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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 BRANDYWINE HOSPITAL, CHESTNUT HILL HOSPITAL, JENNERSVILLE, HOSPITAL, PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL, THE FIVE 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. OTHER COMMUNITY BENEFIT ACTIVITIES INCLUDE: POTTTOWN: POTTSTOWN</MissionDesc>
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      <Desc>ER/NURSING INPAITENT &amp; OUTPATIENT PROGRAM: BRANDYWINE HOSPITAL BRANDYWINE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. BRANDYWINE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY22 WERE 12,171. BRANDYWINE HOSPITAL INPATIENT UNITS INCLUDES MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES INCLUDING SUPPORT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 8,664. THE BEHAVIORAL HEALTH UNIT AT BRANDYWINE HOSPITAL PROVIDES 24-HOUR SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND OLDER ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF FUNCTIONING POSSIBLE. THE INPATIENT EATING DISORDERS PROGRAM PROVIDES AN INDIVIDUALIZED TREATMENT PLAN, GROUP AND INDIVIDUAL THERAPY AND PSYCHIATRIC CARE FOR INDIVIDUALS AGES 13 AND OLDER. TOTAL PATIENT DAYS FOR FY22 WERE 8,835. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL (CHH) EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. CHH PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY AREAS. CHH REMAINS COMMITTED TO THEIR GOAL OF SEEING PATIENTS IN 30 MINUTES OR LESS. EMERGENCY ROOM VISITS FOR FY22 WERE 40,160. CHESTNUT HILL HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 31,276. THE BEHAVIORAL HEALTH UNIT AT CHESTNUT HILL HOSPITAL PROVIDES 24 HOUR SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND OLDER ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY22 WERE 5,816. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. JENNERSVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY22 WERE 7,137. JENNERSVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 2,768. 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 ALL SPECIALTY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAD "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 FY22 WERE 22,127. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVER, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 36,567. 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 FY22 WERE 31,801. 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 FY22 WERE 32,981. 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 FY22 WERE 7,385.</Desc>
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        <Desc>OPERATING ROOM SERVICES: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL'S SURGICAL SERVICE LINE CARE FOR BOTH INPATIENT AND OUTPATIENT IN NEED OF SURGICAL PROCEDURES INCLUDING BUT NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GASTROENTEROLOGICAL, GYNECOLOGIC, OPHTHALMOLOGY, UROLOGIC, VASCULAR AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 879. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO OUR COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. SERVICES INCLUDE: BARIATRICS, ENT, GASTROENTEROLOGY, GYNECOLOGY, ORTHOPEDICS, PAIN MANAGEMENT, PLASTICS, PODIATRY, PULMONOLOGY, THORACIC, UROLOGY, VASCULAR, AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 4,016. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL'S SURGICAL SERVICE DEPARTMENT CARES FOR BOTH INPATIENT AND OUTPATIENT IN NEED OF SURGICAL PROCEDURES INCLUDING BUT NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GASTROENTEROLOGICAL, GYNECOLOGIC, OPHTHALMOLOGY, UROLOGIC, VASCULAR AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 1,043. 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. TOTAL PROCEDURES FOR FY22 WERE 7,946. 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 FY22 WERE 4,782.</Desc>
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        <Desc>RADIOLOGY/IMAGING PROGRAM: BRANDYWINE HOSPITAL: BRANDYWINE 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY22 WERE 22,154. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET SCANS, ULTRASOUNDS, CAT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY, AND MAMMOGRAMS. CHESTNUT HILL HOSPITAL PROVIDES FREE SCREENINGS THROUGHOUT THE COMMUNITY AND OFFERS FINANCIAL ASSISTANCE FOR MAMMOGRAMS VIA FUNDS RECEIVED AT LOCAL CHARITABLE EVENTS HOSTED/SPONSORED BY CHESTNUT HILL HOSPITAL. TOTAL PROCEDURES FOR FY22 WERE 99,749. JENNERSVILLE HOSPITAL: JENNERSVIILE 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY22 WERE 11,738. 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 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 FY22 WERE 78,770. 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY22 WERE 88,082.</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: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, SLEEP AND RESPIRATORY/PT/OT/SPEECH THERAPY PATIENTS. WE ALSO PROVIDE OUTPATIENT INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. TOTAL OUTPATIENT VISITS FOR FY22 WERE 20,194. BRANDYWINE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS WITH THEIR PHARMACEUTICAL NEEDS. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL PROVIDES A FULL RANGE OF OUTPATIENT, DIAGNOSTIC AND TREATMENT SERVICES FOR PEOPLE IN NORTHWEST PHILADELPHIA AND EASTERN MONTGOMERY COUNTY. OTHER THAN IMAGING, CHESTNUT HILL HOSPITAL'S AREAS OF FOCUS FOR OUTPATIENTS ARE WOMEN'S SERVICES, REHABILITATION SERVICES AND SLEEP CARE. TOTAL OUTPATIENT VISITS FOR FY22 WERE 97,419. ONCOLOGY AND HEMATOLOGY SERVICES AT CHESTNUT HILL HOSPITAL INCLUDE COMPREHENSIVE CANCER SERVICES IN CARING IN A CARING AND COMPASSIONATE SETTING. WE PROVIDE HOPE WITH PROVEN CANCER TREATMENTS. OUR CANCER SERVICES INCLUDE FINANCIAL COUNSELING AND AN ONLINE PATIENT PORTAL AT THE PRACTICE TO IMPROVE PATIENT ACCESS AND COMMUNICATION. FREE COMMUNITY LECTURES ON CANCER SCREENINGS ARE PROVIDED DURING THE YEAR. TOTAL PROCEDURES IN FY22 WERE 146. CHESTNUT HILL HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENT WITH THEIR PHARMACEUTICAL NEEDS. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, SLEEP AND RESPIRATORY/PT/OT/SPEECH THERAPY PATIENTS. WE ALSO PROVIDE OUTPATIENT INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. TOTAL OUTPATIENT PROCEDURES FOR FY22 WERE 49,508. JENNERSVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS WITH THEIR PHARMACEUTICAL NEEDS. 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 FY22 WERE 323,674. 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 FY22 WERE 9,385 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 FY22 WERE 324,250. 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 FY22 WERE 21,112. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE CONSISTS OF 27 LOCATIONS. 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 IS ON THE FOREFRONT OF PATIENT CARE WITH OUR TELEBURN NETWORK. SELECT TOWER HEALTH URGENT CARE LOCATIONS HAVE PARTNERED WITH THE LEHIGH VALLEY TELEBURN NETWORK TO TREAT BURN PATIENTS BASED ON CONSULTS WITH SPECIALISTS AT THE LEHIGH VALLEY REGIONAL BURN CENTER. TELEBURN ENABLES OUR MEDICAL STAFF TO OBTAIN IMMEDIATE CONSULTS FROM THE BURN CENTER USING DIGITAL IMAGERY. TELEBURN ASSESSMENTS MEET ALL APPLICABLE PRIVACY AND SECURITY REGULATIONS OF THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) AND THE HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT (HITECH). ADDITIONALLY, COVID-19 ANTIBODY TESTING IS AVAILABLE AT SELECT TOWER HEALTH URGENT CARE LOCATIONS. 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 DIRECT: 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.</Desc>
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          <BusinessName>
            <BusinessNameLine1Txt>HEALTHTRUST WORKFORCE SOLUTIONS LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 742697</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NA PARTNERS IN ANESTHESIA LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOCIETY HILL ANESTHESIA CONSULTANTS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>19106</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BERKS SCHUYLKILL RESPIRATORY SPEC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2608 KEISER BLVD</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
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      <TotalContributionsAmt>1653339</TotalContributionsAmt>
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        <BusinessCd>621110</BusinessCd>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-129909880</ReconcilationRevenueExpnssAmt>
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        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
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        <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>
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      <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>
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      <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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          <State>RESTRICTED</State>
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      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
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      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
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      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>15512</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 WILL 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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      <EquipmentGrp>
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        <DepreciationAmt>58411671</DepreciationAmt>
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      <OtherLiabilitiesOrgGrp>
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        <ExplanationTxt>THE ORGANIZATION IS INCLUDED IN TOWER HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE FOLLOWING STATEMENT 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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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EUROPE</RegionTxt>
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        <WebsiteAddressTxt>"SEE SUPPLEMENTAL DISCLOSURE"</WebsiteAddressTxt>
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        <WebsiteAddressTxt>"SEE SUPPLEMENTAL DISCLOSURE"</WebsiteAddressTxt>
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          <ZIPCd>19320</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>"SEE SUPPLEMENTAL DISCLOSURE"</WebsiteAddressTxt>
        <StateLicenseNum>025801</StateLicenseNum>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>PARTICIPANTS OF THE CHNA ACROSS THE 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>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 3J</FormAndLineReferenceDesc>
        <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 2019 IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF THE COMMUNITTY: ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, DISEASE PREVENTION &amp; MANAGEMENT, AND ACCESS TO BEHAVIORAL HEALTH SERVICES. THIS APPLIES TO POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL AN OVERVIEW OF EACH PRIORITY FOLLOWS: ACCESS TO HEALTH CARE: POTTSTOWN HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. POTTSTOWN HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL PARTNERED WITH CREATIVE HEALTH SERVICES TO INCREASE ACCESS TO PRIMARY CARE FOR BEHAVIORAL HEALTH PATIENTS. POTTSTOWN HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. THE HOSPITAL PARTNERED WITH COMMUNITY HEALTH AND DENTAL CARE TO PROVIDE IMMEDIATE FOLLOW-UP APPOINTMENTS POST DISCHARGE. CHESTNUT HILL HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. CHESTNUT HILL HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. CHESTNUT HILL HOSPITAL IMPLEMENTED A PATIENT PORTAL FOR FASTER ACCESS TO TEST RESULTS, REQUEST MED REFILLS, AND TO COMMUNICATE DIRECTLY WITH PROVIDERS. PHOENIXVILLE HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. PHOENIXVILLE HOSPITAL ENHANCED THE TELEMEDICINE OPPORTUNITIES FOR ADDITIONAL TELEHEALTH SERVICES. PHOENIXVILLE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. PHOENIXVILLE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS. THE HOSPITAL UTILIZED OUTREACH SITES TO CONNECT VULNERABLE POPULATIONS WITH RESOURCES TO ADDRESS UNMET HEALTH CARE NEEDS. PHOENIXVILLE HOSPITAL HOSTED BRIDGING THE GAP MEDICAL INTERPRETER CERTIFICATION TO INCREASE THE NUMBER OF QUALIFIED MEDICAL INTERPRETERS IN THE COMMUNITY. BRANDYWINE HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. BRANDYWINE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSIOIN COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. THE HOSPITAL DEVELOPED, ENHANCED AND EXPANDED TELEMEDICINE OPPORTUNITIES AND ENHANCED THE USE OF REMOTE PATIENT MONITORING TO INCLUDE OBESE, DIABETIC AND CHF PATIENTS. JENNERSVILLE HOSPITAL: THE GOAL WAS TO INCREASE THE COMMUNITY'S ACCESS TO HEALTH CARE SERVICES, PARTICULARLY THOSE COMMUNITY MEMBERS CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. JENNERSVILLE HOSPITAL WORKED TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY ATTENDING CULTURAL AWARENESS TRAININGS TO LEARN ABOUT HOW PATIENTS WITH DIVERSE CULTURES, BELIEFS, LIFESTYLES, AND VALUES EXPERIENCE AND PERCEIVE HEALTHCARE. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED TO IDENTIFY AND EDUCATE STAFF ON TOPICS OF INTEREST. JENNERSVILLE HOSPITAL ENHANCED THEIR SPECIALIST OFFERING BY RECRUITING ADDITIONAL SPECIALISTS. THE HOSPITAL EXPLORED A TELEMEDICINE PARTNERSHIP WITH CAREPORT M.D. THROUGH WORKFORCE DEVELOPMENT, THE HOSPITAL PROVIDED OPPORTUNITIES FOR YOUNG ADULTS TO EXPERIENCE CAREERS IN HEALTH CARE AS A WAY OF CULTIVATING THE FUTURE WORKFORCE. JENNERSVILLE HOSPITAL IMPLEMENTED AND ENGAGED PATIENTS THROUGH MY TOWER HEALTH AND STREAMLINED THE ACCESS TO CARE FACILITIES THROUGH THE TOWER ACCESS PROJECT (TAP) TO PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. SOCIAL DETERMINANTS OF HEALTH: POTTSTOWN HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). POTTSTOWN HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. CHESTNUT HILL HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). CHESTNUT HILL HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. THE HOSPITAL ADDRESSED TRANSPORTATION BARRIERS BY DEVELOPING A WORKFLOW, IMPLEMENTATION PLAN AND GUIDELINES FOR TRANSPORTATION PROGRAM FOR PATIENTS. PHOENIXVILLE HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). PHOENIXVILLE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. BRANDYWINE HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). BRANDYWINE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. TO HELP REDUCE TRANSPORTATION BARRIERS, THE HOSPITAL IMPLEMENTED THE RIDE HEALTH PROGRAM. JENNERSVILLE HOSPITAL: THE GOAL WAS TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). JENNERSVILLE HOSPITAL SCREENED MEDICARE AND MEDICAID PATIENTS IN IDENTIFIED CLINICAL AREAS, IDENTIFYING NEEDS, CONNECTING PATIENTS TO APPROPRIATE COMMUNITY RESOURCES, AND PROVIDING NAVIGATION SERVICES TO PATIENTS IDENTIFIED AS HIGH-RISK. THE HOSPITAL PARTNERED WITH COMMUNITY ORGANIZATIONS TO ADDRESS TRANSPORTATION BARRIERS AND PARTNERED WITH THE COMMUNITY FOOD BANK TO REDUCE FOOD SCARCITY ISSUES FOR VULNERABLE POPULATIONS. DISEASE PREVENTION &amp; MANAGEMENT: POTTSTOWN HOSPITAL: THIS GOAL WAS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL INCREASED DIABETES AND HYPERTENSION SCREENINGS AND CONDUCTED MULTIPLE CANCER EDUCATION AND SCREENING EVENTS FOR THE COMMUNITY, INCLUDING LUNG CANCER, BREAST CANCER AND SKIN CANCER SCREENINGS. THE HOSPITAL IMPLEMENTED SHORT AND LONG-TERM WELLNESS INITIATIVES THROUGH TOWER WELLNESS PROGRAMS AND BUILT RELATIONSHIPS WITH LOCAL SCHOOL DISTRICTS AND ATTENDED THEIR WELLNESS COMMITTEE MEETINGS AND PARTICIPATED IN SCHOOL WELLNESS ACTIVITIES FOR THE YOUTH. NUTRITION EDUCATION WAS PROVIDED TO THE COMMUNITY. CHESTNUT HILL HOSPITAL: THE GOAL WAS TO IMPLEMENT CHRONIC DISEASE PREVENTION AND MANAGEMENT PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. CHESTNUT HILL HOSPITAL PROVIDED SCREENING (HYPERTENSION, RISK ASSESSMENTS FOR HEART AND STROKE, MAMMOGRAMS SCREENINGS) AND EDUCATION (DIABETES) TO THE PRIMARY SERVICE AREAS, PARTICULARLY FOCUSING ON VULNERABLE POPULATIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <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/CHESTNUT-HILL-HOSPITAL HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/PHOENIXVILLE-HOSPITAL JENNERSVILL HOSPITAL CLOSED AS OF DECEMBER 31, 2021 BRANDYWINE HOSPITAL CLOSED AS OF JANAURY 31, 2022 PART V, LINE 5 THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL AND PHOENIXVILLE HOSPITAL. THE CHNA PROCESS BEGAN IN FEBRUARY 2021 AND COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA CONCLUDED IN SEPTEMBER 2021. AS PART OF THE NEEDS ASSESSMENT, A VAST NUMBER OF RESIDENTS, EDUCATORS, GOVERNMENT, HEALTH CARE PROFESSIONALS, AND HEALTH AND HUMAN SERVICES LEADERS IN READING HOSPITAL'S SERVICE AREA PARTICIPATED IN THE STUDY. INFORMATION COLLECTED FROM LEADERS PROVIDED A DEEPER UNDERSTANDING OF COMMUNITY MATTERS, HEALTH EQUITY FACTORS, AND COMMUNITY NEEDS. THE FOLLOWING ACTIONS WERE CONDUCTED TO TAKE INTO ACCOUNT INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY: (1) STAKEHOLDER INTERVIEWS (2) FOCUS GROUPS (3) SENIOR LEADERSHIP FORUM (4) KEY INFORMANT SURVEYS (5) COMMUNITY SURVEY VARIOUS TYPES OF DATA, SUCH AS COUNTY DEMOGRAPHICS AND CHRONIC DISEASE PREVALENCE, WERE GATHERED FROM LOCAL, STATE, AND FEDERAL DATABASES TO COMPILE SECONDARY DATA. COMMUNITY SURVEYS, KEY INFORMANT SURVEYS, AND COMMUNITY STAKEHOLDER INTERVIEWS WERE DISPERSED COMMUNITY-WIDE TO GARNER PARTICIPATION FROM ALL MEMBERS RESIDING OR WORKING IN THE PRIMARY SERVICE AREA. THE DATA COLLECTED IDENTIFIED THE NEEDS, HIGH-RISK BEHAVIORS, BARRIERS, SOCIETAL ISSUES, AND CONCERNS OF THE UNDERSERVED AND VULNERABLE POPULATIONS. INFORMATION FROM FOCUS GROUPS WITH HOSPITAL LEADERSHIP AND COMMUNITY PARTNERS WHO PROVIDE SERVICES AND CARE TO THE REGION WAS ALSO INCLUDED IN THE COLLECTION PHASE. STAKEHOLDER INTERVIEWS (POTTSTOWN): MONTGOMERY COUNTY MONTGOMERY COUNTY COMMUNITY COLLEGE PA HOUSE OF REPRESENTATIVES TRICOUNTY CHAMBER OF COMMERCE POTTSTOWN BOROUGH POTTSTOWN AREA HEALTH AND WELLNESS FOUNDATION COMMUNITY HEALTH AND DENTAL CARE TRICOUNTY COMMUNITY NETWORK POTTSGROVE SCHOOL DISTRICT CREATIVE HEALTH SERVICES STAKEHOLDER INTERVIEWS (PHOENIXVILLE): PHOENIXVILLE REGIONAL CHAMBER OF COMMERCE CHESTER COUNTY HEALTH DEPARTMENT PHOENIXVILLE AREA SCHOOL DISTRICT MONTGOMERY COUNTY HEALTH DEPARTMENT ALIANZAS DE PHOENIXVILLE PHOENIXVILLE COMMUNITY HEALTH FOUNDATION COMMUNITY HEALTH AND DENTAL CLINIC THE CLINIC MAYOR - PHOENIXVILLE PHOENIXVILLE YMCA STAKEHOLDER INTERVIEWS (CHESTNUT HILL HOSPITAL): OUR MOTHER OF CONSOLATION MT AIRY COMMUNITY DEVELOPMENT CORPORATION CENTER IN THE PARK PHILADELPHIA INTERFAITH HOSPITALITY NETWORK U.S. HOUSE OF REPRESENTATIVES DREXEL UNIVERSITY FACE TO FACE GERMANTOWN NEW COVENANT CHURCH OF PHILADELPHIA GREEN TREE COMMUNITY HEALTH FOUNDATION CHESTNUT HILL COLLEGE WHITEMARSH EMS FOCUS GROUP PARTICIPANTS (POTTSTOWN): SAGA COMMUNITY CENTER POTTSTOWN AREA HEALTH AND WELLNESS FOUNDATION PA HEALTH ACCESS NETWORK ACCESS SERVICES MONTGOMERY COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICESI ACLAMO HEALTH SPARK FOUNDATION COMMUNITY HEALTH AND DENTAL CARE TRICOUNTY COMMUNITY NETWORK POTTSTOWN HOSPITAL FOCUS GROUP PARTICIPANTS (PHOENIXVILLE): PHOENIXVILLE HOSPITAL PHOENIXVILLE AREA COMMUNITY SEVICES PHOENIXVILLE SENIOR CENTER ALIANZAS DE PHOENIXVILLE ORION HOPE PHOENIXVILLE COMMUNITY HEALTH FOUNDATION THE CLINIC HEALTHCARE ACCESS BOROUGH OF PHOENIXVILLE FOCUS GROUP PARTICIPANTS (CHESTNUT HILL): CHESTNUT HILL HOSPITAL MOUNT AIRY CDC GREEN TREE COMMUNITY HEALTH FOUNDATION U.S. REPRESENTATIVE DWIGHT EVANS</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 7D</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL AND 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 A COMMUNITY HEALTH NEEDS ASSESSMENT WAS NOT COMPLETED FOR THE FOLLOWING HOSPITALS IN 2022. JENNERSVILLE HOSPITAL CLOSED AS OF DECEMBER 31, 2021 BRANDYWINE HOSPITAL CLOSED AS OF JANUARY 31, 2022 THE IMPLEMENTATION STRATEGY FOR THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN NOVEMBER 2022 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 2022 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 2022 CHNA IMPLEMENTATION PLAN WILL CONTINUE THROUGH THE BEGINNING OF FY2023 WITH THE FINAL DOCUMENT BEING ADOPTED AND MADE PUBLICLY AVAILABLE BY NOVEMBER 15, 2022. 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: ACCESS TO EQUITABLE CARE: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL THE HOSPITALS DEPLOY 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 THE PROVISION OF HEALTH CARE AND SERVICES. IMPROVING AN ORGANIZATION'S CAPACITY TO PROVIDE ACCESS TO EQUITABLE CARE FOR VULNERABLE AND ETHNIC POPULATIONS IS A CONTINUOUS AND EVOLVING PROCESS. THE GOAL IS TO INCREASE ACCESS TO EQUITABLE CARE BY COMMUNITY MEMBER, PARTICULARLY THOSE CONSIDERED VULNERABLE AND/OR LIVING IN UNDERSERVED AREAS. POTTSTOWN HOSPITAL WILL SCREEN VULNERABLE PATIENTS FOR SOCIAL DETERMINENTS OF HEALTH, IMPROVE ACCESS TO TRANSPORTATION BY UTILIZING THE RIDE HEALTH PLATFORM, IMPLEMENT STREET MEDICINE PROGRAM, IMPROVE DENTAL CARE ACCESSIBILITY BY PARTNERING WITH CHDC AND THE MOBILE DENTAL UNIT, IMPROVE ACCESS TO SCREENING MAMMOGRAMS, IDENTIFY OPPORTUNITIES FOR A COMMUNITY HEALTH WORK PROGRAM AND INCREASE CARE COORDINATION WITH OTHER HEALTH CARE ENTITIES IN THE SERVICE AREA. PHOENIXVILLE HOSPITAL WILL PROVIDE NURSE OUTREACH BY PROVIDING HEALTH INFORMATION AND RESOURCE REFERRALS TO VULNERABLE POPULATIONS IN THE COMMUNITY TO ADDRESS UNMET HEALTH CARE NEEDS. A RIDE HEALTH PROGRAM WILL BE IMPLEMENTS AND ACCESS TO TELEMEDICINE WILL BE PROVIDED. CHESTNUT HILL HOSPITAL WILL PROMOTE THE MYTOWERHEALTH PORTAL TO ENCOURAGE PATIENTS TO MANAGE INDIVIDUAL HEALTH, IMPLEMENT ONLINE APPOINTMENT SCHEDULING, PROVIDE CLINICAL SERVICES TO HOMEBOUND AND AT-RISK POPULATION THROUGH VOLUNTEERING AT NEIGHBORHOOD CLINICS, UTILIZE THE RIDE HEALTH PROGRAM AND ADDRESS SDOH BY PROVIDING ACUTE CARE AND HEALTH SCREENING SERVICES TO COMMUNITY MEMBERS. BEHAVIORAL HEALTH: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL CHNA FOCUS GROUPS, STAKEHOLDERS, KEY INFORMANTS, AND SURVEY RESPONDENTS REPORTED "IMPROVING ACCESS AND AVAILABILITY OF BEHAVIORAL HEALTH AND MENTAL HEALTH SERVICES AND PROGRAMS" AS HAVING A GREAT IMPACT ON THE OVERALL HEALTH OF THEIR SURROUNDING COMMUNITIES AND A HIGH PRIORITY FOR IMPROVING HEALTH STATUS. THE GOAL IS TO IMPROVE ACCESS, SCREENING, ASSESSMENT, TREATMENT, AND SUPPORT FOR BEHAVIORAL HEALTH. POTTSTOWN HOSPITAL WILL PARTICIPATE IN COMMUNITY OUTREACH AND HEALTH EDUCATION AWARENESS EVENTS, ENGAGE IN WORKFORCE DEVELOPMENT OPPORTUNITIES FOR BEHAVIORAL HEALTH CARRIERS, OFFER SUICIDE PREVENTION TRAINING, IMPLEMENT TOWER EMPLOYEE WELLNESS INITIATIVES. PHOENIXVILLE HOSPITAL WILL INVITE COMMUNITY ORGANIZATIONS WHICH PROVIDE BEHAVIORAL HEALTH TO PARTICIPATE IN HOSPITAL COMMUNITY PROGRAMS. A BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN WILL BE LAUNCHED TO ENGAGE COMMUNITY MEMBERS WITH MONTHLY SOCIAL MEDIA POSTS FOCUSED ON BEHAVIORAL HEALTH ISSUES. TOWER EMPLOYEE WELLNESS INITIATIVE WILL BE EXPANDED. CHESTNUT HILL HOSPITAL WILL ESTABLISH A COMMITTEE TO ADDRESS WORKPLACE VIOLENCE, EXPAND BEHAVIORAL HEALTH SERVICES BY IDENTIFYING PARTNERS TO SUPPORT THE EXPANSION AND EXPAND TOWER WELLNESS EMPLOYEE INITIATIVES. HEALTH EDUCATION AND PREVENTION: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL HOSPITAL HEALTH EDUCATION PROGRAMS HELP PEOPLE BETTER UNDERSTAND HOW TO MANAGE AN EXISTING HEALTH CONDITION AND HOW TO PREVENT FURTHER ILLNESS, WHICH IS PARAMOUNT TO GOOD HEALTH. THE HOSPITAL'S COMMUNITY EDUCATION AND DISEASE PREVENTION PROGRAMS ARE DESIGNED TO ENGAGE AND EMPOWER INDIVIDUALS AND COMMUNITIES TO PRACTICE HEALTHY BEHAVIORS THAT REDUCE THE RISK OF DEVELOPING CHRONIC DISEASES AND TO IMPROVE MANAGEMENT FOR CHRONIC DISEASES SUCH AS HEART DISEASE, DIABETES, AND HIGH BLOOD PRESSURE. ACCORDING TO THE WORLD HEALTH ORGANIZATION, "HEALTH EDUCATION ENABLES PEOPLE TO INCREASE CONTROL OVER THEIR OWN HEALTH." THE GOAL IS TO IMPLEMENT CHRONIC DISEASE EDUCATION AND PREVENTION PROGRAMS IN THE PRIMARY SERVICE AREA, SPECIFICALLY TARGETING VULNERABLE POPULATIONS. POTTSTOWN HOSPITAL WILL INCREASE ACCESS TO HEALTHY FOODS, PROVIDE DISEASE SPECIFIC EDUCATION, ENGAGE WITH LOCAL SCHOOL DISTRICTS TO FURTHER WELLNESS EDUCATION AND PROGRAMS, INCREASE ACCESS TO CANCER SCREENINGS AND IMPLEMENT TOWER EMPLOYEE WELLNESS INITIATIVES. PHOENIXVILLE HOSPITAL WILL PROVIDE CHRONIC DISEASE-SPECIFIC EDUCATION TO OTHER VULNERABLE POPULATIONS INCLUDING LOW-INCOME, VETERANS, AND OTHERS. A HEALTH SURVEY FOR THE SPANISH/PORTUGUESE COMMUNITY WILL BE CREATED. BLOOD PRESSURE SCREENINGS, CANCER PREVENTION EDUCATION AND SCREENINGS WILL BE PROVIDED. A PARTNERSHIP WITH ORGANIZATIONS WILL BE ORGANIZED TO PROVIDE A VACCINE CLINIC TO THE COMMUNITY. TOWER EMPLOYEE WELLNESS INITIATIVE WILL BE IMPLEMENTED. CHESTNUT HILL HOSPITAL WILL LAUNCH WEIGHT LOSS SURGERY SUPPORT GROUPS TO ENCOURAGE MAINTENANCE OF A HEALTHY LIFESTYLE AFTER SURGERY, INCREASE HEALTH EDUCATION PROGRAMMING BY HOSTING EVENTS AND FREE SCREENINGS FOR LOCAL CONGREGATIONS, AND PARTNER WITH PHILADELPHIA PUBLIC SCHOOL SYSTEM TO PROVIDE HEALTH EDUCATION TO AT-RISK YOUTH AND FAMILIES. TOWER EMPLOYEE WELLNESS INITIATIVE WILL BE IMPLEMENTED. HEALTH EQUITY: POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL, AND CHESTNUT HILL 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 AREA 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 DELIVERY SYSTEM. THE ASSESSMENT OF THE DIVERSE AND DISPARATE POPULATION UNCOVERED MANY SDOH AND BARRIERS TO HEALTH CARE ACCESS AND SERVICES. BARRIERS SUCH AS A LACK OF TRANSPORTATION, INADEQUACY OF LANGUAGE AND INTERPRETATION SERVICES, LACK OF INSURANCE COVERAGE, AND CULTURAL BIAS AND DISCRIMINATION HAVE A VERY DRAMATIC IMPACT ON THE CAPACITY TO PROVIDE QUALITY HEALTH CARE AND THE QUALITY OF LIFE FOR POTTSTOWN HOSPITAL'S COMMUNITIES. INTERVENTIONS THAT IMPROVE HEALTH EQUITY AND REDUCE DISPARITIES MUST BE SYSTEMATIC AS AN ORGANIZATION GAINS GREATER UNDERSTANDING AND APPRECIATION FOR DIVERSE CULTURES AND ENHANCES THE ORGANIZATION'S ABILITY TO SERVE ALL PATIENTS EFFECTIVELY AND EFFICIENTLY. THE GOAL IS TO INCREASE HEALTH EQUITY BY ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND PROVIDE CULTURALLY COMPETENT CARE. POTTSTOWN HOSPITAL WILL DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WILL BE PROVIDED TO EMPLOYEES. PHOENIXVILLE HOSPITAL WILL DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WILL BE PROVIDED TO EMPLOYEES. CHESTNUT HILL HOSPITAL WILL DEVELOP A HEALTH EQUITY COUNCIL TO CREATE A HEALTH EQUITY ASSESSMENT AND TRANSFORMATION ACTION PLAN. DIVERSITY, EQUITY AND INCLUSION TRAINING AND LEARNING OPPORTUNITIES WILL BE PROVIDED TO EMPLOYEES. LIST OF HEALTH NEEDS THE FACILITY DOES NOT PLAN TO ADDRESS: ACCESS TO EQUITABLE CARE: THE EXPANSION OF THE REMOTE PATIENT MONITORING PROGRAM TO PATIENTS DIAGNOSED WITH DIABETES AND COPD HAS BEEN PLACED ON AN INDEFINITE HOLD.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>GROUP A, FACILITY 1, POTTSTOWN HOSPITAL - PART V, LINE 13H</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS ALSO APPLIES TO CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE 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 CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE 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 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 CHESTNUT HILL HOSPITAL AND PHOENIXVILLE HOSPITAL. THE CURRENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLICY AND APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE ARE ACCESSIBLE AT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/POTTSTOWN-HOSPITAL/BILLING/ FINANCIAL-ASSISTANCE HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/CHESTNUT-HILL-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, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE 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, CHESUTNUT HILL, PHOENIXVILLE, BRANDYWINE AND JENNERSVILLE 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: MEMBERS OF CHESTNUT HILL HOSPITAL'S ADMINISTRATIVE TEAM SERVE ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE MT AIRY CDC, CHESTNUT HILL BUSINESS ASSOCIATION, CHESTNUT HILL COMMUNITY ASSOCIATION AND THE CHESTNUT HILL CDC. TWO MEMBERS OF PHOENIXVILLE HOSPITAL'S ADMINISTRATIVE TEAM SERVE ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE PERKIOMEN VALLEY CHAMBER OF COMMERCE AND THE PHOENIXVILLE CHAMBER OF COMMERCE. THE CEO OF POTTSTOWN HOSPITAL, SERVES ON BOARDS AND/OR COUNCILS RELATED TO ECONOMIC DEVELOPMENT. THESE INCLUDE THE TRICOUNTY AREA CHAMBER OF COMMERCE AND POTTSTOWN AREA ECONOMIC DEVELOPMENT. IN ADDITION, THE DIRECTOR OF IMAGING PARTICIPATES 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 OF HIGH STREET IN POTTSTOWN BOROUGH ON EARTH DAY. 12 STAFF MEMBERS PARTICIPATED IN THE EVENT ON APRIL 22, 2022. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: RESPECT IS AT THE HEART OF CULTURAL COMPETENCE. PATIENTS WHO FEEL THEIR HEALTHCARE PROVIDERS RESPECT THEIR BELIEFS, CUSTOMS, VALUES, LANGUAGE AND TRADITIONS ARE MORE LIKELY TO COMMUNICATE FREELY AND HONESTLY, WHICH CAN, IN TURN, REDUCE DISPARITIES IN HEALTHCARE AND IMPROVE PATIENT OUTCOMES. SEVERAL STAFF MEMBERS FROM EACH OF THE HOSPITALS ATTENDED A CULTURAL COMPETENCY TRAINING COURSE TO IMPROVE CULTURAL COMPETENCY SKILL IN THE WORKPLACE. CRISIS PREVENTION AND INTERVENTION STRATEGIES HAVE BEEN EFFECTIVE IN REDUCING STRESS, PROBLEM SOLVING AND KEEPING A PERSON FROM NEEDING HIGHER LEVELS OF CARE SUCH AS A TRIP TO THE EMERGENCY DEPARTMENT OR CRISIS CENTER OR INPATIENT HOSPITALIZATION. SEVERAL STAFF MEMBERS FROM CHESTNUT HILL HOSPITAL PARTICIPATED IN A CRISIS PREVENTION INTERVENTION TRAINING COURSE TO HELP THEIR STAFF AND COMMUNITY PREPARE FOR AND HELP REDUCE CRISIS SITUATIONS. COALITION BUILDING: POTTSTOWN HOSPITAL ASSISTED READING HOSPITAL IN THE ACCOUNTABLE HEALTH COMMUNITY CONNECTION PROJECT TO HELP BRIDGE THE GAP BETWEEN MEDICAL CARE AND SOCIAL SERVICES FOR LOCAL MEDICARE AND MEDICAID PATIENTS. TO IMPROVE THE HEALTH OF MEDICARE AND MEDICAID PATIENTS, WE IDENTIFIED THEIR UNMET SOCIAL NEEDS AND THEN DIRECTED THEM TO APPROPRIATE SOCIAL SERVICE AGENCIES. IN THE PROCESS, WE WERE ABLE TO REDUCE COSTS ASSOCIATED WITH EMERGENCY CARE AND HOSPITALIZATIONS. WORKFORCE DEVELOPMENT: CHESTNUT HILL HOSPITAL IS A TEACHING HOSPITAL WITH SEVERAL RESIDENCY AND FELLOWSHIP PROGRAMS. IN ADDITION, CHESTNUT HILL HOSPITAL PARTNERS WITH AREA NURSING SCHOOLS TO PROVIDE HANDS-ON-TRAINING AND SKILL DEVELOPMENT. IN A PARTNERSHIP WITH THE PHILADELPHIA FIRE DEPARTMENT, CHESTNUT HILL HOSPITAL PROVIDES ADVANCE TRAINING FOR EMTS TO BECOME "ADVANCED" EMTS OR PARAMEDICS. PHOENIXVILLE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES FOR PRIMARY, SECONDARY, AND POST-SECONDARY STUDENTS WHO ARE INTERESTED IN HEALTHCARE CAREERS TO ENGAGE WITH BOTH CLINICAL AND NON-CLINICAL STAFF. 25 STUDENTS PARTICIPATED IN THE HOSPITAL'S JOB SHADOWING PROGRAM, WITH 20% OF PRECEPTORS TIME BEING COUNTED TOWARDS COMMUNITY BENEFIT ACTIVITIES. 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.</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 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 FY2022</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 10,782 AND 17,751 IN THE YEARS ENDED JUNE 30, 2022 AND 2021, RESPECTIVELY. DIRECT AND INDIRECT COSTS TO PROVIDE THESE SERVICES WERE APPROXIMATELY 2,087 AND 3,700 FOR THE YEARS ENDED JUNE 30, 2022 AND 2021, 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 MEDICALSERVICES. 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 USES REPORTS FROM THE MEDICARE PROVIDER STATISTICAL AND REIMBURSEMENT SYSTEM TO CALCULATE THE 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 IN 2022. POTTSTOWN HOSPITAL, PHOENIXVILLE HOSPITAL AND CHESTNUT HILL HOSPITAL, IN COLLABORATION WITH THE STRATEGIC CONSULTING FIRM - TRIPP UMBACH, CONDUCTED RESEARCH IN 2021 AND DEPLOYED A NUMBER OF QUANTITATIVE AND QUALITATIVE RESEARCH METHODOLOGIES TO DEFINE AND SELECT COMMUNITY NEEDS. PRIMARY RESEARCH METHODS INCLUDED CONDUCTING STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, COMMUNITY SURVEYS, AND FOCUS GROUPS. THE PRIMARY RESEARCH ALLOWED THE HOSPITALS 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 THE UNITED STATES' CENSUS BUREAU, DEPARTMENT OF LABOR, CENTERS FOR DISEASE CONTROL, AND CENTERS FOR MEDICARE AND MEDICAID SERVICES; PENNSYLVANIA'S DEPARTMENT OF HEALTH, DEPARTMENT OF HUMAN SERVICES, AND STATE CANCER PROFILES; HOSPITAL EPIC PATIENT DATA; AND OTHER LOCAL, REGIONAL, AND NATIONAL DATA SOURCES. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPLIED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF HOSPITAL STAFF, COMMUNITY PARTNERS, AND PARTICIPANTS OF STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, AND FOCUS GROUPS, WHO PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGAN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN. IDENTIFIED AND ACCEPTED PRIORITY AREAS TO ADDRESS INCLUDE: ACCESS TO EQUITABLE CARE, BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>POTTSTOWN HOSPITAL'S, CHESTNUT HILL HOSPITAL'S, PHOENIXVILLE HOSPITAL'S, BRANDYWINE HOSPITAL'S AND JENNERSVILLE HOSPITAL'S COMMITMENT TO PROVIDING AFFORDABLE CARE IS DEMONSTRATED THROUGH THE PATIENT FINANCIAL ASSISTANCE PROGRAM WHICH PROVIDES ASSISTANCE TO QUALIFIED PATIENTS. PATIENTS ARE ENCOURAGED TO SEEK FINANCIAL ASSISTANCE AS EARLY IN THE TREATMENT PROCESS AS POSSIBLE. THEY WILL BE OFFERED THE OPPORTUNITY TO MEET WITH FINANCIAL COUNSELORS AND RESOURCE ELIGIBILITY SPECIALISTS TRAINED TO PROVIDE APPLICATION ASSISTANCE FOR PROGRAMS SUCH AS MEDICAL ASSISTANCE, DISABILITY, COBRA, PATIENT FINANCIAL ASSISTANCE AND OTHER COMMUNITY PROGRAMS. THE HOSPITAL'S COMMITMENT TO PROVIDING AFFORDABLE CARE INCLUDES URGENT, NON- ELECTIVE, EMERGENT, AND OTHER PRE-APPROVED/PRE-SCREENED SERVICES. IMPLANTABLES, HIGH COST DRUGS, DME AND CONTRACTED SERVICES ARE PROVIDED TO QUALIFIED PATIENTS AT HOSPITAL COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE 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. POTTSTOWN HOSPITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL ARE COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. POTTSTOWN HOSPITAL LLC PRIMARILY SERVES MONTGOMERY COUNTY. MONTGOMERY COUNTY PROFILE: MONTGOMERY COUNTY POPULATION IS 830,915. THE RACIAL MIX INCLUDES 79.4% WHITE, 5.4% HISPANIC/LATINO, 10% AFRICAN AMERICAN/BLACK AND 8.1% ASIAN. 5.6% OF MONTGOMERY COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 49.3% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN MONTGOMERY COUNTY IS 91,546. 6.0% PERCENT OF MONTGOMERY COUNTY FAMILIES LIVE IN POVERTY. CHESTNUT HILL HOSPITAL LLC PRIMARILY SERVES PHILADELPHIA COUNTY. PHILADELPHIA COUNTY PROFILE: PHILADELPHIA COUNTY POPULATION IS 1,603,797. THE RACIAL MIX INCLUDES 44.4% WHITE, 15.9% HISPANIC/LATINO, 43.6% AFRICAN AMERICAN/BLACK AND 8.0% ASIAN. 13.4% OF PHILADELPHIA COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 32.5% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN PHILADELPHIA COUNTY IS 52,649. 22.3% PERCENT OF PHILADELPHIA COUNTY FAMILIES LIVE IN POVERTY. PHOENIXVILLE HOSPITAL LLC PRIMARILY SERVES CHESTER COUNTY. CHESTER COUNTY PROFILE: CHESTER COUNTY POPULATION IS 524,989. THE RACIAL MIX INCLUDES 85.3% WHITE, 7.6% HISPANIC/LATINO, 6.2% AFRICAN AMERICAN/BLACK AND 6.1% ASIAN. 6.4% OF CHESTER COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 53% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN CHESTER COUNTY IS 100,214. 5.9% PERCENT OF CHESTER COUNTY FAMILIES LIVE IN POVERTY. BRANDYWINE HOSPITAL LLC AND JENNERSVILLE HOSPITAL LLC PRIMARILY SERVE CHESTER COUNTY. CHESTER COUNTY PROFILE: CHESTER COUNTY POPULATION IS 524,989. THE RACIAL MIX INCLUDES 85.3% WHITE, 7.6% HISPANIC/LATINO, 6.2% AFRICAN AMERICAN/BLACK AND 6.1% ASIAN. 6.4% OF CHESTER COUNTY RESIDENTS AGE 25+ HAVE LESS THAN A HIGH SCHOOL EDUCATION; WHEREAS 53% HOLD A COLLEGE BACHELOR'S DEGREE OR HIGHER. THE MEDIAN HOUSEHOLD INCOME IN CHESTER COUNTY IS 100,214. 5.9% PERCENT OF CHESTER COUNTY FAMILIES LIVE IN POVERTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>PROMOTION OF COMMUNITY HEALTH: DESCRIPTION OF ACHIEVEMENTS IN FISCAL 2022 RELATING TO EXEMPT PURPOSE STATS PROIVDED ARE FOR POTTSTOWN HOPSITAL, CHESTNUT HILL HOSPITAL, PHOENIXVILLE HOSPITAL, BRANDYWINE HOSPITAL AND JENNERSVILLE HOSPITAL COLLECTIVELY. PROVIDING HEALTH CARE: INPATIENT DISCHARGES 25,249 INPATIENT DAYS 127,227 BIRTHS 937 EMERGENCY VISITS 113,396 PROMOTING HEALTH: CHESTNUT HILL HOSPITAL: HEALTH OUTREACH FOR ADULTS PARTICIPATE IN HEALTHY WOMAN PA A STATE FUNDED PROGRAM THAT PROVIDES BREAST AND CERVICAL SCREENING FOR WOMEN WITHOUT INSURANCE. CHESTNUT HILL HOSPITAL ALSO HAS A MAMMOGRAPHY SCREENING PROGRAM THAT FUNDS SCREENING MAMMOGRAMS FOR ANY WOMAN IN OUR COMMUNITY WHO IS UNINSURED. HEALTH OUTREACH IMPACTING ALL AGES CHESTNUT HILL HOSPITAL OPERATES AN ACCREDITED EMERGENCY DEPARTMENT THAT PROVIDES LIFE-SAVING CARE TO INJURED PATIENTS, INCLUDING RESUSCITATION, EMERGENCY SURGERY, INTENSIVE CARE, AND/OR GENERAL MEDICAL CARE; GENERAL SURGERY IN EITHER THE EMERGENCY OR ELECTIVE SETTING; AND NEUROCRITICAL CARE FOR PATIENTS SUFFERING INTRACRANIAL TUMOR, STROKE, INTRACEREBRAL HEMORRHAGE, STATUS EPILEPTICUS, AND OTHER CONDITIONS. CHESTNUT HILL HOSPITAL IS AN ACCREDITED CHEST PAIN CENTER AND STROKE CENTER. PROFESSIONAL EDUCATION IS PROVIDED TO EMS PROVIDERS. MAINTAIN 24/7 INTERPRETING SERVICES THE HOSPITAL OFFERS 24/7 INTERPRETING TELEPHONES FOR ANY LANGUAGE. TELEPHONE AMPLIFIERS AND TDDS (TELEPHONE DEVICES FOR THE DEAF) ARE AVAILABLE FOR THE HEARING IMPAIRED. PROVIDE 24/7 CHAPLAINCY SERVICES UPON ADMISSION, PATIENTS ARE ASKED TO PROVIDE A PARTICULAR RELIGION OR CONGREGATION SO THAT WE MAY PROVIDE PASTORAL MINISTRY. AN INTERFAITH CHAPEL, LOCATED ON THE FIRST FLOOR OF THE HOSPITAL, IS AVAILABLE FOR FAMILY USE. OFFER PALLIATIVE CARE SERVICES CHESTNUT HILL 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. OFFER FREE PARKING CHESTNUT HILL HOSPITAL OFFERS PATIENTS AND THEIR FAMILY MEMBERS AND VISITORS FREE GARAGE PARKING. IT ALSO PROVIDES WHEELCHAIRS AND ESCORTS TO SUPPORT MEDICALLY FRAGILE PATIENTS. SUPPORT ORGAN DONATION CHESTNUT HILL HOSPITAL PROVIDES INFORMATION AND EDUCATION ABOUT ORGAN DONATION OPTIONS TO PATIENTS AND THEIR FAMILIES. IN ADDITION, THE HOSPITAL SUPPORT ORGAN DONATION WITH ONLINE POSTING TO THE ENTIRE SERVICE AREA. EDUCATE HEALTHCARE PROFESSIONALS MEDICAL EDUCATION IS AN INTEGRAL PART OF CHESTNUT HILL HOSPITAL'S MISSION. THE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES TO PREPARE STUDENTS FOR NEW OR ADVANCE CAREERS IN HEALTHCARE. CHESTNUT HILL HOSPITAL PARTNERED WITH PHILADELPHIA FIRE DEPARTMENT TO PROVIDE SPACE, EDUCATION AND HANDS ON TRAINING FOR 24 EMTS IN THE ADVANCE EMT PROGRAM. IN ADDITION, 13 EMTS TOOK PART IN THE PARAMEDIC TRAINING PROGRAM. PHOENIXVILLE HOSPITAL: HEALTH OUTREACH IMPACTING ALL AGES 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. MAINTAIN 24/7 INTERPRETING SERVICES PHOENIXVILLE HOSPITAL'S INTERPRETING SERVICES DEPARTMENT INCLUDES 3 ON-SITE SPANISH-ENGLISH AND 1 PORTUGUESE -ENGLISH INTERPRETERS WHO ASSIST PATIENTS WITH LANGUAGE BARRIERS. 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. 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 AND WAS AWARDED PLATINUM LEVEL FOR PARTICIPATION FROM HAP. EDUCATE HEALTHCARE PROFESSIONALS MEDICAL EDUCATION IS AN INTEGRAL PART OF PHOENIXVILLE HOSPITAL'S MISSION. THE HOSPITAL PROVIDES A NUMBER OF OPPORTUNITIES TO PREPARE STUDENTS FOR CAREERS IN HEALTHCARE INCLUDING NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, ANESTHESIA, AND PHARMACY WITH CLINICAL ROTATIONS. NURSING RN PROGRAM - 43 STUDENTS NURSING ALLIED HEALTH - 34 HIGH SCHOOL STUDENTS PT/OT/SLP - 29 STUDENTS PHARMACY - 6 STUDENTS CRNA - 5 STUDENTS RESPIRATORY THERAPY - 24 STUDENTS DIAGNOSTIC IMAGING - 4 STUDENTS PEDIATRICS - 6 STUDENTS PARAMEDIC - 4 STUDENTS ADVANCED PRACTICE PROFESSIONAL NURSE PRACTITIONER - 10 STUDENTS ADVANCED PRACTICE PROFESSIONAL PHYSICIAN ASSISTANCE - 11 STUDENTS PHOENIXVILLE HOSPITAL'S ADMINISTRATION DEPARTMENT MANAGES ADDITIONAL EDUCATIONAL OPPORTUNITIES INCLUDING RESIDENCIES. ENROLLMENT AND GRADUATE DATA FOR FY2022 IS AS FOLLOWS: RESIDENCY (PODIATRY) ENROLLED 9 GRADUATED 3 THE HOSPITAL SUPPORTS EFFORTS TO EDUCATE LOCAL STUDENTS ABOUT THE WIDE VARIETY OF CAREERS IN HEALTHCARE. DURING FY2022, OVER 25 LOCAL HIGH SCHOOL AND COLLEGE STUDENTS PARTICIPATED IN THE JOB SHADOWING PROGRAM, WHICH PROVIDED OPPORTUNITIES TO OBSERVE MEDICAL PROFESSIONALS IN THE HEALTHCARE SETTING. THIS EDUCATION PROVIDES INVALUABLE, HANDS-ON, PRACTICAL EXPERIENCES THAT ENHANCE A STUDENT'S ACADEMIC, PROFESSIONAL, AND PERSONAL DEVELOPMENT. 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 TRIALS NURSE PROVIDES SUPPORT AND CLINICAL RESEARCH FOR PATIENTS, CAREGIVERS, AND MEDICAL PROFESSIONALS. THE CLINICAL TRIALS NURSE WORKS IN CONJUNCTION WITH THE HOSPITALS INSTITUTIONAL REVIEW BOARD WHICH MONITORS ALL CLINICAL RESEARCH PROJECTS CONDUCTED AT THE HOSPITAL. GENETIC SCREENING: PHOENIXVILLE HOSPITAL OFFERS GENETIC SCREENING AND COUNSELING TO PHYSICIAN REFERRED AND SELF-REFERRED MEMBERS OF THE COMMUNITY. THE SERVICE INCREASES AWARENESS AND PREVENTION EFFORTS OF THOSE WHO ARE AT HIGH RISK OF CANCER. 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 FY2022, POTTSTOWN HOSPITAL OFFERED THE FOLLOWING CLINICAL OPPORTUNITIES FOR STUDENTS: HEALTHCARE PROFESSION NUMBER OF STUDENTS NUMBER OF HOURS NURSING 239 STUDENTS 14,786 HOURS PHYSICIAN ASSISTANT 27 STUDENTS 7,000 HOURS NURSE PRACTITIONER 25 STUDENTS 8,220 HOURS PHLEBOTOMY 2 STUDENTS 132 HOURS PHARMACY 7 STUDENTS 1,120 HOURS PUBLIC HEALTH 3 STUDENTS 800 HOURS 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 MISSIO</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>
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        <TotalCompensationFilingOrgAmt>592813</TotalCompensationFilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>87854</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD T NEWELL JR</PersonNm>
        <TitleTxt>CEO POTTSTOWN</TitleTxt>
        <BaseCompensationFilingOrgAmt>365036</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>126979</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>71453</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24621</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>588089</TotalCompensationFilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>81655</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT EHINGER</PersonNm>
        <TitleTxt>SVP FIN OP/TREAS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>375376</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>122519</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>69044</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>17181</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>584120</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>80423</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK MCNASH</PersonNm>
        <TitleTxt>SVP SUPPORT SERVICES</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>297001</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>81573</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>92572</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>61348</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>17569</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>550063</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>61977</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN CASEY MD</PersonNm>
        <TitleTxt>CEO THP</TitleTxt>
        <BaseCompensationFilingOrgAmt>347110</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>44308</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>44488</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16559</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>452465</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD MCLAUGHLIN</PersonNm>
        <TitleTxt>VP CMO POTTSTOWN</TitleTxt>
        <BaseCompensationFilingOrgAmt>360985</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>53180</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6100</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24189</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>444454</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SEAN O'CONNELL</PersonNm>
        <TitleTxt>TREAS TERMED 8/2021</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>207140</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>213847</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>4146</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>538</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>425671</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>78916</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MCMURTRIE</PersonNm>
        <TitleTxt>VP CMO PHOENIXVILLE</TitleTxt>
        <BaseCompensationFilingOrgAmt>346776</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>39255</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17285</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>409116</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN SCANLON</PersonNm>
        <TitleTxt>VP CMO CHESTNUT HILL</TitleTxt>
        <BaseCompensationFilingOrgAmt>254441</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>33173</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5148</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16273</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>309035</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL SZYMANSKI</PersonNm>
        <TitleTxt>VP CFO BRAND/JENNERS</TitleTxt>
        <BaseCompensationFilingOrgAmt>256011</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>35029</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5157</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9016</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>305213</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANDRA CRABTREE</PersonNm>
        <TitleTxt>VP CNO PHOENIXVILLE</TitleTxt>
        <BaseCompensationFilingOrgAmt>210918</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>39400</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4325</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16700</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>271343</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREGORY SORENSEN MD</PersonNm>
        <TitleTxt>EVP CMO TERM 1/21</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>52174</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>211028</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>1050</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>1428</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>265680</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>172589</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWARD CHABALOWSKI</PersonNm>
        <TitleTxt>VP CFO PHOE/POTTS</TitleTxt>
        <BaseCompensationFilingOrgAmt>207277</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>37469</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4192</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10868</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>259806</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANN BLANKENHORN</PersonNm>
        <TitleTxt>VP CNO POTTSTOWN</TitleTxt>
        <BaseCompensationFilingOrgAmt>224319</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>23563</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4486</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>515</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>252883</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLAIRE MOONEY</PersonNm>
        <TitleTxt>CEO BRAND/JENNERS</TitleTxt>
        <BaseCompensationFilingOrgAmt>200832</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>33097</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3691</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8273</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>245893</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARCOS COSTNER</PersonNm>
        <TitleTxt>VP CFO CHESTNUT HILL</TitleTxt>
        <BaseCompensationFilingOrgAmt>180008</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>19395</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3706</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23946</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>227055</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>CLINT MATTHEWS 1,130,769 424,810 0 THERESE SUCHER 0 213,439 0 DAN AHERN 0 226,944 0 GARY F. CONNER 616,572 188,225 0 SUZANNE WENDEROTH, MD 0 98,837 0 MARY AGNEW 0 74,394 0 STEPHEN TULLMAN 0 60,163 0 JOHN CACCIAMANI 0 87,854 0 RICHARD T. NEWELL JR. 0 81,655 0 ROBERT EHINGER 0 80,423 0 MARK MCNASH 0 61,977 0 SEAN O'CONNELL 108,152 78,916 0 GREGORY SORENSEN, MD 0 172,589 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 ORGANIZATIONAL 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. DAN AHERN 169,462 MARK MCNASH 81,573</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: CLAIRE MOONEY AND JOHN CASEY, MD PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING CALENDAR YEAR 2021 BUT DID NOT RECEIVE A DISTRIBUTION. 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>
    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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        <IssuerName>
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        <PurposeDesc>SEE PART VI</PurposeDesc>
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        <BondReferenceCd>B</BondReferenceCd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
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        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
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        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
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        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</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>
      <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>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 12/28/12 &amp; 8/11/20: 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 CALCULATIONS ARE NECESSARY. BERKS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY NOTE REGARDING THE REBATE COMPUTATION ON 4/30/18: AS NO REBATABLE ARBITRAGE WAS EARNED ON THE ADVANCE REFUNDING ESCROW AND THE DEBT SERVICE WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE ANALYSIS IS NECESSARY. THE BERKS COUNTY MUNICIPAL AUTHORITY &amp; BERKS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 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 II, COLUMN C, LINE 3 - THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART III, LINE 9 ROUTINELY MONITORS THE USE OF BOND-FINANCED ASSETS AND REGULARY 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 BRANDYWINE HOSPITAL, CHESTNUT HILL HOSPITAL, JENNERSVILLE, HOSPITAL, PHOENIXVILLE HOSPITAL, AND POTTSTOWN HOSPITAL, THE FIVE 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. OTHER COMMUNITY BENEFIT ACTIVITIES INCLUDE: POTTTOWN: POTTSTOWN HOSPITAL BELIEVES IN THE IMPORTANCE OF CONDUCTING APPROPRIATE CLINICAL RESEARCH THAT INCREASES GENERALIZABLE KNOWLEDGE AND ADVANCES HEALTH. IN FY2022, POTTSTOWN HOSPITAL'S CANCER CENTER PARTICIPATED IN OVER 16 RESEARCH STUDIES. POTTSTOWN HOSPITAL IS COMMITTED TO SUPPORTING COMMUNITY PROJECTS AND EVENTS THAT ALIGN WITH THE MISSION, VISION, VALUES, AND COMMUNITY BENEFIT OBJECTIVES OF THE HOSPITAL. DURING FY2022, THE HOSPITAL SUPPORTED 15 LOCAL NON-PROFIT ORGANIZATIONS THROUGH THE COMMUNITY WELLNESS SPONSORSHIP PROGRAM. THIS TOTALED MORE THAN 37,000 AND IMPACTED MORE THAN 12,000 INDIVIDUALS. FUNDING WAS USED TO INCORPORATE A BEHAVIORAL HEALTH COUNSELOR IN A LOCAL SCHOOL DISTRICT, SUPPORT NEIGHBORHOOD REVITALIZATION EFFORTS, FUND MEALS ON WHEELS, ENCOURAGE HEALTHY EATING AT THE LOCAL FARMERS MARKET, PROVIDE BABY FORMULA DURING THE NATION-WIDE SHORTAGE TO LOW-INCOME FAMILIES IN NEED, SUPPORT CAREGIVER EFFORTS, ENSURE HOUSING FOR THE HOMELESS, FUND MENTAL HEALTH IMPROVEMENT STRATEGIES, SUPPORT DEI EFFORTS, AND PROVIDE HEALTHY SNACKS FOR LOW-INCOME YOUTH DURING SUMMER CAMP. POTTSTOWN HOSPITAL'S PATHS PROGRAM OFFERS ENROLLMENT ASSISTANCE FOR MEDICAID. IN FY22, OVER 2,074 INDIVIDUALS WERE CONNECTED TO MEDICAL ASSISTANCE. OVER 150 EMPLOYEES DONATED BLOOD DURING THREE BLOOD DRIVES THROUGHOUT FY2022. THE DRIVES WERE HOSTED IN PARTNERSHIP WITH THE RED CROSS. POTTSTOWN HOSPITAL ENCOURAGES STAFF MEMBERS TO VOLUNTEER AT LOCAL NON- PROFIT ORGANIZATIONS AND/OR SERVE ON BOARD OF DIRECTORS DURING THE WORKDAY. IN FY2022, STAFF DONATED THEIR TIME ON ECONOMIC DEVELOPMENT COUNCILS, THE LOCAL CHAMBER OF COMMERCE, AND LOCAL FOUNDATIONS/NON-PROFITS FOCUSED ON EDUCATION, SENIOR SERVICES, VETERANS' SERVICES, FOOD INSECURITY, AND NON- PROFIT CAPACITY BUILDING. PHOENIXVILLE: PHOENIXVILLE HOSPITAL'S PATHS PROGRAM OFFERS ENROLLMENT ASSISTANCE FOR MEDICAID AND PRESCRIPTION ASSISTANCE FOR THE HOSPITAL'S CANCER INFUSION CENTER PATIENTS, AS WELL AS FOR OTHER HEALTH SERVICES. THE CANCER CENTER AT PHOENIXVILLE HOSPITAL MAINTAINS A PATIENT ASSISTANCE FUND TO AID PATIENTS WITH COPAYS, TRANSPORTATION, MEDICATIONS, AND OTHER NEEDS. MANY MEMBERS OF PHOENIXVILLE HOSPITAL'S STAFF DEDICATE TIME AND KNOWLEDGE ASSISTING NON-PROFIT ORGANIZATIONS, ECONOMIC DEVELOPMENT COUNCILS, AND THE LOCAL CHAMBER OF COMMERCE WITHIN THE COMMUNITY THROUGH THEIR SERVICE ON BOARDS AND COMMITTEES. PHOENIXVILLE HOSPITAL PROVIDES FINANCIAL SUPPORT TO THE OPERATION OF THE PHOENIXVILLE HOSPITAL THRIFT SHOP WHICH PROVIDES THE COMMUNITY A RESOURCE TO SHOP. THRIFT SHOP PROCEEDS ARE DONATED ANNUALLY TO LOCAL NON-PROFITS. FOR FY22 A TOTAL OF 57200 WAS DONATED BACK TO COMMUNITY NON-PROFIT ORGANIZATIONS. PHOENIXVILLE HOSPITAL ALSO PROVIDES SUPPORT TO SEVEN LOCAL NONPROFITS ALLOWING THEM TO LEASE SPACE FOR 1 PER YEAR IN THE BOOKWORM BUILDING. VOLUNTEERS ARE A VERY IMPORTANT PART OF OUR HOSPITAL COMMUNITY. WE UTILIZE VOLUNTEERS AT THE THRIFT SHOP, AT THE HOSPITAL AND AT OUR LIMERICK CAMPUS. FOR FY22 WE HAD SIXTY (60) VOLUNTEERS WHO PROVIDED 4061 HOURS OF VOLUNTEER SERVICE. PHOENIXVILLE HOSPITAL PARTNERS WITH PROJECT SEARCH AND HOSTED FIVE INTERNS IN FY22. PROJECT SEARCH INTERNS RECEIVED ON THE JOB SKILLS TRAINING IN VARIOUS HOSPITAL DEPARTMENTS. ONE INTERN SECURED A JOB AT THE HOSPITAL POST INTERNSHIP. PHOENIXVILLE HOSPITAL HAS TWO MEDICAL RESIDENCY PROGRAMS. IN FY22, THERE WERE NINE PODIATRY RESIDENTS AND SIXTEEN PSYCHIATRY RESIDENTS ENROLLED IN THE PROGRAMS. PHOENIXVILLE HOSPITAL PROVIDES CLINICAL ROTATIONS FOR NURSING STUDENTS FROM SEVERAL ACCREDITED NURSING PROGRAMS INCLUDING MONTGOMERY COUNTY COMMUNITY COLLEGE, WEST CHESTER UNIVERSITY, AND GWYNEDD MERCY UNIVERSITY. PHOENIXVILLE HOSPITAL ALSO PROVIDES CLINICAL OPPORTUNITIES FOR PHARMACY, DIAGNOSTIC IMAGING, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH LANGUAGE PATHOLOGY STUDENTS. ALLIED HEALTH STUDENTS FROM CHESTER COUNTY INTERMEDIATE UNIT AND PASD ALSO PERFORM CLINICAL OBSERVATIONS/ROTATIONS AT PHOENIXVILLE HOSPITAL. COMMUNITY EVENTS AND SUPPORT GROUPS ARE HELD AT THE PHOENIXVILLE AREA YMCA, PHOENIXVILLE AREA SENIOR CENTER, AND THE PHOENIXVILLE RECREATION CENTER TO INCREASE OUTREACH AND REACH DIVERSE POPULATIONS IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPITAL CLOSURE: JENNERSVILLE HOSPITAL LLC (EIN 82-2116582), LOCATED AT 1015 W. BALTIMORE PIKE, WEST GROVE, CHESTER COUNTY, PENNSYLVANIA 19390, IS A 52-BED LICENSED ACUTE CARE HOSPITAL WHICH WAS ACQUIRED BY TOWER HEALTH FROM COMMUNITY HEALTH SYSTEMS, LLC, EFFECTIVE AS OF OCTOBER 1, 2017. SINCE THE ACQUISITION, TOWER HEALTH HAS MADE SUBSTANTIAL INVESTMENTS IN BOTH THE PHYSICAL SPACE AND HUMAN RESOURCES AND HAS RECONFIGURED SERVICES WITH THE GOALS OF ATTEMPTING TO MAKE THE HOSPITAL A VIABLE OPERATING ENTITY. DESPITE CONTINUED EFFORTS, JENNERSVILLE HOSPITAL CONTINUED TO SUSTAIN SUBSTANTIAL LOSSES, EXPERIENCE SUBSTANTIAL COMPETITION IN THE SERVICE AREA, AND EXPERIENCED A LACK OF SUCCESS WHEN RECRUITING NEW MEDICAL STAFF IN KEY SPECIALTIES. THE HOSPITAL ALSO EXPERIENCED A DOWNWARD TREND IN PATIENT VOLUMES, AS WELL AS ACCELERATED NURSING AND OTHER STAFF TURNOVER RESULTING IN EXCESSIVE VACANCIES. AS A RESULT OF THESE FACTORS, TOWER HEALTH HAS CONCLUDED THAT THE LONG-TERM VIABILITY OF JENNERSVILLE HOSPITAL WAS NOT FEASIBLE. JENNERSVILLE HOSPITAL LLC (EIN 82-2116582) CLOSED EFFECTIVE DECEMBER 31, 2021. BRANDYWINE HOSPITAL LLC (EIN 82-2086906), LOCATED AT 201 REECEVILLE ROAD, COATESVILLE, CHESTER COUNTY, PENNSYLVANIA 19320, IS A 171-BED LICENSED ACUTE CARE HOSPITAL WHICH WAS ACQUIRED BY TOWER HEALTH FROM COMMUNITY HEALTH SYSTEMS, LLC, EFFECTIVE AS OF OCTOBER 1, 2017. SINCE THE ACQUISITION, TOWER HEALTH HAS MADE SUBSTANTIAL INVESTMENTS IN BOTH THE PHYSICAL SPACE AND HUMAN RESOURCES AND HAS RECONFIGURED SERVICES WITH THE GOALS OF ATTEMPTING TO MAKE THE HOSPITAL A VIABLE OPERATING ENTITY. DESPITE CONTINUED EFFORTS, BRANDYWINE HOSPITAL CONTINUED TO SUSTAIN SUBSTANTIAL LOSSES, EXPERIENCE SUBSTANTIAL COMPETITION IN THE SERVICE AREA, AND EXPERIENCED A LACK OF SUCCESS WHEN RECRUITING NEW MEDICAL STAFF IN KEY SPECIALTIES. THE HOSPITAL ALSO EXPERIENCED A DOWNWARD TREND IN PATIENT VOLUMES, AS WELL AS ACCELERATED NURSING AND OTHER STAFF TURNOVER RESULTING IN EXCESSIVE VACANCIES. AS A RESULT OF THESE FACTORS, TOWER HEALTH HAS CONCLUDED THAT THE LONG-TERM VIABILITY OF BRANDYWINE HOSPITAL WAS NOT FEASIBLE. BRANDYWINE HOSPITAL LLC (EIN 82-2086906) CLOSED EFFECTIVE JANUARY 31, 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS WITHOUT COMPENSATION ARE VOLUNTEERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>TO ADDRESS FOOD INSECURITY, POTTSTOWN HOSPITAL DEVELOPED 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 2,000 LBS. OF ORGANIC PRODUCE TO 25 LOW-INCOME FAMILIES DURING FY2022. THIS IMPACTED OVER 100 INDIVIDUALS. ANOTHER PROGRAM THAT WAS DEVELOPED TO ADDRESS FOOD INSECURITY IS THE COMMUNITY FRIDGE. THE NEW COMMUNITY FRIDGE IS LOCATED ON HIGH ST. IN THE CENTER OF POTTSTOWN BOROUGH. IT IS OPEN 24/7 AND IS STOCKED WITH FRESH PRODUCE, READY TO EAT MEALS, SNACKS, WATER, AND ESSENTIAL ITEMS LIKE EGGS AND BREAD. COMMUNITY MEMBERS ARE ABLE TO "TAKE WHAT THEY NEED AND LEAVE WHAT THEY DON'T". IN ADDITION, THE HOSPITAL DEVELOPED A NEW COMMUNITY GARDEN ONSITE AT THE HOSPITAL THAT PROVIDES FRESH HERBS. HERBS ARE A SIMPLE WAY TO ADD HEALTHY FLAVOR TO RECIPES, AND YET THE COST OF HERBS IS A BARRIER TO OUR COMMUNITY. THIS NEW HERB GARDEN PROMOTES HEALTHY EATING THROUGH EDUCATIONAL OPPORTUNITIES AS WELL. POTTSTOWN HOSPITAL PARTICIPATES IN THE COMMUNITY CONNECTION PROJECT (CCP), WHICH IMPLEMENTS THE CENTER FOR MEDICARE AND MEDICAID'S ACCOUNTABLE HEALTH COMMUNITIES (AHC) MODEL. THROUGH THE PROGRAM, ELIGIBLE MEDICARE AND MEDICAID PATIENTS ARE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS IN THE AREAS OF FOOD, HOUSING, UTILITIES, TRANSPORTATION, AND SAFETY. PATIENTS ARE THEN RISK-STRATIFIED BASED ON NEEDS AND NUMBER OF EMERGENCY DEPARTMENT VISITS. ALL PATIENTS WHO SCREEN POSITIVE FOR SOCIAL NEEDS ARE PROVIDED A COMMUNITY REFERRAL SUMMARY THAT PROVIDES INFORMATION ON RESOURCES AVAILABLE IN THE COMMUNITY TO HELP ADDRESS THEIR UNMET NEEDS. HIGH-RISK PATIENTS (1 OR MORE SOCIAL NEEDS AND 2 OR MORE ED VISITS) ARE ALSO OFFERED ONE-YEAR OF NAVIGATION SERVICES, IN WHICH A NAVIGATOR CREATES CLOSED-LOOP REFERRALS TO COMMUNITY ORGANIZATIONS. THE GOAL OF THE PROGRAM IS TO TEST WHETHER SYSTEMATICALLY IDENTIFYING AND ADDRESSING HEALTH-RELATED SOCIAL NEEDS OF THIS POPULATION IMPACTS HEALTH QUALITY. IN FY2022, OVER 829 SCREENINGS WERE COMPLETED AND OVER 190 NAVIGATION CASES WERE OPENED. THIS PROGRAM IS FULLY FUNDED THROUGH A CMS GRANT. DISEASE PREVENTION AND MANAGEMENT: IN AN EFFORT TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT, POTTSTOWN HOSPITAL HAS IMPLEMENTED A NUMBER OF INITIATIVES THROUGHOUT ITS PRIMARY SERVICE AREA. POTTSTOWN HOSPITAL DESIGNED A NEW PROGRAM CALLED MEDICINE ON THE MOVE. MEDICINE ON THE MOVE IS A WALK AND TALK STYLE PROGRAM AIMED AT PROVIDING DISEASE PREVENTION AND EDUCATION. THE GROUP MEETS AT A LOCAL PARK TO LEARN ABOUT A SPECIFIC HEALTH TOPIC. ALL PARTICIPANTS RECEIVE A FREE PEDOMETER TO ENCOURAGE CONTINUOUS PHYSICAL ACTIVITY. FOLLOWING THE EDUCATION, PARTICIPANTS TAKE A WALK AROUND THE PARK AND CAN CONTINUE TO ENGAGE WITH THE PROVIDER AND ASK ANY QUESTIONS THEY MIGHT HAVE. FOLLOWING THE WALK, PARTICIPANTS RECEIVE A HEALTHY SNACK. THERE WERE FIVE MEDICINE ON THE MOVE EVENTS IN FY22 FEATURING THE FOLLOWING DISEASE PREVENTION TOPICS: DIABETES AND HYPERTENSION, STROKE, PHYSICAL ACTIVITY, NUTRITION, AND DIVERTICULITIS. THERE WAS AN INCREASED FOCUS ON CANCER SCREENINGS AND CANCER EDUCATION THAT SPECIFICALLY TARGETED VULNERABLE POPULATIONS. FREE SCREENING EVENTS WERE HELD THROUGHOUT THE YEAR TO ADDRESS THIS HEALTH DISPARITY. THESE EVENTS WERE CONDUCTED IN PARTNERSHIP WITH THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) TO SPECIFICALLY SCREEN INDIVIDUALS WITHOUT HEALTH INSURANCE. THROUGH THESE EVENTS, 9 BREAST CANCER SCREENINGS AND 11 SKIN CANCER SCREENINGS WERE CONDUCTED. IN ADDITION, POTTSTOWN HOSPITAL ENROLLED IN A NEW RESEARCH STUDY AIMING TO RETURN LUNG CANCER SCREENING RATES TO PRE- PANDEMIC RATES. WITH COVID-19, OUR HOSPITAL NOTICED A SIGNIFICANT DECREASE IN LUNG CANCER SCREENINGS. TO COMBAT THIS, THE HOSPITAL BEGAN A TARGETED EFFORT TO EDUCATE PROVIDERS, COMMUNITY PARTNERS, AND THE COMMUNITY ABOUT THE AVAILABILITY OF LUNG CANCER SCREENINGS. IN ADDITION, IN OCTOBER 2020, POTTSTOWN HOSPITAL CELEBRATED PINK DAY AND PROVIDED CANCER PREVENTION EDUCATION TO COMMUNITY MEMBERS AND PATIENTS. POTTSTOWN HOSPITAL HELPED LEAD THE COVID-19 EFFORTS IN THE SERVICE AREA. THIS INCLUDED COMMUNICATIONS, STRATEGIC PLANNING CALLS BOTH LOCALLY AND COUNTY WIDE, AND A COORDINATED VACCINE ROLL OUT. POTTSTOWN HOSPITAL ESTABLISHED A COVID-19 VACCINE CLINIC AND PROVIDED OVER 3,000 COMMUNITY MEMBERS WITH THE VACCINE. IN ADDITION, THE HOSPITAL IMPLEMENTED A COVID-19 VACCINE PANEL DISCUSSION TARGETING SPANISH-SPEAKING INDIVIDUALS AND FAMILIES IN THE COMMUNITY. DR. SEDA LOPEZ AND TWO ADDITIONAL TOWER HEALTH PROVIDERS, PROVIDED INFORMATION ON THE VACCINE INCLUDING VACCINE AVAILABILITY, LOCAL PLACES TO GET THE VACCINE, MYTHS AND FACTS ABOUT THE VACCINE, ETC. IN ADDITION, COVID-19 EDUCATION WAS PROVIDED TO A LOCAL SENIOR LIVING FACILITY. POTTSTOWN HOSPITAL IMPLEMENTED A DISEASE PREVENTION SOCIAL MEDIA CAMPAIGN SHARING INFORMATION ON NUTRITION, PHYSICAL ACTIVITY, AND HEALTHY LIFESTYLES. COMBINED, THE POSTS REACHED OVER 31,000 PEOPLE. POTTSTOWN HOSPITAL PROVIDES OPPORTUNITIES FOR STAFF TO STAY HEALTHY THROUGH ITS TOWER WELLNESS PROGRAMS. ONE NEW INITIATIVE IN FY21 WAS A WELLNESS OASIS. THIS OASIS WAS CREATED AS A QUIET SPACE FOR EMPLOYEES TO VISIT DURING WORK BREAKS FOR MEDITATION AND REFLECTION. IN ADDITION, HOSPITAL STAFF PARTICIPATE IN SYSTEM-WIDE WELLNESS ACTIVITIES SUCH AS FITBIT WALKING/STEPS CHALLENGES. POTTSTOWN HOSPITAL PROVIDED NUTRITION EDUCATION TO DANIEL BOONE SCHOOL DISTRICT STAFF/FACULTY, STUDENTS, AND FAMILIES. THESE EDUCATIONAL SESSIONS PROVIDED INFORMATION ON MYPLATE, TIPS AND TRICKS TO EAT HEALTHY DURING THE SCHOOL YEAR AND STAYING HOME DUE TO COVID-19, HEALTHY RECIPES, ETC. ACCESS TO BEHAVIORAL HEALTH SERVICES: POTTSTOWN HOSPITAL LAUNCHED THE CONNECT WITH A SMILE CAMPAIGN IN COLLABORATION CREATIVE HEALTH SERVICES, THE LOCAL BEHAVIORAL HEALTH PROVIDER. THIS CAMPAIGN WORKED TO CONNECT INDIVIDUALS THROUGH SMILING, EVEN BEHIND WEARING A MASK. THE CAMPAIGN PROVIDED CONTACT INFORMATION FOR THE LOCAL BEHAVIORAL HEALTH PROVIDER AND THE SUICIDE PREVENTION HOTLINE. THE CAMPAIGN REACHED OVER 15,000 FAMILIES AND WAS SHARED WITH ALL FIVE SCHOOL DISTRICTS IN THE SERVICE AREA. POTTSTOWN HOSPITAL'S CENTER FOR BEHAVIORAL MEDICINE (CBM) CELEBRATED NATIONAL SUICIDE PREVENTION DAY ON SEPTEMBER 10TH. CBM STAFF WORKED TO REDUCE THE STIGMA AROUND MENTAL HEALTH AND SHARE FACTS VS. MYTHS, LOCAL RESOURCES, AND LOCAL STATISTICS. POTTSTOWN HOSPITAL CONDUCTED TWO ROUNDS OF OUTREACH AT ST. AL'S HOMELESS SHELTER. THIS OUTREACH WAS CONDUCTED IN PARTNERSHIP WITH THE LOCAL FQHC AND LOCAL BEHAVIORAL HEALTH PROVIDER. THIS OUTREACH SHARED LOCAL RESOURCES, GAVE THE OPPORTUNITY FOR RESIDENTS TO ASK QUESTIONS DIRECTLY TO PROVIDERS, AND HELP DISPEL MYTHS AROUND BEHAVIORAL HEALTH. POTTSTOWN HOSPITAL'S CENTER FOR BEHAVIORAL MEDICINE STAFF PROVIDED MENTAL HEALTH EDUCATION TO TEACHERS AND FACULTY IN DANIEL BOONE SCHOOL DISTRICT. THIS INCLUDED INFORMATION ON HOW THE MIND WORKS, MANAGING STRESS, AND PRACTICING MINDFULNESS. OTHER COMMUNITY BENEFIT ACTIVITIES: POTTSTOWN HOSPITAL BELIEVES IN THE IMPORTANCE OF CONDUCTING APPROPRIATE CLINICAL RESEARCH THAT INCREASES GENERALIZABLE KNOWLEDGE AND ADVANCES HEALTH. IN FY2022, POTTSTOWN HOSPITAL'S CANCER CENTER PARTICIPATED IN OVER 10 RESEARCH STUDIES. POTTSTOWN HOSPITAL IS COMMITTED TO SUPPORTING COMMUNITY PROJECTS AND EVENTS THAT ALIGN WITH THE MISSION, VISION, VALUES, AND COMMUNITY BENEFIT OBJECTIVES OF THE HOSPITAL. DURING FY2022, THE HOSPITAL SUPPORTED 12 LOCAL NON-PROFIT ORGANIZATIONS THROUGH THE COMMUNITY WELLNESS SPONSORSHIP PROGRAM. THIS TOTALED MORE THAN 50,000. FUNDING WAS USED TO INCORPORATE A BEHAVIORAL HEALTH COUNSELOR IN A LOCAL SCHOOL DISTRICT, SUPPORT NEIGHBORHOOD REVITALIZATION EFFORTS, FUND MEALS ON WHEELS, ENCOURAGE HEALTHY EATING AT THE LOCAL FARMERS MARKET, DEVELOP A NEW TRANSPORTATION COALITION TO ADDRESS THE TRANSPORTATION ISSUES IN THE COMMUNITY, DEVELOP A NEW FITNESS AND NUTRITION PROGRAM FOR SPANISH-SPEAKING INDIVIDUALS, AND PROVIDE HEALTHY SNACKS FOR LOW-INCOME YOUTH DURING SUMMER CAMP. POTTSTOWN HOSPITAL'S PATHS PROGRAM OFFERS ENROLLMENT ASSISTANCE FOR MEDICAID. IN FY22, OVER 500 INDIVIDUALS WERE CONNECTED TO MEDICAL ASSISTANCE. OVER 45 EMPLOYEES DONATED BLOOD DURING THREE BLOOD DRIVES THROUGHOUT FY2022. THE DRIVES WERE HOSTED IN PARTNERSHIP WITH THE RED CROSS. POTTSTOWN HOSPITAL ENCOURAGES STAFF MEMBERS TO VOLUNTEER AT LOCAL NON- PROFIT ORGANIZATIONS AND/OR SERVE ON BOARD OF DIRECTORS DURING THE WORKDAY. IN FY2022, STAFF DONATED THEIR TIME ON ECONOMIC DEVELOPMENT COUNCILS, THE LOCAL CHAMBER OF COMMERCE, AND LOCAL FOUNDATIONS/NON-PROFITS FOCUSED ON EDUCATION, SENIOR SERVICES, VETERANS' SERVICES, FOOD INSECURITY, AND NON- PROFIT CAPACITY BUILDING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ER/NURSING INPAITENT &amp; OUTPATIENT PROGRAM: BRANDYWINE HOSPITAL BRANDYWINE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. BRANDYWINE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY22 WERE 12,171. BRANDYWINE HOSPITAL INPATIENT UNITS INCLUDES MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES INCLUDING SUPPORT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 8,664. THE BEHAVIORAL HEALTH UNIT AT BRANDYWINE HOSPITAL PROVIDES 24-HOUR SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND OLDER ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF FUNCTIONING POSSIBLE. THE INPATIENT EATING DISORDERS PROGRAM PROVIDES AN INDIVIDUALIZED TREATMENT PLAN, GROUP AND INDIVIDUAL THERAPY AND PSYCHIATRIC CARE FOR INDIVIDUALS AGES 13 AND OLDER. TOTAL PATIENT DAYS FOR FY22 WERE 8,835. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL (CHH) EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. CHH PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY AREAS. CHH REMAINS COMMITTED TO THEIR GOAL OF SEEING PATIENTS IN 30 MINUTES OR LESS. EMERGENCY ROOM VISITS FOR FY22 WERE 40,160. CHESTNUT HILL HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 31,276. THE BEHAVIORAL HEALTH UNIT AT CHESTNUT HILL HOSPITAL PROVIDES 24 HOUR SUPERVISION, TREATMENT, STABILIZATION AND PLACEMENT FOR ADULTS AND OLDER ADULTS COPING WITH A VARIETY OF ISSUES, FOCUSING ON RETURNING THE INDIVIDUAL TO THE HIGHEST LEVEL OF FUNCTIONING POSSIBLE. TOTAL PATIENT DAYS FOR FY22 WERE 5,816. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO THE COMMUNITY "24/7/365", REGARDLESS OF ABILITY TO PAY. JENNERSVILLE HOSPITAL ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES. EMERGENCY ROOM VISITS FOR FY22 WERE 7,137. JENNERSVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS THAT PROVIDE ACUTE IN-PATIENT SERVICES SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY, RESPIRATORY THERAPY, AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 2,768. 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 ALL SPECIALTY SERVICES, FROM SURGEONS TO ALL AREAS OF SPECIALTY CARE. PHOENIXVILLE HOSPITAL HAD "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 FY22 WERE 22,127. PHOENIXVILLE HOSPITAL INPATIENT UNITS INCLUDE MEDICAL SURGICAL, TELEMETRY AND INTENSIVE CARE UNITS, LABOR AND DELIVER, REHABILITATION, NURSERY AND NICU. THEY PROVIDE INPATIENT ACUTE SERVICES INCLUDING SUPPORT SUCH AS LABORATORY, PHARMACY, PHYSICAL THERAPY AND RADIOLOGY. TOTAL PATIENT DAYS FOR FY22 WERE 36,567. 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 FY22 WERE 31,801. 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 FY22 WERE 32,981. 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 FY22 WERE 7,385.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OPERATING ROOM SERVICES: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL'S SURGICAL SERVICE LINE CARE FOR BOTH INPATIENT AND OUTPATIENT IN NEED OF SURGICAL PROCEDURES INCLUDING BUT NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GASTROENTEROLOGICAL, GYNECOLOGIC, OPHTHALMOLOGY, UROLOGIC, VASCULAR AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 879. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL'S SURGICAL DEPARTMENT PROVIDES SURGICAL SERVICES TO OUR COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. SERVICES INCLUDE: BARIATRICS, ENT, GASTROENTEROLOGY, GYNECOLOGY, ORTHOPEDICS, PAIN MANAGEMENT, PLASTICS, PODIATRY, PULMONOLOGY, THORACIC, UROLOGY, VASCULAR, AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 4,016. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL'S SURGICAL SERVICE DEPARTMENT CARES FOR BOTH INPATIENT AND OUTPATIENT IN NEED OF SURGICAL PROCEDURES INCLUDING BUT NOT LIMITED TO THE FOLLOWING SPECIALTIES: ENT, GASTROENTEROLOGICAL, GYNECOLOGIC, OPHTHALMOLOGY, UROLOGIC, VASCULAR AND GENERAL SURGERY. TOTAL PROCEDURES FOR FY22 WERE 1,043. 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. TOTAL PROCEDURES FOR FY22 WERE 7,946. 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 FY22 WERE 4,782.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>RADIOLOGY/IMAGING PROGRAM: BRANDYWINE HOSPITAL: BRANDYWINE 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY22 WERE 22,154. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL RADIOLOGY DEPARTMENT PROVIDES IMAGING SERVICES TO THE COMMUNITY IN BOTH AN INPATIENT AND OUTPATIENT SETTING. THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO PET SCANS, ULTRASOUNDS, CAT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY, AND MAMMOGRAMS. CHESTNUT HILL HOSPITAL PROVIDES FREE SCREENINGS THROUGHOUT THE COMMUNITY AND OFFERS FINANCIAL ASSISTANCE FOR MAMMOGRAMS VIA FUNDS RECEIVED AT LOCAL CHARITABLE EVENTS HOSTED/SPONSORED BY CHESTNUT HILL HOSPITAL. TOTAL PROCEDURES FOR FY22 WERE 99,749. JENNERSVILLE HOSPITAL: JENNERSVIILE 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY22 WERE 11,738. 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 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 FY22 WERE 78,770. 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 SCANS, ULTRASOUNDS, CT SCANS, MRIS, NUCLEAR MEDICINE, INTERVENTIONAL RADIOLOGY AND MAMMOGRAMS. TOTAL PROCEDURES FOR FY22 WERE 88,082.</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: BRANDYWINE HOSPITAL: BRANDYWINE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, SLEEP AND RESPIRATORY/PT/OT/SPEECH THERAPY PATIENTS. WE ALSO PROVIDE OUTPATIENT INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. TOTAL OUTPATIENT VISITS FOR FY22 WERE 20,194. BRANDYWINE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS WITH THEIR PHARMACEUTICAL NEEDS. CHESTNUT HILL HOSPITAL: CHESTNUT HILL HOSPITAL PROVIDES A FULL RANGE OF OUTPATIENT, DIAGNOSTIC AND TREATMENT SERVICES FOR PEOPLE IN NORTHWEST PHILADELPHIA AND EASTERN MONTGOMERY COUNTY. OTHER THAN IMAGING, CHESTNUT HILL HOSPITAL'S AREAS OF FOCUS FOR OUTPATIENTS ARE WOMEN'S SERVICES, REHABILITATION SERVICES AND SLEEP CARE. TOTAL OUTPATIENT VISITS FOR FY22 WERE 97,419. ONCOLOGY AND HEMATOLOGY SERVICES AT CHESTNUT HILL HOSPITAL INCLUDE COMPREHENSIVE CANCER SERVICES IN CARING IN A CARING AND COMPASSIONATE SETTING. WE PROVIDE HOPE WITH PROVEN CANCER TREATMENTS. OUR CANCER SERVICES INCLUDE FINANCIAL COUNSELING AND AN ONLINE PATIENT PORTAL AT THE PRACTICE TO IMPROVE PATIENT ACCESS AND COMMUNICATION. FREE COMMUNITY LECTURES ON CANCER SCREENINGS ARE PROVIDED DURING THE YEAR. TOTAL PROCEDURES IN FY22 WERE 146. CHESTNUT HILL HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENT WITH THEIR PHARMACEUTICAL NEEDS. JENNERSVILLE HOSPITAL: JENNERSVILLE HOSPITAL PROVIDES OUTPATIENT SERVICES FOR LABORATORY, RADIOLOGY, WOUND CARE, SLEEP AND RESPIRATORY/PT/OT/SPEECH THERAPY PATIENTS. WE ALSO PROVIDE OUTPATIENT INFUSION SERVICES TO ONCOLOGY PATIENTS IN THE COMMUNITY. TOTAL OUTPATIENT PROCEDURES FOR FY22 WERE 49,508. JENNERSVILLE HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS WITH THEIR PHARMACEUTICAL NEEDS. 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 FY22 WERE 323,674. 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 FY22 WERE 9,385 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 FY22 WERE 324,250. 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 FY22 WERE 21,112. POTTSTOWN HOSPITAL PROVIDES PHARMACY SUPPORT TO ALL INPATIENTS AND CANCER CENTER PATIENTS WITH THEIR PHARMACEUTICAL NEEDS. TOWER HEALTH URGENT CARE: TOWER HEALTH URGENT CARE CONSISTS OF 27 LOCATIONS. 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 IS ON THE FOREFRONT OF PATIENT CARE WITH OUR TELEBURN NETWORK. SELECT TOWER HEALTH URGENT CARE LOCATIONS HAVE PARTNERED WITH THE LEHIGH VALLEY TELEBURN NETWORK TO TREAT BURN PATIENTS BASED ON CONSULTS WITH SPECIALISTS AT THE LEHIGH VALLEY REGIONAL BURN CENTER. TELEBURN ENABLES OUR MEDICAL STAFF TO OBTAIN IMMEDIATE CONSULTS FROM THE BURN CENTER USING DIGITAL IMAGERY. TELEBURN ASSESSMENTS MEET ALL APPLICABLE PRIVACY AND SECURITY REGULATIONS OF THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) AND THE HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH ACT (HITECH). ADDITIONALLY, COVID-19 ANTIBODY TESTING IS AVAILABLE AT SELECT TOWER HEALTH URGENT CARE LOCATIONS. 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 DIRECT: 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT FILE FORMS W-2, 1099-MISC,OF 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 BUSINESS OR OTHER ORGANIZATIONS OF WHICH THE MEMBER, MEMBER'S SPOUSE, A DESCENDANT, OR A SPOUCE 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 BE ADDRESSED 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 37,993,149 0 0 OUTSIDE SERV/OTHER FEES 0 3,426,634 0 PHYSICAN FEES/OTHER 22,447,580 0 0 PHYSICIAN FEES/OTHER 15,834,031 0 0 PHYSICIAN FEES/OTHER 8,044,650 0 0 PHYSICIAN FEES/OTHER 33,293,329 0 0 TOTAL 117,612,739 3,426,634 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>UNRESTRICTED NET ASSETS -4,231 INTERCOMPANY ASSET TRANSFER 429,981,934 INCOME TAX EXPENSE 1,989 BUILDING IMPAIRMENT -112,957,973 OTHER ASSETS -1,637 TOTAL 317,020,082</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc10">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TOWER HEALTH PROVIDERS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 16053</AddressLine1Txt>
          <CityNm>READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>196126052</ZIPCd>
        </USAddress>
        <EIN>463459501</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>4937765</TotalIncomeAmt>
        <EndOfYearAssetsAmt>305818</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BRANDYWINE HOSPITAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>201 REECEVILLE ROAD</AddressLine1Txt>
          <CityNm>COATESVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19320</ZIPCd>
        </USAddress>
        <EIN>822086906</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>39628038</TotalIncomeAmt>
        <EndOfYearAssetsAmt>13805905</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHESTNUT HILL HOSPITAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8835 GERMANTOWN AVE</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19118</ZIPCd>
        </USAddress>
        <EIN>822108660</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>115929416</TotalIncomeAmt>
        <EndOfYearAssetsAmt>-14759066</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JENNERSVILLE HOSPITAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1015 W BALTIMORE PIKE</AddressLine1Txt>
          <CityNm>WEST GROVE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19390</ZIPCd>
        </USAddress>
        <EIN>822116582</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>14179863</TotalIncomeAmt>
        <EndOfYearAssetsAmt>4457806</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHOENIXVILLE HOSPITAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>140 NUTT ROAD</AddressLine1Txt>
          <CityNm>PHOENIXVILLE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19460</ZIPCd>
        </USAddress>
        <EIN>822062413</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>158005449</TotalIncomeAmt>
        <EndOfYearAssetsAmt>-23018309</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>POTTSTOWN HOSPITAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1600 EAST HIGH STREET</AddressLine1Txt>
          <CityNm>POTTSTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19464</ZIPCd>
        </USAddress>
        <EIN>822132538</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>142409041</TotalIncomeAmt>
        <EndOfYearAssetsAmt>-84281891</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <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>133475</TotalIncomeAmt>
        <EndOfYearAssetsAmt>4518687</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>
        <TotalIncomeAmt>1215739</TotalIncomeAmt>
        <EndOfYearAssetsAmt>6231332</EndOfYearAssetsAmt>
        <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>9255852</TotalIncomeAmt>
        <EndOfYearAssetsAmt>10153537</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>35304671</TotalIncomeAmt>
        <EndOfYearAssetsAmt>33439148</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 FRIENDS OF THE READING HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>420 SOUTH 5TH AVENUE</AddressLine1Txt>
          <CityNm>WEST READING</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19611</ZIPCd>
        </USAddress>
        <EIN>236026108</EIN>
        <PrimaryActivitiesTxt>FUNDRAISE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</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>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SOUTHERN CHESTER CNTY MED BLDG 1</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1015 WEST BALTIMORE PIKE</AddressLine1Txt>
          <CityNm>WEST GROVE</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19390</ZIPCd>
        </USAddress>
        <EIN>232200841</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOWER HLTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>EXCLUDED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>93244</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>34824</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.54660</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <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>
        <ShareOfTotalIncomeAmt>-13211238</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1908854</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>true</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>true</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>12118669</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>39505742</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</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>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>READING HOSPITAL</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>29895960</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>GL TRANSACTIONS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
