
        <PrimaryActivitiesTxt>CM REVIEW</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TOWER HEALTH RECIPROCAL RISK</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>151 MEETING STREET SUITE 301</AddressLine1Txt>
          <CityNm>CHARLESTON</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29401</ZIPCd>
        </USAddress>
        <EIN>822758845</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>SC</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>13031147</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>45130851</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>READING HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>40812995</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GL TRANSACTIONS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>