READING HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: READING HOSPITAL (EIN 23-1352204)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-14
IRS object ID: 202531349349303548
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-14T10:40:55-04:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1735 MARKET STREET	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231352204	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	READING HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	READ	BusinessNameControlTxt
Phone	4846284307	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 16052	AddressLine1Txt
City	READING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	196126052	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL STERN	PersonNm
Person Title	CEO TOWER HEALTH	PersonTitleTxt
Phone	4846284307	PhoneNum
Signature	2025-05-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	false	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PHILLIP E GROFF	PreparerPersonNm
PTIN	P01247783	PTIN
Phone	2672567000	PhoneNum
Preparation	2025-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CHARLES BARBERA MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 16052	AddressLine1Txt
City	READING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	196126052	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,521,841,456	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SEE SUPPLEMENTAL DISCLOSURE	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1869	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE CARE TO THE COMMUNITY: TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	7374	TotalEmployeeCnt
Total Volunteers	137	TotalVolunteersCnt
Total Gross UBI	$576,094	TotalGrossUBIAmt
PY Contributions Grants	$15,558,379	PYContributionsGrantsAmt
CY Contributions Grants	$8,588,284	CYContributionsGrantsAmt
PY Program Service Revenue	$1,273,344,542	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,365,995,474	CYProgramServiceRevenueAmt
PY Investment Income	$2,278,752	PYInvestmentIncomeAmt
CY Investment Income	$791,871	CYInvestmentIncomeAmt
PY Other Revenue	$91,841,756	PYOtherRevenueAmt
CY Other Revenue	$146,465,827	CYOtherRevenueAmt
PY Total Revenue	$1,383,023,429	PYTotalRevenueAmt
CY Total Revenue	$1,521,841,456	CYTotalRevenueAmt
PY Grants And Similar Paid	$90,265	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$95,096	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$595,905,806	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$613,148,055	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$613,555,625	PYOtherExpensesAmt
CY Other Expenses	$645,194,382	CYOtherExpensesAmt
PY Total Expenses	$1,209,551,696	PYTotalExpensesAmt
CY Total Expenses	$1,258,437,533	CYTotalExpensesAmt
PY Revenues Less Expenses	$173,471,733	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$263,403,923	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,004,570,287	TotalAssetsBOYAmt
Total Assets EOY	$1,022,464,769	TotalAssetsEOYAmt
Total Liabilities BOY	$1,626,785,095	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,593,015,406	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$622,214,808	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$570,550,637	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WEBSITE: WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL THE MISSION OF READING HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATION HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. IN ADDITION TO ITS PRIMARY ROLE AS A PROVIDER OF DIRECT CARE, READING HOSPITAL ADDRESSES ISSUES OUTSIDE THAT REAL THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF OUR MISSION MEANS THE REINVESTMENT OF RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. WE ARE PROUD TO REPORT THAT IN OUR LAST FISCAL YEAR (FY2023), WE COMMITTED NEARLY 159.5M TO THIS CAUSE. READING HOSPITAL'S COMMUNITY WELLNESS DEPARTMENT SUPPORTS THE HOSPITAL'S COMMUNITY ENGAGEMENT AND COMMUNITY BENEFIT ENDEAVORS. THE DEPARTMENT'S MISSION IS THREE PRONGED AND SEEKS TO LEAD, PARTNER, AND INVEST IN STRATEGIC HEALTH INITIATIVES THAT TARGET THE UNDERSERVED, ADDRESS HEALTH DISPARITIES AND SOCIAL DE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$209,577,768	ExpenseAmt
Revenue	$324,775,413	RevenueAmt
Desc	INPATIENT CARE - 206,176 PATIENT DAYS READING HOSPITAL PROVIDES 725 BEDS FOR PROVISION OF COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENT CARE. INPATIENT CARE IS PROVIDED IN 2 CRITICAL CARE UNITS, 2 INTERMEDIATE CARE UNITS, 3 ACUTE REHABILITATION UNITS, AND 13 MEDICAL SURGICAL UNITS WITH SUB-SPECIALTIES THAT INCLUDE ONCOLOGY, NEUROLOGY, CARDIOLOGY, HEART FAILURE, ORTHOPEDICS, TRAUMA, BARIATRIC SURGERY, AND MEDICAL COMPLEXITY. IN ADDITION, READING HOSPITAL PROVIDES COMPREHENSIVE MATERNAL CHILD HEALTH SERVICES THAT INCLUDE OBSTETRICS, NEONATAL INTENSIVE CARE, INPATIENT PEDIATRIC MEDICAL SURGICAL CARE, AND PEDIATRIC EMERGENCY SERVICES. INPATIENT SERVICES ARE SUPPORTED BY HOSPITAL-BASED HEMODIALYSIS, APHERESIS, AND VASCULAR ACCESS SERVICES. READING HOSPITAL INPATIENT CARE OFFERS THE FOLLOWING HIGH-LEVEL SERVICES TO SUPPORT COMMUNITIES WITHIN BOTH ITS PRIMARY AND SECONDARY MARKETS: 1. REGIONAL CANCER AND CARDIAC CENTERS 2. COMPLETED SURVEY TO ADVANCE TO A COMPREHENSIVE STROKE PROGRAM 3. VIRTUAL NURSING (PATIENT OBSERVATION AND VIRTUAL ADMISSIONS) 4. ADVANCED CERTIFICATION FOR OUR HIP/KNEE JOINT REPLACEMENT PROGRAM 5. CERTIFICATION IN BARIATRIC CARE 6. CERTIFIED ADVANCED PEDIATRIC ASTHMA PROGRAM 7. PATIENT DISCHARGE LOUNGE 8. LEVEL 1 TRAUMA CENTER (ONLY LEVEL 1 CENTER WITHIN THE COUNTY) 9. REGIONAL LEVEL III NEONATAL INTENSIVE CARE UNIT 10. CHARITY CARE PROGRAM IN ADDITION, READING HOSPITAL INPATIENT CARE IS ALIGNED WITH SYSTEM PROGRAMS TO IMPROVE POST DISCHARGE CARE OUTCOMES, CARE ACROSS THE CONTINUUM FROM INPATIENT TO AMBULATORY SETTING, AND DECREASED READMISSION, INCLUDING: 1. COMPREHENSIVE POPULATION HEALTH SERVICES 2. TOWER HEALTH STREET MEDICINE PROGRAM - A PROGRAM TO PROVIDE HEALTH SERVICES AND PREVENTATIVE CARE TO HOMELESS POPULATION WITHIN THE COMMUNITY 3. TELE-HEALTH SUPPORT OF HEART FAILURE PATIENT POPULATION TO HELP PREVENT READMISSIONS THROUGH THE REMOTE MONITORING OF BP AND WEIGHT READING HOSPITAL WAS MAGNET DESIGNATED FOR NURSING AND PATIENT CARE EXCELLENCE IN 2016 AND OUR FIRST RE-DESIGNATION IN 2021. CURRENTLY IN THE PROCESS FOR COMPLETING THE DOCUMENTS FOR OUR SECOND RE-DESIGNATION IN 2025; THIS NATIONAL LEVEL DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER IS RENEWED EVERY FOUR YEARS. THIS DESIGNATION INDICATES THAT READING HOSPITAL INPATIENT UNITS, EMERGENCY DEPARTMENT, PERIOPERATIVE SERVICES, AND AMBULATORY CARE DEPARTMENTS EXCEED NATIONAL BENCHMARKS FOR NURSING QUALITY INDICATORS, PATIENT SATISFACTION WITH NURSING CARE, AND NURSE SATISFACTION. IN 2024, T1 IMU ACHIEVED THE SILVER -LEVEL AACN BEACON AWARD FOR EXCELLENCE. THE BEACON AWARD SIGNIFIES EXCEPTIONAL CARE IN A UNIT THAT PUTS PATIENTS FIRST. THE BEACON AWARD PROGRAM COMPRISES THREE DISTINCT MODULES: PATIENT OUTCOMES, WORK ENVIRONMENT AND NURSING WORKFORCE. FOR WORKFORCE THE NURSING DEPARTMENT CLOSELY MONITORS TURNOVER, RN TURNOVER HAS STABILIZED OVER THE LAST 6 MONTHS AT 12% ON A NATIONAL AVERAGE OF 22.8%. SINCE 2021 WE HAVE SEEN A 50% REDUCTION IN RN TURNOVER. WE ALSO SAW A 6% INCREASE IN OUR RN ENGAGEMENT SURVEY PARTICIPATION IN CALENDAR YEAR 2024, FROM OUR PREVIOUS SURVEY IN 2022. EMERGENCY CARE - 109,162 EMERGENCY ROOM VISITS READING HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO OUR COMMUNITY "24/7/365," REGARDLESS OF ABILITY TO PAY. VOLUME TO RH EMERGENCY DEPARTMENT RANKS IT AMONG THE TOP THREE IN THE STATE OF PENNSYLVANIA YEAR AFTER YEAR. AS THE AREA'S ONLY ACCREDITED LEVEL 1 TRAUMA CENTER, RH ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES, FROM TRAUMA SURGEONS TO PLASTIC SURGEONS, AND ALL AREAS OF SPECIALTY CARE. THE HOSPITAL ALSO HAS A PEDIATRIC AND PSYCHIATRIC EMERGENCY DEPARTMENT. IN ADDITION TO ITS TRAUMA CERTIFICATION, RH IS THE ONLY HOSPITAL IN THE REGION TO HAVE MADE A COMMITMENT TO ACCREDITED CARE IN STROKE AND CHEST PAIN. THE HOSPITAL ALSO IS A CENTER OF EXCELLENCE WITH 24/7 CERTIFIED RECOVERY SPECIALISTS ON SITE TO PROVIDE WARM HAND-OFFS TO PATIENTS WITH OPIOID AND OTHER SUBSTANCE USE DISORDERS. THE DEPARTMENT OFFERS A SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM WITH THE BERKS COUNTY DISTRICT ATTORNEY TO ASSIST VICTIMS OF SEXUAL ASSAULT. THE HOSPITAL ALSO HAS AN EMERGENCY MEDICINE TRAINING PROGRAM, PARAMEDIC SCHOOL AND NURSING PROGRAM.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$71,082,794	ExpenseAmt
Revenue	$155,699,412	RevenueAmt
Desc	OPERATING ROOM - 18,865 TOTAL SURGERIES READING HOSPITAL OPERATES IN A MARKET SERVED BY NEARLY 20 SPECIALTY, INVESTOR-OWNED FACILITIES, WHICH CARVE OUT THE BEST PAYING INSURANCE PLANS, THE HIGHEST MARGIN PROCEDURES, AND THE LEAST COMPLICATED PATIENTS TO SERVE. BY CONTINUING TO PROVIDE A FULL-SERVICE SURGICAL SERVICE, READING HOSPITAL OFFERS THE MOST ADVANCED SURGICAL OPTIONS, FROM ROBOTIC ASSISTED, MINIMALLY INVASIVE SURGERY TO A FULL SPECTRUM OF OUTPATIENT SURGICAL OPTIONS. READING HOSPITAL ENSURES THE COMMUNITY HAS ACCESS TO SURGICAL SPECIALTIES THAT MAY BE EXPERIENCING SHORTAGES ELSEWHERE IN THE COUNTRY. READING HOSPITAL SUPPORTS ITS SURGEONS IN THEIR FELLOWSHIP TRAINING AND RECRUITS AND RETAINS SURGEONS IN AREAS LIKE PLASTIC SURGERY - AVAILABLE ONLY DURING LIMITED HOURS OR NOT AT ALL, IN OTHER HOSPITALS IN ITS MARKET.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$86,440,122	ExpenseAmt
Revenue	$153,670,026	RevenueAmt
Desc	MCGLINN CANCER INSTITUTE 30,246 PROCEDURES THE MCGLINN CANCER INSTITUTE, LOCATED WITHIN THE READING HOSPITAL, IS PRIMARILY AN OUT-PATIENT FACILITY WHICH HOUSES THE SECTIONS OF RADIATION ONCOLOGY, HEMATOLOGY/ONCOLOGY, AND GYNECOLOGICAL ONCOLOGY. THE ANNUAL TOTAL OF PATIENTS WHO WERE DIAGNOSED AND/OR TREATED IN FY24 WERE 2,004. UPON DIAGNOSIS, A NURSE NAVIGATOR CONTACTS EACH PATIENT TO OFFER INFORMATION AND SUPPORT. MOST PATIENTS ARE SEEN IN ONE OF OUR MULTI-DISCIPLINARY CLINICS BASED ON THE TYPE OF MALIGNANCY DIAGNOSED. THIS INCLUDES THORACIC, MALIGNANT HEMATOLOGY, BREAST, GENITO-URINARY, GYNECOLOGICAL, NEUROLOGY, AND GASTRO-INTESTINAL CLINICS - MOST HELD ON A WEEKLY BASIS. EVERY CLINIC HAS ITS SPECIFIC TEAM OF PROVIDERS - SURGEONS, RADIATION ONCOLOGISTS, MEDICAL ONCOLOGISTS, RADIOLOGISTS, PATHOLOGISTS, NURSE NAVIGATORS, GENETIC COUNSELORS, AND PHYSICAL THERAPISTS - WHO CONFER AND COLLABORATE TO DESIGN A UNIQUE TREATMENT PLAN FOR EACH INDIVIDUAL PATIENT. EVERY CASE IS REVIEWED FOR POSSIBLE INCLUSION IN ONE OF THE MANY CLINICAL TRIALS OFFERED ON SITE. ONCE A PLAN OF ACTION HAS BEEN RECOMMENDED BY THE TEAM, THE PATIENT IS SEEN IN CONSULT BY THE PROVIDERS WHO WILL BE RESPONSIBLE FOR HIS/HER COURSE OF TREATMENT. MCGLINN CANCER INSTITUTE IS ACCREDITED BY THE COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM. THE MEDICAL ONCOLOGY PRACTICE IS CERTIFIED BY THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY THROUGH ITS QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) AND THE RADIATION ONCOLOGY DEPARTMENT IS CERTIFIED BY THE AMERICAN COLLEGE OF RADIOLOGY. IN ADDITION, THE BREAST PROGRAM AT READING HOSPITAL IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. THE CANCER CENTER OFFERS A THREE-YEAR HEMATOLOGY/ONCOLOGY FELLOWSHIP PROGRAM AND STUDENTS FROM VARIOUS PROGRAMS (EX: JEFFERSON UNIVERSITY, GWYNEDD MERCY UNIVERSITY, ARCADIA UNIVERSITY) ARE ASSIGNED CLINICAL ROTATIONS AT MCGLINN FOR GENETIC COUNSELING, RADIATION THERAPY TECHNOLOGY, AND PHYSICIAN ASSISTANT TRAINING.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$773,011,238	ExpenseAmt
Grant	$95,096	GrantAmt
Revenue	$760,328,513	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES INCLUDE BUT ARE NOT LIMITED TO: REVENUE EXPENSE RADIOLOGY 229,811,010 42,697,165 REHABILITATION/PHYSICAL THERAPY 50,543,506 31,489,363 TRAUMA CENTER 3,861,303 3,111,270 PHARMACY 48,176,043 40,867,070 ANCILLIARY 130,150,815 83,872,656 READING HOSPITAL PROVIDES SERVICES TO ALL INDIVIDUALS IN A NON- DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$773,011,238	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$95,096	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$760,328,513	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,140,111,922	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1034	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7374	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MIKE EESLEY CFO TOWER HEALTH	PersonNm
Phone	4846288000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	420 SOUTH 5TH AVENUE	AddressLine1Txt
City	WEST READING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19611	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
SUZANNE WENDEROTH MD
BOARD MEMBER	2.00	50.50	Yes (X)	$935,298	$0	$204,225
CHARLES BARBERA MD
PRES & CEO	52.00	2.50	Yes (X)	$888,650	$0	$209,374	Yes (X)
MICHELLE TRUPP
COO	52.00			$732,546	$0	$88,265		Yes (X)
THERESE SUCHER
INT CEO TERM	0.00	0.00		$766,755	$0	$16,057			Yes (X)
ROBERT EHINGER
CFO/TREAS	25.00	25.00		$599,547	$0	$91,244	Yes (X)
WEI DU MD
SVP CHIEF AC	50.00			$501,291	$0	$87,591				Yes (X)
PAMELA HERNANDEZ
SVP/CHIEF PE	50.00			$470,473	$0	$92,471				Yes (X)
SUSAN GARCIA
SVP REV CYCL	50.00			$472,142	$0	$82,463				Yes (X)
THOMAS BARTIROMO
SVP CIO	50.00			$393,062	$0	$96,307				Yes (X)
OLUBUMNI OJIKUTU MD
BOARD MEMBER	2.00	48.50	Yes (X)	$0	$418,884	$34,083
BARBARA ROMIG
CNO TERM	52.00			$431,914	$0	$11,021		Yes (X)
LISA HESS
VP MARKETING	50.00			$412,938	$0	$14,387			Yes (X)
RON NUTTING MD
CMO TERM	0.00	0.00		$406,295	$0	$16,822			Yes (X)
CHARLES VALENTINO
VP REV INTEG	50.00			$380,642	$0	$25,958				Yes (X)
MARK L MCNASH
SVP SUP SERV	0.00	52.00		$373,654	$0	$12,465			Yes (X)
MARK REYNGOUDT
CFO/TREAS TE	0.00	0.00		$329,733	$0	$23,726			Yes (X)
JOHN CASEY MD
BOARD MEMBER	2.00	50.50	Yes (X)	$0	$262,820	$48,391
ANN BLANKENHORN
INTERIM CNO	52.00			$291,931	$0	$9,782		Yes (X)
CLINT MATTHEWS
TH PRES/CEO	0.00	0.00		$269,231	$0	$7,912			Yes (X)
MARY AGNEW
SVP CNO TERM	0.00	0.00		$264,206	$0	$9,176			Yes (X)
DONNA WALB
SECRETARY	40.00			$86,561	$0	$13,064	Yes (X)
YAMIL SANCHEZ ED D
BOARD MEMBER	2.00	0.50	Yes (X)	$0	$0	$0
LATRICE MUMIN EDD
BOARD MEMBER	2.00	0.50	Yes (X)	$0	$0	$0
MICHAEL HAAS
BOARD MEMBER	2.00	0.50	Yes (X)	$0	$0	$0
DAN LANGDON
BOARD MEMBER	2.00	0.50	Yes (X)	$0	$0	$0
JOSHUA TICE MD
BOARD MEMBER	2.00	0.50	Yes (X)	$0	$0	$0
JACQUELYN FETROW PHD
VICE CHAIR	2.00	0.50	Yes (X)	$0	$0	$0	Yes (X)
SUSAN LOONEY PHD
CHAIR	2.00	0.50	Yes (X)	$0	$0	$0	Yes (X)
GUIDO PICHINI
BOARD MEMBER	2.00	0.50	Yes (X)	$0	$0	$0
JOHN WEIDENHAMMER
BOARD MEMBER	2.00	2.50	Yes (X)	$0	$0	$0
BENJAMIN ZINTAK
BOARD MEMBER	2.00	0.50	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,006,869	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$681,704	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,194,784	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1267	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AMN HEALTHCARE INC
PO BOX 281939	ATLANTA	GA	303841939	CONTRACTING	$12,717,702
PHARMACY HEALTHCARE SOLUTIONS
24042 NETWORK PLACE	CHICAGO	IL	606731240	CONTRACTING	$7,691,624
STEVENS & LEE
PO BOX 679	READING	PA	196030679	LEGAL	$5,628,642
BERKS SCHUYLKILL RESPIRATORY SPEC
2608 KEISER BLVD	WYOMISSING	PA	19610	PHYSICIAN FEES	$4,620,800
BERKS RADIATION ONCOLOGY ASSOC PC
PO BOX 16052	READING	PA	196126052	PHYSICIAN FEES	$3,344,648

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	45	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$4,469,251	RelatedOrganizationsAmt
Government Grants	$2,185,108	GovernmentGrantsAmt
All Other Contributions	$1,933,925	AllOtherContributionsAmt
Total Contributions	$8,588,284	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT CHARGES	622110	$1,268,763,783	$1,268,763,783
MANAGEMENT FEES	561000	$97,231,691	$97,231,691

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,365,995,474	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$756,971	TotalRevenueColumnAmt
Exclusion	$756,971	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,509,441	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,509,441	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,509,441	TotalRevenueColumnAmt
Exclusion	$4,509,441	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$34,900	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$34,900	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,900	TotalRevenueColumnAmt
Exclusion	$34,900	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RETAIL PHARMACY	446110	$108,487,250	$549,658	$107,937,592
TEMPLE-CHH TSA/IT SERVICES	999999	$6,670,472			$6,670,472
MEALS	722310	$4,964,810		$4,964,810

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,833,854	TotalRevenueColumnAmt
Related Or Exempt Func Income	$21,807,418	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$26,436	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$141,956,386	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,521,841,456	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,394,473,364	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$576,094	UnrelatedBusinessRevenueAmt
Exclusion	$118,203,714	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$95,096	TotalAmt
Program Services	$95,096	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,940,467	TotalAmt
Management And General	$3,940,467	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$672,041	TotalAmt
Management And General	$672,041	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$471,664,871	TotalAmt
Program Services	$442,515,757	ProgramServicesAmt
Management And General	$29,149,114	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,833,384	TotalAmt
Program Services	$13,771,614	ProgramServicesAmt
Management And General	$1,061,770	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$90,853,979	TotalAmt
Program Services	$84,907,237	ProgramServicesAmt
Management And General	$5,946,742	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$31,183,313	TotalAmt
Program Services	$22,931,729	ProgramServicesAmt
Management And General	$8,251,584	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,734,516	TotalAmt
Management And General	$9,734,516	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,716,161	TotalAmt
Management And General	$1,716,161	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$31,997	TotalAmt
Management And General	$31,997	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$420,000	TotalAmt
Management And General	$420,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$137,245,903	TotalAmt
Program Services	$104,005,081	ProgramServicesAmt
Management And General	$33,240,822	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,372,760	TotalAmt
Management And General	$3,372,760	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$46,209,309	TotalAmt
Program Services	$46,209,309	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,992,994	TotalAmt
Program Services	$18,702,731	ProgramServicesAmt
Management And General	$3,290,263	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$543,487	TotalAmt
Program Services	$440,073	ProgramServicesAmt
Management And General	$103,414	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$27,145,042	TotalAmt
Program Services	$27,145,042	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$51,553,992	TotalAmt
Program Services	$51,553,992	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$26,340,303	TotalAmt
Program Services	$19,796,919	ProgramServicesAmt
Management And General	$6,543,384	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$260,783,981	$260,617,853	$166,128
REPAIRS AND MAINTENANCE	$17,932,966	$16,137,667	$1,795,299
HOSPITAL PROGRAMS	$4,817,814	$4,817,814
TAXES	$4,778,627	$4,778,627

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,574,530	TotalAmt
Program Services	$21,685,381	ProgramServicesAmt
Management And General	$8,889,149	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,258,437,533	TotalAmt
Program Services	$1,140,111,922	ProgramServicesAmt
Management And General	$118,325,611	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$305,625	BOYAmt
EOY	$490,956	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$151,073,352	BOYAmt
EOY	$187,449,310	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$35,907,095	BOYAmt
EOY	$40,653,605	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$24,626,240	BOYAmt
EOY	$26,805,032	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,891,463,458	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,349,423,526	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$572,716,206	BOYAmt
EOY	$542,039,932	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$219,941,769	BOYAmt
EOY	$225,025,934	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,004,570,287	BOYAmt
EOY	$1,022,464,769	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$196,391,726	BOYAmt
EOY	$257,687,113	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,430,393,369	BOYAmt
EOY	$1,335,328,293	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,626,785,095	BOYAmt
EOY	$1,593,015,406	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$622,285,230	BOYAmt
EOY	-$566,202,301	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$70,422	BOYAmt
EOY	-$4,348,336	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$622,214,808	BOYAmt
EOY	-$570,550,637	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,004,570,287	BOYAmt
EOY	$1,022,464,769	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$263,403,923	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$506,656	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$212,246,408	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$31,997	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$31,997	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1G DURING THE COURSE OF THE YEAR, THERE ARE VARIOUS FEDERAL AND STATE HEALTHCARE ISSUES THAT ARE RAISED THAT AFFECT TOWER HEALTH AND ITS ENTITIES. WE VOICE OUR CONCERNS OR ISSUES REGARDING THESE MATTERS THROUGH EITHER DIRECT CONTACT OR WRITTEN CORRESPONDENCE WITH LEGISLATORS. THE PURPOSE OF THESE CONTACTS IS TO PROMOTE THE GENERAL INTERESTS AND WELFARE OF TOWER HEALTH DURING THESE CHANGING TIMES IN THE HEALTH CARE FIELD. THE LOBBYING ACTIVITY REPORTED IS THE LOBBYING PORTION OF THE HOSPITAL ASSOCIATION OF PENNSYLVANIA (HAP) DUES PAID. THERE IS NO DIRECT LOBBYING BY TOWER HEALTH AND NO ADDITIONAL EXPENSES INCURRED.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,113,279	OtherCostOrOtherBasisAmt
Book Value	$29,113,279	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$719,394,931	OtherCostOrOtherBasisAmt
Depreciation	$477,260,601	DepreciationAmt
Book Value	$242,134,330	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,411,210	OtherCostOrOtherBasisAmt
Depreciation	$7,764,091	DepreciationAmt
Book Value	$10,647,119	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,034,478,468	OtherCostOrOtherBasisAmt
Depreciation	$853,173,522	DepreciationAmt
Book Value	$181,304,946	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$90,065,570	OtherCostOrOtherBasisAmt
Depreciation	$11,225,312	DepreciationAmt
Book Value	$78,840,258	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$542,039,932	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
OPERATING LEASE RIGHT-OF-USE	$181,154,317
THIRD PARTY RECEIVABLE	$19,596,490
SELF-INSURANCE FUNDING NON-CURRENT	$13,539,565
SELF-INSURANCE FUNDING CURRENT	$7,482,000
MALPRACTICE TRUST	$1,495,499
SOHS COLLATERAL DEPOSIT	$992,673
SPRING RIDGE JV	$668,950
SECURITY DEPOSITS	$96,440

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$225,025,934	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
PAYABLE TO AFFILIATE	$779,254,295
LT LOAN - AFFILIATE PAYABLE	$316,019,472
OPERATING LEASE OBLIGATION	$173,084,407
PENSION PAYABLE	$50,125,823
ESTIMATED SELF INSURANCE COSTS	$10,278,503
DEFERRED REVENUE	$4,658,002
DEFERRED COMPENSATION	$1,105,802
CAPITAL LEASE OBLIGATION	$593,212
DEFERRED RENT	$208,777

Field	Value	IRS element (for citing)
Total Liability	$1,335,328,293	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 3, PART X	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS INCLUDED IN TOWER HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE FOLLOWING TEXT IS FROM THE ASC 740 (FIN 48) FOOTNOTE. THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ON SUCH A BASIS, THE EXEMPT ENTITIES DO NOT INCUR LIABILITY FOR FEDERAL INCOME TAXES, EXCEPT IN THE CASE OF UNRELATED BUSINESS INCOME. THE SYSTEM EVALUATES UNCERTAIN TAX POSITIONS USING A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING TAX BENEFITS TAKEN OR EXPECTED TO BE TAKEN IN AN UNRELATED BUSINESS ACTIVITY TAX RETURN AND DISCLOSURES REGARDING UNCERTAINTIES IN TAX POSITIONS. NO ADJUSTMENTS TO THE CONSOLIDATED FINANCIAL STATEMENTS WERE REQUIRED AS A RESULT OF THIS EVALUATION.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,680,328	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$33,680,328	NetCommunityBenefitExpnsAmt
Total Expense	0.02680	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$211,088,988	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$137,843,100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,245,888	NetCommunityBenefitExpnsAmt
Total Expense	0.05820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$244,769,316	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$137,843,100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$106,926,216	NetCommunityBenefitExpnsAmt
Total Expense	0.08500	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,994,139	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,905,953	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,231,105	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,464,681	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,766,424	NetCommunityBenefitExpnsAmt
Total Expense	0.04430	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,625,816	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$270,608	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,355,208	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,833	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$119,833	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,970,893	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,823,475	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,147,418	NetCommunityBenefitExpnsAmt
Total Expense	0.04860	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$319,740,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$151,666,575	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$168,073,634	NetCommunityBenefitExpnsAmt
Total Expense	0.13360	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,836	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,836	NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	30	PersonsServedCnt
Total Community Benefit Expns	$6,825	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,825	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$28,878	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,878	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,047	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,047	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1304	PersonsServedCnt
Total Community Benefit Expns	$153,781	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$153,781	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	1334	PersonsServedCnt
Total Community Benefit Expns	$194,367	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$194,367	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$445,456,546	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$601,869,723	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$156,413,177	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	TRH SURGICENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	OUTPATIENT SURGERY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	READING HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	420 SOUTH 5TH AVENUE	AddressLine1Txt
City	WEST READING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19611	ZIPCd

Field	Value	IRS element (for citing)
Website Address	"SEE SUPPLEMENTAL DISCLOSURE"	WebsiteAddressTxt
State License	440401	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	READING HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	"SEE SUPPLEMENTAL DISCLOSURE"	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	"SEE SUPPLEMENTAL DISCLOSURE"	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	"SEE SUPPLEMENTAL DISCLOSURE"	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	"SEE SUPPLEMENTAL DISCLOSURE"	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	"SEE SUPPLEMENTAL DISCLOSURE"	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, READING HOSPITAL - PART V, LINE 3E	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 DIFFERENCE 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
FACILITY 1, READING HOSPITAL - PART V, LINE 3J	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 COMMUNITY: ACCESS TO HEALTH CARE, SOCIAL DETERMINANTS OF HEALTH, DISEASE PREVENTION & MANAGEMENT, AND ACCESS TO BEHAVIORAL HEALTH SERVICES. THE STRATEGIES OUTLINED BELOW REFLECT THE 2019 CHNA AND IMPLEMENTATION PLAN EFFORTS. ACCESS TO HEALTHCARE: ONE STRATEGY IDENTIFIED TO HELP INCREASE ACCESS TO HEALTHCARE SERVICES WAS TO INCREASE CULTURAL AWARENESS. A DIVERSITY AND INCLUSION COUNCIL WAS ESTABLISHED AT READING HOSPITAL WITH THE MISSION TO "FOSTER AN ENVIRONMENT THAT EXPRESSLY VALUES DIVERSITY OF THOUGHT, PERSPECTIVE, BACKGROUND, AND EXPERIENCE AMONG ITS EMPLOYEES, TO MAKE EACH INDIVIDUAL FEEL WELCOME AND APPRECIATED FOR THEIR UNIQUE CONTRIBUTIONS." THE COUNCIL IS COMMITTED TO ATTRACTING AND RETAINING A DIVERSE WORKFORCE, PROVIDING DIVERSITY AND INCLUSION TRAINING TO EMPLOYEES, CREATING EMPLOYEE RESOURCE GROUPS, AND PROMOTING DIVERSITY, EQUITY, AND INCLUSION THROUGH EVENTS AND COMMUNICATION ACTIVITIES. THE COUNCIL IS MADE UP OF 16 STAFF MEMBERS FROM A VARIETY OF CLINICAL AND NON-CLINICAL AREAS WITHIN THE HOSPITAL. DURING FY2022, THE DIVERSITY AND INCLUSION COUNCIL CONDUCTED 9 WEBINARS THAT ENGAGED OVER 1,000 STAFF. TOPICS INCLUDED RELIGIOUS AND SPIRITUAL INCLUSIVITY IN HEALTHCARE, IMPOSTER SYNDROME, WOMEN IN LEADERSHIP PANEL DISCUSSION, CARE FOR REFUGEE POPULATIONS, LGBTQ+ AFFIRMING SPACES IN HEALTHCARE, STIGMA, BIAS, & PREJUDICE, CULTURAL SENSITIVITY IN THE CARE OF MUSLIM PATIENTS AND THEIR FAMILIES, SOCIAL DETERMINANTS OF HEALTH, AND MEDICAL AND MENTAL HEALTH IMPLICATIONS FOR MIDDLE EASTERN PATIENTS AND FAMILIES. THE GROUP ALSO PLANS EVENTS THAT FOCUS ON PROVIDING EDUCATION AND CELEBRATING DIVERSITY, INCLUDING LGBTQ+, BLACK HISTORY MONTH, JEWISH AMERICAN HERITAGE MONTH, CHINESE NEW YEAR, ETC. THE TOWER ACCESS PROJECT, A SYSTEM INITIATIVE, CREATED A CENTRALIZED AND COORDINATED ADVANCED ACCESS CENTER WHICH IS NOW THE SINGLE POINT OF CONTACT FOR COMMUNITY MEMBERS TO FIND PROVIDERS, SCHEDULE APPOINTMENTS, AND ACCESS INFORMATION. READING HOSPITAL'S STREET MEDICINE PROGRAM SEEKS TO PROVIDE HEALTH CARE TO SOME OF THE MOST VULNERABLE MEMBERS OF THE BERKS COUNTY COMMUNITY - THE HOMELESS. PHYSICIAN AND NURSING STAFF VOLUNTEER THEIR TIME TO VISIT HOMELESS CAMPS, SOUP KITCHENS, AND SHELTERS TO DELIVER FREE, PRIMARY CARE TO THIS OFTEN UNDERSERVED AND NEGLECTED POPULATION IN AN ENVIRONMENT THAT IS FAMILIAR, SAFE, AND NON-JUDGMENTAL. THE STREET MEDICINE PROGRAM STRIVES TO DELIVER EQUITABLE AND PATIENT-CENTERED PRIMARY AND ACUTE HEALTHCARE SERVICES TO HOMELESS INDIVIDUALS, INCREASE ACCESSIBILITY AND CONTINUITY OF CARE BY CONNECTING PATIENTS TO HEALTHCARE SERVICES THROUGH TELEHEALTH, PROVIDE PATIENT CASE MANAGEMENT SERVICES AND INPATIENT CONSULTATIONS, AND EDUCATE PATIENTS ON AVAILABLE COMMUNITY SERVICES AND RESOURCES. A TELEHEALTH KIOSK WAS INSTALLED AT HOPE RESCUE MISSION, A HOMELESS SHELTER AND COMMUNITY PARTNER. THE KIOSK ALLOWS A HEALTHCARE PROVIDER TO MEET VIRTUALLY WITH PATIENTS WHO HAVE AN IMMEDIATE NEED OR REQUIRE FOLLOW-UP FROM A PRIOR VISIT. THE KIOSK ALSO OFFERS EXTERNAL MEDICAL DEVICES INCLUDING A BLOOD PRESSURE MONITOR, THERMOMETER, STETHOSCOPE, AND OTOSCOPE. THE PROGRAM'S MONTHLY EYE SCREENING CLINICS PROVIDE A SCREENING EYE EXAM FOR PATIENTS AND FACILITATES ACCESS TO FOLLOW UP CARE. THE SCREENING EXAM INCLUDES COLOR BLINDNESS, FIELD OF VISION, AND GLAUCOMA SCREENINGS, AS WELL AS VISUALIZATION OF THE RETINAS AND VISUAL ACUITY CHANGES. THE PROGRAM'S MONTHLY PULMONARY SCREENING CLINIC PROVIDES FOR THE EVALUATION AND EDUCATION OF PATIENTS WITH BREATHING DISORDERS INCLUDING SCREENING FOR SLEEP APNEA, EVALUATION FOR LOW-DOSE CT LUNG CANCER SCREENING, TOBACCO CESSATION EDUCATION, RESPIRATORY DISEASE MANAGEMENT (COPD, ASTHMA, OSA) EDUCATION, AND REVIEW OF RESPIRATORY MEDICATIONS SUCH AS INHALERS AND NEBULIZERS. THE STREET MEDICINE PROGRAM IS FULLY FUNDED BY GRANTS AND DONATIONS. STAFF VOLUNTEERS PARTICIPATE DURING THEIR NON-SCHEDULED HOURS. DURING FY2022, THE STREET MEDICINE PROGRAM PROVIDED CARE DURING OVER 1,600 ENCOUNTERS WITH HOMELESS COMMUNITY MEMBERS. OVER 5,500 STAFF HOURS AND NEARLY 1,400 VOLUNTEER HOURS WERE LOGGED BY HOSPITAL TEAM MEMBERS PROVIDING CARE AND SUPPORT TO THE PROGRAM AND ITS PATIENTS. THE BE WELL BERKS WEBSITE PROVIDES UP-TO-DATE INFORMATION ABOUT COMMUNITY WELLNESS DEPARTMENT INITIATIVES, EVENTS, AND EDUCATIONAL MATERIALS FOR COMMUNITY MEMBERS. THE CONTENT IS ACCESSIBLE ON A NUMBER OF DEVICES INCLUDING DESKTOPS/LAPTOPS, MOBILE DEVICES, TABLETS, ETC. IN FY2022, THE WEBSITE RECORDED OVER 6,900 UNIQUE VISITORS (AN INCREASE OF 27% YEAR OVER YEAR) AND OVER 8,700 SITE VISITS (AN INCREASE OF 21% YEAR OVER YEAR). THE TOP PAGES VISITED INCLUDE PATHWAYS TO HEALTHCARE CAREERS, STREET MEDICINE, BERKS TRAIL CHALLENGE, AND COMMUNITY HEALTH NEEDS ASSESSMENT. DURING FY2022, READING HOSPITAL'S REMOTE PATIENT MONITORING (RPM) PROGRAM, MANAGED BY THE POPULATION HEALTH TEAM, ENROLLED 175 PATIENTS IN RPM SERVICES, INCLUDING 166 PATIENTS DIAGNOSED WITH CHRONIC HEART FAILURE AND 9 PATIENTS WITH COVID-19. COVID-19 ENROLLMENT ENDED IN NOVEMBER 2021. OUR CAREGIVERS AND SUPPORT STAFF PARTICIPATE IN A NUMBER OF COMMUNITY HEALTH IMPROVEMENT INITIATIVES, INCLUDING COMMUNITY HEALTH EDUCATION, SCREENING EVENTS, AND IMMUNIZATION CLINICS, THAT EXTEND BEYOND PATIENT CARE ACTIVITIES AND ARE SUBSIDIZED BY THE HOSPITAL. PROGRAMS ARE OFFERED TO ALL COMMUNITY MEMBERS FOR FREE OR AT A VERY NOMINAL COST. STAFF PARTICIPATE IN COMMUNITY-BASED HEALTH EDUCATION EVENTS, SPEAKERS BUREAUS, AND HEALTH FAIRS TO PROVIDE INFORMATION AND EDUCATION FOR PREVENTION AND MANAGEMENT OF CHRONIC HEALTH CONDITIONS INCLUDING DIABETES, HEART HEALTH, CANCER, RESPIRATORY DISEASE, HEALTHY NUTRITION, AND A RANGE OF OTHER TOPICS. THE HOSPITAL'S INJURY PREVENTION PROGRAM PROVIDES FREE EDUCATION TO COMMUNITY MEMBERS IN AN EFFORT TO PREVENT THOSE ACCIDENTS AND INJURIES THAT RESULT IN THE HIGHEST PATIENT VOLUME IN OUR TRAUMA CENTER. EDUCATIONAL PROGRAMS INCLUDE: 1.STOP THE BLEED - NATIONAL AWARENESS CAMPAIGN THAT PREPARES THE PUBLIC TO SAVE LIVES IN THE EVENT OF A LIFE-THREATENING BLEED (12 SESSIONS HOSTED REACHING NEARLY 200 COMMUNITY MEMBERS); 2.MATTER OF BALANCE - EDUCATION AND AWARENESS AMONG OLDER ADULTS, FAMILIES, AND CAREGIVERS ABOUT THE SERIOUSNESS OF FALLS AND WAY TO REDUCE THEM; 3.FALL PREVENTION DAY - FIRST ANNUAL FALL PREVENTION DAY, INCLUDING A PANEL DISCUSSION, HEALTH FAIR WITH EDUCATION AND SCREENING OPPORTUNITIES, AND LOCALLY-OFFERED FALL PREVENTION CLASSES, WAS HOSTED IN CONJUNCTION WITH COMMUNITY PARTNERS AT ALVERNIA UNIVERSITY TO HELP COMMUNITY MEMBERS UNDERSTAND AND REDUCE FALL RISK (OVER 20 PARTICIPANTS); 4.TRAUMA/INJURY PREVENTION - CAR SEAT SAFETY, BICYCLE SAFETY, AND OTHER TOPICS (4 EVENTS REACHING NEARLY 400 COMMUNITY MEMBERS); 5.TRAUMA SURVIVORS NETWORK - WEBSITE PROVIDING RESOURCES, TOOLS, AND A SUPPORT NETWORK FOR TRAUMA PATIENTS AND THEIR FAMILIES. READING HOSPITAL STAFF ASSIST WITH NUMEROUS FREE SCREENING OPPORTUNITIES FOR COMMUNITY MEMBERS. SCREENING OPPORTUNITIES THAT WERE PREVIOUSLY LIMITED DUE TO COVID-19 BEGAN TO MAKE A COMEBACK, AND OVER 1,000 FREE SCREENINGS WERE CONDUCTED INCLUDING BLOOD PRESSURE (50 SCREENINGS), BREAST AND CERVICAL CANCERS (101 SCREENINGS), HIV (51 SCREENINGS) AND STD (748 SCREENINGS), AND MENTAL HEALTH (224 SCREENINGS). SOCIAL DETERMINANTS OF HEALTH: A NUMBER OF INITIATIVES HAVE BEEN UNDERTAKEN TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. READING HOSPITAL'S COMMUNITY CONNECTION PROGRAM (CCP) WAS DESIGNED TO IMPLEMENT TO 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 PARTNER 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 11,500 SCREENINGS WERE COMPLETED AND OVER 751 BENEFICIARIES WERE IDENTIFIED AS ELIGIBLE FOR NAVIGATION SERVICES. THE CCP PARTNERS WITH OVER 20 CLINICAL DELIVERY SITES AND NEARLY 20 COMMUNITY SERVICE PARTNERS TO EXECUTE THE WORK. THIS PROGRAM WAS FULLY FUNDED BY A CENTERS FOR MEDICARE & MEDICAID SERVICES GRANT THROUGH APRIL 30, 2022. BEGINNING MAY 1, 2
FACILITY 1, READING HOSPITAL - PART V, LINE 5	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 INTERVIEW PARTICIPANTS: SAFEBERKS GATEWAY BERKS COMMUNITY HEALTH CENTER READING-BERKS CONFERENCE OF CHURCHES TOWER BEHAVIORAL HEALTH MAYOR'S OFFICE GREATER READING CHAMBER ALLIANCE EL PALO MAGAZINE, INC. EAST PENN MANUFACTURING, INC. PA HOUSE OF REPRESENTATIVES UPMC HEALTH PLAN BARTA UNITED WAY OF BERKS COUNTY HELPING HARVEST FOCUS GROUP PARTICIPANTS: HELPING HARVEST BERKS COMMUNITY ACTION PROGRAM TOWER HEALTH READING SCHOOL DISTRICT, LAUERS PARK ELEMENTARY UNITED WAY OF BERKS COUNTY CO-COUNTY WELLNESS SERVICES BERKS COMMUNITY HEALTH CENTER BERKS ENCORE CENTRO HISPANO NEIGHBORHOOD HOUSING SERVICES OF GREATER BERKS,INC.
FACILITY 1, READING HOSPITAL - PART V, LINE 7D	LINK TO THE READING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT: HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL/ABOUT/COMMUNITY/ READING-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT LINK TO THE READING HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT/ 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/READING-HOSPITAL/ABOUT/COMMUNITY/ READING-HOSPITAL-COMMUNITY-HEALTH-NEEDS-ASSESSMENT
FACILITY 1, READING HOSPITAL - PART V, LINE 11	READING HOSPITAL'S 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 CONTINUED THROUGH THE BEGINNING OF FY2023 AND THE FINAL DOCUMENT WAS ADOPTED AND MADE PUBLICLY AVAILABLE NOVEMBER 15, 2022. THE IMPLEMENTATION PLAN, WHICH COVERED A THREE YEAR SPAN, OUTLINED SPECIFIC STRATEGIES FOR EACH PRIORITY AREA THAT WERE 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: BASED ON WHAT WAS HEARD FROM COMMUNITY STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AND KEY INFORMANT AND COMMUNITY SURVEY RESPONDENTS, SOLUTIONS FOR IMPROVING ACCESS MUST INCORPORATE BETTER CARE COORDINATION AND INTEGRATION AND ALIGNMENT OF HOSPITAL SYSTEMS AND SERVICES. ONGOING EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH MUST BE CONTINUED AS THOSE EFFORTS GO WELL BEYOND MEDICAL SCIENCE ALONE. THE GOAL IS TO INCREASE ACCESS TO EQUITABLE CARE BY COMMUNITY MEMBERS, PARTICULARLY THOSE CONSIDERED DISPARATE AND VULNERABLE POPULATIONS. THE INFORMATION GATHERED FROM THIS RESEARCH WILL PROVIDE SUPPORT AND DEVELOPMENT OF CURRENT PROGRAMS THAT DELIVER CARE TO VULNERABLE POPULATIONS (I.E. STREET MEDICINE, COMMUNITY PARAMEDICINE, AND REMOTE PATIENT MONITORING PROGRAMS), AS WELL ALSO DEVELOP PLANS TO INCREASE ACCESS TO SPECIALTY CARE THROUGH VIRTUAL OFFICE VISITS, TELECART, MOBILE APPS, AND TELEMEDICINE. BY STREAMLINING AN ADVANCED ACCESS CENTER READING HOSPITAL WILL PROVIDE EASE OF ACCESS FOR COMMUNITY MEMBERS SEEKING TO SCHEDULE APPOINTMENTS WITH AMBULATORY AND SPECIALTY CARE SERVICE LINES. READING HOSPITAL WILL WORK TO IMPROVE CULTURAL SENSITIVITY OF STAFF BY CONDUCTING CULTURAL AWARENESS TRAININGS AND CREATING A DIVERSITY AND INCLUSION COUNCIL FOR PROVIDERS AND OTHER CLINICAL AND NON-CLINICAL STAFF TO PARTICIPATE. READING HOSPITAL WILL ALSO WORK TO INCREASE PARTICIPATION IN PROGRAMS DESIGNED TO EDUCATE STUDENTS ABOUT CAREERS IN HEALTHCARE - MEDICAL EXPLORERS, JOB SHADOWING, HIGH SCHOOL AND COLLEGE INTERNSHIP PROGRAMS, AND ADVENTURES IN HEALTH SCIENCE AND MEDICINE - THROUGH PROGRAM PROMOTION. BEHAVIORAL HEALTH: POPULATIONS OFTEN STRUGGLE WITH OVERLAPPING PHYSICAL AND BEHAVIORAL HEALTH ISSUES THAT STEM FROM PSYCHOSOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING INSTABILITY OR HOMELESSNESS, UNEMPLOYMENT OR UNDEREMPLOYMENT, "FOOD DESERT" NEIGHBORHOODS AND FOOD INSECURITY, LANGUAGE BARRIERS AND HEALTH LITERACY, AS WELL AS SUBSTANCE MISUSE AND POLLUTION. THESE FACTORS CAN BE BARRIERS TO HOW RESIDENTS CAN ACCESS BEHAVIORAL HEALTH SERVICES AND IMPACT BEHAVIORAL HEALTH OUTCOMES. THE GOAL IS TO IMPROVE ACCESS TO SUPPORT FOR BEHAVIORAL SERVICES. READING HOSPITAL'S CENTER OF EXCELLENCE (COE) WILL SCREEN PATIENTS FOR OPIOID USE DISORDER (OUD) AND DETERMINE THE APPROPRIATE LEVEL OF CARE VIA STANDARDIZED PROCESSES (SBIRT) AND TOOLS (ASAM PLACEMENT CRITERIA). READING HOSPITAL'S SOFT-LANDING PROGRAM WILL SCREEN PATIENTS FOR SUBSTANCE USE DISORDER (SUD) AND APPROPRIATE LEVEL OF CARE VIA THE ASAM PLACEMENT MODEL. READING HOSPITAL WILL IDENTIFY 2 STAFF MEMBERS TO CONDUCT MENTAL HEALTH FIRST AID TRAINING (MHFA). TRAININGS WILL BE CONDUCTED AT READING HOSPITAL AND IN THE COMMUNITY. TOWER EMPLOYEE WELLNESS INITIATIVES WILL CONDUCT SCHWARZ ROUNDS, A MULTIDISCIPLINARY FORUM FOR EMPLOYEES TO DISCUSS SOCIAL AND EMOTIONAL ISSUES THAT ARISE IN CARING FOR PATIENTS. THE REHINKCARE APP WILL BE PROMOTED TO SUPPORT EMPLOYEES' PERSONAL, PROFESSIONAL, AND PARENTAL NEEDS. HEALTH EDUCATION AND PREVENTION: HEALTH EDUCATION AND HEALTH LITERACY PLAY A VITAL ROLE IN ACCESSING CARE AS KNOWLEDGE AND UNDERSTANDING EMPOWERS INDIVIDUALS TO MAKE INFORMED HEALTH DECISIONS AND HELPS THEM EFFECTIVELY NAVIGATE TODAY'S COMPLEX HEALTH CARE DELIVERY SYSTEM. PROVIDING HEALTH EDUCATION TO INCREASE UNDERSTANDING OF HEALTH ISSUES ENABLES PATIENTS AND FAMILIES TO SUCCESSFULLY IMPLEMENT TREATMENT PLANS AND IS ESSENTIAL TO MANAGING CHRONIC CONDITIONS AND PREVENTING COMPLICATIONS OR FREQUENT HOSPITALIZATIONS. BY IMPROVING HEALTH LITERACY AND EDUCATION ON HOW TO ADDRESS AND PREVENT CHRONIC DISEASES AND ILLNESS TO THE BROADER COMMUNITY, THE HEALTH ORGANIZATION'S PARADIGM SHIFTS FROM TREATING DISEASE TO A FOCUS ON WELLNESS, HEALTHY BEHAVIORS, AND POSITIVE HEALTH OUTCOMES. THE GOAL IS TO PROVIDE DISEASE EDUCATION AND PREVENTION OPPORTUNITIES IN THE COMMUNITY, SPECIFICALLY TARGETING DISPARATE AND VULNERABLE POPULATIONS. THE BERKS TRAIL CHALLENGE WILL BE EXECUTED TO ENCOURAGE EXPLORATION OF LOCAL PARKS AND TRAILS THROUGH A FREE, MINDFUL LEISURE ACTIVITY. DISEASE AND PREVENTIVE SCREENINGS (I.E. BLOOD PRESSURE SCREENINGS, BREAST AND CERVICAL CANCER SCREENINGS AND PROSTRATE CANCER SCREENINGS) WILL BE CONDUCTED. A PLAN WILL BE DEVELOPED TO LAUNCH A FRESH FOOD PHARMACY TARGETING VULNERABLE PATIENT POPULATION(S). TOWER EMPLOYEE WELLNESS INITIATIVE KNOW YOUR NUMBERS CAMPAIGN (BMI, BP, LIPIDS, A1C) THROUGH THE VIRGIN HEALTH APP WILL BE CONDUCTED. READING HOSPITAL WILL HELP ENGAGE THE EMPLOYEES WITH A PCP AND ENCOURAGE ENGAGEMENT WITH THE VIRGIN HEALTH PLATFORM FOR WELLNESS-BASED EDUCATION AND ACTIVITIES. A COMMUNITY CALENDAR WILL BE DEVELOPED TO INCREASE AWARENESS AND PARTICIPATION IN COMMUNITY OUTREACH & ENGAGEMENT (CORE) PROGRAMS. VIOLENCE PREVENTION INITIATIVE STOP THE BLEED TRAINING WILL BE CONDUCTED. THE HOSPITAL WILL DEVELOP AND IMPLEMENT A HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM (HVIP) AND ESTABLISH VIOLENCE SCREENING AND REFERRAL PROCESSES AND PILOT IN CLINICAL SITES. HEALTH EQUITY: UNDERSTANDING AND ADDRESSING THE NEEDS OF DIVERSE AND DISPARATE POPULATIONS IS A SIGNIFICANT CHALLENGE FOR HEALTH CARE ORGANIZATIONS. AS A CRITICAL ASPECT OF CREATING HEALTH EQUITY EFFORTS TO PROVIDE CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE CARE TO VERY DIVERSE RACIAL AND ETHNIC COMMUNITIES WITH VARIOUS CULTURAL BELIEFS, PERCEPTIONS, AND HEALTH PRACTICES MUST BE CONTINUOUS. ACHIEVING HEALTH EQUITY REQUIRES US TO SYSTEMICALLY DEFINE, MEASURE, AND IMPROVE THE COMMUNITY INFRASTRUCTURE AND ENHANCE HEALTH SYSTEM LEADERSHIP PERSPECTIVES, OPERATIONS, AND PRACTICES. THE FOLLOWING GOAL TO ACHIEVE HEALTH EQUITY IS DESIGNED TO ELIMINATE HEALTH INEQUITIES, CLOSE DISPARITY GAPS, AND IMPROVE HEALTH OUTCOMES. THE HEALTH EQUITY COUNCIL WILL CREATE A HEALTH EQUITY ACTION PLAN AND EVALUATION PLAN TO IDENTIFY AND ADDRESS DISPARITIES THROUGH ACTIONABLE STRATEGIES. READING HOSPITAL WILL EXPAND THE USE OF LANGUAGE AND INTERPRETATION SERVICES OFFERED THROUGH VIRTUAL VISITS. BILINGUAL STAFF WILL BE TRAINED TO BECOME CERTIFIED MEDICAL INTERPRETERS. READING HOSPITAL WILL PARTICIPATE IN COUNTY-WIDE BROADBAND ACCESS COALITIONS AND ASSIST WITH DEVELOPING AND IMPLEMENTING GROUP ACTIVITIES. LIST OF HEALTH NEEDS THE FACILITY DOES NOT PLAN TO ADDRESS: BEHAVIORAL HEALTH: LAST MINUTE BARRIERS WERE IDENTIFIED THAT PROHIBITED THE HOSPITAL TO MOVE FORWARD WITH THE VENDOR FOR THE MARVIN TELEMEDICINE PROGRAM TO PROVIDE DIGITAL BEHAVIORAL HEALTH SERVICES FOR HOSPITAL STAFF. 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.
FACILITY 1, READING HOSPITAL - PART V, LINE 13H	FINANCIAL ASSISTANCE CRITERIA: 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-EMERGENT CARE ARE NOT GENERALLY ELIGIBLE FOR FINANCIAL ASSISTANCE.
FACILITY 1, READING HOSPITAL - PART V, LINE 15E	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 INFORMAITON 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 PROVERTY LEVEL (FPL). 8. THE MCR FFS (MEDICARE FEE FOR SERVICE) IS USED TO DETERMINE 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 READING 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 FINANCIAL ASSISTANCE AT ANY POINT IN THE BILLING AND COLLECTION CYCLE. IF THE FINANCIAL ASSISTANCE APPLICATION IS INITIATED WHILE THE ACCOUNT IS IN THE COLLECTION'S PROCESS, COLLECTION ACTIVITY WILL CEASE UNTIL DETERMINATION OF ELIGIBILITY HAS BEEN MADE.
FACILITY 1, READING HOSPITAL - PART V, LINE 16J	THIS NARRATIVE COVERS LINE 16A-C AND J: THE CURRENT PATIENT FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE POLICY AND APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH AND SPANISH, ARE ACCESSIBLE AT HTTPS://WWW.TOWERHEALTH.ORG/LOCATIONS/READING- HOSPITAL/BILLING/FINANCIAL-ASSISTANCE-READING-HOSPITAL 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 READING HOSPITAL SPECIFYING WHICH PROVIDERS ARE AND ARE NOT COVERED BY THE PATIENT FINANCIAL ASSISTANCE POLICY. THIS PROVIDER LIST IS AVAILABLE ONLINE AT THE FOLLOWING READING HOSPITAL WEBSITE ADDRESS: HTTPS://WWW.TOWERHEALTH.ORG/PROVIDERS/. ADDITIONALLY, 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 READING HOSPITAL 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 & 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 READING HOSPITAL. THESE PAMPHLETS PROVIDE AN EASY-TO-READ SUMMARY OF THE FINANCIAL ASSISTANCE PROGRAM, WITH CONTACT INFORMATION OF READING HOSPITAL EMPLOYEES WHO WILL ASSIST THE PATIENTS WITH THE APPLICATION PROCESS. THESE PAMPHLETS ARE ALSO DISTRIBUTED TO PATIENTS AT THE POINTS OF REGISTRATION THROUGHOUT READING 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 READING 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. READING HOSPITAL WORKS CLOSELY WITH ADVOCACY PROGRAMS IN THE COMMUNITY. THE AVAILABILITY OF READING HOSPITAL FINANCIAL ASSISTANCE POLICY IS SHARED WITH THOSE AGENCIES. EXAMPLES ARE BERKS WESTERN CLINIC, OPPORTUNITY HOUSE, BERKS ENCORE, BERKS COMMUNITY HEALTH CENTER AND DANIEL TORRES HISPANIC CENTER, AS WELL AS THE COUNTY ASSISTANCE OFFICE.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TRHMC SURGICENTER AT SPRING RIDGE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2603 KEISER BLVD	AddressLine1Txt
City	READING	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19610	ZIPCd

Field	Value	IRS element (for citing)
Facility	AMBULATORY SURGERY CENTER	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	PATIENTS WILL BE ASKED 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 IN THE FEDERAL POVERTY LEVEL GUIDELINE (FPL). THE FPL CATEGORY WILL DETERMINE THE PATIENT OR GUARANTOR CONTRIBUTION AMOUNT TOWARD THEIR MEDICAL BILL.
SCHEDULE H, PART I, LINE 7G	READING HOSPITAL UTILIZES THE IRS GUIDELINES IN DETERMINING THE RATIO OF PATIENT COST TO CHARGES TO ESTIMATE THE COST OF EACH SUBSIDIZED HEALTH SERVICE. THIS CALCULATION DOES NOT REFLECT READING HOSPITAL'S OPERATIONAL LOSS. CURRENTLY THE HOSPITAL PROVIDES BEHAVIORAL HEALTH, AND OUTPATIENT SERVICES TO THE COMMUNITY ON A SUBSIDIZED BASIS AS THESE SERVICES REFLECT AN OPERATIONAL LOSS. READING HOSPITAL IS A NOT-FOR-PROFIT HEALTHCARE CENTER PROVIDING COMPREHENSIVE ACUTE CARE, POST-ACUTE CARE REHABILITATION, BEHAVIORAL, AND OCCUPATIONAL HEALTH SERVICES TO THE PEOPLE OF BERKS AND ADJOINING COUNTIES. READING HOSPITAL LIES ON THE OUTSKIRTS OF THE CITY OF READING, WHICH HAS AN ESTIMATED POPULATION OF 94,903 AS OF JULY 1, 2023. 27.0% OF THE RESIDENTS OF THE CITY LIVE BELOW FEDERAL POVERTY LEVELS. THE HEALTHCARE NEEDS TRACK CLOSELY TO THE HIGH POVERTY RATE IN THE CITY. THE MISSION OF THE READING HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH QUALITY, COST EFFECTIVE HEALTH CARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATE HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. READING HOSPITAL IS COMMITTED TO SERVING THE NEEDS OF THE COMMUNITY, EVEN WHEN THE NEEDED SERVICES CAUSE A DRAIN ON CAPITAL RESOURCES. READING HOSPITAL PROVIDES DURABLE MEDICAL EQUIPMENT (DME) AT NO COST TO PATIENTS WHO DEMONSTRATE A NEED, MEANING EQUIPMENT THAT IS NOT COVERED BY INSURANCE AND THEY ARE NOT FINANCIALLY ABLE TO PRIVATELY PAY FOR THE EQUIPMENT. DURING FY2024, READING HOSPITAL PROVIDED 40,363 IN DME TO 2,598 PATIENTS.
SCHEDULE H, PART I, LINE 7	IN THE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS SECTION OF LINE 7 A COST TO CHARGE RATIO DEVELOPED FROM OUR MEDICARE COST REPORT IS UTILIZED.
SCHEDULE H, PART II	ECONOMIC DEVELOPMENT: READING HOSPITAL'S PRESIDENT & CEO SERVES ON THE GREATER BERKS DEVELOPMENT FUND (GBDF) BOARD OF DIRECTORS. GBDF IS A CERTIFIED ECONOMIC DEVELOPMENT ORGANIZATION THAT PROVIDES FINANCIAL ASSISTANCE TO BERKS COUNTY COMPANIES THROUGH ITS ACCESS TO FUNDING FROM PENNSYLVANIA'S DEPARTMENT OF COMMUNITY DEVELOPMENT AND OTHER RESOURCES. APPROXIMATELY 1 HOUR PER MONTH IS DEDICATED TO GBDF BOARD RESPONSIBILITIES. ENVIRONMENTAL IMPROVEMENTS: READING HOSPITAL PARTICIPATES IN THE MEDSAFE PROGRAM, A MEDICAL COLLECTION KIOSK AND DISPOSAL SYSTEM, PROVIDING A RESOURCE FOR COMMUNITY MEMBERS TO SAFELY DISPOSE OF CONTROLLED, NON-CONTROLLED, AND OVER THE COUNTER MEDICATIONS. DURING FY2024, 6,630 OF STAFF TIME AND SUPPLIES SUPPORTED THIS PROGRAM. READING HOSPITAL HELD ITS ANNUAL BIKE TO WORK WEEK RIDE IN PARTNERSHIP WITH COMMUTER SERVICES OF PA AND PENSKE RACING SHOCKS. HELD ANNUALLY THE THIRD FRIDAY IN MAY, THE EVENT PROMOTES GREEN COMMUTE OPTIONS FOR HOSPITAL STAFF AND THE COMMUNITY. THE RIDE IS APPROXIMATELY 6-MILES AND TAKES PARTICIPANTS ON A LEISURELY RIDE THROUGH WEST READING, THE CITY OF READING, AND WYOMISSING. THE RIDE IS FACILITATED BY WEST READING AND CITY OF READING POLICE DEPARTMENTS TO ENSURE SAFETY. AS A THANK YOU FOR THEIR SUPPORT OF THE EVENT AND ENSURING THE SAFETY OF OUR COMMUNITIES, THE CITY OF READING POLICE DEPARTMENT WAS GIFTED A NEW TREK POLICE E-BIKE, PURCHASED THROUGH CONTRIBUTIONS FROM READING HOSPITAL, AECOM, AND PENSKE RACING SHOCKS. COALITION BUILDING: READING HOSPITAL SERVES AS THE LEAD ORGANIZATION OF THE HEALTH EQUITY COMMUNITY COLLABORATIVE (HECC) WHICH CONVENES CLINICAL AND COMMUNITY PARTNERS TO ADDRESS COMMUNITY HEALTH PRIORITIES AND HEALTH-RELATED SOCIAL NEEDS, FOSTERING CROSS-SECTOR COLLABORATION AND ENSURING COMMUNITY CAPACITY TO ADDRESS AND RESOLVE NEEDS. THE HECC SUPPORTS AND ADVISES READING HOSPITAL'S HEALTH EQUITY COUNCIL IN GOALS AND STRATEGIES TO REDUCE HEALTH CARE DISPARITIES. FY2024 EXPENSES RELATED TO THE OVERSIGHT AND IMPLEMENTATION OF THE HECC INCLUDE 28,878 IN STIPENDS TO COMMUNITY PARTNERS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: THREE READING HOSPITAL PHYSICIANS - DR. CHARLES BARBERA, PRESIDENT & CEO; DR. ANKIT SHAH, AND DR. DEBRA POWELL, CHIEF OF INFECTIOUS DISEASE - PARTICIPATED IN AN EVENT CALLED COMMUNITY HEALTH CHECKUP, HOSTED BY BERKS COUNTY MEDICAL SOCIETY. THE PROGRAM WAS HELD TO REVIEW RECOMMENDATIONS CONTAINED IN A BERKS COUNTY COMMISSIONER'S STUDY THAT OUTLINED RECOMMENDATIONS TO HELP BERKS COUNTY PROTECT ACCESS TO HIGH-QUALITY PUBLIC HEALTH SERVICES. WORFORCE DEVELOPMENT: READING HOSPITAL BELIEVES IN INVESTING IN THE FUTURE HEALTHCARE WORKFORCE AND DOES SO BY PROVIDING 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. IN FY2024, 153,781 WERE DEDICATED TO ITS NUMEROUS WORKFORCE DEVELOPMENT AND CAREER EXPLORATION INITIATIVES SERVING 1,304 STUDENTS. ONE OF ITS PREMIER PROGRAMS IS THE HIGH SCHOOL INTERNSHIP PROGRAM. 29 STUDENTS FROM 12 BERKS COUNTY SCHOOL DISTRICTS REPRESENTED THE CLASS OF 2024. INTERNS PARTICIPATE IN HANDS-ON EXPERIENCES THAT SUPPLEMENT THEIR CONVENTIONAL CLASSROOM LEARNING, ENHANCING THEIR ACADEMIC, PROFESSIONAL, AND PERSONAL DEVELOPMENT. STUDENTS COMPLETED OVER 8,000 INTERNSHIP HOURS. HOSPITAL STAFF CONTRIBUTED OVER 1,600 HOURS SERVING AS PRECEPTORS (20% OF TOTAL INTERN HOURS), AS WELL AS 40 HOURS SERVING AS FACILITATORS DURING MONTHLY WORKSHOPS. READING HOSPITAL'S HIGH SCHOOL INTERNSHIP PROGRAM WAS SELECTED AS ONE OF 13 WINNERS (OF 92 APPLICANTS) FOR A HOSPITAL AND HEALTHCARE ASSOCIATION OF PENNSYLVANIA (HAP) ACHIEVEMENT AWARD. TEAM MEMBERS CREATED AND PRESENTED A POSTER ON THE PROGRAM, PARTICIPATED IN A PANEL DISCUSSION, AND WERE RECOGNIZED AT THE HAP LEADERSHIP SUMMIT. THE HOSPITAL ALSO OFFERS JOB SHADOWING WHICH HOSTED 271 UNIQUE STUDENTS WHO PARTICIPATED IN 704 COORDINATED EXPERIENCES TOTALING 3,346.5 SHADOWING HOURS. A JOB SHADOWING ROTATION FOR BERKS CATHOLIC ENGAGED 3 STUDENTS WHO COMPLETED OBSERVATION EXPERIENCES IN VARIOUS DEPARTMENTS OVER THE COURSE OF 6 MONTHS. STAFF CONTRIBUTED NEARLY 110 HOURS OF THEIR TIME PROVIDING EXPERIENCES FOR THE STUDENTS. READING HOSPITAL HOSTED 39 STUDENTS FROM BERKS CAREER & TECHNOLOGY CENTER'S MEDICAL HEALTH PROFESSIONS PROGRAM. THE STUDENTS COMPLETED 2,808 SHADOWING HOURS IN VARIOUS DEPARTMENTS. READING HOSPITAL'S HUMAN RESOURCES AND COMMUNITY WELLNESS TEAMS PARTICIPATED IN 10 CAREER FAIRS AT BERKS COUNTY SCHOOLS, SHARING INFORMATION ABOUT CAREER EXPLORATION PROGRAMMING AS WELL AS THE VARIOUS EDUCATIONAL AND CAREER PATHWAYS OFFERED BY READING HOSPITAL AND ITS SCHOOL OF HEALTH SCIENCES. DURING THE FALL 2023 SEMESTER, READING HOSPITAL'S COMMUNITY CONNECTION PROGRAM TEAM HOSTED 56 STUDENTS FROM ALVERNIA UNIVERSITY'S NURSING 410 AND 412 CLASSES. STUDENTS PARTICIPATED IN AN INTRODUCTION TRAINING THAT OUTLINED SOCIAL DETERMINANTS OF HEALTH AND THEIR IMPACT ON PATIENTS AND COMMUNITY MEMBERS, AS WELL AS SHADOWING PROGRAM STAFF SCREENING PATIENTS AND CREATING REFERRALS TO COMMUNITY RESOURCES. STUDENTS INTERACTING WITH BUSINESS, OFFERED IN PARTNERSHIP WITH BERKS BUSINESS EDUCATION COALITION, ENGAGED 9TH GRADERS FROM 3 BERKS COUNTY SCHOOLS: TWIN VALLEY (55 STUDENTS), CONRAD WISER (48 STUDENTS), OLEY VALLEY (22 STUDENTS). THE PROGRAM PRESENTED THE STUDENTS WITH INFORMATION ON TRENDS IN THE HEALTHCARE WORKFORCE, PATHWAYS PROGRAM OPPORTUNITIES, EDUCATIONAL OPPORTUNITIES AT READING HOSPITAL SCHOOL OF HEALTH SCIENCES, AND A ROUNDTABLE DISCUSSION WITH PHYSICIANS, APPS, NURSING STAFF, AND NON- CLINICAL TEAM MEMBERS. STAFF CONTRIBUTED OVER 44 HOURS TO THE EVENT.
SCHEDULE H, PART III, LINE 2	DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENTS. RATHER IT IS TREATED AS AN IMPLICIT PRICE CONCESSION. BAD DEBT IS DETERMINED IF THERE WAS AN EXTRAORDINARY OR ADVERSE EVENT THAT PREVENTED A PATIENT FROM BEING ABLE TO PAY THE EXPECTED AMOUNT. FOR PATIENTS WHO WERE DETERMINED BY THE HOSPITAL TO HAVE THE ABILITY TO PAY UNCOLLECTED AMOUNTS BUT DID NOT, THESE UNCOLLECTED AMOUNTS ARE TREATED AS IMPLICIT PRICE CONCESSIONS. THERE WAS NO ADVERSE OR EXTRAORDINARY EVENT THAT CAUSED THE ORGANIZATION TO REPORT BAD DEBT EXPENSE IN FY2023
SCHEDULE H, PART III, LINE 3	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.
SCHEDULE H, PART III, LINE 4	READING HOSPITAL IS INCLUDED IN THE CONSOLIDATED FOOTNOTE FOR TOWER HEALTH AND SUBSIDIARIES. 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 46,599 AND 38,908 IN THE YEARS ENDED JUNE 30, 2024 AND 2023, RESPECTIVELY. DIRECT AND INDIRECT COSTS TO PROVIDE THESE SERVICES WERE APPROXIMATELY 11,119 AND 8,735 FOR THE YEARS ENDED JUNE 30, 2024 AND 2023, RESPECTIVELY. THE ESTIMATED COSTS WERE BASED ON A CALCULATION, WHICH MULTIPLIED THE COST TO CHARGE RATIO BY THE GROSS CHARGES ASSOCIATED WITH PROVIDING UNCOMPENSATED CARE TO PATIENTS. THE COST TO CHARGE RATIO WAS OBTAINED FROM THE SYSTEM'S MOST RECENTLY FILED MEDICARE COST REPORT. ADDITIONALLY, THE SYSTEM SPONSORS CERTAIN OTHER SERVICE PROGRAMS AND CHARITY SERVICES, WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY POPULATIONS REQUIRING SPECIAL SERVICES AND SUPPORT, COMMUNITY SERVICE PROGRAMS AND CHARITY SERVICES, AS WELL AS HEALTH PROMOTION AND EDUCATION. THE SYSTEM'S COMMUNITY SERVICE INCLUDES THE MEDICAL ASSISTANCE PROGRAM, WHICH MAKES PAYMENT FOR SERVICES PROVIDED TO FAMILIES WITH DEPENDENT CHILDREN, THE AGED, THE BLIND, AND THE PERMANENTLY AND TOTALLY DISABLED, WHOSE INCOME AND RESOURCES ARE INSUFFICIENT TO MEET THE COSTS OF NECESSARY MEDICAL SERVICES. PAYMENTS FROM THE MEDICAL ASSISTANCE PROGRAM ARE GENERALLY LESS THAN THE SYSTEM'S COST OF PROVIDING THE SERVICE. IN ADDITION, COMMUNITY SERVICE REPRESENTS THE COST TO DELIVER SERVICES TO THE COMMUNITY, NET OF ANY PAYMENT RECEIVED FOR THOSE SERVICES. INCLUDED IN THESE SERVICES ARE THE SYSTEM'S SUBSIDIES OF OUTPATIENT CLINICS, EDUCATION OF MEDICAL PROFESSIONALS WHO WORK WITH VARIOUS HEALTH CARE PROVIDERS IN THE COMMUNITY UPON GRADUATION AND COMMUNITY MENTAL HEALTH PROGRAMS. THE SYSTEM ALSO SPONSORS HEALTH FAIRS AND OTHER WELLNESS PROGRAMS THROUGHOUT THE COMMUNITY.
SCHEDULE H, PART III, LINE 8	THE HOSPITAL MAINTAINS RECORDS THROUGH THEIR GENERAL LEDGER SYSTEM TO CALCULATE GROSS PATIENT CHARGES AND GROSS REIMBURSEMENT PAYMENTS. A RATIO OF COST TO CHARGES IS APPLIED TO THE GROSS PATIENT CHARGES TO CALCULATE THE COMMUNITY BENEFIT EXPENSE.
SCHEDULE H, PART III, LINE 9B	PATIENTS ARE INFORMED OF OPTIONS FOR FINANCIAL ASSISTANCE THROUGHOUT THE REVENUE CYCLE, FROM REGISTRATION THROUGH COLLECTION; THEREFORE, READING 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.
SCHEDULE H, PART VI, LINE 2	READING HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED AND MADE PUBLICLY AVAILABLE IN JUNE 2022. READING 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 (10 COMPLETED), KEY INFORMANT SURVEYS (62 COMPLETED), COMMUNITY SURVEYS (367 COMPLETED), AND FOCUS GROUPS (2 COMPLETED). THE PRIMARY RESEARCH ALLOWED THE HOSPITAL TO GAIN INSIGHTS INTO HEALTH BEHAVIORS AND ACCESS BARRIERS FROM COMMUNITY MEMBERS AND ORGANIZATIONS WHO SERVE LOW-INCOME, VULNERABLE INDIVIDUALS IN THE COMMUNITY. SECONDARY RESEARCH COLLECTION INCLUDED DATA FROM THE UNITED STATES'S 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; READING HOSPITAL'S EPIC PATIENT DATA; AND OTHER LOCAL, REGIONAL, AND NATION DATA SOURCES INCLUDING THE UNIVERSITY OF WISCONSIN PUBLIC HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS AND ROADMAPS, THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ), FEEDING AMERICA, THE KAISER FAMILY FOUNDATION, AND BERKS VITAL SIGNS. SUMMARIES OF PRIMARY AND SECONDARY DATA WERE COMPILED AND SHARED WITH THE HOSPITAL'S CHNA ADVISORY BOARD MADE UP OF READING HOSPITAL STAFF AND COMMUNITY PARTNERS, AS WELL AS PARTICIPANTS OF STAKEHOLDER INTERVIEWS, KEY INFORMANT SURVEYS, AND FOCUS GROUPS, WHO PARTICIPATED IN EXERCISES TO SELECT PRIORITY AREAS AND BEGIN LAYING THE GROUNDWORK FOR THE IMPLEMENTATION PLAN WHICH WAS COMPLETED AND MADE PUBLICLY AVAILABLE IN NOVEMBER 2022. IDENTIFIED AND ACCEPTED PRIORITY AREAS TO ADDRESS INCLUDE: ACCESS TO EQUITABLE CARE, BEHAVIORAL HEALTH, HEALTH EDUCATION AND PREVENTION, AND HEALTH EQUITY. IN DECEMBER 2023, READING HOSPITAL ENGAGED WITH ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT PARTNER - METOPIO. PRIMARY DATA COLLECTION BEGAN IN EARLY 2024, INCLUDING STAKEHOLDER INTERVIEWS (4,921 COMPLETED), KEY INFORMANT INTERVIEWS (13 COMPLETED), HOSPITAL LEADERSHIP SURVEY (24 HOSPITAL, 9 TOWER HEALTH CORPORATE COMPLETED), AND FOCUS GROUPS (3 COMPLETED - HEALTH CARE LITERACY, HEALTH CARE ACCESS BARRIERS, AND COMMUNITY VIOLENCE). DATA ANALYSIS AND COMMUNITY HEALTH NEED PRIORITIZATION WILL TAKE PLACE IN FALL OF 2025.
SCHEDULE H, PART VI, LINE 3	AS PART OF THE MISSION TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE COMMUNITY, READING HOSPITAL RECOGNIZES THAT SOME PATIENTS AND FAMILIES MAY NEED FINANCIAL ASSISTANCE TO HELP DEFRAY THE COST OF HEALTHCARE SERVICES. THEREFORE, READING HOSPITAL OFFERS PATIENT FINANCIAL ASSISTANCE TO ENSURE ACCESS TO HIGH-QUALITY HEALTHCARE FOR ALL. PATIENTS ARE ENCOURAGED TO SEEK FINANCIAL ASSISTANCE AS EARLY IN THE TREATMENT PROCESS AS POSSIBLE. THE CURRENT FINANCIAL ASSISTANCE PROGRAM POLICY AND APPLICATIONS CAN BE FOUND ON THE READING HOSPITAL WEBSITE. THE PLAIN LANGUAGE AND FULL FINANCIAL ASSISTANCE POLICIES ARE OFFERED IN ENGLISH, SPANISH, GERMAN, DUTCH, HAITIAN CREOLE, AND VIETNAMESE, WHILE THE APPLICATION IS AVAILABLE IN ENGLISH AND SPANISH. THE WEBSITE INCLUDES A DATABASE OF ALL PROVIDERS WHO DELIVER EMERGENCY AND MEDICALLY NECESSARY CARE AT READING HOSPITAL AND IDENTIFIES WHICH ARE AND ARE NOT COVERED BY THE FINANCIAL ASSISTANCE POLICY. THE PROVIDER LIST IS CONTINUOUSLY UPDATED. A PAPER COPY OF THE LIST IS AVAILABLE FREE OF CHARGE UPON REQUEST FOR PATIENTS WHO DO NOT HAVE INTERNET ACCESS. PAMPHLETS TITLED UNDERSTANDING BILLING & PAYMENT INCLUDE A PLAIN LANGUAGE SUMMARY OF READING HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND ARE MADE AVAILABLE IN LOBBIES AND WAITING AREAS THROUGHOUT THE HOSPITAL. THEY ARE ALSO PROVIDED TO PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR EXPRESS AN INABILITY TO PAY AT REGISTRATION, POINT OF SERVICE, AND/OR DISCHARGE. PATIENT BILLING STATEMENTS FOR READING HOSPITAL SERVICES CONTAIN GUIDANCE AND DIRECTION ON THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE POLICY IS ALSO SHARED WITH A NUMBER OF ADVOCACY PROGRAMS WITHIN THE COMMUNITY. FINANCIAL COUNSELORS WILL EDUCATE PATIENTS AND FAMILIES IN REFERENCE TO AVAILABLE RESOURCES AND WILL PROVIDE ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION AND APPROVAL PROCESS TO ENSURE ALL PATIENTS CONTINUE TO HAVE THE OPPORTUNITY TO ACCESS THE CARE THEY NEED.
SCHEDULE H, PART VI, LINE 4	READING HOSPITALS PRIMARY SERVICE AREA INCLUDES ALL AREAS OF BERKS COUNTY WHICH CONTAINS THE CITY OF READING. BERKS COUNTY PROFILE: ACCORDING TO THE U.S. CENSUS BUREAU, AS OF JULY 1, 2023, THE POPULATION ESTIMATE FOR BERKS COUNTY IS 432,821, A 0.9% INCREASE FROM APRIL 1, 2020. BERKS COUNTY HAS A DIVERSE POPULATION, WITH THE RACIAL MIX OF 85.3% WHITE ALONE, 8.5% BLACK OR AFRICAN AMERICAN ALONE, 1.7% ASIAN ALONE, 1.1% AMERICAN INDIAN AND ALASKA NATIVE ALONE, 0.3% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER ALONE, AND 3.2% TWO OR MORE RACES. ETHNICALLY, 67.1% ARE WHITE ALONE, NOT HISPANIC OR LATINO, WITH 25.3% HISPANIC OR LATINO. 8.8% OF BERKS COUNTY RESIDENTS ARE FOREIGN BORN. 19,224 RESIDENTS ARE VETERANS. 20.1% OF RESIDENTS OVER 5 YEARS OLD SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. 88.4% OF BERKS COUNTY RESIDENTS 25 YEARS AND OLDER ARE HIGH SCHOOL GRADUATES OR HIGHER, WHEREAS 27.2% OF THE SAME AGE GROUP HAVE A BACHELOR'S DEGREE OR HIGHER. OF RESIDENTS UNDER THE AGE OF 65, 10.2% HAVE A DISABILITY, AND 7.5% DO NOT HAVE HEALTH INSURANCE. THE MEDIAN HOUSEHOLD INCOME IN BERKS COUNTY IS 77,684. 11.9% OF RESIDENTS LIVE IN POVERTY. CITY OF READING PROFILE: THE POPULATION OF THE CITY OF READING IN MORE DIVERSE THAN THE REST OF THE COUNTY AND IS HOME TO MORE DISPARATE, VULNERABLE POPULATIONS WHO FACE INCREASE BARRIERS TO RECEIVING CARE. ACCORDING TO THE U.S. CENSUS BUREAU, AS OF JULY 1, 2023, THE CITY OF READING HAS AN ESTIMATED POPULATION OF 94,903, A 0.2% DECREASE IN POPULATION FROM APRIL 1, 2020. THERE IS A RACIAL MIX OF 30.2% WHITE ALONE, 10% BLACK OF AFRICAN AMERICAN ALONE, 1.7% AMERICAN INDIAN AND ALASKA NATIVE ALONE, 1.0% ASIAN ALONE, AND 29.9% TWO OR MORE RACES. ETHNICALLY, 68.6% OF READING RESIDENTS ARE HISPANIC OR LATINO, WITH 21.0% WHITE ALONE, NOT HISPANIC OR LATINO. 21.5% OF READING RESIDENTS ARE FOREIGN BORN. 2,286 RESIDENTS ARE VETERANS. 54.9% OF RESIDENTS OVER 5 YEARS OLD SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. 72.7% OF READING RESIDENTS 25 YEARS AND OLDER ARE HIGH SCHOOL GRADUATES OR HIGHER, WHEREAS ONLY 11.7% OF THE SAME AGE GROUP HAVE A BACHELOR'S DEGREE OR HIGHER. OF RESIDENTS UNDER THE AGE OF 65, 15.4% HAVE A DISABILITY, AND 13.4% DO NOT HAVE HEALTH INSURANCE. THE MEDIAN HOUSEHOLD INCOME IN READING IS 45,59 9 AND 27% OF RESIDENTS LIVE IN POVERTY.
SCHEDULE H, PART VI, LINE 5	THE READING HOSPITAL BOARD IS COMPRISED OF 14 MEMBERS, 10 OF WHOM ARE FROM THE COMMUNITY WHO ARE NOT EMPLOYED BY THE HOSPITAL. ALL PHYSICIANS ARE ENCOURAGED TO APPLY FOR MEDICAL STAFF PRIVILEGES THE DEPARTMENT OF MEDICINE IS THE LARGEST CLINICAL DEPARTMENT OF READING HOSPITAL. THE DEPARTMENT SPANS 16 DIVISIONS OF MEDICINE. THIS COMPRISES OF 300+ PHYSICIANS (MD/DO) AND 80+ ADVANCED LICENSED PRACTITIONERS. CARE PROVIDED TO OUR PATIENTS SPANS AMBULATORY CARE THROUGH TO TRANSPLANT MEDICINE. THE DEPARTMENT FULFILLS THE MISSIONS OF OUR ORGANIZATION BY PROVIDING HIGH-QUALITY CARE, MEDICAL EDUCATION, AND RESEARCH. THE DEPARTMENT IS DEDICATED TO MEDICAL EDUCATION, PROVIDING MEDICAL STUDENTS, RESIDENTS, AND FELLOWS OPPORTUNITIES TO BE EDUCATED IN THEIR SPECIALTY AND ADVANCE THEIR CAREERS. READING HOSPITAL IS ACCREDITED BY THE PENNSYLVANIA MEDICAL SOCIETY TO SPONSOR CONTINUING MEDICAL EDUCATION FOR PHYSICIANS. THE CONTINUING MEDICAL EDUCATION TEAM WITHIN ACADEMIC AFFAIRS DEPARTMENT 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 PROVIDES ONGOING EDUCATION FOR STAFF IN ALL DEPARTMENTS ON SAFETY, COMPLIANCE, AND RELATED REGULATORY AND PROFESSIONAL ISSUES. CLINICAL RESEARCH IS A CORE COMPONENT OF READING HOSPITAL'S MISSION AND PROVIDES PATIENTS WITH ACCESS TO CUTTING-EDGE TREATMENTS WITHOUT NEEDING TO TRAVEL FAR FROM HOME. THE CLINICAL TRIALS OFFICE PROVIDES SUPPORT AND CLINICAL RESEARCH FOR PATIENTS, CAREGIVERS, AND MEDICAL PROFESSIONALS. THE CTO WORKS IN CONJUNCTION WITH THE HOSPITALS INSTITUTIONAL REVIEW BOARD WHICH MONITORS ALL CLINICAL RESEARCH PROJECTS CONDUCTED AT THE HOSPITAL. PROVIDING HEALTH CARE: A. INPATIENT DISCHARGES 37,400 B. INPATIENT DAYS 206,176 C. BIRTHS 3,034 D. EMEGENCY VISITS 109,162 PROMOTING HEALTH: HEALTH OUTREACH FOR CHILDREN (NEWBORNS THROUGH TEENS): CHILDREN'S HEALTH CENTER - PROVIDES AMBULATORY CARE TO PEDIATRIC PATIENTS WHO ARE MEDICALLY UNDERSERVED. IN FY2024, THERE WERE 16,512 VISITS. THE CHILDREN'S HEALTH CENTER PARTNERS WITH UNITED WAY OF BERKS COUNTY TO OFFER THE REACH OUT AND READ PROGRAM TO PROMOTE LITERACY. THROUGH THE PROGRAM, PARENTS RECEIVE EDUCATION FROM THEIR CHILD'S PRIMARY CARE PHYSICIAN ON THE IMPORTANCE OF READING ALOUD TO THEIR CHILDREN, INCLUDING LEARNING AGE- APPROPRIATE TIPS AND ENCOURAGEMENT. ALL CHILDREN RECEIVE A NEW BOOK TO TAKE HOME AND KEEP. IN ADDITION, THE WAITING ROOM OFTEN UTILIZES VOLUNTEERS TO CONDUCT READ-ALOUDS THAT BOTH ENTERTAIN CHILDREN AND MODEL GOOD PRACTICES FOR PARENTS. HEALTH OUTREACH FOR ADULTS: WOMEN'S HEALTH CENTER - PROVIDES OBSTETRICAL, GYNECOLOGICAL, AND WOMEN'S HEALTH CARE SERVICES TO MEDICALLY UNDERSERVED WOMEN. IN FY2024, THERE WERE 22,212 VISITS. CENTER FOR PUBLIC HEALTH - OFFERS A VARIETY OF PUBLIC HEALTH SERVICES INCLUDING HIV AND STI TESTING, CARE, AND TREATMENT, IMMUNIZATIONS, AND ROUTINE SCREENINGS. IN FY2024, THERE WERE 2,913 VISITS. OUTPATIENT SERVICES ADULT CLINICS - PROVIDE PRIMARY AND SUBSPECIALTY CARE, WITH AN EMPHASIS ON DISEASE PREVENTION AND HEALTH PROMOTION, TO MEDICALLY UNDERSERVED ADULTS. HEALTH OUTREACH FOR ALL AGES: EMERGENCY DEPARTMENT - READING HOSPITAL'S EMERGENCY DEPARTMENT OPERATES 24 HOURS PER DAY, 7 DAYS PER WEEK. IT INCLUDES MORE THAN 115 TREATMENT AREAS THAT OFFER ACUTE CARE TO SERIOUSLY ILL AND INJURED PATIENTS, AS WELL AS INTERMEDIATE/FAST TRACK CARE FOR PATIENTS WITH LESS ACUTE PROBLEMS AND OBSERVATION ROOMS FOR PATIENTS REQUIRING MORE PROLONGED EMERGENCY CARE. THE EMERGENCY DEPARTMENT PROVIDES A WIDE RANGE OF SERVICES AND CAPABILITIES INCLUDING DEDICATED COMPUTED TOMOGRAPHY (CT) SCANNER, CERTIFIED CHEST PAIN CENTER, AND ADVANCED PRIMARY STOKE CENTER TO ASSESS AND ADDRESS CASES OF TRAUMATIC ILLNESS, INJURY, AND OTHER EMERGENCY CONDITIONS. PEDIATRIC EMERGENCY DEPARTMENT - PROVIDES COMPREHENSIVE PEDIATRIC EMERGENCY CARE IN A COMFORTING, FAMILY-CENTERED ENVIRONMENT WHERE CHILDREN CAN FEEL SAFE. LEVEL I TRAUMA CENTER - READING HOSPITAL OPERATES THE REGIONS ONLY LEVEL I RESOURCE TRAUMA CENTER THAT PROVIDES LIFE-SAVING CARE TO TRAUMATICALLY INJURED PATIENTS INCLUDING RESUSCITATION, EMERGENCY SURGERY, INTENSIVE CARE, AND/OR GENERAL MEDICAL CARE; GENERAL SURGERY IN EITHER THE EMERGENCY OR ELECTIVE SETTING; AND NEUROLOGICAL CARE FOR PATIENTS SUFFERING INTRACRANIAL TUMOR, STROKE, INTRACEREBRAL HEMORRHAGE, STATUS EPILEPTICUS, AND OTHER CONDITIONS. IN FY2024 THERE WERE 1,118 TRAUMA ACTIVATIONS, 1,790 ACUTE CARE SURGERY CONTACTS, AND 2,591 TRAUMA CONTACTS. ACCESS TO EMS SERVICES - THROUGH TOWERDIRECT, BERKS COUNTY RESIDENTS ARE ABLE TO GET THE MEDICAL CARE THEY NEED, QUICKLY AND SAFELY. TOWERDIRECT PROVIDES PLANNED AND UNPLANNED MEDICAL TRANSPORTATION INCLUDING AMBULANCE SERVICES, TRANSPORTATION FOR ROUTING MEDICAL VISITS, PATIENT TRANSFERS, CRITICAL CARE TRANSPORT, AND TRAUMA TRANSPORT. TOWERDIRECT ALSO PROVIDES PROACTIVE AND PREVENTATIVE HEALTH SERVICES INCLUDING HOME VISITS, PUBLIC EVENT SUPPORT (E.G., ON-SITE MEDICAL CARE AT CONCERTS, FAIRS, AND OTHER COMMUNITY EVENTS), AND SAFETY PRESENTATIONS. OBSTETRICS AND MIDWIFERY CARE - READING HOSPITAL OBSTETRICIANS AND CERTIFIED NURSE-MIDWIVES (CNNS) LICENSED BY THE ACCREDITATION COMMISSION FOR MIDWIFERY EDUCATION (ACME) WHO SPECIALIZE IN WOMEN'S REPRODUCTIVE HEALTH, PROVIDING SERVICES THAT RANGE FROM WELL-WOMAN VISITS AND ROUTINE GYNECOLOGICAL SERVICES TO PRENATAL, PREGNANCY, LABOR, AND DELIVERY CARE. CNNS ALSO STAFF THE OBSTETRICS URGENT CARE TRIAGE TEAM PROVIDING EXAMS AND DISCUSSING SYMPTOMS WITH PATIENTS WHO DO NOT FEEL WELL OR DEVELOP SYMPTOMS THAT ARE CONCERNING. READING HOSPITAL ALSO PROVIDES MATERNAL-FETAL MEDICINE SERVICES INCLUDING PRECONCEPTION COUNSELING, ULTRASOUND TESTS, FETAL HEART TESTS, NONINVASIVE PRENATAL TESTING (NIPT), NUCHAL TRANSLUCENCY SCREENING, AMNIOCENTESIS, DIABETES PROGRAMMING PROVIDED BY MATERNAL-FETAL SPECIALISTS WHO SPECIALIZE IN HIGH-RISK PREGNANCIES. READING HOSPITAL'S ON-SITE NEONATAL INTENSIVE CARE (NICU) TEAM IS OFFERS ADVANCED THERAPIES TO ASSIST WHEN THERE ARE COMPLICATIONS DURING DELIVERY OR AFTER A BABY IS BORN. TRAINED NURSES AND INTERNATIONAL BOARD-CERTIFIED LACTATION CONSULTANTS (IBCLCS) PROVIDE BREASTFEEDING SUPPORT TO NEW MOMS. INTERPRETING SERVICES - READING HOSPITAL'S INTERPRETING SERVICES DEPARTMENT INCLUDES ON-SITE SPANISH-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. SIGN LANGUAGE SERVICES - READING HOSPITAL PARTNERS WITH BERKS DEAF AND HARD OF HEARING SERVICES TO PROVIDE CERTIFIED SIGN LANGUAGE INTERPRETERS AS NEEDED. THE HOSPITAL HAS ALSO ESTABLISHED A 24/7 VIDEO-REMOTE SIGN LANGUAGE INTERPRETING SERVICE. PATIENT ADVOCATE OFFICE - READING HOSPITAL BELIEVES ITS PATIENTS, THEIR FAMILIES, FRIENDS, AND SUPPORT PERSONS SHOULD BE TREATED WITH RESPECT, UNDERSTANDING, AND COMPASSION. THE HOSPITAL'S PATIENT ADVOCATES HELP PATIENTS COMMUNICATE WITH THEIR PROVIDERS, OBTAIN INFORMATION THEY NEED TO MAKE DECISIONS, OBTAIN FINANCIAL INFORMATION, CONNECT WITH SOCIAL SUPPORTS, UNDERSTAND THEIR RIGHTS AND RESPONSIBILITIES, AND HELP THE PATIENT BE HEARD. IF A PATIENT HAD A CONCERN ABOUT THE CARE OR SERVICES THEY ARE RECEIVING, THEY HAVE THE RIGHT TO CONTACT THE PATIENT ADVOCATE OFFICE WHO WILL DOCUMENT THE CONCERN AND TAKE NECESSARY STEPS TO RESOLVE IT. SPIRITUAL CARE SERVICES - READING HOSPITAL'S DEPARTMENT OF SPIRITUAL CARE ENSURES THE AVAILABILITY OF HIGH-QUALITY SPIRITUAL CARE AND COUNSELING TO PATIENTS AND FAMILIES THROUGH JOINT EFFORTS OF CHAPLAINCY STAFF, VISITING CLERGY, AND VOLUNTEER CHAPLAINS. THE DEPARTMENT'S PASTORAL CARE PHILOSOPHY RESTS ON THE PRINCIPLE THAT THE CARE OF THE WHOLE PERSON - BODY, MIND, AND SPIRIT - IS INTEGRAL TO HEALTH AND HEALING. THE TEAM, IN PARTNERSHIP WITH THE VOLUNTEER SERVICES DEPARTMENT, PROVIDES THE NO ONE DIES ALONE COMPANION (NODAC) PROGRAM WHICH PROVIDES SPECIAL TRAINING FOR VOLUNTEERS TO SERVE AS A COMPANION TO PATIENTS WHO ARE AT END-OF-LIFE AND DO NOT HAVE A FAMILY MEMBER OR FRIEND AVAILABLE TO SUPPORT THIS PROCESS. PALLIATIVE CARE SERVICES - READING HOSPITAL'S PALLIATIVE CARE TEAM, COMPRISED OF DOCTORS, NURSES, SOCIAL WORKERS, CHAPLAINS, AND DIETICIANS, WORK AS A TEAM TO HELP RELIEVE AND PREVENT SYMPTOMS AND IMPROVE QUALITY OF LIFE FOR PATIENTS WITH A LIFE-LIMITING DISEASE. THE TEAM OFFERS COMPREHENSIVE SERVICES TO HOSPITAL PATIENTS, FAMILY MEMBERS, AND CAREGIVERS PROVIDING PATIENT AND FAMILY COUNSELING, EMOTIONAL AND SPIRITUAL SUPPORT, ASSISTANCE PLANNING FOR CARE AFTER A HOSPITAL STAFF, HELP WITH TREATMENT CHOICES AND DECISIONS, AND REFERRALS TO SPECIALISTS AND BEREAVEMENT COUNSELING. FREE VALET PARKING AND SHUTTLE SERVICES - READING HOSPITAL OFFERS PATIENTS AND THEIR FAMILY MEMBERS AND VISITORS FREE VALET PARKING AND SHUTTLE SERVICES. VALET PARKING IS AVAILABLE AT 3 LOCATIONS, INCLUDING 24/7 ACCES
SCHEDULE H, PART VI, LINE 6	TOWER HEALTH MEDICAL GROUP (THMG) IS A GROUP WITHIN THE HOSPITAL'S AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES GENERAL AND SPECIALIZED PRACTICE ASSISTANCE TO READING HOSPITAL WHICH IS AN ACUTE CARE HOSPITAL. PHYSICIANS CAN REFER PATIENTS TO THE ACUTE CARE HOSPITAL FOR FURTHER TREATMENT. COLLABORATION BETWEEN ALL TOWER HEALTH HOSPITALS ENABLES OUR HOSPITALS, PROVIDERS, LEADERSHIP AND STAFF TO LEVERAGE BEST PRACTICES ACROSS THE HEALTH SYSTEM. OUR PATIENTS BENEFIT FROM ACCESS TO A BROAD RANGE OF SERVICES - ALL RIGHT HERE IN OUR REGION.
SCHEDULE H, PART VI, LINE 7	PENNSYLVANIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
TOWER HEALTH MEDICAL GROUP
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	232266054	501C3	$58,880	HEALTHCARE SVCS
SALVATION ARMY
301 SOUTH 5TH STREET	READING	PA	19602	135562351	501C3	$2,500	HOLIDAY DONATION	$21,136	ACTUAL	FROZEN TURKEYS
CENTRO HISPANO DANIEL TORRES INC
25 NORTH 2ND STREET	READING	PA	19601	232041081	501C3	$7,500	SPONSORSHIP
READING SCIENCE CENTER
608 MUSEUM ROAD	READING	PA	19611	825063856	501C3	$5,080	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SUZANNE WENDEROTH MD
BOARD MEMBER	$657,349	$200,160	$77,789	$177,301	$26,924	$1,139,523	$76,047
CHARLES BARBERA MD
PRES & CEO	$691,590	$140,001	$57,059	$182,450	$26,924	$1,098,024	$55,106
MICHELLE TRUPP
COO	$511,493	$153,448	$67,605	$87,224	$1,041	$820,811	$65,625
THERESE SUCHER
INT CEO TERM			$766,755		$16,057	$782,812
ROBERT EHINGER
CFO/TREAS	$407,472	$124,057	$68,018	$73,579	$17,665	$690,791	$64,208
WEI DU MD
SVP CHIEF ACADEMIC	$499,338		$1,953	$86,550	$1,041	$588,882
PAMELA HERNANDEZ
SVP/CHIEF PEOPLE OFF	$469,783		$690	$82,800	$9,671	$562,944
SUSAN GARCIA
SVP REV CYCLE	$353,958		$118,184	$63,277	$19,186	$554,605	$55,897
THOMAS BARTIROMO
SVP CIO	$391,795		$1,267	$78,914	$17,393	$489,369
OLUBUMNI OJIKUTU MD
BOARD MEMBER								$410,847	$8,037	$7,159	$26,924	$452,967
BARBARA ROMIG
CNO TERM	$357,868	$72,001	$2,045	$10,500	$521	$442,935
LISA HESS
VP MARKETING/COMM	$111,752	$70,675	$230,511	$6,458	$7,929	$427,325	$32,747
RON NUTTING MD
CMO TERM			$406,295		$16,822	$423,117
CHARLES VALENTINO
VP REV INTEGRITY	$316,136	$64,056	$450	$6,985	$18,973	$406,600
MARK L MCNASH
SVP SUP SERV	$65,282	$171,313	$137,059	$4,580	$7,885	$386,119	$136,602
MARK REYNGOUDT
CFO/TREAS TERM			$329,733		$23,726	$353,459
JOHN CASEY MD
BOARD MEMBER								$223,096	$39,724	$30,818	$17,573	$311,211	$36,989
ANN BLANKENHORN
INTERIM CNO	$242,819	$48,564	$548	$8,742	$1,040	$301,713
CLINT MATTHEWS
TH PRES/CEO TERM			$269,231	$7,912		$277,143
MARY AGNEW
SVP CNO TERM			$264,206		$9,176	$273,382

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4	SUZANNE WENDEROTH, MD 0 76,047 0 CHARLES BARBERA, MD 0 55,106 0 MICHELLE TRUPP 0 65,625 0 THERESE SUCHER 771,494 0 0 ROBERT EHINGER 0 64,208 0 SUSAN GARCIA 0 55,897 0 LISA HESS 196,516 32,747 0 RON NUTTING, MD 410,496 0 0 MARK L. MCNASH 0 136,602 0 MARK REYNGOUDT 337,402 0 0 JOHN CASEY, MD 0 36,989 0 CLINT MATTHEWS 269,231 0 0 MARY AGNEW 266,913 0 0
SCHEDULE J, PAGE 1, PART I, LINE 7	TOWER HEALTH USES RETENTION BONUSES FOR KEY EXECUTIVES AS ONE WAY TO ENSURE CONTINUITY OF LEADERSHIP AS THE HEALTH SYSTEM NAVIGATES ITS ORGANIZATION TURNAROUND AND FULFILLS ITS MISSION IN A CHALLENGING ENVIRONMENT FOR HEALTHCARE PROVIDERS. THE DETAILS OF INDIVIDUAL EXECUTIVE RETENTION BONUSES ARE DEVELOPED WITH OVERSIGHT BY THE TOWER HEALTH BOARD OF DIRECTORS COMPENSATION COMMITTEE AND ARE APPROVED BY THE FULL TOWER HEALTH BOARD. AS IN ALL MATTERS OF EXECUTIVE COMPENSATION, THE BOARD RELIES ON MARKET DATA AND OUTSIDE EXPERTISE TO ENSURE ITS RETENTION BONUS PROGRAM IS CONSISTENT WITH INDUSTRY STANDARDS. CHARLES BARBERA, MD 140,000.64 ROBERT EHINGER 124,057.00 SUZANNE WENDEROTH 200,160.00 MICHELLE TRUPP 153,448.00 BARBARA ROMIG 72,001.28 ANN BLANKENHORN 48,564.00 CHARLES VALENTINO 64,056.00 MARK MCNASH 171,313.00 LISA HESS 70,675.00
SCHEDULE J, PART III	PART 1, LINE 4B TERMS AND CONDITIONS OF PARTICIPATION IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THE 457(F) PLAN IS A TAX-DEFERRED RETIREMENT PLAN CONSISTING OF EMPLOYER CONTRIBUTIONS THAT ARE DESIGNED TO HELP SUPPLEMENT THE RETIREMENT SAVINGS FOR KEY EMPLOYEES. THE EMPLOYEE IS IMMEDIATELY ELIGIBLE TO RECEIVE TOWER HEALTH CONTRIBUTIONS TO THE 457(F) DEFERRED COMPENSATION PLAN. THE EMPLOYEE MUST BE EMPLOYED ON DECEMBER 31ST TO RECEIVE THE EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR. THE EMPLOYEE SHALL BECOME 100% VESTED IN THE EMPLOYER CONTRIBUTION FOR THAT PLAN YEAR THREE YEARS AFTER THE CONTRIBUTION HAS BEEN MADE TO THE ACCOUNT. THE EMPLOYEE WILL ALSO BECOME 100% VESTED IN ALL OF THE EMPLOYER CONTRIBUTIONS: 1) UPON ATTAINING THE AGE 65 WHILE STILL EMPLOYED BY TOWER HEALTH 2) DUE TO DEATH OR DISABILITY 3) UPON TERMINATION OF EMPLOYMENT WITHOUT CAUSE PARTICIPATION IN PLAN: THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) DEFERRED COMPENSATION PLAN DURING THE CALENDAR YEAR 2024 BUT DID NOT RECEIVE A DISTRIBUTION. WEI DU PAMELA HERNANDEZ THOMAS BARTIROMO

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	WEBSITE: WWW.TOWERHEALTH.ORG/LOCATIONS/READING-HOSPITAL THE MISSION OF READING HOSPITAL IS TO PROVIDE COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO THE COMMUNITY; TO PROMOTE HEALTH; TO EDUCATION HEALTHCARE PROFESSIONALS; AND TO PARTICIPATE IN APPROPRIATE CLINICAL RESEARCH. IN ADDITION TO ITS PRIMARY ROLE AS A PROVIDER OF DIRECT CARE, READING HOSPITAL ADDRESSES ISSUES OUTSIDE THAT REAL THAT IMPACT HEALTH AND WELLNESS. IN FACT, A KEY PART OF OUR MISSION MEANS THE REINVESTMENT OF RESOURCES INTO THESE EFFORTS, WHICH ARE COLLECTIVELY KNOWN AS COMMUNITY BENEFIT. WE ARE PROUD TO REPORT THAT IN OUR LAST FISCAL YEAR (FY2023), WE COMMITTED NEARLY 159.5M TO THIS CAUSE. READING HOSPITAL'S COMMUNITY WELLNESS DEPARTMENT SUPPORTS THE HOSPITAL'S COMMUNITY ENGAGEMENT AND COMMUNITY BENEFIT ENDEAVORS. THE DEPARTMENT'S MISSION IS THREE PRONGED AND SEEKS TO LEAD, PARTNER, AND INVEST IN STRATEGIC HEALTH INITIATIVES THAT TARGET THE UNDERSERVED, ADDRESS HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH, AND PROMOTE HEALTH EQUITY. THE COMMUNITY WELLNESS DEPARTMENT ALSO MANAGES THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN PROCESSES. READING HOSPITAL'S 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 2022 CHNA IMPLEMENTATION PLAN WAS FINALIZED, ADOPTED, AND MADE PUBLICLY AVAILABLE BY THE NOVEMBER 15, 2022, DEADLINE. THE CATEGORIES AND STRATEGIES OUTLINED BELOW REFLECT THE 2022 CHNA AND IMPLEMENTATION PLAN EFFORTS: ACCESS TO EQUITABLE CARE - INCREASE ACCESS TO EQUITABLE CARE BY COMMUNITY MEMBERS, PARTICULARLY THOSE CONSIDERED DISPARATE AND VULNERABLE POPULATIONS. THE FIRST PRIORITIZED NEED, ACCESS TO EQUITABLE CARE, INCLUDES STRATEGIES THAT SEEK TO INCORPORATE BETTER CARE COORDINATION, INTEGRATION, AND ALIGNMENT OF HOSPITAL SYSTEMS AND SERVICES, AS WELL AS ONGOING EFFORTS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. THE FIRST STRATEGY IN THIS PRIORITY AREA IS THE STREET MEDICINE PROGRAM WHICH SEEKS TO PROVIDE HEALTH CARE TO SOME OF THE MOST VULNERABLE MEMBERS OF THE BERKS COUNTY COMMUNITY - THE UNSHELTERED HOMELESS, SHELTER RESIDENTS, AND HOUSING INSECURE INDIVIDUALS. PHYSICIANS, NURSES, AND OTHER CLINICAL AND NON-CLINICAL STAFF VOLUNTEER THEIR TIME TO VISIT HOMELESS CAMPS, SOUP KITCHENS, AND SHELTERS TO DELIVER FREE PRIMARY AND ACUTE HEALTHCARE SERVICES TO THIS OFTEN UNDERSERVED AND NEGLECTED POPULATION IN AN ENVIRONMENT THAT IS FAMILIAR, SAFE, AND NON-JUDGMENTAL. THE PROGRAM PARTNERS WITH 6 COMMUNITY-BASED SITES INCLUDING HOPE RESCUE MISSION, LIGHTHOUSE WOMEN'S AND CHILDREN CENTER, CITY LIGHT MINISTRY, MARY'S SHELTER, READING YMCA, AND NEW JOURNEY COMMUNITY OUTREACH. THE STREET MEDICINE PROGRAM STRIVES TO DELIVER EQUITABLE AND PATIENT-CENTERED PRIMARY AND ACUTE HEALTHCARE SERVICES, INCREASE ACCESSIBILITY AND CONTINUITY OF CARE BY CONNECTING PATIENTS TO HEALTHCARE SERVICES THROUGH TELEHEALTH, PROVIDE PATIENT CASE MANAGEMENT SERVICES AND INPATIENT CONSULTATIONS, AND EDUCATION PATIENTS ON AVAILABLE COMMUNITY SERVICES AND RESOURCES. A TELEHEALTH KIOSK INSTALLED AT HOPE RESCUE MISSION, A LOCAL HOMELESS SHELTER AND COMMUNITY-BASED PARTNER, ALLOWS A HEALTHCARE PROVIDER TO MEET VIRTUALLY WITH PATIENTS WHO HAVE AN IMMEDIATE NEED OR REQUIRE FOLLOW-UP FROM A PRIOR VISIT. THE KIOSK ALSO OFFERS EXTERNAL MEDICAL DEVICES INCLUDING A BLOOD PRESSURE MONITOR, THERMOMETER, STETHOSCOPE, AND OTOSCOPE. THE HEALTHCARE SERVICES OFFERED THROUGH THE STREET MEDICINE PROGRAM INCLUDE PRIMARY (INTERNAL AND FAMILY MEDICINE) AND PREVENTATIVE CARE, ADDICTION MEDICINE (MAT), PSYCHIATRIC CARE, OBSTETRICS AND GYNECOLOGY (INCLUDING PRENATAL AND POSTPARTUM CARE, CONTRACEPTION AND FAMILY PLANNING, GYNECOLOGICAL EXAMS, MENSTRUAL HEALTH AND MENOPAUSE MANAGEMENT, AND CANCER SCREENINGS), PEDIATRICS (INCLUDING GENERAL EXAMINATIONS, PHYSICAL EXAMS FOR SCHOOL ENTRY, DRIVER'S LICENSE EXAMINATIONS, DAYCARE FORMS, AND SICK AND WELL VISITS), PHYSICAL THERAPY, ENDOCRINOLOGY, PODIATRY (FOOD AND ANKLE CARE) AND DIABETES EDUCATION, AS WELL AS RECURRING SPECIALTY SUB-CLINICS - VISION CLINIC (COLOR BLINDNESS, FIELD OF VISION, AND GLAUCOMA SCREENINGS, VISUALIZATION OF RETINAS, AND VISUAL ACUITY CHANGES), NEUROLOGY CLINIC (EVALUATION OF PALSY, DROP, NEUROPATHY, REVIEW OF SEIZURE TREATMENT AND MEDICATIONS, SCREENINGS FOR COGNITIVE OR MOOD CHANGES, STROKE FOLLOW UP INCLUDING REVIEW OF TREATMENT GUIDELINES, COMPREHENSIVE NEUROLOGICAL EXAMINATIONS), AND PULMONARY CLINIC (SLEEP APNEA SCREENING, EVALUATION FOR LOW-DOSE CT LUNG CANCER SCREENING, TOBACCO CESSATION EDUCATION, RESPIRATORY DISEASE - COPD, ASTHMA, OSA - EDUCATION, AND REVIEW OF RESPIRATORY MEDICATIONS SUCH AS INHALERS AND NEBULIZERS). THE ABILITY TO CONDUCT RAPID HIV TESTING WAS ADDED DURING FY2024. IN FY2024, THE STREET MEDICINE TEAM CONDUCTED 3,725 PATIENT ENCOUNTERS, AND INCREASE OF NEARLY 1,600 ENCOUNTERS OVER THE PREVIOUS YEAR WITH 2,283 PATIENTS (UP FROM 1,320 THE PREVIOUS FISCAL YEAR). STREET MEDICINE VOLUNTEERS LOGGED OVER 1,700 HOURS PROVIDING CARE AND SUPPORT TO THE PROGRAM AND ITS PATIENTS. ACCORDING TO PENNSYLVANIA STATE CANCER PROFILES, BREAST CANCER IS THE MOST COMMONLY DIAGNOSED CANCER IN BERKS COUNTY. DISPARITIES BY RACE AND ETHNICITY WERE NOTED WITH MORE WHITE COMMUNITY MEMBERS BEING DIAGNOSED WITH BREAST CANCER, BUT SIGNIFICANTLY HIGHER DEATH RATES AMONG BLACK COMMUNITY MEMBERS. IN SEPTEMBER 2022, READING HOSPITAL OPERATIONALIZED A MOBILE MAMMOGRAPHY PROGRAM, SEEKING TO INCREASE ACCESS TO LIFE-SAVING SCREENING MAMMOGRAMS BY HELPING TO REMOVE BARRIERS SUCH AS LACK OF TRANSPORTATION, THE INABILITY TO LEAVE WORK FOR APPOINTMENTS, AND LACK OF CHILDCARE, AMONG OTHERS. IN FY2024, THE MOBILE MAMMOGRAPHY PROGRAM CONDUCTED 121 EVENTS AND COMPLETED 1,090 SCREENING MAMMOGRAMS. OVER 42% OF PATIENTS SCREENED LIVE IN THE CITY OF READING, A HISTORICALLY UNDERSERVED AREA. NEARLY 13% OF PATIENTS SCREENED WERE UNINSURED. NEARLY 8% OF PATIENTS SCREENED WERE BLACK OR AFRICAN AMERICAN, OVER 28% WERE HISPANIC OR LATINO, AND OVER 19% WERE SPANISH SPEAKING. READING HOSPITAL HOSTS MONTHLY SCREENING EVENTS IN PARTNERSHIP WITH LOCAL FEDERALLY-QUALIFIED HEALTH CENTERS - BERKS COMMUNITY HEALTH CENTER AND COMMUNITY HEALTH AND DENTAL - TO INCREASE SCREENING RATES AMONG UNDERSERVED, VULNERABLE COMMUNITY MEMBERS. READING HOSPITAL'S REMOTE PATIENT MONITORING PROGRAM, CONDUCTED IN COLLABORATION WITH THE CARDIAC VASCULAR CENTER, POPULATION HEALTH, AND EMS OUTREACH, SUPPLIES BLUETOOTH ENABLED SCALES AND OTHER DEVICES TO PATIENTS WITH HEART FAILURE. THE TEAM PROVIDES MONITORING, FOLLOW-UP, AND EDUCATION. IN FY2024, 206 PATIENTS WERE ENROLLED IN THE HEART FAILURE RPM PROGRAM, BRINGING THE TOTAL NUMBER OF PATIENTS SERVED SINCE 2019 TO 984. IN PARTNERSHIP WITH TOWERDIRECT, PATIENTS ENROLLED IN RPM ARE ABLE TO RECEIVE IN-HOME ASSESSMENT AND EDUCATION. THE OUTREACH CONDUCTED HAS LED TO MEDICATION ADJUSTMENTS, IMPROVED CARE COORDINATION, THE DEVELOPMENT OF ALTERNATIVE CARE PLANS, REFERRALS TO A NUMBER OF ADDITIONAL RESOURCES (BEHAVIORAL HEALTH, NUTRITION, HOME HEALTH), AND EDUCATION ON MEDICATION ADHERENCE, NUTRITION, AND SELF-MANAGEMENT TECHNIQUES. READING HOSPITAL OFFERS RIDE HEALTH WHICH PROVIDES FREE RIDES TO AND FROM APPOINTMENTS WHO FACE TRANSPORTATION BARRIERS. DURING FY2024, 5,345 RIDES WERE COORDINATED FOR PATIENTS RESULTING IN A NET COMMUNITY BENEFIT OF 127,981. A NUMBER OF INITIATIVES HAVE BEEN UNDERTAKEN TO IDENTIFY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH) AND CREATE OPPORTUNITIES FOR PATIENTS TO ACCESS EQUITABLE CARE. READING HOSPITAL'S COMMUNITY CONNECTION PROGRAM (CCP) CONDUCTS SDOH SCREENINGS THAT COVER 5 DOMAINS INCLUDING FOOD, HOUSING, TRANSPORTATION, UTILITIES, AND SAFETY. PATIENTS WHO SCREEN POSITIVE FOR SOCIAL NEEDS ARE PROVIDED A COMMUNITY REFERRAL SUMMARY WITH INFORMATION ON RESOURCES AVAILABLE IN THE COMMUNITY TO HELP ADDRESS THEIR UNMET NEEDS IN ADDITION TO BEING CONNECTED WITH A CERTIFIED COMMUNITY HEALTH WORKER (CHW). CHWS SUPPORT PATIENTS WITH SDOH NEEDS BY PROVIDING COMMUNITY RESOURCES, DIRECT CLOSED-LOOP REFERRALS TO LOCAL COMMUNITY-BASED ORGANIZATIONS (CBOS), AND CARE COORDINATION. IN ADDITION, CHWS OFFER EDUCATIONAL INTERVENTIONS TO PATIENTS WITH LOW OR MODERATE HEALTH LITERACY LEVELS TO HELP THEM IMPROVE THEIR HEALTH LITERACY. FOR PATIENTS WITH CHRONIC DISEASES SUCH AS HEART FAILURE, COPD, OR DIABETES, CHWS PROVIDE HEALTH EDUCATION, AWARENESS, AND PROMOTION ON WAYS TO MANAGE THEIR DISEASE AND IMPLEMENT HEALTHY BEHAVIORS WITH THEIR PRIMARY CARE PROVIDERS AND SPECIALISTS. IN FY2024, 23,308 SCREENINGS WERE COMPLETED, AND 15,275 BENEFICIARIES SCREENED POSITIVE FOR UNMET SOCIAL NEEDS AND WERE OFFERED CHW INTERVENTION AND SUPPORT. A NUMBER OF INITIATIVES WERE IMPLEMENTED IN TOWER HEALTH'S ACCESS CENTER AND THE ONLINE PORTAL MYTOWERHEALTH TO INCREASE ACCESS TO SERVICES. THESE INCLUDE THE MIGRATION OF DECENTRALIZED PRACTICES TO A CENTRALIZE
FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEERS INCLUDE BOARD MEMBERS WITHOUT COMPENSATION AND VOLUNTEERS PROVIDING VOLUNTEER SERVICES AT THE HOSPITAL. IN FISCAL YEAR 2024, READING HOSPITAL HAD 127 VOLUNTEERS GIVE 10,961 HOURS OF SERVICE AT THE HOSPITAL. THERE ARE THREE TYPES OF VOLUNTEERS THAT SERVE THE READING HOSPITAL. THE FIRST TYPE ARE IN-SERVICE VOLUNTEERS WHO COME INTO THE HOSPITAL. THEY GO TO PATIENT CARE UNITS TO RESTOCK, REFILL PATIENT WATER, PROVIDE VISITOR COMFORT TO THE PATIENTS AND HELP THE STAFF WITH VARIOUS ACTIVITIES. THIS ALLOWS OUR STAFF TO PROVIDE A HIGHER LEVEL CARE TO OUR PATIENTS. THEY ALSO ACT AS A PATIENT GREETER AND A PATIENT/VISITOR GUIDE THROUGHOUT THE HOSPITAL. THE SECOND TYPE OF VOLUNTEER IS THE COMMUNITY VOLUNTEER. WE HAVE VOLUNTEERS WHO HAND MAKE PATIENT COMFORT ITEMS. THE THIRD TYPE OF VOLUNTEER ARE THE FRIENDS OF READING HOSPITAL WHO VOLUNTEER THEIR TIME AND TALENT TO FUND RAISE FOR SPECIAL PROJECTS TO ENHANCE THE PATIENT EXPERIENCE AND THE HEALTH OF OUR COMMUNITY. FOR PATIENTS, FAMILY MEMBERS, AND FRIENDS WALKING THROUGH OUR DOORS, IS NOT AN AVERAGE DAY. VOLUNTEERS HELP MAKE THESE DAYS BETTER AT READING HOSPITAL.
FORM 990, PART III	OTHER COMMUNITY BENEFIT ACTIVITIES READING HOSPITAL'S PUBLIC-FACING BE WELL BERKS WEBSITE PROVIDES UP TO DATE INFORMATION ABOUT COMMUNITY WELLNESS DEPARTMENT INITIATIVES, EVENTS, AND EDUCATIONAL MATERIALS FOR COMMUNITY MEMBERS. THE CONTENT IS ACCESSIBLE ON A NUMBER OF DEVICES INCLUDING DESKTOPS, LAPTOPS, MOBILE DEVICES, TABLETS, ETC. READING HOSPITAL EMPLOYS A TRAUMA OUTREACH EDUCATION COORDINATOR WHO PROVIDES TRAUMA AND INJURY PREVENTION EDUCATION TO THE COMMUNITY AT NO COST. EDUCATION TOPICS INCLUDE FALL PREVENTION, BIKE AND MOTORCYCLE SAFETY, CAR SEAT SAFETY, DISTRACTED DRIVING/TEXTING WHILE DRIVING, DOG BITES, AND HUNTING SAFETY. THE COORDINATOR CONDUCTS STOP THE BLEED TRAININGS AND ASSISTS WITH PLANNING OF MATTER OF BALANCE CLASSES IN THE COMMUNITY, AS WELL AS LEADING COORDINATION OF AN ANNUAL FALL PREVENTION DAY EVENT EACH SEPTEMBER. READING HOSPITAL ALSO PROMOTES THE TRAUMA SURVIVORS NETWORK, A WEBSITE PROVIDING RESOURCES, TOOLS, AND A SUPPORT NETWORK FOR TRAUMA PATIENTS AND THEIR FAMILIES TO HELP NAVIGATE THE ROAD TO RECOVERY. READING HOSPITAL'S LIBRARY SERVICES DEPARTMENT PROVIDES A SPACE AND RESOURCES FOR HOSPITAL STAFF AND THE GENERAL PUBLIC TO CONDUCT RESEARCH. READING HOSPITAL PARTNERS WITH ELEVATE TO PROVIDE UNINSURED AND UNDERINSURED PATIENTS ENROLLMENT ASSISTANCE FOR MEDICAID AND PRESCRIPTION ASSISTANCE FOR THE HOSPITAL'S CANCER INFUSION CENTER PATIENTS. MEDSAFE, AN UNUSED OR EXPIRED MEDICATION DISPOSAL SYSTEM, IMPROVES OUR COMMUNITY'S ENVIRONMENT AND INCREASES SAFETY BY REMOVING CONTROLLED AND NON-CONTROLLED PHARMACEUTICALS. THE PROGRAM REDUCES THE RISK OF ABUSE, ACCIDENTAL INGESTION, AND ENVIRONMENTAL CONTAMINATION. IN FY2024, APPROXIMATELY 1,000 POUNDS OF MEDICATIONS WERE COLLECTED. READING HOSPITAL'S EMERGENCY DEPARTMENT, IN PARTNERSHIP WITH THE COUNCIL ON CHEMICAL ABUSE (COCA) AND BERKS TREATMENT ACCESS AND SERVICES CENTER, INC. (TASC), CONDUCTS A WARM HANDOFF PROGRAM WHICH PROVIDES TREATMENT INTERVENTIONS TO INDIVIDUALS WITH SUBSTANCE USE DISORDERS. THE COLLABORATION PROVIDES CERTIFIED RECOVERY SPECIALISTS WHO STAFF THE EMERGENCY DEPARTMENT 24 HOURS A DAY, 7 DAYS A WEEK. THE SPECIALISTS CAN ARRANGE FOR IMMEDIATE ADMISSION FOR ALL LEVELS OF DRUG AND ALCOHOL TREATMENT (WITHDRAWAL MANAGEMENT/DETOX, RESIDENTIAL/REHAB, MEDICALLY ASSISTED TREATMENT/MAT, PARTIAL HOSPITALIZATION PROGRAMS, INTENSIVE OUTPATIENT TREATMENT, AND OUTPATIENT TREATMENT), PROVIDE COMMUNITY-BASED RECOVERY SUPPORT SERVICES, OFFER NARCAN KITS TO INDIVIDUALS USING OPIOIDS, AND OPERATE A 24-HOUR DRUG AND ALCOHOL HOTLINE. READING HOSPITAL OFFERS A NUMBER OF FITNESS CLASSES TO COMMUNITY MEMBERS FOR MINIMAL COST. THE SESSIONS INCLUDE AQUATIC FITNESS, PWR PARKINSON'S WELLNESS RECOVERY, RISE UP & SHINE, TAI CHI. IN FY2024, THESE CLASSES PRODUCED A NET COMMUNITY BENEFIT OF NEARLY 11,000. THESE PROGRAMS ENCOURAGE HEALTHY HABITS AND IMPROVE THE OVERALL WELLNESS OF PROGRAM PARTICIPANTS. THE MCGLINN CANCER INSTITUTE OFFERS GENETIC SCREENING AND COUNSELING TO PHYSICIAN-REFERRED AND SELF-REFERRED COMMUNITY MEMBERS. THE SERVICE INCREASES AWARENESS AND PREVENTION EFFORTS AMONG THOSE WHO ARE AT RISK OF CANCER. READING HOSPITAL PROVIDES SOCIAL WORK SUPPORT, CASE MANAGEMENT, CONSULTATION, AND INDIVIDUAL, FAMILY, AND GROUP INTERVENTION SERVICES TO WYOMISSING SCHOOL DISTRICT STUDENTS IN GRADES K-12 AT NO COST TO THE SCHOOL DISTRICT OR THE STUDENTS AND FAMILIES SERVED. DURING FY2024, A LICENSED CLINICAL SOCIAL WORKER WHO FACILITATES THE SERVICES CARRIED A CASELOAD OF 60 STUDENTS, CONDUCTED 13 SAP ASSESSMENTS, COMPLETED 24 SAP MEETINGS, AND PARTICIPATED IN THE SCHOOL'S AEVIDUM, A STUDENT MENTAL HEALTH CLUB, WHICH HELD 15 MEETINGS AND CONDUCTED 12 SCHOOL-WIDE MENTAL HEALTH AWARENESS CAMPAIGNS/ACTIVITIES. READING HOSPITAL PARTNERS WITH MILLER-KEYSTONE BLOOD CENTER TO HOST BLOOD DRIVES FOR EMPLOYEES. DURING FY2024, 5 EVENTS WERE HELD. 154 UNITS OF BLOOD WERE COLLECTED WHICH HAS THE OPPORTUNITY TO HELP UPWARDS OF 462 PEOPLE. READING HOSPITAL STAFF REGULARLY PARTICIPATE IN THE ANNUAL PIECE PER PERSON CHALLENGE BENEFITTING HELPING HARVEST FRESH FOOD BANK, WHICH PROVIDES NOURISHMENTS TO MEMBERS OF THE COMMUNITY THROUGH PANTRIES, SOUP KITCHENS, SHELTERS, MOBILE MARKETS, AND OTHER PROGRAMMING. IN FY2024, NEARLY 35,000 INDIVIDUAL FOOD ITEMS WERE COLLECTED. 99 DEPARTMENTS AND MORE THAN 4,000 STAFF PARTICIPATED IN THE COLLECTION. THE INITIATIVE HELPS TO FILL OVER 5,000 WEEKENDER BAGS (ENOUGH FOR ONE MONTH OF DISTRIBUTIONS) WITH EACH BAG CONTAINING TWO BREAKFASTS, TWO LUNCHES, AND TWO SNACKS TO SUSTAIN READING SCHOOL DISTRICT STUDENTS OVER THE WEEKEND. EACH YEAR, THE NUTRITION SERVICES DEPARTMENT PURCHASES AND DONATES TURKEYS TO THE SALVATION ARMY OF READING TO SUPPORT THEIR ANNUAL THANKSGIVING MEAL DISTRIBUTION. IN FY2024, THE DEPARTMENT PURCHASED AND DONATED 500 TURKEYS WHICH HELPED TO FEED FAMILIES OVER THE THANKSGIVING HOLIDAY. UNITED WAY OF BERKS COUNTY CONDUCTS AN ANNUAL STUFF THE BUS CAMPAIGN TO PROVIDE SCHOOL SUPPLIES TO LOCAL CLASSROOMS AND NURSES OFFICES. READING HOSPITAL DEPARTMENTS COLLECTED AND DISTRIBUTED MUCH NEEDED SUPPLIES FOR 104 CLASSROOMS AND 21 NURSES' OFFICES AT GLENSIDE, MILLMONT, AND TYSON-SCHOENER ELEMENTARY SCHOOLS IN THE READING SCHOOL DISTRICT. THE CENTER FOR PUBLIC HEALTH CONDUCTS A FREE HIV TESTING CLINIC AND STD SCREENINGS FOR COMMUNITY MEMBERS. DURING FY2024, 126 UNIQUE PERSONS WERE TESTED FOR HIV, AND 950 UNIQUE PERSONS WERE SCREENED FOR STDS WITH 1,182 SCREENINGS CONDUCTED. READING HOSPITAL STAFF LEAD A NUMBER OF SUPPORT GROUPS TO HELP PATIENTS AND COMMUNITY MEMBERS SEEKING SUPPORT AS THEY NAVIGATE VARIOUS DISEASE DIAGNOSES. IN FY2024, THE FOLLOWING SUPPORT GROUPS HELD MEETINGS: APHASIA SUPPORT GROUP, PARKINSON'S DISEASE SUPPORT GROUP, SPINAL CORD INJURY SUPPORT GROUP, STROKE SUPPORT GROUP, AND TRAUMATIC BRAIN INJURY SUPPORT GROUP. READING HOSPITAL REHABILITATION AT WYOMISSING HOSTS ITS 11TH ANNUAL GOLF CLINIC CALLED FIRST SWING/LEARN TO GOLF, WHICH IS FREE FOR PARTICIPANTS WITH A DISABILITY AND THEIR FAMILIES. MORE THAN 40 PARTICIPANTS ATTENDED THE EVENT WHERE ADAPTIVE GOLF EQUIPMENT WAS DEMONSTRATED. READING HOSPITAL'S DIVERSITY, EQUITY, AND INCLUSION COUNCIL WAS ESTABLISHED WITH THE MISSION TO "FOSTER AN ENVIRONMENT THAT EXPRESSLY VALUES DIVERSITY OF THOUGHT, PERSPECTIVE, BACKGROUND, AND EXPERIENCE AMONG ITS EMPLOYEES, TO MAKE EACH INDIVIDUAL FEEL WELCOME AND APPRECIATED FOR THEIR UNIQUE CONTRIBUTIONS. THE COUNCIL IS COMMITTED TO ATTRACTING AND RETAINING A DIVERSE WORKFORCE, PROVIDING DIVERSITY AND INCLUSION TRAINING TO EMPLOYEES, FACILITATING EMPLOYEE RESOURCE GROUPS, AND PROMOTING DIVERSITY, EQUITY, AND INCLUSION THROUGH EVENTS AND COMMUNICATION ACTIVITIES. THE COUNCIL IS MADE UP OF BOTH CLINICAL AND NON-CLINICAL STAFF MEMBERS. THE COUNCIL LEADS A VIRTUAL SPEAKER SERIES CALLED "LET'S TALK" WHICH FEATURES A RANGE OF TOPICS RELATED TO DIVERSITY AND INCLUSION. FY2024 TOPICS INCLUDED LEADERSHIP ROUNDTABLE - BUILDING A CULTURE OF INCLUSION AT TOWER HEALTH, EMPOWERMENT THROUGH CONNECTION: EXPLORING THE VALUE OF COLLEAGUE NETWORKING GROUPS, BREAST CANCER AWARENESS, MILITARY CULTURE AND S.A.V.E. INTERVENTION FOR SUICIDE RISK, SEASONAL AFFECTIVE DISORDER (SAD), ADVANCING HEALTH LITERACY, EXPLORING LOCAL BLACK HISTORY IN BERKS COUNTY, SOCIAL INEQUITIES IN HEART FAILURE, THE INSECURITIES AND VULNERABILITIES OF THE HARD-OF-HEARING, THE STIGMA OF HOMELESSNESS, NEURODIVERSITY IN THE WORKPLACE: AUTISM AND ADHD, AND OUR ROLE IN ENDING THE HIV EPIDEMIC AND HIV STIGMA. THE GROUP LAUNCHED A DEI360 ASSESSMENT IN MARCH 2023 TO FUNCTION AS A BAROMETER OF INCLUSION WITHIN READING HOSPITAL AND TOWER HEALTH TO PROVIDE THE ORGANIZATION WITH THE TOOLS AND BENCHMARKS FOR EXAMINING ITS DEI EFFORTS. THE RESULTS OF THE ASSESSMENT WERE REVIEWED, AND STAFF WERE ABLE TO SHARE THEIR THOUGHTS AND IDEAS DURING EMPLOYEE LISTENING SESSIONS HELD IN OCTOBER 2023. THE EMPLOYEE ENGAGEMENT AND BELONGING WORKING GROUP SUPPORTS DEI EFFORTS BY CREATING OPPORTUNITIES TO RECOGNIZE CULTURAL AND HERITAGE OBSERVANCES, OFFERING NETWORKING EVENTS THAT ALLOW COLLEAGUES TO CONNECT AND LEARN FROM ONE ANOTHER, AND SERVING AS A DIVERSIFIED VOICE OF THE WORKFORCE. THE WORKFORCE AND TRAINING WORKING GROUP DISCUSSES TOPICS AFFECTING THE WORKPLACE EXPERIENCE OF ALL TOWER HEALTH EMPLOYEES, CONTRIBUTE TO POLICY AUDITS AND FACILITATES THE DEVELOPMENT OF NEW POLICIES TO ADDRESS DISPARITIES, ORGANIZES OPPORTUNITIES FOR PROFESSIONAL DEVELOPMENT AND CAREER GROWTH, AND SERVES AS A CONNECTED AND DIVERSIFIED VOICE OF THE WORKFORCE. FOUR SYSTEM- WIDE COLLEAGUE NETWORKING GROUPS - EMOTIONAL WELLNESS, LGBTQ+ AND ALLIES, MULTICULTURALISM, AND WOMEN IN LEADERSHIP - WERE LAUNCHED TO PROVIDE AN INTERNAL COMMUNITY FOR ONGOING DIALOGUE AND COLORATION TO ADVOCATE, PRIORITIZE, AND ESCALATE IDEAS AND ISSUES AFFECTING EMPLOYEES, PATIENTS, AND THE COMMUNITIES WE SERVE. IN JANUARY 2024, THE COUNCIL HOSTED ITS INAUGURAL MLK DAY OF SERVICE TO COMMEMORATE THE LIFE AND LEGACY OF DR. MARTIN LUTHER KING, JR. AND EMBRACE THE IDEA THA
FORM 990, PAGE 2, PART III, LINE 4A	INPATIENT CARE - 206,176 PATIENT DAYS READING HOSPITAL PROVIDES 725 BEDS FOR PROVISION OF COMPREHENSIVE INPATIENT, OUTPATIENT, AND EMERGENT CARE. INPATIENT CARE IS PROVIDED IN 2 CRITICAL CARE UNITS, 2 INTERMEDIATE CARE UNITS, 3 ACUTE REHABILITATION UNITS, AND 13 MEDICAL SURGICAL UNITS WITH SUB-SPECIALTIES THAT INCLUDE ONCOLOGY, NEUROLOGY, CARDIOLOGY, HEART FAILURE, ORTHOPEDICS, TRAUMA, BARIATRIC SURGERY, AND MEDICAL COMPLEXITY. IN ADDITION, READING HOSPITAL PROVIDES COMPREHENSIVE MATERNAL CHILD HEALTH SERVICES THAT INCLUDE OBSTETRICS, NEONATAL INTENSIVE CARE, INPATIENT PEDIATRIC MEDICAL SURGICAL CARE, AND PEDIATRIC EMERGENCY SERVICES. INPATIENT SERVICES ARE SUPPORTED BY HOSPITAL-BASED HEMODIALYSIS, APHERESIS, AND VASCULAR ACCESS SERVICES. READING HOSPITAL INPATIENT CARE OFFERS THE FOLLOWING HIGH-LEVEL SERVICES TO SUPPORT COMMUNITIES WITHIN BOTH ITS PRIMARY AND SECONDARY MARKETS: 1. REGIONAL CANCER AND CARDIAC CENTERS 2. COMPLETED SURVEY TO ADVANCE TO A COMPREHENSIVE STROKE PROGRAM 3. VIRTUAL NURSING (PATIENT OBSERVATION AND VIRTUAL ADMISSIONS) 4. ADVANCED CERTIFICATION FOR OUR HIP/KNEE JOINT REPLACEMENT PROGRAM 5. CERTIFICATION IN BARIATRIC CARE 6. CERTIFIED ADVANCED PEDIATRIC ASTHMA PROGRAM 7. PATIENT DISCHARGE LOUNGE 8. LEVEL 1 TRAUMA CENTER (ONLY LEVEL 1 CENTER WITHIN THE COUNTY) 9. REGIONAL LEVEL III NEONATAL INTENSIVE CARE UNIT 10. CHARITY CARE PROGRAM IN ADDITION, READING HOSPITAL INPATIENT CARE IS ALIGNED WITH SYSTEM PROGRAMS TO IMPROVE POST DISCHARGE CARE OUTCOMES, CARE ACROSS THE CONTINUUM FROM INPATIENT TO AMBULATORY SETTING, AND DECREASED READMISSION, INCLUDING: 1. COMPREHENSIVE POPULATION HEALTH SERVICES 2. TOWER HEALTH STREET MEDICINE PROGRAM - A PROGRAM TO PROVIDE HEALTH SERVICES AND PREVENTATIVE CARE TO HOMELESS POPULATION WITHIN THE COMMUNITY 3. TELE-HEALTH SUPPORT OF HEART FAILURE PATIENT POPULATION TO HELP PREVENT READMISSIONS THROUGH THE REMOTE MONITORING OF BP AND WEIGHT READING HOSPITAL WAS MAGNET DESIGNATED FOR NURSING AND PATIENT CARE EXCELLENCE IN 2016 AND OUR FIRST RE-DESIGNATION IN 2021. CURRENTLY IN THE PROCESS FOR COMPLETING THE DOCUMENTS FOR OUR SECOND RE-DESIGNATION IN 2025; THIS NATIONAL LEVEL DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER IS RENEWED EVERY FOUR YEARS. THIS DESIGNATION INDICATES THAT READING HOSPITAL INPATIENT UNITS, EMERGENCY DEPARTMENT, PERIOPERATIVE SERVICES, AND AMBULATORY CARE DEPARTMENTS EXCEED NATIONAL BENCHMARKS FOR NURSING QUALITY INDICATORS, PATIENT SATISFACTION WITH NURSING CARE, AND NURSE SATISFACTION. IN 2024, T1 IMU ACHIEVED THE SILVER -LEVEL AACN BEACON AWARD FOR EXCELLENCE. THE BEACON AWARD SIGNIFIES EXCEPTIONAL CARE IN A UNIT THAT PUTS PATIENTS FIRST. THE BEACON AWARD PROGRAM COMPRISES THREE DISTINCT MODULES: PATIENT OUTCOMES, WORK ENVIRONMENT AND NURSING WORKFORCE. FOR WORKFORCE THE NURSING DEPARTMENT CLOSELY MONITORS TURNOVER, RN TURNOVER HAS STABILIZED OVER THE LAST 6 MONTHS AT 12% ON A NATIONAL AVERAGE OF 22.8%. SINCE 2021 WE HAVE SEEN A 50% REDUCTION IN RN TURNOVER. WE ALSO SAW A 6% INCREASE IN OUR RN ENGAGEMENT SURVEY PARTICIPATION IN CALENDAR YEAR 2024, FROM OUR PREVIOUS SURVEY IN 2022. EMERGENCY CARE - 109,162 EMERGENCY ROOM VISITS READING HOSPITAL EMERGENCY DEPARTMENT PROVIDES EMERGENCY, URGENT AND PRIMARY CARE SERVICES TO OUR COMMUNITY "24/7/365," REGARDLESS OF ABILITY TO PAY. VOLUME TO RH EMERGENCY DEPARTMENT RANKS IT AMONG THE TOP THREE IN THE STATE OF PENNSYLVANIA YEAR AFTER YEAR. AS THE AREA'S ONLY ACCREDITED LEVEL 1 TRAUMA CENTER, RH ALSO PROVIDES IMMEDIATE ACCESS THROUGH ITS EMERGENCY DEPARTMENT TO ALL SPECIALTY SERVICES, FROM TRAUMA SURGEONS TO PLASTIC SURGEONS, AND ALL AREAS OF SPECIALTY CARE. THE HOSPITAL ALSO HAS A PEDIATRIC AND PSYCHIATRIC EMERGENCY DEPARTMENT. IN ADDITION TO ITS TRAUMA CERTIFICATION, RH IS THE ONLY HOSPITAL IN THE REGION TO HAVE MADE A COMMITMENT TO ACCREDITED CARE IN STROKE AND CHEST PAIN. THE HOSPITAL ALSO IS A CENTER OF EXCELLENCE WITH 24/7 CERTIFIED RECOVERY SPECIALISTS ON SITE TO PROVIDE WARM HAND-OFFS TO PATIENTS WITH OPIOID AND OTHER SUBSTANCE USE DISORDERS. THE DEPARTMENT OFFERS A SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM WITH THE BERKS COUNTY DISTRICT ATTORNEY TO ASSIST VICTIMS OF SEXUAL ASSAULT. THE HOSPITAL ALSO HAS AN EMERGENCY MEDICINE TRAINING PROGRAM, PARAMEDIC SCHOOL AND NURSING PROGRAM.
FORM 990, PAGE 2, PART III, LINE 4B	OPERATING ROOM - 18,865 TOTAL SURGERIES READING HOSPITAL OPERATES IN A MARKET SERVED BY NEARLY 20 SPECIALTY, INVESTOR-OWNED FACILITIES, WHICH CARVE OUT THE BEST PAYING INSURANCE PLANS, THE HIGHEST MARGIN PROCEDURES, AND THE LEAST COMPLICATED PATIENTS TO SERVE. BY CONTINUING TO PROVIDE A FULL-SERVICE SURGICAL SERVICE, READING HOSPITAL OFFERS THE MOST ADVANCED SURGICAL OPTIONS, FROM ROBOTIC ASSISTED, MINIMALLY INVASIVE SURGERY TO A FULL SPECTRUM OF OUTPATIENT SURGICAL OPTIONS. READING HOSPITAL ENSURES THE COMMUNITY HAS ACCESS TO SURGICAL SPECIALTIES THAT MAY BE EXPERIENCING SHORTAGES ELSEWHERE IN THE COUNTRY. READING HOSPITAL SUPPORTS ITS SURGEONS IN THEIR FELLOWSHIP TRAINING AND RECRUITS AND RETAINS SURGEONS IN AREAS LIKE PLASTIC SURGERY - AVAILABLE ONLY DURING LIMITED HOURS OR NOT AT ALL, IN OTHER HOSPITALS IN ITS MARKET.
FORM 990, PAGE 2, PART III, LINE 4C	MCGLINN CANCER INSTITUTE 30,246 PROCEDURES THE MCGLINN CANCER INSTITUTE, LOCATED WITHIN THE READING HOSPITAL, IS PRIMARILY AN OUT-PATIENT FACILITY WHICH HOUSES THE SECTIONS OF RADIATION ONCOLOGY, HEMATOLOGY/ONCOLOGY, AND GYNECOLOGICAL ONCOLOGY. THE ANNUAL TOTAL OF PATIENTS WHO WERE DIAGNOSED AND/OR TREATED IN FY24 WERE 2,004. UPON DIAGNOSIS, A NURSE NAVIGATOR CONTACTS EACH PATIENT TO OFFER INFORMATION AND SUPPORT. MOST PATIENTS ARE SEEN IN ONE OF OUR MULTI-DISCIPLINARY CLINICS BASED ON THE TYPE OF MALIGNANCY DIAGNOSED. THIS INCLUDES THORACIC, MALIGNANT HEMATOLOGY, BREAST, GENITO-URINARY, GYNECOLOGICAL, NEUROLOGY, AND GASTRO-INTESTINAL CLINICS - MOST HELD ON A WEEKLY BASIS. EVERY CLINIC HAS ITS SPECIFIC TEAM OF PROVIDERS - SURGEONS, RADIATION ONCOLOGISTS, MEDICAL ONCOLOGISTS, RADIOLOGISTS, PATHOLOGISTS, NURSE NAVIGATORS, GENETIC COUNSELORS, AND PHYSICAL THERAPISTS - WHO CONFER AND COLLABORATE TO DESIGN A UNIQUE TREATMENT PLAN FOR EACH INDIVIDUAL PATIENT. EVERY CASE IS REVIEWED FOR POSSIBLE INCLUSION IN ONE OF THE MANY CLINICAL TRIALS OFFERED ON SITE. ONCE A PLAN OF ACTION HAS BEEN RECOMMENDED BY THE TEAM, THE PATIENT IS SEEN IN CONSULT BY THE PROVIDERS WHO WILL BE RESPONSIBLE FOR HIS/HER COURSE OF TREATMENT. MCGLINN CANCER INSTITUTE IS ACCREDITED BY THE COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM. THE MEDICAL ONCOLOGY PRACTICE IS CERTIFIED BY THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY THROUGH ITS QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) AND THE RADIATION ONCOLOGY DEPARTMENT IS CERTIFIED BY THE AMERICAN COLLEGE OF RADIOLOGY. IN ADDITION, THE BREAST PROGRAM AT READING HOSPITAL IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. THE CANCER CENTER OFFERS A THREE-YEAR HEMATOLOGY/ONCOLOGY FELLOWSHIP PROGRAM AND STUDENTS FROM VARIOUS PROGRAMS (EX: JEFFERSON UNIVERSITY, GWYNEDD MERCY UNIVERSITY, ARCADIA UNIVERSITY) ARE ASSIGNED CLINICAL ROTATIONS AT MCGLINN FOR GENETIC COUNSELING, RADIATION THERAPY TECHNOLOGY, AND PHYSICIAN ASSISTANT TRAINING.
FORM 990, PAGE 2, PART III, LINE 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES INCLUDE BUT ARE NOT LIMITED TO: REVENUE EXPENSE RADIOLOGY 229,811,010 42,697,165 REHABILITATION/PHYSICAL THERAPY 50,543,506 31,489,363 TRAUMA CENTER 3,861,303 3,111,270 PHARMACY 48,176,043 40,867,070 ANCILLIARY 130,150,815 83,872,656 READING HOSPITAL PROVIDES SERVICES TO ALL INDIVIDUALS IN A NON- DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, OR ABILITY TO PAY.
FORM 990, PAGE 6, PART VI, LINE 6	TOWER HEALTH ELECTS THE MEMBERS OF THE GOVERNING BODY
FORM 990, PAGE 6, PART VI, LINE 7A	THE MANAGEMENT OF THE CORPORATION SHALL BE VESTED IN THE BOARD OF DIRECTORS ELECTED BY THE MEMBER WHO IS TOWER HEALTH.
FORM 990, PAGE 6, PART VI, LINE 7B	ALL DECISIONS ARE SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS AS MANAGEMENT OF THE CORPORATION ELECTED BY THE MEMBER.
FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 IS PREPARED BY HOSPITAL STAFF, REVIEWED BY AN EXTERNAL TAX ADVISOR AND POSTED ON A BOARD PORTAL FOR BOARD MEMBERS TO VIEW PRIOR TO FILING WITH THE IRS. MEMBERS ARE ALERTED TO INFORMATION AND NOTICES. A PAPER COPY OF FORM 990 IS AVAILABLE UPON REQUEST FOR ANY BOARD MEMBER UNABLE TO VIEW THE PORTAL.
FORM 990, PAGE 6, PART VI, LINE 12C	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 SPOUSE OF A DESCENDANT IS AN OFFICER, DIRECTOR, MEMBER EMPLOYEE OR OWNER (35% OR GREATER SHARE) WITH WHICH THE COMPANY MIGHT REASONABLY ENTER INTO A RELATIONSHIP OR A TRANSACTION IN WHICH THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE WOULD HAVE CONFLICTING INTERESTS. EACH YEAR A COPY OF THE WRITTEN STATEMENT WILL BE SENT TO THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE FOR UPDATING AND RESUBMISSION AND BY WHICH THE BOARD MEMBER, OFFICER AND KEY EMPLOYEE SHALL CONFIRM HIS OR HER AWARENESS OF THIS POLICY. ALL MEMBERS OF TOWER HEALTH MANAGEMENT (INCLUDING DIRECTORS AND VICE PRESIDENTS) MUST COMPLETE AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. SUCH STATEMENTS ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER. PROCEDURES FOR ADDRESSING A CONFLIT 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 READING HOSPITAL 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 READING HOSPITAL'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.
FORM 990, PAGE 6, PART VI, LINE 15A	THE TOWER HEALTH 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, OFFICERS AND KEY EMPLOYEES. 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.
FORM 990, PAGE 6, PART VI, LINE 15B	SAME RESPONSE AS LINE 15A WHICH INCLUDES KEY EMPLOYEES.
FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	OTHER PROGRAM FEES 48,549,226 0 0 OTHER FEES 0 26,606,110 0 OTHER FEES 5,518,249 0 0 OTHER FEES 3,001,612 0 0 OTHER FEES 4,351,624 0 0 PHYSICIAN FEES 42,584,370 6,634,712 0 TOTAL 104,005,081 33,240,822 0
FORM 990, PART XI, LINE 9	INTERCOMPANY ASSET TRANSFER -225,454,554 ASSETS RELEASED FROM RESTRICTION -5,013,909 PENSION LIABILITY 25,204,761 IMPAIRMENT -6,981,846 OTHER CHANGES -860 TOTAL -212,246,408

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
TOWER HEALTH
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	232201344	SUPPORTING	PA	501C3	12C	NA	false
THE RDG HOSPITAL & MED CENTER SELF-
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	232087514	TRUST FUND	PA	501C3	12B	RDG HOSP	Yes (true)
TOWER HEALTH MEDICAL GROUP
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	232266054	HEALTHCARE	PA	501C3	3	TOWER HLTH	Yes (true)
READING HOSPITAL FOUNDATION
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	473054125	SUPPORT	PA	501C3	12A	RDG HOSP	Yes (true)
TOWER HEALTH AT HOME
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	231466250	HEALTHCARE	PA	501C3	3	TOWER HLTH	Yes (true)
THAH - ADVANTAGE HOME CARE
420 SOUTH 5TH AVENUE	WEST READING	PA	19611	232469319	HEALTHCARE	PA	501C3	3	THAH	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	READING - UPMC JOINT VENTURE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 GRANT STREET	AddressLine1Txt
City	PITTSBURGH	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15219	ZIPCd

Field	Value	IRS element (for citing)
EIN	814566751	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	PA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
TOWER HEALTH PPO
PO BOX 14744	READING	PA	19612	232430798	PPO	PA	RDG HOSP	C CORP	$48,465	1.00000	Yes (true)
MEDICUS RESOURCE MANAGEMENT
PO BOX 14744	READING	PA	19612	232565297	CM REVIEW	PA	TH PPO	C CORP		1.00000	Yes (true)
TOWER HEALTH RECIPROCAL RISK
151 MEETING STREET SUITE 301	CHARLESTON	SC	29401	822758845	INSURANCE	SC	NA	C CORP			false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
READING HOSPITAL FOUNDATION
P	$997,994	G/L TRANSACTIONS
READING HOSPITAL FOUNDATION
C	$4,469,251	CASH
TOWER HEALTH
E	$31,681,157	G/L TRANSACTIONS
TOWER HEALTH MEDICAL GROUP
B	$58,880	CASH